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Assessing Radiation Emergency Preparedness Planning by Using Community Assessment for Public Health Emergency Response (CASPER) Methodology

Published online by Cambridge University Press:  06 June 2014

Mawuli K. Nyaku Open the ORCID record for Mawuli K. Nyaku [Opens in a new window] ,
Amy F. Wolkin ,
Jevon McFadden ,
Jim Collins ,
Michelle Murti ,
Amy Schnall ,
Shane Bies ,
Martha Stanbury ,
Jennifer Beggs  and
Tesfaye M. Bayleyegn
Mawuli K. Nyaku*
Affiliation:
Epidemic Intelligence Service assigned to the Michigan Department of Community Health, Centers for Disease Control and Prevention, Atlanta, GeorgiaUSA
Amy F. Wolkin
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, GeorgiaUSA
Jevon McFadden
Affiliation:
Career Epidemiology Field Officer Program, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Assigned to the Michigan Department of Community Health, Lansing, MichiganUSA
Jim Collins
Affiliation:
Michigan Department of Community Health, Lansing, MichiganUSA
Michelle Murti
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, GeorgiaUSA
Amy Schnall
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, GeorgiaUSA
Shane Bies
Affiliation:
Oakland County Health Division, Pontiac, MichiganUSA
Martha Stanbury
Affiliation:
Michigan Department of Community Health, Lansing, MichiganUSA
Jennifer Beggs
Affiliation:
Michigan Department of Community Health, Lansing, MichiganUSA
Tesfaye M. Bayleyegn
Affiliation:
National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Chamblee, GeorgiaUSA
*
Correspondence: Mawuli K. Nyaku, DrPH, MPH CDC Epidemic Intelligence Service Michigan Department of Community Health 201 Townsend Street, 5th Floor Lansing, MI 48913 USA E-mail vjh7@cdc.gov
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Abstract

Introduction

Approximately 1.2 million persons in Oakland County, Michigan (USA) reside less than 50 miles from the Fermi Nuclear Power Plant, Unit 2, but information is limited regarding how residents might react during a radiation emergency. Community Assessment for Public Health Emergency Response (CASPER) survey methodology has been used in disaster and nondisaster settings to collect reliable and accurate population-based public health information, but it has not been used to assess household-level emergency preparedness for a radiation emergency. To improve emergency preparedness plans in Oakland County, including how residents might respond during a radiation emergency, Oakland County Health Division (OCHD), with assistance from the Centers for Disease Control and Prevention (CDC) and the Michigan Department of Community Health (MDCH), conducted a CASPER survey.

Methods

During September 2012, a 2-stage cluster sampling design was used to select 210 representative households in Oakland County. By using in-person surveys, the proportion of households with essential needs and supplies, how residents might respond to public health authorities’ instructions, and their main source for obtaining information during a radiation emergency were assessed. Data were weighted to account for the complex sampling design.

Results

Of the goal of 210 households, 192 (91.4%) surveys were completed: 64.7% and 85.4% of respondents indicated having 3-day supplies of water and of nonperishable food, respectively; 62.8% had a 7-day supply of prescription medication for each person who needed it. Additionally, 64.2% had a working carbon monoxide detector; 67.1% had a first-aid kit; and 52% had an alternative heat source. In response to instructions from public health officials during a radiation emergency, 93.3% of all respondents would report to a radiation screening center; 96% would evacuate; and 91.8% would shelter-in-place. During a radiation emergency, 55.8% of respondents indicated their main information source would be television, 18.4% radio, and 13.6% the Internet. The most trusted source for information would be the local public health department (36.5%), local news (23%), a physician (11.2%), and family members (11.1%). Including completed and incomplete interviews, refusals, and nonrespondents, 517 total households were contacted.

Conclusions

CASPER data regarding how residents might react during a radiation emergency provided objective and quantifiable information that will be used to develop Oakland County's radiation emergency preparedness plans. Survey information demonstrates the feasibility and usefulness of CASPER methodology for radiation emergency preparedness planning.

NyakuMK, WolkinAF, McFaddenJ, CollinsJ, MurtiM, SchnallA, BiesS, StanburyM, BeggsJ, BayleyegnTM. Assessing Radiation Emergency Preparedness Planning by Using Community Assessment for Public Health Emergency Response (CASPER) Methodology. Prehosp Disaster Med. 2014;29(3):1-9.

Keywords

CASPERdisaster planninghealth surveysneeds assessmentradiation emergency
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 3 , June 2014 , pp. 262 - 269
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Steiger, SM, Hamilton, R, Keeler, J, Orville, RE. Lake-effect thunderstorms in the lower Great Lakes. Journal of Applied Meteorology and Climatology. 2009;48(5):889-902.Google Scholar
2. Fitzgerald, J, Wollner, SB, Adalja, AA, Morhard, R, Cicero, A, Inglesby, TV. After Fukushima: managing the consequences of a radiological release. Biosecur Bioterror. 2012;10(2):228-236.Google Scholar
3. International Atomic Energy Agency. What is a radiological emergency? http://www-ns.iaea.org/tech-areas/emergency/iec/frg/what-is-a-rad-emergency.asp.2012. Accessed May 22, 2013.Google Scholar
4. Michigan Department of Community Health and Office of Public Health Preparedness. Public Health & Medical Preparedness: a decade of achievement in Michigan. http://www.michigan.gov/documents/mdch/Commemorative_Brochure_Final2_362709_7.pdf. Accessed July 17, 2013.Google Scholar
5. Department of Health and Human Services, Centers for Disease Control and Prevention. Community Assessment for Public Health Emergency Response (CASPER) Toolkit. http://www.bt.cdc.gov/disasters/surveillance/pdf/CASPER_toolkit_508%20COMPLIANT.pdf. Accessed July 17, 2013.Google Scholar
6. Slovic, P. Perception of risk from radiation. Rad Prot Dosimetry. 1996;68(3-4):165-180.Google Scholar
7. Onishi N, Fackler M. Japan Held Nuclear Data, Leaving Evacuees in Peril. http://www.nytimes.com/2011/08/09/world/asia/09japan.html?pagewanted=all&_r=0. Accessed July 17, 2013.Google Scholar
8. Henderson, RH, Sundaresan, T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bull World Health Organ. 1982;60(2):253-260.Google Scholar
9. Malilay, J, Flanders, WD, Brogan, D. A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organ. 1996;74(4):399-405.Google ScholarPubMed
10. Centers for Disease Control and Prevention. Assessment of household preparedness through training exercises-two metropolitan counties, Tennessee, 2011. MMWR Morb Mortal Wkly Rep. 2012;61(36):720-722.Google Scholar
11. Buttke, D, Vagi, S, Schnall, A, et al. Community Assessment for Public Health Emergency Response (CASPER) one year following the Gulf Coast oil spill: Alabama and Mississippi, 2011. Prehosp Disaster Med. 2012;27(6):496-502.Google Scholar
12. Choudhary, E, Chen, TH, Martin, C, et al. Public health needs assessments of Tutuila Island, American Samoa, after the 2009 tsunami. Disaster Med Public Health Prep. 2012;6(3):209-216.CrossRefGoogle ScholarPubMed
13. Zane, DF, Bayleyegn, TM, Haywood, TL, et al. Community assessment for public health emergency response following Hurricane Ike-Texas, 25-30 September 2008. Prehosp Disaster Med. 2010;25(6):503-510.CrossRefGoogle ScholarPubMed
14. Horney, J, Davis, MK, Davis, SE, Fleischauer, A. An evaluation of Community Assessment for Public Health Emergency Response (CASPER) in North Carolina, 2003-2010. Prehosp Disaster Med. 2013;28(2):94-98.CrossRefGoogle ScholarPubMed
15. U.S. Department of Commerce. United States Census Bureau, American Fact Finder Website. http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t. Accessed August 6, 2013.Google Scholar
16. Levac, J, Toal-Sullivan, D, O'Sullivan, TL. Household emergency preparedness: a literature review. J Community Health. 2012;37(3):725-733.Google Scholar
17. Paek, HJ, Hilyard, K, Freimuth, V, Barge, JK, Mindlin, M. Theory-based approaches to understanding public emergency preparedness: implications for effective health and risk communication. J Health Commun. 2010;15(4):428-444.CrossRefGoogle ScholarPubMed
18. US Department of Homeland Security. Target capabilities list. A companion to the National Preparedness Guidelines. http://www.fema.gov/pdf/government/training/tcl.pdf. Accessed July 17, 2013.Google Scholar
19. Zwolinski, LR, Stanbury, M, Manente, S. Nuclear power plant emergency preparedness: results from an evaluation of Michigan's potassium iodide distribution program. Disaster Med Public Health Prep. 2012;6(3):263-269.Google Scholar
20. Federal Emergency Management Agency. Build a kit. http://www.ready.gov/build-a-kit. Accessed July 17, 2013.Google Scholar
21. Centers for Disease Control and Prevention. Rapid health needs assessment following Hurricane Andrew-Florida and Louisiana, 1992. MMWR Morb Mortal Wkly Rep. 1992;41(37):685-688.Google Scholar
22. Kennedy, G, Richards, M, Chicarelli, M, Ernst, A, Harrell, A, Stites, D. Disaster mitigation: initial response. South Med J. 2013;106(1):13-16.CrossRefGoogle ScholarPubMed
23. Ablah, E, Konda, K, Kelley, CL. Factors predicting individual emergency preparedness: a multi-state analysis of 2006 BRFSS data. Biosecur Bioterror. 2009;7(3):317-330.Google Scholar
24. Morton, M, Levy, JL. Challenges in disaster data collection during recent disasters. Prehosp Disaster Med. 2011;26(3):196-201.Google Scholar
25. Perry, RW, Lindell, MK. Preparedness for emergency response: guidelines for the emergency planning process. Disasters. 2003;27(4):336-350.Google Scholar
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