Emergency preparedness during a global pandemic: Individual preparedness for COVID-19


  • Kelly L. Brown, PhD




emergency preparedness, individual preparedness, COVID-19, disaster management



Existing research on individual preparedness in the United States indicates that we are generally unprepared for disasters. While there is an abundance of research on emergency preparedness, there are gaps in our knowledge. For example, the results of extant research are unclear regarding what factors influence individual preparedness. The preparedness literature is also limited in the types of disasters examined and in understanding the timing of preparedness activities. The current COVID-19 global pandemic provides a tragic but albeit unique opportunity to address these limitations of previous research and examine emergency preparedness activities before and immediately following the onset of the COVID-19 outbreak in the United States. This research is further distinctive because it examines preparedness activities related to the global pandemic rather than other types of disasters. Policy and research implications of the findings are presented.

Author Biography

Kelly L. Brown, PhD

Chair and Associate Professor, Department of Criminal Justice and Homeland Security, Indiana University Kokomo, Kokomo, Indiana


Federal Emergency Management Agency: National strategy recommendations: Future disaster preparedness. Available at https://www.fema.gov/media-library-data/bd125e67fb2bd37f8d609cbd71b835ae/FEMA%20National%20Strategy%20Recommendations%20(v4).pdf. Accessed April 5, 2020.

National Oceanic and Atmospheric Administration: A national centers for environmental Information (NCEI) U.S. Billion-dollar weather and climate disasters. Available at https://www.mcdc.noaa.gov/billions/. Accessed April 5, 2020.

Glezen WP: Emerging infections: Pandemic influenza. Epidemiol Rev. 1996; 18(1): 64-76.

Shrestha SS, Swerdlow DL, Borse RH, et al.: Estimating the burden of 2009 pandemic influenza a (H1N1) in the United States (April 2009–April 2010). Clin Infect Dis. 2011; 52(suppl_1):S75-S82.

Department of Communicable Disease Surveillance and Response Global Influenza Programme: WHO Checklist for influenza pandemic preparedness planning. World Health Organization, 2005; Reference Number: WHO/CDS/CSR/GIP/2005.4.

Jernigan, DB: 100 years since 1918: Are we ready for the next pandemic? Pandemic commemoration briefing: Center for Disease Control and Prevention. Available at https://www.cdc.gov/flu/pandemic-resources/1918-commemoration/pdfs/1918-pandemic-webinar.pdf. 2018. Accessed April 5, 2020.

Soucheray S: Experts review 1918 pandemic, warn flu is global threat. Center for infectious disease research and policy news report. Available at http://www.cidrap.umn.edu/news-perspective/2018/05/experts-review-1918-pandemic-warn-flu-global-threat. 2018. Accessed March 13, 2020.

United States Department of Homeland Security: Pandemic influenza: Preparedness, response, and recovery guide for critical infrastructure and key resources. Available at https://training.fema.gov/programs/emischool/el361toolkit/assets/cikr_pandemicinfluenzaguide.pdf. 2006. Accessed April 5, 2020.

Johns Hopkins University: COVID-19 case tracker. Available at https://coronavirus.jhu.edu/. 2020. Accessed May 29, 2020.

Johns Hopkins University: COVID-19 case tracker. Available at https://coronavirus.jhu.edu/data/mortality. 2020. Accessed May 29, 2020.

Diekman ST, Kearney SP, O’Neill ME, et al.: Qualitative study of homeowners’ emergency preparedness: experiences, perceptions, and practices. Prehosp Disaster Med. 2007; 22(6): 494-501.

Falkiner L: Impact analysis of the Canadian Red Cross expect the unexpected program. Institute for Catastrophic Loss Reduction. Available at https://www.redcross.ca/crc/documents/3-1-3-1-Inde pendent-Impact-Analysis.pdf. 2003. Accessed June 2, 2020.

Hanfling D, Schafer KO, Armstrong CW: Making healthcare preparedness a part of the homeland security equation. Top Emerg Med. 2004; 26(2): 128-142.

Katz R: Public health preparedness: The best defense against biological weapons. Wash Q. 2002; 25(3): 69-82.

Redlener I, Berman DA: National preparedness planning: The historical context and current state of the US public’s readiness, 1940–2005. J Int Aff. 2006; 59(2): 87-103.

US Government Accountability Office: Bioterrorism: Preparedness varied across state and local jurisdictions. Washington, DC: National Institute of Justice, 2003.

Brown KL, Scheungrab C: Emergency preparedness: Using the Internet to educate the public. J Emerg Manag. 2008; 6(4): 17-23.

Ekenga C, Ziyu L: Gender and public health emergency preparedness among United States adults. J Community Health. 2019; 44: 656-660.

Federal Emergency Management Agency: Being ready for a disaster can save lives. Available at https://www.fema.gov/news-release/2011/11/10/being-ready-disaster-can-save-lives-protect-property. 2011. Accessed June 2, 2020.

Keim ME: Building human resilience: The role of public health preparedness and response as an adaptation to climate change. Am J Prev Med. 2008; 35(5): 508-516.

Kyne D, Cisneros L, Delacruz J, et al.: Empirical evaluation of disaster preparedness for hurricanes in the Rio Grande Valley. Prog Disaster Sci., 2020; 5: 1-12.

Quarantelli E: Disaster response: Generic or agent-specific? Disaster Research Center, University of Delaware; 1994. Publication Series No. 222.

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.

Al-Rousan TM, Rubenstein LM, Wallace, RB: Preparedness for natural disasters among older US adults: A nationwide survey. AM J Public Health. 2014; 104: 506-511.

Baker LR, Baker MD: Disaster preparedness among families of children with special health care needs. Disaster Med Public Health Prep. 2010; 4(3): 240–245.

Bethel JW, Foreman AN, Burke SC, et al.: Disaster prepared-ness among medically vulnerable populations. Am J Prev Med. 2011;(2): 139-143.

Killian TS, Moon ZK, McNeill C, et al.: Emergency preparedness of persons over 50 years old: Further results from the health and retirement study. Disaster Med Public Health Prep. 2017; 11(1): 80-89.

McCormick LC, Pevear J, Xie, R.: Measuring levels of citizen public health emergency preparedness, Jefferson County, Alabama. J Publ Health Manag Prac. 2013; 19(3): 266–273.

McNeill CC, Killian TS, Moon Z, et al.: The relationship between perceptions of emergency preparedness, disaster experi-ence, health-care provider education, and emergency preparedness levels. Int Q Community Health Educ. 2018; 38(4): 233-243.

Whetzel E, Walker-Cillo G, Chan G, et al.: Emergency nurse perceptions of individual and facility emergency preparedness. J Emer Nurs., 2013; 39(9): 46-52.

Burke S, Bethel JW, Britt AF: Assessing disaster preparedness among Latino migrant and seasonal farmworkers in Eastern North Carolina. Int J Environ Res Public Health, 2012; 9: 3115-3133.

Murphy ST, Cody M, Frank LB, et al.: Predictors of emergency preparedness and compliance. Disaster Med Public Health Prep. 2009; 3(Suppl. 2):S1-S9.

Olympia RP, Rivera R, Heverly S, et al.: Natural disasters and mass-casualty events affecting children and families: A description of emergency preparedness and the role of the primary care physician. Clin Pediatr (Phila). 2010; 49(4): 686-698.

Kang K: Disaster preparedness among vulnerable older adults with chronic diseases: Results from a cross-sectional study in Incheon, Korea. Nurs Health Sci. 2014; 16(1): 46–51.

Burke JA, Spence PR, Lachlan KA: Crisis preparation, media use, and information seeking during hurricane Ike: Lessons learned for emergency communication. J Emerg Manag. 2010; 8(5): 27-37.

Annis H, Jacoby I, DeMers G: Disaster preparedness among active duty personnel, retirees, veterans, and dependents. Prehosp Disaster Med. 2016; 2: 132.

Jung E, Kim G, Choi EK: Factors affecting home-based disaster preparedness among school-aged children’s parents: A cross-sectional study. Nurs and Health Sci. 2019; 22: 138-148.

Wakui T, Agree EM, Saito T, et al.: Disaster preparedness among older Japanese adults with long-term care needs and their family caregivers. Disaster Med Public Health Prep. 2017; 11: 31-38.

Ashida S, Robinson EL, Gay J, et al.: Personal disaster and emergency support networks of older adults in a rural community: Changes after participation in a preparedness program. Disaster Med Public Health Prep. 2017; 11(1): 110–119.

Chen V, Banerjee D, Liu L: Do people become better prepared in the aftermath of a natural disaster?: The hurricane Ike experience in Houston, Texas. J Public Health Manag Pract. 2012; 18(3): 241–249.

Baker L, Cormier L: Disaster preparedness and families of children with special needs: A geographic comparison. J Community Health, 2013; 38(1): 106–112.

McCormick L, Pevear J, Rucks A, et al.: The effects of the April 2011 tornado outbreak on personal preparedness in Jefferson County, Alabama. J Public Health Manag Prac. 2014; 20(4): 376-383.

Hong Y, Lee T, Kim J: Serial multiple mediation analyses: How to enhance individual public health emergency preparedness and response to environmental disasters. Int J Environ Res Public Health. 2019; 16: 223-235.

McNeill CC, Richie C, Alfred D: Individual emergency-preparedness efforts: A social justice perspective. Nurs Ethics. 2020; 27(1): 184-193.

Bagwell HB, Liggin R, Thompson T, et al.: Disaster preparedness in families with children with special health care needs. Clin Pediatr. 2016; 11: 1036-1043.

Chilton JM, Alfred D: An evidence-based educational intervention to improve personal emergency preparedness of nursing students. Nurse Educ. 2017; 42(4): 212-216.

Spence, PR, Lachlan, KA, Griffin, DR: Crisis communication, race, and natural disasters. J Black Stud. 2007; 37(4): 539. 48. Spence PR, Lachlan KA: Disasters, crises, and unique populations: Suggestions for survey research. New Dir Eval. 2010; 126: 95-106.

Centers for Disease Control and Prevention: CDC, Washington state report first COVID-19 death. Available at https://www.cdc.gov/media/releases/2020/s0229-COVID-19-first-death.html. 2020. Accessed May 13, 2020.

World Health Organization: Coronavirus disease 2019 (COVID- 19) situation report–51. Geneva, Switzerland: World Health Organization. Available at https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10. 2020. Accessed March 31, 2020.

Centers for Disease Control and Prevention: Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69: 343-346.

Centers for Disease Control and Prevention: Previous US COVID-19 case data. Available at https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/previouscases.html. 2020. Accessed April 1, 2020.

Trump DJ: Proclamation on declaring a national emergency concerning the novel coronavirus disease (COVID-19) outbreak. White House Press Office. Available at https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergency-concerning-novel-coronavirus-disease-covid-19-outbreak/#:∼:text=1601%20et%20seq.),%2C%20beginning%20March%201%2C%202020. March 13, 2020. Accessed March 20, 2020.

American Red Cross: Survival kit supplies. Available at https://www.redcross.org/get-help/how-to-prepare-for-emergencies/survival-kit-supplies.html. 2020. Accessed March 23, 2020.

Centers for Disease Control and Prevention: Emergency kit checklist for kids and families. Available at https://www.cdc.gov/childrenindisasters/checklists/kids-and-families.html. 2020. Accessed March 23, 2020.

Federal Emergency Management Agency: Build a kit. Available at https://www.ready.gov/. 2020. Accessed March 23, 2020.

Levac J, Toal-Sullivan D, O’Sullivan TL: Household emergency preparedness: A literature review. J Community Health. 2012; 37: 725-733.

For further discussion, see Levac J, Toal-Sullivan D, O’Sullivan TL: Household emergency preparedness: A literature review. J Community Health. 2012; 37: 725-733.

Heagele, T. N.: (2016). Lack of evidence supporting the effective-ness of disaster supply kits. Am J Public Health. 2016; 106: 979- 982. doi:10.2105/AJPH.2016.303148.

United States Census Bureau: Census regions and divisions of the United States. Available at https://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf. 2020. Accessed June 10, 2020.

Hesloot I, Ruitenberg A: Citizen response to disasters: A survey of literature and some practical implications. J. Contingencies Crisis Manag. 2004; 12(3): 98-111.

Perry RW, Lindell MK: Understanding citizen response to disasters with implications for terrorism. J. Contingencies Crisis Manag. 2003; 11(2): 51-52.

United States Census Bureau: Quick facts. Available at https://www.census.gov/quickfacts/fact/table/US/PST045219. Accessed June 10, 2020.



How to Cite

Brown, PhD, K. L. “Emergency Preparedness During a Global Pandemic: Individual Preparedness for COVID-19”. Journal of Emergency Management, vol. 18, no. 7, July 2020, pp. 99-113, doi:10.5055/jem.0533.