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APHA Scientific Session and Event Listing

Leaving no one behind: Communicating with special populations during public health emergencies

Doris Y. Estremera, MPH, CHES1, Jennifer Chancay2, Beverly Thames, PIO1, Edith Cabuslay, MPH1, Brian Zamora, MPH1, and Scott Morrow, MD, MPH3. (1) San Mateo County Health Department, 225 37th Ave, San Mateo, CA 94066, 650-573-2208, destremera@co.sanmateo.ca.us, (2) Public Health Consultant, 917 Oddstad Blvd., Pacifica, CA 94044, (3) Health Officer, San Mateo County Health Department, 225 West 37th Avenue, San Mateo, CA 94403

Background: Special populations can not be reached effectively through mainstream media. Barriers may include language, culture, accessibility and mistrust. In San Mateo County, special populations for the purposes of risk communication have been defined as seniors, the mentally disabled, the physically disabled, the homeless, the undocumented, non- or limited- English speakers, and rural residents. Community-based organizations (CBOs) provide a direct link and have the expertise to communicate with the special populations they serve.

Objective: To improve the San Mateo County Health Department's ability to effectively reach special populations during health emergencies by involving CBOs in risk communication activities.

Methods: Forums were held throughout the county to discuss the communication needs, capacity of CBOs, and the possibility of future collaborations.

Results: A Memorandum of Understanding (MOU) identifying risk communication-related responsibilities of the health department and CBO's was developed. Over 15 CBOs have informally agreed to the terms of the MOU. In addition, protocols for communicating with special populations during an emergency have been incorporated into the health department's Crisis and Emergency Risk Communication Plan.

Lessons Learned: 1) In the event of an emergency, the Health Department will not have the capacity to reach every segment of the community. 2) CBOs have the credibility and capacity to deliver messages to special populations. 3) MOUs are a simple mechanism to coordinate response and allow CBOs to be eligible for possible reimbursement from emergency response agencies. 4) There are many other strategies to meet the needs of special populations that need to be explored.

Learning Objectives:

Keywords: Risk Communication, Vulnerable Populations

Presenting author's disclosure statement:

Not Answered

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Health Communication Considerations During and In Preparation for Emergency Situations

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA