Children

The Promising Practices

North Carolina Child Care Training Program

UNC Schools of Global Public Health
Chapel Hill, NC

Vulnerable Populations Action Team

Seattle King County Public Health
Seattle, WA

Contra Costa School Action Planning

Contra Costa Health Services
Martinez, CA

Kentucky Outreach and Information Network (KOIN)

Cabinet for Health and Family Services
Frankfort, KY

Overview

Children can often be overlooked as a special needs population, but they have special needs that are both biophysical and emotional in scope. Because their needs vary considerably by developmental age, the way their needs are addressed may have both immediate and long-term effects. Specific concerns for children who experience a public health emergency include the following:

  • Increased susceptibility to man-made disasters (e.g., chemical, biological or radiological attack)
    • They have rapid respiratory rates compared with adults, thus increasing their absorption of aerosolized chemical or biological agents; and
    • They have greater surface area relative to their body mass and can absorb more chemicals through the skin.
  • An array of potential psychological consequences during and after a public health emergency
    • They may react to their parents' anxious response during an emergency;
    • They may develop a fear or anxiety of being separated from parents or other family members; and
    • They may have difficulty understanding what is occurring and need extra attention and explanation.

Strategies and Resources for Addressing the Public Health Emergency Needs of Children

Why is this group at greater risk? How can planners help this group? What resources are available to help?
Increased physiological susceptibility to attacks
  1. Ensure that decontamination equipment is suitable for children
  2. Provide assistance in taking medication, and make sure the dosages are specific for children
  3. Use appropriate pediatric triaging methods
  4. Ensure children with special health care needs have adequate home health care plans in place
Immediate and long-term emotional consequences
  1. Provide children with a way to express their feelings via play or writing such as toys or journals
  2. Understand the developmental age-specific responses of children during an emergency
  3. Provide constant reassurance and a chance to resume normal routines as quickly as possible
  4. Engage children in creating safety kits as part of school projects
  5. Ensure that school leaders, child care staff members have training in how children may react during an event
Lack of developmentally appropriate information
  1. Find risk communication materials tailored to the developmental needs of children
  2. Find materials that use engaging graphics or pictures and simple language
Dependence on school and child care staff
  1. Share school and child care emergency plans with parents and caregivers well in advance of an emergency
  2. Include parents and caregivers on emergency planning committees so that their needs and concerns for their children are addressed
  3. Offer multiple communication methods for parents in case of different emergencies
  4. Develop strong partnerships with facilities that will provide resources during an emergency
  5. Develop memorandum of understanding/agreement (MOU/MOA) with transportation companies that can be used if children need to be evacuated from schools

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