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Jennifer Horney

Professor and Director, Epidemiology

  • Newark DE UNITED STATES

Jennifer Horney's research focuses on the health impacts of disasters and public health emergencies including climate change.

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Spotlight

1 min

Finland's Olympic women's hockey team overcame a norovirus scare last week, but they couldn't get past Team USA, who shut them out 5-0 Saturday in Milan. The University of Delaware's Jennifer Horney can discuss the difficult-to-contain virus, which also hit the Winter Games in 2018. Horney, a professor of epidemiology at UD, said that the outbreak –  which forced Finland to cancel its first game after 13 players had either been infected or quarantined – is not surprising. Norovirus spreads rapidly in crowded environments through direct contact with surfaces or airborne droplets. It is difficult to limit the spread of norovirus, as witnessed by the major outbreak that spread at the 2018 Winter Olympics in South Korea. Consideration is often given for the potential of these types of outbreaks being intentional, which requires public health to work closely with law enforcement. To reach Horney directly and arrange an interview, visit her profile and click on the "contact" button. Interested journalists can also send an email to MediaRelations@udel.edu.

Jennifer Horney

1 min

Hurricane Melissa, now a Category 5 storm, is projected to cause “catastrophic” flooding and inflict severe damage in Jamaica. The University of Delaware’s Disaster Research Center has several experts who can talk about preparations, evacuations, health impacts, decision making and recovery. The following experts in the DRC – which has a few contacts in Jamaica – are available for comment. Jennifer Horney: Health impacts of disasters as well as how cuts to aid and emergency assistance will factor into recovery after the storm. Sarah DeYoung: Pets in emergencies, infant feeding in disasters and decision-making in evacuation. Tricia Wachtendorf: Evacuation decision-making, disaster response and coordination, disaster relief (donations) and logistics, volunteer and emergent efforts, social vulnerability. Jennifer Trivedi: Can talk about preparedness steps and recovery as well as challenges for people with disabilities during disaster, cultural issues and long-term recovery. Shanjia Dong: Research looks at infrastructure systems, critical infrastructure protection, effective disaster preparedness and response, and equitable resilience planning and climate change adaptation. A.R. Siders: Expert on sea level rise and managed retreat – the concept of planned community movement away from coastlines and flood-prone areas. To contact these experts directly and arrange an interview, visit their profiles and click on the "contact" button. Interested reporters can also email MediaRelations@udel.edu.

Jennifer HorneySarah DeYoungTricia WachtendorfJennifer TrivediA.R. Siders

1 min

The historic wildfire season in Colorado includes some of the largest in its history, leading to firefighter burnout and resource shortages. University of Delaware epidemiologist Jennifer Horney says that first responders, as well as Colorado residents, will be at risk for both physical and mental health impacts of the fires. "The fires, and the expected flash floods and mud slides to follow, will also be a test of a reduced focus on, and investment in, federal disaster response and hazard mitigation," said Horney, professor and director of UD's epidemiology program. In addition to research on the impacts of natural disasters on public health, Horney also studies linkages between disaster planning and the actions communities and individuals take to prepare, respond and recover. To set up an interview, visit her ExpertFile profile and click on the "contact" button. Reporters can also email MediaRelations@udel.edu.

Jennifer Horney

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Biography

Jennifer Horney is Professor and Founding Director of the Program in Epidemiology and Core Faculty at the Disaster Research Center at the University of Delaware. Her research focuses on measuring the health impacts of disasters, as well as the linkages between disaster planning and household actions related to preparedness, response, and recovery. Dr. Horney received her Ph.D. and MPH from the University of North Carolina at Chapel Hill. She was a member of a team of public health practitioners who responded to Hurricanes Isabel, Charley, Katrina, Wilma, Irene, and Harvey where she conducted rapid assessments of disaster impact on public health. She has also provided technical assistance to public health agencies globally around disasters, infectious disease outbreaks, and pandemic influenza planning and response.

Industry Expertise

Research
Health and Wellness

Areas of Expertise

Epidemiology
epidemic
COVID-19
Community Assessment for Public Health Emergency Response
Rapid Assessment
Applied Epidemiology
Outbreak Investigations
Disaster Epidemiology
Coronavirus
Pandemic

Answers

Jennifer Horney

CaptionResizeWrap TextRemoveSupport for, and trust in, public health is at a nadir. Recent accomplishments include the rapid development and approval of a safe and effective COVID-19 vaccine, effective mpox response, declines in opioid overdose deaths through harm reduction, and evidence-based public health initiatives addressing root causes of gun violence. Despite these initiatives, which have significantly reduced the population-level impact of injury and illness, perceived missteps in the management of COVID-19, pervasive mis- and disinformation, increasing public distrust, and a lack of financial support have contributed to the deterioration of public health’s ability to respond to disasters and emergencies. The impact of false narratives and disinvestments interrupt the public health workforce pipeline, denying students opportunities to be trained for and participate in public health emergency preparedness activities. In 2003, I began my career as a disaster epidemiologist conducting household interviews for rapid needs assessments being conducted by the US Centers for Disease Control and Prevention (CDC), the N.C. Division of Public Health, and the University of North Carolina following Hurricane Isabel.For more than two decades, I deployed with students in partnership with local, state, and federal public health agencies to respond to disasters and collect data that contributed to both the immediate and long-term mitigation of the negative health impacts of disasters.This work, conducted in communities across the United States, is only possible because of a community’s trust in public health agencies and individuals’ willingness to share their postdisaster needs with our interview teams, which typically include a public health student and a local resident.The collection of perishable data in postdisaster contexts is challenging regardless of circumstance, and alterations have been made over time to ensure better representation of pregnant women, migrant workers, and rural populations in these postdisaster assessments. Yet, these assessments would not be possible at all without trusted connections between governmental agencies, academic public health, and disaster-affected communities.Politicization threatens our ability to respondPoliticization of disaster response and disaster assistance, and the mis- and disinformation that has now become prevalent around it, make it more difficult to collect these data. Following Hurricane Helene, one of my public health students at the University of Delaware worked with the western North Carolina nonprofit Sustaining Essential and Rural Community Healthcare to conduct key informant interviews and a Community Assessment for Public Health Emergency Response community survey. Both officials and residents reported that misinformation took time and attention away from response activities and disinformation led residents to distrust the response and recovery.After the pandemic, we have a dramatically under-resourced public health preparedness and response system, even in the face of more frequent and severe disasters and public health emergencies. These challenges will continue to mount as the Trump administration dismantles not only public health but also science more broadly. If the administration continues with their stated intent to dismantle the National Center for Atmospheric Research, this will further limit our ability to understand the human health impacts of extreme weather and weather-related hazards associated with climate change. This comes after significant damage to other federal agencies, including the CDC, the Environmental Protection Agency, and the Occupational Safety and Health Administration, all of whom monitor and collect data on disasters caused by natural, biological, and technological or industrial hazards and risks.A weakened workforce pipelineWith the rapidly changing landscape, students are learning about “how things used to be,” with an asterisk next to almost all federal disaster and public health policies and legal frameworks noting that the material could be outdated quickly. However, it is important that students are aware of the mechanisms and functionalities that have existed before this most recent political upheaval. For new public health professionals to help build back programs in more sustainable and resilient ways, it is vital that they have a comprehensive understanding of the policies that were dismantled, as well as their strengths and weaknesses. However, limited job opportunities and ongoing uncertainty will steer this generation of public health students away from governmental public health careers, leaving a long-term deficit of expertise.The difference between an emergency and a disaster is that in an emergency, actions can be taken to avoid a disaster, which exceeds the capacity of an impacted community. The Federal Emergency Management Agency’s (FEMA’s) workforce is 20% smaller under the Trump administration, and mitigation grants through the Flood Mitigation Assistance and Building Resiliency Infrastructure and Communities programs have been eliminated. Reducing community capacity to manage social, systemic, and infrastructural risks through disaster risk reduction, mitigation, and anticipatory action will result in emergencies more frequently progressing into disasters. Furthermore, without federal capacity to respond in agencies like FEMA or CDC, the risks that a given emergency will become a disaster also drastically increase simply because of the ways resources are allocated. Students will no longer have the opportunity to participate in fieldwork when there are no federally supported disaster responses or to learn about disaster epidemiology when there is no longer funding for academic programs that teach students public health in complex emergencies and disaster epidemiology concepts. A safety net that is frayed in nondisaster times will simply unravel during a public health emergency.Overall, it is critical for both the current and future public health workforce to continue to work to identify and understand the social drivers of health and the ways in which the current regulatory, technological, and political moment is affecting public health in both the short and long term. Discussing the ongoing stress impacts of the “triple disaster” in Japan in 2011 (i.e., earthquake, tsunami, and nuclear accident at the Fukushima power plant), Adam highlighted the importance of identifying and understanding the impacts of new and unexpected stressors on population health.A call to action Borrowing from this framing, the next generation of public health professionals must now begin to engage in quantifying the public health impacts of these policies to generate the essential evidence base for the future reinvestment in, and reinvigoration of, public health emergency preparedness.Current public health students can begin to actively capture the baseline state of public health, commit to ongoing active surveillance and measurement, and engage with both objective measures of health and self-reported perceptions to track how the human-made and unexpected stressors like artificial intelligence, climate change, and political polarization may affect us.While being “political” has often been seen as a negative for public health officials, now is not the time for public health students to be insular or isolated. Although engaging with the political, legislative, legal, and business sectors as a public health student or professional may feel daunting, public health must now more than ever engage with a variety of new partners and tools for public health practice. We cannot respond to the current attacks on public health in isolation. Businesses must speak up regarding how important a healthy and safe workforce is to their success. Local officials must advocate for the health of their residents and communities.The long-held sovereignty of local public health governance must give way to regional collaborations like the recently announced Northeast Public Health Collaborative, which brings together 10 states and New York City to work together on issues like vaccine policy, public health financing, and public health data collection, management, and analysis.Public health has always had the impetus to protect previous achievements—vaccination, robust surveillance systems, workplace and environmental safety, maternal and child health, reducing health disparities—through monitoring and evaluation, education, regulatory enforcement, and other essential public health services. For public health students, now is the time to find your passion, engage with partners that can support you, and prepare to lead.

Jennifer Horney

The real concern will be the number of mutations on Pirola's spike protein and the recent approval of the boosters that target the current dominant variant, Omicron. We don’t know how effective that booster – which just became available after Sept. 12, 2023 – will be.

Media Appearances

What to do if you get a flash flood warning

NPR  radio

2025-07-09

Jennifer Horney, director of UD's epidemiology department, appeared on NPR's "Morning Edition" to talk about the recent deadly floods in Central Texas. The interview with Horney, also core faculty with the Disaster Research Center, appeared on nearly 200 NPR affiliates nationwide.

Delaware professor: Low child vaccination rates may boost flu

Delaware State News  online

2025-02-19

“We are currently still in a very severe respiratory virus season," said Jennifer Horney, the founding director of the University of Delaware’s Epidemiology Program.

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As Helene’s immediate impacts recede, a public health threat rises

Grist  online

2024-10-18

“Even after the water recedes, residents may underestimate the potential for contamination by unseen bacteria such as fecal coliform, heavy metals such as lead, and organic and inorganic contaminants such as pesticides,” Jennifer Horney, a disaster epidemiologist at the University of Delaware, warned in the wake of the hurricane.

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Articles

Applying and Integrating Urban Contamination Factors into Community Garden Siting

Journal of Geovisualization and Spatial Analysis

2022

Local agricultural production provides opportunities for communities to cultivate resilience in local food supply systems, especially in urban areas underserved by supermarkets or other sources of fresh, affordable, healthy foods. While suitability analyses have traditionally been used to identify suitable locations for community-based food gardens, these models do not typically account for the potential for exposure to pollutants in urban settings, including contamination from industry, transportation infrastructure, or other sources. Using the city of Houston, Texas, as a case study, this paper describes a proposed suitability analysis for siting urban gardens that includes a pollution hazard index in addition to more typical criteria such as size, slope, and solar access. Geographical information systems spatial analyses were employed to determine if existing community gardens in Houston, Texas, are appropriately sited when a composite pollution hazard index score was added as a siting criteria. Results suggest a need to better optimize community garden siting to attenuate both disparate access to fresh produce and reduce risk of urban horticultural environmental exposure to contaminants in many areas.

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Critical facility accessibility and road criticality assessment considering flood-induced partial failure

Sustainable and Resilient Infrastructure

2023

This paper examines communities’ accessibility to critical facilities such as hospitals, emergency medical services, and emergency shelters when facing flooding. We use travel speed reduction to account for flood-induced partial road failure. A modified betweenness centrality metric is also introduced to calculate the criticality of roads for connecting communities to critical facilities. The proposed model and metric are applied to the Delaware road network under 100-year floods. This model highlights the severe critical facility access loss risk due to flood isolation of facilities. The mapped post-flooding accessibility suggests a significant travel time increase to critical facilities and reveals disparities among communities, especially for vulnerable groups such as long-term care facility residents. We also identified critical roads that are vital for post-flooding access to critical facilities. The results of this research can help inform targeted infrastructure investment decisions and hazard mitigation strategies that contribute to equitable community resilience enhancement.

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Online Guidance for Domestic Violence Survivors and Service Providers: A COVID-19 Content Analysis

Violence Against Women

2023

To assess COVID-19 information and services available to domestic violence service providers, survivors, and racially and culturally specific communities in the U.S., a content analysis of 80 national and state/territorial coalition websites was performed in June 2020. COVID-19 information was available on 84% of websites. National organizations provided more information for survivors related to safety and mental health and for racially and culturally specific communities. State/territorial coalitions provided more information for providers on COVID-19 and general disaster preparedness. COVID-19 and social distancing measures implemented to control it diminished help-seeking in unique ways. Greater online access to information and resources may be needed to address changing needs of survivors during disasters and emergencies.

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Education

University of North Carolina at Chapel Hill

PhD

Epidemiology

2009

Languages

  • English