Public Health Practices

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.

Guide for emergency responders provides tools for communicating with specific vulnerable groups

In response to state demographics, a Florida Department of Health (DOH) work group developed a guide for emergency responders to communicate with various vulnerable populations during a disaster. The guide covers how to create an appropriate message, deliver it in a way that will be received and understood, and collaborate with area organizations that may have special knowledge or skills to reach their communities.

Local health departments and community organizations work with paramedics to provide flu vaccine to homebound individuals

Oregon’s "Taking H1N1 Vaccination to Vulnerable Populations" pilot project utilized nontraditional vaccinators, specifically paramedics affiliated with local ambulance services, as a strategy to improve influenza vaccination rates among homebound seniors and people with disabilities. Collaboration between local health departments, community-based organizations, and emergency medical service agencies provided flu vaccine to homebound individuals during a five-county pilot project in Oregon.

Radiological preparedness activities focus on at-risk populations living in proximity to nuclear power plant

A significant number of elderly people, people with disabilities, and children in group homes live near the nation’s largest nuclear power plant, the Palo Verde Nuclear Generating Station, about 50 miles west of Phoenix. During a radiological emergency, they may need additional assistance. State health officials have used full-scale exercises and frequent contact to streamline their evacuation and decontamination response times for these vulnerable populations.

Preparedness book creates central location for essential medical information of seniors and people with disabilities during emergencies

The Vulnerable Populations Committee of Jackson and Josephine Counties in Oregon developed the READY BOOK to ensure on-the-spot access to vital information needed by caregivers and medical professionals who assist individuals in need during an emergency.

Use of H1N1 Funding to Contract with Advocacy Groups and CBOs

Health department emergency response planners in Maricopa County, Arizona, were successful in expanding their existing outreach activities to get key messages about pandemic influenza to hard-to-reach communities.

Respiratory Protection Training for Long-Term Care Homes

The 2009 H1N1 influenza outbreak identified the need for respiratory protection programs in New York State's 639 nursing home facilities. CDC's October 14, 2009, "Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, including Protection of Healthcare Personnel" determined that long-term care facilities would need to use respiratory protection to comply with the OSHA standard.

AARP Partnership Aids Outreach to Grandparents

Collaborative partnerships developed for other goals may be effectively applied to H1N1 pandemic response. The Virginia Department of Health's (VDH) partnership with the state's AARP chapter is one such example.

Community Action Partnership/Area Agency on Aging MOA

The Memorandum of Understanding (MOU) is a sample agreement for collaboration during an emergency between a public health department and a community-based organization (CBO) that serves vulnerable populations. The project utilizes the existing databases and networks that CBOs have established within the community to reach vulnerable community members. Therefore, public health would be able to use the MOU as an alternative or supplement to a special needs registry.

The Prepared Community Initiative

The Prepared Community Initiative is a training and technical assistance program for local Community Health Councils. The Initiative is intended to prepare Community Health Councils to be collaborative partners in health-related emergency preparedness and response, especially as it pertains to at-risk populations.

Linking Home Care and Public Health

The Montgomery County Advanced Practice Center developed a toolkit to assist health departments in conducting a pandemic influenza preparedness workshop for home care providers. While much of the toolkit focuses on continuity-of-operations planning for home care agencies, it also provides home care agencies with materials to enhance personal preparedness and knowledge about pandemic flu scenarios among their clients.

Emergency Preparedness Checklist for Case Management and Home Care Services

The Emergency Preparedness Checklist is designed to ensure that clients receiving home care and case management services are better able to cover gaps in their own care during emergencies. They are encouraged through this clear, simple planning checklist to take a few key planning steps: have a conversation about emergency preparedness; develop an emergency plan; and gather a three days or more supply of nine essential items in preparation for an emergency event.

Emergency Preparedness Checklist for Nursing Homes, Assisted Living Facilities, and Group Homes

The Montgomery County (MD) Advanced Practice Center developed the Emergency Preparedness Checklist for Nursing Homes, Assisted Living Facilities and Group Homes to provide preparedness guidance for healthcare facilities. This interactive checklist, which poses a range of questions, is designed to ensure that healthcare facilities are well-prepared and also able to shelter in place and remain self-sufficient during a variety of emergencies. This tool is designed to assist in:

Kansas Vulnerable Populations Outreach

A Special Needs Populations Assessment Toolkit represents part of a pandemic influenza mapping and outreach project conducted by the Kansas Association of Local Health Departments. The toolkit contains a selection of materials that are clearly and concisely written. It provides detailed assessments for needs experienced by the elderly; disabled; non-English speakers; and people who live in shelters, institutional facilities, and other specialized housing.

Neighbor to Neighbor Network

The Neighbor to Neighbor Network is a local, grassroots project that designates community hierarchies to establish communication about vulnerabilities between neighbors and offer support for preparedness activities. The network is designed to be facilitated by local Mid-America Medical Reserve Corps volunteers and may dovetail nicely with other volunteer programs at the local level.

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