Preparedness for emergency response: guidelines for the emergency planning process

Especially since the terrorist attacks of 11 September 2001, governments worldwide have invested considerable resources in the writing of terrorism emergency response plans. Particularly in the United States, the federal government has created new homeland security organisations and urged state and local governments to draw up plans. This emphasis on the written plan tends to draw attention away from the process of planning itself and the original objective of achieving community emergency preparedness. This paper reviews the concepts of community preparedness and emergency planning, and their relationships with training, exercises and the written plan. A series of 10 planning process guidelines are presented that draw upon the preparedness literature for natural and technological disasters, and can be applied to any environmental threat.     

Emergency preparedness consultants at the local government level: the Israeli experience

This study evaluates the effectiveness of the Municipal Emergency Consultation project in eight Israeli local authorities. The initiative centres on the appointment of independent emergency preparedness consultants entrusted with tailoring an emergency preparedness package to suit the specific needs of each locality. Regarding emergency preparedness improvements, in all of the municipalities examined, a concept of municipal emergency operation was consolidated and the derived emergency plan tested. Emergency work processes were structured and service‐level agreements reached between municipality departments. Where necessary, a‐linear patterns of municipal functioning in an emergency were established. Concerning a ‘spillover’ of emergency preparedness improvements into routine operations, and a ‘spillover’ of routine management improvements into local emergency preparedness, two municipalities near Gaza, which typically function in an emergency routine, saw a significant ‘spillover’ of emergency preparedness into routine functioning. In other localities, local managers chose to improve a number of municipal structures and procedures in times of routine functioning, which are also related to the functioning of the municipality during an emergency.     

Emergency preparedness through game playing

The lack of emergency preparedness in Mauritius has been the cause of many tragedies. Our approach to tackle this problem was by developing an emergency preparedness game layered and fused with a disaster warning and guidance system that emanates clarity to the unfathomable bearings of emergencies and natural disasters. The emergency preparedness game is based on a selection of diverse real life-threatening difficulties that entail different strategies aimed at bettering the survival instincts of users. It uses story-telling scenarios along with in-game footnotes that yield directives on how to brave fierce and unpredictable calamities. The game reinforces a sense of self-composedness and suppressing untimely fears of users in horrendous circumstances. With regard to the warning system, it unremittingly feeds users with notifications during emergencies, that encases shortest escape routes to lead them to safe locations via a fully functional GPS map. This application brings some novelties that are virtually non-existent in related applications. For instance, this application includes a warning and guidance system, a 3D scenario game to prepare its users for disasters, an interactive survival toolkit selection, an SMS rescue feature and a mass notification system via the web.     

基于仿真原理的地震应急志愿者规模研究

中国是个地震多发但应对能力不强的国家,汶川地震再次暴露了中国专业地震应急救援力量不足的弊端。我们应该借鉴发达国家的经验,构建应急志愿者队伍,以提高我国的地震应急能力。根据仿真原理结合人力资源规模的确定方法,设计了地震应急救援系统仿真模型,并利用该模型计算了高校志愿者队伍的人数。该研究不但有助于丰富志愿者管理理论,同时能有效利用社会资源,提升我国地震应急救援能力,因此具有一定的理论和现实意义。     

Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi

Hazard vulnerability analysis (HVA) is used to risk‐stratify potential threats, measure the probability of those threats, and guide disaster preparedness. The primary objective of this project was to analyse the level of disaster preparedness in public hospitals in the Emirate of Abu Dhabi, utilising the HVA tool in collaboration with the Disaster Medicine Section at Harvard Medical School. The secondary objective was to review each facility's disaster plan and make recommendations based on the HVA findings. Based on the review, this article makes eight observations, including on the need for more accurate data; better hazard assessment capabilities; enhanced decontamination capacities; and the development of hospital‐specific emergency management programmes, a hospital incident command system, and a centralised, dedicated regional disaster coordination centre. With this project, HVAs were conducted successfully for the first time in health care facilities in Abu Dhabi. This study thus serves as another successful example of multidisciplinary emergency preparedness processes.     

Disaster coordination preparedness of soft-target organisations

This paper introduces a network‐enabled model to examine the disaster coordination preparedness of soft‐target organisations (STOs). Little attention is devoted to this matter in recent research. This study places emphasis on such organisations and the proposed model tests hypotheses related to network relation and coordination preparedness. It analyses the data set entitled ‘Preparedness of large retail malls to prevent and respond to terrorist attack, 2004′, which contains 120 completed surveys of security directors of retail malls in the United States. ¹ 1 See http://www.icpsr.umich.edu/icpsrweb/TPDRC/studies/21140 .
The following questions form the basis of this study: ‘What do STOs need to be better prepared to respond to a disaster?’; ‘How does network relationship between STOs and emergency agencies affect the coordination preparedness of STOs for disaster recovery?’; and ‘Which centrality measure needs to be followed to measure network variables in order to analyse coordination preparedness?’ The results show that STOs with a high level of connectedness and strong ties to other emergency agencies are better prepared for disaster response.     

Information technology and emergency management: preparedness and planning in US states

The purpose of this paper is to examine the impact of information technology (IT) on emergency preparedness and planning by analysing a survey of US state government departments of emergency management. The research results show that there has been a significant impact of IT on emergency planning. IT has proven to be effective for all phases of emergency management, but especially for the response phase. There are numerous technologies used in emergency management, ranging from the internet, Geographic Information Systems and wireless technologies to more advanced hazard analysis models. All were generally viewed as being effective. Lack of financial resources and support from elected officials is a perennial problem in public administration, and was found to be prevalent in this study of IT and emergency management. There was evidence that state governments rating high on a performance index were more likely to use IT for emergency management.     

基于FAHP法的城市社区应急准备能力评估

通过分析城市社区应急能力的影响因素,论述了城市社区应急准备能力评估指标集的建立方法和基于模糊层次综合评价法的评估模型构建方案,建立了城市社区应急准备能力评估模型,并结合实例进行了分析,为城市社区应急准备能力的定量综合评价提供了新思路。     

1989～2005年中国启动地震应急预案的研究

制定地震应急预案是地震应急的行动纲领。过去重“救”轻“防”,而且“救”的程序也缺少规范。地震应急预案将“防、抗、救一作了规范．对每个职能部门的应急工作都作了部署。全国地区（市）级颁布地震预案267个,县级颁布地震预案1603个。据不完全统计,1989-2005年,全国共计启动地震应急预案56次。其中,1989～1993年年均启动0．8次,1994-1998年2．2次,1999-2003年4．2次,2004～2005年10次。     

Enhancing community-based disaster preparedness with information technology

A critical component of community-based disaster preparedness (CBDP) is a local resource database of suppliers providing physical, information and human resources for use in disaster response. Maintenance of such a database can become a collaborative responsibility among community-based non-governmental organisations (NGOs) and public and private community organisations. In addition to mobilising resources, this process raises awareness within the community and aids in assessing local knowledge and resources. This paper presents the results of a pilot study on implementing a community-based resource database through collaboration with local American Red Cross chapters and public and private community organisations. The design of the resource database is described. The resource database is accessible via the internet and offline using laptops and handheld Personal Digital Assistants. The study concludes that CBDP is strengthened through a combination of appropriate information technology and collaborative relationships between NGOs and community-based organisations.     

A national system for disseminating information on victims during mass casualty incidents

Immediate provision of information to the public is vital during mass casualty incidents (MCIs). Failure to implement rapidly a communication response system may result in the public overwhelming hospitals. This paper shares Israel's experience in developing and maintaining a national system for supplying information on the location and identification of casualties. ADAM interfaces online with hospitals' patient registration systems, and allows for immediate electronic transfer of designated data. The system permits information centres to access information on which hospital has admitted identified and unidentified casualties. The latter are photographed at the entrance to the hospital and the picture is stored in ADAM. The system enables hospitals and municipalities to ensure immediate availability and accessibility of information and thus (in our belief) mitigate the concerns of family and friends. Use of such an interface system is recommended as an integral element of emergency preparedness.     

A baseline assessment of emergency planning and preparedness in Italian universities

Besides offering teaching and research services, schools and universities also must provide for the safety and security of their employees, students, and visitors. This paper describes emergency preparedness in a sample of Italian universities. In particular it examines risk perception within a specific professional category (university safety and security officers) in a specific cultural context (Italy). In addition, it discusses the transposition and implementation in a European Union (EU) member state of EU Council Directive 89/391/EEC of 12 June 1989, on the introduction of measures to encourage improvements in the safety and health of workers. The findings highlight heterogeneous and fragmented emergency management models within the Italian university system, underlining the need for a stricter framework of standardised safety protocols and emergency management guidelines. The study also points out that enhancing emergency planning and preparedness in Italian universities entails increasing safety leadership, employee engagement and individual responsibility for safety and security; essentially, it necessitates improving the culture of risk prevention.     

Success in Kashmir: a positive trend in civil–military integration during humanitarian assistance operations

The modern cast of disaster relief actors includes host nations, non-governmental organisations, private volunteer organisations, military organisations and others. Each group, civilian or military, has valuable skills and experiences critical to disaster relief work. The goal of this paper is to supplement the study of civil–military relief efforts with contemporary anecdotal experience. The paper examines the interaction between US military forces and other disaster relief actors during the 2005 Kashmir earthquake relief effort. The author uses direct observations made while working in Pakistan to contrast the relationships and activities from that effort with other accounts in prevailing scholarly disaster literature and military doctrine. Finally, this paper suggests that the Kashmir model of integration, coordination and transparency of intent creates a framework in which future humanitarian assistance operations could be successfully executed. Recommendations to improve civil–military interaction in future relief efforts will also be addressed.     

The public health system response to the 2008 Sichuan province earthquake: a literature review and interviews

This paper describes and analyses the public health system response to the deadly earthquake in Sichuan province, China, in May 2008. Drawing on an experiential learning project consisting of a literature review and field research, including a series of interviews with medical and public health professionals, policy‐makers and first responders, a conceptual framework was developed to describe the response. This approach emphasises the pre‐existing preparedness level of the medical and public health systems, as well as social, economic and geo‐political factors that had an impact on mitigation efforts. This framework was used to conduct post‐disaster analyses addressing major response issues and examining methods employed during the public health response to the disaster. This framework could be used to describe and analyse the emergency response to other disasters.     

Development of urban planning guidelines for improving emergency response capacities in seismic areas of Iran

This paper presents the results of research carried out to improve emergency response activities in earthquake-prone areas of Iran. The research concentrated on emergency response operations, emergency medical care, emergency transportation, and evacuation—the most important issues after an earthquake with regard to saving the lives of victims. For each topic, some guidelines and criteria are presented for enhancing emergency response activities, based on evaluations of experience of strong earthquakes that have occurred over the past two decades in Iran, notably Manjil (1990), Bam (2003), Firouz Abad-Kojour (2004), Zarand (2005) and Broujerd (2006). These guidelines and criteria are applicable to other national contexts, especially countries with similar seismic and social conditions as Iran. The results of this study should be incorporated into comprehensive plans to ensure sustainable development or reconstruction of cities as well as to augment the efficiency of emergency response after an earthquake.     

Residents' preparedness and response to the Kalamazoo Tornado

A survey was conducted of individuals residing directly in the path of the tornado that hit Kalamazoo, Michigan, on 13th May 1980. The residents' tornado preparedness and response were examined in an effort to evaluate the city's emergency warning system. The system was adequate for people on the east side of the city and lacking for west side residents. Other factors pertaining to the storm event and human response were also evaluated.     

‘Are you prepared?’ Representations and management of floods in Lomanikoro,Rewa (Fiji)

The islands of Fiji, in the Western Pacific, are exposed to a wide range of natural hazards. Tropical storms and associated floods are recurring natural phenomena, but it has been regularly alleged that Fijians lack preparation, over‐rely on state assistance in post‐disaster situations or engage in risky behaviours that aggravate the negative impact of floods. Risk reduction strategies, which are now implemented by government authorities and international organisations, heavily promote the principle of ‘community preparedness’. Both community awareness programmes and capacity‐building programmes are conducted throughout the country in the most vulnerable communities. This paper analyses how the inhabitants of Lomanikoro village, in the low areas of the Rewa Delta, perceive and manage existing flood risks. It examines social and cultural factors that contribute to shape risk response locally—in particular, why villagers may be reluctant to adopt some recommended preparedness measures and resettle in higher, safer zones.     

Invisible institutions in emergencies: Evacuating the remote Indigenous community of Warruwi,Northern Territory Australia,from Cyclone Monica

Tropical Cyclone Monica is one of the most intense Australian cyclones in recorded history, and threatened several Indigenous communities in April 2006. It prompted the evacuation of the remote island community of Warruwi, and caused considerable damage to the mainland township of Maningrida. The evacuation of Warruwi went smoothly as emergency services personnel, the community and the airline cooperated to airlift some 350 people to designated safe areas on the mainland. We show that local institutions culturally embedded in Indigenous ways of understanding and responding to the world were important in providing essential but ‘unofficial’ services during the emergency. Recognizing and respecting the resilience of the local process involved in everyday Indigenous life is revealed as central to ensuring local cooperation and effective involvement of state and national institutions in delivering effective measures during emergencies. Ensuring that local, state and national authorities offer recognition and understanding of these Indigenous institutions, and develop strong relationships with them, should be a priority in developing approaches that limit conflict and trauma where emergency services risk overriding local protocol.     

云南地震现场应急宣传模式探讨——以盈江5.8级地震和缅甸7.2级地震为例

地震应急宣传是防震减灾宣传的重要组成部分。地震现场应急宣传因更具有灵活性、针对性、时效性,在灾区有一定的影响力和实际意义,尤其是在安抚灾民情绪、传播科学知识、减轻灾害损失,维护社会稳定和保障社会经济发展方面具有重要作用。以2011年云南盈江5.8级和缅甸7.2级地震为例,对地震现场应急宣传的内容和形式进行了探讨研究;从方案编写、流程设计、模板化宣传单制作等几个方面规范和强化了现场应急宣传工作;并以此为基础,对云南地震现场应急宣传模式进行了研究,提出了相应的建议和对策,为建立科学、系统的现场应急宣传机制奠定了基础。     

Changing tracks as situations change: humanitarian and health response along the Liberia–Côte d'Ivoire border

In recent years, protracted crises and fragile post‐conflict settings have challenged the co‐existence, and even the linear continuum, of relief and development aid. Forced migration has tested humanitarian and development paradigms where sudden‐onset emergencies, violence and displacement arise alongside ongoing development work. Drawing on Médecins Sans Frontières interventions in the region from December 2010 to May 2011, this paper examines aid and healthcare responses to displacement in Côte d'Ivoire and Liberia; it focuses on challenges to the maintenance of preparedness for such foreseeable emergencies and to adaptation in response to changing situations of displacement and insecurity. This ‘backsliding’ from development to emergency remains a substantial challenge to aid; yet, in exactly such cases, it also presents the opportunity to ensure access to medical care that is much more urgently needed in times of crisis, including the suspension of user fees for medical care.