Resources for consumers and healthcare providers related to infection prevention in emergency situations.  

HEALTHCARE PROVIDERS

SHEA/CDC Outbreak Response Training Program (ORTP): free and open to the public, cleared by CDC

  • Tool Kits: disaster-specific infection prevention recommendations, worksheets, checklists, and guides for healthcare epi and infection prevention

  • Fillable and printable worksheets from the healthcare epi/IP’s role to media responses

  • Contact and resource lists 

  • Media messaging

  • Fillable worksheet

  • Decision Simulation - Flooding and Infection Prevention: test your disaster response decisions and get immediate feedback on whether your choices kept patients and healthcare workers safe. If you’ve taken this sim, we encourage you to take it again as a refresher and share it with colleagues. 20-30 minutes simulation with downloadable resources.

  • The SHEA/CDC ORTP is a comprehensive set of free resources for healthcare epidemiologists, infection preventionists, and others. One-stop, expert-curated resource to help you stop an outbreak and respond effectively.

HHS/ASPR: Technical Resources, Assistance Center, and Information Exchange (TRACIE)

Quick access to resources for healthcare and emergency management professionals for preparedness, response, recovery, and mitigations efforts

 

IDSA: Hurricane response
Disaster response and infection prevention efforts. Links for volunteer opportunities for medical professionals seeking to assist with response efforts.

APIC: Hurricane and flooding resources
Hurricane Harvey disaster response and infection prevention efforts

CDC: Infectious disease after a disaster
Specific infectious diseases risks from floods and standing water

CDC: Guidelines for the management of acute diarrhea after a disaster
Evaluation and treatment of patients presenting with acute diarrhea

CDC: Emergency Wound Management for Healthcare Professionals
Guidance for healthcare providers about wound management following a natural disaster to prevent further medical problems

CDC: Tuberculosis Control Activities Before and After Hurricane Sandy — Northeast and Mid-Atlantic States, 2012
To ascertain the operational abilities of state and local TB programs during and after Hurricane Sandy and to determine whether lessons learned from a previous hurricane were effective in ensuring continuity of TB patient care, CDC interviewed staff members at all of the affected state and city TB control programs, including those in areas with power outages and flooded streets, tunnels, and subway lines

WHO: Management of Dead Bodies in Disaster Situations
A manual to assist those responsible for dealing with mass casualties during a major disaster

STATE EMERGENCY MANAGEMENT

North Carolina Department of Public Safety

Hurricane Florence resources for North Carolina residents

South Carolina Emergency Management Division

Hurricane Florence resources for South Carolina residents

Virginia Department of Emergency Management

Landing page for all links related to Hurricane Florence resources and updates

SHELTERS

APIC: Infection Prevention and Control for Shelters During Disasters
Recommendations from APIC to reduce the risk of transmitting communicable diseases in shelters

SHEA: Patient and Family Guides for Family-Centered Residential Facilities
Guidance for volunteers, patients, and family members staying in residential facilities to prevent the transmission of infections. Created in partnership with Ronald McDonald Houses, practical infection prevention guides and worksheets for shared living spaces.

INDIVIDUALS AND FAMILIES

CDC: Preparing for a Hurricane or Tropical Storm

 

CDC All-Hazards Preparedness Guide (https://www.cdc.gov/phpr/documents/AHPG_FINAL_March_2013.pdf)

Specific steps with fillable information for individuals and families to follow before, during, and after flood, hurricane, landslide/mudslide, tornado, biohazard, or other disaster.

CDC: Precautions When Returning to Your Home
Infection risk may increase because of decreased sanitation or overcrowding among displaced persons

CDC: Emergency Preparedness and Response
CDC’s main portal for individuals preparing for a disaster.

CDC: Hygiene after a Disaster or Emergency
Hand hygiene, bathing, dental hygiene, and wound care following a major flood event

APIC: Infection Prevention Tips for Flood and Hurricane Season
Advice to reduce the risk of infection during floods and hurricanes

CDC: Flood water after a disaster or emergency
Health and infectious disease risks following a major flood event

CDC: Emergency Wound Care After a Natural Disaster
Information for consumers about how to prevent infections while treating wounds following a natural disaster

National Voluntary Organizations Active in Disaster
Directory of trusted voluntary organizations that respond to natural disasters

LITERATURE

The following articles, related to the topic of infection prevention during natural disasters, have not been reviewed or evaluated by SHEA. These articles were submitted by SHEA members to assist in facilities’ preparedness and policy development efforts.

Pew Charitable Trusts: Analysis – Hurricane Recovery: How States Step Up to Help
How states collaborate to assist with a response to a national disaster

PPT: Post-Katrina, Pre-Deployment Medical Intelligence Presentation developed by Marcel J. Casavant, MD, FACEP, FACMT of the Central Ohio Poison Center. Lessons learned from post-Hurricane Katrina experiences with land and flood hazards.

Apisarnthanarak, A., Mundy, L., Khawcharoenporn, T., & Mayhall, C. (2013). Hospital Infection Prevention and Control Issues Relevant to Extensive Floods. Infection Control & Hospital Epidemiology, 34(2), 200-206. doi:10.1086/669094

Apisarnthanarak, A., Warren, D. K., & Glen Mayhall, C. (2013). Healthcare-associated infections and their prevention after extensive flooding. Current Opinion in Infectious Diseases, 26(4), 359-365. DOI: 10.1097/QCO.0b013e3283630b1d

Murray KO, Kilborn C, desVignes-Kendrick M, et al. Emerging Disease Syndromic Surveillance for Hurricane Katrina Evacuees Seeking Shelter in Houston’s Astrodome and Reliant Park Complex. Public Health Reports. 2009;124(3):364-371.

Todd, Betsy. “Emerging Infections.” The American Journal of Nursing, vol. 106, no. 3, 2006, pp. 29–31. JSTOR, www.jstor.org/stable/29744354.

Rodent-borne infectious disease outbreaks after flooding disasters: Epidemiology, management, and prevention. Diaz JH. J Emerg Manag. 2015 Sep-Oct;13(5):459-67. doi: 10.5055/jem.2015.0255. Review.

The Infectious and Noninfectious Dermatological Consequences of Flooding: A Field Manual for the Responding Provider. Bandino JP, Hang A, Norton SA. Am J Clin Dermatol. 2015 Oct;16(5):399-424. doi: 10.1007/s40257-015-0138-4. Review.

Infectious diseases of severe weather-related and flood-related natural disasters. Ivers LC, Ryan ET. Curr Opin Infect Dis. 2006 Oct;19(5):408-14. Review.