1. Kristine D. Warner, PhD MPH RN CSU, Chico School of Nursing

2. Nationwide disaster declarations 2007 61 http://www.fema.gov/news/disasters.fema? year=2007 http://www.fema.gov/news/disasters.fema? year=2007 California disaster declarations 2007 2 http://www.fema.gov/news/disasters_stat e.fema?id=6 http://www.fema.gov/news/disasters_stat e.fema?id=6

3. Site #1 (4-5 students) Senior or Senior/Disabled Low-income Within city limits 40 units On-site management Site #2 (5-6 students) Senior or Disabled Low-income Within city limits 56 units On-site management

4. 80% were interested in learning about emergency preparedness Only 40% reported having an emergency plan. For those with medical equipment, only 50% had extra batteries. The vast majority reported having enough food for 3-5 days. Few residents had extra water in their apartments. Only 2-3 individuals at each site were enrolled in the SNAP program.

5. Fall 2007 Conducted on-site emergency preparedness classes Informal assessment of individual preparedness Initial assessment of site/management preparedness Attended SNAP meetings Spring 2008 Conducted onsite emergency preparedness classes Continued informal assessment of preparedness Attended SNAP meetings – prepared packets Developed proposal for submission to housing authority Developed list for SNAP outreach Sept. 2008

6. Sponsored by:  County Health Department – Adult Protective Services Purpose:  Identification of individuals within the county who would need assistance with evacuation Registration with local emergency authorities  Law enforcement, fire department, health department Preparation & maintenance of SNAP packet  Personal emergency contact information  Medical history (including medications)  SNAP sign for window/door  County emergency resources  Informational brochures (ARC, FEMA)

7. Only contact 911 if there is a life-threatening emergency. Listen to your battery powered radio for news and instructions. If you must evacuate, call your family/emergency contact or the Red Cross Only place the neon green SNAP card in the door or window that is visible from the street if you must be evacuated by the police, sheriff, fire department or emergency volunteers. Turn on your porch light Have your Travel Bag and Disaster Supplies Kit packed and near the door Remember that emergency personnel will be very busy. Prepare to take care of yourself. Using the SNAP card is not a guarantee that emergency personnel will rescue you. (From SNAP packet)

8. Student Proposal  Drinking water (1 gallon per person) ($1 each)  Flash lights ($3)  Replacement batteries ($6)  First Aid Kit ($28 - $60)  Portable Radio ($9) Total cost per site: $46 - $78 plus water Cost including water:  Site #1….$86 - $118  Site #2….$102 - $134

9. Proposal prepared On-site management support Middle-management staff support PHN Senior Health Improvement Program support Awaiting arrival of new executive director of housing authority!...hopefully more supportive Back-up plan…seek funding from local stores Back-up of the back-up?

10. PHN students became very invested in the needs of this community. PHN students were empowered by ‘being at the table’ with county officials at SNAP meetings. Residents recognized the need for preparing for emergencies….although many did not follow through. On-site management reported feeling less anxious about potential emergencies…felt more prepared. Middle-management reported having health professional support for their efforts was key.

11. FEMA & American Red Cross. (2004). Preparing for disaster for people with disabilities and other special needs. Jessup, MD: FEMA. Kirkpatrick, D.V, & Bryan, M. (2007). Hurricane emergency planning by home health providers serving the poor. Journal of Health Care for the Poor & Underserved, 18, 299-314. Mack, S.E., Spotts, D. Hayes, A., & Rains Warner, J. (2006). Teaching emergency preparedness to restricted-budget families. Public Health Nursing, 23, 354-360.