The National Oceanic and Atmospheric Administration (NOAA) has provided those of us in the southeastern to northeastern U. S. with an excellent risk assessment tool for hurricanes.  See their “Historical Hurricane Tracks” page/search engine at http://csc-s-maps-q.csc.noaa.gov/hurricanes/viewer.html; to query their data (from 1878 in the case of Virginia) and see a map showing where major storms have passed through your area.  You can query by several means, including zip code, which produces a very specific and detailed map of the location along with dates and degree of severity of the storms, as well as their names of the ones who were given them.

Now that the dust has settled from the flurry of spring activities for the NN/LM Emergency Preparedness & Response Plan team, here is a brief summary of the Hospital Librarians Summit that was held in Chicago on April 21 with excellent results.  Fourteen hospital librarians from across the country, half sponsored by the NN/LM Emergency Preparedness & Response Plan and half by the eight Regions of NN/LM,  attended the day-long meeting at the Library of the Health Sciences at the University of Illinois/Chicago.  The meeting was hosted by the Greater Midwest Region of the NN/LM, with arrangements provided by Ruth Holst, Associate Director.  Each of the eight NN/LM Regions was represented, most by two hospital librarians and an emergency preparedness liaison from the NN/LM staff in each region.  Participants received an overview of NN/LM’s Emergency Preparedness Plan, and the resources that exist for assisting librarians to develop and implement emergency preparedness plans, then heard presentations about the activities of NLM’s Disaster Information Research Center (DIMRC).  In the afternoon, David Esterquest, Emergency Preparedness Coordinator, Ruth University Medical Center, spoke to the group about hospital emergency preparedness, how roles are established and how communication functions, as well as how hospital librarians can assist and develop roles with their hospitals for emergency preparedness.

As a result of break-out sessions that were part of the meeting, here are highlights of discussions about the roles hospital librarians can play in emergency preparedness and response:

•         offer library space (e.g. community crisis center, communications center, day care)

•         work in evacuation shelters, bringing books and needed reference materials

•         aid other institutions in disaster area to help salvage damaged collections

•         collection managers of disaster-related resources

•         information facilitators to public and health care professionals/communicate with public library

•         internal planners with hospital administration (let managers know what librarians can do in a disaster)

•         government partners (e.g. internet access to fill out FEMA forms)

•         bibliographic searches to public and health care professionals

•         host sessions on emergency preparedness—invite speakers and bring in experts

•         assist with grant writing

Yesterday, Tuesday, May 5, we convened a meeting at our library to review our pandemic plans and conduct a brief table-top exercise.  The meeting produced some excellent observations and insights, both for successes and things we need to work out.  The first half of the meeting was a review of our procedures, based the table (see below in the “Planning for Service Continuity During a Pandemic” post) from our library’s emergency preparedness plan.  All the “key players” attended, including:  the library’s emergency response coordinator, the library Director, IT manager, web development manager, business manager, head of reference services, collection development manager, database coordinator, ILL supervisor, and Circulation supervisor.  All these positions played roles in the planning and in the response exercise.  The scenario we used for the table-top exercise:  it is 3 PM on a Sunday afternoon, when the University decides to close all the libraries on campus to enact social-distancing measures.  The closure is intended to prevent the spread of influenza resulting from a pandemic.  What is done immediately?  What is done Monday morning?  Before beginning the discussion of procedures for this scenario, participants drew slips of paper from a bowl, which designated them as “sick” or “well.”  One-third of the participants were designated “sick,” and therefore did not play a role in the exercise.  This pointed out the need for back-up in certain key positions.

Some questions arose that might be helpful to others in the planning process, among them:

• can you change the voice mail message on your library’s main phone from your home?  who has the authority and the access needed to do this?  who is the backup for that person?
• who has current staff home phone number information?  is someone responsible for keeping the list upddated, and for distributing it?  should lists be given to everyone, or to select people?
• do the appropriate library staff have access to the “Ask a Librarian” chat function from home?
• do you need an official “voice” for providing information about the status of the library?  if so, will that person have access to communication channels, such as announcements on your web site?
• can the person responsible for ILL/Document Delivery access resources needed to provide ILL requests to your patrons from home, i.e. is the required software installed on the home computer/laptop?
• is there a provision for emergency access to print materials for affiliated patrons in the event of a patient-care emergency while the library is closed?
• is there an institutional need for designating a way to account for time worked at home by library staff?  

Besides refining our procedures and identifying a few areas to be improved, everyone agreed that the meeting/exercise was an excellent way to keep emergency preparedness, and pandemic planning particularly, in our corporate awareness.

The U.S. Geological Survey has made available a wealth of information about earthquakes, among them the “Today in Earthquake History” page .  A look at the page for May 4 shows several significant earthquakes around the world, two of which were in Alaska in 1923 and 1934.  By looking at the “Earthquake Reports” section in the left menu bar here on the Toolkit, you will note that Alaska is experiencing tremors again today.  The USGS has also provided an excellent Preparedness and Response page, all important information, particularly for everyone who lives on the west coast of North America, Alaska and Hawaii.

This would be a good time to review your pandemic planning procedures and perform a table-top drill.  For instance, are you ready to continue access to your resources and core services if your library is closed for, say, one week?  Click on the link below to view  a table from the University of Virginia’s Health Sciences Library’s Emergency Preparedness & Response Plan detailing the assignment of responsibilities in the event of a pandemic.  Feel free to borrow.

Pandemic Planning Responsibilities

Also, if you would like more information on the interlibrary loan backup plan developed by the University of Virginia Health Sciences Library and the Health Sciences Library at the University of North Carolina/Chapel Hill, please see the article in the April 2009 issue of the Journal of the Medical Library Association.

At last week’s Hospital Librarians Summit, it was suggested that we link to a site that would show reports of weather-related events.  As a result, we now have a link to NOAA’s Storm Prediction Center’s report of the previous day’s storms.  The link (Yesterday’s Storm Reports) is located on the right column of the Toolkit under the category Alerts and Reports.

The Disaster Information Research Center (DIMRC) of the National Library of Medicine’s Specialized Information Services division has produced a comprehensive web resource for health professionals including the Federal Response, International Resources, Genetic Sequence Information, PubMed Searches, Veterinary Resources and Información en Español:  “Enviro-Health Links–Swine Flu”

The Agency for Healthcare Research and Quality, a department of the U.S. Department of Health and Human Services, has produced “Tools and Resources for Influenza Preparedness”  in response to the current evolving situation regarding swine flu.  There is much information here for public health facilities, hospitals and other emergency management planners, based on the ongoing research of AHRQ.  Check it out!

In the interest of providing current information about swine flu for consumers, NLM is providing the page “Swine Flu“, which summarizes information from CDC and other sources.

The CDC is updating this site http://www.cdc.gov/swineflu/ frequently at this point, in order to help everyone stay current with the swine flu situation.  See the “CDC Health Advisory” on this page for the most current information.  I heard on NPR today that Mexico has closed churches, schools, concert halls, and other public spaces to try and slow the spread of the disease.  Should these social-distancing measures be enacted for public spaces, including libraries in the U.S., be aware of measures that libraries can take to keep resources and core services available to their patrons even if their buildings are closed.  Have an alternate home page ready, to show altered hours, to highlight online resources, and to offer online chat services to patrons who need help.  Also remember to change the voice mail message on your library’s main telephone to reflect changed hours and availability of online resources and services.

Here is more information from the U.S. Department of Health and Human Services, available on their Pandemic Flu web site:  http://www.pandemicflu.gov/  The Swine Flu Info widget from HHS is available there to be copied into web pages–this will provide quick access to “Information,” “Investigation,” and “What you can do” sources.