Archive for the ‘Emergency Preparedness and Response’ Category
The U.S. Department of Health and Human Services launched the first online collection of the federal resources and capabilities available to mitigate the health impacts of emergencies. The HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) sponsored the HHS Response and Recovery Resources Compendium to aid state, tribal, territorial, and local officials in health and emergency management as they guide communities in responding to and recovering from disasters.
The compendium offers an easy-to-navigate, comprehensive, web-based repository of HHS products, services and capabilities available to state, state, tribal, territorial, and local agencies before, during, and after public health and medical incidents. The information spans 24 categories, and each category showcases the relevant disaster resources available from HHS and partner agencies, a brief description of each resource and information on accessing each one. Categories range from patient movement to hospital care and from situational awareness to decontamination. Resources include platforms such as GeoHEALTH and the HHS emPOWER Map that use Geographic Information System capabilities to support health response as well as consultation services, such as emergency planning, disease surveillance and tracking, and food, drug and device safety. Resources also include personnel, such as medical staff from the U.S. Public Health Service and National Disaster Medical System who can deploy to communities to augment local hospital, shelter or public health staff. The compendium will be updated regularly and expanded as federal agencies add products, capabilities and services to help communities prepare for, respond to, and recover from the health impacts of disasters.
The Federal Emergency Management Agency (FEMA) launched a new data visualization tool that enables users to see when and where disaster declarations have occurred across the country. The data visualization tool allows users to view and interact with a wide array of FEMA data. Through an interactive platform, users can view the history of disaster declarations by hazard type or year and the financial support provided to states, tribes and territories, and access public datasets for further research and analysis. On the site, you can see compelling visual representations of federal grant data as it relates to fire, preparedness, mitigation, individual assistance and public assistance.
The HHS emPOWER Map, an interactive online tool, launched today to aid community health agencies and emergency management officials in disaster preparedness as they plan ahead to meet the emergency needs of community residents who rely on electrically powered medical and assistive equipment to live independently at home. The new tool is sponsored by the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR) in its ongoing efforts to support community resilience and build national health security.
The HHS emPOWER Map shows the monthly total number of Medicare fee-for-service beneficiaries’ claims for electricity-dependent equipment at the national, state, territory, county, and zip code levels. The tool incorporates these data with real-time severe weather tracking services from the National Oceanic and Atmospheric Administration in a Geographic Information System (GIS). The integrated data accessible through the HHS emPOWER Map can help community organizations, including hospitals, first responders, and electric utility officials, work with health officials to prevent health impacts of prolonged power outages due to storms and other disasters on vulnerable residents.
The NLM exhibit booth at the 2015 Annual Meeting of the Medical Library Association in Austin, TX, featured theater presentations to bring users up-to-date on several NLM products and services. The presentation recordings are captioned and accessible from the NLM Distance Education Program Resources page. The presentations include:
Note: To listen to the voice recordings and view the captions you may need the latest version of Flash® Player (download for free from the Adobe Web site). To maximize the presentation, use the Full Screen button. For more information, go to the NLM Technical Bulletin page.
The National Library of Medicine has activated its Emergency Access Initiative (EAI) through May 23, to support healthcare professionals working on the response to the earthquake in Nepal. The EAI is a collaborative partnership between NLM and participating publishers to provide free access to full-text from over 650 biomedical journals and over 4,000 reference books and online databases to healthcare professionals and libraries affected by disasters. It serves as a temporary collection replacement and/or supplement for libraries affected by disasters that need to continue to serve medical staff and affiliated users. It is also intended for medical personnel responding to the specified disaster. EAI is not an open access collection. It is only intended for those affected by the disaster or assisting the affected population.
NLM thanks the numerous participating publishers for their generous support of this initiative: American Academy of Pediatrics, American Association for the Advancement of Science, American Chemical Society, American College of Physicians, American Medical Association, American Society of Health-Systems Pharmacists, ASM Press, B.C. Decker, BMJ, Cambridge University Press, EBSCOHost, Elsevier, FA Davis, Mary Ann Liebert, Massachusetts Medical Society, McGraw-Hill, Merck Publishing, Oxford University Press, People’s Medical Publishing House, Springer, University of Chicago Press, Wiley and Wolters Kluwer.
Resources on Earthquakes
NLM has several other resources that will be helpful for people working on disaster response:
An increasing number of U.S. hospitals are now equipped to treat patients with Ebola, giving nationwide health system Ebola readiness efforts a boost. According to the Centers for Disease Control and Prevention (CDC), state health officials have identified and designated 35 hospitals with Ebola treatment centers, with more expected in the coming weeks. Four of the facilities are located in California. Hospitals with Ebola treatment centers have been designated by state health officials to serve as treatment facilities for Ebola patients based on a collaborative decision with local health authorities and the hospital administration.
Ebola treatment centers are staffed, equipped and have been assessed to have current capabilities, training and resources to provide the complex treatment necessary to care for a person with Ebola while minimizing risk to health care workers. The additional facilities supplement the three national bio containment facilities at Emory University Hospital, Nebraska Medical Center, and the National Institutes of Health (NIH), which will continue to play a major role in the overall national treatment strategy, particularly for patients who are medically evacuated from overseas. Facilities will continue to be added in the next several weeks to further broaden geographic reach.
CDC also released guidance for states and hospitals to use as they identify and designate an Ebola treatment center. The guidance covers the range of capabilities hospitals need in order to provide comprehensive care for patients with Ebola. HHS, through the CDC and the Office of the Assistant Secretary of Preparedness and Response (ASPR), also provided technical assistance to health departments and hospitals.
The following updates and changes were announced in November, 2014, for the National Library of Medicine’s Radiation Emergency Medical Management (REMM) website:
- Initial Actions for Responders after Nuclear Detonation: First Receivers: Emergency Department Staff and First Responders: Emergency Medical Service Staff.
- Multimedia: many new videos and graphics including 13 new teaching videos from DOE / Transportation Emergency Preparedness Program (TEPP) available on the REMM web site and REMM YouTube channel. Also links to various new CDC teaching materials, such as Videos: Radiation Basics Made Simple.
- Protective Actions and Protective Action Guides: page redone with re-organized information and tables. EPA PAG Manual Interim Guidance included.
- Burn Triage and Treatment: Thermal Injuries includes links to new references for managing burns in mass casualty incidents with austere conditions.
- Legal Advisors for Medical Response to Mass Casualty Incident: new references and 2 new sections including assessment of state and local laws regarding management of persons during radiation incidents including legal authority to decontaminate and quarantine (CDC and partners).
- Nuclear Detonation: Weapons, Improvised Nuclear Devices Key References entire list re-organized and updated, including Medical Issues: Planning and Response Practical Guidance and updated Blast injury references.
- Dictionary of Radiation Terms: 2 new key references, NCRP Glossary of Radiation Terms and NCRP Acronyms List.
- Biodosimetry References updated and re-organized.
- Software Tools for Radiation Incident Response includes additional applications listed for biodosimetry, managing incidents, and recording radiation levels.
- Incident Command System and Hospital (Emergency) Incident Command System page re-organized with links to HICS, Fifth edition, 2014, expanded to meet the needs of all hospitals, regardless of their size, location or patient care capabilities.
- Mental Health Professionals now includes updated references on Psychological First Aid.
The National Library of Medicine (NLM) has released a new version of Chemical Hazards Emergency Medical Management (CHEMM). CHEMM is a Web-based resource that can be downloaded in advance to Windows and Mac computers to ensure availability during an event if the Internet is not accessible. CHEMM’s content is also integrated into the NLM Wireless Information System for Emergency Responders (WISER), which is Web-based and downloadable to Windows computers. CHEMM’s content is also available in WISER’s iOS and Android apps. The new CHEMM content will be incorporated into the next release of WISER.
New or updated content in CHEMM includes:
- Updated and enhanced content on Decontamination Procedures, Discovering the Event, and Training and Education
- An NIH CounterACT program funded database with information on twenty-two medical countermeasures (including efficacy, relevant publications, research in progress, FDA and other global regulatory status information)
- Content for how emergency responders can recognize and handle events dealing with toxic gases generated by the combinations of consumer products or common household chemicals
- A workshop report describing toxic chemical syndromes, or toxidromes, that lays the foundation for a consistent lexicon for use in CHEMM and for other uses that, if adopted widely, will improve response to chemical mass exposure incidents
- A toxidromes outreach plan whose goal is to raise widespread awareness and encourage use of the toxidromes throughout the stakeholder community, and
- An evaluation and validation plan for CHEMM’s Intelligent Syndromes Tool (CHEMM-IST) that, once completed, will move CHEMM-IST from its current state as a prototype to a product ready for use in an operational response environment.
For more information see the “What’s New on CHEMM?” section of CHEMM.
The National Library of Medicine (NLM) has launched a Web collecting initiative to capture and preserve selected born-digital content documenting the 2014 Ebola outbreak. This initiative is a part of its previously-announced Web content collecting effort, which is guided by the NLM Collection Development Manual and other strategic collecting efforts. Initiated on October 1, 2014, selected content related to the current Ebola outbreak includes Web sites and social media from Government and non-government organizations, journalists, healthcare workers, and scientists in the United States and around the world, with an aim to collect and preserve a diversity of perspectives on this unfolding health crisis.
The content is part of the NLM’s broader Web collection on “Global Health Events.” The NLM will continue to develop, review, describe, and add content to the collection, as it also expands its overall capacity to collect Web content. With this initiative NLM has taken a major new step in its mission to collect pertinent health care information of today for the benefit of research in the future. Increasingly, that information is found on the Web, which is a rapidly changing environment where valuable and interesting materials can surface and then quickly disappear!
Although the National Library of Medicine’s TOXMAP resource is not specifically designed for any one particular group, the TRI and Superfund Programs can be of interest to specific populations such as Native Americans, by helping to find sources of chemical releases and contamination in locations of interest to them.
In the beta version of TOXMAP, click on the “Zoom to Location” icon, enter “reservation” or “rancheria” into the “Address or Place” search box, and then click “Zoom to.” In TOXMAP classic, click on “Zoom to a Place,” enter “reservation” or “rancheria” into the “other place name” search box, and then click “Submit.” You can also overlay US Census data by race: “American Indian and Alaskan Native” (1990) or “One Race: American Indian and Alaska Native” and “Two or More Races Including American Indian and Alaska Native” (2000). For more information, visit the TOXMAP and Native American Populations webpage.