Public Health Emergency Preparedness and the Needs of Children Irwin Redlener, M.D., F.A.A.P. Professor of Clinical Public Health and Pediatrics Director,

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Presentation transcript:

Public Health Emergency Preparedness and the Needs of Children Irwin Redlener, M.D., F.A.A.P. Professor of Clinical Public Health and Pediatrics Director, The National Center for Disaster Preparedness Columbia University Mailman School of Public Health and President, The Children’s Health Fund

I. Redlener, M.D. Special Vulnerabilities of Children to Chemical, Biological, Radioactive, and Nuclear Agents (CBRNE) Not just “little adults” Lower “breathing zones” and more rapid respiratory rates Greater skin surface and permeability Greater propensity to dehydration, shock Need special treatment, management protocols “Dependent” Suffer varying mental health effects

How Are Children Exposed to Chemical, Biological, Radioactive, and Nuclear Agents (CBRNE) Materials? Unintentionally Industrial accidents (e.g., chemical leaks, nuclear reactor accidents) Natural disasters Airplane crashes Inadvertently As collateral victims of terrorism (e.g. Oklahoma City, Madrid) Indirectly Posttraumatic stress (PTSD) and other psychological effects Through media (e.g., Oklahoma City, WTC) Intentionally Targeted As victims of terrorist attacks (e.g., Ma’lot, Beslan) I. Redlener, M.D.

Medical Care for Children Beslan, 2004 Beslan, 2004

Staff and Medical Equipment of Children’s Field Hospital Specialists of Russian Center for Disaster Medicine and staff of Airmobile Hospital of Emergencies Ministry DoctorsNurses 20 Technical staff - 16 Doctors & Nurses - 20 Technical staff - 16

How Can Parents and Professionals Speak to Children About Terrorism and the Potential for Major Disasters? Be available Give age-appropriate messages Encourage questions Seek professional assistance when stress symptoms increase

Caring for Children: Observations from Hurricane Katrina