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Project APRED: A web-based data analytics platform for supporting community disaster resilience. APRED项目:一个基于网络的数据分析平台,用于支持社区抗灾能力。
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.5055/jem.0735
Ike Obi, Logan J Paul, William Liao, Mariem Loukil, Soichi Hayashi, Max Comer, Carol O Rogers, David J Wild, Patrick C Shih

In this paper, we introduce the Analysis Platform for Risk, Resilience, and Expenditure in Disasters (APRED)-a disaster-analytic platform developed for crisis practitioners and economic developers across the United States (US). APRED provides practitioners with a centralized platform for exploring disaster resilience and vulnerability profiles of all counties across the US. The platform comprises five sections including: (1) Disaster Resilience Index, (2) Business Vulnerability Index, (3) Disaster Declaration History, (4) County Profile, and (5) Storm History sections. We further describe our end-to-end human-centered design and engineering process that involved contextual inquiry, community-based participatory design, and rapid prototyping with the support of US Economic Development Administration representatives and regional economic developers across the US. Findings from our study revealed that distributed cognition, content heuristic, shareability, and human-centered systems are crucial considerations for developing data-intensive visualization platforms for resilience planning. We discuss the implications of these findings and inform future research on developing sociotechnical visualization platforms to support resilience planning.

在本文中,我们介绍了灾害风险、复原力和支出分析平台(APRED),这是一个为美国各地的危机从业者和经济开发商开发的灾害分析平台。APRED为从业者提供了一个集中的平台,用于探索美国所有县的抗灾能力和脆弱性概况。该平台包括五个部分,包括:(1)抗灾能力指数、(2)商业脆弱性指数、(3)灾害申报历史、(4)县概况和(5)风暴历史部分。我们进一步描述了我们以人为中心的端到端设计和工程过程,包括情境调查、基于社区的参与式设计,以及在美国经济发展管理局代表和美国各地地区经济开发商的支持下的快速原型设计。我们的研究结果表明,分布式认知、内容启发式、可共享性,以人为中心的系统是开发用于弹性规划的数据密集型可视化平台的关键考虑因素。我们讨论了这些发现的含义,并为未来开发社会技术可视化平台以支持恢复力规划的研究提供了信息。
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引用次数: 0
Surveying mental health stressors of emergency management professionals: Factors in recruiting and retaining emergency managers in an era of disasters and pandemics. 调查应急管理专业人员的心理健康压力:在灾难和流行病时代招聘和留住应急管理人员的因素。
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.5055/jem.0820
Sonny S Patel, Kim Guevara, T Lucas Hollar, Richard A DeVito, Timothy B Erickson

Emergency managers are responsible for managing crises and disasters, and while their work is essential, it can be stressful and impact their mental health, particularly during the COVID-19 pandemic. This study aimed to examine the mental health of professional emergency managers and factors associated with their intent to leave the field before and during the COVID-19 pandemic. A total of 903 respondents completed an online survey assessing their secondary traumatic stress, emergency reaction strategies, organizational culture, age, length of time in primary position, the highest level of education as well as other metrics. The Secondary Traumatic Stress Scale (STSS) was used to determine scores of secondary traumatic stress symptoms, and the Emergency Reaction Questionnaire (ERQ) index was used to evaluate levels of predominant personality types and its tendency towards "fight or flight" reactions in emergency situations. Results revealed significant differences among respondents who reported considering leaving the field before or during the COVID-19 pandemic in terms of secondary traumatic stress scores, ERQ levels, perceived organizational culture (OC), age category, length of time in primary position, and the highest level of education (p < 0.05). Logistic regression analysis indicated that respondents with higher secondary traumatic stress scores, poorer organizational culture, younger age, less experience, and a bachelor's degree had nearly three times the odds of reporting considering leaving the field (p < 0.05). Additionally, respondents with a graduate degree had nearly four times the odds of reporting leaving the field (p < 0.05), while those who had directly managed between three and five disasters had nearly two times the odds of reporting and considering leaving the field (p < 0.05). These findings underscore the importance of addressing secondary traumatic stress, promoting positive organizational culture, and providing support for emergency managers now and in the future. By addressing the factors identified in this study, such as secondary traumatic stress symptoms, promoting positive organizational culture, and providing adequate support, emergency management organizations can improve the mental health and well-being of their personnel, reduce attrition rates, and ensure that they are better equipped to respond to future crises.

应急管理人员负责管理危机和灾难,尽管他们的工作至关重要,但这可能会给他们带来压力并影响他们的心理健康,尤其是在新冠肺炎大流行期间。本研究旨在检查职业应急管理人员的心理健康状况,以及与他们在新冠肺炎大流行之前和期间离开现场的意图相关的因素。共有903名受访者完成了一项在线调查,评估了他们的继发性创伤压力、应急反应策略、组织文化、年龄、担任初级职位的时间长度、最高教育水平以及其他指标。使用继发性创伤应激量表(STSS)来确定继发性创伤压力症状的评分,并使用应急反应问卷(ERQ)指数来评估主要人格类型的水平及其在紧急情况下“要么战斗要么逃跑”反应的倾向。结果显示,报告在新冠肺炎大流行之前或期间考虑离开该领域的受访者在二次创伤压力评分、ERQ水平、感知组织文化(OC)、年龄类别、担任主要职位的时间长度、,以及最高的教育水平(p<0.05)。Logistic回归分析表明,中等创伤压力评分较高、组织文化较差、年龄较小、经验较少、拥有学士学位的受访者报告考虑离职的几率几乎是其他受访者的三倍(p<0.05),具有研究生学历的受访者报告离职的几率几乎是其他人的四倍(p<0.05),而那些直接管理过三到五次灾害的受访者报告并考虑离职的几率则是其他人(p<0.05)的两倍,以及为现在和将来的应急管理人员提供支持。通过解决本研究中确定的因素,如继发性创伤应激症状,促进积极的组织文化,并提供足够的支持,应急管理组织可以改善其人员的心理健康和福祉,降低人员流失率,并确保他们能够更好地应对未来的危机。
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引用次数: 0
Journal of Emergency Management Special Issue on TIEMS 应急管理期刊TIEMS特刊
Q3 Medicine Pub Date : 2023-07-24 DOI: 10.5055/jem.0805
Journal of Emergency Management
Volume 21, Number 8
第21卷第8期
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引用次数: 0
Unresolved mental health trauma: The languishing of public safety and public health professionals. 未解决的心理健康创伤:公共安全和公共卫生专业人员的萎靡不振
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0807
Paul E Petersen

The collective awareness and acknowledgment of mental health challenges affecting all of us across our society is a trend that can inform targeted future interventions. Mental health conditions have only worsened during the past three years, secondary to the COVID-19 (SARS-CoV-2) pandemic. In the workplace, 67 percent of those surveyed reported at least one mental health symptom over the past year, demonstrating an increase from 59 percent in 2019.1 Recent findings approximate that first responders have a higher incidence (>30 percent) of developing mental health conditions, including depression, suicidal ideation, alcohol/drug abuse, and post-traumatic stress disorder (PTSD), as compared with 20 percent in the general population.2 A 2021 survey of more than 26,000 members of the public health workforce highlighted that 53 percent of respondents reported mental health symptoms, including PTSD, depression, anxiety, and suicidal ideation.3 A repeat survey in 2022 showed similar troubling trends.4 The hospital-based workforce has found increased mental health concerns as well, with employees leaving these professional settings to get a better hold on their mental health and support their work-life balance.

对影响我们社会所有人的心理健康挑战的集体认识和承认是一种趋势,可以为未来有针对性的干预措施提供信息。精神健康状况在过去三年中只会恶化,继发于COVID-19 (SARS-CoV-2)大流行。
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引用次数: 0
Predicting profiles of post-trauma adaptation in first responders and civilians after the 2013 Boston Marathon bombings: The role of distress, growth, and emotion regulation. 2013年波士顿马拉松爆炸案后急救人员和平民创伤后适应情况的预测:痛苦、成长和情绪调节的作用
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0754
Sophie Brickman, Leia Y Saltzman, Steven L Bistricky, Ellen J Wright

Introduction: Responses to trauma are often characterized either by the presence or absence of psychological distress; however, the process of adapting after trauma also includes potential positive change. While some studies document that the majority of individuals exposed to single event terrorism report low levels of psychological distress, more research is needed to understand different adaptation profiles following this type of trauma, and the factors that might predict responses.

Methods: We examined post-trauma responses in 257 first responders/medical professionals (66.8 percent) and civilians (33.2 percent) exposed to the 2013 Boston Marathon Bombings. Data for post-trauma profiles-post-traumatic growth (PTG), post-traumatic stress, and emotion regulation-and profile predictors-trauma proximity, trauma history, and coping flexibility-were collected approximately 2.5 years after the bombings. Latent profile analysis identified response profiles, and multinomial logistic regression identified demographic, event-specific, and psychological predictors of profile membership.

Results: Four profiles emerged: (1) symptomatic, (2) resistant, (3) resilient, and (4) struggling growth. First responder role decreased the odds of belonging to the struggling growth profile, as compared to the symptomatic profile. Greater coping flexibility and adaptive emotion regulation increased the odds of membership in the struggling growth, rather than symptomatic profile.

Conclusion: A subset of individuals experiencing post-traumatic stress symptoms years after trauma exposure may also be utilizing flexible, adaptive coping strategies and experiencing PTG. First responders may have difficulty experiencing simultaneous -distress and growth, and interventions designed to promote healthy post-trauma adaptation for this population could be tailored accordingly.

引言:对创伤的反应通常以存在或不存在心理痛苦为特征;然而,创伤后的适应过程也包括潜在的积极变化。虽然一些研究表明,大多数暴露于单一事件恐怖主义的人报告说心理痛苦程度较低,但还需要更多的研究来了解这种创伤后的不同适应情况,以及可能预测反应的因素。方法:我们调查了257名急救人员/医疗专业人员(66.8%)和平民(33.2%)在2013年波士顿马拉松爆炸案中的创伤后反应。创伤后概况——创伤后成长(PTG)、创伤后压力和情绪调节——以及概况预测因素——创伤接近度、创伤史和应对灵活性——的数据是在爆炸发生约2.5年后收集的。潜在特征分析确定了反应特征,多项逻辑回归确定了特征成员的人口学、事件特异性和心理预测因素。结果:出现了四种情况:(1)有症状,(2)有抵抗力,(3)有韧性,(4)生长困难。与症状型相比,第一反应者角色降低了属于挣扎型生长型的几率。更大的应对灵活性和适应性情绪调节增加了成员参与艰难成长的几率,而不是症状。结论:一部分在创伤暴露数年后出现创伤后应激症状的个体也可能采用灵活、适应性的应对策略并经历PTG。急救人员可能难以同时经历痛苦和成长,因此可以相应地调整旨在促进这一人群创伤后健康适应的干预措施。
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引用次数: 0
"None of us was prepared"-Caring for vulnerable people during the heatwave in Sweden in 2018. “我们都没有做好准备”——2018年瑞典热浪期间关爱弱势群体
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0785
Maria Håkansson, Özüm Durgun, Kerstin Eriksson

Climate change is increasing the risk for extreme weather events such as heatwaves, including in northern countries like Sweden, which until recent years has had limited experiences of coping with extreme heat. Based on predictions that Sweden will be more frequently exposed to heatwaves in the future, it is imperative to increase the societal resilience and adaptation measures. This paper presents a qualitative interview study involving 19 participants and their experiences of caring for vulnerable people during the heatwave in 2018. The participants represent four different organizations (working directly or indirectly with vulnerable people) in two municipalities in Sweden, including preschools, homes for the elderly, homecare services, and care homes for people with functional impairments, which were all impacted during the heatwave. This study contributes new empirical insights about the heatwave in 2018 and, in particular, similarities and differences in both experiences and adaptation measures across the four organizations. The findings show how both staff and vulnerable people suffered from the consequences of heat which increased vulnerability, how some organizations lacked enough (qualified) staff to secure routines, and that few evaluations and formal changes were done after the heatwave.

气候变化正在增加热浪等极端天气事件的风险,包括瑞典等北方国家,直到近年来,瑞典应对极端高温的经验有限。根据瑞典未来将更频繁地暴露在热浪中的预测,必须提高社会韧性和适应措施。本文介绍了一项涉及19名参与者的定性访谈研究,以及他们在2018年热浪期间照顾弱势群体的经历。参与者代表瑞典两个市镇的四个不同组织(直接或间接与弱势群体合作),包括幼儿园、养老院、家庭护理服务和功能障碍者护理院,这些组织都在热浪中受到了影响。这项研究为2018年的热浪提供了新的实证见解,特别是四个组织在经验和适应措施方面的异同。研究结果表明,工作人员和弱势群体都受到了高温的影响,高温增加了他们的脆弱性,一些组织缺乏足够的(合格的)工作人员来确保日常工作,而且在热浪过后几乎没有进行评估和正式改革。
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引用次数: 0
Empowering local response and community-based disaster mitigation through legislative policies: Lessons from the Kerala floods of 2018-19. 通过立法政策增强地方反应和社区减灾能力:2018-19年喀拉拉邦洪水的教训
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0766
Adeeba Hakkim, Amrita Deb

The present paper draws on a series of qualitative studies exploring civic response and community resilience post the 2018-19 floods in Kerala, India. Data were triangulated from multiple sources and -perspectives-community leaders and key informants, rescue and relief volunteers, and survivors. This viewpoint paper aims to highlight the critical role of local volunteerism in disaster mitigation and preparedness, the cost of gaps in emboldening community response, and to suggest actionable means of maximizing civilian potential through legislative policies. The local populace are the first responders at disaster sites and play a vital role in disaster mitigation. Knowledge about local geography, community, and readily accessible resources enables community members to respond efficiently, unlike state deployed disaster task forces who need to be scaffolded into these sites. Liaisons between the state and civilian responders are necessary for informed and time-e-fficient response. Insights gleaned from interviews with the participants offer several suggestions for streamlining administrative channels and structural reforms in governance. Community response can be emboldened by adopting policies that formalize civilian participation in the state's disaster mitigation systems. Decentralization of authority to local self-governance bodies and acknowledgment of local expertise is key to fostering disaster resilient communities. This paper argues that empowering local stakeholders through legislative reforms can bridge existing gaps between community-action focused research recommendations and policy in practice. It provides a framework and actionable measures toward actualizing the call for society-inclusive disaster risk reduction practices.

本文借鉴了一系列定性研究,探讨了2018-19年印度喀拉拉邦洪水后的公民反应和社区复原力。数据是从多个来源和角度进行三角测量的——社区领导人和关键线人、救援和救援志愿者以及幸存者。本观点文件旨在强调当地志愿服务在减灾和备灾方面的关键作用,在鼓励社区应对方面存在差距的代价,并提出通过立法政策最大限度地发挥平民潜力的可行方法。当地民众是灾害现场的第一反应者,在减灾方面发挥着至关重要的作用。了解当地地理、社区和随时可获得的资源,使社区成员能够有效应对,而不像国家部署的灾难工作队需要用脚手架固定在这些地点。国家和民事响应者之间的联系对于知情和及时有效的响应是必要的。从对与会者的采访中获得的见解为精简行政渠道和治理结构改革提供了几点建议。通过采取政策,使平民正式参与国家的减灾系统,可以加强社区的反应。将权力下放给地方自治机构和承认当地专业知识是培养抗灾社区的关键。本文认为,通过立法改革赋予地方利益相关者权力,可以弥合以社区行动为重点的研究建议与实践中的政策之间存在的差距。它提供了一个框架和可采取的措施,以实现对社会包容性减少灾害风险做法的呼吁。
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引用次数: 0
Conclusions from a needs analysis: The PIO training gap in the National Preparedness Goal. 需求分析的结论:国家防备目标中的PIO培训缺口
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0794
Zachary M Hall

At the national level, the field of emergency management has distinctive capabilities and responsibilities organized by the United States Department of Homeland Security and Federal Emergency Management Agency (FEMA) doctrine. Key to this doctrine is the goal: a secure and resilient nation. This goal is known as the National Preparedness Goal (NPG). The NPG is supported by five missions, and these five missions are supported by 32 core capabilities. One of the core capabilities is Public Information and Warning. This core capability is so important and spans all five missions. ". . . Public information is a vital function in disaster operations that contributes greatly to saving lives and protecting property." Public information officers (PIOs) are responsible for collecting, analyzing, verifying, and communicating risk, crisis, and recovery information to a wide variety of people across the "whole community." This needs analysis conducted as a component of this paper demonstrated a need for a strategic, coordinated, and unified approach to training PIOs in the NPG. A review of employee training literature, along with the conclusions from the needs analysis and the central role the NPG plays in FEMA doctrine, revealed the value of integrating the NPG into PIO training. The purpose of this paper was to determine to what extent the NPG identifies training procedures to empower PIOs to fulfill their communication responsibilities within the NPG and to determine if current PIO training is preparing PIOs to support their NPG responsibilities. Content analysis methodology was used to determine to what extent training was described within the NPG. Cross-tabulation (Crosstab) methodology was utilized to determine coincidence between existing PIO training course learning objectives (CLOs) and the NPG. This paper may serve as a framework for aligning PIO training with the NPG. Furthermore, once completed, this paper may serve as tool to evaluate PIO training, communication planning, and post-incident after-action reports. Content analysis of the NPG revealed no description of training recommendations or training regimen for PIOs and/or emergency managers to fulfill their NPG responsibilities. Crosstab methodological data analysis revealed a 53 percent coincidence between the NPG and the PIO CLOs. The NPG is FEMA's standard for national emergency preparedness. Communication, and thus PIOs, plays a significant part in fulfilling this standard. The more PIOs can be trained in achieving the NPG communication mission, the more resilient the whole community will be when there are crises.

在国家一级,应急管理领域根据美国国土安全部和联邦紧急事务管理局的原则,具有独特的能力和责任。这一学说的关键是目标:一个安全和有弹性的国家。这一目标被称为国家防备目标(NPG)。NPG由五个任务提供支持,这五个任务由32个核心能力提供支持。其中一个核心能力是公共信息和预警。这一核心能力非常重要,涵盖了所有五项任务。“……公共信息在救灾行动中发挥着至关重要的作用,对拯救生命和保护财产作出了巨大贡献。”公共信息官员(pio)负责收集、分析、验证风险、危机和恢复信息,并将其传达给“整个社区”的各种各样的人。作为本文的一个组成部分进行的需求分析表明,需要一种战略性的、协调的和统一的方法来培训NPG中的pio。通过对员工培训文献的回顾,以及需求分析的结论和NPG在FEMA理论中发挥的核心作用,揭示了将NPG整合到PIO培训中的价值。本文的目的是确定NPG在多大程度上确定培训程序,以授权PIO履行其在NPG内的沟通责任,并确定当前的PIO培训是否正在为PIO做好准备,以支持他们的NPG责任。使用内容分析方法来确定在NPG中描述培训的程度。交叉表(Crosstab)方法用于确定现有PIO培训课程学习目标(CLOs)与NPG之间的一致性。本文可以作为将PIO训练与NPG结合起来的框架。此外,一旦完成,本文可以作为评估PIO培训,沟通计划和事后行动报告的工具。对国家行动计划的内容分析显示,没有说明为执行干事和/或应急管理人员履行国家行动计划职责而提出的培训建议或培训方案。交叉表方法数据分析显示,NPG和PIO CLOs之间有53%的重合。NPG是联邦应急管理局的国家应急准备标准。通信以及pio在实现这一标准方面起着重要作用。在实现NPG传播任务方面,pio得到的培训越多,整个社区在出现危机时的应变能力就越强。
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引用次数: 0
The cycle of disparity: A gap analysis of emergency management and information technology. 差距周期:应急管理与信息技术的差距分析
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0765
Maddalena Romano, Jochen Albrecht

Emergency management (EM) requires an appropriate understanding of its situational context in real time. This involves constant communication between emergency operations and administration, so that informed, coordinated decisions can be made in a constantly changing environment using the most critical and updated information. Challenges in EM include adapting to rapidly changing technologies, adoption, and communication. The goal of this needs assessment is to examine how the effective collection and communication of information has been affected by the technology developed to support it, to identify critical disconnects between emergency management professionals and information technology and telecommunications (ITT) professionals, and to identify opportunities for improved application and user interface development. The methods for this qualitative analysis enumerate and categorize some of the communication challenges faced by the EM community as identified by interviews conducted with subject matter experts using the strengths, weaknesses, opportunities, and threats technique. This study finds that the absence of ITT professionals with experience in emergency response and, conversely, the absence of EM professionals working in EM application development create a "cycle of disparity," where the key findings of this study both arise from one central input and feed into to each of the other key findings in a continuous cycle, reinforcing what threats and weaknesses already exist.

应急管理(EM)需要实时适当地了解其情景背景。这涉及到应急行动和行政部门之间的持续沟通,以便在不断变化的环境中使用最关键和最新的信息做出知情、协调的决策。EM面临的挑战包括适应快速变化的技术、采用和沟通。这项需求评估的目标是审查为支持信息收集和通信而开发的技术对信息的有效收集和通信的影响,确定应急管理专业人员与信息技术和电信(ITT)专业人员之间的严重脱节,并确定改进应用程序和用户界面开发的机会。该定性分析的方法列举并分类了少数民族社区面临的一些沟通挑战,这些挑战是通过使用优势、劣势、机会和威胁技术对主题专家进行的访谈确定的。这项研究发现,缺乏具有应急响应经验的ITT专业人员,以及相反,缺乏从事EM应用程序开发的EM专业人员,造成了一个“差异循环”,在这个循环中,本研究的关键发现既来自一个中心输入,又在一个连续的循环中反馈给其他每个关键发现,强化已经存在的威胁和弱点。
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引用次数: 0
A jolt to the system: Quantifying disaster impact and return to routine using citizen-generated calls for service. 对系统的冲击:量化灾难影响并使用公民生成的服务呼叫恢复正常
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5055/jem.0797
Caroline S Hackerott, David M Neal

This study compares the effect of two different types of incidents on the number of citizen-generated 9-1-1 dispatch center calls and if changes in the call numbers represent a measurable break in the expected rhythm of 9-1-1 calls. Using time series analysis, changes in the normal rhythm of calls for service (CFS) demonstrate that CFS is a good indicator of a disaster event. CFS data may potentially illustrate one aspect of measuring the degree of disaster for an event. This study establishes the value of applying time series analysis to secondary data within the framework of social routine to determine the magnitude disaster impact (or jolt) to a system. The same methodology may also be applied to examine the process of reestablishing system routine or rhythms indicating system recovery as defined as restabilization.

这项研究比较了两种不同类型的事件对市民产生的9-1-1调度中心呼叫数量的影响,以及呼叫数量的变化是否代表了9-1-1呼叫预期节奏的可测量中断。使用时间序列分析,呼叫服务(CFS)正常节奏的变化表明,CFS是灾难事件的良好指标。CFS数据可能说明衡量事件灾害程度的一个方面。这项研究确立了在社会常规框架内对二次数据应用时间序列分析的价值,以确定灾难对系统的影响(或冲击)。同样的方法也可以用于检查重新建立系统程序或节奏的过程,指示系统恢复,定义为重新启动。
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引用次数: 0
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Journal of Emergency Management
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