FEMA's Organized Response With a Pediatric Subspecialty Team: The National Disaster Medical System Response: A Pediatric Perspective

Weiner, Debra L.; Manzi, Shannon; Waltzman, Mark L.; Morin, Michèle; Meginniss, Anne; Fleisher, Gary

doi:10.1542/peds.2006-0099m

Cited by 23 publications

(17 citation statements)

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“…Children are one of the most vulnerable populations to the effects of natural disasters,20, 21, 22, 23 yet little is known about how tragic and devastating disasters affect their health. We conducted the present survey to address specific concerns regarding the impact of the Great East Japan Earthquake on the physical growth of preschool children in the most severely affected areas.…”

Section: Discussionmentioning

confidence: 99%

Design of the health examination survey on early childhood physical growth in the Great East Japan Earthquake affected areas

Matsubara

Ishikuro

Kikuya

et al. 2017

Journal of Epidemiology

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BackgroundTo investigate the impact of the Great East Japan Earthquake on preschool children's physical growth in the disaster-affected areas, the three medical universities in Iwate, Miyagi, and Fukushima Prefectures conducted a health examination survey on early childhood physical growth.MethodsThe survey was conducted over a 3-year period to acquire data on children who were born in different years. Our targets were as follows: 1) children who were born between March 1, 2007 and August 31, 2007 and experienced the disaster at 43–48 months of age, 2) children who were born between March 1, 2009 and August 31, 2009 and experienced the disaster at 19–24 months of age, and 3) children who were born between June 1, 2010 and April 30, 2011 and were under 10 months of age or not born yet when the disaster occurred. We collected their health examination data from local governments in Iwate, Miyagi, and Fukushima Prefectures. We also collected data from Aomori, Akita, and Yamagata Prefectures to use as a control group. The survey items included birth information, anthropometric measurements, and methods of nutrition during infancy.ResultsEighty municipalities from Iwate, Miyagi, and Fukushima Prefectures and 21 from the control prefectures participated in the survey. As a result, we established three retrospective cohorts consisting of 13,886, 15,474, and 32,202 preschool children.ConclusionsThe large datasets acquired for the present survey will provide valuable epidemiological evidence that should shed light on preschool children's physical growth in relation to the disaster.

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Section: Discussionmentioning

confidence: 99%

Design of the health examination survey on early childhood physical growth in the Great East Japan Earthquake affected areas

Matsubara

Ishikuro

Kikuya

et al. 2017

Journal of Epidemiology

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“…37 Providers may have to reallocate shrinking resources between patients or locations, assume new tasks outside their usual practice or location because of staff shortages, and provide care in temporary areas that might not have conventional capabilities because usual clinical areas are full or not available. 2,5,38,[40][41][42][43] These changes can include, although are not limited to, providing critical care outside of critical care units or using alternate care sites, such as mobile or community-based sites, for screening and delivering urgent care. Under these conditions, space, staffing, and supplies may not be consistent with daily practice, but medical decisionmaking and care provided may remain functionally equivalent to usual practice.…”

Section: Altered Health Care Environment and Practice During A Disastermentioning

confidence: 99%

Understanding Liability Risks and Protections for Pediatric Providers During Disasters

et al. 2019

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Although most health care providers will go through their careers without experiencing a major disaster in their local communities, if one does occur, it can be life and career altering. The American Academy of Pediatrics has been in the forefront of providing education and advocacy on the critical importance of disaster preparedness. From experiences over the past decade, new evidence and analysis have broadened our understanding that the concept of preparedness is also applicable to addressing the unique professional liability risks that can occur when caring for patients and families during a disaster. Concepts explored in this technical report will help to inform pediatric health care providers, advocates, and policy makers about the complexities of how providers are currently protected, with a focus on areas of unappreciated liability. The timeliness of this technical report is emphasized by the fact that during the time of its development (ie, late summer and early fall of 2017), the United States went through an extraordinary period of multiple, successive, and overlapping disasters within a concentrated period of time of both natural and man-made causes. In a companion policy statement (www.pediatrics.org/cgi/doi/10.1542/peds.2018-3892), recommendations are offered on how individuals, institutions, and governments can work together to strengthen the system of liability protections during disasters so that appropriate and timely care can be delivered with minimal fear of legal reprisal or confusion.Drs Santucci and Anderson substantially contributed to the conception and design of the policy statement and technical report, analysis and interpretation of information and references, writing of specific portions of the manuscripts, critical review, and revisions; Dr McDonnell substantially contributed to refining the conception and design of the policy statement and technical report, analysis and interpretation of information, critical review, and revisions; Dr Altman was responsible for the original ideas, conception, and design of the policy statement and technical report, acquisition and analysis of information and references, design of articles, outline of topics, draft of both manuscripts and writing of specific portions, compilation of other authors' contributions, editing, critical review and revisions, and response

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“…Because of their size and because of the differences in physiology and psychology, children need specialized medical care during and after man-made and natural disasters [16]. The health and social burden of extreme weather events can be complex, far-reaching, and difficult to attribute to the event itself [17,18].…”

Section: Extreme Weather and Heat Eventsmentioning

confidence: 99%

Climate Change and Children

Ebi¹,

Paulson

2007

Pediatric Clinics of North America

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FEMA's Organized Response With a Pediatric Subspecialty Team: The National Disaster Medical System Response: A Pediatric Perspective

Cited by 23 publications

References 0 publications

Design of the health examination survey on early childhood physical growth in the Great East Japan Earthquake affected areas

Design of the health examination survey on early childhood physical growth in the Great East Japan Earthquake affected areas

Understanding Liability Risks and Protections for Pediatric Providers During Disasters

Climate Change and Children

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