1. Emergency Access Initiative Maria Elizabeth Collins Public Services Division National Library of Medicine National Institutes of Health U.S. Department of Health and Human Services

2. What is the Emergency Access Initiative Collaborative partnership between NLM and participating publishers to provide free access to full-text articles from 240+ biomedical serial titles and select reference books to healthcare professionals and libraries affected by disasters in the United States and internationally

3. EAI Beginnings Pass Christian Public Library in Mississippi after Hurricane Katrina. Photo courtesy of Sally James, Branch Manager

4. EAI Content 241 journals 2,000+ monographs 3 online databases – Cochrane (also listed in journals) – DynaMed – Essential Evidence Plus

5. Sample Journal Titles Accident and emergency nursing American journal of infection control Burns Cochrane database of systematic reviews Depression and anxiety Emergency radiology Environmental toxicology and pharmacology International journal of cardiology International journal of infectious diseases Journal of anxiety disorders Journal of emergency medicine Journal of traumatic stress New England journal of medicine Pest management science

6. Sample Book Titles Merck manual of diagnosis and therapy Public health and prevention management Trauma Human virology Emergency medicine procedures Infectious diseases: the clinician’s guide to diagnosis, treatment and prevention AHFS Drug Information Radiation risk estimates in normal and emergency situations

7. Participating Publishers American Academy of Pediatrics American Association for the Advancement of Science American Chemical Society American College of Physicians American Society of Health-Systems Pharmacists ASM Press B.C. Decker BMJ EBSCO Elsevier F.A. Davis Mary Ann Liebert Massachusetts Medical Society McGraw-Hill Merck Publishing Oxford University Press People’s Medical Publishing House Rittenhouse Springer University of Chicago Press Wiley Wolters Kluwer

8. EAI Editorial Committee Gail Bang, CDC Maria Collins, NLM Ethel Madden, Ochsner Clinic Foundation Mary Moore, University of Miami Kimberly Parker, WHO Angela Ruffin, NLM Mary Ryan, University of Arkansas for Medical Sciences Library Dan Wilson, University of Virginia Laura Wong, NLM

9. Editorial Committee Tasks Journal title selection – Most requested titles from NLM after Katrina – Titles recommended by CDC and WHO Book title selection – Emergency medicine – Infectious disease prevention and management – Public health Periodic review of titles

10. Activation Team Joyce Backus, NLM Bill Curtis, Springer Mary Ryan, University of Arkansas for Medical Sciences Rotate membership in 2 year increments Single individual can activate

11. Guidelines for Triggering EAI 1.Federal or state disaster declaration exists, and 2.Five (5) or more health sciences libraries are affected by loss of power and communications systems or other disruption that force closure, and 3.Loss of access to biomedical literature is expected to last for at least 2 weeks.

12. Disaster definition For the purposes of the Emergency Access Initiative project, a “disaster” is a naturally-occurring or man- made event that interrupts or severs access to biomedical literature for health care professionals, students, and other users of health science libraries in the United States or internationally. Typically, a “disaster” causes disruptions or failures in essential infrastructure systems: transportation, communications and public utilities (water, gas, electric). When such a disaster overwhelms the local emergency management resources, a state and federal major disaster declaration will usually follow.

13. Login Page - Active

14. Login – “Passive”

15. User Agreement Statement

16. User Agreement

17. Home Page

18. PubMed Search Results

19. PubMed Abstract Record

20. Books Page

21. EAI Activations Haiti – earthquake – January 25, 2010 – March 19, 2010 Pakistan – flooding – September 10, 2010 – November 6, 2010 Haiti – cholera – October 24, 2010 – December 18, 2010 Japan – earthquake, tsunami, nuclear – March 14, 2011 – May 6, 2011

22. Questions & Discussion