Public Health Practices

Tribal, state, and local agencies define responsibilities for health emergencies on tribal land

The Eastern Band of Cherokee Indians worked with the North Carolina Division of Public Health and five local health agencies to determine responsibilities during a public health event occurring on tribal land. A memorandum of understanding clarified roles without compromising sovereignty and resulted in clearly defined ways to share tribal, state, and local resources during an emergency.

Interactive, visual tool helps people with communication needs stay safe in emergency shelters

The Massachusetts Department of Public Health created a visual tool for two-way conversations between emergency shelter staff and people with communication needs. The booklet allows shelter staff to ensure residents know how the shelter operates and residents to use images to express their needs and concerns.

Florida uses "dark site" templates to prepare for internal and public communication during disasters

The Florida Department of Health built offline Web page templates ("dark sites") to be customized and placed online when a disaster occurs. In an online format accessible to a large number of people, the dark sites enable communications staff to provide the public and agency employees with current and accurate information they need to stay safe and do their jobs. The project was honored in 2012 for its significant effects on saving agency staff time and financial resources.

Florida's virtual JIC creates a safe and effective work environment for communications responders

In order to facilitate timely communications and ensure safety of responders, the Florida Department of Health developed a virtual Joint Information Center (JIC). Key to its success in saving agency resources were its use of existing capacity on their emergency notification system, open source software redundancy, easy global accessibility, provision of necessary communications resources in one place, and responsiveness to staff needs.

Michigan integrates disaster preparedness curriculum into school health program

The Michigan Department of Community Health and its partners developed a skills-based disaster preparedness curriculum for children in grades 1-12. Lesson plans focus on skills children can integrate easily into their lifestyles and transmit to their families.

Connecticut emergency guide focuses on local hazards and enhanced communication to prepare and inform state residents

In 2011, the Connecticut Department of Public Health revised an emergency preparedness guide to more specifically address hazards affecting the state, include information about pandemic influenza, and be more accessible to the general public. A public education campaign and Web site were developed around the guide’s updated subject matter.

Emergency preparedness guide addresses the unique needs of migrant and seasonal farm workers

The Migrant and Seasonal Farm Worker Emergency Preparedness Planning Guide helps planners integrate the needs of migrant and seasonal farm workers into existing emergency preparedness planning efforts. Ready-to-use checklists outline essential steps to take when working with migrant and seasonal farm workers during all phases of an emergency.

Public health partnership establishes countywide information hotline at local public library

A Kansas library worked with health, academic, and community partners to set up a disaster information call center that provides emergency notifications (when necessary) and year-round preparedness information.

Using the online Cultural Competency Curriculum for Disaster Preparedness and Crisis Response to enhance the quality of care for diverse populations

Recent tragedies such as the Haiti earthquake, Hurricanes Katrina and Rita, and September 11th have demonstrated that minorities suffer disproportionately during all stages of a disaster. Acknowledging that culturally and linguistically competent care can help mitigate health disparities, the U.S.

Retrofitting a city bus for medical evacuations and respiratory therapy

In 2009, the Chicago Fire Department (CFD) identified a need to simultaneously treat multiple stable fire and inhalation victims who require oxygen, whether due to a previous medical condition or as the result of an acute event, such as evacuation of any building, hospital, health care facility or treatment facility, due to fires or other hazards. The solution needed to be mobile, allowing responders to provide oxygen services during emergencies anywhere in the Chicago area.

Illinois Faith-Based Preparedness Initiative

This partnership between the Illinois Department of Public Health and the Broadcast Ministers' Alliance and Health Care Consortium provides a web site where faith-based organizations can access tips on disaster preparedness. The site is all-hazards, but pandemic influenza is used as a specific example in some cases. The site is divided into pages titled "Prepare," "Listen," "Act," and "Now" (P.L.A.N.).

Guide for Including People with Disabilities in Disaster Preparedness Planning

The guide provides recommendations and tools for people with many different types of disabilities. The guide includes sections on outreach and identification, planning, communication, evacuation, and sheltering. Each chapter contains numerous examples and scenarios to illustrate the information's applicability to individuals with physical, sensory, developmental, and psychiatric disabilities.

Diabetes Disaster Preparedness Guide

Hunterdon Healthcare System developed a Diabetes Disaster Preparedness Guide for diabetes patients who must manage their condition during an emergency. The guide is intended to be used by patients during a variety of disasters, yet some of the information (e.g., foot care and blood sugar during strenuous physical labor) is applicable only to a structural or environmental disaster. The guide was later used by the New Jersey Department of Health and Senior Services.

"When Words are Not Enough" Communications Training Program for Responders

The Woodside Fire Protection District (WFPD) in Woodside, California, along with the Commission for Disabilities for San Mateo County and the San Mateo County Special Education Local Planning Agency (SELPA), developed an educational tool to teach responders simple methods for emergency communications with people who have disabilities and special needs. The program includes a video, written manual, communication booklet, and poster.

Mass Fatality Incident Management: Guidance for Hospitals and Other Healthcare Entities

Los Angeles County's mass fatality guidance provides detailed tools and recommendations that may assist hospitals and the offices of Medical Examiners and Coroners during an emergency. The guidance provides checklists for planning, staffing a fatalities management unit, and morgue surge.

Set Your Clocks, Check Your Stocks Campaign

The American Public Health Association developed this campaign to encourage emergency preparedness at the high school and community level. Materials use a catch phrase-"Set Your Clocks-Check Your Stocks"-to remind students and their families to evaluate their emergency preparedness kits twice a year when they re-set their clocks. The kit includes several components, notably a series of six fact sheets, a project kit for high school students, and interactive materials for younger children.

Agency Emergency Plan - COOP Planning for CBOs

Collaborating Agencies Responding to Disasters (CARD) created an emergency planning guide for community-based organizations that describes staff preparedness and outreach to clientele, while also covering the types of activities that should and should not be assigned to spontaneous volunteers (ie, volunteers that just "show up" and wish to help).

Training program and exercise helps provide risk communication to underserved communities

An Oregon county developed a training program and exercise for communicating with underserved members of their community during a disaster.

Special Needs Task Force and Registry

New Hanover County, North Carolina, built and maintained a voluntary special needs emergency registry through their Retired and Senior Volunteer Program (RSVP). The registry was initiated in 1997 and housed under the Department of Emergency Management until 2003, when grant funds became available to support maintenance of a registry by RSVP.

Cambridge Public Participation Project

The Cambridge Advanced Practice Center partnered with local service providers to meet with at-risk groups as part of regularly scheduled gatherings. These town hall sessions were conducted with two groups: 1) homeless individuals and service providers to the homeless and 2) elderly and disabled individuals and their service providers.

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