Current policies aim to promote and develop community-based support of disabled elderly persons, yet knowledge of the cost implications is insufficient. Thus, we aimed to estimate, for three disability profiles and three presence levels of the main informal carer (none, non-cohabitant, cohabitant), the cost of formal and informal support currently provided at home in Belgium. In this cross-sectional study, a sample of 5,642 disabled elderly persons living at home was established between 2010 and 2016. The administrative database of the Belgian public healthcare insurance was merged with other prospective data on social care service utilisation, informal care and disability. The total cost of formal support ranged from €725 to €1,344 (on average, per person, per month), depending on the three disability profiles identified. Twenty-five per cent of persons with the highest level of disability (important functional limitations and cognitive impairment) and helped by a cohabitant carer, had a low total cost of formal support: below €382 per month. Informal care represented the main cost component of total support costs in the three disability profiles (between 64 and 76%). To prevent the worsening of situations of disabled older persons and their informal carers, better detection of seriously disabled persons with low levels of formal support is crucial.

Vulnerable populations tend to have the worst health outcomes during and after disasters; however, these populations are rarely included in the emergency planning process. In Philadelphia, the Department of Public Health and the Office of Emergency Management have reached out to community-based organizations that serve vulnerable populations to include these key stakeholders in emergency planning. In this article, we outline strategies for locating, engaging, and communicating with vulnerable populations about both organizational and personal emergency preparedness. Such strategies include creating a method for bidirectional communication via a free quarterly health newsletter that is distributed to community-based organizations serving vulnerable populations. We also note successes and next steps from engaging vulnerable populations in the planning process in Philadelphia.

(Disaster Med Public Health Preparedness. 2010;4:246-251)

Realisations and concepts are presented on the control of the MANUS wheelchair-mounted telemanipulator arm by severely disabled persons with few residual functions. Functional aspects are stressed as a basis for technical implementations, with special attention to the ergonomics of interactive control of the manipulator-wheelchair system in unstructured human environments. Adaptability of the control is accentuated, both with respect to abilities and impairments of the individual user and with respect to characteristics of the environment and the task to be executed. Some methods to improve adaptability are discussed, and the need for standard interfacing methods is underlined. Control configurations in actual daily use by persons with different severe disabilities are presented in some detail. A first implementation of integrated chin joystick control of MANUS manipulator and electric wheelchair, in daily use by a person with a C4/C5 spinal cord lesion, is reported as an example.