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Ensuring
seniors are safe and secure during
emergencies
Planning
for emergencies must take into account the
growing numbers of frail elderly people who
will by virtue of shifting demographics be
involved in any natural or manmade disaster,
according to US researchers writing in the
International Journal of Emergency
Management.
As the world's population grows and more
individuals are living into their 70s, 80s,
and 90s, those charged with managing people,
resources, and medical care during and after
an emergency, whether heat wave, flood,
fire, earthquake, or other disaster, will
face increasing challenges in addressing the
needs of frail elderly people at such times.
Susan Smith and colleagues at the University
of Tennessee Safety Center in Knoxville,
working with Mary Jane Tremethick at
Northern Michigan University, expose the
factors affecting the frail elderly during
and after an emergency and propose
strategies to minimize the impact on this
vulnerable group of people.
In 2008, the
Planning
for emergencies must take into account the
growing numbers of frail elderly people who
will by virtue of shifting demographics be
involved in any natural or manmade disaster, to minimize harm,
and to help them maintain the highest
possible level of health and functional
capacity and to aid them in recovering from
a disaster as quickly as possible.
Smith and her colleagues suggest that, in
the light of the WHO's statement, rapid
response to a crisis must extend beyond the
traditional emergency response personnel.
In short "age-responsive" actions must be
identified and integrated into risk
assessments and disaster response plans.
They cite recent examples of heat waves in
France, Greece, and the USA, and the US 2005
hurricane season, where such an approach may
have reduced considerably the number of
deaths among the elderly.
The first point that they address is how to
define someone as frail elderly and so more
at risk than a healthy younger person.
"The term 'frail elderly' refers to adults
over the age of 60 suffering from the
effects of physical, mental, and sensory
deterioration due to age and chronic
diseases," the team explains.
The frail elderly may therefore be severely
affected in their ability to recognize and
respond to a disaster.
The definition must also encompass the fact
that many frail elderly people economically
poor or socially isolated and so at even
greater risk during and after an emergency
situation.
Fundamentally, factors such as declining
health and increased chronic diseases,
limitations in sight, hearing and mobility,
limited access to healthcare resources, low
economic status, and restricted social
networks, all shift the risk a person faces
in an emergency.
"The unique needs of the frail elderly were
cited for disaster warnings, evacuation
plans, and shelter locations," Smith and
colleagues say, "Through collaboration with
community organizations and members,
emergency professionals, can exercise
leadership to improve disaster response for
the vulnerable population of the frail
elderly," the teams says.
They suggest that future research aimed at
documenting the most successful
organizational methods of providing a
community, country and global response and
recovery with respect to the frail elderly
should be carried out.
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