Yatsko, P. & Koh, H., 2018.
Mary Selecky and Washington State’s Salmonella Outbreak of June 1999, Harvard Business Publishing: Harvard T.H. Chan School of Public Health case collection.
Available from Harvard Business PublishingAbstractThree months into her job as secretary of health for Washington State in 1999-a position which had been vacant for nearly a year following the previous secretary's resignation-Mary Selecky read a newspaper story that the state's largest and most influential health jurisdiction, Public Health Seattle King County, reported three unconnected people in the county had been infected with salmonella, a common foodborne bacteria that makes people sick and can lead to severe illness and even death in some instances if untreated. While Department of Health epidemiologists had already serotyped the bacteria, which they traced to fruit smoothies from a Seattle chain, this was the first time that Selecky had heard anything about the outbreak. Clearly, she mused, no one in the state working on the matter thought the state secretary of health needed to know about it. Selecky, who had previously run a poorly resourced, rural county health district in Washington State, did not yet understand how state-level public health laboratories and other resources interacted with Public Health Seattle King County, health labs in other states, or federal agencies and resources. She was not even sure of her role vis à vis the State Department of Health's own epidemiology team when it came to routine foodborne outbreaks. However, Selecky did know that foodborne pathogens could sicken and kill, and had no respect for man-made borders. What if anything should Selecky do? What does she need to know? What is her role in what staff consider routine communicable disease investigations. How should she go about discovering it? How does one decide what is and what is not routine?
Yatsko, P. & Koh, H., 2018.
Mary Selecky and Washington State’s Response to the Fukushima Daiichi Nuclear Disaster, Harvard Business Publishing: Harvard T.H. Chan School of Public Health case collection.
Available from Harvard Business PublishingAbstractThe 8.9 magnitude earthquake that struck Japan on March 11, 2011, unleashed a 30-foot tsunami along Japan's Pacific Coast that damaged nuclear reactors at the Fukushima Daiichi Nuclear complex. The crippled reactors leaked radiation into the sea and atmosphere, contaminating the local environment and sending a radioactive plume across the Pacific Ocean toward North America some 5,000 miles away. Washington State Governor Christine Gregoire soon asked State Secretary of Health Mary Selecky for the State Department of Health's action plan for the crisis, directing the seasoned health officer to "handle it!" Although the health risks posed to west coast communities by the incoming radiation was low, the public's anxiety about possible health consequences was high. Round-the-clock news coverage of the Fukushima nuclear disaster and its fallout inadvertently stoked what Selecky described as "an epidemic of fear" as residents sought to protect themselves from potential radiation contamination in water, shellfish, and dairy products. Nearly three weeks into the crisis, Selecky received an unexpected phone call from Governor Gregoire, whom New York Times reporters had just contacted for comment on radiation found in a Washington State milk sample. "What milk sample?" Selecky replied, hearing the news for the first time. What should Selecky do? How should she and her staff respond to the March 11 disaster? How should she proceed following revelations of radiation in a Washington State milk sample? How should she and her department handle the public's concerns about contaminated debris washing up on Washington's shores and other disaster-related issues in months and years to come?