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Addressing Children’s Needs in Disasters: A Regional Pediatric Tabletop Exercise

  • Sarita Chung (a1), Aaron H. Gardner (a2), David J. Schonfeld (a3), Jessica L. Franks (a4), Marvin So (a4), Eric J. Dziuban (a4) and Georgina Peacock (a4)...



Preparing and responding to the needs of children during public health emergencies continues to be challenging. The purpose of this study was to assess the usefulness of a tabletop exercise in initiating pediatric preparedness strategies and assessing the impact of the exercise on participants’ understanding of and confidence in their roles during pediatric public health emergencies.


A tabletop exercise was developed to simulate a public health emergency scenario involving smallpox in a child, with subsequent spread to multiple states. During the exercise, participants discussed and developed communication, collaboration, and medical countermeasure strategies to enhance pediatric public health preparedness. Exercise evaluation was designed to assess participants’ knowledge gained and level of confidence surrounding pediatric public health emergencies.


In total, 22 participants identified over 100 communication and collaboration strategies to promote pediatric public health preparedness during the exercise and found that the most beneficial aspect during the exercise was the partnership between pediatricians and public health officials. Participants’ knowledge and level of confidence surrounding a pediatric public health emergency increased after the exercise.


The tabletop exercise was effective in identifying strategies to improve pediatric public health preparedness as well as enhancing participants’ knowledge and confidence surrounding a potential pediatric public health emergency. (Disaster Med Public Health Preparedness. 2018;12:582–586)


Corresponding author

Correspondence and reprint request to Sarita Chung, MD, FAAP, Division of Emergency Medicine, Children’s Hospital Boston, Boston, MA 02115 (e-mail:


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1. Chung, S, Fagbuyi, D, Lozon, MM, et al. Going viral: adapting to pediatric surge during the H1N1 pandemic. Pediatr Emerg Care. 2013;29(11):1159-1165.
2. Midgley, CM, Jackson, MA, Selvarangan, R, et al. Severe respiratory illness associated with enterovirus D68 – Missouri and Illinois, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(36):798-799.
3. Cuevas, EL, Tong, VT, Rozo, N, et al. Preliminary report of microcephaly potentially associated with Zika virus infection during pregnancy—Colombia, January–November 2016. MMWR Morb Mortal Wkly Rep. 2016;65(49):1409-1413.
4. National Commission of Children and Disasters. 2010 Report to the President and Congress. Published 2010. Accessed January 6, 2017.
5. Disaster Preparedness Advisory Council, Committee on Pediatric Emergency Medicine. Ensuring the health of children in disasters. Pediatrics. 2015;136(5):e1407-e1417.
6. Biddinger, PD, Savoia, E, Massin-Short, SB, et al. Public health emergency preparedness exercises: lessons learned. Public Health Rep. 2010;125:100-106.
7. Hinton, CF, Griese, SE, Anderson, MR, et al. CDC grand rounds: addressing preparedness challenges for children in public health emergencies. MMWR Morb Mortal Wkly Rep. 2015;64(35):972-974.
8. US Congress. 14th Congress 2D session in the senate of the United States. H.R. 4509. Washington, DC: US Congress; 2014. Accessed January 6, 2017.
9. Savoia, E, Biddinger, PD, Fox, P, et al. Impact of tabletop exercises on participants’ knowledge of and confidence in legal authorities for infectious disease emergencies. Disaster Med Public Health Prep. 2009;3(2):104-110.
10. Behar, S, Upperman, JS, Ramirez, M, Dorey, F, Nager, A. Training medical staff for pediatric disaster victims: a comparison of different teaching methods. Am J Disaster Med. 2008;3(4):189-199.


Addressing Children’s Needs in Disasters: A Regional Pediatric Tabletop Exercise

  • Sarita Chung (a1), Aaron H. Gardner (a2), David J. Schonfeld (a3), Jessica L. Franks (a4), Marvin So (a4), Eric J. Dziuban (a4) and Georgina Peacock (a4)...


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