Home Alone: Prepare Kids for Emergencies

Many children don’t have adult supervision 100% of the time. Parents and caregivers have jobs, errands, and other responsibilities that require them to leave their kids home alone some of the time.

Emergencies and no-notice disasters can happen during these gaps in supervision. Here are some practical skills you can teach, and conversations you can have, to prepare them to be home alone.

Talk About Emergencies

Emergencies can be scary for anybody, especially children. Parents and guardians must talk to kids about what they can anticipate during and after an emergency. Talking to kids about emergencies, involving them in preparedness activities, and teaching them what to do during an emergency can give them a sense of control if a real emergency happens.

Teach Kids to Use 911

One of the most important lessons a parent or guardian can teach a child—regardless of whether they spend time home alone—is how and when to call 911.

Kate Elkins is a 911 and Emergency Medical Services (EMS) specialist with the National 911 Program in the NHTSA Office of EMS. She has first-hand experience as a paramedic responding to calls from children.

“Kids can be incredibly powerful in a crisis,” she said. “They want to help themselves and their families. It’s important to talk to kids about how and when to call 911. And to let them know that 911 is a resource that can empower them.”

Here are some things you can do to help kids feel more comfortable about calling 911:

  • Explain the purpose of 911. They should dial 911 only for an emergency. An emergency is a serious situation when a police officer, firefighter, or paramedic is needed right away.(1)
  • Prepare kids to answer the 911 operator’s questions. Explain to them that the operator will ask several questions like, “What is your emergency? What is your address? What phone number can they call you back on?” And they will ask more detailed questions about who needs help, why they need help, and if it’s a medical emergency, they will ask a series of questions and may give directions on what to do to help.
  • Teach kids how to use the emergency call feature from a locked cell phone.
  • Give kids examples of when to call 911. For example, tell them to “Call 911 if someone is threatening or hurting someone else, if something is on fire (but you may need to call from a neighbor’s house if the fire is at your house), or someone is hurt, bleeding, or lying on the ground and not moving.”
  • Reassure kids that calling 911 is easy to do. Also, that operators want to help. Emphasize the importance of answering the operator’s questions honestly, following their directions, and staying on the phone until told to hang up.
  • Also, go over what to do if your child accidentally calls 911 and there is not an emergency. It is important to stay on the line and explain there is no emergency so that 911 does not send responders to investigate a hang-up call.

Deciding if a situation is an emergency can be difficult for a child. They might have to use their best judgment. Tell them it is better to call 911 if they are in doubt and there’s no time to ask a parent, guardian, or neighbor.

“Sometimes, you just need to give kids permission to call 911 if they’re scared,” said Elkins. “It’s ok. Public safety telecommunicators are trained to take these kinds of calls.”

Partner with Neighbors

Let children know that if an emergency happens, they should look for “the helpers” in their community. This could be a friendly neighbor, teacher, or adult relative.

Introduce your kids to trusted neighbors who might help in an emergency. If possible, share your contact information with them so that they will be able to reach you in an emergency. In return, offer to be an emergency contact for them and their kids.

Practice Makes Perfect

Practicing emergency scenarios with kids can help familiarize them with what they should do in an emergency and build up their confidence to respond.(2)

Role-play to help kids decide when and practice how to dial 911. Act out different scenarios, such as a tornado warning or a stranger coming to the door, when kids may need to take shelter, or call 911. Make cellphone passcode entry part of your 911 role play.

Elkins also recommends reaching out to your local EMS agency, fire department, and police department to arrange a visit. Ask them to talk to your kids about calling 911. Getting to know the people who answer the phone when they call 911 is another way to make kids feel more comfortable and confident about calling.

Learn more about how to prepare children for an emergency.

References

  1. https://www.911.gov/needtocallortext911.html
  2. https://www.childwelfare.gov/pubpdfs/homealone.pdf

Resources

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

 

 

Get Involved: Donate Blood. Save Lives.

June 14 is World Blood Donor Day.

The nation’s blood supply needs your help. Donating blood is a simple, safe way to get involved and help save lives in your community.

Why donate?

Think of the nation’s blood supply like the gasoline in a car’s fuel tank. The supply of blood must be refilled regularly to keep up with the demand of hospitals and emergency treatment facilities. Every two seconds, a patient somewhere in the U.S. needs a blood transfusion.(1)

The American Red Cross is the gas station in this analogy. They are the largest single supplier of blood and blood products in the United States.

Rodney Wilson is a spokesperson at the American Red Cross. He says the nation’s need for blood donations is constant, “Each day, the Red Cross must collect nearly 13,000 blood donations for patients at about 2,500 hospitals nationwide. This need doesn’t stop for the season, weather, holiday, or a pandemic.”

However, due to the many safety protocols put in place during COVID-19, and many places being unable to host blood drives, it has been difficult to maintain an adequate blood supply. Wilson says that the pandemic’s effects on donations are ongoing. “The Red Cross continues to feel the effects of COVID-19. Each month, roughly 1,000 drives are canceled,” he said.

Summer months can be a challenging time to collect blood. Observances like World Blood Donor Day on June 14 are a time to thank donors and remind people of the importance of blood donation.

Donating blood is a simple, quick, and effective way for eligible individuals to get involved in their community. Most healthy adults can donate without experiencing any side effects.(2)

What to donate

You have more to offer than just blood. Here are the four types of donations you can make. Eligibility requirements differ for each type.

  • Whole blood: This is the most common and flexible type of donation where they simply take approximately one pint of your blood.
  • Red cells (Power Red): You give a concentrated donation of red blood cells which can have a greater impact on patients.
  • Platelets: You donate the tiny cells in your blood that form clots. These donations can only be done at Red Cross donation centers, not at blood drives.
  • Plasma: You donate the part of your blood used to treat patients in emergencies.

Right now, the Red Cross asks eligible individuals to give blood or platelets to help meet the everyday needs of hospitals and patients, including survivors of trauma, people with cancer, and people with sickle cell disease.

Where to donate

Blood donations can occur at a blood bank, blood donation center, mobile facility, or hospital. Contact the following organizations to find a local blood collection site and schedule an appointment:

The Red Cross Blood Donor app is another way to find a place to donate and get notified of blood drives in your area. The app also records an individual’s donation history, blood type, and notifies donors of the results of their blood screening.

Prepare to donate

Now that you’ve decided what and where to donate, here’s some information to help you prepare for your appointment.

Before your donation

  • Eat iron-rich foods such as meat, fish, poultry, spinach, iron-fortified cereals, or raisins.
  • Get a good night’s sleep and drink extra liquids to be sure that you’re well-hydrated.
  • If you’re going to donate platelets, do not take aspirin products for two days prior to your appointment. (3)
  • Learn more about Red Cross donation safety protocols.

During your donation

  • Bring a photo ID and a list of any prescription or over-the-counter medicines that you take.
  • If you received a COVID-19 vaccine, remember the name of the manufacturer, and inform the staff.
  • Wear a short-sleeve shirt or a shirt with sleeves that you can roll up to your elbows.
  • Let staff know of a preferred arm or a particular vein that has been successfully used to draw blood in the past.
  • Relax, listen to music, or meditate.

After your donation

  • Relax for a few minutes and have a snack. Many donation sites offer complimentary cookies and juice.
  • Drink an extra four (8 oz.) glasses of liquids and avoid alcohol for 24 hours.
  • Let others know that you donated.

Blood safety basics

CDC is one of the federal agencies responsible for assuring the safety of the U.S. blood supply through investigations and surveillance. The U.S. Food and Drug Administration ensures the safety of blood donations and protects the health of donors. The National Institutes of Health carries out research on blood transfusion basic science, epidemiology, and clinical practices.

Learn more ways to prepare your health for emergencies.

References

  1. https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-blood-donations
  2. https://www.nhlbi.nih.gov/health-topics/blood-donation
  3. https://www.redcrossblood.org/donate-blood/how-to-donate/types-of-blood-donations/platelet-donation.html

Resources

 

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

 

 

 

 

 

 

 

 

 

 

A Shared Approach to Preventing Opioid Overdoses

The COVID-19 pandemic has posed unique challenges to most Americans, but the pressures experienced by some people who use drugs have been particularly severe. Provisional data indicate that opioid overdoses have increased during the pandemic, but preventing overdose is possible. There are specific actions that we can take to save lives.

Spot the signs of overdose and learn how to respond

It can be difficult to tell if a person has taken opioids or is experiencing an overdose. The signs of an overdose include:

  • Small, constricted “pinpoint pupils”
  • Falling asleep or loss of consciousness
  • Slow, shallow breathing
  • Choking or gurgling sounds
  • Limp body
  • Cold, clammy, and or discolored skin

When in doubt, treat the situation like an overdose. Act fast, and you could save the person’s life.  Here’s what you should do if you think that a person has overdosed:

  1. Call 911 immediately.
  2. Give naloxone, if available.
  3. Try to keep the person awake and breathing.
  4. Lay the person on their side to prevent choking.
  5. Stay with the person until emergency workers arrive.

Learn about naloxone

Naloxone is a life-saving drug that can reverse the effects of an opioid overdose when given in time.(1) Naloxone can easily be injected into the thigh or given as a spray into the nose to save a life during an overdose. It can be given by anyone, even if they have no training for this kind of emergency.(2)

In most states, you can get naloxone without a prescription from your local pharmacist. Pharmacists and other healthcare providers can help improve access to and expand the use of naloxone.(3) If you or a family member is at increased risk of opioid overdose, talk to your doctor about prescribing naloxone.

Have open and honest discussions

Substance use disorder doesn’t discriminate. Anyone can be affected no matter who they are or where they live. There’s nothing wrong with suggesting that friends or family members talk to their doctor about all pain management options.

If you have friends or family members who struggle with opioid use disorder, have open and honest discussions with them about opioids and treatment options.

Talk to them about naloxone, encourage them to ask a doctor about medications for opioid use disorder, and share treatment and recovery resources with them. Resources include the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline (1-800-662-HELP) and the SAMHSA Behavioral Health Treatment Services Locator.

CDC’s role

CDC’s role in the overdose epidemic is to:

  • Improve patient safety.
  • Educate the public about the risk of opioid misuse.
  • Help states implement effective overdose prevention strategies.
  • Work with public safety departments to improve collaboration between public health and safety.
  • Collect and analyze data on opioid overdose to better tailor prevention efforts.

The best ways to prevent opioid overdose deaths are to improve opioid prescribing, prevent misuse, reverse an overdose, and treat opioid use disorder. Learn more about overdose prevention and how you can help lower the risks of opioid overdose in your community.

Resources

References

  1. https://www.cdc.gov/drugoverdose/prevention/reverse-od.html
  2. https://medlineplus.gov/druginfo/meds/a616003.html
  3. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-naloxone

 

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

A Shared Approach to Preventing Opioid Overdoses

The COVID-19 pandemic has posed unique challenges to most Americans, but the pressures experienced by some people who use drugs have been particularly severe. Provisional data indicate that opioid overdoses have increased during the pandemic, but preventing overdose is possible. There are specific actions that we can take to save lives.

Spot the signs of overdose and learn how to respond

It can be difficult to tell if a person has taken opioids or is experiencing an overdose. The signs of an overdose include:

  • Small, constricted “pinpoint pupils”
  • Falling asleep or loss of consciousness
  • Slow, shallow breathing
  • Choking or gurgling sounds
  • Limp body
  • Cold, clammy, and or discolored skin

When in doubt, treat the situation like an overdose. Act fast, and you could save the person’s life.  Here’s what you should do if you think that a person has overdosed:

  1. Call 911 immediately.
  2. Give naloxone, if available.
  3. Try to keep the person awake and breathing.
  4. Lay the person on their side to prevent choking.
  5. Stay with the person until emergency workers arrive.

Learn about naloxone

Naloxone is a life-saving drug that can reverse the effects of an opioid overdose when given in time.(1) Naloxone can easily be injected into the thigh or given as a spray into the nose to save a life during an overdose. It can be given by anyone, even if they have no training for this kind of emergency.(2)

In most states, you can get naloxone without a prescription from your local pharmacist. Pharmacists and other healthcare providers can help improve access to and expand the use of naloxone.(3) If you or a family member is at increased risk of opioid overdose, talk to your doctor about prescribing naloxone.

Have open and honest discussions

Substance use disorder doesn’t discriminate. Anyone can be affected no matter who they are or where they live. There’s nothing wrong with suggesting that friends or family members talk to their doctor about all pain management options.

If you have friends or family members who struggle with opioid use disorder, have open and honest discussions with them about opioids and treatment options.

Talk to them about naloxone, encourage them to ask a doctor about medications for opioid use disorder, and share treatment and recovery resources with them. Resources include the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline (1-800-662-HELP) and the SAMHSA Behavioral Health Treatment Services Locator.

CDC’s role

CDC’s role in the overdose epidemic is to:

  • Improve patient safety.
  • Educate the public about the risk of opioid misuse.
  • Help states implement effective overdose prevention strategies.
  • Work with public safety departments to improve collaboration between public health and safety.
  • Collect and analyze data on opioid overdose to better tailor prevention efforts.

The best ways to prevent opioid overdose deaths are to improve opioid prescribing, prevent misuse, reverse an overdose, and treat opioid use disorder. Learn more about overdose prevention and how you can help lower the risks of opioid overdose in your community.

Resources

References

  1. https://www.cdc.gov/drugoverdose/prevention/reverse-od.html
  2. https://medlineplus.gov/druginfo/meds/a616003.html
  3. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-naloxone

 

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

Stay Informed: How Scales Help Us Describe Disasters

Photo of palm trees bending in gale force winds

Last year’s Atlantic hurricane season was record-breaking. There were 30 named storms during the 2020 season. Thirteen of those became hurricanes (top winds of 74 mph or greater). Six of those reached Category 3 or higher.(1)

Hurricanes are categorized using the Saffir-Simpson Hurricane Wind Scale. Other scales are used by experts to explain and describe the intensity or severity of disasters like tornadoes and earthquakes. Below are descriptions of some of them.

The Saffir-Simpson Hurricane Wind Scale

The Saffir-Simpson Hurricane Wind Scale was created in 1971 by civil engineer Herbert Saffir and meteorologist Robert Simpson. Hurricanes are rated (or categorized) 1 to 5 based on their maximum sustained wind speed. The category relates wind speed to the kinds of property damage that are likely to occur from wind.(2)

All hurricanes produce life-threatening winds, but only storms rated Category 3 and higher are considered major hurricanes. Major hurricanes cause devastating to catastrophic wind damage.Hurricane evacuation sign

Hurricanes of all categories can produce storm surge that requires people to evacuate and take other preventative measures.

The Saffir-Simpson scale only provides information about wind damage. It does not describe damage from other hazards, such as storm surge, inland flooding, or tornadoes spawned by the storm.

Along the coast, storm surge is often the greatest threat to life and property from a hurricane. At least 1,500 people died during Hurricane Katrina in 2005. Many of those deaths are attributed either directly or indirectly to storm surge.(3)

Evacuation orders are more likely to be based on storm surge or inland flooding than on the Saffir-Simpson category. It is critical for emergency officials and the public to stay informed of the forecast and to prepare regardless of whether they live near the coast or well inland.

Learn ways to prepare for hurricanes.

The Enhanced Fujita Scale

Researcher Ted Fujita and Allen Pearson of the National Weather Service (NWS), introduced the original Fujita Scale for rating tornadoes in 1971.

Wind researchers and engineers provided substantial enhancements to the scale in the early 2000s, called the Enhanced Fujita (EF) Scale. NWS adopted the scale in 2007. Like the F-Scale, the EF Scale estimates a tornado’s intensity on a scale, from 0 to 5, based on surveyed damage.(4)

Photo of person in the foreground of residential tornado destruction
Photo credit: FEMA

NWS is the only federal agency with the authority to provide official ratings for tornadoes. Ratings are not based on actual measurements of wind speed; although, some researchers have equipment that can estimate speeds through radar velocity data. Ratings are estimates of wind speed based on assessed damage to structures and vegetation. The result is a range of likely
wind speeds.

The most recent EF5 tornado struck Moore, Okla., in May 2013.(5) It killed 24 people, injured many more, and caused billions of dollars in damage. After that tornado, the City of Moore passed building codes requiring new homes be built to withstand at least EF2 wind speeds.

Learn ways to prepare for tornadoes.

Earthquake Magnitude Scales

The Richter Magnitude scale was developed in 1935 by Charles F. Richter of the California Institute of Technology and was followed later by many additional magnitude scales. The Moment Magnitude scale is used to rate the magnitude (the amount of energy released) of an earthquake, and is preferred by scientists to determine earthquake magnitudes today. Magnitude is not determined by assessing the damage caused by an earthquake but by using the shaking recorded at the surface as measured by instruments known as seismographs.(6)Graphic depicting earthquake waveforms

Magnitude is expressed on the Moment Magnitude scale in whole numbers and decimal fractions. A whole number increase in magnitude represents a tenfold increase in measured energy. Each whole number step in the magnitude scale corresponds to the release of about 31 times more energy than the amount associated with the preceding whole number value.

Another important scale used by earthquake scientists is the Modified Mercalli Intensity (MMI) scale. The MMI scale estimates the intensity of shaking in the region around the earthquake epicenter with a range of values that varies across the landscape corresponding to felt reports of shaking and damage.

An earthquake with a magnitude of 6.7 struck the southern California city of Northridge in 1994. The quake killed 57 people, injured more than 9,000, and displaced over 20,000. It caused an estimated $20 billion in property losses and infrastructure damages. It is considered the costliest earthquake in U.S. history.(7)

As a result, building codes changed and retrofitting was done at hospitals and on freeways and water pipes to mitigate (or reduce) the effect of the next earthquake.(8, 9) State and local responders are prepared for the next earthquake with emergency plans and early warning systems, like the MyShake App.

Learn ways to prepare for earthquakes.

Reference

  1. https://www.noaa.gov/media-release/record-breaking-atlantic-hurricane-season-draws-to-end
  2. https://www.nhc.noaa.gov/aboutsshws.php
  3. https://www.nhc.noaa.gov/surge/
  4. https://www.weather.gov/oun/efscale
  5. https://www.spc.noaa.gov/faq/tornado/f5torns.html
  6. https://www.usgs.gov/faqs/moment-magnitude-richter-scale-what-are-different-magnitude-scales-and-why-are-there-so-many?qt-news_science_products=0#qt-news_science_products
  7. https://www.usgs.gov/faqs/seismometers-seismographs-seismograms-whats-difference-how-do-they-work?qt-news_science_products=0#qt-news_science_products
  8. https://www.usgs.gov/media/videos/northridge-ca-earthquake-open-file-report-94-179-i
  9. https://www.npr.org/2019/01/17/686020821/25-years-after-the-northridge-earthquake-is-la-ready-for-the-big-one

Resources

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

Stay Informed: How Scales Help Us Describe Disasters

Photo of palm trees bending in gale force winds

Last year’s Atlantic hurricane season was record-breaking. There were 30 named storms during the 2020 season. Thirteen of those became hurricanes (top winds of 74 mph or greater). Six of those reached Category 3 or higher.(1)

Hurricanes are categorized using the Saffir-Simpson Hurricane Wind Scale. Other scales are used by experts to explain and describe the intensity or severity of disasters like tornadoes and earthquakes. Below are descriptions of some of them.

The Saffir-Simpson Hurricane Wind Scale

The Saffir-Simpson Hurricane Wind Scale was created in 1971 by civil engineer Herbert Saffir and meteorologist Robert Simpson. Hurricanes are rated (or categorized) 1 to 5 based on their maximum sustained wind speed. The category relates wind speed to the kinds of property damage that are likely to occur from wind.(2)

All hurricanes produce life-threatening winds, but only storms rated Category 3 and higher are considered major hurricanes. Major hurricanes cause devastating to catastrophic wind damage.Hurricane evacuation sign

Hurricanes of all categories can produce storm surge that requires people to evacuate and take other preventative measures.

The Saffir-Simpson scale only provides information about wind damage. It does not describe damage from other hazards, such as storm surge, inland flooding, or tornadoes spawned by the storm.

Along the coast, storm surge is often the greatest threat to life and property from a hurricane. At least 1,500 people died during Hurricane Katrina in 2005. Many of those deaths are attributed either directly or indirectly to storm surge.(3)

Evacuation orders are more likely to be based on storm surge or inland flooding than on the Saffir-Simpson category. It is critical for emergency officials and the public to stay informed of the forecast and to prepare regardless of whether they live near the coast or well inland.

Learn ways to prepare for hurricanes.

The Enhanced Fujita Scale

Researcher Ted Fujita and Allen Pearson of the National Weather Service (NWS), introduced the original Fujita Scale for rating tornadoes in 1971.

Wind researchers and engineers provided substantial enhancements to the scale in the early 2000s, called the Enhanced Fujita (EF) Scale. NWS adopted the scale in 2007. Like the F-Scale, the EF Scale estimates a tornado’s intensity on a scale, from 0 to 5, based on surveyed damage.(4)

Photo of person in the foreground of residential tornado destruction
Photo credit: FEMA

NWS is the only federal agency with the authority to provide official ratings for tornadoes. Ratings are not based on actual measurements of wind speed; although, some researchers have equipment that can estimate speeds through radar velocity data. Ratings are estimates of wind speed based on assessed damage to structures and vegetation. The result is a range of likely
wind speeds.

The most recent EF5 tornado struck Moore, Okla., in May 2013.(5) It killed 24 people, injured many more, and caused billions of dollars in damage. After that tornado, the City of Moore passed building codes requiring new homes be built to withstand at least EF2 wind speeds.

Learn ways to prepare for tornadoes.

Earthquake Magnitude Scales

The Richter Magnitude scale was developed in 1935 by Charles F. Richter of the California Institute of Technology and was followed later by many additional magnitude scales. The Moment Magnitude scale is used to rate the magnitude (the amount of energy released) of an earthquake, and is preferred by scientists to determine earthquake magnitudes today. Magnitude is not determined by assessing the damage caused by an earthquake but by using the shaking recorded at the surface as measured by instruments known as seismographs.(6)Graphic depicting earthquake waveforms

Magnitude is expressed on the Moment Magnitude scale in whole numbers and decimal fractions. A whole number increase in magnitude represents a tenfold increase in measured energy. Each whole number step in the magnitude scale corresponds to the release of about 31 times more energy than the amount associated with the preceding whole number value.

Another important scale used by earthquake scientists is the Modified Mercalli Intensity (MMI) scale. The MMI scale estimates the intensity of shaking in the region around the earthquake epicenter with a range of values that varies across the landscape corresponding to felt reports of shaking and damage.

An earthquake with a magnitude of 6.7 struck the southern California city of Northridge in 1994. The quake killed 57 people, injured more than 9,000, and displaced over 20,000. It caused an estimated $20 billion in property losses and infrastructure damages. It is considered the costliest earthquake in U.S. history.(7)

As a result, building codes changed and retrofitting was done at hospitals and on freeways and water pipes to mitigate (or reduce) the effect of the next earthquake.(8, 9) State and local responders are prepared for the next earthquake with emergency plans and early warning systems, like the MyShake App.

Learn ways to prepare for earthquakes.

Reference

  1. https://www.noaa.gov/media-release/record-breaking-atlantic-hurricane-season-draws-to-end
  2. https://www.nhc.noaa.gov/aboutsshws.php
  3. https://www.nhc.noaa.gov/surge/
  4. https://www.weather.gov/oun/efscale
  5. https://www.spc.noaa.gov/faq/tornado/f5torns.html
  6. https://www.usgs.gov/faqs/moment-magnitude-richter-scale-what-are-different-magnitude-scales-and-why-are-there-so-many?qt-news_science_products=0#qt-news_science_products
  7. https://www.usgs.gov/faqs/seismometers-seismographs-seismograms-whats-difference-how-do-they-work?qt-news_science_products=0#qt-news_science_products
  8. https://www.usgs.gov/media/videos/northridge-ca-earthquake-open-file-report-94-179-i
  9. https://www.npr.org/2019/01/17/686020821/25-years-after-the-northridge-earthquake-is-la-ready-for-the-big-one

Resources

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

Threats Unseen: Beware of Norovirus During an Emergency

Woman clutches her stomach as if feeling nauseous

Natural disasters are unpredictable. Often, we don’t know when or where they will happen or if we will have to leave our homes because of them. Evacuations for hurricanes and wildfires can force people into emergency shelters, where close quarters, shared spaces, and high-touch surfaces can make it easy for norovirus to spread.Graphic that defines norovirus. Text also in body of article.

Norovirus outbreaks occurred in most evacuation shelters in Butte and Glenn counties, Calif., during the Camp Fire in November 2018. Public-health officials identified 292 people ill with acute gastroenteritis caused by norovirus.(1)

A norovirus outbreak among evacuees from Hurricane Katrina in 2005 was also reported in CDC’s Morbidity and Mortality Weekly Report. That outbreak might have affected approximately 1,000 evacuees and relief workers.(2)

What is Norovirus?

Norovirus is a very contagious virus that causes vomiting and diarrhea. Most “stomach bugs” are likely norovirus infections because it’s a relatively common virus. Anyone can catch norovirus from direct contact with an infected person, touching a contaminated surface, or eating contaminated food. It only takes a very small amount of virus particles to make
you sick. The number of particles that could fit on the head of a pin is enough to infect more than 1,000 people.

A person infected with norovirus usually starts to feel ill 12 to 48 hours after they’ve been exposed. The most common symptoms of norovirus infection are diarrhea, vomiting, nausea, and stomach pain. But it can cause fever, headache, and body aches, too.

Be Prepared

Follow the guidance of local officials when going to an emergency shelter during the COVID-19 pandemic. They will tell you when and where to take shelter and what to bring with you.

Act now to prepare “go kits” for family members. Include everyday personal items you cannot do without and other personal protective supplies, such as hand sanitizer with at least 60% alcohol, bar or liquid soap, disinfectant wipes and spray, and at least two masks per person age 2 or older in your household.

If your Emergency Action Plan is to go to a shelter in an evacuation, your kit might also include plenty of nonperishable food, mess kits (e.g., reusable cups, plates, bowls utensils). Also, pack paper towels and disposable plastic gloves to clean up after a sick family member. If you are cleaning up after someone vomits or has diarrhea, use a bleach-based cleaner to prevent the spread of norovirus.

Wash Your Hands

Clean hands are essential to health, whether in an emergency or day-to-day life. Handwashing can keep you healthy and prevent the spread of respiratory and diarrheal infections, like norovirus, from one person to the next. Unseen woman washing her hands with soap in a sink.

Wash your hands thoroughly with soap and water especially after using the toilet or changing diapers; always before eating, preparing, or handling food; and before giving yourself or someone else medicine. Here’s how:

  • Wet your hands with clean, running water (warm or cold) and apply soap.
  • Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
  • Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
  • Rinse your hands well under the water.
  • Dry your hands using a clean towel or air dry them.

You can use alcohol-based hand sanitizers in addition to hand washing. But you should not use hand sanitizer as a substitute for washing your hands with soap and water. Hand sanitizers aren’t as effective at removing norovirus particles as washing hands with soap and water.

If you start to feel sick, continue to wash your hands often with soap and water and try to avoid direct contact with others. You should not prepare food for others or provide health care while you are sick, and for at least 2 days after symptoms stop.

Learn More

CDC and state and local health departments help to raise awareness among healthcare providers and the public about norovirus and how to prevent it. Learn more about how they work to prevent and stop norovirus outbreaks.

For more suggestions on how to prepare your health for emergencies, visit https://www.cdc.gov/prepyourhealth/.

Resources

References

  1. https://www.cdc.gov/mmwr/volumes/69/wr/mm6920a1.htm
  2. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a3.htm


Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

#BeCyberSmart: 5 Ways to Protect Your Health Tech

A stethoscope on top of a laptop keyboard.

October is National Cybersecurity Awareness Month.

Technological advances have made the field of home-use medical devices one of the most exciting in medicine. New technologies are being applied to all different types of devices, including those that are implanted, worn, and used at home or in health care settings. The result is safer, timelier, and more convenient patient care. But progress in the field has created new cybersecurity concerns.

Cybersecurity Incidents: A Public Health Issue?

Cybersecurity incidents are not as obvious a public health hazard as natural disasters. We’ve had less practice with cybersecurity incidents than, for example, a hurricane and its effects on personal and public health and safety. But just like a more traditional response to a disaster, we must prepare for all types of cybersecurity incidents and their consequences.

Cybersecurity incidents can happen by accident and impact a full range of systems, devices, and infrastructure that may have nothing to do with computers. Cyberattacks are incidents perpetrated by unauthorized actors who have malicious intent. Cybersecurity incidents can have negative effects that go beyond stolen information and threaten people’s health and safety.

Cybersecurity & Medical Devices

In the effort to make medical devices that can make managing a chronic health condition easier, manufacturers are designing devices that connect to the Internet, hospital networks, and even other medical devices. For example, a patient with an implanted heart device can now be monitored remotely and without visiting a doctor’s office.(1)

However, the same thing that makes these devices “smart” is also what makes them vulnerable to incidents that could impact the safety and effectiveness of a device and the health and wellbeing of people who rely on them.

#BeCyberSmart

Cybersecurity does not fall squarely on the shoulders of the government. It is a team sport. Every American has a role to play. Here are five simple ways you can #BeCyberSmart with personal health technology:

  1. Stay informed. The U.S. Food and Drug Administration (FDA) regulates all medical devices. If a medical device’s software has a weakness that might make it vulnerable to a cyberattack, the FDA may issue a cybersecurity safety communication that includes information about vulnerabilities and recommended actions for patients, providers, and manufacturers.
  2. Register your device. Even though it’s an extra step, registering a medical device with the manufacturer may help them reach you more quickly when there’s an urgent need to send out important information about the device, including software updates and safety communications.
  3. Update your software. Technology evolves over time, so software for your medical device will need to be updated. Medical device manufacturers can update a medical device for cybersecurity when needed and often do so by providing software updates.
  4. Look for glitches and report issues. A device that is not working as expected could be a sign that something isn’t right. Don’t ignore it. If you suspect that there is an issue with your device, notify your health care provider, the device manufacturer, and report the issue to FDA’s MedWatch.
  5. Share information. Educate your family or caregivers about your medical device. If a device isn’t working properly for any reason, someone who is already familiar with it may be able to help you recognize and report an issue. This is especially important if you aren’t very tech-savvy. Also, make sure your family knows how to reach the health care provider who prescribed the device in case you cannot.(3)

Medical devices are intended to improve health and help people live longer, healthier lives. But any medical device that runs on software and relies on a wireless or wired Internet connection is at risk, especially if the device is older and wasn’t made with cybersecurity in mind. Device makers, hospitals, facilities, and individuals, including patients and caregivers, must work together to manage cybersecurity risks.

References

Resources

Thanks in advance for your questions and comments on this Public Health Matters post. Please note that the CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.

Have a question for CDC? CDC-INFO (http://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.