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Survey of Emergency Management Professionals to Assess Ideal Characteristics of a Photographic-Based Family Reunification Tool

  • Sarita Chung, Stephen Monteiro, Sonja I. Ziniel, Leslie A. Kalish, Paula Klaman and Michael Shannon...

Abstract

Objective: A reunification tool that captures images of children at the time of the disaster would enable parents to locate their missing children, particularly if the children are unable to communicate their identity. This study assessed the ideal features and parameters of a photographic-based reunification tool.

Methods: A convenience sample of federal, state, and hospital-based emergency management professionals were surveyed to elicit their preferences regarding an image-based reunification algorithm, to assess the parents' level of difficulty in viewing images with facial trauma, and to determine the minimum percentage of successful reunifications needed to justify adoption of a reunification tool.

Results: Of 322 emergency management professionals surveyed, 129 (40%) responded. Only 18% favored a photographic-based tool that would display images in which only the categories of age, gender, and facial features (eye, hair, and skin color) would exactly match the parent's description of the child. However, 72% preferred a broader, less-rigid system in which the images displayed would match all or most features in the parents’ description of the missing child, allowing parents to view more of the image database. Most (85%) preferred a tool showing unedited images of living children, allowing parents to view facial trauma. However, more respondents reported that parents would find viewing unedited images with facial trauma somewhat or very difficult emotionally compared with edited images for both living (77% vs 20%, P <. 001) and deceased children (91% vs 70%, P <. 001.) In a disaster involving 1000 children, a tool that reunites a minimum of 10% of families would be adopted by over 50% of the participants. Participants were willing to accept a lower percentage of reunifications in a disaster involving 1000 children compared with disasters involving 10 (P <. 001) or 100 children. (P <. 001).

Conclusions: Emergency management professionals identified desirable characteristics of a photographic-based reunification tool, including an algorithm displaying unedited photographs of missing children that loosely matches the parents' description, acknowledging the parents' emotional difficulty in viewing photographs with facial trauma. Participants were also willing to accept a lower percentage of successful reunifications as the scale of the disaster size increased.

(Disaster Med Public Health Preparedness. 2012;6:156–162)

Copyright

Corresponding author

Correspondence: S. arita Chung, MD, Division of Emergency Medicine, Children's Hospital Boston, Boston, MA 02115 (e-mail: sarita.chung@childrens.harvard.edu).

References

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1.Balsari, S, Lemery, J, Williams, TP, Nelson, BD.Protecting the children of Haiti. N Engl J Med. 2010;362 (9):e25.
2.World Health Organization. National Commission on Children and Disasters Interim Report October 2009. Unaccompanied and Separated Children in the Tsunami-affected Countries Guiding Principles. http://www.who.org.mv/EN/Section40/Section41_56.htm. Accessed July 20, 2010.
3.Watts, J.China earthquake “biggest disaster for children in seven years.” The Guardian.2008. http://www.guardian.co.uk/world/2008/may/22/china. Accessed December 1, 2010.
4.Markenson, D, Reynolds, SAmerican Academy of Pediatrics Committee on Pediatric Emergency Medicine; Task Force on Terrorism. The pediatrician and disaster preparedness. Pediatrics. 2006;117 (2):e340e362.
5.Chung, S, Shannon, M.Hospital planning for acts of terrorism and other public health emergencies involving children. Arch Dis Child. 2005;90 (12):13001307.
6.Brandenburg, MA, Watkins, SM, Brandenburg, KL, Schieche, C.Operation Child-ID: reunifying children with their legal guardians after Hurricane Katrina. Disasters. 2007;31 (3):277287.
7.Nager, AL.Family reunification–concepts and challenges. Clin Pediatr Emerg Med. 2009;10:195207.
8.Broughton, DD, Allen, EE, Hannemann, RE, Petrikin, JE.Getting 5000 families back together: reuniting fractured families after a disaster: the role of the National Center for Missing & Exploited Children. Pediatrics. 2006;117 (5, pt 3):S442S445.
9.Institute of Medicine, National Academy of Sciences. Emergency Care for Children–Growing Pains.500 Fifth St NW, Washington, DC 20001. National Academy Press; June 13, 2006.
10.Blake, N, Stevenson, K.Reunification: keeping families together in crisis. J Trauma. 2009;67 2(suppl)S147S19357893000046991.
11.US Department of Health and Human Services. National Commission of Children and Disasters Interim Report. http://www.childrenanddisasters.acf.hhs.gov/20091014_508IR_partII.pdf. Accessed March 1, 2010.
12.US Department of Homeland Security. Federal Emergency Management Agency. National Emergency Family Registry and Locator System. 2009. http://www.fema.gov/media/fact_sheets/nefrls.shtm. Accessed July 1, 2010.
13.Mace, SE, Sharieff, G, Bern, A, et alPediatric issues in disaster management, part 2: evacuation centers and family separation/reunification. Am J Disaster Med. 2010;5 (3):149161.
14.Haiti earthquake–what we're hearing. CNN, 2010. http://www.cnn.com/2010/TECH/01/12/haiti.social.media/index.html. Accessed July 1, 2010.
16.ReUnite. 2010 http://itunes.apple.com/us/app/reunite/id368052994?mt=8#. Accessed July 1, 2010.
17.Child Identification program to use face biometrics. Biometric Technology Today. 2010;1:12.
18.Recording children's biometrics is far from child's play. Biometrics Technology Today. 2010;2010 (1):12.
19.Chung, S, Shannon, M.Reuniting children with their families during disasters: a proposed plan for greater success. Am J Disaster Med. 2007;2 (3):113117.
20.SAS Institute. 2011. SAS/STAT® User's Guide. Vols. 1-3. Cary, North Carolina: SAS Institute Inc.
21.Kaplowitz, M, Hadlock, T, Levine, R.A comparsion of Web and mail survey response rates. Public Opin Q. 2004;68:94101.
22.US Department of Health and Human Services. Health Information Privacy. HHS.gov. http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html. Accessed April 10, 2011.
23.US Department of Health and Human Services Health Information Privacy - Disclosures for Emergency Preparedness—A Decision Tool. HHS.gov. http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/emergency/decisiontoolintro.html. Accessed April 10, 2011.
24.Xiang, B, Cheng, W, Liu, J, Huang, L, Li, Y, Liu, L.Triage of pediatric injuries after the 2008 Wen-Chuan earthquake in China. J Pediatr Surg. 2009;44 (12):22732277.
25. McCarthy, ML, Brewster, P, Hsu, EB, Macintyre, AG, Kelen, GD.Consensus and tools needed to measure health care emergency management capabilities. Disaster Med Public Health Prep. 2009;3 2(suppl)S45S51.
26.Markenson, D, Krug, S.Developing pediatric emergency preparedness performance measures. Clin Pediatr Emerg Med. 2009;10:229239.
27.Nelson, CD, Beckjord, EB, Dausey, DJ, Chan, E, Lotstein, D, Lurie, N.How can we strengthen the evidence base in public health preparedness? Disaster Med Public Health Prep. 2008;2 (4):247250.
28.Nelson, C, Chan, E, Chandra, A, et alDeveloping national standards for public health emergency preparedness with a limited evidence base. Disaster Med Public Health Prep. 2010;4 (4):285290.
29.Auerbach, PS, Norris, RL, Menon, AS, et alCivil-military collaboration in the initial medical response to the earthquake in Haiti. N Engl J Med. 2010;362 (10):e32.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
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