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Emergency Preparedness Concerns for Older Adults
The CDC urges professionals to work with older adults and their
caregivers to ensure they are adequately prepared for an emergency,
such as a hurricane or flood. Disasters of all kinds affect older
adults disproportionately, especially those with chronic diseases,
disabilities, or conditions that require extra assistance to leave
an unsafe area and recover from an event. Emergency planners need to
recognize that the frail elderly are a special-needs population.
Frail elders are older adults who have serious, chronic health
problems - such as heart disease, cancer, and diabetes - that could
make them more vulnerable during disasters.
Of course, many older adults are an asset during a disaster,
offering their prior experience, wisdom, and mental resilience to
help others and provide reassurance to those who are frightened or
depressed by the events. However, certain aspects of the aging
process can make many older adults particularly vulnerable during a
disaster, especially if they have one or more chronic illnesses,
functional limitations, dementia, or social and economic limitations
that prevent adequate preparation and hinder adaptability during
disasters.
More than half of older adults have some kind of functional
limitation. A 2005 Harris poll found that 13 million people aged 50
and older said that they would need help to evacuate during a
disaster. Half of these people said that they would need help from
someone outside their household.
Older persons who are hard of hearing or cognitively impaired might
have trouble understanding information or following directions. They
might feel more easily overwhelmed by a disaster, especially if they
also have difficulty moving around, standing in line, or sleeping on
a low cot in a noisy shelter. Those who use wheelchairs, canes, or
walkers cannot use stairs if elevators stop working due to a power
outage. Elders who no longer drive or do not own a car face
difficulties evacuating. Older adults also are more prone than
younger people to ill effects from extreme temperatures.
Exposure to conditions associated with many disasters, such as lack
of safe food and water, extreme heat or cold, stress, or exposure to
infection, can aggravate chronic conditions that are common to older
adults. Furthermore, adverse health events are more likely to occur
following a disaster if certain essential medications for chronic
disease, such as insulin or blood thinners, are not available during
an emergency. Populations of particular concern following a disaster
include those with a history of heart attack, stroke, or breathing
disorders; people with diabetes; and those taking blood thinners,
certain cancer therapies, or other essential medications.
So how can older adults prepare for an emergency? They should stock
supplies now so they have enough ready-to-eat food, water, and
batteries for flashlights and radios during an emergency. They
should also have an evacuation plan and know in advance what to do
with pets. Older adults need a personalized emergency plan listing
where they can go in an emergency and what they should bring with
them, such as medications, eyeglasses, hearing aids and extra
batteries,oxygen, or assistive technologies. And they need to know
how they will get there and who they should call for help. Those who
use a communication, assistive, or mobility device should include
provisions to transport this device with them if they need to
evacuate. The plan should also include any food or supplies needed
by a service animal. Older adults should keep a list of their
medications, doctors, and pharmacies in a waterproof bag. Experts
recommend including a photocopy of doctors’ prescriptions to make it
easier to get refills in another location.
During a disaster, older adults must listen to instructions from the
media and government officials and follow the advice. Some older
adults are naturally reluctant to leave possessions accumulated over
a lifetime and go to a strange place. Most people who cannot leave
an area prior to a disaster go to a designated community shelter,
usually operated by the American Red Cross or a community
organization. In addition to basic shelter, these facilities offer
meals, water, personal hygiene items, first aid, and information.
People who go to a shelter must bring their own bedding,
medications, and other special-need items. Pets are not allowed in
shelters.
In addition, most states set up Special Needs Shelters for medically
dependent residents in advance of an anticipated disaster, such as a
hurricane. These shelters are designed for very ill people who need
medical assistance and have nowhere else to go. Evacuees at a
Special Needs Shelter might have had a stroke, use a wheelchair, or
require special medical equipment, such as intravenous devices,
gastric tubes, or indwelling catheters.
Following a disaster, older adults can turn to familiar aging
services providers for assistance. The aging services network, which
includes state and area agencies on aging, local services
organizations, and Indian tribes and Native Alaskan organizations,
help restore meal, transportation, and other services as quickly as
possible. These agencies can also help connect older adults to other
services they may need, such as FEMA funds, housing, or food stamps.
Recovering from a disaster can be as difficult for an older adult as
surviving the disaster itself. This is especially true if the person
has lost a home or possessions. In addition, the older person might
be disturbed by lingering memories of the disaster. For a short
period of time, most disaster victims will share the same emotions:
disbelief, anxiety, depression, withdrawal, fear of darkness, and
trouble sleeping. Older adults may be more sensitive to loud noises
or have a reoccurrence of past traumatic memories. When these
symptoms persist, problems can develop and they may need
professional assistance. But preparing for an emergency in advance
can go a long way toward preventing negative outcomes during a
disaster.
For more information about emergency preparedness, please visit
www.bt.cdc.gov. Thank you for listening.
Brought to you by the CDC’s Healthy Aging Program, “Healthy Aging,
Healthy People.”
For the most accurate health information, visit www.cdc.gov or call
1-800-CDC-INFO, 24-7
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