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4 Augmenting State and Local Emergency Plans
Pages 37-48

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From page 37...
... Several examples of issues, including pandemic planning and behavioral impacts, pediatric surge planning, and child care provider issues are discussed to help augment the material that goes into plans.
From page 38...
... The primary objectives of the project were to identify the current status and needs of pediatric providers in the community with respect to emergency preparedness; identify the expectations of health departments; and formulate recommendations to improve the integration and coordination of pediatric providers. In conducting the project, it was assumed that physicians play a key role in promoting personal preparedness and in risk communications to the public (Garrett et al., 2007; Lasker, 2004; Olympia et al., 2010)
From page 39...
... Key roles for public health departments include local and state leadership, surveillance and investigation, implementation of disease control measures, surge support, and information sharing. The project then developed recommendations for public health departments, pediatricians, and the PA AAP in the areas of continuity of operations and surge capacity building; collaborative planning; bidirectional communications; training; children with special health care needs; and schools and child care programs.
From page 40...
... o Include a "rapid response" component that could inform county health departments and the Pennsylvania Department of Health on policy and planning around children's issues during a disaster.  Create an ad hoc taskforce for electronic health record (EHR)
From page 41...
... Engaging community medical practices is essential in efforts to prepare communities and build community resilience. A participant added that pediatricians also need to be inculcated into incident command and operations so that children are not forgotten during the implementation.
From page 42...
... The research for the project "Evidence-Informed Guidelines for Child-Focused Pandemic Planning and Response" was done at the University of Kentucky in partnership with the University of Louisville, with funding from the Department of Homeland Security through the Kentucky Critical Infrastructure Program.2 Based on a systematic literature review, Sprang and colleagues developed a toolkit of mixedmethod measures (e.g., interview guides, surveys, focus groups, guides, content analysis templates) to collect information from key stakeholders on the gaps and vulnerabilities in systems.
From page 43...
... These findings suggest that individual parents and children who experience quarantine or isolation may need behavioral health and other support services to prevent or mitigate these traumatic effects. Sprang and colleagues recommended routine peri- and post-pandemic behavioral health assessment, including trauma screening, for parents and youth who experience isolation or quarantine.
From page 44...
... authorizes the Secretary of Agriculture to approve State SNAP agency plans to provide SNAP benefits to households including children certified as eligible to receive free or reduced price school lunches who are enrolled in a school or school district that will be or has been closed for at least 5 consecutive days due to a pandemic emergency." See http://www.fns.usda.gov/sites/default/files/SP_05_SFSP_03-2010_os.pdf (accessed September 9, 2013)
From page 45...
... DEVELOPMENT OF A STATE PEDIATRIC AND NEONATAL SURGE ANNEX Evelyn Lyons, Emergency Medical Services for Children Manager for the Illinois Department of Public Health, detailed her state's development of a pediatric and neonatal surge annex, an appendix to the state medical disaster plan. The annex, developed with funding from the Hospital Preparedness Program cooperative agreements, provides guidance to hospitals and other health care personnel in the event of a large surge of pediatric or neonatal patients.
From page 46...
... Lyons provided examples of tools developed by each of the working groups.5 The communications workgroup developed a Pediatric and Neonatal Event Notification Form, a flow chart that guides users through the activation of the surge annex and the notification of key stakeholders and partners. The decision-making process workgroup developed an algorithm to guide requests for pediatric medical resources.
From page 47...
... They also designed an objective system to triage pediatric patients to tertiary care centers, and a mechanism for communicating patient information between hospitals and with the pediatric care medical specialist. In addition the workgroup developed a series of patient care guidelines for hospitals less familiar with pediatric patients, advising them on care for the first 96 hours after an event, or until they are able to route the children to a higher level of care or to specialty care as needed.
From page 48...
... 48 CONSIDERATIONS FOR CHILDREN AND FAMILIES to ensure additions to plans have the correct personnel identified and the right inclusions. Finally, Anderson reiterated, breaking down silos and fostering relationships among public health, pediatric providers, and researchers can lead to better response when needed.


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