Slides from talk given by Elizabeth Norton at DC/SLA meeting on June 12, 2012. Slides describe resources and programs from the National Library of Medicine related to disaster planning, response and recovery, including information about a new disaster information specialization program.

1. National Library of Medicine
Resources for Disaster Planning &
Response
DC/SLA
June 12, 2012
Disaster Information Management Research Center
Specialized Information Services
National Library of Medicine
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

2. It’s Always Something!
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
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3. NLM Long-Range Plan
 NLM will:
 Bea partner in Federal disaster
preparedness and recovery efforts
 Demonstrate how medical libraries and
librarians can provide critical disaster
information services
 Ensure access to health information and
effective use of libraries/librarians in
disasters
 Establish
a Disaster Information
Management Research Center
(DIMRC)
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 3

4. Disaster Information Management
Research Center
Connecting people to quality disaster health information and
fostering a culture of community resiliency
Mission:
To develop and provide access to
health information resources and
technology for disaster
preparedness, response and
recovery
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

5. DIMRC Objectives
rganize and provide access to disaster
health literature and resources
evelop emergency response tools
utreach and partnerships,
Disaster Info Specialists
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

6. Scope of DIMRC Interests
All disaster phases: preparedness, mitigation, response,
recovery
All topics related to:
• ESF #6. Mass Care, Emergency Assistance, Housing,
and Human Services
• ESF #8. Public Health and Medical Services
Many sources:
• Local, state, federal and tribal government
• Non-government organizations (NGOs)
• Private sector
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

7. Disaster Workforce: Licensed/credentialed
health professionals (ESAR – VHP, 2011)
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 7

8. Disaster Workforce: Additional licensed or
trained professionals
Disaster Information Management Research Center
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9. Disaster Information Management
Research Center
 Compilation of
resources and tools:
 Topic pages
 Tools
 Disaster literature
 For/about librarians
 Databases
 Health organizations
 Stay informed
http://disasterinfo.nlm.nih.gov
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

10. Disaster Information Management
Research Center
http://disasterinfo.nlm.nih.gov
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

11. Topic Pages/Subject Guides
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

12. Mobile Connections- Apps
• Disaster medicine tools
• Disaster resources
• Information about
events and disasters
• Others to look for
http://disasterinfo.nlm.nih.gov/dimrc/disasterapps.html
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

13. Disaster Health Information
Peer-reviewed scholarly
literature HazLit
• Journal articles Database
• Books
“Grey” Literature
• Reports
• Summaries
• Surveillance data
• Training materials
• Conference proceedings
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

14. PubMed References on Disasters
80,000 references to “disasters”
•American Journal of Disaster Medicine
• Disasters
• Disaster Management and Response
• Prehospital and Disaster Medicine
• Biosecurity and Bioterrorism
• Disaster Med and Public Health
Preparedness
•Journal of Business Continuity and
Disaster InformationPlanning
Emergency Management Research Center
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15. Resource Guide for
Disaster Medicine and Public Health
 Gateway to grey
literature
resources
 Resources are
freely available
on Internet
http://disasterlit.nlm.nih.gov
Disaster Information Management Research Center
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16. Emergency Access Initiative
http://eai.nlm.nih.gov
Sample Journal Titles Sample Book Titles
American journal of infection control  Merck manual of diagnosis and therapy
Burns  Public health and prevention management
Depression and anxiety  Trauma
Emergency radiology  Human virology
Environmental toxicology and  Emergency medicine procedures
pharmacology  Infectious diseases: the clinician’s guide to
Journal of emergency medicine diagnosis, treatment and prevention
Journal of traumatic stress  AHFS Drug Information
New England journal of medicine
Activated for Haiti earthquake,
Gulf oil spill, floods in
Pakistan, and disaster in
Japan
30+ books, 200+ journals
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

17. MedlinePlus
http://medlineplus.gov
Consumer-oriented
resources
Examples:
 Floods
 Earthquakes
 Radiation
exposure
 PTSD
 Tsunamis
 Winter weather
emergencies
Available in multiple
languages
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

18. Hazmat/CBRN
(Chemical, Biological, Radiological and Nuclear)
Preparedness and Response
Resources
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

19. WISER, REMM, CHEMM Users
First Responders/Fire Fighters HazMat Teams
Emergency Dept. Personnel
EMS/Paramedics
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

20. WISER: Wireless Information
System for Emergency Responders
• Easy to use, intuitive tool for Hazmat/CBRN
events
• Information tailored to the specific needs and roles
wiser.nlm.nih.gov of first responders, Hazmat, EMS, & first receivers
• Includes chemical, biological, and radiological
agents
• Helps to identify unknown chemicals via
signs/symptoms and properties
• Contains information for triaging patients during
mass casualty events
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

21. WISER: Wireless Information
System for Emergency Responders
 Downloads :
 Windows = >191,000
wiser.nlm.nih.gov  BlackBerry (released July 2010) = >30,000
 iPhone (released June 2010) = >67,000
 Android (released Sept. 2011) = >23,000
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

22. WISER Content
WMD
Hazardous Response
Substances Guidebook
Data Bank
(HSDB)
• Over 400 chemicals
• 20 radiological agents
•CDC Category A
biological agents
Disaster Information Management Research Center
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23. Search Known Substance
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

24. “Help Identify” Unknown Chemical
Identify chemicals
based on what is
known or observed:
Propertiesof chemical
Symptoms of exposure
Substance Categories
Transportation ID
NFPA 704 Codes
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

25. Protective Distance Mapping
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

26. Tools
 Guidebooks :
 US Department of Transportation Emergency
Response Guide Book (DOT ERG)
 WMD Response Guidebook
 Triage Procedures :
 START – Adult Triage Algorithm
 JumpSTART – Pediatric Triage Algorithm
 Radiological Tools :
 Dose Estimator
 Radiation Unit Converter
 Emergency Contacts
 + more…
 Training Materials
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

27. WISER Platforms
http://wiser.nlm.nih.gov
PC iPhone Blackberry Windows Mobile Android
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

28. REMM: Radiation Emergency
Medical Management
• Guidance for health care providers about
clinical diagnosis and treatment of radiation
injury during radiological and nuclear events
and emergencies.
• Evidence-based information that makes
remm.nlm.gov
complex issues understandable to those
without formal radiation medicine expertise
• Web-based information that is also
downloadable in advance and therefore
available even if the Internet is not accessible
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

29. What you will find in REMM
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

30. REMM Usage
Usage spiked during
the Fukushima
nuclear incident in
Japan
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31. Japanese Translation of REMM Content
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
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32. REMM Platforms
http://remm.nlm.gov
PC iPhone Blackberry Windows Mobile Android
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

33. CHEMM: Chemical Hazards Emergency
Medical Management
• Is a resource to assist planners, first
responders, first receivers, and other
healthcare providers with mass-casualty
incident involving chemicals.
• Can download and use in an emergency
without an Internet connection
chemm.nlm.nih.gov
• Used for :
• Training
• Planning
• Response at time of an emergency
National Library of Medicine
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34. CHEMM-IST:
The CHEMM Intelligent Syndromes Tool
• Identifying a toxic syndrome using
the CHEMM-IST tool :
• Identify a chemical group, not
an individual chemical -
chemical groups can have
similar properties & similar
effects on the human body, &
can be treated using similar
countermeasures and/or
therapeutics.
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

35. CHEMM Platforms
PC: Downloaded or Web-based http://chemm.nlm.nih.gov
Disaster Information Management Research Center
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36. Environmental Health & Toxicology
Collection of
information topic
pages and resources
about environmental
health and toxicology
 Enviro-health links
 Occupational health
 Diseases and the
environment
 Pesticide exposure
http://tox.nlm.nih.gov
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

37. Databases: TOXNET
 Collection of toxicology
and environmental health
databases
 Includes:
• Database of potentially
hazardous chemicals
• References to
toxicology literature
• Chemical dictionary
• Chemical structures
http://toxnet.nlm.nih.gov/ database
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

38. Sample TOXNET Search
 Enter “chlorine” into
“Search All
Databases”
 Searches all
databases
simultaneously
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

39. Scenario
 A truck overturned on the highway, spilling
its contents. The driver is unconscious
and there is no way to identify what the
chemical in the truck is.
 Which resource could first responders
use to determine how close they can
get to the truck?
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

40. NLM and Disaster Information
Research
Disaster Information Management Research Center
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41. Prototype Tool for Family Reunification
Tested at Local Disaster Drill
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

42. Patient Tracking Tools Tested at Local
Disaster Drill
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

43. Virtual World Disaster Training
• Evaluating the use of a Virtual World platform to
enhance Hospital Incident Command training
• Evaluating the use of 3-D mapping to enhance
emergency training and planning
Disaster Information Management Research Center
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44. Disaster Information Outreach:
Librarians, Libraries and Disasters
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

45. Disaster Information Outreach:
Librarians, Libraries and Disasters – Why?
 NLM Long Range Plan:
 Ensure…effective use of libraries and librarians when disasters
occur.
 [demonstrate] how libraries and librarians can be part of the
solution.
 Events of the last decade have focused national attention on disasters
 Attributes of the profession: service-oriented, motivated to connect
people and information
 Skills of the profession: collect, organize, disseminate quality
information crucial to disaster work and public health emergencies
 Library buildings, computers, Internet access can help communities
re-connect and re-build
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
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46. NN/LM
Emergency Preparedness Toolkit
Assists librarians in
developing
preparedness plans
and continuing
services during
disaster recovery
Provides:
 Emergency
contacts
 Sample forms
 Preservation
information nnlm.gov/ep
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

47. About the Stafford Act
 Authorizes FEMA response to disasters including the
Public Assistance Grant Program
 Libraries are “essential community services” eligible for
federal assistance “for the provision of temporary facilities”
 “Eligible public facilities include police, fire protection/
emergency services, medical care, education, libraries,
utilities and other essential community services.
Robert T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288 as
amended), http://fema.gov/about/stafact.shtm
9523.3 Provision of Temporary Relocation Facilities, http://
www.fema.gov/government/grant/pa/9523_3.shtm
National Library of Medicine
NATIONAL INSTITUTES OF HEALTH ◊ U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

48. Building a Community of Practice…
How does DIMRC Encourage Librarian
Involvement?
 DISASTR-OUTREACH-LIB listserv, 800+ subscribers
disasterinfo.nlm.nih.gov/dimrc/dimrclistserv.html
 Monthly conference calls that are open to all
 Networking and information sharing
 Training
 Outreach projects – funding for partnerships between a
library and a responder agency
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH 48

49. Disaster Information Specialization
www.mlanet.org/education/dis
 Medical Library Association continuing education program funded by NLM
 No cost to students
 Courses for both librarians AND for disaster health workforce
 All courses will be available online.
 Five required courses (each 3 hours) for basic level; additional 12 contact
hours for advanced level
 All program courses and activities earn MLA continuing education credit
and may also be used toward AHIP
Awareness Basics Confidence
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

50. Course Topics - Basic
Disaster Health Information Sources: The Basics
Robin Featherstone
US Response to Disasters and Public Health Emergencies
Mary Moore, Kimberley Loper
Roles in Disaster Preparedness, Response, Recovery
Robin Featherstone
National Incident Management System, an Introduction
Online from FEMA
Introduction to Incident Command System
Online from FEMA
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

51. Course Topics - Advanced
Disasters in an International Context
John Scott, Pat Bittner
Ethical and Legal Aspects of Response
Barb Folb, Patti Reynolds
A Seat at the Table: Working with Local Responders
Rebecca Hamilton, Diane Brown
CBRN [Chemical, Biological, Radiological, Nuclear] and
Hazmat Information Resources
Jen Pakiam, Elizabeth Norton
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

52. DIMRC Goals for Supporting Instructors
Develop courses and course materials that can be adapted as
needed for:
•Librarians, disaster workforce or other audiences
•Local circumstances
•Specific disaster events
Library of slides, images, tutorials, video clips
Use existing infrastructure
•Experienced trainers
•MLA CE (continuing education) credit
•Educational Clearinghouse
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

53. Disaster Health Information Outreach
and Collaboration Projects
• 7 proposals awarded in
Summer 2011
• Collaborations between library
and disaster/emergency
organizations for improving
access to disaster medicine
and public health information
for the disaster health
workforce
• One year; $15,000 – 30,000
• Based on success of pilot
projects
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

54. 2011-12 Disaster Health Information
Outreach and Collaboration Projects
 American Academy of Pediatrics (Elk Grove Village, IL) and University of Illinois at Chicago
Library of the Health Sciences
 Health Sciences Library, University of Alabama (Tuscaloosa, AL) with EMPACT (Emergency
Medical Programs and Community Training) West Alabama and the University of Alabama
Institute for Rural Health Research
 Inova Fairfax Hospital (Falls Church, VA) with the Inova Fairfax Hospital Health Sciences
Library and the Northern Virginia Hospital Alliance
 Kanawha-Charleston Health Department (Charleston, WV) with the West Virginia School of
Osteopathic Medicine and Concord University
 Marshall County Health Department (Benton, KY) with the Marshall County Public Library
 Monroe County Department of Public Health (Rochester, NY) with the Rochester Public Library
 University of New Mexico Health Sciences Center (Albuquerque, NM) with the UNM Health
Sciences Library and Informatics Center and the UNM Center for Disaster Medicine
http://disasterinfo.nlm.nih.gov/dimrc/2011disasteroutreachawards.html
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

55. Staying Connected and Informed
 Stay connected:
• @NLM_DIMRC on
Twitter
• DISASTR-
OUTREACH-LIB
listserv
• RSS feed
 Stay informed:
• New documents
from the Resource
Guide
• New in PubMed
• Disaster News
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH

56. Questions?
Elizabeth F. Norton
Librarian
Disaster Information Management Research Center
Specialized Information Services
National Library of Medicine
National Institutes of Health
nortone@nlm.nih.gov
301-443-9420
Disaster Information Management Research Center
NATIONAL LIBRARY OF MEDICINE ◊ NATIONAL INSTITUTES OF HEALTH