Original Article

Assessing Disaster Preparedness Among Select Children’s Summer Camps in the United States and Canada

Authors: Megan Chang, MD, Alan Sielaff, MD, Stuart Bradin, DO, Kevin Walker, MD, Michael Ambrose, MD, Andrew Hashikawa, MD, MS

Abstract

Objective: Children’s summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters.

Methods: We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other. The results were analyzed using descriptive statistics.

Results: A total of 181 camps responses were received, 169 of which were complete. Camp types were overnight (60%), day (21%), special/medical needs (14%), and other (5%). Survey respondents were directors (52%), nurses (14%), office staff (10%), physicians (5%), owners (5%), emergency medical technicians (2%), and other (12%). Almost 18% of camps were located >20 mi from a major medical center, and 36% were >5 mi from police/fire departments. Many camps were missing emergency supplies: car/booster seats for evacuation (68%), shelter (35%), vehicles for evacuation (26%), quarantine isolation areas (21%), or emergency supplies of extra water (20%) or food (17%). Plans were unavailable for the following: power outages (23%); lockdowns (15%); illness outbreaks (15%); tornadoes (11%); evacuation for fire, flood, or chemical spill (9%); and other severe weather (8%). Many camps did not have online emergency plans (53%), plans for children with special/medical needs (38%), methods to rapidly communicate information to parents (25%), or methods to identify children for evacuation/reunification with parents (40%). Respondents reported that staff participation in disaster drills varied for weather (58%), evacuations (46%), and lockdowns (36%). The majority (75%) of respondents had not collaborated with medical organizations for planning.

Conclusions: A substantial proportion of camps were missing critical components of disaster planning. Future interventions must focus on developing summer camp-specific disaster plans, increasing partnerships, and reassessing national disaster plans to include summer camp settings.

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References

1. Ablah E, Tinius AM, Konda K. Pediatric emergency preparedness training: are we on a path toward national dissemination? J Trauma 2009;67(2 Suppl):S152-S158.
 
2. American Academy of Pediatrics. The youngest victims: disaster preparedness to meet children’ needs. https://www.aap.org/en-us/Documents/disasters_youngest_victims_disaster_preparedness.pdf. Accessed October 1, 2016.
 
3. Cicero MX, Baum CR. Pediatric disaster preparedness: best planning for the worst-case scenario. Pediatr Emerg Care 2008;24:478-481.
 
4. Ginter PM, Wingate MS, Rucks AC, et al. Creating a regional pediatric medical disaster preparedness network: imperative and issues. Matern Child Health J 2006;10:391-396.
 
5. Graham J, Shirm S, Liggen R, et al. Mass-casualty events at schools: a national preparedness survey. Pediatrics 2006;117:e8-e15.
 
6. Hohenhaus SM. Practical considerations for providing pediatric care in a mass casualty incident. Nurs Clin North Am 2005;40:523-533.
 
7. Markenson D, Redlener I. Pediatric terrorism preparedness national guidelines and recommendations: findings of an evidence-based consensus process. Biosecur Bioterror 2004;2:301-319.
 
8. Shirm S, Liggen R, Dick R, et al. Prehospital preparedness for pediatric mass-casualty events. Pediatrics 2007;120:e756-e761.
 
9. Burke RV, Iverson E, Goodhue CJ, et al. Disaster and mass casualty events in the pediatric population. Semin Pediatr Surg 2010;19:265-270.
 
10. Hamele M, Poss WB, Sweney J. Disaster preparedness, pediatric considerations in primary blast injury, chemical, and biological terrorism. World J Crit Care Med 2014;3:15-23.
 
11. Murray JS. Disaster care: public health emergencies and children. Am J Nurs 2009;109:28-31.
 
12. Hardin E. Disaster planning and management. Top Emerg Med 2002;24:71-76.
 
13. Garrett AL, Grant R, Madrid P, et al. Children and megadisasters: lessons learned in the new millennium. Adv Pediatr 2007;54:189-214.
 
14. American Camp Association. Camp trends: trend fact sheet. http://www.acacamps.org/press-room/aca-facts-trends. Accessed February 1, 2016.
 
15. Maag C, Bowley G. Tornado kills 4 in Iowa Boy Scout camp. http://www.nytimes.com/2008/06/12/us/13tornado.html. Published June 12, 2008. Accessed January 31, 2017.
 
16. KOAA. Summer camp evacuated due to Hayden Pass fire. http://www.koaa.com/story/32430529/crews-build-line-around-hayden-pass-fire. Published July 12, 2016. Accessed January 30, 2017.
 
17. Chacon DJ. Details of deadly flash flood that killed Boy Scout raise questions of oversight. http://www.santafenewmexican.com/news/local_news/details-of-deadly-flash-flood-that-killed-boy-scout-raise/article_ba4cd170-af60-5eb7-a7af-22f77c9a41b8.html. Published September 26, 2015. Accessed January 31, 2017.
 
18. Associated Press. Norwegian mass murderer Breivik makes Nazi salute at court. http://www.bostonherald.com/news/international/2017/01/norwegian_mass_murderer_breivik_makes_nazi_salute_at_court. Published January 10, 2017. Accessed February 2, 2017.
 
19. Landon J. Threats made against Jewish community centers around the country. http://www.fox2detroit.com/news/local-news/229941451-story. Published January 18, 2017. Accessed February 2, 2017.
 
20. Council on School Health, Walton EA, Tothy AS. Creating healthy camp experiences. Pediatrics 2011;127:794-799.
 
21. Olympia RP, Hollern K, Armstrong C, et al. Compliance of camps in the United States with guidelines for health and safety practices. Pediatr Emerg Care 2015;31:178-185.
 
22. American Camp Association. Standards-at-a-glance, 2012 edition. http://www.acacamps.org/sites/default/files/resource_library/accreditation/Revised%201_16%202016-Standards_at_a_Glance_.pdf. Updated January 2016. Accessed February 4, 2017.
 
23. American Camp Association. State laws & regulations. http://www.acacamps.org/resource-library/state-laws-regulations. Accessed February 4, 2017.
 
24. Martin SD, Bush AC, Lynch JA. A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs. Pediatrics 2006;118:e620-e626.
 
25. Olympia RP, Wan E, Avner JR. The preparedness of schools to respond to emergencies in children: a national survey of school nurses. Pediatrics 2005;116:e738-e745.
 
26. Olympia RP, Rivera R, Heverley 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;49:686-698.
 
27. American College of Emergency Physicians. Emergency information form for children with special health care needs. https://www.acep.org/clinical---practice-management/emergency-information-form-for-children-with-special-health-care-needs. Accessed September 5, 2016.
 
28. Stamell EF, Foltin GL, Nadler EP. Lessons learned for pediatric disaster preparedness from September 11, 2001: New York City trauma centers. J Trauma 2009;67(2 Suppl):S84-S87.
 
29. Markenson D, Redlener I. Pediatric emergency preparedness for natural disasters, terrorism and public health emergencies. http://academiccommons.columbia.edu/catalog/ac:126146. Published March 2007. Accessed September 1, 2016.
 
30. Blake N, Stevenson K. Reunification: keeping families together in crisis. J Trauma 2009;67(2 Suppl):S147-S151.
 
31. Dolan MA, Krug SE. Pediatric disaster preparedness in the wake of Katrina: lessons to be learned. Clin Pediatr Emerg Med 2006;7:59-66.
 
32. Broughton DD, Allen EE, Hannemann RE, et al. Getting 5000 families back together: reuniting fractured families after a disaster: the role of the National Center for Missing & Exploited Children. Pediatrics 2006;117( 5 Pt 3 ):S442-S445.
 
33. UNICEF. Unaccompanied and separated children in the tsunami-affected countries: guiding principles. http://www.unicef.org/protection/Separated-20Children-20Guiding-20Principles-20Tsunami(1).pdf. Accessed September 26, 2016.
 
34. Allen GM, Parrillo SJ, Will J, et al. Principles of disaster planning for the pediatric population. Prehosp Disaster Med 2007;22:537-540.
 
35. American Academy of Pediatrics. Pediatric preparedness resource kit. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Children-and-Disasters/Pages/Pediatric-Preparedness-Resource-Kit.aspx?nfstatus=. Accessed September 5, 2016.
 
36. American Camp Association. Severe weather season is now year-round-preparing your camp. http://www.acacamps.org/resource-library/severe-weather-season-now-year-round-preparing-your-camp. Accessed September 5, 2016.
 
37. Save the Children. Disasters happen. It’ how we prepare for them that makes the difference. http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.8777055/k.18AB/Get_Ready_Get_Safe_Plan_Ahead.htm. Accessed October 5, 2016.
 
38. American Red Cross. Resources for schools: how to prepare your school, staff and students for disasters and emergencies. http://www.redcross.org/get-help/prepare-for-emergencies/resources-for-schools#Tips-for-School. Accessed October 5, 2016.