Integrating racially and ethnically diverse communities into planning for disasters: the California experience.


OBJECTIVES:Racially/ethnically diverse communities suffer a disproportionate burden of adverse outcomes before, during and after a disaster. Using California as a locus of study, we sought to identify challenges and barriers to meeting the preparedness needs of these communities and highlight promising strategies, gaps in programs, and future priorities. METHODS:We conducted a literature review, environmental scan of organizational Web sites providing preparedness materials for diverse communities, and key informant interviews with public health and emergency management professionals. RESULTS:We identified individual-level barriers to preparing diverse communities such as socioeconomic status, trust, culture, and language, as well as institutional-level barriers faced by organizations such as inadequate support for culturally/linguistically appropriate initiatives. Current programs to address these barriers include language assistance services, community engagement strategies, cross-sector collaboration, and community assessments. Enhancing public-private partnerships, increasing flexibility in allocating funds and improving organizational capacity for diversity initiatives were all identified as additional areas of programmatic need. CONCLUSIONS:Our study suggests at least four intervention priorities for California and across the United States: engaging diverse communities in all aspects of emergency planning, implementation, and evaluation; mitigating fear and stigma; building organizational cultural competence; and enhancing coordination of information and resources. In addition, this study provides a methodological model for other states seeking to assess their capacity to integrate diverse communities into preparedness planning and response.


Andrulis DP,Siddiqui NJ,Purtle JP




Has Abstract


2011-10-01 00:00:00














  • Working with interpreters during international health responses.

    abstract::Health care providers face multiple difficulties in providing care to a disaster-stricken community. Training, preparation, and a good attitude are important, as is adequate logistical support. An often-ignored issue is the difficulty encountered with language barriers during a response, and how using interpreters aff...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章,评审


    authors: Zoraster RM

    更新日期:2011-06-01 00:00:00

  • Legal protections to promote response willingness among the local public health workforce.

    abstract:OBJECTIVE:The legal environment may improve response willingness among local health department (LHD) workers. We examined whether 3 hypothetical legal protections influence LHD workers' self-reported response willingness for 4 emergency scenarios and whether specific demographic factors are associated with LHD workers'...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Rutkow L,Vernick JS,Thompson CB,Piltch-Loeb R,Barnett DJ

    更新日期:2015-04-01 00:00:00

  • Scintigraphic Evaluation of Decontamination Lotion for Removal of Radioactive Contamination From Skin.

    abstract:OBJECTIVE:Skin contamination is one of the most likely risks after accidental or occupational radiological accidents. Using scintigraphy, we assessed a topical lotion for its decontamination efficacy (DE) after exposure with short-lived medical radioisotopes technetium Tc 99m (99mTc) and thallium 201Tl (201Tl). METHOD...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Rana S,Dutta M,Sharma N,Goel R,Khan AW,Kotta S,Ali J,Ansari SH,Sultana S,Sharma RK

    更新日期:2014-03-31 00:00:00

  • Elderly Perceptions of Social Capital and Age-Related Disaster Vulnerability.

    abstract:OBJECTIVE:Elderly individuals are considered at elevated risk of disaster impacts owing to increased health concerns, reduced mobility, and fixed economic resources. Social capital can counteract these vulnerabilities by increasing the likelihood of hearing disaster warnings, providing social ties to assist with prepar...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Meyer MA

    更新日期:2017-02-01 00:00:00

  • Sea-level-rise disaster in Micronesia: sentinel event for climate change?

    abstract:OBJECTIVES:To describe the impact of an acute-onset sea-level-rise disaster in 2 coral atoll populations and to generate hypotheses for further investigation of the association between climate change and public health. METHODS:Households of Lukunoch and Oneop islands, Micronesia, were assessed for demographics, asset ...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Keim ME

    更新日期:2010-03-01 00:00:00

  • A Comparison of US Federal Government Spending for Research and Development Related to Public Health Preparedness Capabilities, 2008-2017.

    abstract:OBJECTIVE:The Centers for Disease Control and Prevention developed 15 National Public Health Emergency and Preparedness Response Capabilities (NPHPRCs) to serve as national standards for health-related core capabilities. The objective of this study is to determine the level of federal funding allocated for research rel...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Keim M,Kirsch TD,Lovallo A

    更新日期:2020-08-01 00:00:00

  • Rumor-Related and Exclusive Behavior Coverage in Internet News Reports Following the 2009 H1N1 Influenza Outbreak in Japan.

    abstract:OBJECTIVE:We sought to elucidate news article reporting of adverse public psychosocial behaviors, in particular, rumor-related coverage (eg, panic, demagoguery) and exclusive behavior coverage (negative behaviors, eg, discrimination, bullying) during the 2009 influenza A (H1N1) influenza pandemic in Japan. METHODS:We ...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Shigemura J,Harada N,Tanichi M,Nagamine M,Shimizu K,Katsuda Y,Tokuno S,Tsumatori G,Yoshino A

    更新日期:2015-08-01 00:00:00

  • Gender-Based Risk and Protective Factors for Psychological Distress in the Midterm Recovery Period Following the Great East Japan Earthquake.

    abstract:OBJECTIVES:Women and men might experience psychological distress differently during a disaster. This study investigated gender differences in the factors associated with psychological distress among working-age people 1 to 2 years after the Great East Japan Earthquake. METHODS:A cross-sectional household survey of vic...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Ishiguro A,Inoue M,Fisher J,Inoue M,Matsumoto S,Yamaoka K

    更新日期:2019-06-01 00:00:00

  • Fear of Contagion: One of the Most Devious Enemies to Fight During the COVID-19 Pandemic.

    abstract::An impressive reduction in emergency department patient attendance was observed during the coronavirus disease (COVID-19) pandemic coupled with an increase in the burden of patients with respiratory failure compared with the same period in 2019. These data are in line with the reduction in the hospital admissions rate...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Baldi E,Savastano S

    更新日期:2020-09-10 00:00:00

  • Face Masks for All and All for Face Masks in the COVID-19 Pandemic: Community Level Production to Face the Global Shortage and Shorten the Epidemic.

    abstract::The current coronavirus disease 2019 (COVID-19) pandemic caused a global shortage of medical masks, leaving most exposed health personnel without appropriate protection.Since the beginning of the outbreak, the World Health Organization WHO) has revised several times the recommendations on general use of facemasks. Unt...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Missoni E,Armocida B,Formenti B

    更新日期:2020-06-24 00:00:00

  • First global consensus for evidence-based management of the hematopoietic syndrome resulting from exposure to ionizing radiation.

    abstract:OBJECTIVE:Hematopoietic syndrome (HS) is a clinical diagnosis assigned to people who present with ≥ 1 new-onset cytopenias in the setting of acute radiation exposure. The World Health Organization convened a panel of experts to evaluate the evidence and develop recommendations for medical countermeasures for the manage...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章,评审


    authors: Dainiak N,Gent RN,Carr Z,Schneider R,Bader J,Buglova E,Chao N,Coleman CN,Ganser A,Gorin C,Hauer-Jensen M,Huff LA,Lillis-Hearne P,Maekawa K,Nemhauser J,Powles R,Schünemann H,Shapiro A,Stenke L,Valverde N,Weinstock

    更新日期:2011-10-01 00:00:00

  • Experience from the Great East Japan Earthquake response as the basis for revising the Japanese Disaster Medical Assistance Team (DMAT) training program.

    abstract:OBJECTIVE:The objective of this study was to draft a new Japanese Disaster Medical Assistance Team (DMAT) training program based on the responses to the Great East Japan Earthquake. METHODS:Working group members of the Japan DMAT Investigative Commission, Ministry of Health, Labour and Welfare, reviewed reports and ac...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Anan H,Akasaka O,Kondo H,Nakayama S,Morino K,Homma M,Koido Y,Otomo Y

    更新日期:2014-12-01 00:00:00

  • Development of a Mobile Laboratory for Sudden Onset Disasters.

    abstract:OBJECTIVES:Clinical diagnostics in sudden onset disasters have historically been limited. We set out to design, implement, and evaluate a mobile diagnostic laboratory accompanying a type 2 emergency medical team (EMT) field hospital. METHODS:Available diagnostic platforms were reviewed and selected against in field ne...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Marr I,Francis JR,Stephens DP,Marshall K,Read DJ,Baird RW,Coatsworth N

    更新日期:2020-04-21 00:00:00

  • Building an evaluation instrument for China's hospital emergency preparedness: a systematic review of preparedness instruments.

    abstract:OBJECTIVES:The aim of this report is to identify from the literature common themes relating to the concept of hospital preparedness for emergencies to develop an agreed framework for evaluation. METHOD:A systematic literature search identified appropriate articles for critical appraisal. A meta-ethnography approach wa...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章,评审


    authors: Tang R,Fitzgerald G,Hou XY,Wu YP

    更新日期:2014-02-01 00:00:00

  • Mass arsenic poisoning and the public health response in Maine.

    abstract::Created in the wake of the September 11, 2001 terrorist attacks, Maine's Office of Public Health Emergency Preparedness within the Maine Center for Disease Control and Prevention undertook a major reorganization of epidemiology and laboratory services and began developing relationships with key partners and stakeholde...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Mills DA,Tomassoni AJ,Tallon LA,Kade KA,Savoia ES

    更新日期:2013-06-01 00:00:00

  • Lived Experience of Afghan Refugees in Iran Concerning Primary Health Care Delivery.

    abstract:OBJECTIVE:Access to primary health care (PHC) is very important for refugees. The aim of this study was to illuminate lived experience of Afghan refugees in Iran regarding PHC delivery. METHODS:This qualitative study was conducted in 2016-2017 by using the content analysis technique. Data were collected through indivi...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Azizi N,Delgoshaei B,Aryankhesal A

    更新日期:2019-12-01 00:00:00

  • The Impact of Heavy Snowfall on Home Care: A 2018 Case Study in Fukui City, Japan.

    abstract:OBJECTIVE:Little is known regarding how home care is affected by extreme weather. In February 2018, Fukui City in Japan experienced unprecedented levels of snowfall. We examined snowfall impact on the provision of home care to elucidate whether patients incurred any harm. METHODS:A retrospective observational study us...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Miyatake H,Ozaki A,Nishikawa Y,Masunaga H,Arita S,Beniya H

    更新日期:2020-12-02 00:00:00

  • Hubris: the recurring pandemic.

    abstract::The 2014 Ebola outbreak has been seen by many as a "perfect storm" and an "unprecedented" public health calamity. This article attempts to place this most current of epidemics, one currently struggling for pandemic status, in an historical frame. At least since the 1600 s protocols and programs for the containment of ...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Koch T

    更新日期:2015-02-01 00:00:00

  • A Chemical-Biological-Radio-Nuclear (CBRN) Filter can be Added to the Air-Outflow Port of a Ventilator to Protect a Home Ventilated Patient From Inhalation of Toxic Industrial Compounds.

    abstract:OBJECTIVES:Chemical-biological-radio-nuclear (CBRN) gas masks are the standard means for protecting the general population from inhalation of toxic industrial compounds (TICs), for example after industrial accidents or terrorist attacks. However, such gas masks would not protect patients on home mechanical ventilation,...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Be'eri E,Owen S,Beeri M,Millis SR,Eisenkraft A

    更新日期:2018-12-01 00:00:00

  • Economic Spillovers From Public Investments in Medical Countermeasures: A Case Study of a Burn Debridement Product.

    abstract:OBJECTIVE:The US federal government invests in the development of medical countermeasures for addressing adverse health effects to the civilian population from chemical, biological, and radiological or nuclear threats. We model the potential economic spillover effects in day-to-day burn care for a federal investment in...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Farahati F,Nystrom S,Howell DR,Jaffe R

    更新日期:2017-12-01 00:00:00

  • Increased gender-based violence among women internally displaced in Mississippi 2 years post-Hurricane Katrina.

    abstract:OBJECTIVES:Although different types of gender-based violence (GBV) have been documented in disaster-affected populations, no studies have documented a quantitative increase in rates of GBV among populations living in protracted displacement after a disaster. We aimed to assess the change in rates of GBV after Hurricane...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Anastario M,Shehab N,Lawry L

    更新日期:2009-03-01 00:00:00

  • Major influences on hospital emergency management and disaster preparedness.

    abstract::The role of hospitals in the community response to disasters has received increased attention, particularly since the terrorist attacks of September 11, 2001. Hospitals must be prepared to respond to and recover from all-hazards emergencies and disasters. There have been several initiatives to guide hospitals' role in...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Sauer LM,McCarthy ML,Knebel A,Brewster P

    更新日期:2009-06-01 00:00:00

  • Hospital Impact After a Chemical Spill That Compromised the Potable Water Supply: West Virginia, January 2014.

    abstract::In January 2014, a chemical spill of 4-methylcyclohexanemethanol and propylene glycol phenyl ethers contaminated the potable water supply of approximately 300,000 West Virginia residents. To understand the spill's impact on hospital operations, we surveyed representatives from 10 hospitals in the affected area during ...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Hsu J,Del Rosario MC,Thomasson E,Bixler D,Haddy L,Duncan MA

    更新日期:2017-10-01 00:00:00

  • Health Care Providers in War and Armed Conflict: Operational and Educational Challenges in International Humanitarian Law and the Geneva Conventions, Part II. Educational and Training Initiatives.

    abstract::ABSTRACTNo discipline has been impacted more by war and armed conflict than health care has. Health systems and health care providers are often the first victims, suffering increasingly heinous acts that cripple the essential health delivery and public health infrastructure necessary for the protection of civilian and...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 历史文章,杂志文章


    authors: Burkle FM,Kushner AL,Giannou C,Paterson MA,Wren SM,Burnham G

    更新日期:2019-06-01 00:00:00

  • Storm Impact and Depression Among Older Adults Living in Hurricane Sandy-Affected Areas.

    abstract:OBJECTIVE:Research on the impact of natural disasters on the mental health of older adults finds both vulnerabilities and resilience. We report on the rates of clinically significant depression among older adults (aged ≥60 years) living in areas affected by Hurricane Sandy in 2012 and the factors associated with mental...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Sirey JA,Berman J,Halkett A,Giunta N,Kerrigan J,Raeifar E,Artis A,Banerjee S,Raue PJ

    更新日期:2017-02-01 00:00:00

  • A Sex Disparity Among Earthquake Victims.

    abstract:OBJECTIVE:Understanding who is most vulnerable during an earthquake will help health care responders prepare for future disasters. We analyzed the demography of casualties from the Christchurch earthquake in New Zealand. METHODS:The demography of the total deceased, injured, and hospitalized casualties of the Christch...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Ardagh M,Standring S,Deely JM,Johnston D,Robinson V,Gulliver P,Richardson S,Dierckx A,Than M

    更新日期:2016-02-01 00:00:00

  • Core Capacities for Public Health Emergencies of International Concern at Ground Crossings: A Case Study from North India.

    abstract:OBJECTIVE:International airports, ports, and ground crossings are required to have health units for undertaking public health measures during routine times and specific measures during the time of public health emergency of international concern (PHEIC). This study was conducted at a ground crossing of North India to a...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Singh R,Sumit K,Hossain SS

    更新日期:2020-04-01 00:00:00

  • Post-Traumatic Stress Disorder Symptoms Among Children of Kathmandu 1 Year After the 2015 Earthquake in Nepal.

    abstract:OBJECTIVE:The 2015 earthquake in Nepal affected the country in terms of economy, and by causing damage and stress reactions. This study aimed to estimate the prevalence and determine individual child- and family-level predictors of post-traumatic stress disorder (PTSD) symptoms. METHODS:A community-based cross-section...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Acharya S,Bhatta DN,Assannangkornchai S

    更新日期:2018-08-01 00:00:00

  • A Retrospective Analysis of Mortality From 2015 Gorkha Earthquakes of Nepal: Evidence and Future Recommendations.

    abstract:OBJECTIVE:The aim of this study was to explore the mortality pattern due to Gorkha earthquakes in 2015 and review the response and recovery efforts immediately following the earthquakes. METHODS:Data from published reports of the Nepal Police showed over 8000 deaths. These death counts were categorized by gender, ethn...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: Adhikari B,Bhandari PM,Neupane D,Mishra SR

    更新日期:2020-03-26 00:00:00

  • Emergency response to mass casualty incidents in Lebanon.

    abstract::The emergency response to mass casualty incidents in Lebanon lacks uniformity. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. We describe some simple emergency manag...

    journal_title:Disaster medicine and public health preparedness

    pub_type: 杂志文章


    authors: El Sayed MJ

    更新日期:2013-08-01 00:00:00