Sarah E. DeYoung

A mixed method study of hurricane evacuation: demographic predictors for stated compliance to voluntary and mandatory orders

ABSTRACT The present paper examines the role of several demographic indicators on stated hurricane evacuation thresholds, or the lowest category storm for which participants indicated they would evacuate, for mandatory and voluntary orders. Quantitative analyses reveal that race was significantly associated with a lower stated evacuation threshold in both the bivariate and multivariate models and that previous refusal to comply with evacuation orders was associated with higher stated evacuation thresholds. Qualitative analyses reveal two key findings: (1) wind is perceived as more dangerous than water (rain and storm surge) associated with hurricanes; (2) traffic concerns were the most frequently cited reason listed for possible refusal to comply with evacuation orders. Implications of the findings include the value of future evaluations of race and trust, storm characteristics and threat perception, and other practical considerations for improving evacuation compliance such as the amelioration of traffic concerns. Findings also lead to the discussion of the social complexities of race and hurricane vulnerability as a key finding.

NOAA Radios and Neighbourhood Networks: Demographic Factors for Channel Preference for Hurricane Evacuation Information

This paper reviews literature on information channel type and disasters, and presents results on hurricane evacuation information gathering. Results show that respondents reported they would use television and radio most frequently for gathering information about hurricane evacuation. Minority respondents reported more preference of the use of community or local government as information sources than white respondents, females gathered information from multiple channels more than males, and younger residents gathered information from multiple channels more than older respondents. Implications include areas for future research in how channel utilization occurs during slow onset hazards in predominantly black communities, how age and gender relate to channel preference, and how channel preferences affect length of time to make decisions and engage in protective actions.

Lack of Cultural Competency in International Aid Responses: The Ebola Outbreak in Liberia

A cornerstone of effective disaster management is that response should always begin and end at the local level (1). The response to the Ebola virus disease (EVD) outbreak in Liberia, West Africa, was a combination of independent efforts by many nations and organizations. Many of these independent efforts ignored or were not able to work with the local levels of emergency management in Liberia. This oversight occurred because of the Liberian’s mistrust of both their government and foreign aid groups, as well as the lack of cultural competency demonstrated by the aid groups. The health-care and emergency management infrastructure in Liberia appeared to be non-existent at the beginning of the EVD outbreak. However, there were resources available at the community level: the Liberians and their culture. Although these resources were rarely used, there were some instances in which communities were included in response efforts. It was in these instances that possible improvements to international disaster response protocol were found.

Pets and Evacuation: An Ongoing Challenge in Disasters

Abstract Pet ownership may continue to be an impediment to evacuation and sheltering for disasters, despite the passage of the 2006 PETS Act. Many Americans consider pets to be a part of the family, and are hesitant to follow evacuate orders if they cannot bring household pets along. We present findings of qualitative data collected from residents in eastern North Carolina, an area that is susceptible to hurricane storm surge flooding, and other severe weather events. Additionally, analysis of hazard mitigation plans for the state of North Carolina and the four areas in which the data were collected reveal that the state level plan includes significant planning for pets, while the local hazard plans do not dedicate plans to address evacuation and sheltering of companion animals. Implications for future research include clear communication about pet friendly shelters, broader inclusion and protection of vulnerable animals that are tied to the human and environmental well-being, and updating local mitigation plans to include specific plans for including animals in evacuation.

An Integrated Scenario Ensemble-Based Framework for Hurricane Evacuation Modeling: Part 1-Decision Support System: Hurricane Evacuation Decision Support

This article introduces a new integrated scenario-based evacuation (ISE) framework to support hurricane evacuation decision making. It explicitly captures the dynamics, uncertainty, and human-natural system interactions that are fundamental to the challenge of hurricane evacuation, but have not been fully captured in previous formal evacuation models. The hazard is represented with an ensemble of probabilistic scenarios, population behavior with a dynamic decision model, and traffic with a dynamic user equilibrium model. The components are integrated in a multistage stochastic programming model that minimizes risk and travel times to provide a tree of evacuation order recommendations and an evaluation of the risk and travel time performance for that solution. The ISE framework recommendations offer an advance in the state of the art because they: (1) are based on an integrated hazard assessment (designed to ultimately include inland flooding), (2) explicitly balance the sometimes competing objectives of minimizing risk and minimizing travel time, (3) offer a well-hedged solution that is robust under the range of ways the hurricane might evolve, and (4) leverage the substantial value of increasing information (or decreasing degree of uncertainty) over the course of a hurricane event. A case study for Hurricane Isabel (2003) in eastern North Carolina is presented to demonstrate how the framework is applied, the type of results it can provide, and how it compares to available methods of a single scenario deterministic analysis and a two-stage stochastic program.

The Effect of Mass Evacuation on Infant Feeding: The Case of the 2016 Fort McMurray Wildfire

Objectives We examine the ways in which the 2016 Fort McMurray wildfire evacuation affected infant feeding. Our primary objective is to understand the decisions and perceptions of primary caregivers of children age 0–36 months who evacuated from Fort McMurray, Canada. Methods We used a mixed methods approach to assess the overall impact that the evacuation had on infant feeding. Specific outcome variables for the quantitative research are: decision-making, access to support and resources, and changes in routine. Participants were recruited using a purposive sampling technique through infant feeding in emergency support groups on social media in which members were primarily evacuees from the Fort McMurray wildfire. Loglinear results include a model of feeding methods before and after the wildfire evacuation. Results Content analyses results from qualitative data support findings from the loglinear model. Specifically, the findings suggest that the evacuation was associated with a reduction in breastfeeding and an increase in use of infant formula The open-ended data revealed that caregivers experienced stress during and after the evacuation due to moving from place to place, food insecurity associated with artificial feeding, warding off unhealthy food for older children, and managing family reunification. In addition, respondents reported that breastfeeding was a source of comfort for infants and contributed to a sense of empowerment. Conclusions for Practice This study sets forth important groundwork for understanding decision-making, stress, logistics, and social factors that influence infant feeding in a large-scale evacuation event. Emergency management, health workers, and nutrition experts can provide support to families in disasters to mitigate some of the adverse impacts the evacuation may have on infant feeding.

Maternal Perceptions of Infant Feeding and Health in the Context of the 2015 Nepal Earthquake

Background: Displacement caused by the 2015 earthquake in Nepal exacerbated poor health and nutrition for thousands of women and children. Research aim: This study aimed to identify the perceptions of Nepalese mothers residing in earthquake relocation camps regarding barriers, facilitators, and situational factors influencing breastfeeding and family well-being. Methods: An exploratory, rapid ethnographic approach was used during two fieldwork phases. Phase 1 consisted of reconnaissance and observation, whereas Phase 2 consisted of observation and qualitative semistructured interviews with infant caretakers (N = 14). Results: We found evidence of human milk substitutes donated by various groups after the earthquake, despite Nepal’s media statement condemning these donations. Participants in this study expressed concerns about their milk supply. They also expressed concerns about the impending winter season combined with distress about the 2015 fuel crisis and the impact that this had on their infants and children. Furthermore, participants expressed choices about infant feeding that were influenced by traditional Nepalese practices. Specifically, homemade complementary foods and spices designed to boost lactation were identified as being used during daily infant feeding practices. Conclusion: Infant caretakers need culturally specific support for breastfeeding after disasters. These findings can directly influence future interventions concerning Nepalese mothers’ perceptions, infant care, and feeding practices in disaster scenarios.

Maternal health services for refugee populations: Exploration of best practices

ABSTRACT The full scope of women’s health needs is not necessarily addressed in refugee camps and after resettlement, particularly pregnancy and postnatal services. The aims of this research are to examine the maternal care services provided to refugee women in camps and after resettlement to the United States, and to analyse organisational successes and challenges in service provision. With this understanding, policies can improve service delivery for refugee women. We interviewed respondents from five organisations, ranging from local non-profits to international non-governmental organisations. Most of the organisations do not provide direct medical care, but rather education and social service support to clients, and in some cases midwife training. Their success stemmed from a focus on client capacity building, individualised support, effective partnerships, and cultural competency. Respondents described the need for physical resources, effective leadership, and additional personnel, especially with linguistic capabilities. The dialogue in the interviews supports themes of education as empowerment and client self-sufficiency. Respondents emphasised the importance of funding and policies that support their work. This knowledge can lead to improved models of service delivery and inform the development of best practices and policies in maternal and reproductive health for refugee women.