Addressing the Unique Needs of
Individuals with Chronic Health Conditions

 

Friday, April 6, 2007

While it is important for everyone to prepare for a public health emergency, individuals with chronic illnesses must consider how a public health crisis might affect their well-being. Chronic health conditions such as diabetes, cancer, asthma and high blood pressure often require routine medical treatments or medication on a daily basis.

A preparedness poll conducted by the American Public Health Association (APHA) found that while 90 percent of adults with chronic medical conditions take medication a few times per week, only 19 percent have a one-month supply on hand in case pharmacies close during a national crisis. Further, 38 percent stated they would run out of medication in one week or less. This is of great concern given almost four out of 10 of those with chronic illnesses reported it would be a ‘very serious problem’ if drug stores and pharmacies closed during a public health emergency.

Of individuals with chronic illnesses that need to visit health care facilities on a regular basis for treatments such as kidney dialysis, 49 percent stated it would be a ‘very serious problem’ if doctors’ offices, hospitals and health clinics closed.

Chronically ill individuals should prepare for emergencies while keeping their unique health care needs in mind. Some steps people should take are preparing emergency supplies of essential medications that they may use if they are unable to visit a pharmacy; identify a back-up treatment facility in the event their normal place of care is closed; and devise an evacuation plan in case transportation is limited. Individuals may create emergency kits that should contain at least a one-month supply of medication, medical supplies such as glucose tests or a blood pressure cuff and copies of insurance cards and personal identification, among other items.

In This Issue
  • What’s Happening Today
  • Take Action Today!
  • NPHW in the News
  • American Journal of Public Health online supplement on preparedness
  • NPHW Blog Series
  • Resources

What’s Happening Today

  • The Heat is Rising: What You Need to Know About Climate Change and Public Health, Baltimore, Md.
  • Univ. of S. Florida College of Public Health Dean’s Lecture Series, Tampa, Fla.
  • National Public Health Week at Armstrong Atlantic State University, Savannah, Ga.
  • Take the First Step: Preparing Public Health Workers, South Bend, Ind.

 Other events may be accessed at www.apha.org/nphw/calendar. There is also a list of government agencies, health organizations, resources for teachers and other tools.

Take Action Today!

FRIDAY: Including the specific needs of individuals with chronic health care needs (e.g. diabetes, asthma, cancer and high blood pressure) in preparedness plans

  1. Support H.R.882, Representative Gordon’s (D-TN) “Access to Emergency Medical Services Act of 2007”, which intendeds to meet the needs of chronically ill populations during emergencies by improved access to emergency medical services and the quality of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, and by requiring reports on certain emergency department information as a condition of participation in the Medicare program.  Click here to contact Congress.

  2. Support amendments to the Homeland Security Act of 2002 to appoint a Disability Coordinator to ensure that the needs of individuals with disabilities are properly addressed in emergency preparedness and disaster relief efforts in the event of a major disaster, with specific respect to providing increased accessibility for such individuals of replacement housing built with federal funds following major disasters.  Click here to contact Congress.

  3. Support initiatives to include and address the needs of the elderly in all federal, state and local preparedness plans and grants.  Click here to contact Congress.

The following is a list of legislative policies, programs and initiatives that correspond with APHA’s National Public Health Week campaign to address the issue of preparedness for public health threats and emergencies.  Click on the links below to contact your elected officials in support of these bills and programs. 

Policy Asks to Improve Overall Preparedness:

  1. Invest in the public health infrastructure.  Fully fund comprehensive public health programs and infrastructure, which ensure access to basic primary health services for millions of Americans on both a day-to-day and emergency basis - addressing the diverse needs of urban, rural and underserved areas; and training health care personnel to provide needed services.   Click here to contact Congress.


  2. Develop Trauma Care Planning Systems for States and Localities.   Support H.R. 727, Rep. Gene Green’s (D-TX) ‘‘Trauma Care Systems Planning and Development Act’’, which directs the Secretary of Health and Human Services to develop systems of care through sharing information among agencies and individuals involved in the study and provision of trauma care; and provide to State and local agencies technical assistance to develop, implement, and sustain emergency medical services.  Click here to contact Congress.


  3. Help first-responders communicate with one another.  Support S.385, Senator Inouye’s (D-HI) “Interoperable Emergency Communications Act”, which provides the National Telecommunications and Information Administration (NTIA) with guidance as it awards $1 billion in interoperable emergency communications grants to police, firemen, and emergency medical personnel.  This bill would establish technology reserves to assist emergency response agencies in pre-positioning communications equipment in states or regional facilities. These reserves can be activated quickly in the event of a major emergency or natural disaster. Click here to contact Congress.

National Public Health Week in the News

American Journal of Public Health Special Supplement on Public Health Preparedness

National Public Health Week Blog Series

In conjunction with APHA's Get Ready for Flu Campaign, APHA is featuring entries related to the daily themes of National Public Health Week on our Get Ready for Flu blog. Click here to read today's guest entry from Dan Hawkins, National Association of Community Health Centers' Vice President for Federal, State, and Public Affairs and read more about “Legacy of a Disaster: Health Centers and Hurricane Katrina,” NACHC's recent report on the critical role health centers played during Hurricane Katrina.

Click here to sign up to have Get Ready for Flu blog entries delivered right to your e-mail inbox.

NPHW Resources

Government

APHA would especially like to thank our financial supporters who helped make this week possible.