1. Establishing Research Priorities for Public Health Emergency Preparedness in Canada: Results of a Scoping Review and Priority- Setting Meeting Yasmin Khan, MD MPH FRCPC Consultant Physician, Public Health Ontario

2. PublicHealthOntario.ca Objectives To briefly describe the methods applied in a scoping review of the literature on PHEP To share the results of PHEP themes in the literature, based on the review and survey To describe the meeting held to set priorities for PHEP research in Canada To share the results of the priority-setting discussions 2

3. PublicHealthOntario.ca Begin with list of themes Add missing themes Prioritize themes or topics Think about research ideas Develop research questions Prioritize research questions Develop research proposals Goals for the process

4. PublicHealthOntario.ca Scoping review and pre-meeting survey Used scoping review methodology Focus on public health sector and evidence-based literature in last 15 years Mapped key themes in the literature based on search results Sought consultation via survey on the emergent themes from the international panel of meeting participants Refined themes based on survey results 4

5. PublicHealthOntario.ca Results 5

6. PublicHealthOntario.ca Results CROSS-CUTTING THEMES Theme Equity Gender considerations Resilience Vulnerable/high-risk populations 6

7. PublicHealthOntario.ca Results STAND-ALONE THEMES Theme Attitudes and beliefs Capacity assessment and capacity- building Collaboration and system integration Communicable disease control Communication Education, training and exercises 7

8. PublicHealthOntario.ca Results STAND-ALONE THEMES Theme Ethical considerations Planning Psychosocial impacts of emergencies Public health considerations for sheltering and evacuation Quality improvement and performance standards Surveillance, epidemiology and public health information 8

9. PublicHealthOntario.ca Begin with list of themes Add missing themes Prioritize themes or topics Think about research ideas Develop research questions Prioritize research questions Develop research proposals Goals for the process

10. PublicHealthOntario.ca Research priority-setting meeting Held in April 2013 Attended by an international panel of public health practitioners at multiple levels, health-care practitioners, researchers and policymakers Knowledge exchange through large and small group discussions Priority setting occurred after confirming criteria for the process 10

11. PublicHealthOntario.ca Priority-setting criteria 1.Relevance and impact 2.Originality 3.Feasibility 11

12. PublicHealthOntario.ca Communication and Education Internal/ external communication Social media Education/competencies Technical/ non-technical skills Attitudes 12

13. PublicHealthOntario.ca Defining & Measuring Emergency Preparedness Needs assessment Capacity – business continuity Resilience Vulnerability Disaster risk reduction Evaluation/metrics Modeling (standards) 13

14. PublicHealthOntario.ca Integration and Collaboration Systems Mechanism of decision-making and policy Decision science Evaluation/metrics Modeling (standards) 14

15. PublicHealthOntario.ca Final prioritized themes Communication Defining and measuring emergency preparedness Critical decision-making in complex public health emergencies 15

16. PublicHealthOntario.ca Begin with list of themes Add missing themes Prioritize themes or topics Think about research ideas Develop research questions Prioritize research questions Develop research proposals Goals for the process

17. PublicHealthOntario.ca Progress on research priorities Continued collaboration within the PHEP network and beyond Sharing knowledge from the research priority-setting exercise Building teams for collaboration on projects to address priority themes Submission of proposals for funding opportunities to pursue projects on priority themes 17

18. PublicHealthOntario.ca Thank you 18

19. PublicHealthOntario.ca Results 19 Types of hazards for studies identified in scoping review

20. PublicHealthOntario.ca Results 20 Types of study designs captured in scoping review

21. PublicHealthOntario.ca Results 21 Final yield for charting using descriptive numerical summary approach: 300 Selection of studies for charting by thematic analysis: 82 (primary research descriptive 45 and analytical epidemiology 37) Excluded modelling/ simulation studies: 24 Total studies examined by thematic analysis: 58