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

2. 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.

3. 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…

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

5. 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/DMAT/HHS, MRC

6. Disasters: An Overview

7. 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. Disaster Definition

8. Events > Emergencies > Disasters  Train Derails  Train Explodes  Chemicals spill from train, contaminating water supply

9. Disaster Categories NaturalMan made EarthquakesChemical spills HurricanesIndustrial accidents TsunamisTerrorist attacks Etc. Natural or Man made? Floods Forest Fires Avalanches Epidemics

10. Disaster Management

11. Disaster Response & the Federal Government

12. Who is part of the disaster workforce? Licensed or trained, paid or volunteer, permanent or as- needed 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

13. 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?

14. When Is the Government Involved in Disaster? Response & Preparedness

15. National Response Framework

16. 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

17. National Response Framework

18. 18 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

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

20. The Federal Government Branches

21. The Executive Branch

22. ASPR Organization

23. Alphabet Soup

24. Disaster Medical Assistance Teams (DMAT)

25. 25 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.

26. NDMS Components

27. 27 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 35- 50 individuals in each deployable unit ER docs, nurses, paramedics, coms, command & control Deploy for 14 days

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

29. DMAT scenes - 1

30. DMAT scenes - 2

31. Medical Reserve Corp

32. Community Emergency Response Teams (CERTs)

33. A Librarian in Disaster Response?

34. Where it all began… …Where I am currently

35. The Serendipitous Journey…

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

37. Katrina Damage

38. Members of a DMAT

39. Author at Homeland Security

40. Author at FEMA

41. Author at DMAT Tents

42. Current Projects / Work

43. DMIS: Disaster Medical Information Suite

44. 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 LibGuide template to collect and share accurate information. Then came Zika…

45. OUTBREAK! LIBGUIDES CREATION TO SUPPORT USERS DURING PANDEMICS (2) Goal: To create a LibGuide 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 LibGuides - Plan to limit by time (e.g. Ebola) - Plan to create more (based upon)?

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

47. Librarians & Disasters

48. 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 Disaster Medicine and Public Health Preparedness) http://www.ncbi.nlm.nih.gov/pubmed/22490936

49. 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)?

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

51. Information use by disaster preparedness professionals Influenced by their training Viewed information as a decision- making 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)

52. Desired information types Peer organization experience, lessons- learned 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)

53. 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)

54. 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) What do emergency managers see as the roles of librarians?

55. 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)

56. 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.

57. Training Opportunities

58. FEMA: Emergency Management Institute

59. Disaster Information Management Research Center (DIMRC)

60. Disaster Information Specialist Program Basic & Advanced MLA CE Credit

61. 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.

62. 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

63. 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 http://sis.nlm.nih.gov/dimrc.html

64. 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. DISASTR-OUTREACH-LIB Listserv For more information, visit: http://sis.nlm.nih.gov/dimrc.html http://sis.nlm.nih.gov/dimrc.html

65. 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. @NLM_DIMRCe-sources For more information, visit: http://sis.nlm.nih.gov/dimrc.html http://sis.nlm.nih.gov/dimrc.html

66. Selected Continuity of Operations Resources NN/LM Emergency & Preparedness Toolkit http://nnlm.gov/ep/ 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

67. Hands On: What Can You Do?

68. Get Ready Visit: http://www.ready.govhttp://www.ready.gov

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

70. Volunteer: Medical Reserve Corps Visit: https://www.medicalreservecorps.gov/HomePagehttps://www.medicalreservecorps.gov/HomePage

71. Volunteer: Community Emergency Response Teams

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

73. 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

74. 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/registerwww.townofchapelhill.org/register

75. Quick Practical Take Away:

76. Hands Only CPR: Stayin Alive Watch: http://www.youtube.com/watch?v=ILxjxfB4zNk

77. 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?

78. Working Together: Incident Command System

79. Coordinating Efforts: Incident Command System (ICS)

80. Principles of ICS

81. Chain of Command

82. Span of Control

83. Management

84. Acknowledgements Thank you to NC-1 DMAT, NDMS, and DIMRC for content in these slides.