Emergency Preparedness Measures Research Articles

Flood hazard analysis in Mumbai using geospatial and multi-criteria decision-making techniques

Abstract Flood risk assessment remains a crucial element, particularly within locations highly susceptible to repeated flood occurrences. This study seeks to conduct an elaborate flood risk analysis for Mumbai, India based on an integrated method of geographic information systems and analytic hierarchy process (AHP). In this study, land use/land cover, average annual rainfall, elevation, drainage density, normalized difference vegetation index, distance from rivers as well as distance from roads are identified and considered. For this reason, the expert survey utilizes the AHP weights so as to find out the significance of these factors towards flooding danger. Investigations show a flood risk index and a corresponding map for Mumbai, where all areas are divided into risk zones very low to very high. ‘High’ risk or ‘Very High’ risks are particularly situated along the rivers. Such details offer critical knowledge to policymakers who will undertake informed emergency preparedness measures designed to shield Mumbai's citizens and assets. Therefore, this research is considered as one of the modern techniques flood risk evaluation, which can be applied in other flood-affected areas worldwide.

Effect of Geopolitical Situation on Potassium Iodide Sale

This whitepaper explores the intricate relationship between geopolitical dynamics and the demand for potassium iodide (KI), a critical component of public health and emergency preparedness measures. KI serves as a safeguard against the adverse effects of radioactive iodine (RAI) exposure in the event of nuclear incidents. Geopolitical factors significantly influence the availability, accessibility, and trade regulations of KI, as demonstrated through case studies like the Russia-Ukraine conflict and historical nuclear accidents. International agreements, regulatory frameworks, and trade policies are key in shaping the KI market, with growing demand stemming from the nutraceutical and laboratory reagent sectors. While solid KI is the predominant market segment, there remains a challenge in the presence of iodine alternatives. Amidst the Russia-Ukraine war, KI demand has surged, depleting supplies and resulting in price gouging. Understanding these trends and the broader geopolitical impact on KI is essential to appreciate its critical role in safeguarding public health.

Disaster Preparedness, Capabilities, and Support Needs: The Lived Experience Perspectives of People with Disability

People with disability face heightened vulnerability during disasters due to functional limitations and inadequate support. This study explores disaster preparedness, capabilities, and support needs among Australians with disability. A cross-sectional survey was conducted, aligned with the Person-Centred Emergency Preparedness (P-CEP) framework: a co-designed and tested framework that helps people with disability assess their capabilities, identify their needs, communicate with others, and plan for different emergency scenarios. Data collection involved self-administered online surveys and interviewer-administered telephone surveys through convenience sampling. Descriptive statistics and regression modelling were employed for data analysis. Of the 138 respondents, most were female (68.1%) and aged 60–69 (23.9%). While 60.3% had emergency plans, motivators included enhancing survival chances (36.7%) and past disaster experiences (22.7%). Barriers included uncertainty about preparation (22.0%) and difficulty obtaining information (11.3%). Those perceiving bushfire risk were more likely to have a plan (p = 0.004), while individuals living alone were less likely (p = 0.019). Common preparedness actions included safely storing important documents (57.5%), but fewer had backup plans for support workers (9.2%) or home generators (9.7%). Respondents with disaster experience highlighted diverse support needs, encompassing health, emotional well-being, and practical assistance. Inclusive disaster risk reduction should involve individuals with disability in assessing their capabilities and support requirements. This study underscores the necessity of tailored emergency preparedness measures to safeguard the well-being of this demographic.

Evaluating Non-Stationarity in Precipitation Intensity-Duration-Frequency Curves for the Dallas–Fort Worth Metroplex, Texas, USA

Extreme precipitation has become more frequent and intense with time and space. Infrastructure design tools such as Intensity-Duration-Frequency (IDF) curves still rely on historical precipitation and stationary assumptions, risking current and future urban infrastructure. This study developed IDF curves by incorporating non-stationarity trends in precipitation annual maximum series (AMS) for Dallas–Fort Worth, the fourth-largest metropolitan region in the United States. A Pro-NEVA tool was used to develop non-stationary IDF curves, taking historical precipitation AMS for seven stations that showed a non-stationary trend with time as a covariate. Four statistical indices—the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), Root Mean Square Error (RMSE), and Nash–Sutcliffe Efficiency (NSE)—were used as the model goodness of fit evaluation. The lower AIC, BIC, and RMSE values and higher NSE values for non-stationary models indicated a better performance compared to the stationary models. Compared to the traditional stationary assumption, the non-stationary IDF curves showed an increase (up to 75%) in the 24 h precipitation intensity for the 100-year return period. Using the climate change adaptive non-stationary IDF tool for the DFW metroplex and similar urban regions could enable decision makers to make climate-informed choices about infrastructure investments, emergency preparedness measures, and long-term urban development and water resource management planning.

The Experiences of Expectant and New Mothers in Accessing Maternal Healthcare Services during the COVID-19 Pandemic in Mmabatho, North-West, South Africa

Access to maternal healthcare has been a challenge for women of African descent. Similarly, to previous illness outbreaks such as the Ebola and Zika outbreaks, the Coronavirus pandemic effects vary from one demographic group to another. Women, compared to men, are left in a more vulnerable position due to long-existing social inequalities and disparities. Differentiated effects include, amongst others, access to health and healthcare, risk of infection and coping strategies. This study examined the experiences of expectant and new mothers in accessing maternal healthcare services during the COVID-19 pandemic. In-depth interviews were used, and participants were selected from Mmabatho, North-West Province in South Africa. The findings show that women accessing maternal healthcare services have had diverse experiences. Some expectant and new mothers experienced fear, anxiety, and frustration, while some had more positive experiences. The positive experiences included spending more time with their families and newborn babies. Some of the participants were worried because of the fear of being infected with the coronavirus. Furthermore, the unavailability and inadequacy of, as well as limited access to, maternal healthcare services during the COVID-19 pandemic negatively affected some of the women in the study. This study recommends that public and private sectors responsible for providing maternal healthcare should have emergency preparedness measures in place to ensure the continuous provision of maternal healthcare and cushion women in future disease pandemics.

Between life & death: Political economy of breast cancer care for refugee populations in Lebanon

Refugees and displaced groups have been shown to face increased risk of developing advanced cancer stages. This has been shown to be evident in Lebanon, whereby refugees are detected at later stages when compared to the Lebanese population. Lebanon is one of the biggest host (per capita) of refugees worldwide, and suffers from difficult political situation, compounded by an economic crisis, the COVID-19 pandemic and a blast which hit the capital Beirut in 2020. The main determinants of poor health outcomes among migrant populations in Lebanon include a fragmented and inequitable healthcare system and legal constraints to healthcare accessibility. The health care system is largely privatised with multiple health systems operating simultaneously for different nationalities. The current multi-crisis situation has exacerbated the fragility of the health system and its ability to cope with increasing needs. On the other hand, legal constraints for refugees to obtain residency in Lebanon has also contributed to insufficient access to health care and poor health outcomes among this population. Health system reforms, improved emergency preparedness and response measures, and an ease on legal and political restrictions for the refugee populations in Lebanon are considered key policy recommendations to ensure refugees right to health in Lebanon.

The characteristic and clinical profiles among COVID-19 patients at the National Emergency Hospital Wisma Atlet Jakarta in 2021

The World Health Organization designated Covid-19, caused by SARS-COV-2, a worldwide pandemic on March 11, 2020, and it has been entering Indonesia since early March 2020. This study attempts to elucidate and map patients' profiles and essential emergency preparedness measures during a national crisis. This research used an exploratory descriptive technique with structured interviews to collect data on retrospective data from hospital patients. The ethical clearance was issued prior to data collection, and informed permission was in accordance with the ethical clearance. The total number of patients treated in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran (RSDCWAK) was 69,965, and structured interviews were conducted with 46,408 patients. Demographic data of the patients consisted of 49.06% female and 50.04% male patients. Patients were aged 20-49 years (68.08%), and 76.05% of patients had mild symptoms. Hypertension was the highest comorbid at 6.11%, with common symptoms experienced. Most patients received vaccines (34.14%) with the highest type of vaccine (Sinovac 22.26%). To minimize the spread of COVID-19, RSDC WAK has implemented a zoning policy in its building, including red for COVID-19 patients with a risk of severe infection, yellow for patients with risk of mild infection, and green for areas free of COVID-19 and forbidden for COVID-19 patients. The COVID-19 pandemic has become a global health problem. The COVID-19 pandemic has become a global health problem. No one knows when the COVID-19 pandemic will end because the virus constantly changes and creates new variants. Proper regulations and human resources are required to have the readiness to control COVID-19. Zoning is the most appropriate way to prevent the spread of COVID-19 at RSDCWAK.

Emerging Challenges to India’s National Security: a Domestic Dimension

National security is the primary objective of the state to survive and grow. It can be achieved through the use of economic power, diplomacy, military power projection and political power. The concern for national security is post-World War-II phenomena developed mostly in the United States, initially focusing on military might, and later including other non-military dimensions. In order to ensure national security, a state needs to possess economic, energy, and environmental security etc. Most important challenges which a nation may face include, political instability, threats to territorial integrity, economic weakness, ecological imbalance, socio-cultural disunity etc. Main internal challenges to national security also come from violent groups active within the country; organized crime, drug paddling, extortions, underworld mafias’ etc. These challenges are met through the use of diplomacy to isolate threats; marshal economic power to facilitate or compel cooperation; maintain effective armed forces, implement civil defense and emergency preparedness measures; use intelligence services to detect and defeat or avoid threats and espionage, and to protect classified information; strengthen cybersecurity; and use counterintelligence services. India faces many domestic challenges to its national security such as rising intolerance between the casts and religious communities, dwindling economic development, right and left-wing militancy, rising scarcity of water resources, increasing unemployment, drug and narcotic smuggling, corruption, riots between religious communities etc. India’s poor education and health sectors can pose grave threat to its national security. Other emerging threats include the cyber-crimes such as hacking and online attacks, financial fraud, data theft, espionage etc. This paper focuses on the new emerging domestic challenges to national security and their possible remedy.

Downscaling system for modeling of atmospheric composition on regional, urban and street scales

Abstract. In this study, the downscaling modeling chain for prediction of weather and atmospheric composition is described and evaluated against observations. The chain consists of interfacing models for forecasting at different spatiotemporal scales that run in a semi-operational mode. The forecasts were performed for European (EU) regional and Danish (DK) subregional-urban scales by the offline coupled numerical weather prediction HIRLAM and atmospheric chemical transport CAMx models, and for Copenhagen city-street scale by the online coupled computational fluid dynamics M2UE model. The results showed elevated NOx and lowered O3 concentrations over major urban, industrial, and transport land and water routes in both the EU and DK domain forecasts. The O3 diurnal cycle predictions in both these domains were equally good, although O3 values were closer to observations for Denmark. At the same time, the DK forecast of NOx and NO2 levels was more biased (with a better prediction score of the diurnal cycle) than the EU forecast, indicating a necessity to adjust emission rates. Further downscaling to the street level (Copenhagen) indicated that the NOx pollution was 2-fold higher on weekends and more than 5 times higher during the working day with high pollution episodes. Despite high uncertainty in road traffic emissions, the street-scale model effectively captured the NOx and NO2 diurnal cycles and the onset of elevated pollution episodes. The demonstrated downscaling system could be used in future online integrated meteorology and air quality research and operational forecasting, as well as for impact assessments on environment, population, and decision making for emergency preparedness and safety measures planning.

Cost-effectiveness of emergency preparedness measures in response to infectious respiratory disease outbreaks: a systematic review and econometric analysis

ObjectivesRespiratory infectious disease outbreaks pose a threat for loss of life, economic instability and social disruption. We conducted a systematic review of published econometric analyses to assess the direct and...

An evaluation of COVID-19 transmission control in Wenzhou using a modified SEIR model.

In December 2019, the first confirmed case of pneumonia caused by a novel coronavirus was reported. Coronavirus disease 2019 (COVID-19) is currently spreading around the world. The relationships among the pandemic and its associated travel restrictions, social distancing measures, contact tracing, mask-wearing habits and medical consultation efficiency have not yet been extensively assessed. Based on the epidemic data reported by the Health Commission of Wenzhou, we analysed the developmental characteristics of the epidemic and modified the Susceptible-Exposed-Infectious-Removed (SEIR) model in three discrete ways. (1) According to the implemented preventive measures, the epidemic was divided into three stages: initial, outbreak and controlled. (2) We added many factors, such as health protections, travel restrictions and social distancing, close-contact tracing and the time from symptom onset to hospitalisation (TSOH), to the model. (3) Exposed and infected people were subdivided into isolated and free-moving populations. For the parameter estimation of the model, the average TSOH and daily cured cases, deaths and imported cases can be obtained through individual data from epidemiological investigations. The changes in daily contacts are simulated using the intracity travel intensity (ICTI) from the Baidu Migration Big Data platform. The optimal values of the remaining parameters are calculated by the grid search method. With this model, we calculated the sensitivity of the control measures with regard to the prevention of the spread of the epidemic by simulating the number of infected people in various hypothetical situations. Simultaneously, through a simulation of a second epidemic, the challenges from the rebound of the epidemic were analysed, and prevention and control recommendations were made. The results show that the modified SEIR model can effectively simulate the spread of COVID-19 in Wenzhou. The policy of the lockdown of Wuhan, the launch of the first-level Public Health Emergency Preparedness measures on 23 January 2020 and the implementation of resident travel control measures on 31 January 2020 were crucial to COVID-19 control.

Emergency preparedness for heat illness in China: A cross-sectional observational study

BackgroundThe morbidity and mortality rates from heat illness have increased due to a higher number of heatwaves. Effective urgent care of heat illness is crucial for optimizing patient outcomes. However, few studies have examined the emergency preparedness measures required for treating such patients. MethodsFrom December 23, 2019, to January 23, 2020, a content-validated instrument containing the Perceived Emergency Preparedness Scale for heat illness (heatPEPS) was administered to emergency nurses in China through WeChat. Some of these nurses were retested two weeks later. SPSS 26, IRTPRO 4.2, and NVivo 12 Plus were used for data analysis. ResultsIn total, 46.4% (200/431) of the participants returned valid responses. With dichotomous scoring, a high score for heatPEPS (mean 7.29; SD 1.667) was elicited. The reduced 9-item heatPEPS had a perfect fit with the 2PL model (M2 = 27.24, p > 0.05; RMSEA = 0.01) and acceptable internal (α = 0.68) and test-rest reliability (intraclass correlation = 0.56). Many participants (74%) were dissatisfied with their heat illness-related knowledge and skills, suggesting an area that could be improved for better emergency preparedness. ConclusionEmergency departments appear to be well-prepared; however, this is subject to social desirability bias. The 9-item heatPEPS is a reliable and valid tool to measure emergency preparedness for heat illness.

When Social Isolation Might Save Your Life: An MIT AgeLab Study of Living Through the COVID-19 Crisis at Age 85 and Over

Previous research shows that social isolation is associated with increased mortality rates among older adults. However, in the face of the novel coronavirus (COVID-19), social distancing was prescribed as a potentially lifesaving measure, particularly for older adults. In this session, MIT AgeLab researchers will present findings from a mixed methods study with the MIT AgeLab 85+ Lifestyle Leaders, a panel study of octogenarians and nonagenarians that began in September 2015. In March 2020, AgeLab researchers began conducting a series of telephone interviews (n=15) with Lifestyle Leaders and collected quantitative data via an online survey (n=25). Together, the interviews and survey inquired about Lifestyle Leaders’ attitudes and behaviors related to COVID-19, as well as their uses of technology throughout the crisis. Findings suggest that fears about the impacts of coronavirus transcended multiple domains of the Lifestyle Leaders’ lives, including their physical, socioemotional, and financial wellbeing. Lifestyle Leaders were asked about functional and emotional repercussions of social distancing and other precautions they had taken to reduce the spread of COVID-19 and to protect themselves from contracting the virus. Special attention was paid to differences in lived experiences of the COVID-19 crisis among Lifestyle Leaders who were living independently versus those who were living in assisted living or continuing care retirement communities. Findings from this study suggest that socially-connected emergency preparedness measures will become increasingly important for the growing number of octogenarians and nonagenarians.

The role of 3D-CFD simulation in optimizing pre-emergency responses.

Consequences of an incident resulted from the release of hazards shall be mitigated to limit the undesirable effects. Emergency preparedness and response should address the duration and severity of the events and also prevent escalation. Therefore, emergency response plans are prepared, along with other related procedures, which are commonly called as preemergency responses. These plans or procedures are quick guidance used by the response team to handle emergency cases especially when it deals with critical equipment or condition. Each plan or case must involve related protection equipment available on site along with sequence for emergency command and hazard analysis. Common analysis provides only the highest magnitude of case or event (worst case scenario), therefore, this information could drive sequential preventive/ mitigative actions which require significantly huge company resources to be deployed. To improve efficiency and effectiveness of this strategy, a review of consequence analysis using computational fluid dynamics approach is proposed. Several advantages of using this method are high quality presentation and visualization of phenomenon, ability to provide result monitoring over the period of time, and capacity to use several parameters on the analysis which were not available using the standard approach. Furthermore, this approach can enrich the information contained on the plans/procedures and enhance the quality of the plan representation to match with the actual scenarios. Hence by upgrading this pre-emergency response plans and procedures, it is expected that the emergency preparedness measures will be more comprehensively assessed and ready to provide best and optimum responses in emergencies.

Protecting against disaster risks: Why insurance and prevention may be complements

We examine mechanisms as to why insurance and individual risk reduction activities are complements instead of substitutes. We use data on flood risk reduction activities and flood insurance purchases by surveying more than 1000 homeowners in New York City after they experienced Hurricane Sandy. Insurance is a complement to loss reduction measures undertaken well before the threat of suffering a loss, which is the opposite of a moral hazard effect of insurance coverage. In contrast, insurance acts as a substitute for emergency preparedness measures that can be taken when a loss is imminent, which implies that financial incentives or regulations are needed to encourage insured people to take these measures. We find that mechanisms leading to preferred risk selection are related to past flood damage and a crowding out effect of federal disaster assistance as well as behavioral motivations to reduce risk.

Is Urban Household Emergency Preparedness Associated with Short-Term Impact Reduction after a Super Typhoon in Subtropical City?

Climate change-related extreme events are increasing in frequency and severity. Understanding household emergency preparedness capacity in Health-Emergency and Disaster Risk Management (Health-EDRM) for at risk urban communities is limited. The main objective of the study is to explore the association among risk perception, household preparedness, and the self-reported short-term impacts of Typhoons for urban residents. A population-based, cross-sectional telephone survey using random digit-dialling was conducted among Hong Kong adults within 2 weeks following 2018 Typhoon Mangkhut, the most intense typhoon that affected Hong Kong, a subtropical city, in thirty years. Among the 521 respondents, 93.9% and 74.3% reported some form of emergency preparedness and typhoon-specific preparedness measure (TSPM) against Mangkhut, respectively. Respondents who perceived a higher risk at home during typhoons and had practiced routine emergency preparedness measures (during nonemergency periods) were more likely to undertake TSPM. Of the respondents, 33.4% reported some form of impact (11.1% were household-specific) by Typhoon Mangkhut. Practicing TSPM was not associated with the reduction of short-term household impacts. Current preparedness measures may be insufficient to address the impact of super typhoons. Strategies for health-EDRM for urban residents will be needed to cope with increasing climate change-related extreme events.

THE ROLE OF EDUCATION ON DISASTER PREPAREDNESS CASE STUDY OF 2012 INDIAN OCEAN EARTHQUAKES ON THAILAND’S

In this paper we investigate how well residents of the Andaman coast in Phang Nga province, Thailand, are prepared for earthquakes and tsunami. It is hypothesized that formal education can promote disaster preparedness because education enhances individual cognitive and learning skills, as well as access to information. A survey was conducted of 557 households in the areas that received tsunami warnings following the Indian Ocean earthquakes on 11 April 2012. Interviews were carried out during the period of numerous aftershocks, which put residents in the region on high alert. The respondents were asked what emergency preparedness measures they had taken following the 11 April earthquakes. Using the partial proportional odds model, the paper investigates determinants of personal disaster preparedness measured as the number of preparedness actions taken. Controlling for village effects, we find that formal education, measured at the individual, household, and community levels, has a positive relationship with taking preparedness measures. For the survey group without past disaster experience, the education level of household members is positively related to disaster preparedness. The findings also show that disaster related training is most effective for individuals with high educational attainment. Furthermore, living in a community with a higher proportion of women who have at least a secondary education increases the likelihood of disaster preparedness. In conclusion, we found that formal education can increase disaster preparedness and reduce vulnerability to natural hazards.

Sustainability in the mining industry: An evaluation of the National Planning Commission's diagnostic overview

Environmental stewardship is the keystone to sustainability in mining and industry. While environmental compliance appears to be costly at first sight, it gives a mining company a competitive edge. Several pieces of legislation have been enacted as a means to deal with impacts of mining on the environment and hence provide an enabling environment for sustainable development (SD). The industry has adopted the principles of environmentally responsible mining, in line with the recommendations of international bodies like the International Organization for Standards (ISO), The Equator Principles Association and International Finance Corporation (IFC).This paper evaluates the sustainability of the South African mining industry in the light of the National Planning Commission (NPC)’s overview that ‘South Africa's growth path is highly resource-intensive and hence unsustainable.’ Arguments are presented to refute this viewpoint and additional impacts of mining on the environment, not mentioned by the NPC, are also discussed together with the measures that the mining industry has taken to resolve such impacts.Although the mining industry has instituted emergency preparedness measures, environmental incidents do occur, but these isolated incidents do not provide evidence that mining is unsustainable. Such events are a feature of all sectors of the economy. The author advocates the establishment of a SD legal framework through consultative discussions with interested and affected parties to create an environment conducive for legal compliance, which would include SD indicators to enable the Department of Minerals and Resources to monitor company compliance and identify defaulting companies.

Community's Emergency Preparedness for Flood Hazards in Dire-dawa Town, Ethiopia: A Qualitative Study.

Background:Emergency preparedness at all levels (individuals and communities) is the corner stone of effective response to the increasing trends of global disasters due to man-made and natural hazards. It is determined by different factors, including (among others) past direct and indirect exposures to hazards. This study was carried out in Dire Dawa town, Ethiopia, which in the past experienced frequent flooding events, yet dearth of information exists about preparedness in the area. The aim of the study was to assess the levels of emergency preparedness for flood hazards at households and communities levels.Methods:The study was conducted in a qualitative approach and was conducted in Dire Dawa town, which has been divided into nine administrative-units called Kebeles. Two focus group discussions were held in two of these units (Kebele-05 and 06), each focus group comprising twelve people (all above 18 years of age), and in total 24 people (13 females and 11 males) took part in the study. Open ended questions were used that could guide the discussions, and the discussions were audio-taped and transcribed. The results were translated from local language to English and qualitatively presented.Results:The findings of focus group discussions showed that the local government in collaboration with the federal government built the flood protection dams in areas where flood hazards have been thought to be repeatedly wreaking havoc, specifically after the flood disaster of the year 2006. In addition, in Kebele-05, where one Non-Governmental Organization (NGO) was operating on flood hazards prevention and mitigation program, some non-structural emergency preparedness measures were undertaken by the communities. These non-structural measures (the major ones) entailed: establishment of committees recruited from residents and training them to raise awareness among communities on emergency preparedness; some residents made changes to their own houses (retrofitted) and put sandbags around their houses to temporarily protect the flooding; establishment of communication channels between communities to alarm each other in the event of flood disaster; and reforestation of the already deforested mountainous areas surrounding the town. However, concerns were raised by study participants about strengths of the constructed flood protection dams. Furthermore, the non-structural emergency preparedness measures identified by this study were not comprehensive; for example, residents were not trained in first aid, first aid kits were not provided, there was no linkage being established between communities and health facilities so as to provide emergency medical care to victims in the event of flood disaster. Discussion: The findings of this study concur with some of the previous quantitative studies’ results in that the past direct and indirect disaster experiences invoke preparedness intention and actual preparedness for flood hazards at individuals, communities and organizations levels. The only one quantitative and behavioral based study conducted thus far in Dire Dawa town reported the strong association of past flood disaster experience with household emergency preparedness. Among the residents there was a tendency to rely on the dams to be constructed with “good quality” and “higher strength” than making preparedness efforts on their own at their households. Structural measures such as building of dams, dikes, levees, and channel improvements could be means of mitigation measures; however, solely relying on these measures could have far reaching consequences.Conclusions: To mitigate flood hazards, dams were built and in addition, in Kebele-05 where an NGO was operating, some non-structural emergency preparedness measures were undertaken. In the course of construction of flood protection dams, ensuring communities’ involvement is needed; and at the same time undertaking comprehensive non-structural emergency preparedness measures in all Kebeles is highly recommended.Key words: Emergency, Preparedness, Flood, Dire Dawa, Ethiopia.

Developing an In-depth Understanding of Elderly Adult's Vulnerability to Climate Change.

Recent reports highlight the vulnerability of elderly adults to climate change, yet limited research has focused on this topic. To address this, the purpose of this study was to develop an in-depth understanding of elderly adult's vulnerability to climate change within the context of a specific community. A case study methodology utilizing a community-based action research approach was employed to engage elderly participants living in Bridgeport, CT, in exploring their vulnerability to current and predicted climate stressors with a focus on extreme heat, flooding and storms, and air pollution. This research identifies personal characteristics that interact with contextual factors to influence elderly adult's vulnerability to climate change. Personal characteristics include health, economic, and social considerations. Contextual factors include the adequacy of emergency preparedness measures, transportation resources, and coping and recovery resources. As a result of the interplay of these characteristics and factors, predicted climate changes could have serious consequences for Bridgeport's elderly adults. This research provides a contextualized and detailed illustration of how climate change could overwhelm elderly adult's adaptive capacity and highlights the need for support services to provide safeguards. The issues and concerns raised may bear similarities to other locations, especially urban settings facing similar climate stressors with similar socioeconomic conditions. The findings suggest a need for further research to improve our understanding and serve as the basis for collaborative adaptation planning that engages elderly communities with local governments and a broad coalition of partners to keep elders safe.