Resources for the Puerto Rico earthquakes:
- HHS Secretary Azar Declares Public Health Emergency for Puerto Rico Following Earthquakes and announces flexibilities for CMS (Centers for Medicare & Medicaid) beneficiaries.
- CMS will continue to work with all geographic areas impacted by recent earthquakes. We encourage beneficiaries and providers of healthcare services that have been impacted to seek help by visiting CMS’ emergency webpage (www.cms.gov/emergency).
- Visit the HHS Office for Civil Rights for more information on HIPAA and Emergency Preparedness and Response.
- HHS’s Office for Civil Rights led efforts by the HHS Language Access Steering Committee to develop a plain language checklist - PDF to help first responders provide services during emergency response and recovery in accordance with federal civil rights laws. The checklist includes recommendations, specific action steps, and resources to assist first responders in providing on-the-ground language assistance and communicating effectively in disasters.
- HHS’ U.S. Food and Drug Administration (FDA) is also actively responding to the situation in Puerto Rico. The agency has made outreach to its Puerto Rico office and is receiving the latest updates on the status of the FDA’s staff, facilities, and regulated industry. At this time, the FDA has not become aware of any potential shortages of critical medical products. The FDA will continue to be in communication with its staff as well as regulated industry on the island.
- Information on disaster health and HHS actions is available on www.phe.gov/emergency.
Resources for people affected by California fires and power outages:
Crisis Counseling--Disaster Distress Helpline provides 24/7, 365-day-a-year crisis counseling and support to people experiencing emotional distress related to natural or human-caused disasters. Call 1-800-985-5990 or text TalkWithUs to 66746 to connect with a trained crisis counselor.
Services for Older Adults--The California Department of Aging contracts with and provides leadership and direction to Area Agencies on Aging (AAA) that coordinate a wide array of services to older adults and adults with disabilities. You can locate an AAA in your area by calling 1-800-510-2020; TTY 1-800-735-2929 or visit the website at: http://www.aging.ca.gov/ProgramsProviders/AAA/AAA_Listing.aspx.
- Services for People with Disabilities--The California Department of Rehabilitation partners with a statewide network of Independent Living Centers (ILC) which provide services for people with disabilities. ILCs provide information and referral, peer counseling and support, individualized advocacy, and during emergency events can coordinate emergency preparedness, emergency assistive technology, and transition from temporary shelter. You can locate your local ILC on the Independent Living Center Directory at https://dor.ca.gov/Home/IndependentLiving or on the ILC Locator at http://cfilc.org/find-ilc/
- In-Home Support Services--Recipients of In-Home Supportive Services (IHHS) may receive services from their provider (or from another enrolled provider) even if evacuated from their primary residence. Recipients and providers of In-Home Supportive Services with questions regarding services impacted by a disaster should contact your county IHSS worker. For a list of county IHSS offices visit the website at: http://www.cdss.ca.gov/inforesources/County-IHSS-Offices.
- California Wildfire Emergency Alerts
- Public Safety Power Shutoffs-Resource Guide
- Additional national response and recovery resources
General Emergency Preparation Resources
During a weather incident or natural disaster, be sure to follow local news and weather reports, as well as state and local government guidance.
These resources also may be helpful.
- Ready.gov Hurricane Preparedness Tips
- National Hurricane Center
- Hurricane and Emergency Preparedness Resources – Federal, FEMA, Spanish & States in Southeast Region. The Southeast ADA Center is available to answer ADA-related questions and provide any other information and referrals.
Emergency Preparedness for Older Adults and People with Disabilities
Disasters, man-made or natural, can happen at anytime, anywhere, and vary in magnitude. Older adults and people with disabilities often have unique needs during a crisis. For example, approximately half of those over age 65 have two or more chronic health problems, such as heart disease, diabetes, or Alzheimer’s disease. These conditions increase a person’s vulnerability during periods of time without food, water, shelter, and adequate rest. People with disabilities may also have a wider variety of functional limitations, sometimes requiring more supports, many of which are often in short supply during a crisis event. It is critical that individuals, service providers, and communities actively engage in emergency planning.
Each person has a responsibility to prepare for potential crisis and make a plan for how to respond. Providers of long-term services and supports must train staff in all emergency actions (evacuation, lock-down, shelter-in-place). Community leaders and first-responders must be prepared to support the health and safety needs of older adults and people with disabilities, engage these populations in the planning process, and—to the maximum extent possible—provide services and supports in integrated Functional Needs Support Shelters.
The only way to ensure the well-being of older adults and people with disabilities during a crisis is through a “whole-community” approach to preparedness.
- Individual Preparedness: Best Practices and and Resources
Older adults, people with disabilities, and caregivers can take steps to prepare for emergencies. The majority of older adults and people with disabilities live in the community. Many live alone, but require long-term services and supports in order to reside in the community. Without the appropriate contingency plans, mobility limitations, the need for battery or electrically powered medical devices or durable medical equipment, or other functional considerations could negatively impact a person during a crisis. However, by examining each person’s unique needs, it is possible to create person-centered plans that accommodate these needs and maximize independence.
At a minimum, each individual (with the assistance of his or her caregiver, if necessary) should create a kit of emergency necessities. This should include medication, food, water, batteries or chargers, and any supplies that pets or service animals may need. It also should include the locations of the nearest Functional Needs Support Shelter (if available).
ACL has created two tools that also are an important part of any emergency kit. This Medical Information Card captures important information that could be needed by emergency responders and medical personnel during a crisis situation. The Communication Assistance Card is a tool to help first responders assist a person whose disability may make it difficult for them to communicate their needs.
Individuals should also talk to friends, family, and neighbors to create a support network that can help with communication, transportation, and essential care during periods of time when other community-based services and supports are not available.
SAMHSA Disaster Distress Hotline (1-800-985-5990)
Rx Open helps patients find nearby open pharmacies in areas impacted by disaster. Combining multiple data feeds from the pharmaceutical industry, Rx Open displays the precise location on Google Maps of open pharmacies, closed pharmacies, and those whose status is unknown. This critical information assists government officials in assessing an emergency's impact on public health in a disaster area.
- Service Provider Preparedness: Best Practices and Resources
Hospitals, nursing homes, and other providers of long-term services and supports face unique obstacles during a crisis. They are frequently called upon to provide leadership during and after a disaster. And they must make response plans for the safety of their service recipients and staff, during an emergency. Those plans must include well-tested transportation procedures should an evacuation become necessary.
It is essential that all staff members know their roles and responsibilities in the service provider’s emergency response plans—especially during an evacuation. Emergency management plans should be reviewed and tested on a regular basis to build in redundancies, identify gaps, and develop strategies to mitigate any shortcomings.
Many types of providers are required to develop emergency response plan standards for licensure or certification. In addition to these requirements, collaboration with other agencies and participation in community-wide drills and exercises can further ensure that the service provider’s emergency plans are integrated with response efforts at all levels. It is also important to ensure that backup power generators are available and in working order, transportation plans are in place for evacuation, and that policies are in place for emergency communications with relatives of care recipients.
"Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness”, Office of the Assistant Secretary for Preparedness and Response (ASPR), Hospital Preparedness Program (HPP), January 2012
- Community Preparedness: Best Practices and Resources
Older adults and people with disabilities are frequently overlooked during the disaster planning, response, and recovery process. Emergency management planning must integrate older adults and people with disabilities of all ages—and their caregivers—into every aspect of community emergency planning, response, and recovery. They should also be included in plan development through public meetings and efforts should be undertaken to hold meetings close to public transportation and at hours when public transportation is in service. Shelters should be surveyed and supplies should be obtained to ensure that they are accessible to older adults, as well as people with disabilities and functional supports needs.
In order to do this, it is critical that officials take a “whole-community” approach when considering the needs of older adults and people with disabilities during and after a crisis. Key players include hospitals, local providers of long-term services and supports, the Area Agencies on Aging, the Centers for Independent Living, Protection & Advocacy organizations, Developmental Disability Councils, Long-Term Care Ombudsman programs, and the Aging and Disability Resource Centers. These organizations should be included in the coordination, planning, and executing of joint exercises with state and local law enforcement and first responders to increase the likelihood that all community members will be considered and protected during an emergency.
On November 15, 2018, ACL's Administration on Disabilities hosted a webinar on emergency preparedness. The webinar defined and explained federal, state and local roles and responsibilities in disasters and public health emergencies; provided a summary of guidance and frameworks used at all levels for planning and coordination; and shared best practices and examples of effective coordination with community-based organizations to address the health and well-being of people with disabilities in disasters. A recording, transcript (PDF), and slides from the webinar are now available.
HHS emPOWER provides data from Medicare claims data on people who are electric-dependent. This is a helpful tool to use in planning for and addressing power needs during an emergency.
HHS NowTrending tracks current emergency situations to help with response.
Communicating in a Crisis: Risk Communication Guidelines for Public Officials--The guide provides public officials as well as others involved in disaster and emergency communications with information about effective communication, working with the media, using social media, and addressing errors and controlling rumors
- Community-Based Organization Preparedness
Ready Resources Provided in Both English and Spanish
Prepare with the new toolkits and videos.
Organizations and their staff face a variety of hazards. The Ready Business program helps organizations plan for these hazards.
The Ready Business Toolkit series includes hazard-specific versions. The following versions include step-by-step guides in English and Spanish to build preparedness within an organization.
- Earthquake “QuakeSmart” Toolkit
- Hurricane Toolkit
- Inland Flooding Toolkit
- Power Outage Toolkit
- Severe Wind/Tornado Toolkit
The Ready Business videos, available in English and Spanish, briefly explain several key parts of getting ready, such as:
- Staff/Employee Management;
- Physical Surroundings;
- Physical Space;
- Building Construction;
- Systems; and
- Community Service.
Download and view these new resources at www.ready.gov/business.
Emergencies can also harm IT systems. Ready.gov has an IT Disaster Recovery Plan resource.
Materials for National Preparedness Month
To help educate older adults, people with disabilities, community-based organizations and others about emergency preparation, ACL created some materials with tips on readiness. These are free to download and available to the public for use.
- Social Media Graphics
- Emergency Preparedness Poster
- Medical information card
This downloadable medical information card captures important information that could be needed by emergency responders and medical personnel during a crisis situation. Downloadable here.
- Communication Assistance Card
The Communication Assistance Card is a tool to help first responders assist a person whose disability may make it difficult for them to communicate their needs. Download here.
More resources about emergency preparedness are available at Ready.gov.