Disaster Preparedness and Response TrainingTM Complete Course: Modules One, Two, & ThreeTM Facilitator’s GuideTM 2014 National Center for Environmental Health Centers for Disease Control and Prevention Suggested Citation: Centers for Disease Control and Prevention (CDC). Disaster Preparedness and Response: Complete Course. Facilitator guide, first edition. Atlanta (GA): CDC; 2014. For additional information, please contact: Centers for Disease Control and Prevention Environmental Hazards and Health Effects Health Studies Branch 4770 Buford Highway, MS F-60 Chamblee, GA 30341 Phone: + 1 770-488-3410 Fax: + 1 770-488-3450 TABLE OF CONTENTS Course Overview ....................................................................................................................... i Course Design ............................................................................................................................. i Target audience ...........................................................................................................................i Options for Facilitating this Training ............................................................................................ ii Facilitator/Mentor Role and Responsibilities ................................................................................ ii Icon Glossary ............................................................................................................................. iii Glossary of terms ....................................................................................................................... iv MODULE ONE: EPIDEMIOLOGIC RESPONSE TO DISASTERS Overview of Module One – Epidemiologic Response to Disasters ...................................... 4 Learning Objectives ................................................................................................................... 5 Estimated Completion Time ....................................................................................................... 5 Prerequisites .............................................................................................................................. 5 Lesson 1: Public Health Implications of Disasters and Hazards .......................................... 6 Introduction ................................................................................................................................ 6 Common Types of Disasters ...................................................................................................... 7 Effects of Disasters ...................................................................................................................12 Disaster-Related Health Effects and Public Health ....................................................................15 Public Health Concerns Following a Disaster ............................................................................17 Practice Exercise ......................................................................................................................20 Lesson 1 summary ....................................................................................................................26 Lesson 2: The Role of Disaster Epidemiology in Disaster Preparedness and Response .27 Introduction ...............................................................................................................................27 Goals of Disaster Epidemiology ................................................................................................28 The Disaster Cycle ....................................................................................................................28 The Role of an Epidemiologist in Disaster Preparedness and Response ..................................30 Special Considerations for Disaster Epidemiology ....................................................................37 Practice Exercise ......................................................................................................................40 Lesson 2 Summary ...................................................................................................................42 References ..............................................................................................................................43 MODULE TWO: DISASTER RESPONSE RAPID NEEDS ASSESSMENT Overview of Module Two – Disaster Response Rapid Needs Assessment ........................51 Learning Objectives ..................................................................................................................52 Estimated Completion Time ......................................................................................................52 Prerequisites .............................................................................................................................52 Lesson 1: Planning a Disaster Response Rapid Needs Assessment (RNA) ......................53 Introduction ...............................................................................................................................53 Overview of RNA Methodology .................................................................................................54 Four Phases of an RNA ............................................................................................................55 RNA Purpose and Objectives ....................................................................................................57 Challenges to Conducting an RNA ............................................................................................60 Planning for an RNA .................................................................................................................63 Practice Exercise ......................................................................................................................67 Lesson 1 Summary ...................................................................................................................69 Lesson 2: Phase 1 – Preparing for an RNA ...........................................................................70 Introduction ...............................................................................................................................70 Overview of RNA Sampling Method ..........................................................................................71 Determine the Assessment Area ...............................................................................................71 Two-Stage Cluster Sampling Method ........................................................................................74 Considerations Affecting Sample Selection and Size ................................................................78 Other Sampling Methods ..........................................................................................................78 Practice Exercise ......................................................................................................................82 Develop the RNA Questionnaire and Forms .............................................................................83 Identify and Train Field Interview Teams ...................................................................................89 Conducting the Interview ...........................................................................................................91 Practice Exercise ......................................................................................................................95 Lesson 2 Summary ...................................................................................................................96 Lesson 3: Phase 2 – Conducting an RNA .............................................................................97 Introduction ...............................................................................................................................97 Administering the Questionnaire in the Field .............................................................................97 Practice Exercise ....................................................................................................................101 Lesson 3 Summary .................................................................................................................1 02 Lesson 4: Phase 3 and 4 – Data Entry, Analysis, and Writing the Report......................... 103 Introduction .............................................................................................................................103 Data Entry and Analysis ..........................................................................................................104 Reporting the Results..............................................................................................................114 Practice Exercise ....................................................................................................................118 Lesson 4 Summary .................................................................................................................119 Skills Assessment ................................................................................................................120 Rapid Needs Assessment (RNA) Case Study: Flooding in Guatemala ...................................120 Learning Objectives ................................................................................................................120 Case Scenario ........................................................................................................................120