Community Engagement and Pediatric Disaster Readiness in a Large Urban Disaster Resource Hospital Network: The Case of “The Great California ShakeOut”

2012 ◽  
Vol 6 (2) ◽  
pp. 182-186 ◽  
Author(s):  
Darshi Balasuriya ◽  
Ellen Iverson ◽  
Rita V. Burke ◽  
Jeffrey S. Upperman
Keyword(s):  
Los Angeles ◽  
Disaster Preparedness ◽  
Community Readiness ◽  
Effective Response ◽  
Preparedness Planning ◽  
Urban Disaster ◽  
Semistructured Interviews ◽  
Disaster Preparedness Planning ◽  
Training Need ◽  
And Training

ABSTRACTWe examined the response of 11 Los Angeles County (LAC) hospitals designated as Disaster Resource Centers (DRCs) to a statewide, earthquake preparedness drill, LAC's most comprehensive earthquake disaster drill to date. Semistructured interviews were conducted with the coordinators of 11 of the 14 LAC DRCs within 3 weeks of the drill. Interviews were transcribed and thematic analysis was supported by analytical software (Atlas.ti). Except for one pediatric specialty DRC, most DRCs did little to fully test their institutions' capacity to manage pediatric patients. Few DRCs included children as mock victims. Little or no attention was focused on pediatric triage and other pediatric clinical, psychosocial, and resource issues. Respondents maintained that community readiness is hampered by compartmentalizing the preparedness planning, training, and drilling. Without a mandate to coordinate with other agencies, few DRCs reported coordination with other community entities. Those that did were in smaller submunicipalities within LAC. Community coordination is critical to effective response to disasters, yet disaster preparedness planning and drills are most often uncoordinated and compartmentalized. Drills and training need to be transdisciplinary and coordinated with other community entities likely to play a role in pediatric disaster management.(Disaster Med Public Health Preparedness. 2012;6:182–186)

scholarly journals KESIAPAN WARGA SEKOLAH DALAM MENGHADAPI BENCANA BANJIR BANDANG DI SMA NEGERI 2 BOGOR

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Chyndy Kasmila ◽  
Tirton Nefianto ◽  
L Lasmono
Keyword(s):  
Disaster Preparedness ◽  
Teaching And Learning ◽  
Flash Flood ◽  
Provincial Government ◽  
Preparedness Planning ◽  
Analysis Technique ◽  
Disaster Preparedness Planning ◽  
Knowledge And Attitude ◽  
The Impact ◽  
Research Analysis

Disaster preparedness in schools is still on the minimum level, whereas schools necessarily are the centers of teaching and learning activities to give proper education for the nation’s better future. The purpose of this research is to analyze the preparedness of SMAN 2 Bogor to face flash flood disaster, and to analyze the impact of its occurrence. This research uses qualitative method, and the locus is Sukaresmi Village, Tanah Sareal Sub-district, Bogor City, West Java. The data is obtained from predetermined informants and analyzed by qualitative analysis technique. The parameters used in the analysis are knowledge and attitude parameters, policies and guidelines, emergency response plans, disaster warning systems, also resource mobilization. The results show that disaster preparedness in SMAN 2 Bogor is held by using various resources of school residents and supporting facilities, yet it has not been maximally done to increase the capacity of students and other elements of SMAN 2 Bogor. In general, schools only focus on the academic achievement, which ultimately leads to the lack of sensitivity toward people’s welfare needs. Awareness of disaster preparedness should not be owned only by the students, but also by educators, officials, and all elements of the school. However, this research analysis focuses more on the students. The unawareness of disaster preparedness planning is the main factor which makes the socialization and capacity improvement can not be done sustainably. Co-ordination and consultation with Provincial Government and Regional Disaster Management Agency is the necessary thing to do for the disaster prepardness planning.

Planning against Earthquakes in the United States and Japan

1984 ◽  
Vol 1 (1) ◽  
pp. 75-88
Author(s):  
Christopher Arnold
Keyword(s):  
Disaster Preparedness ◽  
Central Government ◽  
The United States ◽  
Earthquake Disaster ◽  
Preparedness Planning ◽  
Centralized Management ◽  
Limited Experience ◽  
Planning Processes ◽  
Disaster Preparedness Planning ◽  
The U.S

Comprehensive earthquake disaster preparedness planning encompasses two distinct but related elements: emergency planning and hazard mitigation. A comparison of U.S. and Japanese earthquake disaster planning processes shows a major contrast in approach. The U.S. approach is based on legislation that loosely defines issues, but has no clear management structure. Japanese planning established a clear relationship between research, planning, and operations, and is strongly administered by central government which provides methodologies and assistance to lower governmental levels. However, neither the U.S. nor Japan procedures have yet been tested by a major event. The U.S. approach relies extensively on improvisation, and limited experience shows that this may be relatively effective: Japanese planning may be too fragile in relying too much on centralized management and communications.

scholarly journals Planning for Chronic Disease Medications in Disaster: Perspectives From Patients, Physicians, Pharmacists, and Insurers

2013 ◽  
Vol 7 (3) ◽  
pp. 257-265 ◽  
Author(s):  
Kelley A. Carameli ◽  
David P. Eisenman ◽  
Joy Blevins ◽  
Brian d'Angona ◽  
Deborah C. Glik
Keyword(s):  
Los Angeles ◽  
Prescription Drug ◽  
Disaster Preparedness ◽  
Chronically Ill ◽  
Collaborative Partnerships ◽  
Mutual Aid ◽  
Preparedness Planning ◽  
Primary Responsibility ◽  
Training Professionals ◽  
Group Interviews

AbstractBackgroundRecent US disasters highlight the current imbalance between the high proportion of chronically ill Americans who depend on prescription medications and their lack of medication reserves for disaster preparedness. We examined barriers that Los Angeles County residents with chronic illness experience within the prescription drug procurement system to achieve recommended medication reserves.MethodsA mixed methods design included evaluation of insurance pharmacy benefits, focus group interviews with patients, and key informant interviews with physicians, pharmacists, and insurers.Results and DiscussionMost prescriptions are dispensed as 30-day units through retail pharmacies with refills available after 75% of use, leaving a monthly medication reserve of 7 days. For patients to acquire 14- to 30-day disaster medication reserves, health professionals interviewed supported 60- to 100-day dispensing units. Barriers included restrictive insurance benefits, patients’ resistance to mail order, and higher copay-ments. Physicians, pharmacists, and insurers also varied widely in their preparedness planning and collective mutual-aid plans, and most believed pharmacists had the primary responsibility for patients’ medication continuity during a disaster.ConclusionsTo strengthen prescription drug continuity in disasters, recommendations include the following: (1) creating flexible drug-dispensing policies to help patients build reserves, (2) training professionals to inform patients about disaster planning, and (3) building collaborative partnerships among system stakeholders. (Disaster Med Public Health Preparedness. 2013;7:257-265)

scholarly journals A Cross-Sectional Study on the Flood Emergency Preparedness among Healthcare Providers in Saudi Arabia

2021 ◽  
Vol 18 (3) ◽  
pp. 1329
Author(s):  
Ahmed M. Al-Wathinani ◽  
Abdulaziz Alakeel ◽  
Ahmad Hecham Alani ◽  
Mohammad Alharbi ◽  
Abdullah Almutairi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Effective Response ◽  
And Training

This study used a descriptive cross-sectional methodology to measure healthcare workers’ knowledge, attitudes, perceptions, and willingness to respond to a flood scenario in Saudi Arabia. A validated survey was distributed to collect data using a convenience sampling technique through multiple social media platforms. A total of 227 participants were included in this study: 52% of them were aged between 26 to 34 years, 74% were residents from Riyadh, and 52.4% worked in nursing divisions. A significant number of respondents (73.2%) had positive perceptions towards their hospitals’ ability to provide an effective response to a flood, 89% were willing to report to work following a flood, and 90% of participants reported the need to develop both guidelines and training for flood disaster preparedness. Preparation and successful flood mitigation in the hospital setting requires staff that have both knowledge and training in emergency management. One way to obtain such readiness is through competency-based training, including both table-top and full-scale live exercises. Although the willingness to respond to such a flooding emergency was high among staff, the development of guidelines and educational programs is needed in order to develop the competencies and skills sets to improve disaster preparedness response and preparedness efforts.

scholarly journals Community social vulnerability and access to medications for opioid use disorder within the continental US: A cross-sectional study

2021 ◽  
Author(s):  
Paul J. Joudrey ◽  
Marynia Kolak ◽  
Qinyun Lin ◽  
Susan Paykin ◽  
Vidal Anguiano ◽  
...  
Keyword(s):  
Rural Communities ◽  
Disaster Preparedness ◽  
Cross Sectional Study ◽  
Opioid Use Disorder ◽  
Opioid Overdose ◽  
Opioid Use ◽  
Cross Sectional ◽  
Geographic Access ◽  
Preparedness Planning ◽  
Disaster Preparedness Planning

AbstractThe COVID-19 pandemic, like past natural disasters, was associated with significant disruptions in medications for opioid use disorder services and increased opioid overdose and mortality. We examined the association between community vulnerability to disasters and pandemics and geographic access to each of the three medications for opioid use disorder within the continental US and if this association was impacted by urban, suburban, or rural classification. We found communities with greater vulnerability did not have greater geographic access to medications for opioid use disorder and the mismatch between vulnerability and medication access was greatest in suburban communities. Rural communities had poor geographic access to all three medications regardless of vulnerability. Future disaster preparedness planning should include anticipation of access to medications for opioid use disorder and better match the location of services to communities with greater vulnerability to prevent inequities in opioid overdose deaths.

ENHANCING FORECAST-BASED DISASTER RESPONSE IN NEPAL

2021 ◽  
Vol 7 (1) ◽  
pp. 1-20
Author(s):  
Dinanath Bhandari ◽  
Binod Prasad Parajuli ◽  
Puja Shakya
Keyword(s):  
Disaster Preparedness ◽  
Disaster Response ◽  
Weather Forecasting ◽  
Storm Surges ◽  
Early Warning Systems ◽  
Preparedness Planning ◽  
Legal Provisions ◽  
Hydrological Hazards ◽  
Disaster Preparedness Planning ◽  
The Cost

Implementation of humanitarian actions in advance of a disaster event is a new approach to enhance overall effectiveness of disaster responses. Early actions following forecasts and early warnings can significantly reduce disaster losses and the cost of disaster recovery. Evidence from pilot projects reveal potential to integrate forecast-based humanitarian actions into disaster preparedness planning. Building on advanced technologies, it has been possible to predict disaster risk of many meteorological and hydrological hazards like heavy rainfall, storm surges, flood, drought and cyclones. Nepal has developed communitycentered, end to end flood early warning systems, which have utilised different global and regional weather forecasting models. The models have the capability to provide weather and flood scenarios three days in advance. In this study, we carefully examine current practices and approaches to explore opportunities to use weather forecasts, flood alerts and warning to inform forecast-based humanitarian actions. Furthermore, we analysed existing policy provisions and legal mandates in Nepal to assess the availability of enabling environment needed for adopting forecast-based humanitarian actions. We also present our learning from piloting this approach to disaster preparedness planning in 19 selected districts of Nepal. Our findings suggest that adequate legal provisions and appropriate institutional mechanisms are essential to ensure effective implementation of forecastbased early actions. It is important and urgent to depart from traditional post-event relief approach to a risk-informed preventive decision-making. Technological limitations and operational gaps between agencies are major barriers to proactive actions. The challenges can be overcome through sufficient legal provisions, technical guidelines and protocols to clarify roles, responsibilities and accountabilities of the authorities.

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