Preparing Children For Disasters This information will help you prepare and protect yourself and your children in case of a disaster. It will help you provide for your children’s basic physical and emotional needs, before, during and after disaster strikes. Disasters can happen quickly and without warning. These events are frightening for adults, but they can be traumatic for children. As a parent, you will need to cope with the disaster in a way that will prevent your children from developing a sense of loss. You know what’s best for your children, but consider using the suggestions listed below as a baseline. What Parents Should know Children may have different reactions and feelings in response to a disaster. They may need special attention from you. The two most common signs of distress in children are changes in behavior and behavior regression. A behavioral change is any unusual behavior he/she exhibits. For example, an outgoing child may become very shy. When children demonstrate regressive behavior, they act younger than they are, such as thumb-sucking or baby-talking. Children may experience different reactions and feelings based on their age. Speak your child’s language o Children might not understand everything that’s going on, but they can pick up on your worries. So explain things to your young children using works that they understand. Don’t tell them any of the scary details though. Let your child ask questions o Letting your child ask questions and express their opinions is important. Answer all their questions calmly and, again, don’t go into a lot of detail that might be scary or traumatizing for them. Provide different opportunities for children to talk. They will probably have more questions as time goes on. Let your children know they are safe o Tell them about policemen, firemen and other rescue personnel who are there to help during a disaster, and not to be afraid of them. Preparing Children For Disaster According to the Federal Emergency Management Agency (FEMA), involving children is the first step in helping them know what to do in an emergency. Children can help keep the family’s emergency supply kit up-to-date. They can make calendars and mark the dates for checking emergency supplies, rotating the emergency food and water every six months and replacing batteries. Child might also enjoy preparing plans and disaster kits for their pets. What Children Should Know How to call 911 and other emergency numbers – and when it is OK to do so Who to contact during/after a disaster if they cannot get in touch with you Where your family will meet in case you are not together Their first and last names, telephone number and address Your first and last names Activity Survival Kits You can have your children put together their own “Activity Survival Kits” so that they will have things to do and share with other kids. They can keep it in a backpack or duffle bag; make sure it’s not too heavy for them to carry. Some suggested items include: A few favorite books Crayons, pencils or markers and paper Scissors and glue Two favorite toys like a doll or action figure One or two board games A deck of cards A puzzle Small figures and vehicles – like an ambulance, fire truck, etc. – to play out what is happening during the exercise. Favorite stuffed animal Favorite blanket or pillow Pictures of the family and pet A box with a few treasures that make them feel special Emergency Supply Kits For Children Customize your emergency kit to meet your family’s basic survival needs for at least 72-96 hours. Detailed lists of emergency supply kit contents can be at Department of Homeland Security: www.ready.gov/american FEMA: www.fema.gov/areyouready In addition to the recommended items you’ll need in your family’s supply kit, you also have to think about the special items you will need for your infants or young children. Items for Infants Formula (bottled water to mix formula), liquid formula, powdered milk, baby food Clean bottles, pacifiers Diapers, disposable wipes, diaper rash ointment, plastic bags Clothing, jackets, socks AND shoes Bibs, blankets Medications not requiring refrigeration, such as infant Tylenol®, Advil®, Benadryl® Baby lotion, shampoo, soap and sunscreen Toys Items for Children Books, board games, puzzles, dolls, action figures, stuffed animals MP3 player/iPod; Portable DVD player, DVDs Extra clothes and shoes Mittens, scarf, jacket Comfort food, hard candy, crackers, granola bars, dried fruit Paper with home address, phone number and parents’ names (emergency contact card) Toothbrush, toothpaste Small first-aid kit with bandages, children’s Tylenol®, Advil®, and Benadryl® Pictures of the family and pet Make sure that you replace formula, food, medications and creams in your infant’s or children’s emergency kits every six months. Check the expiration dates. School Emergency Plans It may not be safe to pick up your child from school or daycare during a disaster. Know what your child’s daycare or school’s emergency plan is. Know the situations for which they stay in place or go somewhere else. Find out if they are prepared to shelter-in-place (stay indoors until the emergency passes) and where they plan to go if they must get away. Know how to contact them in an emergency. Do they store enough food, water and other emergency supplies? If you have children enrolled in daycare or school, you need to know what will happen if they experience a: Shelter-in-place situation Facility evacuation Lock-down because of an outside threat Power Outage Hazardous materials emergency Water or heat loss Bomb threat or receive a suspicious article or message Missing child Relocation to another site Questions to Ask How will parents be notified in an emergency situation? What is the evacuation process? Do they have an emergency e-mail notification system? Make sure the school and daycare have your current contact information, and know the best way to reach you or other people authorized to pick up your child in case you can’t get there. Information to Provide Work, cell, home, pager and fax numbers E-mail address(es) Authorization cards for other adults to pick up your child Name of the person(s) permitted to contact your child if you can’t Tell your child that if an emergency happens while they are at daycare/school that it is important for them to stay calm and listen to their teachers. If your child takes prescription medication, ask if several does may be stored in the nurse’s office and about the procedure to ensure that your child will get his/her medication during an emergency. Infant Care Caring for infants during a disaster can be difficult because you might lack access to the safe drinking water needed to prepare formula and to clean bottles. Other basic supplies might be hard to come by. During a Disaster Keep a copy of your baby’s medical and immunization records with you. Also have the contact information for your health care providers. Infants should continue to receive their scheduled vaccines. Packing Checklist Several pacifiers and bottles Diapers, disposable wipes, diaper rash ointment, plastic bags Bibs, blankets, extra clothing Toys Baby lotion, shampoo, soap, sunscreen Food/formula Rectal thermometer and lubricant Non-aspirin liquid pain reliever Feeding During a Disaster Breastfeeding is the best feeding option. Even when experiencing diarrhea, food-borne illness or extreme stress, breastfeeding mothers will produce enough milk. If the baby is formula-fed, the Centers for Disease Control and Prevention (CDC) recommend the following after a natural disaster or power outage: Use ready-to-feed formula if possible. Use bottled water to prepared powdered or liquid concentrated infant formula. If bottled water is not available, use boiled water. Use treated water (treated with chlorine or iodine to disinfect it per manufactures’ directions) to prepare infant formula only if bottled or boiled water is not available. After a Disaster During emergencies, babies have a greater need for the immunizing qualities and comfort provided by breastfeeding. If you cannot breastfeed: Pre-prepared formula is recommended because of concerns about water safety. Have a supply of single-serving, ready-to-feed formula on-hand. Remember to throw away the formula that the baby does not drink if you cannot refrigerate it. For more information on breastfeeding during/after disasters, visit the La Leche League website: www.illi.org Parent Stress Caring for an infant during an emergency situation can be very stressful. To help calm yourself: Find someone to talk to a few times a day. Find a quiet spot to clear your mind of worries. Take deep breaths from your belly. If you’re a woman, breastfeed. When you breastfeed, your body creates calming hormones. Pregnant Women If you’re pregnant, being prepared can help you avoid stress and put you in a better position to handle emergencies. Talk to your health care provider about: o What you should do in any emergency. o Where you will get prenatal care. o Where you will deliver your baby if your hospital is closed. Make a backup plan for getting to the hospital or health care center. Pack any medication or prenatal vitamins you have been taking during the course of your pregnancy. Keep your health insurance identification card with you. Being Displaced If you’re staying in a shelter or in temporary housing: Tell the staff at the shelter or temporary housing that you are pregnant or if you think you might be pregnant. Continue your prenatal care – even with a different provider. Tell the health care providers about any special needs or health problems that you have, as well as any medicines you might be taking (both over-the-counter and prescription). If you don’t have your prescription medicines with you, ask the shelter’s staff for assistance in getting them. During and After a Disaster Drink plenty of water and rest often. Seek prenatal care, even if it is not with your usual provider. If you don’t have your prescription medicines with you, ask the shelter’s staff for assistance in getting them. If you are pregnant or might be pregnant, be especially careful to avoid infections or toxins that may be in the environment. You can lessen the chance of getting an infection by washing your hands often and encouraging others to cover their coughs. Preparing for and recovering from a disaster can be stressful. You may be taking care of loved ones, but it is especially important for pregnant women to find healthy ways to reduce the stress they feel. If you are feeling stressed or sad because of the disaster, talk to others and share your thoughts and feelings. You are not alone. If you have any signs of preterm labor, call your health care provider or 911, or go to the hospital immediately. Children’s Reactions to Emergencies Disasters can leave children feeling frightened, confused and insecure. Whether a child has personally experienced trauma, has seen the event on television or has heard it discussed by adults, it is important for parents and teachers to be informed and ready to help if reactions to stress occur. Children may respond to disaster by showing fear, sadness or behavioral problems. Younger children may display regressive behavior, such as bedwetting, sleep problems or separation anxiety. Older children may display anger or aggression and experience school problems or withdrawal. Who is at Risk? For many children, reactions to disasters are brief and normal considering the “abnormal events.” A few children can be at risk for more serious psychological problems if they have experienced one or more of the following: 1. Direct exposure to the disaster, such as being evacuated, seeing injuries or deaths of others or experiencing injury or fearing for their life. 2. The death or serious injury of a family member or friend. 3. Stress from the secondary effects of a disaster, such as temporarily living elsewhere and losing friends and social networks. Age-Specific Reactions Birth through 2 years Preschool – 3 through 6 years Infants may react to trauma by being irritable, crying more than usually or wanting to be held and cuddled. Preschool children often feel helpless and powerless during an overwhelming event. As a result, they feel fear and insecurity about being separated from caregivers. Preschoolers cannot understand the idea of permanent loss. School age – 7 through 10 years In the weeks following a traumatic event, preschoolers’ play activities may reenact the incident or the disaster over and over again. The school-age child has the ability to understand the permanence of loss. Some children become intensely preoccupied with the details of a traumatic event and want to talk about it continually. Pre-adolescence to adolescence 11 through 18 years They may display a wide range of reactions: sadness, generalized fear or specific fears of the disaster happening again, guilt over action or inaction during the disaster, anger that the event was not prevented or fantasies of playing rescuer. As children grow older, they develop a more sophisticated understanding of the disaster event. Their responses are more similar to adults. Teenagers may become involved in dangerous, risk-taking behaviors, such as reckless driving, or alcohol or drug use. Others can become fearful of leaving home and avoid previous levels of activities. A teenager may feel overwhelmed by intense emotions and yet feel unable to discuss them with others. Meeting the child’s emotional needs Children’s reactions are influenced by the behavior, thoughts and feelings of adults. Adults should: Encourage children and adolescents to share their thoughts and feelings about the incident. Clarify misunderstandings about risk and danger by listening to children’s concerns and answering questions. Maintain a sense of calm by validating children’s concerns and perceptions, and with discussion of concrete plans for safety. Listen to what the child is saying. If a young child is asking questions about the event, answer them simply without going into the detail needed for an older child or adult. Some children are comforted by knowing more or less information than others; decide what level of information your particular child needs. If a child has difficulty expressing feelings, allow the child to draw a picture or tell a story of what happened. Why are they scared? Try to understand what is causing anxieties and fears. Be aware that following a disaster, children are most afraid that: The event will happen again. Someone close to them will be killed or injured. They will be left alone or separated from their family. Reassuring Children After a Disaster Personal contact is reassuring. Hug your children. Calmly provide factual information about the recent disaster and current plans for ensuring their safety. Include them in the recovery plans. Encourage your children to talk about their feelings. Spend extra time with your children, such as at bedtime. Reestablish your daily routine for work, school, play, meals and rest. Involve your children by giving them specific chores to encourage them to feel they are helping to restore family and community life. Praise and recognize responsible behavior. Understand that your children will have a range of reactions to disasters. Encourage your children to help update your family disaster plan. If you have tried to create a reassuring environment by following the steps above, but your child continues to show signs of stress, if the reactions worsen over time or if they cause interference with daily behavior at schools, at home or with other relationships, you may need to talk to a professional. You can get professional help from the child’s primary care physician, a mental health provider specializing in children’s needs or a member of the clergy. Transitioning to a New School Depending on how serious the disaster was, it is common for families to be moved away (displaced) from their homes for a period of time. When this is the case, it is important for children to experience some degree of normalcy by going back to their regular school-day routine as soon as possible. The importance of school after a disaster After a disaster, school is more than just about learning. It’s a place where children can feel safe, play with friends and return to how life was before the disaster. It can provide them with a sense of comfort and stability during time of transition. School is also a place where parents can find support and get information on their new community, if they’ve been displaced. What if we’ve been displaced to a different community? No matter where you’re staying for the time being, your children can be enrolled in school. The McKinney-Vento Homeless Assistance Act states that children and youth who are living in temporary housing can go to school. This includes public preschools. Every district has a Local Homeless Education Liaison (also known as a McKinney-Vento Project Coordinator) who can help enroll your children. A staff member at the school can put you in touch with a Project Coordinator or you can call the National Center for Homeless Education at 1-800-308-2145. Helping Children adjust to relocation Relocating after a disaster creates unique challenges for the children in any family. Children are impacted by the reactions of their parents and other family members, how long they have to relocate and their ability to stay in touch with friends and other familiar people. To help your child(ren) cope with your family’s relocation, you should: Give your child the opportunity to meet new friends. Bring along personal items that your child values. Establish some daily routines (like returning to school as soon as possible). Be sensitive to the disruption that relocation may cause and respond to your child’s needs. Encourage your child to talk about his/her concerns and fears. Parent Self-Care The ways children cope with disasters or emergencies are often tied to the ways their parents cope. They can pick up on adults’ fears and sadness. Parents are always the best source of support for children in disasters. Parents can make disasters less traumatic for children by taking steps to manage their own feeling and plans for coping. Easing Disaster-Related Stress Here are some ways to ease your disaster-related stress: Talk with someone about your feelings – anger, sorrow and other emotions – even though it may be difficult. Get help from professional counselors who deal with post-disaster stress. Do not hold yourself responsible for the disastrous event or be frustrated because you feel you cannot help directly in the rescue work. Take steps to promote your own physical and emotional healing by healthy eating, rest, exercise, relaxation and medication. Maintain a normal family and daily routine, limiting demanding responsibilities on yourself and your family. Spend time with family and friends. Ensure you are ready for future events by restocking your disaster supply kits and updating your family disaster plan. Doing these positive actions can be comforting. Use Support Networks Parents help their children when they take steps to understand and manage their own feelings and ways of coping. They can do this by building and using social support systems of family, friends, community organizations and agencies, faith-based institutions, or other resources that work for that family. As a result, parents will be more available to their children and better able to support them. Preparing for disaster helps everyone in the family accept the fact that disasters do happen, and gives you the chance to collect the resources you need to meet your basic needs after a disaster. Preparation helps: When people feel prepared the cope better – and so do children. Additional Resources You and your family are not alone when disaster strikes. Refer to the following resources for additional information and support Federal Emergency Management Agency (FEMA) www.fema.gov Ready America www.ready.gov Ready Kids www.ready.gov/kids Centers for Disease Control and Prevention (CDC) Emergency Preparedness and Response http://emergency.cdc.gov American Red Cross www.redcross.org U.S. Department of Health and Human Services http://phe.gov/preparedness National Center for Homeless Education (NCHE) 1-800-308-2145 http://center.serve.org/nche Disclaimer: The information provided above is derived from original Federal Emergency Management Agency (FEMA) material and recommendations from the Centers for Disease Control and Prevention (CDC) and U.S. Environmental Protection Agency (EPA). The text is an edited and abridged version of multiple disaster recovery publications. Ogle County Emergency Management Agency is not liable for any accidents, injuries, material or moral damages that may occur from using the information contained in this above information, or from any omissions in disaster recovery information.