public health emergency preparedness and the needs of children irwin redlener, m.d., f.a.a.p....
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![Page 1: 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,](https://reader035.vdocuments.net/reader035/viewer/2022070400/56649f145503460f94c289a8/html5/thumbnails/1.jpg)
Public Health Emergency Preparedness and the Needs of Children
Irwin Redlener, M.D., F.A.A.P.Professor of Clinical Public Health and
PediatricsDirector, The National Center for
Disaster PreparednessColumbia University Mailman School
of Public HealthandPresident, The Children’s Health Fund
![Page 2: 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,](https://reader035.vdocuments.net/reader035/viewer/2022070400/56649f145503460f94c289a8/html5/thumbnails/2.jpg)
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
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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.
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Medical Care for Medical Care for ChildrenChildren
BeslanBeslan, 2004, 2004
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Staff and Medical Equipment Staff and Medical Equipment
of Children’s Field Hospitalof Children’s Field Hospital
Specialists of Russian Center for Disaster Medicine and staff of Airmobile Hospital of Emergencies Ministry
DoctorsDoctors & NursesNurses - 20 20 Technical staffTechnical staff - 16 - 16
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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
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Caring for Children: Observations from Hurricane Katrina