Resources for consumers and healthcare providers related to infection prevention in emergency situations. 



SHEA: Patient and Family Guides for Family-Centered Residential Facilities
Guidance for volunteers, patients, and family members staying in residential facilities to prevent the transmission of infections

APIC: Infection Prevention and Control for Shelters During Disasters
Recommendations from APIC to reduce the risk of transmitting communicable diseases in shelters

APIC: Infection Prevention Tips for Flood and Hurricane Season
Advice from APIC to help protect consumers and reduce the risk of infection during floods and hurricanes

CDC: Emergency Preparedness and Response
CDC’s main portal for consumer resources to assist with preparing for a disaster. Contains up-to-date resources on Hurricane Harvey

CDC: Personal and Handwashing After a Disaster or Emergency
Guidance on handwashing, when to wash hands, bathing, dental hygiene and wound care following a major flood event

CDC: Flood water after a disaster or emergency
Information about health and infectious disease risks following a major flood event

CDC: Emergency Wound Care After a Natural Disaster
Information for consumers about how to prevent infections while treating wounds following a natural disaster

CDC: Precautions When Returning to Your Home
Rates of infectious diseases that were present before a flood may increase because of decreased sanitation or overcrowding among displaced persons

National Voluntary Organizations Active in Disaster
Directory of trusted voluntary organizations that respond to natural disasters

Houston Health Department
Steps to Prevent Mold Growth (Image with instructions)



SHEA/CDC ORTP:  Leadership DecisionSim Module: Hospital Epidemiologist-Led Hospital Incident Command Systems: What to Expect?
FREE training from SHEA & CDC that  trigger considerations and provide resources for flooding

SHEA: Infection Prevention and Control in Residential Facilities for Pediatric Patients and Their Families
SHEA guideline that addresses preventing transmission of infectious agents in “home away from home” residential settings

APIC: Hurricane Harvey Resources
APIC’s online resource for Hurricane Harvey disaster response and infection prevention efforts

IDSA: Hurricane Harvey Resources
IDSA’s online resource for Hurricane Harvey disaster response and infection prevention efforts. Contains links to information for medical professionals seeking volunteer opportunities to assist with response efforts.

CDC: Guidelines for the management of acute diarrhea after a disaster
General guidelines for healthcare providers for the evaluation and treatment of patients presenting with acute diarrhea in these situations

CDC: Infectious disease after a disaster
Information about specific infectious diseases that pose a health risk due to flood waters and standing waters

CDC: Emergency Wound Management for Healthcare Professionals
Guidance for healthcare providers about wound management following a natural disaster to prevent further medical problems

CDC: Tuberculosis Control Activities Before and After Hurricane Sandy — Northeast and Mid-Atlantic States, 2012
To ascertain the operational abilities of state and local TB programs during and after Hurricane Sandy and to determine whether lessons learned from a previous hurricane were effective in ensuring continuity of TB patient care, CDC interviewed staff members at all of the affected state and city TB control programs, including those in areas with power outages and flooded streets, tunnels, and subway lines

WHO: Management of Dead Bodies in Disaster Situations
A manual to assist those responsible for dealing with mass casualties during a major disaster




The following articles, related to the topic of infection prevention during natural disasters, have not been reviewed or evaluated by SHEA, but are provided by SHEA members to assist institutions trying to develop their own institutional policies to respond to Hurricane Harvey and related flooding in coastal southeast Texas.

ICHE  & Other Scientific Journals Available to Impacted Areas 
Cambridge University Press, in tandem with the Professional/Scholarly Publishing Division of the Association of American Publishers, partners with the National Library of Medicine (NLM)* and the National Network of Libraries of Medicine in an “Emergency Access Initiative” (EAI) to provide temporary free access to full text articles from major biomedicine titles to those affected by disasters, including healthcare professionals, librarians, and the greater public. ICHE is one of the titles being made available through our publisher. Access to biomedical literature through the EAI is only available to those affected by the disaster and for those providing assistance to the affected population. The estimated access time will be 4 weeks, subject to ongoing review and needs. 

Pew Charitable Trusts: Analysis – Hurricane Recovery: How States Step Up to Help
How states collaborate to assist with a response to a national disaster

PPT: Post-Katrina, Pre-Deployment Medical Intelligence Presentation developed by Marcel J. Casavant, MD, FACEP, FACMT of the Central Ohio Poison Center. Lessons learned from post-Hurricane Katrina experiences with land and flood hazards.

Apisarnthanarak, A., Mundy, L., Khawcharoenporn, T., & Mayhall, C. (2013). Hospital Infection Prevention and Control Issues Relevant to Extensive Floods. Infection Control & Hospital Epidemiology, 34(2), 200-206. doi:10.1086/669094

Apisarnthanarak, A., Warren, D. K., & Glen Mayhall, C. (2013). Healthcare-associated infections and their prevention after extensive flooding. Current Opinion in Infectious Diseases, 26(4), 359-365. DOI: 10.1097/QCO.0b013e3283630b1d

Murray KO, Kilborn C, desVignes-Kendrick M, et al. Emerging Disease Syndromic Surveillance for Hurricane Katrina Evacuees Seeking Shelter in Houston’s Astrodome and Reliant Park Complex. Public Health Reports. 2009;124(3):364-371.

Todd, Betsy. “Emerging Infections.” The American Journal of Nursing, vol. 106, no. 3, 2006, pp. 29–31. JSTOR,

Rodent-borne infectious disease outbreaks after flooding disasters: Epidemiology, management, and prevention. Diaz JH. J Emerg Manag. 2015 Sep-Oct;13(5):459-67. doi: 10.5055/jem.2015.0255. Review.

The Infectious and Noninfectious Dermatological Consequences of Flooding: A Field Manual for the Responding Provider. Bandino JP, Hang A, Norton SA. Am J Clin Dermatol. 2015 Oct;16(5):399-424. doi: 10.1007/s40257-015-0138-4. Review.

Infectious diseases of severe weather-related and flood-related natural disasters. Ivers LC, Ryan ET. Curr Opin Infect Dis. 2006 Oct;19(5):408-14. Review.