Monday, November 17, 2008

Unmet Need for Information during Emergencies

"Difficulties are meant to rouse, not discourage" - William Ellery Channing

One thing you can count on during an emergency is terrible communication. During the NorthEast Blackout of 2003 I listened to a radio in my office in New York City to learn if Metro North train service was restored. I slept at the office and again waited the next morning for news of trains running. My wife was more reasonable. She called to say her friend could see trains moving with people. She instructed me to forget the "official reports" and get my butt to Grand Central Terminal and take any train leaving the city. I did and found that although GCT had no power, diesel trains were running and conductors were informing people which trains went where via megaphones. I got home but not with any help from news reports.

On another occasion I played a victim in a drill for a Sarin gas attack. Boom, the pretend bomb goes off. Then we wait and wait. Firemen come and go. Two persons in Bio hazard gear peak in a window but never say a word. Two hours after the bomb we can see shelters being raised and much activity but no one has gives the victims any instructions except for "say put". In real life those of us who could move would have fled the scene by then.

"Disaster victims need information about their options in order to take any meaningful choices about their future, " according to a recent article by the BBC World Trust Service. As the physical and psychological needs of disaster survivors change over time, information needs change also.

First Stage - Survival

  1. Victims need to know what happened
  2. How to get immediate survival needs satisfied
  3. What has happened to family members and friends?

Providing these answers decreases panic and increases survivor capacity to take action. But the infrastructure for radio, television, and telephones has been destroyed. So how do you get information to those who need it most??? There are no easy answers.

Second Stage - Short Term Relief

  1. Survivors look for availability of fresh water, shelter, and medical attention.
  2. Expectation management is vital as relief may not fulfill needs as quickly as desired.

People who have knowledge of issues such as when and where food will be distributed, the amount of allocated rations per person, and how to cook the rations to maximise nutritional value, can help manage logistics, reduce corruption, and improve health and mental well being.

Third Stage - Long Term Recovery

  1. People want to know what relief services are available and to what they are entitled.
  2. They need to know about recently implemented policies that affect them, such as housing reconstruction guidelines or victim compensation policies.
  3. What are the government and relief agencies accountable and responsible for?
  4. Safety instructions (boil your water, etc) must be communicated.

Unmet communication needs can lead to further trauma and stress. "In particular, psychosocial studies increasingly note that information deprivation actually causes stress and exacerbates trauma..."

Bottom Line

Information is essential to give people "a sense of power and purpose over their own destiny" during a disaster. It is a "critical issue." The providing of information becomes a form of aid and deserves prioritisation through the development of effective and properly resourced communication strategies. If you are an Emergency Manager please read the BBC report for communication recommendations.

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