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8/12/2020

Shakeout Earthquake Drill: Earthquake Planning

During COVID-19

2020 ShakeOutEarthquake Planning During COVID-19

Mark Benthien

Southern California Earthquake Center

#ShakeOutCMS

Great ShakeOut Earthquake Drills

• Schools, organizations, and families practice earthquake safety and other aspects of their emergency plans

• Created in Southern California in 2008

• 2019 Record Participation:68.0 million people worldwide21.8 million nationwide 10.8 million California

1.5 million Washington(record #s in many other regions too)

• 2020 International ShakeOut Day:October 15 (but can drill any day)

• Learn more and register:ShakeOut.org

ShakeOut puts these findings into practice

Social Science Research Basis for ShakeOut

People Get Motivated to Prepare When:

Based on research results of Mileti, D., Wood, M., Bourque, L., and others

• They see and hear consistent information about

what to do frequently, in many forms, and from

many sources

• They see others like themselves getting prepared

• They talk about preparedness with people they know

• They learn potential consequences, and how to

avoid them

ShakeOut Goals

Encourage people worldwide

to practice earthquake safety

Shift the culture about

earthquakes and preparedness

Increase resilience at all levels!

Everyone Can ShakeOut

Everyone… Everywhere, & Growing!

• More participants and additional states/countries each year

– 2008: 5.4 million (Southern California- ShakeOut Scenario)

– 2009: 6.9 million (all California)

– 2010: 8 million (California, Nevada, and Guam)

– 2011: 12.1 million (15 states/territories & British Columbia)

– 2012: 19.4 million (26 states/territories, 5 countries with official drills)

– 2013: 24.9 million (44 states/territories, expansion worldwide)

– 2014: 26.5 million (47 states/territories, participation in 60 countries)

– 2015: 43.9 million (51 states/territories, 70+countries, including

New Zealand’s second drill, and Iran)

– 2016: 55+ million (includes major earthquake drills in more countries)

– 2017: 57+ million (continued expansion)

– 2018: 62+ million (increased participation and new regions)

– 2019: 68+ million (record participation in many regions)

Nov. 30, 2018 Alaska Earthquake

I am the Emergency Management Manager at our local

hospital, we held a full scale Earthquake drill. Just a few

weeks later, we fully experienced the Nov. 30th quake. Our

facility did sustain a good amount of damage including loss

of utilities. Staff were fully prepared and they dropped,

covered and held on during the actual earthquake. We had

very few minor injuries. Staff directed patients and visitors,

some staff even covered vulnerable patients to insure their

safety during the earthquake.

I truly believe that it was the education of the ShakeOut that

we provided to staff that insured our overall safety and

allowed us to be better prepared to service our community

and those injured from the earthquake.

Why Drop, Cover, and Hold On?

• Strong consensus for many years, based

on data for how people are injured, and

experience of Urban Search and Rescue

firefighters

• Prevents being thrown to the ground

• Reduces injury from falling or flying

items… including structural elements

and exterior façades (brick, glass, etc.)

• Increases chance of surviving collapseClassroom in Calexico, CAApril 2010 M7.2

EarthquakeCountry.org/step5

Drop on to your hands and

knees, where you are

Know How to Protect Yourself

In most situations and building types:

See EarthquakeCountry.org/step5 for advice for a variety of settings

Cover your head and neck

with one arm and hand. - If a sturdy table or desk is nearby, crawl

underneath it for shelter

- If no table/desk, crawl against a wall or next

to low furniture for sideways protection

Know How to Protect Yourself

In most situations and building types:

See EarthquakeCountry.org/step5 for advice for a variety of settings

Hold On to your shelter

until shaking stops

- Be ready to move with your shelter

- If not under a shelter, hold on to your

head/neck with both arms and hands

Know How to Protect Yourself

In most situations and building types:

See EarthquakeCountry.org/step5 for advice for a variety of settings

Because of the ShakeOut drill…

Most of the staff thought it was safe to stand in a doorway. Because of the ShakeOut drill they were educated on how to drop, cover and hold. Some of the team members had disabilities that kept them from being able to get under the desk. We were able to educate them on how to cover without being able to use a desk/table.

(Health Care, Oregon, 2018)

• If you can’t get back up,

don’t get down - Bend over and cover your

head and neck with your

arms/hands

• Instruct others how to

assist you

• Practice is key

• EarthquakeCountry.org

/disability

Adapt to Your Situation

Using a Cane

Using a Walker/Rollator

Using a Wheelchair

Earthquake Safety Video Series

• Separate short videos:

• indoors, nearby table/desk

• indoors, no table/desk

• theater/stadium

• near the shore

• in a car

• in bed

• people with mobility disabilities

• View at Youtube.com/greatshakeout

• Download at www.ShakeOut.org/messaging

FEMA #1078: 800-480-2520

Benefits of Registering

• Be counted in the world’s largest

earthquake drill

• Be updated with news and safety tips

• Be listed with other participants

• Be an example that motivates others

• Have peace of mind that you have taken

action and helped others

• Be better prepared to survive and recover!

Example Statistics and Participant List

California BusinessesAll Regions

Participation Categories

Category 2019 2018 2017K-12 Schools 30,923,191 28,649,305 27,230,663

National Government 10,796,108 10,666,246 7,132,960

State Government 9,517,247 8,414,479 7,360,960

Colleges and Universities 3,902,562 3,603,438 3,339,236

Local Government 1,803,590 1,659,372 1,031,302

Businesses 1,035,875 1,129,098 927,556

Non-Profit Organizations 890,475 844,521 810,760

Healthcare 693,320 618,106 495,346Faith-based Organizations 201,890 236,834 230,109

Childcare and Pre-Schools 141,253 154,341 148,217

Preparedness Organizations 62,017 92,987 75,093

Senior Facilities/Communities 72,666 57,893 50,771

Individuals/Families 41,879 35,889 41,986

Tribes/Indigenous 27,917 37,808 28,268

Neighborhood Groups 27,094 24,122 20,079

Media Organizations 23,145 19,847 15,846

Museums, Libraries, Parks, etc. 15,969 10,808 11,887

NOTE: These totals do not include participation in Japan and other regions

for which participation is not tallied by category.

Example ShakeOut Resources

• ShakeOut Manual for

Healthcare Organizations

• CMS Emergency

Preparedness Rule

Requirements FAQ

• Other resources for

planning and promoting

your drill/exercise

Healthcare ShakeOut Resources

ShakeOut.org/healthcare

School ShakeOut Resources

ShakeOut.org/schools

• ShakeOut Drill Planning

Resources for Schools

• School Preparedness

Information

• ShakeOut Educational

Resources

• REMS TA Center Links

• Social media messaging #ShakeOut

• News release templates

• Downloadable earthquake safety videos

• Animated GIFs and more!

ShakeOut.org/messaging

ShakeOut Email Updates

• Earthquake Preparedness

Guide for People with

Disabilities and Other

Access or Functional

Needs

• Adapts messaging from

ECA’s Seven Steps to

Earthquake Safety

• EarthquakeCountry.org/

disability

Seniors and People with Disabilities Resources

Earthquake Drills in 2020

• Earthquakes likely will not happen at 10:15 a.m.

on a Thursday.

Choosing alternative dates/times for your

ShakeOut drill each year is good practice!

• Earthquakes likely will not happen when everyone

is at work or school

Encourage participation no matter where

people are (campus, home, traveling…)

Earthquake Drills in 2020

• Consider supporting your ShakeOut activity

remotely through video conferencing - be sure

to take recordings or screenshots, have an after-

action dialogue, or even a survey to participants!

During classes, during staff meetings, etc.

• If in-person: Provide ample space between

people at all stages. Wear masks and other

personal protective equipment in addition to

regular hand-washing.

Safer At Home Webinar Series

Recordings and more information at

EarthquakeCountry.org/Safer-At-Home

• 6/30 Step 1: Secure Your Space

• 8/19 Step 2: Plan to Be Safe

• 9/2 Step 3: Organize Disaster Supplies

• 9/23 Step 4: Minimize Financial Hardship

(essential docs, retrofitting, insurance)

• 9/30 Step 5: Drop, Cover, and Hold On

(including DAFN guidance)

• 1015 International ShakeOut Day

• 10/21 Step 6: Improve Safety

• 11/11 Step 7: Reconnect and Restore

• ShakeOut.org

• info@shakeout.org

• Twitter.com/ShakeOut

• EarthquakeCountry.org

• info@earthquakecountry.org

• Twitter.com/eca

Connect with ShakeOut and ECA

#ShakeOut

Get Ready to ShakeOut

Mark Benthien

Southern California Earthquake Center

benthien@usc.edu @markbenthien

Shakeout Earthquake Drill: Earthquake Planning During

COVID-19

Nora O’Brien, MPA, CEM

Chief Executive Officer

Connect Consulting Services

35

#ShakeoutCMS8/12/2020

Shakeout Earthquake Drill: Earthquake Planning During COVID-19

Connect Consulting Services 30+ years of global pandemic planning expertise

Nora O’Brien, MPA, CEM, Founder and CEO BIO• Founded Connect Consulting Services in 2009 • Masters Degree, Public Affairs, Disaster & Emergency

Management • Certified Emergency Manager by the International

Association of Emergency Managers (IAEM) • FEMA Adjunct Instructor• Lead H1N1 Pandemic Response, wildfires, hurricane

responses• Named 2018 Sacramento SBA- Woman-Owned

Business of the Year• Leads a team of 10 emergency management

professionals

8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-1936

CMS Emergency Preparedness Exercise Clarifications

• What DOES NOT count towards your CMS exercise requirement:• Registering for this webinar

• Registering for the Great Shakeout Earthquake Drill

• What DOES count towards your exercise requirement:• Complete the drill or exercise and • Complete the after- action report (AAR)

378/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-19

WHO Pandemic Phases

8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-1938

CMS Emergency Preparedness Requirements

• Conduct Risk Assessment and Planning

• Develop Policies and Procedures

• Create Communication Plan

• Training and Plan Testing

• Exercises (drills, tabletops, full-scale)

• Activating your plan (during COVID-19) counts towards your exercise requirement!

8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-1939

Earthquake Mitigation• Know your risk. Evaluate the chance of seismic

activity in your area. Ensure you have policies and procedures and hold drills and exercises related to earthquake response if it is an identified risk.

• Do a walk-through of your hospital, school, other place of business and even your home and identify heavy pieces of equipment, furniture or other objects that are vulnerable of falling, sliding or colliding. Many injuries in earthquakes are caused by these types of issues.

• If in a healthcare facility, very important to evaluate areas set up for infectious disease surge and management. These may include internal Alternate Care Sites (i.e. tents, converted shelled space) or any location that may have additional equipment (i.e. portable HEPA filters/air scrubbers, IV Pumps outside rooms).

• Plan ahead on how to evacuate and manage potential fires in these alternate care sites and how response may change due to infectious disease.

Earthquake Mitigation• Secure these items with restraints such as straps, anchor

bolts or other methods. Also consider installing latches to prevent cabinets from opening

• Store heavier items on lower shelves instead of higher shelves. This is especially important with hazardous and/or flammable materials. Keep chemicals (i.e. cleaning supplies like bleach and ammonia) separated out that if they mix due to falling could produce a hazard.

• Ensure utility risks are evaluated ahead of time and identify and correct vulnerabilities to water lines, gas and electrical lines. Ensure the testing of generators occurs following set requirements at a minimum (if applicable) to ensure continuing operations.

• Ensure there are multiple redundant methods (i.e. mass notification, call trees, radio, satellite phones, blast emails, social media) for communication with personnel and community.

• Provide not only emergency preparedness training for your place of business, but also personal emergency preparedness training as well, so the family members of your personnel can be ready and safe.

Earthquake Response• If in healthcare facility, direct patients and visitors to drop

to the floor and under a piece of sturdy furniture if possible and hold on. If furniture not available, everyone should get down on the floor and cover head with arms.

• If patients are using mobility assistance devices (i.e. wheelchairs, walkers) instruct them to lock the wheels. If in wheelchair have them cover their heads and if using walker, especially one with a seat, have them get to the floor as low as possible and cover head.

• If in healthcare facility in areas set up for infectious disease surge and management (i.e. tents, converted shelled space) be aware of the risk of the additional equipment (i.e. portable HEPA filters/air scrubbers, IV Pumps outside rooms) that may fall and cause injury.

• If patient is in bed, try to get them to roll to side and cover head with pillow for protection.

• Stay away from widows as may shatter.• If outside, move away from buildings and overhead wires

and trees and sit down with arms over head and neck for protection.

• Always anticipate additional aftershocks!

Earthquake Recovery• Immediately check yourself for injury and your location for

safety. Then, evaluate their area for injured people and damage to facility and equipment.

• If it is safe to do so, check for people who might be trapped in rooms, nursing stations, and other spaces. As rooms are checked, a diagonal mark (tape or marker) could be placed on the door and the door is closed – this means the room has been checked for victims.

• Ensure staff have equipment and resources needed (i.e. PPE, first aid, tourniquets, emergency lighting such as flashlights and/or glow sticks) to remain safe.

• Ensure life saving equipment (i.e. ventilators) are still functional and no tube displacement has occurred and in areas for infectious disease surge equipment ((i.e. portable HEPA filters/air scrubbers, IV Pumps outside rooms) are still functional.

• Everyone must be alert to possible broken glass or spilled fluids/chemicals and risks of fire. Avoid use of anything that may provide a spark.

• Activate your emergency plans, Incident Command Systems if applicable.

Earthquake Recovery• Evacuation may need to be a single unit or may need to be

the entire building. The determination of this is made by risk of safety and by those in charge (i.e. Incident Commander) and agency of authority (i.e. fire department, Office of Emergency Services).

• Important that methods are in place for the accounting of all patients, visitors and personnel during evacuation.

• Have to consider the types of vulnerable populations (i.e. pediatric, neonate, NICU, elderly, etc.) and the methods of evacuation to be used and the potential impact evacuation may have on them.

• Consider safe methods of evacuation of patients that require aspects of isolation (i.e. airborne, contact, droplet, enhanced droplet, etc.) and how these patients will be evacuated (i.e. use of an Isolation Pod or just with a mask) to protect others, locations on where to stage them and how staff will be protected (i.e. Powered Air Purifying Respirators, Enhanced Precautions, etc.) while evacuating and providing care.

Earthquake Recovery• Depending on the size, nature of the earthquake damage,

recovery could be rapid (i.e. cleaning up minor debris and spills, minor first aid) to long term (i.e. building repair and reconstruction).

• Safety is a primary issue, as are mental and physical well-being.

• Direct assistance can be provided to you in regards food, shelter, supplies and assist in clean-up efforts by your county Health Department and volunteer groups like the American Red Cross and Salvation Army

• If applicable due to the incident, contact you Insurance Agency as soon as possible to assist in the recovery and repair of insured items.

• In the most severe disasters, the federal government is also called in to help individuals and families with temporary housing, counseling (for post-disaster trauma), low-interest loans and grants, and other assistance.

• Be aware of new safety issues created by the disaster such as collapsed roads/bridges, gas leaks, broken glass, damaged or downed electrical poles.

Earthquake Recovery• Recognize signs of disaster related stress such as difficulty

sleeping, limited attention span, headaches/stomach problems, disorientation or confusion, depression, feelings of guilt, sadness, feelings of hopelessness.

• Stress can manifest in the general population, but very much so in our responders (i.e. medical personnel, EMS, Fire, Law Enforcement and more)

• It is normal to feel anxious about your own safety and that of your family and close friends.

• Acknowledging your feelings helps you recover.• Focusing on your strengths and abilities helps you heal.• Accepting help from community programs and resources is

healthy.• Children are of special concern in the aftermath of disasters

as they may not process what is occurring. Disasters can leave children feeling frightened, confused, and insecure.

• Whether a child has personally experienced trauma, has merely seen the event on television or has heard it discussed by adults, it is important for parents, grandparents, guardians and teachers to be ready to help if reactions to stress begin to occur.

COVID-19 Earthquake Planning Considerations

• Know your facility, school, or organization buildings and how you are serving your constituencies now related COVID-19

• Know your constituencies (staff, patients, students, etc.) and how you are addressing their COVID-19 needs and how an earthquake would further impact them

• Use the Great Shakeout Earthquake Drill to test your emergency evacuation or shelter in place plans during COVID-19

• Plan for the long-term effects of an earthquake impacting your building should it be damaged to serve your constituencies during the COVID-19 pandemic. Do you have an alternate location identified?

8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-1947

Your Shakeout

Questions & Comments

8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-1948

CCS 2020 CMS Emergency Preparedness Toolkit

• Reflects all the changes from the Omnibus Burden Reduction (Conditions of Participation) Final Rule CMS-3346-F• Streamlined, more user-friendly Toolkit layout • New provider reference chart on all changes• Updated training, drill, and exercise resources• Bonus – Includes CCS’ Pandemic Planning Response Guide • $600.00 that includes 4 hours of consulting

7/22/20CCS CMS Emergency Preparedness Changes Due to

COVID-1949

School Emergency Preparedness ToolkitOur School Emergency Preparedness Toolkit is based upon four core emergency management and business continuity best practices

Bonus – Includes CCS’ Pandemic Planning Response Guide $600.00 which includes 4 hours of consulting

Shakeout Earthquake Drill: Earthquake Planning During COVID-19 50

Want More Information and Webinars from us?

• Want to know more how we can help your organization plan for earthquakes, COVID-19 or any other disaster you are facing? Book a call with us here to learn more about how we can help you.

• Register for future monthly free preparedness webinars https://www.connectconsulting.biz/free-webinars/

• Join our monthly newsletter

518/12/2020Shakeout Earthquake Drill: Earthquake Planning During

COVID-19

Thank you!

52

Nora O’Brien, MPA, CEM Chief Executive OfficerNora@ConnectConsulting.bizTwitter: @NoraConnectLinkedin: Nora O'BrienNora O'Brien Bio

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8/12/2020Shakeout Earthquake Drill: Earthquake Planning During

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