Characterizing household emergency preparedness levels for natural disasters during the COVID-19 pandemic: United States, 2020-2021

Authors

  • Amy Helene Schnall, DrPH https://orcid.org/0000-0003-4340-3689
  • Stephanie Kieszak, MA, MPH
  • Harry J. Heiman, MD, MPH
  • Tesfaye Bayleyegn, MD, MPH
  • Johnni Daniel, PhD
  • Arianna Hanchey, MPH
  • Christine Stauber, PhD

DOI:

https://doi.org/10.5055/jem.0737

Keywords:

natural disasters, emergency preparedness, COVID-19, concurrent disasters

Abstract

Introduction: It is vital that households are prepared for a natural disaster to help mitigate potential negative impacts. Our goal was to characterize United States household preparedness on a national level to guide next steps to better prepare for and respond to disasters during the COVID-19 pandemic.

Methods: We added 10 questions to the existing Porter Novelli’s ConsumerStyles surveys in fall 2020 (N = 4,548) and spring 2021 (N = 6,455) to examine factors that contribute to overall household preparedness levels.

Results: Being married (odds ratio (OR), 1.2), having children in the home (OR, 1.5), and having a household income of $150,000 or more (OR, 1.2) are all associated with increased preparedness levels. Those in the Northeast are least likely to be prepared (OR, 0.8). Persons living in mobile homes, Recreational Vehicles, boats, or vans are half as likely to have preparedness plans compared to those living in single family homes (OR, 0.6).

Conclusions: As a nation, there is much work to be done in terms of preparedness to reach performance measure targets of 80 percent. These data can help inform response planning and the updating of communication resources such as websites, fact sheets, and other materials to reach a wide audience of disaster epidemiologists, emergency managers, and the public.

Author Biographies

Amy Helene Schnall, DrPH

Centers for Disease Control and Prevention, National Center for Environmental Health, Chamblee, Georgia

Stephanie Kieszak, MA, MPH

Centers for Disease Control and Prevention, National Center for Environmental Health, Chamblee, Georgia

Harry J. Heiman, MD, MPH

Georgia State University, Atlanta, Georgia

Tesfaye Bayleyegn, MD, MPH

Centers for Disease Control and Prevention, National Center for Environmental Health, Chamblee, Georgia

Johnni Daniel, PhD

Centers for Disease Control and Prevention, National Center for Environmental Health, Chamblee, Georgia

Arianna Hanchey, MPH

Centers for Disease Control and Prevention, National Center for Environmental Health, Chamblee, Georgia

Christine Stauber, PhD

Georgia State University, Atlanta, Georgia

References

Horney J (ed.): Disaster Epidemiology. San Diego, CA: Academic Press, 2018: 1.

Kane J, Gardner L, Mercado J, et al.: Behavioral health and respiratory conditions following October 2017 wildfires—Sonoma County. California, September 2018. Council of State and Territorial Epidemiologists (CSTE) Annual Conference. June 4, 2019.

Ekpo L, Harrison CJ, Guendel EE: Post-hurricane emergency department visits: An analysis of the health impact of hurricanes Irma and Maria in the US Virgin Islands. Council of State and Territorial Epidemiologists (CSTE) Annual Conference. 2019.

Schnall AH, Roth JJ, Ellis B, et al.: Addressing community needs during the hurricane response and recovery efforts through community assessments for public health emergency response (CASPER)—United States virgin islands, 2017-2018. Disaster Med Public Health Prep. 2019; 13(1): 53-62.

Molesky V: Camp fire death count drops to 85 while missing list drops to 2 following arrest. 2019. Available at https://www.sfchronicle.com/california-wildfires/amp/Five-firefighters-amongdozen-plus-patients-13396604.php. Accessed October 19, 2021.

Fountain H: Climate change is making hurricanes stronger, researchers find. New York Times, October 7, 2020. Available at https://www.nytimes.com/2020/05/18/climate/climate-changes-hurricane-intensity.html. Accessed October 19, 2021.

Kossin JP, Knapp KR, Olander TL, et al.: Global increase in major tropical cyclone exceedance probability over the past four decades. Proc Natl Acad Sci USA. 2020; 117(22): 11975-11980. DOI: 10.1073/pnas.1920849117.

Federal Emergency Management Agency (FEMA): Declared disasters. Available at https://www.fema.gov/disasters/disasterdeclarations. Accessed October 19, 2021.

Grant C: Disaster preparedness to reduce anxiety and post-disaster stress. K4D: Institute of Development Studies. November 15, 2018. Available at https://assets.publishing.service.gov.uk/media/5c6bd4bae5274a72bac384e9/501_Disaster_Preparedness_for_Reduce_Anxiety_and__Post-Disaster_Stress.pdf. Accessed October 19, 2021.

United States Department of Health and Human Services: Healthy people 2030 objectives and data. Available at https://health.gov/healthypeople/objectives-and-data/browse-objectives/emergency-preparedness. Accessed May 13, 2021.

Federal Emergency Management Agency (FEMA): 2018-2022 strategic plan: Helping people, together. Available at https://www.fema.gov/sites/default/files/2020-03/fema-strategic-plan_2018-2022.pdf. Accessed May 13, 2021.

Federal Emergency Management Agency (FEMA): Build a kit. Available at https://www.ready.gov/kit. Accessed May 13, 2021.

Quad-County Public Health Preparedness: Douglas county. Community assessment for public health emergency response (CASPER) to assess the level of preparedness in Douglas County, Nevada. May 2019 [unpublished report]. Available at https://www.douglascountynv.gov/UserFiles/Servers/Server_12493019/File/Douglaspercent20CASPER percent20Report percent202019 percent-20final.pdf. Accessed October 19, 2021.

CASPER in Davidson County one year after the May 2010 flood: Centers for Disease Control and Prevention (CDC), California Department of Public Health (CDPH), Lake County Public Health Division (unpublished report). 2011. Community experiences and perceptions of geothermal venting and emergency preparedness in Lake County, California. November 2012 (unpublished report). Available at https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/CDPHpercent20Document percent20Library/Lake percent20CASPER percent20report.pdf. Accessed October 19, 2021.

Nyaku MK, Wolkin AF, McFadden J, et al.: Assessing radiation emergency preparedness planning by using community assessment for public health emergency response (CASPER) methodology. Prehosp Disaster Med. 2014; 29(3): 262-269.

Schnall AH, Wolkin AF, Roth JJ, et al.: Community assessments for public health emergency response (CASPERs)—US Virgin Islands, 2017-2018. Am J Public Health. 2019; 109: S303-S308.

Federal Emergency Management Agency (FEMA): 2017 National Household Survey. 2019. Available at https://www.fema.gov/about/openfema/data-sets/national-household-survey. Accessed October 19, 2021.

Federal Emergency Management Agency (FEMA): 2018 National Household Survey. 2020. Available at https://www.fema.gov/about/openfema/data-sets/national-household-survey. Accessed October 19, 2021.

Federal Emergency Management Agency (FEMA): 2019 National Household Survey. 2021. Available at https://www.fema.gov/about/openfema/data-sets/national-household-survey. Accessed October 19, 2021.

Federal Emergency Management Agency (FEMA): National Household Survey. Available at https://www.fema.gov/about/openfema/data-sets/national-household-survey. Accessed October 19, 2021.

Federal Emergency Management Agency (FEMA): Make a plan. Available at https://www.ready.gov/plan. Accessed October 25, 2021.

Centers for Disease Control and Prevention (CDC): Sheltering during the COVID-10 pandemic: Findings from recent online surveys. 2021. Available at https://www.cdc.gov/nceh/hsb/disaster/sheltering-covid19-pandemic.html. Accessed October 19, 2021.

Schnall A: Disasters and data: Preparing for and responding to emergencies. Oral Presentation: American Healthcare Journalists Spring Meeting. May 28, 2021.

Yeager DS, Krosnick JA, Chang L, et al.: Comparing the accuracy of RDD telephone surveys and internet surveys conducted with probability and non-probability samples. Public Opin Quar. 2011; 75(4): 709-747. DOI: 10.1093/poq/nfr020.

Novelli P: Styles 2020 methodology: Comparison of the Styles 2020 samples to the March 2019 Census estimates on selected demographic variables. Unpublished document. October 27, 2020.

US Department of Homeland Security: Target capabilities list, a companion to the national preparedness guidelines. Available at http://www.fema.gov/pdf/government/training/tcl.pdf. Accessed July 21, 2021.

Oak Ridge Associated Universities (ORAU): At-risk populations eTool: To define, locate, and reach special, vulnerable, and at-risk populations in an emergency. Available at https://www.orau.gov/SNS/AtRiskTool/index.html. Accessed July 25, 2021.

Centers for Disease Control and Prevention (CDC): Planning for an Emergency: Strategies for Identifying and Engaging at-Risk Groups. 1st ed. Atlanta, GA: CDC, 2015.

Agency for Toxic Substances and Disease Registry (ATSDR): CDC/ATSDR Social Vulnerability Index (SVI). Available at https://www.atsdr.cdc.gov/placeandhealth/svi/index.html4. Accessed July 25, 2021.

Paton D, Parkes B, Daly M, et al.: Fighting the flu: Developing sustained community resilience and preparedness. Health Promotion Practice. 2008; 9(4): 45S-53S.

Chandra A, Acosta J, Meredith LS, et al.: Understanding community resilience in the context of national health security: A literature review. Working Paper Developed for the Assistant Secretary of Preparedness and Response (ASPR). 2010. Arlington, VA: RAND.

Paek HJ, Hilyard K, Fremuth V, et al.: Theory-based approaches to understanding public emergency preparedness: Implications for effective health and risk communication. J Health Commun. 2010; 15(4): 428-444.

Centers for Disease Control and Prevention (CDC): Public health emergency preparedness (PHEP) cooperative agreement. Available at cdc.gov/cpr/readiness/phep.htm. Accessed January 7, 2022.

National Cancer Institute: Theory at a Glance: A Guide for Health Promotion Practice. 2nd ed. National Cancer Institute, 2005.

Beckera JS, Paton D, Johnston DM, et al.: The role of prior experience in informing and motivating earthquake preparedness. Int J Disaster Risk Reduct. 2017; 22: 179-193. DOI: 10.1016/j.ijdrr.2017.03.006.

Johnson DM, Bebbington MS, Lai CD, et al.: Volcanic hazard perceptions: Comparative shifts in knowledge and risk. Disaster Prev Manag. 1999; 8(2): 118-126. DOI: 10.1108/09653569910266166.

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Published

02/28/2023

How to Cite

Schnall, DrPH, A. H., S. Kieszak, MA, MPH, H. J. Heiman, MD, MPH, T. Bayleyegn, MD, MPH, J. Daniel, PhD, A. Hanchey, MPH, and C. Stauber, PhD. “Characterizing Household Emergency Preparedness Levels for Natural Disasters During the COVID-19 Pandemic: United States, 2020-2021”. Journal of Emergency Management, vol. 21, no. 7, Feb. 2023, pp. 51-69, doi:10.5055/jem.0737.