Emergency Preparedness Planning Research Articles

Negative and Positive Experiences During the COVID-19 Pandemic in Canadians With Developmental Disabilities: AOne-Year Ontario-Based Survey.

Understanding the experiences of people with developmental disabilities during the initial period of COVID-19 pandemic. Individuals with developmental disabilities and their caregivers completed baseline and up to five follow-up online surveys using the CRISIS-AFAR measures, between July 2020 and September 2021. We used qualitative (thematic analysis) and quantitative (MANOVA) analytic methods. One hundred and eighteen participants (64 caregivers on individuals 6-62 years, 54 self-reporting individuals aged 17-55 years) completed baseline survey; 46 participants (23 caregivers, 23 self-reporting adults) completed ≥1 follow-up. Qualitative themes included uncertainty, and negative and positive influences on behaviours and routines, daily life and mental wellness. Those experiencing positive impacts did not stably perceive so longitudinally. Despite both negative and positive influences on individuals with developmental disabilities and their families, the prolonged pandemic had wide-ranging repercussions. Emergency preparedness planning should consider the disruptive effects of public health measures on routine and support for this vulnerable population.

Challenges faced by internally displaced diabetes patients in managing their health during a conflict: a qualitative study

BackgroundThis study examines the experiences of diabetic patients who were displaced during the Israel–Hamas conflict, highlighting the substantial challenges they face in managing their health under these circumstances.MethodsA qualitative-phenomenological approach was employed, focusing on the experiences of 14 individuals with diabetes who were displaced during the conflict. Data were collected through semi-structured interviews and subsequently subjected to content analysis.ResultsThree central themes emerged: (1) “I left without clothes and medications”: Participants described the chaotic evacuation process and the difficulty in maintaining diabetes care without their supplies. (2) “Dual coping”: Participants struggled with managing their diabetes while adapting to new, temporary living conditions that disrupted their care routines. (3) Seeking inner resilience while drawing strength from external support: This theme reflected the importance of internal resilience and support from family, friends, and healthcare professionals in coping with health management and displacement challenges.ConclusionsThe study underscores the significant challenges diabetes patients face during conflict evacuation, including disruptions in their routine care, heightened psychological stress, and the essential role of support systems. These findings underscore the need for emergency preparedness plans to ensure continuity of care for patients with chronic conditions during crises.

Exploring the effects of COVID-19 outbreak control policies on services offered to people experiencing homelessness

BackgroundThe COVID-19 pandemic and subsequent implementation of public health policies exacerbated multiple intersecting systemic inequities, including homelessness. Housing is a key social determinant of health that played a significant part in the front-line defence against COVID-19, posing challenges for service providers working with people experiencing homelessness (PEH). Public health practitioners and not-for-profit organizations (NFPs) had to adapt existing COVID-19 policies and implement novel measures to prevent the spread of disease within congregate settings, including shelters. It is essential to share the perspectives of service providers working with PEH and their experiences implementing policies to prepare for future public health emergencies and prevent service disruptions.MethodsIn this qualitative case study, we explored how service providers in the non-profit sector interpreted, conceptualized, and implemented COVID-19 public health outbreak control policies in Nova Scotia. We interviewed 11 service providers between September and December 2020. Using thematic analysis, we identified patterns and generated themes. Local, provincial, and national policy documents were useful to situate our findings within the first year of the COVID-19 pandemic and contextualize participants’ experiences.ResultsImplementing policies in the context of homelessness was difficult for service providers, leading to creative temporary solutions, including pop-up shelters, a dedicated housing isolation phone line, comfort stations, and harm reduction initiatives, among others. There were distinct rural challenges to navigating the pandemic, which stemmed from technology limitations, lack of public transportation, and service closures. This case study illustrates the importance of flexible and context-specific policies required to support PEH and mitigate the personal and professional impact on service providers amid a public health emergency. Innovative services and public health collaboration also exemplified the ability to enhance housing services beyond the pandemic.ConclusionsThe results of this project may inform context-specific emergency preparedness and response plans for COVID-19, future public health emergencies, and ongoing housing crises.

Ambulance Transports from NCAA Division 1 Football Games.

There is significant public health interest towards providing medical care at mass-gathering events. Furthermore, mass gatherings have the potential to have a detrimental impact on the availability of already-limited municipal Emergency Medical Services (EMS) resources. This study presents a cross-sectional descriptive analysis to report broad trends regarding patients who were transported from National Collegiate Athletic Association (NCAA) Division 1 collegiate football games at a major public university in order to better inform emergency preparedness and resource planning for mass gatherings. Patient care reports (PCRs) from ambulance transports originating from varsity collegiate football games at the University of Minnesota across six years were examined. Pertinent information was abstracted from each PCR. Across the six years of data, there were a total of 73 patient transports originating from NCAA collegiate football games: 45.2% (n = 33) were male, and the median age was 22 years. Alcohol-related chief complaints were involved in 50.7% (n = 37) of transports. In total, 31.5% of patients had an initial Glasgow Coma Scale (GCS) of less than 15. The majority (65.8%; n = 48; 0.11 per 10,000 attendees) were transported by Basic Life Support (BLS) ambulances. The remaining patients (34.2%; n = 25; 0.06 per 10,000 attendees) were transported by Advanced Life Support (ALS) ambulances and were more likely to be older, have abnormal vital signs, and have a lower GCS. This analysis of ambulance transports from NCAA Division 1 collegiate football games emphasizes the prevalence of alcohol-related chief complaints, but also underscores the likelihood of more life-threatening conditions at mass gatherings. These results and additional research will help inform emergency preparedness at mass-gathering events.

Hurricane disasters and radiation treatment delays among patients diagnosed with non-small cell lung cancer.

98 Background: Hurricanes can disrupt cancer care and adversely affect health outcomes, especially for patients needing daily radiation therapy, which depends on stable electricity and safe facility access. Among patients diagnosed with locally advanced non-small cell lung cancer (NSCLC), disruptions in radiation can decrease survival. This study evaluates the associations of exposure to a hurricane disaster and radiation delays and total dose received among patients diagnosed with NSCLC. Methods: Patients aged ≥18 years who initiated radiation therapy for non-operable stage III NSCLC between 2004-2021 were identified from the National Cancer Database. Exposure was defined as a Federal Emergency Management Agency (FEMA) hurricane disaster declaration at the county of the treating facility during radiation treatment. Patients treated at the same facility, but at a time when no hurricane happened (i.e. unexposed) were propensity score matched in a 1:1 ratio with exposed patients on age at diagnosis, sex, lymph node involvement, comorbidity score, season, and era (radiation start year 2004 – 2009, 2010 – 2015, 2016 – 2021), to account for more active hurricane seasons in recent years. Delays in radiation treatment completion were defined as > 8 weeks between date when radiation started and ended. A two-way t-test and Mantel-Haenszel test were used to examine associations of hurricane exposure and radiation dose and treatment delays respectively. Results: 6,260 matched patients were included, of whom 3,130 were treated at facilities exposed to hurricanes during radiation and 3,130 completed treatment at the same facilities but at a time when no hurricane exposure happened. Patients treated during hurricanes had 1.95 higher odds (95% confidence interval (CI): 1.71 – 2.24) of experiencing treatment delays compared to unexposed patients (23% of exposed patients experienced delays compared to 13% of unexposed patients). Exposed patients were more likely to have received higher radiation doses compared to unexposed patients (mean 5221.81 cGy vs. 4962.75 cGy; p < 0.0001). Conclusions: Patients with locally advanced NSCLC who received radiation during a hurricane disaster were more likely to experience treatment completion delays. Patients treated during a hurricane were also more likely to receive higher total doses of radiation, possibly suggesting compensation to mitigate the detrimental biological impact of radiation delays. As severe weather events become more common, comprehensive emergency preparedness plans that incorporate evidence-based strategies for mitigating adverse effects of treatment delays are essential.

Community Resilience Project: An Exploration of Emergency Weather Preparedness in Mississippi

Historically Black Colleges and Universities have often been at the forefront of emerging movements and social changes. Continuing this tradition Jackson State University has developed Community Resilience Project to address community issues relevant to both the city and the state. The first undertaking of the Community Resilience Project was partnering with the National Weather Service (NWS and several departments across Jackson State University (JSU) to examine awareness and preparedness about weather emergencies. In June 2020, the Community Resilience Project hosted a town hall to gauge residents’ awareness about weather emergencies. Tornados, hurricanes, and floods are common in Mississippi; therefore, individuals must be prepared. The purpose of this study was to collect and analyze demographics to develop themes regarding weather emergencies. The participants were 87 Mississippi residents. Participants were issued the demographic survey before the town hall. Frequency analyses were conducted on the responses found several themes. Most respondents, 59.8%, feel prepared for a weather emergency, however, 51.7% denied having an emergency preparedness plan. Participants were also asked do they felt prepared for an emergency since the pandemic began. Most respondents reported the same or increased levels of preparedness. Findings showcase the importance of not only the Community Resilience Project but also the need for community collaborations. The strength of a community is quantified by its ability to build and maintain bonds for all its citizens' well-being and advancement. Jackson State’s Community Resilience Project has taken an inimitable role in providing services, resources, and support to its local and state communities.

Lessons from the COVID-19 pandemic to strengthen NCD care and policy in humanitarian settings: a mixed methods study exploring humanitarian actors’ experiences

BackgroundThe COVID-19 pandemic and response severely impacted people living with non-communicable diseases (PLWNCDs) globally. It exacerbated pre-existing health inequalities, severely disrupted access to care, and worsened clinical outcomes for PLWNCDs, who were at higher risk of morbidity and mortality from the virus. The pandemic’s effects were likely magnified in humanitarian settings, where there were pre-existing gaps in continuity of care for non-communicable diseases (NCDs). We sought to explore factors affecting implementation of NCD care in crisis settings during the COVID-19 pandemic and the adaptations made to support implementation.MethodsGuided by the Consolidated Framework for Implementation Research, we undertook an online survey of 98 humanitarian actors from multiple regions and organization types (March-July 2021), followed by in-depth interviews with 13 purposively selected survey respondents (October-December 2021). Survey data were analysed using descriptive statistics, while interview data were analysed thematically, using both deductive and inductive approaches.ResultsInitially, humanitarian actors faced challenges influenced by external actors’ priorities, such as de-prioritisation of NCD care by governments, travel restrictions and supply chain interruptions. With each infection wave and lockdown, humanitarian actors were better able to adapt and maintain NCD services. The availability of COVID-19 vaccines was a positive turning point, especially for the risk management of people with NCDs and protection of health workers. Key findings include that, despite pre-existing challenges, humanitarian actors largely continued NCD services during the crisis. Enabling factors that supported continuity of NCD services included the ability to quickly pivot to remote means of communication with PLWNCDs, flexibility in medicine dispensing, and successful advocacy to prioritize NCD management within health systems. Key lessons learned included the importance of partnerships and cooperation with other health actors, and the mobilisation or repurposing of community health workers/volunteer networks.ConclusionsThe COVID-19 experience should prompt national and global health stakeholders to strengthen inclusion of NCDs in emergency preparedness, response, and resilience planning. Key lessons were learned around remote care provision, including adapting to NCD severity, integrating community health workers, providing context-adapted patient information, combating misinformation, and strengthening cross-sectoral partnerships.

Academy of Breastfeeding Medicine Position Statement: Breastfeeding in Emergencies.

Background: During emergencies, including natural disasters and armed conflict, breastfeeding is critically important. Breastfeeding provides reliable nutrition and protection against infectious diseases, without the need for clean water, feeding implements, electricity, or external supplies. Key Information: Protection, promotion, and support of breastfeeding should be an integral part of all emergency preparedness plans. Breastfeeding specialists should be part of plan development. Emergency protocols should include breastfeeding specialists among emergency relief personnel, provide culturally sensitive environments for breastfeeding, and prioritize caregivers of infants in food/water distribution. Emergency relief personnel should be aware that dehydration and missed feedings can impact milk production, but stress alone does not. Emergency support should focus on keeping mothers and infants together and providing private and/or protected spaces for mothers to breastfeed or express milk. Emergency support should also focus on rapidly identifying mothers with breastfeeding difficulties and breastfeeding mothers and infants who are separated, so their needs can be prioritized. Breastfeeding support should be available to all women experiencing difficulties, including those needing reassurance. Nonbreastfed infants should be identified as a priority group requiring support. Relactation, wet-nursing, and donor milk should be considered for nonbreastfed infants. No donations of commercial milk formula (CMF), feeding bottles or teats, or breast pumps should be accepted in emergencies. The distribution of CMF must be highly controlled, provided only when infants cannot be breastfed and accompanied by a comprehensive package of support. Recommendations: Protecting, promoting, and supporting breastfeeding should be included in all emergency preparedness planning and in training of personnel.

Geospatial approach to pluvial flood-risk and vulnerability assessment in Sunyani Municipality

Historically, and in recent times, efforts have been to understand, predict, analyze, and quantify floods and their impacts in various countries of the globe. Although recent scientific advances have introduced approaches to assessing the risks presented by flooding, little studies have been carried out in the Sunyani Municipality of Ghana for generating a pluvial flood-risk and vulnerability map for risk identification, resilience, emergency preparedness, and urban spatial planning. In this study, five parameters that influence both pluvial and fluvial flooding were assessed to map flood-prone areas within the Sunyani Municipality. These are precipitation, drainage density, LULC, elevation, and slope, which were integrated in GIS. Using an AHP, weights were assigned to each parameter based on its level of influence on flooding. The findings reveal that 21.32 % of the Sunyani Municipality lies within a highly flood-prone area, 39.65 % in a flood-prone area, while 28.06 % and 10.97 % in slightly flood-prone and not flood-prone areas respectively. Built-up areas close to watersheds with lower elevations and larger drainage density are the places that are highly flood-prone. Some towns within the highly flood-prone and flood-prone areas are Abesim, Newtown, Nkwarbeng, Baakoniaba, Kootokrom, and Penkwase. Highly valued infrastructure such as schools, churches, and hospitals have also been found within these highly flood-prone areas. These findings can aid the government and relevant stakeholders in disaster risk management to be better informed, and to effectively plan and prevent flood challenges in the Sunyani Municipality. Moreover, urban spatial planners in the study setting can consider incorporating the flood hazard maps generated from this study into their spatial plans for proactive physical developments.

Strengthening Maternal and Infant Health Resilience Before Weather and Climate Disasters: Preparedness Resources from CDC's Division of Reproductive Health.

This report describes opportunities to address emergency preparedness to incorporate the needs of pregnant and postpartum populations. This report briefly summarizes data on the impacts of weather and climate disasters on maternal and infant health and outlines opportunities for individuals, health care providers, and public health practitioners to increase capacity to prepare for these occurrences, which are becoming more frequent and costly. Specific resources from the U.S. Centers for Disease Control and Prevention's Division of Reproductive Health are shared to support individual preparedness, communication of disaster safety messages, and emergency preparedness planning capacity among health care providers and health departments.

Prioritizing Indicators for Rapid Response in Global Health Security: A Bayesian Network Approach

This study explored a Bayesian belief networks (BBNs) approach, developing two distinct models for prioritizing the seven indicators related to the “rapid response to and mitigation of the spread of an epidemic” category within the context of both the specific category and the Global Health Security Index (GHS index). Utilizing data from the 2021 GHS index, the methodology involves rigorous preprocessing, the application of the augmented naive Bayes algorithm for structural learning, and k-fold cross-validation. Key findings show unique perspectives in both BBN models. In the mutual value of information analysis, “linking public health and security authorities” emerged as the key predictor for the “rapid response to and mitigation of the spread of an epidemic” category, while “emergency preparedness and response planning” assumed precedence for the GHS index. Sensitivity analysis highlighted the critical role of “emergency preparedness and response planning” and “linking public health and security authorities” in extreme performance states, with “access to communications infrastructure” and “trade and travel restrictions” exhibiting varied significance. The BBN models exhibit high predictive accuracy, achieving 83.3% and 82.3% accuracy for extreme states in “rapid response to and mitigation of the spread of an epidemic” and the GHS index, respectively. This study contributes to the literature on GHS by modeling the dependencies among various indicators of the rapid response dimension of the GHS index and highlighting their relative importance based on the mutual value of information and sensitivity analyses.

Organizational contributions to emergency preparedness and response in Varanasi: A comprehensive analysis

India's unique geographical diversity and status as the world's most populous nation make it exceptionally susceptible to a wide array of hazards, both natural and human-induced. This vulnerability is further compounded by the intersection of diverse disasters and the dense population, leading to significant human and material losses. In response to these challenges, effective emergency preparedness plans are indispensable, requiring meticulous risk assessments, strategic resource allocation, capacity building initiatives, and active engagement of community-oriented organizations. Continuous monitoring and adaptation are essential for bolstering resilience and safeguarding socio-economic stability.Furthermore, the examination of developmental and disaster-specific organizations' roles in preparedness and response necessitates a systematic shift towards proactive paradigms, fostering an anticipatory culture rather than a reactive one. This study aims to dissect the intricate web of organizational efforts crucial for emergency preparedness in Varanasi, one of the world's oldest cities. By delving into these critical mechanisms, our goal is to enhance collective readiness against potential emergencies, safeguarding the city's rich heritage and its inhabitants.Through a mixed-method approach, this research illuminates the multifaceted involvement of organizations across various sectors, unraveling a complex tapestry of challenges that impede practical disaster preparedness. We scrutinize the coordination among governmental and non-governmental entities, funding dynamics, and grassroots alliances, revealing untapped resources for disaster resilience. Additionally, we analyze the strategies adopted by the national emergency preparedness and response force, highlighting both successes and shortcomings.Moreover, this study underscores the unique competencies of individuals involved in disaster preparedness, while identifying structural and functional gaps within organizational frameworks. Conversely, non-profit organizations face distinct challenges, including fundraising constraints and donor-imposed limitations, hindering their ability to develop comprehensive emergency preparedness and response capacities compared to public and private entities.In summary, this research serves as a comprehensive exploration of organizational dynamics in emergency preparedness within Varanasi, offering valuable insights into the complexities of disaster management efforts. By addressing these challenges, we aim to pave the way for more effective and inclusive disaster preparedness strategies, ultimately enhancing the resilience of Varanasi and similar communities globally.

Rethinking Infection Control: Nursing Home Administrator Experiences during the COVID-19 Pandemic

ObjectiveTo examine nursing home administrator perspectives of infection control practices in nursing homes at the height of the COVID-19 pandemic and characterize lessons learned. DesignDescriptive qualitative study. Setting and ParticipantsAdministrators from 40 nursing homes across 8 diverse health care markets in the United States. MethodsSemistructured interviews were conducted via telephone or Zoom with nursing home administrators. Interviews were repeated at 3-month intervals, for a total of 4 interviews per participant between July 2020 and December 2021 (n = 156). Qualitative analysis of interview transcripts used modified grounded theory and thematic analysis to identify overarching themes. ResultsThree major themes emerged reflecting administrator experiences managing infection control practices and nursing home operations at the height of the COVID-19 pandemic. First, administrators reported that the more stringent infection control protocols implemented to manage and mitigate COVID-19 at their facilities increased awareness and understanding of the importance of infection control; second, administrators reported incorporating higher standards of infection control practices into facility-level policies, emergency preparedness plans, and staff training; and third, administrators said they and their executive leadership were reevaluating and upgrading their facilities’ physical structures and operational processes for better infection control infrastructure in preparation for future pandemics or other public health crises. Conclusions and ImplicationsInsights from this study's findings suggest important next steps for restructuring and improving nursing home infection control protocols and practices in preparation for future pandemics and public health emergencies. Nursing homes need comprehensive, standardized infection control training and upgrading of physical structures to improve ventilation and facilitate isolation practices when needed. Furthermore, nursing home emergency preparedness plans need better integration with local, state, and federal agencies to ensure effective communication, proper resource tracking and allocation, and coordinated, rapid response during future public health crises.

Integrated planning of emergency supply pre-positioning and victim evacuation

Natural disasters such as earthquakes, floods, and storms cause numerous human casualties and economic losses every year. Emergency supply pre-positioning and victim evacuation, as two important emergency relief operations, tend to be separately considered in the literature. However, there are intrinsic correlations between the two operations in reality, which calls for an integrated planning of emergency supply pre-positioning and victim evacuation. In this study, we propose a stochastic programming model to optimize, in an integrated way, the deployment of emergency facilities, pre-stocking and distribution of emergency supplies and management of self-evacuated victims under two planning goals, namely cost effectiveness and evacuation fairness. We also formulate four comparison models to highlight the benefits of our integrated planning model. With a case study on the development of an emergency preparedness and response plan in Sichuan Province, China, we not only demonstrate the effectiveness and benefits of our approach but also obtain key managerial insights and policy suggestions for better emergency management practice.

Experiences of birthing people during the COVID-19 pandemic: Analysis of comments from the 2020 Wisconsin Pregnancy Risk Assessment Monitoring System (PRAMS).

The COVID-19 pandemic has taken a significant toll on the US population, with birthing people having special clinical needs. The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based surveillance system for monitoring birthing people's experiences. Comment data from the PRAMS survey can provide further insight into birthing people's experiences. This study aims to use PRAMS data to describe pandemic-related experiences in a representative sample of birthing people in Wisconsin to help inform future emergency preparedness planning. This study analyzed 2020 Wisconsin PRAMS data for births in March or later. Content analysis of pandemic-related comment data was conducted, and quantitative data on demographic characteristics and pandemic-related experiences were examined. Findings from 1406 respondents indicated that many birthing people were affected by the pandemic, including changes in healthcare visits and employment. One hundred respondents commented on pandemic-related experiences; four interrelated themes emerged from content analysis: changed nature and quality of healthcare, limited social support, increased anxiety, stress, or fear, and employment or financial burden. Most comments discussed negative impacts; some expressed positive aspects. Findings suggest opportunities for improving support for birthing people during public health emergencies, for example, through developing healthcare policies and public health guidelines that prioritize the protective mechanisms of social support for birthing people, identifying additional and immediately accessible policy protections to support birthing and postpartum people (e.g., insurance and paid leave) during public health emergencies, and implementing additional screening and support to help address increased mental health needs during public health emergencies.

Differences in Cesarean Rates for Nulliparous, Term, Singleton, Vertex Births Among Racial and Ethnic Groups and States Before and After Stay-at-Home Orders During the COVID-19 Pandemic, United States, 2017-2021.

Evidence is limited on differences in cesarean rates for nulliparous, term, singleton, vertex (NTSV) births across racial and ethnic groups at the national and state level during the COVID-19 pandemic. We assessed changes in levels and trends of NTSV cesarean rates before and after stay-at-home orders (SAHOs) were implemented in the United States (1) overall, (2) by racial and ethnic groups, and (3) by 50 US states from January 2017 through December 2021. We used birth certificate data from 2017 through 2021, restricted to hospital births, to calculate monthly NTSV cesarean rates for the United States and for racial and ethnic groups and to calculate quarterly NTSV cesarean rates for the 50 states. We used interrupted time-series analysis to measure changes in NTSV cesarean rates before and after implementation of SAHOs (March 1 through May 31, 2020). Of 6 022 552 NTSV hospital births, 1 579 645 (26.2%) were cesarean births. Before implementation of SAHOs, NTSV cesarean rates were declining in the United States overall; were declining among births to non-Hispanic Asian, non-Hispanic Black, Hispanic, and non-Hispanic White women; and were declining in 6 states. During the first month of implementation of SAHOs in May 2020, monthly NTSV rates increased in the United States by 0.55%. Monthly NTSV rates increased by 1.20% among non-Hispanic Black women, 0.90% among Hispanic women, and 0.28% among non-Hispanic White women; quarterly NTSV rates increased in 6 states. In addition to emergency preparedness planning, hospital monitoring, and reporting of NTSV cesarean rates to increase provider awareness, reallocation and prioritization of resources may help to identify potential strains on health care systems during public health emergencies such as the COVID-19 pandemic.

Functional Simulation Exercise on Functionality of National Public Health Emergency Operations Centers in the African Region: Review of Strengths and Gaps.

National public health emergency operations centers (PHEOCs) serve as hubs for coordinating information and resources for effective emergency management. In the International Health Regulations (IHR 2005) Monitoring and Evaluation Framework, a simulation exercise is 1 of 4 components that can be used to test the functionality of a country's emergency response capabilities in a simulated situation. To test the functionality of PHEOCs in World Health Organization African Region member states, a regional functional exercise simulating an Ebola virus disease outbreak was conducted. The public health actions taken in response to the simulated outbreak were evaluated against the exercise objectives. Thematic analysis was conducted to summarize key strengths and areas for improvement. From December 6 to 7, 2022, more than 1,000 representatives from 36 of the 47 African Region member states participated in the exercise from their respective PHEOCs. Approximately 95% of the 461 participants polled agreed with the positive responses to the postexercise survey. More than half of the PHEOC participants were able to test their existing emergency preparedness and response plans and became familiar with the expected roles to be fulfilled during an event. Of the participants who responded to the survey, over 90% reported that the exercise helped them understand their roles during emergency management. The exercise met its objectives and provided an opportunity to test the functionality of PHEOCs using realistic scenarios, and it helped participants understand existing response systems and procedures. However, the exercise also revealed areas for improvement in terms of the timing and preparation of participants. We recommend conducting functional exercises at the regional and national levels at least once a year, early or midyear, to allow many stakeholders to take part in the exercise. Moreover, there is a need to train country-level evaluators and controllers in designing and conducting functional exercises.

Robust Emergency Preparedness Planning for Resilience Enhancement of Energy-Transportation Nexus Against Extreme Rainfalls

This paper proposes a robust emergency preparedness planning (EPP) scheme to optimally pre-position diverse mobile emergency resources (MERs) in staging locations and perform proactive network reconfiguration for resilience enhancement of energy-transportation nexus (ETN) against extreme rainfalls. Based on rainfall-runoff simulation with hydrodynamic partial differential equations, a risk identification approach for flood-prone transportation modeling is developed for vehicle travel time estimation and MER routing optimization. To handle uncertainties in line outages and flooded roads incurred by extreme rainfalls, a tri-level robust EPP model is proposed to determine the optimal emergency preparedness plan immunized against the worst-case realization of uncertainties. Furthermore, a tailored solution method combining nested column-and-constraint generation algorithm with multiple linearization techniques is devised to cope with the proposed nonlinear robust EPP model. Comparative studies have validated the effectiveness of the proposed scheme for resilience enhancement of the ETN confronted with extreme rainfall disasters.

Supporting K-12 Educators’ Professional Development Continuity: A Forecasting Approach for Curating Online Resources for Emergency Preparedness Planning

This study, presented as a research poster for the 2023 AECT conference, identifies critical online professional development (PD) resources to support the PD continuity of about 38,000 K-12 educators as part of an emergency remote teaching (ERT) resource. The 2019, 2020, and 2021 academic year forecasting analyses showed 84 of the 537 online modules for ERT curation. The findings have implications for program evaluation in day-to-day operations and long-term emergency planning.

Pagers Explosion: Challenges of the Emergency Preparedness Plan.

On September 17, 2024, an unforeseen attack due to the Pagers Explosion targeting a military party in Lebanon left more than 2750 casualties. A total of 38 injured patients presented to the Lebanese American University Medical Center-Rizk Hospital (LAUMC-RH), a private university hospital. Most injuries were amputated fingers and eye injuries. Intensive training and regular drills are conducted at the hospital level to ensure readiness. This report highlights major challenges that were encountered during this explosion and provides possible strategies to overcome them.