system of care to support pediatric surge capacity during and after disasters.

  • Recommendation 3.5: Prioritize the recovery of pediatric health and mental health care delivery systems in disaster-affected areas.
  • Recommendation 3.6: The Environmental Protection Agency (EPA) should engage state and local health officials and nongovernmental experts to develop and promote national guidance and best practices on re-occupancy of homes, schools, child care, and other child congregate care facilities in disaster-impacted areas.

4. Emergency Medical Services and Pediatric Transport

  • Recommendation 4.1: The President and Congress should clearly designate and appropriately resource a lead federal agency for emergency medical services (EMS) with primary responsibility for the coordination of grant programs, research, policy, and standards development and implementation.
  • Recommendation 4.2: Improve the capability of EMS to transport pediatric patients and provide comprehensive prehospital pediatric care during daily operations and disasters.
  • Recommendation 4.3: HHS should develop a national strategy to improve federal pediatric emergency transport and patient care capabilities for disasters.

5. Disaster Case Management

  • Recommendation 5.1: Disaster case management programs should be appropriately resourced and should provide consistent holistic services that achieve tangible, positive outcomes for children and families affected by the disaster.

6. Child Care and Early Education

  • Recommendation 6.1: Congress and HHS should improve disaster preparedness capabilities for child care.
  • Recommendation 6.2: Congress and federal agencies should improve capacity to provide child care services in the immediate aftermath of and recovery from a disaster.


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