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Pediatric-Specific Hazard Vulnerability Analysis: The Missing Component of Regional and Hospital-Based Preparedness

Published online by Cambridge University Press:  30 May 2022

Brandon Kappy*
Affiliation:
Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA
April Parish
Affiliation:
Division of Emergency Medicine, Nationwide Children’s Hospital, Columbus, OH, USA
Amie Barda
Affiliation:
Department of Pediatrics, University Hospitals Rainbow Babies and Children’s Hospital, Cleveland, OH, USA
Pat Frost
Affiliation:
Eastern Great Lakes Pediatric Consortium for Disaster Response, National Pediatric Disaster Coalition, Cleveland, OH, USA
Nathan Timm
Affiliation:
Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA
*
Corresponding author: Brandon Kappy, Email: Brandon.Kappy@cchmc.org.

Abstract

Though children comprise a large percentage of the population and are uniquely vulnerable to disasters, pediatric considerations are often omitted from regional and hospital-based emergency preparedness. Children’s absence is particularly notable in hazard vulnerability analyses (HVAs), a commonly used tool that allows emergency managers to identify a hazard’s impact, probability of occurrence, and previous mitigation efforts. This paper introduces a new pediatric-specific HVA that provides emergency managers with a quantifiable means to determine how a hazard might affect children within a given region, taking into account existing preparedness most relevant to children’s safety. Impact and preparedness categories within the pediatric-specific HVA incorporate age-based equipment and care needs, long-term developmental and mental health consequences, and the hospital and community functions most necessary for supporting children during disasters. The HVA allows emergency managers to create a more comprehensive assessment of their pediatric populations and preparatory requirements.

Type
Concepts in Disaster Medicine
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Dziuban, EJ, Peacock, G, Frogel, M. A child’s health is the public’s health: progress and gaps in addressing pediatric needs in public health emergencies. Am J Public Health. 2017;107(S2):S134-S137. doi: 10.2105/AJPH.2017.303950 CrossRefGoogle ScholarPubMed
Gilchrist, N, Simpson, JN. Pediatric disaster preparedness: identifying challenges and opportunities for emergency department planning. Curr Opin Pediatr. 2019;31(3):306-311. doi: 10.1097/MOP.0000000000000750 Google ScholarPubMed
Bartenfeld, MT, Peacock, G, Griese, SE. Public health emergency planning for children in chemical, biological, radiological, and nuclear (CBRN) disasters. Biosecur Bioterror. 2014;12(4):201-207. doi: 10.1089/bsp.2014.0036 CrossRefGoogle ScholarPubMed
Shirm, S, Liggin, R, Dick, R, Graham, J. Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007;120(4):e756-e761. doi: 10.1542/peds.2006-2856 CrossRefGoogle ScholarPubMed
Chung, S, Baum, CR, Nyquist, AC; Disaster Preparedness Advisory Council COEHCOID. Chemical-biological terrorism and its impact on children. Pediatrics. 2020;145(2020). doi: 10.1542/peds.2019-3750 Google ScholarPubMed
Peek, L. Children and disasters: understanding vulnerability, developing capacities, and promoting resilience—an introduction. Child Youth Environ. 2008;18:1-29.Google Scholar
Kousky, C. Impacts of natural disasters on children. Future Child. 2016;26(1):73-92.CrossRefGoogle Scholar
Hinton, CF, Griese, SE, Anderson, MR, et al. CDC Grand Rounds: addressing preparedness challenges for children in public health emergencies. Morb Mortal Wkly Rep. 2015;64(35):972-974. doi: 10.15585/mmwr.mm6435a3 Google ScholarPubMed
Public Health Emergency: Medical Surge Capacity Capability. Assistant Secretary for Preparedness and Response (ASPR) UDoHaHSH. Published February 14, 2012. Accessed February 2, 2021. https://www.phe.gov/Preparedness/planning/mscc/healthcarecoalition/chapter5/Pages/hazards.aspx#5.4 Google Scholar
Threat and Hazard Identification and Risk Assessment (THIRA) and Stakeholder Preparedness Review (SPR) Guide. Security USDoH. Published 2018. Accessed February 2, 2021. https://www.fema.gov/sites/default/files/2020-04/CPG201Final20180525.pdf Google Scholar
Campbell, P, Trockman, SJ, Walker, AR. Strengthening hazard vulnerability analysis: results of recent research in Maine. Public Health Rep. 2011;126(2):290-293. doi: 10.1177/003335491112600222 CrossRefGoogle ScholarPubMed
Blake, N, Fry-Bowers, EK. Disaster preparedness: meeting the needs of children. J Pediatr Health Care. 2018;32(2):207-210. doi: 10.1016/j.pedhc.2017.12.003 Google ScholarPubMed
Gausche-Hill, M, Ely, M, Schmuhl, P, et al. A national assessment of pediatric readiness of emergency departments. JAMA Pediatr. 2015;169(6):527-534. doi: 10.1001/jamapediatrics.2015.138 CrossRefGoogle ScholarPubMed
Healthcare Preparedness for Children in Disasters: A Report of the NACCD Healthcare Preparedness Working Group. NACCD. Published 2015. Accessed: February 2, 2021. https://www.phe.gov/Preparedness/legal/boards/naccd/Documents/healthcare-prep-wg-20151311.pdf Google Scholar
Chung, S, Fagbuyi, D, Lozon, MM, et al. Going viral: adapting to pediatric surge during the H1N1 pandemic. Pediatr Emerg Care. 2013;29(11):1159-1165. doi: 10.1097/PEC.0b013e3182a9e613 CrossRefGoogle ScholarPubMed
Alberts, ER, Aronson, S, Barbiere, M, et al. Topic Collection: Hazard Vulnerability/Risk Assessment. Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE). Published April, 2019. Accessed February 2, 2021. https://asprtracie.hhs.gov/technical-resources/3/hazard-vulnerability-risk-assessment/1 Google Scholar
ASPR TRACIE Evaluation of Hazard Vulnerability Assessment Tools. TRACIE. Last updated April 2019. Accessed May 17, 2021. https://files.asprtracie.hhs.gov/documents/aspr-tracie-evaluation-of-hva-tools-3-10-17.pdf Google Scholar
Hazard Vulnerability Analysis Tool Kaiser Permanente. California Hospital Association. Published February 2021. Accessed February 2, 2021. https://www.calhospitalprepare.org/hazard-vulnerability-analysis Google Scholar
Communication TDUSoPHCfPHRa. Pennsylvania Public Health Risk Assessment Tool (PHRAT). Drexel Dornsife School of Public Health. Published January 2013. Accessed February 2, 2021. https://drexel.edu/dornsife/research/centers-programs-projects/center-for-public-health-readiness-communication/our-projects/phrat/ Google Scholar
The Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit: Threat/Hazard Assessment Module (2018).Google Scholar
Fares, S, Femino, M, Sayah, A, et al. Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters. 2014;38(2):420-433. doi:https://doi.org/10.1111/disa.12047 CrossRefGoogle ScholarPubMed
Du, Y, Ding, Y, Li, Z, Cao, G. The role of hazard vulnerability assessments in disaster preparedness and prevention in China. Mil Med Res. 2015;2(1):27. doi: 10.1186/s40779-015-0059-9 Google ScholarPubMed
Ma, L, Zou, S, Liu, Y, et al. The application of hazard vulnerability analysis in the prevention and control of COVID-19 in medical institutions. Iran J Public Health. 2021;50(2):271-279. doi: 10.18502/ijph.v50i2.5339 Google ScholarPubMed
Niu, Q, Zhang, Y-l, Jiao, F-y, et al. Application of Kaiser model-based disaster vulnerability analysis in pediatric clinics of tertiary general hospitals. Glob J Pediatr Neonat Care. 2021;3(3):3. Doi: 10.33552/GJPNC.2021.03.000562 Google Scholar
Emergency Planning with Children. U.S. Department of Homeland Security. FEMA. Published February 9, 2021. Accessed February 15, 2021. https://www.fema.gov/emergency-managers/individuals-communities/children Google Scholar
National Child Traumatic Stress Network. (n.d.). Trauma types. Accessed February 2, 2021. https://www.nctsn.org/what-is-child-trauma/trauma-types/disasters Google Scholar
The National Pediatric Readiness Project Toolkit. Health Resources Services Administration’s (HRSA) Emergency Medical Services for Children (EMSC) Program. (NPRP) TNPRP. Published November, 2018. Accessed February 2, 2021. https://emscimprovement.center/domains/hospital-based-care/pediatric-readiness-project/readiness-toolkit/ Google Scholar
National Institute of Environmental Health Sciences. Disaster Research Response (DR2) Resources Portal. Accessed May 19, 2022. https://tools.niehs.nih.gov/dr2/ Google Scholar
National Center on Birth Defects and Developmental Disabilities CfDCaP. Caring for Children in a Disaster. Center for Disease Control and Prevention. Published January 27, 2021. Accessed February 2, 2021. https://www.cdc.gov/childrenindisasters/index.html Google Scholar
Lyle, KC, Milton, J, Fagbuyi, D, et al. Pediatric disaster preparedness and response and the nation’s children’s hospitals. Am J Disaster Med. 2015;10(2):83-91. doi: 10.5055/ajdm.2015.0193 CrossRefGoogle ScholarPubMed
Ferrer, RR, Ramirez, M, Sauser, K, et al. Emergency drills and exercises in healthcare organizations: assessment of pediatric population involvement using after-action reports. Am J Disaster Med. 2009;4(1):23-32.CrossRefGoogle ScholarPubMed
Mamuji, AA, Etkin, D. Disaster Risk Analysis Part 2: The Systemic Underestimation of Risk. J Homel Secur Emerg Manag. 2019;16(1). doi: 10.1515/jhsem-2017-0006 Google Scholar
Hazard Vulnerability Analysis Template. Emergency Medical Services for Children, Innovation and Improvement Center. Last updated June 2021. Published Accessed June 12, 2021. https://emscimprovement.center/domains/preparedness/asprcoe/eglpcdr/hva/hva_template/ Google Scholar
Vick, DJ, Wilson, AB, Fisher, M, Roseamelia, C. Assessment of community hospital disaster preparedness in New York State. J Emerg Manag. 2018;16(4):213-227. doi: 10.5055/jem.2018.0371 CrossRefGoogle ScholarPubMed
Cole, R. Analysis of county hazard vulnerability assessments for flood risk in Illinois. Published October 2014. Accessed October 29, 2021. https://hdl.handle.net/10027/19069 Google Scholar
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