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Planning considerations for persons with access and functional needs in a disaster-Part 2: Evacuation and sheltering
Sharon E Mace1, Constance J Doyle2, Kim Askew3
1Professor of Medicine, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland, Ohio; Director of Research and Associate EMS Medical Director, Department of Emergency Medicine, Cleveland Clinic Health System, Cleveland, Ohio; Faculty MetroHealth Medical Center/ Cleveland Clinic Emergency Medicine Residency, Cleveland, Ohio.
Individuals with access and functional needs face higher risks during disasters. This series addresses their unique needs, legal considerations, and provides recommendations for inclusive disaster planning and response.
Area of Science:
- Public Health
- Emergency Management
- Disaster Medicine
Background:
- Disasters disproportionately impact individuals with access and functional needs, leading to higher morbidity and mortality rates.
- Effective disaster management requires addressing the unique challenges faced by this vulnerable population.
- A comprehensive, all-hazard approach is crucial for inclusive disaster preparedness.
Purpose of the Study:
- To identify individuals with access and functional needs in disaster contexts.
- To explore the legal considerations and specific issues pertinent to this population during emergencies.
- To provide recommendations for integrating these individuals into disaster management strategies.
Main Methods:
- This three-part series reviews existing literature and best practices.
- Part one focuses on population identification and legal frameworks.
- Parts two and three delve into specific needs including CMIST (Communication, Medical needs, Independence, Supervision, Transportation) and mental health.
Main Results:
- Individuals with access and functional needs require tailored approaches during all phases of disaster management.
- Legal considerations are paramount in ensuring equitable care and resource allocation.
- The CMIST framework highlights critical areas for intervention, including mental health support.
Conclusions:
- Inclusive disaster planning must proactively address the needs of individuals with access and functional needs.
- Recommendations focus on improving medical care, communication, and support systems for this population.
- Integrating these considerations enhances the overall effectiveness and equity of disaster response efforts.
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