CHW EM - Module 2 - SVI Video

Summary

This presentation by Jennifer Harris, a public health doctorate student, focuses on emergency preparedness and management for community health workers. It explores the Social Vulnerability Index (SVI), a tool developed by the CDC to assess community vulnerability based on factors like socioeconomic status, household characteristics, racial demographics, and housing. The presentation highlights how SVI helps plan for emergency resources, personnel, and recovery efforts. Using examples from Hurricane Katrina and data from Illinois counties, it underscores the importance of inclusive, community-based planning for effective disaster management, especially for vulnerable populations.

Takeaways

• 🌪️ The presentation is part of a module series on emergency preparedness and management for community health workers, focusing on social vulnerability indices (SVI) for the state of Illinois.
• 📊 The Social Vulnerability Index (SVI) is a CDC tool used to assess a community’s social conditions like poverty, vehicle access, and housing to evaluate vulnerability during disasters.
• 🏚️ SVI helps communities plan for emergency preparedness, estimating the need for supplies, personnel, shelter beds, and evacuation strategies, especially for vulnerable populations.
• 🚗 The SVI focuses on four main categories: socioeconomic status, household characteristics, racial/ethnic minority status, and housing/transportation.
• 🗺️ Illinois’ SVI distribution shows varied vulnerability across its 102 counties, with some areas highly vulnerable and others well-prepared. Preparedness needs to be individualized by county.
• 🔍 The CDC’s interactive map allows users to explore SVI data by state and county to better understand local vulnerability and preparedness needs.
• 🏘️ The World Institute on Disabilities created an emergency planning toolkit, emphasizing inclusion in preparedness, ensuring equal access, effective communication, and program modifications for people with disabilities.
• 🔑 Community resilience, identifying needs in advance, conducting wellness checks, and ensuring inclusive communication are key elements of the toolkit's all-hazards approach.
• 👩‍💻 The toolkit stresses the importance of addressing the needs of disabled individuals in disaster management, ensuring resources like housing, medical equipment, and communication methods are accessible.
• 📈 Combining SVI data with hazard vulnerability assessments helps community health workers create personalized preparedness plans, ensuring all populations are better supported in emergencies.

Q & A

What is the focus of Module 2 in this presentation?

Module 2 focuses on social vulnerability indices (SVI) for the state of Illinois and different counties within the state, with a particular emphasis on how these indices affect emergency preparedness and management for community health workers.

What is the Social Vulnerability Index (SVI) according to the CDC?

The Social Vulnerability Index (SVI) is a tool created by the CDC that measures the degree to which a community exhibits certain social conditions, such as high poverty, low vehicle access, and crowded households, which may affect its ability to prevent human suffering and financial loss in a disaster.

How can the SVI be used in emergency preparedness?

The SVI can help communities in emergency preparedness by identifying areas that need more planning, estimating the type and amount of supplies needed (like food, water, and shelter), and determining how many emergency personnel and resources are necessary to assist vulnerable populations.

What four categories are used in the SVI to assess social vulnerability?

The four categories used in the SVI to assess social vulnerability are: 1) socioeconomic status, 2) household characteristics, 3) racial and ethnic minority status, and 4) housing type and transportation.

How is the SVI score interpreted on a scale of 0 to 1?

An SVI score of 0 indicates low vulnerability, meaning the community is well-prepared with many resources. A score of 1 indicates high vulnerability, meaning the community has fewer resources and a higher concentration of social vulnerability factors.

What does the distribution of the SVI scores across Illinois counties suggest?

The distribution of SVI scores across Illinois counties is fairly even, making it difficult to apply a broad emergency preparedness plan across the entire state. Instead, emergency preparedness needs to be tailored to individual counties based on their specific vulnerabilities.

Which areas of Illinois show high social vulnerability according to the SVI maps?

Southern Illinois and parts of the Chicago region show high social vulnerability based on the SVI maps, particularly in socioeconomic status and household characteristics.

What role do community health workers play in emergency preparedness and recovery?

Community health workers play a crucial role in emergency preparedness and recovery by understanding the unique needs of their clients and communities, ensuring proper planning, and advocating for inclusive recovery efforts, particularly for vulnerable populations.

What is the World Institute on Disabilities' approach to emergency planning?

The World Institute on Disabilities advocates for inclusive emergency planning that considers the needs of individuals with disabilities. Their toolkit emphasizes equal access, effective communication, integration, and self-determination in emergency preparedness.

Why is the principle of 'Nothing about us without us' important in emergency preparedness?

'Nothing about us without us' highlights the importance of involving communities, especially those who are vulnerable, in making decisions about their own emergency preparedness. This ensures that plans are inclusive, effective, and consider the specific needs of the populations being served.

Outlines

00:00

👋 Introduction to Emergency Preparedness for Community Health Workers

Jennifer Harris, a doctoral student in public health at the University of Nebraska Medical Center, introduces module 2 of a series on emergency preparedness for community health workers. This module focuses on social vulnerability indices (SVI) for Illinois, following the first module on hazard vulnerability analysis. Jennifer explains the importance of social vulnerability in emergency preparedness, referencing the impacts of Hurricane Katrina as an example of how lack of transportation, housing, and resources can exacerbate vulnerability in natural disasters.

05:00

📊 Understanding the Social Vulnerability Index (SVI)

The CDC's Social Vulnerability Index (SVI) is explained as a tool to assess the degree to which a community is socially vulnerable, considering factors like poverty, access to transportation, and crowded households. Jennifer outlines how this index can aid in emergency planning by identifying resource needs, such as food, water, shelter, and personnel, and ensuring the inclusion of vulnerable populations like the elderly, non-English speakers, and those without transportation. This tool also helps in planning evacuation and post-emergency recovery efforts.

10:02

🌍 Socioeconomic Factors in Emergency Planning

This section provides a deep dive into the CDC’s four main categories used in the SVI: socioeconomic status, household characteristics, racial/ethnic minority status, and housing/transportation. Each category involves multiple factors like poverty levels, unemployment, housing costs, education, and access to health insurance. Jennifer explains how these categories contribute to assessing community vulnerability. Using Illinois as an example, she illustrates how individual counties' vulnerability levels can differ and emphasizes the need for localized emergency preparedness plans.

15:02

🗺️ Illinois's Social Vulnerability Distribution

This section analyzes the distribution of social vulnerability across Illinois, which has 102 counties. Jennifer explains that SVI scores range from 0 (low vulnerability) to 1 (high vulnerability), and Illinois counties are evenly distributed across this range. She highlights that emergency planning must consider the unique vulnerability of each county rather than applying a one-size-fits-all approach at the state level. A map from the CDC's website allows users to visualize the vulnerability of specific counties based on different criteria.

20:08

🏠 Socioeconomic and Household Characteristics Across Illinois

Jennifer provides an overview of Illinois's map, focusing on socioeconomic status and household characteristics. Southern Illinois and areas around Chicago show higher vulnerability due to factors like poverty, household burden, and lack of health insurance. Household characteristics such as single-parent households, aging populations, and multigenerational families are shown to contribute to higher vulnerability in certain areas of the state. The analysis emphasizes the importance of considering these factors in emergency preparedness.

👥 Racial and Ethnic Minority Vulnerability

This section delves into the racial and ethnic minority status across Illinois. Using census data, the CDC examines the demographic composition of each county. Counties in Northern Illinois, including Chicago, show a higher population of racial and ethnic minorities, making them more socially vulnerable. Jennifer underscores the importance of addressing the specific needs of minority populations in emergency management planning to reduce their vulnerability during disasters.

🏠 Housing and Transportation Challenges in Illinois

Jennifer discusses housing types and transportation in Illinois, noting the wide distribution of vulnerability across the state. Factors like mobile homes, group homes, and the ratio of renters to homeowners are examined. These factors are critical in disaster situations such as floods, tornadoes, or extreme temperatures, highlighting the importance of accessible housing and transportation in emergency preparedness. She also encourages the use of the CDC's interactive map for further exploration.

📉 Drilling Down into County-Level Vulnerability: Jefferson County

Focusing on Jefferson County in Southern Illinois, Jennifer demonstrates how to use the CDC’s tools to assess vulnerability at the county level. With an SVI score of 0.96 (high vulnerability), she explains the specific factors contributing to this score, including socioeconomic status, household characteristics, racial/ethnic minority status, and housing/transportation. This county-level analysis illustrates how emergency preparedness can be tailored to meet local needs effectively.

🧰 The World Institute on Disabilities Toolkit

Jennifer introduces the World Institute on Disabilities' toolkit, which offers a comprehensive approach to emergency preparedness for individuals with disabilities. While the toolkit is aimed at people with disabilities, Jennifer highlights that its principles—such as equal access, effective communication, and integration—apply to all populations. The toolkit emphasizes the need for inclusive planning, ensuring that all community members, especially those with disabilities, are considered in disaster preparedness efforts.

📋 Five Key Areas in Disability-Inclusive Emergency Planning

This section outlines the five areas covered by the World Institute on Disabilities toolkit: community resilience, incident management, information management, countermeasures, and surge management. Jennifer explains how community health workers can use these principles to ensure that emergency preparedness plans are inclusive of people with disabilities, with special attention to accessibility, communication, and mental health support during and after disasters.

🏠 Housing and Communication Challenges for People with Disabilities

Jennifer details the appendices of the World Institute on Disabilities toolkit, which provide guidance on post-disaster housing for people with disabilities, inclusive sheltering-in-place, and effective communication. She stresses the importance of using appropriate language and communication methods during emergencies, ensuring that all members of the community, including those with disabilities, understand the instructions and have the necessary resources to stay safe.

💡 Final Thoughts on Social Vulnerability and Emergency Preparedness

In her conclusion, Jennifer reiterates the importance of identifying social vulnerabilities in communities to enhance emergency preparedness. By combining the SVI with hazard vulnerability assessments, community health workers can better understand the specific needs of their communities and help develop tailored emergency plans. She emphasizes that the recovery phase is just as critical as preparedness, and having this information ensures a smoother recovery process for vulnerable populations.

Keywords

💡Social Vulnerability Index (SVI)

The Social Vulnerability Index (SVI) is a tool developed by the CDC to measure a community's capacity to respond to and recover from emergencies based on various social factors such as poverty, vehicle access, and housing conditions. In the video, the SVI is highlighted as a critical element in planning for emergency preparedness, as it helps communities identify which populations are more vulnerable to disasters, ensuring that resources and aid can be appropriately allocated.

💡Hazard Vulnerability Analysis (HVA)

The Hazard Vulnerability Analysis (HVA) is a process that identifies and assesses the potential risks and hazards a community might face. In the video, this concept is introduced in Module 1, and it is emphasized how communities should combine HVA with SVI to create effective emergency preparedness plans tailored to their unique vulnerabilities and risks.

💡Emergency Preparedness

Emergency preparedness refers to the actions taken to ensure communities are ready to handle disasters and emergencies. The video focuses on how social vulnerabilities, such as transportation and housing issues, need to be considered in preparedness plans, as communities with higher vulnerabilities face more challenges in responding to and recovering from disasters.

💡Socioeconomic Status

Socioeconomic status, one of the four categories in the SVI, includes factors such as poverty levels, unemployment rates, and lack of health insurance. The video explains that communities with lower socioeconomic status are more vulnerable in emergencies because they have fewer resources and face more barriers in accessing aid and support.

💡Household Characteristics

Household characteristics, another category in the SVI, refer to factors such as single-parent households, English as a second language, and elderly family members. In the video, these characteristics are shown to contribute to a community's vulnerability during emergencies, as households with these factors may struggle more with evacuation, communication, or accessing necessary resources.

💡Racial and Ethnic Minority Status

This term relates to the racial and ethnic composition of a community, which is considered in the SVI. The video highlights how racial and ethnic minorities often face additional challenges during emergencies due to factors such as language barriers, systemic inequalities, and reduced access to resources, making them more vulnerable in disaster situations.

💡Housing Type and Transportation

Housing type and transportation are critical elements of vulnerability measured in the SVI. The video discusses how factors like mobile homes, group homes, or lack of vehicle access increase a community's risk during emergencies, as these populations may find it more difficult to evacuate or secure shelter, emphasizing the need for targeted planning in these areas.

💡World Institute on Disabilities

The World Institute on Disabilities is an organization that created a toolkit for emergency preparedness for people with disabilities. The video emphasizes the importance of inclusivity in disaster planning, noting that one in four people in the U.S. live with a disability. The toolkit’s principles, such as equal access and effective communication, are critical for ensuring that emergency plans cater to all populations, including those with disabilities.

💡All Hazards Approach

The all hazards approach refers to preparing for a wide range of potential risks, not just specific disasters. In the video, this approach is tied to the Hazard Vulnerability Analysis, encouraging communities to plan for multiple types of emergencies—such as floods, tornadoes, and extreme weather—so that their preparedness efforts are comprehensive and flexible.

💡Community Health Workers (CHWs)

Community health workers are individuals who provide health services and support within their local communities. The video underlines their critical role in emergency preparedness, as CHWs often have deep knowledge of their communities' vulnerabilities, enabling them to advocate for tailored, effective preparedness plans that address the specific needs of the populations they serve.

Highlights

Introduction of Jennifer Harris, a doctorate student in public health at the University of Nebraska, Medical Center, presenting module 2 on emergency preparedness and management for community health workers.

The Social Vulnerability Index (SVI) is a tool by the CDC used to assess community vulnerability in emergency preparedness and response, considering factors like poverty, vehicle access, and crowded households.

Module focuses on the application of the SVI in emergency preparedness, highlighting how it can help estimate the type and amount of supplies needed, including food, water, and emergency shelter.

The presentation emphasizes that social vulnerability played a crucial role in exacerbating the effects of Hurricane Katrina, showcasing how transportation, housing, and resources were significant challenges.

SVI can assist communities in planning for emergency personnel, creating evacuation plans, and identifying populations needing special attention, such as those without transportation or those with language barriers.

The module discusses the four key SVI categories: socioeconomic status, household characteristics, racial and ethnic minority status, and housing type and transportation.

The SVI analysis of Illinois reveals that vulnerability is unevenly distributed, with 23 counties having low vulnerability and 13 counties scoring very high, highlighting the need for localized emergency planning.

Interactive CDC SVI maps allow users to assess vulnerabilities at state, county, or national levels, useful for community health workers to tailor preparedness plans.

Household characteristics like single-parent households and households with non-English speakers are key factors influencing vulnerability.

The module includes a specific example of Jefferson County, Illinois, which has a high vulnerability score of 0.96, emphasizing the need for individualized county-level emergency planning.

The World Institute on Disabilities' Public Health Emergency Planning Toolkit is introduced as a resource to ensure inclusive emergency preparedness for people with disabilities.

The principles of inclusion, such as equal access, effective communication, and self-determination, are critical in ensuring all populations are considered in emergency preparedness.

"Nothing about us without us"—a quote from the toolkit—stresses the importance of involving affected communities in planning their own preparedness strategies.

The module underscores the importance of clear and inclusive communication during emergencies, including accessible formats, interpreters, and appropriate language.

The toolkit also highlights post-disaster wellness checks and shelter-in-place strategies as crucial components of emergency management for vulnerable populations.

Transcripts

hello my name is Jennifer Harris and I

am a current doctorate and public health

student at the University of Nebraska

Medical Center and this presentation is

module 2 on emergency preparedness and

management for community health workers

the first module that we did was on the

hazard vulnerability analysis from the

state of Illinois the second module is

going to be over social vulnerability

indices for the state of Illinois and

different counties within the state we

will also focus on the world Institute

on disabilities public health emergency

planning toolkit

so social vulnerability index or svi is

a tool that the CDC has put out there

and we're going to go through this tool

for this module but first I want to put

a couple of pictures up here to just

illustrate what is social vulnerability

getting at in terms of Emergency

Management and preparedness these are

unfortunately pictures from the

Hurricane Katrina down in the New

Orleans area

and what you can see here is these

individuals were all impacted by social

vulnerability issues that we're going to

talk about there was lack of

Transportation there was lack of housing

there was a flood situation that bound

them to certain geographical areas they

were left without food or water for days

and so I wanted to use these pictures

just to illustrate that it hasn't been

that too far in our history where we

continue to see natural disasters

putting combined with our social

vulnerabilities into very precarious

situations and causing major public

health issues for our patients clients

and our communities that we live

so the definition of the social

vulnerability indices or svi according

to the CDC is the degree to which a

community exhibits certain social

conditions including High poverty low

percentage of vehicle access crowded

households and this may affect the

community's ability to prevent human

suffering and financial loss in the

event of a disaster these factors all

describe a community's social

vulnerability

the social vulnerability index can be

used to do several things in terms of

emergency preparedness and these are

actually very interesting components

that could be combined with what we had

talked about in module one the hazard

vulnerability assessment to take a look

at how a community can be prepared or

what they need to do so these svi tools

that we're going to go through in this

module can help a community look at what

they need to do for planning it can also

help to estimate the type and amount of

supplies that are needed such as food or

water shelter beds in a shelter

it can help decide how many personnel

emergency Personnel are going to be

needed to assist people

emergency shelter needs again how many

individuals and the supplies that go

into that these sbis can help create a

plan to evacuate people accounting for

those that don't have vehicles don't

have transportation maybe they're

elderly and they don't have Mobility

then there are individuals who do not

speak English we need to keep all of

these elements in our forethought when

we're planning for emergency

preparedness in our communities

as well as the support to recover

following an emergency and I think

that's a huge piece for community health

workers as well that we don't talk about

a lot but that recovery piece is

extremely crucial and we will talk about

that later in module three

so to start with the CDC social

vulnerability Index this is an overall

schematic that the CDC has posted so

what they are doing is taking a look at

four criteria socioeconomic status

household characteristics racial and

ethnic minority status and housing type

and transportation those four categories

are what get rolled up into an overall

vulnerability number so we'll take a

look at that but then to drill down on

each one of those four categories you

can see the elements that go into it so

for example socioeconomic status the

exact definition for these are they are

looking at within a County area and then

at a state we can drill down to the

county level but whatever geographic

area we are looking at the socioeconomic

status is looking at who lives below 150

percent of the poverty line how many

individuals are unemployed the housing

cost burden so when you get into urban

city cost of living versus rural

no high school diploma and no health

insurance so those five elements are all

rolled up into the socioeconomic status

and you can see down as we go down the

list here all of the elements that get

into it I have in the next couple of

slides Illinois's actual results and

we'll take a look at that

foreign

this is Illinois's overall social

vulnerability index distribution I know

this looks a little funny but I wanted

to explain it to you because I find it

very interesting what this means is

Illinois has 102 counties within our

state and they are evenly distributed

amongst the svi numbers so zero the SBI

number can go from zero to one zero

means there's very little vulnerability

they're very well prepared they have a

lot of resources a one means that they

are high vulnerability have very few

resources very dense population

with a lot of those social indices that

we just talked about so what is

interesting about this is it is starting

to show you that the state of Illinois

is actually pretty evenly distributed

which makes it difficult then from a

state perspective to say the entire

state is at risk or the entire state is

very well prepared with no issues

what this does is it's starting to show

you we have 23 counties that are between

a zero and a

0.22

vulnerability index which means very low

but as you watch this curve now we've

got 22 22 22 and then we have 13. and

these 13 are at the highest most highest

vulnerability from a 0.88 to a 1.1 which

means extremely vulnerable but what this

does tell us is it's very unique to the

county so I think it's difficult to take

a look at the state of Illinois and just

say broad brush statements and plans in

terms of emergency preparedness and

management for each County it needs to

be individualized

so this is our map of the state of

Illinois and what this is showing you is

the CDC this is their website and this

is their Index this is an interactive

tool that you can go onto their website

and play around with so you can do a

drop down menu here for overall social

vulnerability we will go through each

one of those breakdown categories that

we discussed earlier

but this is the overall

map transparency right here the lighter

color is zero the darker color is a one

or higher so what you can see on the

state of Illinois map here is anywhere

that you see white is indicating that

that county has a very low social

vulnerability indices which means

they're not at tremendous risk or have

unique situations that need to be taken

a look at or populations that are at

risk because of lack of resources where

you start to see the darker blue colors

is where there's a high vulnerability

index and so a lot more needs to be

drilled down onto those and I am going

to show you each of the four categories

according to the state of Illinois map

on the next few slides and at the end

I'm going to pick one County so we can

drill down and you can see what that

looks like too but if you're a community

health worker working in any of these

counties or you're interested this is a

great tool to go out to the website and

click on your county to see how the

demographic information is showing what

the vulnerabilities are

foreign

so for socioeconomic status here these

are the categories that we're taking a

look at and again you can see the wider

color means very little of social

vulnerability indices the darker color

means they're at high vulnerability so

this is that socioeconomic status

poverty line

household burden no health insurance so

again you can start to see that southern

Illinois has a lot of the dark greens up

in the Chicago region and again on our

borders

for household characteristics so this is

taking a look at single parents English

as a second language aging parents that

live multi-generational households so

it's taking a look at that as well the

darker colors show more vulnerability

again you can see that it starts to

congregate a little bit in Southern

Illinois and along the Indiana border

and up towards Northern Illinois as well

towards the Wisconsin and Iowa border

foreign

in terms of racial and ethnic minority

status this is taking a look at the

demographic information on Race by

County if there's two or more race they

look at the Census Data so they're using

pure census data so you can see again

the darker colors there's a high

minority and racial population in the

northern part of the state in Chicago

again in Central Illinois and just a

little bit down towards the St Louis

area

and then for housing type and

transportation this is looking at group

homes mobile homes rent versus own and

again you can see there's quite a

distribution across the state of

Illinois in terms of housing it's a

little bit more scattered not as

congregated in certain regions but this

is important certainly important

information to know about and think

about when we're talking about natural

disasters for example

floods tornadoes cold extreme cold

extreme heat so this is all interesting

information to take a look at if you

have the ability to get access to it it

again is on a web browser it's very easy

from CDC atsdr again this is a very

interactive map where you can switch

between Statewide Nationwide you can

pick your state and you can look at

different map features

this next slide is a perfect example of

drilling down to the county level so I

just picked one County in Southern

Illinois Jefferson and I took some

screenshots here so you could see what

it looks like when you want to drill

down to the individual counties

the Statewide overall SBI score for

Jefferson County is 0.96 so they're

relatively High almost near that one

which is the highest vulnerability in

terms of their social vulnerable

vulnerability index

um and what you can see here is on the

right hand side I listed out each one of

their four categories so socioeconomic

household racial and ethnic and

household and transportation

and I listed what the scores were based

on that criteria for socioeconomic

status they're scoring 0.9 household

characteristics is 0.87 racial and

ethnic is 0.69 and household and

transportation is 0.96 so again all of

those numbers when they are average

together came up to this 0.96 they

weight them and they score them a little

bit differently based on the population

and so you can take a look and see how

that scored again this is great

information just to have and be aware of

especially if you're going to be working

in a newer Community if there's been

changes to your community and you're

interested to see how it's changing over

time these are great great information

to be able to take a look at your social

vulnerabilities and the populations

you're dealing with again as chws I know

this is almost second hand for you you

know your clients you know your patients

um you know the culture the community

so again some of this may just be data

backing up which you already know and

what you're already experiencing but it

helps paint the picture and tell the

story when you're working with your

clients on individualized emergency

preparedness and why it's so important

the world Institute on disabilities

developed a tool kit and this toolkit is

wonderful I've put the website right

here so you can go to that it's a

relatively short document I'd say about

20 pages and it's really really good

because although it's it's geared and

it's written towards individuals with

disabilities the fact is that one in

four people in the United States live

with a disability so it's at any given

point 25 percent of our population by

definition has a disability but what I

like about this document and the

approach is it shouldn't matter and we

should be doing emergency preparedness

and planning to be all-inclusive

regardless of a disaster

excuse me regardless of having a

disability or

um these principles apply to the total

population of humankind

um and so I put these up here the

principles of inclusion and I just

really like these because it's equal

access effective communication

integration

self-determination program modifications

and physical access and the world

Institute of disabilities put this

together and I loved this quote right

here which is nothing about us without

us

and I strongly believe that that applies

to Public Health in general

um the communities and the people that

we are serving and helping

um plans should not be made without

their input it's their lives their

livelihood

um it's their homes it's their

communities and so they should be

included in making their own decisions

about how they want to be prepared and

how they want to be any resources they

may need so I think this is a great

document I'm going to go to this next

slide which outlines the document a

little bit they had five sections where

they talk about different all hazards

approach the all hazards approach goes

back to the hazard vulnerability

assessment we talked about in module one

which is where you're looking at all of

your hazards so all of your priority

hazards and how do we prepare for them

all in general and so when you you hear

the phrase all hazards that's what it

means and so they're taking a look at

these five things from an all hazards of

approach Community resilience are we

identifying needs in advance and

pre-positioning resources are we doing

canvassing and wellness checks post a

disaster so again even though an

individual family or client may not have

been necessarily directly impacted by

something are we doing Wellness checks

afterwards to make sure that they have

everything they need

Incident Management is the second one

developing stakeholder group involvement

as we talked about you know in that

pre-planning piece and I think community

health workers are an excellent liaison

for the clients and the patients that we

work with to Advocate as we work with

different entities within the community

to make sure that their needs are met in

the planning stages ahead of time

Information Management we're going to

talk about this a little bit in the next

module as well but identifying multiple

formats for communication and

inclusionary messaging this is so

important and again I know community

health workers are very aware of using

multiple communication methods

again we'll talk about that in module

three but this uh this toolkit does

include that counter measure measures

and mitigation you know again do we have

centralized distribution centers if

there's food water that are Ada

accessible

are they appropriate for people who have

Vision limitations it gets back into

that information management again with

communication large print small print

um you know the colors we use when we're

making posters or Flyers it matters and

so there's all these elements to look

into

and then surge management how will those

with disabilities be triaged will there

be assessments conducted what about

mental health post-disaster all of these

elements are crucial and with the recent

covid-19 pandemic and everything we

experienced

um I think it's even more timely that we

make sure before anything else is to

happen again that we've got all of these

covered within surge management they're

looking at things such as mass care

services medical surge Mass fatality so

again those have traditionally been the

hospital's responsibility or health care

services but we all saw the stress and

the strain they underwent during the

covid pandemic and sometimes they're not

able to handle all of that so what can

we do in our communities or at home in

order to preserve life and help

everybody in that situation

the last slide here is the world

Institute on disabilities toolkit these

are the appendices that they have in

their toolkit and I just wanted to list

them out again a is post-disaster

housing planning for people with

disabilities so this goes through and

talks about things such as are they on

Home Medical Equipment that needs to be

plugged into an outlet if it was a flood

situation is there an outlet that's at

least 18 inches off the floor so that it

doesn't

um short circuit or lose power

one little example

um appendix B guidance for inclusive

Sheltering in place so how do we make

sure those that cannot evacuate don't

want to evacuate how do we make sure

that they are Sheltering in place in the

safest way possible and then appendix C

is going through that appropriate and

inclusionary language for effective

communication that I just talked about

previously but I thought it was

important to point out they do they they

do go into things such as word choice so

we in public health or in healthcare

sometimes we use words such as ambulate

the layperson may not know what that

means we need to use the word walk

instead of ambulate

um phrases when we say shelter in place

that means stay at home do does

everybody understand what that means so

maybe we should use the phrase stay in

your home instead of shelter in place

um again we talked about colors font

sizing spacing large print and then

dissemination

um I think again this is communication

is always an opportunity for improvement

during disaster situations

but we need to be cognizant that we need

to you know win appropriate make

overhead announcements captions on TV

pictures within pictures sometimes

describe things text

language interpreters sign language

interpreters we need to keep all of

these things in mind as we're

communicating pre during and post a

disaster or emergency situation

so in summary

um these were the tools to identify

social vulnerabilities of the

populations in your geographical area

again we went through the state of

Illinois's map from the CDC website and

you can drill down to individual

counties as well and combining these

social vulnerabilities with the hazards

and risks that we talked about in module

one from the hva I believe helps to do

individualized preparedness and

identifying needs and plans that need to

be made for all populations within our

communities but I think especially

important information to have as

community health workers so that we can

identify and help everybody risk assess

what may be their unique situation

because you know them they know

themselves the best and you know their

situation but if you have this

information to help

plan prepare mitigate and move forward

through an emergency situation recovery

will be much easier also thank you for

taking the time to listen to this module

we are going to move on to module three

where we are going to talk about the

four phases of disaster management thank

you