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Disability-inclusive data collection and survey outcomes that reflect the lived experiences of people with disabilities in emergencies or disasters. 包容残疾的数据收集和调查结果,反映残疾人在紧急情况或灾害中的生活经历。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0889
Dawn Skaggs, Katherine Sanches

This article documents a disability-inclusive study conducted in partnership with disabilityled -community-based organizations in survey development and distribution. Information collection focused on the lived experiences of people with disabilities, their perceived impact, and their future expectations. Survey results from 413 individuals with disabilities document the disaster or personal crisis-related experiences and their subsequent impacts. Results from a selection of survey questions were identified for further exploration and their potential impact on disability-inclusive planning, response, and recovery, with a view to identifying potential variables that impact the disproportionate impact of disasters on people with disabilities. Perspectives provided by survey respondents, who were exclusively people with disabilities, overlapped with but did not necessarily align with what is known about emergency and disaster response systems. Study outcomes supported current recommended practices for inclusive planning with people with disabilities. The study supports the premise that accessibility, programmatic inclusion, and effective communication impact the lived experience of people with disabilities in disasters and warrant additional inquiry. Furthermore, the equitable and valued involvement of people with disabilities and disabilityled organizations is essential in disaster research, policy, and practice that does not leave anyone behind. Research can, and should, be conducted in coordination with disability stakeholders and people with disabilities in order to generate useful and implementable policy and practice information. This inclusive approach should take priority over rigorous academic research methods and standards for principled and practical -considerations.

这篇文章记录了一项与残疾人社区组织合作开展的兼顾残疾人的研究,该研究涉及调查问卷的开发和分发。信息收集的重点是残疾人的生活经历、他们所感受到的影响以及他们对未来的期望。来自 413 名残疾人的调查结果记录了与灾难或个人危机相关的经历及其后续影响。我们对部分调查问题的结果进行了深入探讨,以确定其对兼顾残疾问题的规划、响应和恢复工作的潜在影响,从而找出影响灾害对残疾人造成过大影响的潜在变量。调查对象全部为残疾人,他们的观点与人们对应急和救灾系统的了解有重叠之处,但并不一定一致。研究结果支持当前推荐的残疾人包容性规划做法。这项研究支持这样一个前提,即无障碍环境、计划包容性和有效沟通会影响残疾人在灾难中的生活体验,因此需要进行更多的调查。此外,残障人士和残障组织的公平、有价值的参与对于不遗漏任何人的灾难研究、政策和实践至关重要。研究可以、也应该与残疾利益相关者和残疾人协调进行,以产生有用的、可执行的政策和实践信息。出于原则性和实用性的考虑,这种包容性的方法应优先于严谨的学术研究方法和标准。
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引用次数: 0
Government response to the increase in gender-based violence during the pandemic in Canada: Lessons for addressing inequity in emergency management practice. 政府对加拿大疫情期间性别暴力增加的反应:解决应急管理实践中不平等问题的经验教训。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0881
Jean Slick

A harmful untended consequence of the protective public health orders issued during the coronavirus disease 2019 pandemic was an increase in gender-based violence (GBV). This study examined the response of federal, provincial, and territorial governments in Canada to GBV during the peak of the pandemic (between February 2020 and October 2021) through a review of relevant media releases. These documents were then assessed for evidence of effective crisis leadership and compared to established international guidance for addressing GBV in disasters and other humanitarian emergencies. Five major themes emerged from the media review with respect to government communications and actions. First, governments announced funding to organizations working in the domestic violence sector to help support their ability to adapt their services during the pandemic. Second, media releases described efforts undertaken by governments to expand several different types of support services for victims of GBV. Third, governments promoted awareness of the ongoing problem of GBV, as well as its increase during the pandemic. Fourth, government communications acknowledged heightened risk for some populations, including Indigenous women, lesbian, gay, bisexual, transgender, queer, and intersex populations, and those at risk of human trafficking. Fifth, legislative and policy changes were announced by some governments during the pandemic. An analysis of the timing of communications suggests that only the federal government and one third of provinces and territories took early action to address the increase in GBV during the pandemic, which is consistent with international guidance that calls for the use of the precautionary principle. Most of the governments responded to the GBV crisis late or not at all. Although the analysis of media releases alone is insufficient to establish the scope of government actions taken to address GBV during the pandemic, public communication related to ongoing threats is an expected crisis communication competency. This study offers recommendations for practice, which might help address gender inequity in disasters.

2019年冠状病毒大流行期间发布的保护性公共卫生令的一个有害的意外后果是基于性别的暴力(GBV)的增加。本研究通过审查相关媒体发布,审查了加拿大联邦、省和地区政府在大流行高峰期(2020年2月至2021年10月)对性别暴力的反应。然后对这些文件进行评估,以确定有效的危机领导证据,并与解决灾害和其他人道主义紧急情况中性别暴力的既定国际指南进行比较。关于政府的通讯和行动,媒体审查产生了五个主要主题。首先,各国政府宣布向从事家庭暴力部门工作的组织提供资金,以帮助支持它们在大流行期间调整其服务的能力。第二,媒体报道描述了政府为扩大对性别暴力受害者的几种不同类型的支持服务所做的努力。第三,各国政府提高了对性别暴力这一持续存在的问题的认识,以及这一问题在大流行期间的增加。第四,政府来文承认一些人群的风险增加,包括土著妇女、女同性恋、男同性恋、双性恋、变性人、酷儿和双性人,以及面临人口贩运风险的人群。第五,一些政府在疫情期间宣布了立法和政策变化。对通报时间的分析表明,只有联邦政府和三分之一的省和地区在大流行期间采取了早期行动,以解决性别暴力增加的问题,这符合要求使用预防原则的国际指导。大多数政府对性别暴力危机的反应都很晚,或者根本没有。虽然仅对媒体发布的分析不足以确定政府在大流行期间为解决基于性别的暴力问题而采取的行动的范围,但与持续威胁有关的公共传播是一种预期的危机传播能力。这项研究为实践提供了建议,可能有助于解决灾害中的性别不平等问题。
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引用次数: 0
Improving disaster recovery for marginalized communities through building trusting relationships. 通过建立信任关系改善边缘化社区的灾后恢复工作。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0846
Cassandra R Davis, Evan Johnson, Megan Griffard, Simona Goldin

Communities, scholars, and federal agencies have noted the increase in frequency and magnitude of hazardous events due to climate change. Emerging evidence suggests that marginalized communities are less likely to recover from a hazardous event when compared to their more advantaged peers, partly due to distrustful or nonexistent relationships with organizations meant to support recovery. These results suggest a need for research to inform governmental and nongovernmental organizations (NGOs) on how best to build trusting relationships for communitiesmost in need.

社区、学者和联邦机构已经注意到,由于气候变化,危险事件的频率和规模都在增加。新出现的证据表明,与处于有利地位的群体相比,边缘化群体从危险事件中恢复过来的可能性更小,部分原因是他们与旨在支持恢复的组织之间不信任或不存在关系。这些结果表明,有必要进行研究,告知政府和非政府组织(ngo)如何最好地为最需要帮助的社区建立信任关系。
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引用次数: 0
Inclusive approaches to emergency management: Charting a path for equitable disaster resilience and leaving no one behind. 包容性应急管理办法:为公平的抗灾能力指明道路,不让任何人掉队。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0911
Sonny S Patel
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引用次数: 0
Assessment of Diversity, Equity, and Inclusion adoption efforts in state and local emergency management agencies. 评估州和地方应急管理机构的多样性、公平性和包容性采用工作。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0896
Arjola Balilaj, Tanveer Islam

Diversity, Equity, and Inclusion (DEI) have emerged as pivotal dimensions in fostering productive and inclusive work environments. Many public organizations have come forward to embrace a DEI mindset. Since emergency management agencies (EMAs) serve a diverse population that may be vulnerable to disasters, they must recognize DEI in their efforts to create a diverse workforce as well as to serve the community. Although the best practices in DEI for public organizations have been well established, there is a dearth of literature regarding the DEI best practices in emergency management. The objective of this study is to begin to create or further define best practices for EMAs for the successful implementation of DEI, especially at the local level.

多样性、公平和包容(DEI)已成为培育富有成效和包容性工作环境的关键维度。许多公共机构已经开始接受DEI的思维方式。由于应急管理机构为可能易受灾害影响的不同人群提供服务,它们必须认识到DEI在努力建立多样化的劳动力队伍以及为社区服务方面的作用。虽然公共组织的DEI最佳做法已经确立,但关于应急管理中的DEI最佳做法的文献很少。本研究的目的是开始创建或进一步定义ema的最佳实践,以成功实施DEI,特别是在地方一级。
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引用次数: 0
Equity, isolation, and federal disaster recovery assistance: Geographic discrepancy in hurricane recovery. 公平、隔离和联邦灾难恢复援助:飓风恢复中的地理差异。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0894
Daryl Schaffer, John E Pennington

The strength of a storm, geographic location of impact, and population density dictate different response and fiscal efforts. During the last 3 weeks of September 2022, three different ocean-based storms impacted three different locations in the United States (US), which were 5,600 miles (9,000 km) apart from each other. Established case study methodology was used to contrast the meteorological data of the measured strength at impact on US shores, population density, and post-storm recovery financial allocation from the federal government for these three storms. The hypothesis was that a storm impacting a smaller geographic area with a larger population would receive greater federal financial support than a stronger storm impacting a larger area with a smaller population. Despite post-Typhoon Merbok (Alaska) being a deeper low-pressure storm and impacting more land area, it received only a fraction of the recovery funding when contrasted with Hurricane Fiona (Puerto Rico) or Hurricane Ian (Florida) but a significantly higher per capita due to its geographically isolated location and lower population density.

风暴的强度、影响的地理位置和人口密度决定了不同的应对措施和财政努力。在2022年9月的最后三周,三种不同的海洋风暴影响了美国(US)的三个不同地点,彼此相距5600英里(9000公里)。采用既定的案例研究方法,对比了三次风暴对美国海岸影响的测量强度、人口密度和联邦政府对风暴后恢复的财政拨款的气象数据。他们的假设是,与影响人口较少的较大区域的强风暴相比,影响人口较多的较小地理区域的风暴会获得更多的联邦财政支持。尽管台风“默克”(阿拉斯加)是一场更深的低压风暴,影响了更多的陆地面积,但与飓风“菲奥娜”(波多黎各)或飓风“伊恩”(佛罗里达)相比,它只获得了一小部分恢复资金,但由于其地理位置孤立,人口密度较低,人均恢复资金明显更高。
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引用次数: 0
Health needs of a large cohort of newly arrived Afghan evacuee children following arrival in the United States. 大批新抵达的阿富汗撤离儿童抵达美国后的保健需求。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0883
Lauren Palladino, Katherine Yun, Shraddha Mittal, Rachel Martin-Blais, Mary Fabio, Meera Siddharth, Prakriti Gill, Alexandra Linn, Mohammad Iqbal Mir Wali Khan, Sage Myers, Jay Greenspan, Alexandra M Vinograd

Objective: In 2021, approximately 82,000 Afghan civilians were emergently evacuated to the United States (US). Almost half of them were children. This study describes the healthcare needs of all evacuee children referred for urgent or emergent care in two large health systems in the months following the evacuation, highlighting important considerations for emergency response in pediatric evacuee populations.

Methods: This is a descriptive cross-sectional study of all Afghan evacuee children referred for care at an urban quaternary care children's hospital and an affiliated community hospital system between August 2021 and February 2022. Both were located near a military base that served as a temporary residential facility for evacuees immediately after their arrival in the US. Data were abstracted into a secure online database, and descriptive statistics were examined to identify trends in health status, diagnoses, and utilization.

Results: We identified 477 children and 681 individual encounters. Fifty-two children (10.9 percent) were medically complex and accounted for 30.1 percent of all visits. The most common diagnoses were traumatic injuries (93, 13.7 percent), respiratory -illnesses (70, 10.3 percent), and complex chronic diseases (53, 7.8 percent). Proper patient identification, language access, and cultural engagement were key challenges.

Conclusion: Emergency response teams should be prepared to encounter a diverse range of common and increasingly complex pediatric health needs in disasters. Strategies such as employing cultural liaisons, expanding the availability of language services, and issuing standardized identification documents should be implemented.

目标:2021年,约82 000名阿富汗平民紧急撤离到美国。其中几乎一半是儿童。本研究描述了在疏散后的几个月内,在两个大型卫生系统中转诊的所有撤离儿童的紧急或紧急护理需求,强调了儿科撤离人群应急响应的重要考虑因素。方法:这是一项描述性横断面研究,研究对象是2021年8月至2022年2月期间在城市第四保健儿童医院和附属社区医院系统转诊的所有阿富汗撤离儿童。这两座核电站都位于一个军事基地附近,该基地是撤离人员抵达美国后的临时住所。将数据提取到安全的在线数据库中,并对描述性统计数据进行检查,以确定健康状况、诊断和利用的趋势。结果:我们确定了477名儿童和681名个人。52名儿童(10.9%)的医疗状况复杂,占所有就诊人数的30.1%。最常见的诊断是创伤性损伤(93,13.7%),呼吸系统疾病(70,10.3%)和复杂慢性疾病(53,7.8%)。正确的患者识别、语言获取和文化参与是主要的挑战。结论:应急反应小组应做好准备,应对灾害中各种常见和日益复杂的儿科卫生需求。应实施诸如利用文化联络员、扩大提供语言服务和发放标准化身份证件等战略。
{"title":"Health needs of a large cohort of newly arrived Afghan evacuee children following arrival in the United States.","authors":"Lauren Palladino, Katherine Yun, Shraddha Mittal, Rachel Martin-Blais, Mary Fabio, Meera Siddharth, Prakriti Gill, Alexandra Linn, Mohammad Iqbal Mir Wali Khan, Sage Myers, Jay Greenspan, Alexandra M Vinograd","doi":"10.5055/jem.0883","DOIUrl":"10.5055/jem.0883","url":null,"abstract":"<p><strong>Objective: </strong>In 2021, approximately 82,000 Afghan civilians were emergently evacuated to the United States (US). Almost half of them were children. This study describes the healthcare needs of all evacuee children referred for urgent or emergent care in two large health systems in the months following the evacuation, highlighting important considerations for emergency response in pediatric evacuee populations.</p><p><strong>Methods: </strong>This is a descriptive cross-sectional study of all Afghan evacuee children referred for care at an urban quaternary care children's hospital and an affiliated community hospital system between August 2021 and February 2022. Both were located near a military base that served as a temporary residential facility for evacuees immediately after their arrival in the US. Data were abstracted into a secure online database, and descriptive statistics were examined to identify trends in health status, diagnoses, and utilization.</p><p><strong>Results: </strong>We identified 477 children and 681 individual encounters. Fifty-two children (10.9 percent) were medically complex and accounted for 30.1 percent of all visits. The most common diagnoses were traumatic injuries (93, 13.7 percent), respiratory -illnesses (70, 10.3 percent), and complex chronic diseases (53, 7.8 percent). Proper patient identification, language access, and cultural engagement were key challenges.</p><p><strong>Conclusion: </strong>Emergency response teams should be prepared to encounter a diverse range of common and increasingly complex pediatric health needs in disasters. Strategies such as employing cultural liaisons, expanding the availability of language services, and issuing standardized identification documents should be implemented.</p>","PeriodicalId":38336,"journal":{"name":"Journal of Emergency Management","volume":"23 2","pages":"277-285"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School disaster preparedness for children with access and functional needs. 为有机会和功能需要的儿童提供学校备灾。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0913
Mackenzie T Sharp, Phyllis Tan, Rita V Burke

Introduction: In California, as of 2024, there were 820,922 reported children with access and functional needs (CAFN) between the ages of 3 and 18. Concurrently, a noticeable increase in diagnoses points to the rise in CAFN prevalence, which has surged from 7.4 percent to over 8.6 percent in the last 3 years. This reveals the urgency behind scaling up disaster management planning and response for CAFN so that our emergency response remains proportional to the population's needs. Simultaneously, the exacerbation of climate change and inequality has amplified the dangers posed by disasters, particularly among those with intersecting identities. Therefore, it is crucial to proactively address the nuanced and context-specific requirements of CAFN in emergency settings.

Methods: We conducted a qualitative study using interview data collected from teaching staff at a local high school. The feedback was organized into codes using Atlas.ti and was subsequently used to develop policy recommendations.

Results: Our results concluded that while there are a variety of disaster mitigation strategies currently enacted in schools to protect disabled children, these alone are insufficient. Our analysis has identified specific gaps (relating to systems, mental health preparedness, and awareness) in existing policies and protocols. While CAFN teaching staff are motivated to serve their students, many cited concerns about the post-Covid pandemic educational landscape and noted increasing pressure, stemming in part from the identified gaps.

Discussion: As we recover from the pandemic, we now know more extensive policy is required to support CAFN students to prepare for both short- and long-term disasters that threaten academic success, emotional well-being, and safety. Policy recommendations have been generated to guide emerging policy toward promoting a more equitable educational landscape for CAFN students.

导言:据报告,截至 2024 年,加利福尼亚州共有 820,922 名 3 至 18 岁的儿童有使用和功能需求 (CAFN)。与此同时,诊断结果的明显增加也表明了儿童无障碍和功能性需求流行率的上升,在过去 3 年中,该流行率已从 7.4% 激增至 8.6%。这表明,当务之急是加强针对 CAFN 的灾害管理规划和应对措施,从而使我们的应急响应与人口需求保持一致。与此同时,气候变化和不平等的加剧也扩大了灾害带来的危险,尤其是对那些身份交叉的人而言。因此,在紧急状况下,积极应对儿童和家庭网络的细微差别和具体要求至关重要:我们利用从当地一所高中的教职员工处收集到的访谈数据开展了一项定性研究。我们使用 Atlas.ti 将反馈整理成代码,随后用于制定政策建议:结果:我们的结论是,虽然目前学校制定了各种减灾策略来保护残疾儿童,但仅有这些策略是不够的。我们的分析发现了现有政策和协议中存在的具体差距(与系统、心理健康准备和意识有关)。虽然 CAFN 的教职员工都有为学生服务的积极性,但许多人都对后科维德大流行病时期的教育环境表示担忧,并指出压力越来越大,部分原因就在于所发现的差距:随着我们从大流行病中恢复过来,我们现在知道需要更广泛的政策来支持 CAFN 学生为短期和长期灾难做好准备,这些灾难会威胁到学业成功、情感健康和安全。我们提出了一些政策建议,以指导新出台的政策,促进为非洲裔美国人学生提供更加公平的教育环境。
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引用次数: 0
Under the radar: Examining how people experiencing homelessness sense impending disasters. 在雷达下:研究无家可归的人如何感知即将到来的灾难。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0901
Andrea Ramos

This study investigates the intersection of homelessness and disaster preparedness, focusing on how people experiencing homelessness (PEH) receive and respond to disaster-related information. The research emphasizes the critical roles of environmental cues and technology in alerting PEH to potential hazards. Environmental indicators, such as changes in the sky, wind patterns, and animal behavior, are commonly relied upon, although they can delay protective actions. Mobile phones serve as essential tools for accessing vital information, despite challenges related to affordability and charging access. The study also highlights the importance of trusted community members in disseminating information through informal networks. Using Lindell and Perry's Protective Action Decision Model as a framework, this qualitative study examines the lived experiences of 41 unsheltered PEH. Key findings underscore the need for tailored communication strategies, integrating services and information into emergency plans, and establishing local government dashboards to enhance disaster preparedness and resilience among PEH. The study provides actionable recommendations for emergency management to better support this vulnerable population.

本研究调查了无家可归者与备灾之间的交集,重点关注无家可归者(PEH)如何接收和应对与灾害相关的信息。研究强调了环境线索和技术在提醒无家可归者注意潜在危险方面的关键作用。环境指标,如天空变化、风向模式和动物行为,是人们通常依赖的信息,尽管这些信息可能会延误防护行动。移动电话是获取重要信息的重要工具,尽管在经济承受能力和充电接入方面存在挑战。这项研究还强调了值得信赖的社区成员通过非正式网络传播信息的重要性。这项定性研究以 Lindell 和 Perry 的保护行动决策模型为框架,考察了 41 名无家可归的 PEH 的生活经历。研究的主要发现强调,有必要制定有针对性的沟通策略,将服务和信息纳入应急计划,并建立地方政府仪表板,以增强 PEH 的备灾能力和抗灾能力。该研究为应急管理提供了可行的建议,以更好地支持这一弱势群体。
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引用次数: 0
Gender inclusive planning for disasters: Strategic planning to build adaptive capacity and resilience. 灾害的性别包容性规划:建立适应能力和复原力的战略规划。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.5055/jem.0895
Rebecca Morgenstern Brenner, Carmen Arias, Abigail Schmitt

How can gender and empowerment drive the development of a community's adaptive capacity to disasters? Disaster plans can be used to allocate resources, instill processes, and reach goals; however, once in place, these plans can also be a determining factor to either empower or exclude. One of the 17 United Nations Sustainable Development Goals (SDGs), SDG 5, targets gender equality and empowerment for all women and girls. Under the lens of SDG 5, working toward this goal of equality and empowerment as part of disaster preparedness will improve the capacity of a community to respond and recover, ultimately reducing vulnerability for everyone. Intentionally building disaster management plans toward gender equality can be one of the key strategies that improves community resilience for all. In order to identify challenges and opportunities linking policy and practice, this paper shares a case study of disaster planning in Peru to understand mitigation strategies and explore gender equality as a tool to expand adaptive capacity.

性别与赋权如何推动社区灾害适应能力的发展?灾害计划可用于分配资源、灌输流程和实现目标;然而,这些计划一旦制定,也可成为赋予权力或排斥他人的决定性因素。联合国 17 项可持续发展目标 (SDG) 之一,即 SDG 5,旨在实现性别平等并增强所有妇女和女童的权能。在可持续发展目标 5 的视角下,作为备灾工作的一部分,努力实现这一平等和赋权目标将提高社区的应对和恢复能力,最终降低每个人的脆弱性。有意识地制定实现性别平等的灾害管理计划,可以成为提高社区抗灾能力的关键战略之一。为了明确将政策与实践相结合所面临的挑战和机遇,本文分享了秘鲁灾害规划的案例研究,以了解减灾战略,并探索将性别平等作为扩大适应能力的工具。
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引用次数: 0
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Journal of Emergency Management
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