This bulletin focuses on the experiences of individuals with serious mental illness (SMI) before, during, and after disasters. Research focused on individuals with schizophrenia, bipolar disorder, major depression, and post-traumatic stress disorder (PTSD), and on individuals with SMI as defined in part through functional limitations.
Meeting their constitutional duties to provide for the common defense, the U.S. Congress and the Administration established the Cybersecurity and Infrastructure Security Agency (CISA) to lead the national effort to protect our critical infrastructure. This document is the keystone of this new agency.
Evacuation and shelter-in-place protective actions are prompted by a variety of threats and hazards. Incident-specific circumstances drive the relevant protective actions based on a community’s demographics, infrastructure, resources, authorities, and decision-making process. Determining that an evacuation needs to take place is not an all-or-nothing approach. Lessons learned from disasters, such as hurricanes Katrina, Harvey, Irma, and Maria, highlight the value of enacting a zone-phased approach to evacuation and shelter-in-place, enabling jurisdictions to move as few people as necessary. Sheltering-in-place populations that are not directly in harm’s way, rather than having them evacuate, helps jurisdictions reduce costs, resource requirements, and the negative impacts of evacuations, while promoting improved response and quicker re-entry and recovery.
The 2019 National Threat and Hazard Identification and Risk Assessment (THIRA): Overview and Methodology provides an in-depth description of the Federal Emergency Management Agency’s (FEMA) approach to completing a national-level risk assessment. The intended audience is emergency management officials engaged in risk assessment at the community and federal levels, as well as other practitioners in the private sector or academia.
This bulletin focuses on mental health and substance use issues and conditions in children and youth after human-caused disasters, such as oil spills, radiation disasters, public health emergencies, incidents of mass violence, and terrorism.
This document contains planning considerations that emergency medical services (EMS) medical directors, EMS systems planners, and hospital emergency planners should review when developing mass casualty incident plans and training programs. The focus of this paper is specifically designed to educate emergency planners on the key distinctions of no-notice, dynamic incident scenes with exceedingly large numbers of patients.
In response to the acts of targeted violence occurring in the United States, the U.S. Secret Service National Threat Assessment Center (NTAC) has published this research report. The study was conducted for the specific purpose of identifying key information that will enhance efforts to prevent these types of attacks, building on the findings identified in its 2017 report.
This document and accompanying video provides actionable guidance, sample text for a radiological dispersal device (RDD) response protocol, and annexed tools that can be used for local planning of an effective response to an RDD to protect first responders and the general public, and establish interagency coordination and integration of state and federal assets.
The Department of Defense contributes to overall U.S. health security through programs specifically aimed at countering biological threats from all sources. Public health activities are coordinated with civilian counterparts at home and abroad and through research and development of medical countermeasures aimed at protecting U.S. forces against health risks throughout the world. This report covers current capabilities and recommendations for the future.
Mass casualty incident (MCI) response is a critical focus area for the Greater New York Hospital Association (GNYHA) and its member hospitals. Over the past several years, GNYHA has led collaborative planning efforts related to MCI response in coordination with government response agencies and the health care community, resulting in the development of new communication protocols and structures, and targeted training and programming.