Emergency Management Officials Research Articles

Incorporating a Public Transit Equity Lens in Evacuation Planning

Disasters caused by extreme weather and human-initiated events continue to disproportionately affect vulnerable and underserved communities. Although these communities often rely on public transit to travel, most North American jurisdictions still lack a fundamental understanding of equity-centered needs or evacuation plans that incorporate public transit use. Consequently, this study conducted a community-centered methodology with eight focus groups in February 2023 among historically underrepresented groups in evacuation planning. Comprising 52 participants in Edmonton, Alberta, the groups included carless residents, people with disabilities, older adults, lower-income households, racial and ethnic minorities, recent immigrants, parents/guardians of young children, and women. Thematic analysis of the focus group data was performed using MAXQDA. Participants identified challenges and concerns related to public transit costs, possible overcrowding, and inadequate assistance services for people with disabilities and the medically fragile during evacuations. The focus groups largely looked to emergency management offices and transportation agencies to ensure public transit reliability, affordability, and accessibility. Surprising references were also made to public transit as a potential tool for building community cohesion and reducing sentiments of anxiety during disasters. Finally, we found that each group had specific insights based on their vulnerability. For example, whereas lower-income households prioritized increased frequency of transit services during emergencies, older adults called for trained medical staff and accessibility features. We offer several policy recommendations to enhance both resilient and equitable evacuation planning.

Protocol for the Support Application for Food PAntrieS trial: design, implementation, and evaluation plan for a digital application to promote healthy food access and support food pantry operations.

Food-insecure households commonly rely on food pantries to supplement their nutritional needs, a challenge that was underscored during the COVID-19 pandemic. Food pantries, and the food banks that supply them, face common challenges in meeting variable client volume and dietary needs under normal and emergency (e.g., pandemic, natural disaster) conditions. A scalable digital strategy that has the capacity to streamline the emergency food distribution system, while promoting healthy food options, managing volunteer recruitment and training, and connecting to emergency management systems in times of need, is urgently required. To address this gap, we are developing a working mobile application (app) called the Support Application for Food PAntrieS (SAFPAS) and will evaluate its feasibility and impact on food pantry staff preparedness, stocking, and client uptake of healthful foods and beverages in two urban United States settings. This paper describes the protocol for a randomized controlled trial of the SAFPAS mobile application. We will conduct formative research in Baltimore, Maryland and Detroit, Michigan to develop and refine the SAFPAS app and increase scalability potential to other urban settings. Then we will test the app in 20 food pantries in Baltimore randomized to intervention or comparison. The impact of the app will be evaluated at several levels of the emergency food system, including food pantry clients (n = 360), food pantry staff and volunteers (n = 100), food pantry stock, and city agencies such as the local food bank and Office of Emergency Management. The primary outcome of the SAFPAS trial is to improve the healthfulness of the foods received by food pantry clients, measured using the Food Assessment Scoring Tool (FAST). Post-trial, we will conduct additional formative research in Detroit to prepare the app for scale-up. We anticipate that SAFPAS will improve alignment in the supply and demand for healthy foods among food pantry clients, food pantries, and city agencies which supply food in Baltimore. Real-time, bidirectional communication between entities across the system allows for increased situational awareness at all levels during normal and emergency operations. By conducting formative research in Detroit, we hope to increase the scalability of the SAFPAS app to additional settings nationwide. NCT87654321. https://classic.clinicaltrials.gov/ct2/show/NCT05880004.

Assessment of Emergency Response in the Incident of Building Collapse in Selected Location in Lagos State

The incidence of building collapse is one of the emergency events that requires urgent attention due to the loss of lives that usually accompany its occurrence. The study aims at examining the response time and challenges impacting emergency events like building collapses in Lagos. A questionnaire survey was adopted, and a total of eighty (80) respondents were drawn from construction professionals using cluster and purposive sampling techniques. Sixty-one (61) questionnaires were completed and returned, representing a 76% response rate. The data generated were subjected to descriptive analysis using mean scores and inferential statistical analysis using ANOVA. The findings from the study indicated that 30–120 minutes are rated as the appropriate response time to emergency events like building collapses to forestall the loss of lives. The results also indicate that among the top barriers slowing down emergency response, the incidence of collapse includes poor resources and funding, a complex network of governing bodies, poor road and network issues, and a lack of emergency toll-free lines. The results further revealed that none of the factors limiting emergency response is more significant than the others. Hence, the study recommends that to ensure prompt emergency response to the incidence of building failures in Lagos State, every local government area should have an emergency management office with a well-equipped team. It also recommends that the government should not only provide infrastructural facilities such as a good road network; they should also create emergency routes to aid ease of accessibility in the incidence of emergency events like building collapses. Also, the use of ICT like drones and robotics, among others, should be deployed in managing rescue operations in building collapses.

Football Saturday: are collegiate football stadiums adequately prepared to handle spectator emergencies?

Mass gatherings are a commonly occurring event, especially on college campuses. Any mass gathering gives rise to possible small- or large-scale emergencies. Mass gathering medicine is an integral part of emergency medical services (EMS). An assessment was performed to see if collegiate stadiums possess capabilities for advanced medical care when emergencies arise among attendees. A standardized survey was sent by a single researcher to all National Collegiate Athletic Association (NCAA) Division I programs regarding medical services they currently have in place at their stadiums during Saturday football games. A follow-up inquiry was made at each local community office of emergency management (OEM) to confirm responses or obtain missing data. Only 21.5% (N.=17) of stadium facilities reported having physicians solely dedicated to the care of fans and other support staff. Most stadiums (N.=70, 88.6%) offered ALS services for their fans, with the remaining ALS services provided by paramedics (N.=46, 58.2%) or registered nurses (N.=7, 8.9%). The remaining stadiums only offered BLS services (N.=6, 7.6%) or basic first aid (N.=3, 3.8%). One stadium offered athletic trainer services to its fan in addition to the ALS care. Given the potential for a large influx of patients at sporting events, almost all stadiums have some degree of prehospital emergency care on site. More than a 10% of stadiums lacked ALS services and very few stadiums have physicians on site. Many stadiums were unaware of the resources available during these events. The ability to have ALS services on site who can provide rapid, advanced care to spectators is important due to likely delays in 911 response. At a minimum ALS services should be available within the stadium with consideration of physician coverage as well.

Reducing the vulnerability of tourists to tsunami: challenges for decision-makers

A near source or local tsunami, because of its close proximity to an affected area, cannot usually be predicted soon enough to mitigate many of the risks posed. The limited notice time in local tsunamis poses greater challenges for decision-makers than distant source tsunamis. Tsunamis affect coastal regions, where many of these areas are visited by tourists who often lack adequate knowledge of the hazards of the region. This study focuses on the risks tourists face during a local tsunami and discusses how to best protect tourists. Initially, a thematic literature analysis was performed to identify research gaps. Then, a case study methodology was adopted to obtain an in-depth understanding of how emergency management officials consider the management of tourists in evacuation planning. Napier, New Zealand, was used as a case study because it is a tourist town and vulnerable to tsunamis. Key decision-makers in the disaster management and tourist management sector were interviewed. The results outline three major initiatives that could lead to better tourist management and create better tsunami awareness for tourists. First, the risks posed to tourists can be reduced if emergency management officials collaborate with tourism agencies. Second, developing accurate evacuation simulations can show what would happen to tourists in a tsunami so that emergency management officials can be better prepared, and councils can improve evacuation planning and infrastructure to evacuate tourists and local communities safely. Third, educating tourists about evacuation plans will increase their readiness and enhance their safety.

Mass Gathering Events - Health Care Facility Notification Template

Introduction:Every year many concerts, festivals, public meetings and major events take place in Ireland. Depending on the nature of the event such as: location, the number of attendees, and performers–these events present varying amounts of risk. The Health Service Executive is concerned with managing risks and advocates that event organizers put comprehensive event management plans in place. Healthcare arrangements for outdoor crowd events should be specified in the Event Medical Plan section of the event management plan by the event organizer. As part of the event notification process, event organizers engage with the HSE South Emergency Management Office which in turn liaises with the various care groups across the Cork Kerry region to inform them of events that may impact their service. Historically, event organizers have informed the Emergency Management office of events in a wide variety of formats and varying levels of information.Method:The HSE South Emergency Management Office engaged with Cork University Hospital (Major Trauma Center) to identify the information hospitals require from various events around the region. In addition, the Emergency Management Office liaised with a subject matter expert in Mass Gatherings from Australia to discuss key indicators/data points healthcare facilities could benefit from knowing in advance of mass gathering events.Results:A standardized Word document template was developed as a proof of concept that lists key data that healthcare facilities have identified as important for them to be made aware of as part of the notification process. This template now lends itself to be developed into an online editable form to enable event organizers to inform the relevant healthcare facilities of mass gathering events.Conclusion:Health care facilities require timely and accurate information regarding mass gathering events to ensure appropriate plans and preparations are in place. A standardized notification template would assist in the preparation phase.

Developing a COVID-19 Vaccination Program for Seafarers in Cork

Introduction:The pandemic brought to the fore the importance of maritime transport as an essential sector for the continued delivery of critical supplies and global trade in times of crisis. Timely vaccination of seafarers secures their health and enables the chain of infection to be broken with the international propagation of the virus via maritime traffic. As part of the COVID-19 vaccination program, the Health Service Executive in conjunction with the Port of Cork company developed a unique pathway for seafarers to access COVID-19 vaccinations once they arrived in Cork.Method:An Excel template was developed by HSE and Port of Cork that would capture key information for seafarers to avail of vaccinations. Once data was captured by the ship's Captain, it was sent to the shipping agent and reviewed by the HSE South Emergency Management Office. Once the data was validated it was sent to the vaccination center so that the seafarer's details could be entered onto the system. Once confirmed, travel arrangements were made from the vessel to the vaccination clinic ensuring a safe staffing level remained on the vessel.Results:A total of 84 seafarers registered for the seafarer's vaccination program. 70 of these seafarers received one or more doses in Cork City Hall Vaccination Centre with the remainder having received one dose in pharmacies in Cork City.Conclusion:This joint initiative developed by the HSE Emergency Management Office and the Port of Cork, the first seafarer's COVID-19 vaccination program in Ireland, ensured seafarers were allowed to avail of a COVID-19 vaccination when they arrived at the Port of Cork. This highlights the requirement for future vaccination programs to consider and incorporate the requirements of seafarers acknowledging the essential role they play in the global supply chain.

Conceptualizing Confidence: A Multisited Qualitative Analysis in a Severe Weather Context

Abstract Confidence is a concept important to weather prediction, shaping how risk information is created, shared, understood, and acted upon. For forecasters in the National Weather Service (NWS) and their partners in public safety, confidence is central to their work, appearing frequently during their decision support services. While confidence has been examined in a variety of literatures, it is often addressed simplistically or as one of many variables in a study. It is rarely the object of study in and of itself, even less so in a naturalistic setting like an operational environment. To build a more robust knowledge of confidence and its many dimensions, we conducted a multisited ethnography of three interrelated sites central to tornado prediction and information dissemination, leading up to and during a cool-season tornado event. In partnership with collaborators from the NWS and emergency management, we simultaneously deployed to a National Center, a local Weather Forecast Office, and an emergency management office. This article explicates confidence from multiple social science theories, considering the scientific, data-based roots of confidence, as well as its affective, relational, and procedural origins. Our results show that confidence emerges in varied and complex ways and at different scales. Confidence can indicate one’s assessment of evidence and agreement (or lack) of it, beliefs about partners’ future behavior based on past experiences, and ritual interactions between offices that create patterned expectations. We argue for a more robust interdisciplinary analysis of confidence given how it shapes weather-related policies and practices, technologies, and communication strategies.

Dynamics of interorganisational emergency communication on Twitter: the case of Hurricane Irma.

This study examines how county-level emergency management offices (EMOs) used Twitter to communicate with other public agencies and non-profit and for-profit organisations before, during, and after Hurricane Irma in 2017. It assesses the strategies that EMOs and other stakeholders employed to communicate risks on Twitter, concluding that its potential has not been fully exploited. EMOs only frequently interacted with a few non-profit and for-profit organisations, despite their involvement in emergency communication. While EMOs and other public agencies emphasised information dissemination and called on citizens to act and be prepared for the hurricane, non-profits tended to stress service and resource-related information, encouraged others to assist with disaster response, and provided emotional support. For-profits, meanwhile, actively addressed customers' concerns through direct two-way communication. Our findings indicate that EMOs should integrate non-profit and for-profit organisations' communication efforts, engaging them in important conversations on Twitter and advocating the use of highly relevant hashtags at different disaster management stages.

Tonga national emergency medical team response to the 2022 Hunga Tonga-Hunga Ha'apai volcanic eruption and tsunami: the first deployment of the Tonga Emergency Medical Assistance Team (TEMAT).

The undersea Hunga Tonga-Hunga Ha'apai volcano erupted on 15 January 2022, causing a tsunami that affected Tonga as well as other countries around the Pacific rim. Tonga's international borders were closed at the time due to the coronavirus disease pandemic, but clinical surge support was needed to respond to this disaster. Tonga's Ministry of Health formed the Tonga Emergency Medical Assistance Team (TEMAT) in 2018 to provide clinical care and public health assistance during disasters, outbreaks and other health emergencies. TEMAT was activated for the first time in January 2022 to respond to medical and public health needs following the eruption and tsunami. On 16 January 2022, a five-person TEMAT advance team was deployed to conduct initial damage assessments and provide casualty care. Subsequently, TEMAT rotations were deployed to provide clinical care and public health support across the Ha'apai island group for over 2months. TEMAT deployed to the islands most affected by the volcanic eruption and tsunami within 24 hours of the event, providing emergency clinical, psychosocial and public health services across four islands. TEMAT reported daily to the Ministry of Health and National Emergency Management Office, providing critical information for response decision-making. All TEMAT actions were documented, and an after-action review was conducted following the deployment. TEMAT's deployment in response to the 2022 volcanic eruption and tsunami highlighted the importance of national emergency medical teams that are prepared to respond to a range of emergency events.

An overview of a successful COVID-19 vaccination campaign at a prominent Connecticut healthcare system.

The coronavirus disease 2019 (COVID-19) pandemic has required healthcare systems to adapt, innovate, and collaborate to protect public health through treatment, testing, and vaccination initiatives related to the virus. As the pandemic evolved, lessons learned early on through testing and treatment were applied to vaccination efforts. Hartford HealthCare (HHC) is one of the largest healthcare systems in New England and took an integral role in vaccinating patients throughout the region, thus providing one of the largest vaccination campaigns in Connecticut. Early planning for equipment and personnel, in addition to effective communication between providers and patients, was critical in accomplishing HHC's goal of rapidly providing access to COVID-19 vaccines. The efficient and effective response to the pandemic at HHC was led by the Office of Emergency Management, which worked to ensure continuity of patient care and physician excellence in the face of disaster. Initially, resources were directed to testing and treatment of the disease; as vaccine clinical trials announced successful outcomes, these efforts shifted to preparing for the storage and distribution of a mass number of vaccines. This manuscript details the factors that enabled success in HHC's vaccination campaign and serves to provide a useful template for similar healthcare systems for future pandemic response.

Is there coercion in local emergency management policy implementation?

American governance in the twenty-first century continues down a path of enhanced coercion and direction from the federal government. Emergency management policy is no different from any other policy field in this aspect, especially in the time following the September 11 attacks. Throughout the Obama administration, the federal government continued these policies and created additional mandates that required local compliance with federal policy demands. Failure to do so would put grant funding at risk in a field where budgets are typically stretched to the limit. However, an earlier study by Hildebrand (J Homeland Secur Emerg Manag 12(2):273–298, 2015) showed that this coercive threat had no statistical significance in predicting the reported implementation behaviors of local emergency management officials during the George W. Bush administration. This study seeks to determine if attitudes of local emergency managers changed during the Obama administration, and if the potential impacts from coercion had any predictive effect upon the local agencies decision to implement policy demands from the National Response Framework (NRF), National Incident Management System (NIMS), and Incident Command System (ICS). The findings once again show that coercive threats (the potential loss of grant funding) play little-to-no role in the actions and attitudes of local emergency management professionals when reporting compliance with federal policy demands.

A short note on four different emergency management mechanisms in the Chinese government disaster response

AbstractChina's government emergency management has the capacity to stand up an emergency management office, an emergency management headquarters, a joint defence and control command mechanism, and an emergency management joint conference. This short note compares these different mechanisms along several important dimensions. The overall emergency management organization and command system of COVID‐19 is analyzed specifically.

Innovations in Fatality Management During the COVID-19 Pandemic.

Innovations in Fatality Management During the COVID-19 Pandemic.

Elements of standard operating procedures and flexibility issues in emergency management: A Japan-Taiwan comparison

Planning and flexibility are necessary elements of emergency management. However, balancing these two elements is not easy and requires empirical information to improve the means of maximizing the effectiveness of both elements. Defining standard operating procedures (SOPs) is a key tool for planning emergency responses. The determinants of elaborate SOPs and the benefits and side effects of exercising them were surveyed among Japanese and Taiwanese municipal governments, which are primarily responsible for dealing with natural and manmade hazards. Japanese municipalities can define a large part of SOPs themselves and are loosely linked to the upper-level government structure during emergency responses. Their Taiwanese counterparts use a nationally standardized template of SOPs and act as a part of a nationally unified emergency management system. The experiences of different types of emergency events have increased the elaboration levels within the basic set of SOPs among Japanese municipalities, validating the use of SOPs to adopt the multi-hazard approach. The additional time-related set of SOPs was typically used by municipalities that experienced floods or landslides. The benefits of using SOPs were widely recognized at both study sites. Although SOPs did not hamper optimal emergency responses in most situations, among the surveyed emergency management officials in Japan (41%) and Taiwan (61%), there was concern over the negative effect of defining detailed SOPs on the flexibility of contingent responses.

A Policy Analysis of Preparedness for Hurricane Evacuations in the United States, 1990 to 2019: Implementation in Coastal States.

Hurricane or typhoon evacuations in the United States are typically managed by state, territorial, or tribal emergency management officials with federal, state, and local agency operational support. The evacuation process may involve issuing mandatory or "voluntary" evacuation orders to alert the community and mitigate loss of life and injury. We conducted an analysis of state and local hurricane evacuation policies identified through a literature review (January 1990 to June 2019) and key informant interviews with state public health and emergency management officials in Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, and Texas in October and November 2019. Findings from the literature review show that most gaps in hurricane evacuation preparedness-based on 44 policy-related publications identified in the review-could be categorized into 4 themes: shelters, evacuation decisionmaking, at-risk populations, and transportation. Findings from key informant interviews for 7 states revealed that coastal states have been able to address most of these gaps since Hurricane Katrina in 2005. However, an important remaining gap in preparedness is providing timely warnings to at-risk populations during hurricane evacuations.

Methodology to Quantify Statewide Evacuations

Mass evacuations, particularly those at a statewide level, are among the largest single-event highway traffic events. They can last several days, cover thousands of miles of roadway, and include hundreds of thousands of people and vehicles. Often, evacuations are criticized for their inefficiency and poor management. Despite the critical importance and the potential impact on lives and safety, there are no recognized methods systematically to quantify traffic characteristics at statewide scales. This paper documents the development and application of an analytical method to measure statewide mass evacuations. The proposed approach sought to be both practical and cost-effective. The research methods are based on simple, yet widely available, and easily understood traffic count datasets that support both qualitative and quantitative analyses. By spatially and temporally arranging sensor-based statewide traffic volume data from the hurricane Irma (2017) and Michael (2018) evacuations, these methods are applied to describe and answer several key questions about statewide mass evacuations. The methods developed in this research are able to estimate the start and end of the auto-based evacuation, the loading and peaking characteristics of traffic, the total number of vehicles involved in the evacuation, and the effective start and end time of the auto-based reentry. Among the key findings of this work were that the hurricane Irma and Michael evacuations began several days before landfall, peaking two to three days before the storm. It is expected that state departments of transportation and emergency management officials can apply similar methods to assess and better plan future evacuations.

More than technology: Experiences of Virtual Emergency Operations Centers (VEOCs) during the COVID-19 pandemic response in Canada.

The COVID-19 pandemic has necessitated emergency management offices and organizations across Canada to activate their Emergency Operations Center (EOC) in a virtual capacity due to government restrictions limiting in-person activities and with the goal of reducing the spread of the virus. The aim of this exploratory research paper is to document the personal experiences of Canadian emergency management professionals working in a Virtual EOC (VEOC) environment during the COVID-19 response, including challenges and benefits they experienced, as well as lessons identified. Based on a sample of 81 emergency management professionals and using an inductive coding approach, the survey results illustrate both technological and nontechnological challenges and benefits. The findings highlight the need to incorporate three main elements into VEOC planning and operations: technology, processes, and people.

Case study of VA Caribbean Healthcare System's community response to Hurricane Maria.

Hurricane Maria, which hit Puerto Rico in 2017, catastrophically impacted infrastructure and severely disrupted medical services. The US Department of Veterans Affairs Caribbean Healthcare System (VA CHCS), which serves approximately 67,000 patients and has most of its facilities on the island of Puerto Rico, was able to successfully maintain operations after the hurricane. As a part of the larger VA system, VA CHCS also has a mission to support "national, state, and local emergency management, public health, safety and homeland security efforts." The objective of this study is to better understand the ways VA and its facilities meet this mission by exploring how VA CHCS acted as a community resource following Hurricane Maria. This study investigated experiences of five employees in critical emergency response positions for VA CHCS, Veterans Integrated Service Networks (VISN) 8, and the Office of Emergency Management. All respondents were interviewed from March to July 2019. Data were collected via semistructured interviews exploring participants' experiences and knowledge about VA's activities provided to the community of Puerto Rico following Hurricane Maria. Data were analyzed using thematic and in vivo coding methods. All respondents underscored VA's primary mission after a disaster was to maintain continuity of care to Veterans, while concomitantly describing the role of VA in supporting community recovery. Three major themes emerged: continuity of operations for the San Juan VA Medical Center (VAMC) and its affiliated outpatient clinics, provision of services as a federal partner, and services provided directly to the Puerto Rican community. Recent disasters have revealed that coordinated efforts between multidisciplinary agencies can strengthen communities' capacity to respond. This case example demonstrates how a VA hospital not only continued serving its patients but, with the support from the greater VA system, also filled a wide variety of requests and resource gaps in the community. Building relationships with local VAMCs can help determine how VA could be incorporated into emergency management strategies. In considering the strengths community partners can bring to bear, a coordinated regional response would benefit from involving VA as a partner during planning.

A Connecticut healthcare system's response to the COVID-19 pandemic.

Connecticut was impacted severely and early on by the COVID-19 pandemic due to the state's proximity to New York City. Hartford Healthcare (HHC), one of the largest healthcare systems in New England, became integral in the state's response with a robust emergency management system already in place. In this manuscript, we review HHC's prepandemic emergency operations as well as the response of the system-wide Office of Emergency Management to the initial news of the virus and throughout the evolving pandemic. Additionally, we discuss the unique acquisition of vital critical care resources and personal protective equipment, as well as the hospital personnel distribution in response to the shifting demands of the virus. The public testing and vaccination efforts, with early consideration for at risk populations, are described as well as ethical considerations of scarce resources. To date, the vaccination effort resulted in over 70 percent of the adult population being vaccinated and with 10 percent of the population having been infected, herd immunity is eminent. Finally, the preparation for reestablishing elective procedures while experiencing a second wave of the pandemic is discussed. These descriptions may be useful for other healthcare systems in both preparation and response for future catastrophic emergencies of all types.