Putting the Pieces Together A Librarian Disaster Response

Putting the Pieces Together: A Librarian & Disaster Response Mary White DIMRC Webinar June 9, 2016

Presentation Objectives • Discuss general information about disasters & Federal response to disasters • Discuss how one librarian became involved in disaster response. • Discuss how librarians can become involved in providing disaster related information or responding to disaster related needs.

About Me • Global Public Health Librarian, UNC-Chapel Hill Health Sciences Library • Administrative Specialist, JPATS Strike Team Leader North Carolina-1 Disaster Medical Assistance Team (DMAT) NDMS/US DHHS • Volunteer (former Volunteer Coordinator) Northeast NC Medical Reserve Corps • North Carolina EMT-Basic How? Why? More to come…

About You • Have you ever been involved in any disaster response programs? • Have you lived through a disaster or emergency?

Disclaimer • Any comments or information I present today do not officially represent any of the entities mentioned in the following slides. • Specifically, UNC-CH HSL, NC-1 DMAT/HHS, MRC

Disasters: An Overview

Disaster Definition Disaster! A serious disruption of the functioning of society, causing widespread human, material or environmental losses which exceed the ability of affected society to cope using only its own resources.

Events > Emergencies > Disasters Ø Train Derails Ø Train Explodes Ø Chemicals spill from train, contaminating water supply

Disaster Categories Natural Man made Earthquakes Chemical spills Hurricanes Industrial accidents Tsunamis Terrorist attacks Etc. Natural or Man made? Floods Forest Fires Avalanches Epidemics

Disaster Management 3 Phase Model Recovery Response Planning

Disaster Response & the Federal Government

Who is part of the disaster workforce? • Licensed or trained, paid or volunteer, permanent or asneeded workers who play a defined role in all-hazards preparedness, response and recovery • • Local security personnel, police officers Fire departments Public works, urban planners, engineers Regional & federal government employees Emergency medical personnel : paramedics / first responders Emergency departments Volunteers / Community organizations

Questions: • When is the government involved in disaster? • What government entities are involved in disaster response? • What are organized frameworks or approaches to disaster response?

When Is the Government Involved in Disaster? Response & Preparedness

National Response Framework

National Response Framework Emergency Support Functions (ESF) • How the United States Government will respond • Coordination missions that are Federal responsibility • Selectively activated as needed • Provide staffing for incident management organizations 16

National Response Framework

Emergency Support Function (ESF) # 8 Department of Health & Human Services (HHS) Medical Care Medical Equipment & Supplies Patient Evacuation Behavioral Health Care Vector Control/Potable Water & Sanitation • Mortuary Services • Public Health Veterinary Care • • • 18

The Federal Government • Primary School Throwback: What are the 3 branches of the Federal Government?

The Federal Government Branches

The Executive Branch

ASPR Organization

Alphabet Soup

Disaster Medical Assistance Teams (DMAT)

About National Disaster Medical System (NDMS) • The mission of the National Disaster Medical System to temporarily supplement Federal, Tribal, State and Local capabilities by funding, organizing, training, equipping, deploying and sustaining a specialized and focused range of public health and medical capabilities. 25

NDMS Components

Disaster Medical Assistance Teams (DMAT) • Locally sponsored and community based. • Ready to deploy within 12 hours of notification and then remain self-sufficient for 72 hours • Consists of approximately 3550 individuals in each deployable unit • ER docs, nurses, paramedics, coms, command & control • Deploy for 14 days 27

Medical Response • Surgical Teams • Haiti • Mortuary Teams • Haiti • Buffalo Plane Crash • US Public Health Service Officers • Public Health Teams • Mental Health Teams • Environmental Health 28

DMAT scenes - 1

DMAT scenes - 2

Medical Reserve Corp

Community Emergency Response Teams (CERTs)

A Librarian in Disaster Response?

Where it all began… …Where I am currently

The Serendipitous Journey…

Deployments • Anniston, Alabama Center for Domestic Preparedness • Frederick, Maryland FEMA Logistics Center

Katrina Damage

Members of a DMAT

Author at Homeland Security

Author at FEMA

Author at DMAT Tents

Current Projects / Work

DMIS: Disaster Medical Information Suite

OUTBREAK! LIBGUIDES CREATION TO SUPPORT USERS DURING PANDEMICS Fear! Disease! Destruction! Pandemic! Where do you go for reliable information that you can trust during a sudden news burst about a new pandemic? The Library, of course! In 2014, the School of Nursing asked for help collecting information and resources to use in a simulation based upon the possibility of patients at our Hospitals with Ebola. As this would certainly not be the only pandemic scare to occur, we created a Lib. Guide template to collect and share accurate

OUTBREAK! LIBGUIDES CREATION TO SUPPORT USERS DURING PANDEMICS (2) • Goal: To create a Lib. Guide template that would be flexible enough to support the information needs of our entire user community during pandemic outbreaks. • Our User Community: - Very large public hospital system - Research university including 5 health sciences schools - General public • Needs: - Newest clinical information - Research & learning opportunities - Accurate prevention information - Accurate safe handling information - Current news • Outcomes & Future: - Feedback, stats, outcome - Plans for managing Lib. Guides - Plan to limit by time (e. g. Ebola) - Plan to create more (based upon)?

• Ebola Virus Disease 2014 2016 Audience : Nursing School Simulation Group UNC Hospitals Users • Structure : • Detect. Protect. Isolate. Respond. • Information Sources : • Govt & NGO sites • Research Publishers • News feeds Zika Virus Disease • Audience : • Public Health Faculty • UNC Hospital Users • General Public • Adjusted Structure : • More focus on detection • Remove isolation as category • Major focus on risks

Librarians & Disasters

Why Should Librarians be Involved in Disaster Response? 4. 0 Communicate effectively with others in a disaster or public health emergency 4. 1 Identify authoritative sources for information in a disaster or public health emergency 4. 3 Identify strategies for appropriate sharing of information in a disaster or public health emergency (Walsh et al. , 2012, Core Competencies for Professionals in Disaster Medicine and Public Health Preparedness) http: //www. ncbi. nlm. nih. gov/pubmed/22490936

Librarians & Disasters Questions & Actions: • What information needs do these professionals have? • What other information needs are related to the situation? From whom? • At what point of need will you intersect? • What information sources could you use? • What are some communication approaches? • What are some example scenarios (past or imagined)?

Disaster Health Information Peer-reviewed scholarly literature • Journal articles • Books “Grey” Literature • Reports • Summaries • Surveillance data • Training materials • Conference proceedings

Information use by disaster preparedness professionals • Influenced by their training • Viewed information as a decisionmaking tool • Considered information to include observable environmental data and conversations • Relied on social networks and the Internet • Revisited trusted organizational sites (i. e. , CDC) (Folb, 2011)

Desired information types • Peer organization experience, lessonslearned documents (case studies) • Standards • Operations, procedures, manuals • Legal, regulatory • Grants, funding • Potential local hazards • Vulnerable populations • Emerging hazards, novel events • News • Current conditions (Folb, 2011)

What do emergency managers see as the roles of librarians? • Creating and maintaining taxonomies with expert input • Serving as a clearinghouse of knowledge concerning the different aspects of disasters • Equipping libraries to access real-time emergency telemedicine networks • Working with specialists to identify high-quality information • Developing easy-to-use methods of delivering specific content (Turoff & Hiltz, 2008)

What do emergency managers see as the roles of librarians? • Producing annotated bibliographies and syntheses • Participating in call centers taking questions from the public • Developing FAQs for local emergency preparedness and response and making them easy to locate • Assisting in text and data mining, aggregating and compiling information to support public health decision-making • Sharing expertise with those in developing countries through an international network of librarians and archivists (Turoff & Hiltz, 2008)

Recommendations for librarians • Become part of the network • Partner with trusted organizations • Get involved in pre-career training (Folb, 2011) • Be part of your organization’s disaster plan • Monitor information using alerting services • Be strategic in your communication plan – consider audience capacity and use appropriate technologies • Evaluate your services (Featherstone, et al. 2012)

Hands On Discussion • If you had the chance to work with a disaster response group, what would you include in an “information training”? • You have 2 hours to present to ~30 people. You have webcasting capabilities. • This may be your only shot at conveying this type of information. If it goes well, you may be able to have another similar or different training at an annual exercise.

Training Opportunities

FEMA: Emergency Management Institute

Disaster Information Management Research Center (DIMRC)

Disaster Information Management Research Center (DIMRC) • Disaster Information Specialist Program • Basic & Advanced • MLA CE Credit

Disaster Information Specialization www. mlanet. org/education/dis What is it? Medical Library Association continuing education program funded by the National Library of Medicine All program courses and activities earn MLA continuing education credit and may also be used toward AHIP How much does it cost to students? It’s free! Who can participate? Anyone.

Disaster Information Specialization Courses Basic level: 1. Disaster Health Information Sources: The Basics 2. US Response to Disasters and Public Health Emergencies 3. Information Roles in Disaster Management 4. National Incident Management System, an Introduction 5. Introduction to Incident Command System Advanced level: 1. Disasters in an International Context 2. Ethical and Legal Aspects of Response 3. A Seat at the Table: Working with Local Responders 4. CBRN [Chemical, Biological, Radiological, Nuclear] and Hazmat Information

Keeping Up With DIMRC: Webinar • A webinar/conference call for those interested in disaster health information is held on the second Thursday of most months at 1: 30 ET. The Disaster Information Specialist Program monthly webinars/conference calls are open to all and can be attended in person, online through Adobe Connect, or by telephone. • For more information, visit: http: //sis. nlm. nih. gov/dimrc. html

Keeping Up With DIMRC: Listserv • DISASTR-OUTREACH-LIB Listserv This email discussion forum is for librarians, information specialists, and other professionals interested in disaster health information outreach to their communities. As a participant in this listserv, you can stay informed about current disaster-related resources, connect to colleagues in the field, engage in information exchange and learn about new ideas, trends, training opportunities, and conferences in the area of disaster health information. • For more information, visit: http: //sis. nlm. nih. gov/dimrc. html

Keeping Up With DIMRC: Twitter • @NLM_DIMRC Receive the latest updates from DIMRC and news from selections from dozens of e-sources by following NLM_DIMRC on Twitter. • For more information, visit: http: //sis. nlm. nih. gov/dimrc. html

Selected Continuity of Operations Resources • NN/LM Emergency & Preparedness Toolkit http: //nnlm. gov/ep/ Deborah D. Halsted, Shari C. Clifton, and Daniel T. Wilson. Library as Safe Haven: Disaster Planning, Response, and Recovery; A How-To-Do-It Manual for Librarians. 2014

Hands On: What Can You Do?

Get Ready • Visit: http: //www. ready. gov

Get Ready • Visit http: //www. cdc. gov/ • March 2013 Guide

Volunteer: Medical Reserve Corps • Visit: https: //www. medicalreservecorps. gov/Home. Page

Volunteer: Community Emergency Response Teams

Volunteer: American Red Cross • Visit: http: //www. redcross. org/what-we-do/disaster-relief

Take Free CPR & AED Classes • South Orange Rescue Squad offers free CPR and AED (Cardiopulmonary Resuscitation and Automated External Defibrillator) classes to individuals and groups within Orange County, North Carolina. • For more information, visit: sors. us/cpr

Free CPR & AED Classes • The South Orange Rescue Squad volunteer American Heart Association (AHA) Instructors teach Basic Life Support for the Health Care Provider, Heartsaver CPR certification classes for those who need a certification for work or volunteering, and CPR for Family and Friends. They also offer American Heart Association First Aid classes as requested. Free CPR and First Aid classes open to the general public are offered on the second Saturday of each month. • For more information, visit: sors. us/cpr • Also, through a partnership with the Town of Chapel Hill’s Parks and Recreation Department, SORS offers free monthly CPR and AED classes open to all individuals. www. townofchapelhill. org/register

Quick Practical Take Away:

Hands Only CPR: Stayin Alive • Watch: http: //www. youtube. com/watch? v=ILxjxf. B 4 z. Nk

Disaster Drill! • Which Emergency Support Function supports Public Health and Medical Services? • What NLM Center supports disaster training for librarians? • Which Bee Gees song can you think about when performing hands only CPR?