By Birkhoff G., Wigner E. (eds.)
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It is exceedingly difficult to determine if a missing family member has perished or has been transported to a different area. At least 500 children are separated from parents. No current national system is capable of handling and tracking down displaced persons and reuniting families even though the National Commission on Children and Disasters recommended in 2010 that the Department of Homeland Security lead the development of a nationwide information technology capability to collect, share, and search data from any patient and evacuee tracking or family reunification system (National Commission on Children and Disasters, 2010) and other efforts in the private sector are ongoing.
The National Ambulance Contract, which can provide 300 ambulances, 25 air ambulances, and paratransit for 3,500 people to support mass evacuations, has been activated several times since its inception in 2007, supplementing emergency medical transport resources during hurricanes Dean, Gustav, Ike, and Irene and the presidential inauguration in 2009 (AMR, 2011). However, it is important to note its resources are limited. , 2012). Discussants thought that lack of training and education in this area also contributed to the unwillingness and atypical fear of responders to get involved.
While admitting that the list of planning activities may be overwhelming, Redlener encouraged communities to engage in discussions. Such discussions should include not only public health but also health care, emergency management, hazmat, sanitation, transportation, and other community-based services. Several participants in the discussion session following his presentation stressed the importance of developing high-level political support for detailed planning activities. Considering planners’ competing priorities, the magnitude of the task, the diversity of players providing services, the extreme resource needs, and the uncharted terrain, Redlener said in addition to simply providing guidance, high level political support is needed to put IND planning on the radar of outlying communities throughout the country.