Broad definition (ASTHO) Economically vulnerable - People may have too little money to stockpile supplies or to stay home from work Key is absence of support network because even have significant disability you are not necessarily at greater risk. - Some children; homeless; travelers; and the socially, culturally, or geographically isolated. Support to be independent in ADL might include Physical disability Developmental disability Substance abuse/dependence Mental Illness Difficulty seeing or hearing Medical conditions
Examples of some people who might be at-risk during an emergency.
Relatively high numbers of disabled people between the ages of 21 and 64 in NC, according to the 2000 Census. http://www.osbm.state.nc.us/ncosbm/facts_and_figures/census/maps/seniordisab.html
As you would expect the percentages are even higher when considering people aged 65 and older. In some counties, over half of the civilian, non-institutionalized population aged 65 and older is disabled, according to the 2000 Census. http://www.osbm.state.nc.us/ncosbm/facts_and_figures/census/maps/seniordisab.html
The issue really came to the forefront of our attention during Hurricane Katrina.
Functional needs from FEMA National Response Framework definition Ask audience for examples of problems in each category during an emergency?
Different levels of preparedness – each are important. The foundation is personal preparedness. This presentation will address personal and organizational preparedness.
Emphasize that preparedness is for everyone, not just individuals at greater risk. If you work in an agency or organization serving at-risk groups, it’s even more important to have your own personal preparedness plan so you will be ready and able to help those at greater risk during an emergency. We’re not focusing on personal preparedness in this presentation, but because it’s so important, we’ll spend the next couple of slides talking briefing about it.
The most important thing to do is think ahead about what you will do in different types of disasters and create an individual or family emergency plan. ADD explanation of CERTs
In addition to creating an emergency plan and a disaster kit, individuals at greater risk should also consider these tips. [From ASTHO Ch. 4 planning tips for at-risk individuals.]
Is your organization prepared for an emergency? How can you tell whether it is prepared or not? Does your organization have an emergency plan?
Generic template for COOP (http://www.epi.state.nc.us/epi/gcdc/pandemic/AppendixS1_2007.pdf) encourage appropriate CBOs and FBOs to develop contracts or memoranda of understanding to provide essential or specialized supplies and services during a pandemic. Incorporate as much information as possible on potential weaknesses or strengths in the organizations’ supply chains or stockpiles.
Ask audience whether they’ve ever heard of COOP or COOP plans.
COOP objectives from the Federal Emergency Management Agency, or FEMA (Federal Preparedness Circular 65 - http://www.fas.org/irp/offdocs/pdd/fpc-65.htm)
In most emergencies, there will be a choice whether to shelter-in-place or evacuate to a safer area. Decision depends on the disaster and recommendations from local and state government, ultimately about safety. Especially important for places like nursing homes and child care facilities that have residential populations Go-Kits http://www.cardcanhelp.org/downloads/Go%20Kits.pdf
Special Needs Advisory Panel, Vulnerable Populations Action Team, At-Risk Planning Coalition…the name is not as important as the purpose and activities of the group. Choose whatever name best represents what you want the group to be in your community.
San Mateo Health COOP checklist for agencies serving vulnerable populations (focused on pandemic but some parts applicable to all-hazards)
Emergency Planning for At-Risk Groups
Emergency Planning for At-Risk Groups How your agency can be involved
OutlineImportance of planning for at-risk groupsPersonal preparednessOrganizational preparednessCommunity and county preparedness– How your organization can be involved
Who is at Risk During an Emergency?Anyone with increased risk of severedisaster-related consequences– Economic disadvantage– Absence of a support network– Needing support to be independent in daily activities– Difficulty reading, speaking, or understanding English
Esther– 89 years old– Lives alone– Has no car, family lives out of state– History of heart diseaseLaura– 5 years old– Parents are undocumented immigrantsJames– 35 years old– Blind– Lives with fiancée
Hurricane Katrina - 2005• 73% of Hurricane Katrina-related deaths in New Orleans area were among persons age 60 and over, although they comprised only 15 percent of the population in New Orleans• Most had medical conditions and functional or sensory disabilities that made them more vulnerableAARP, We Can Do Better: Lessons Learned for Protecting Older Persons in Disasters, 2006
Issues Facing At-Risk GroupsMaintaining independenceCommunicationTransportationSupervisionMedical care
Emergency PreparednessCounty, State, &National Preparedness Community Preparedness Organizational Preparedness Personal Preparedness
Who Needs to be Prepared?YouYour familyEmployees at your organizationPeople served by your organization
Personal PreparednessThink ahead…make an emergency plan– Evacuation from your home– Communication during emergency– Plans for petsMake an emergency kit– Does not need to be complicated or expensiveStay informed– Local emergency plans and servicesGet involved– Know your neighbors and check on those at-risk– Join Community Emergency Response Teams
Personal Preparedness for At-Risk IndividualsLearn basic homecare skillsWork with providers and social support networks todevelop contingency plans for an emergencyDevelop food and fluid supply lists for special dietaryneedsCarry a wallet card with a list of medicationsMaintain food and supplies for the health and well-being of service animals and pets
Organizational PreparednessIs Your Organization Ready?
Preparing your OrganizationMake an emergency planEncourage personalpreparedness foremployees and clientsDetermine how to continueservices during anemergency
Continuity of Operations Planning (COOP)Making sure your organization cancontinue to operate during an emergency– Under stressful conditions– With fewer staff and other resources– With increased demand for services
COOP ObjectivesEnsure safety of employeesEnsure continuous performance ofessential operationsProtect essential equipment, records, andother assetsReduce disruption of operationsMinimize damage and lossesAchieve a timely and orderly recovery
Ensuring SafetyShelter in Place– Safe area– Food and waterEvacuation– “Go Kits”– Transportation– Destination
Continuing Essential Operations Prioritize key functions Identify minimum staff, equipment, and procedures necessary to operate Plan what to do if your building is not available Plan for payroll continuity Train people for emergency functions Create/update contact list
Community & County PreparednessHow Can Your Organization Get Involved?
[COUNTY NAME] County Special Needs Advisory Panel (SNAP)A small advisory group of [social serviceproviders] representing various at-riskpopulations.
SNAP PurposeTo ensure that the concerns and needs of[older adults, persons with disabilities,persons who are economicallydisadvantaged, and/or persons withlimited English proficiency] areappropriately considered and addressedin public health emergency planning andresponse in [COUNTY NAME] County.
SNAP ActivitiesProvide information and guidance to [LOCALHEALTH DEPARTMENT &/OR EMERGENCYMANAGEMENT] about how to plan for andcommunicate with at-risk populations before,during, and after emergenciesProvide feedback on creating a CommunityCommunications Network to share messageswith agencies serving at-risk populations
Why get involved?You know the people your organizationservesYou are in a unique position to advocatefor themPlanning before an emergency can savelives, reduce illness and injury, and speedrecoveryDoing something NOW is better thanhoping for assistance during anemergency
What are the benefits?You can: Identify strategies that empower at-risk individuals to prepare for emergencies Share ideas and resources with other agencies Reduce duplication of efforts across agencies Influence public policy
SNAP Meetings[DATE][TIME][LOCATION]Come with ideas!
Tools Available for COOPNC Division of Public Health COOPTemplatehttp://www.epi.state.nc.us/epi/gcdc/pandemic/AppendixS1_2007.pdfNursing homeswww.hsem.state.mn.us/uploadedfile/COOP_Service_Continuation_Planning.pptAgencies serving vulnerable populationshttp://www.smhealth.org/vgn/images/portal/cit_609/19/7/898775681vulner
ResourcesCARD. Prepare Your Business to Prosper!9 Small Steps that Reap Huge Rewards.http://www.cardcanhelp.org/downloads/Busine. Accessed April 14, 2009.