Table 1.

At-risk population considerations in disaster settings

At-risk population	Medical needs	Shelter requirements
Hemodialysis	Hemodialysis 3 times per week	Transportation to/from dialysis facility For patients with grafts or fistulas, inform all staff to take blood pressure only in non-access arm and label bed or cot
Peritoneal dialysis	Private area, sterile field, dialysis solution, for chronic ambulatory peritoneal dialysis or a peritoneal dialysis cycler	Patients using a dialysis cycler may require hospitalization or special accommodations to provide sterile areas
Renal transplant	Immediate provision of immunosuppressive medication (within 24-48 h), to prevent allograft loss
Diabetes	Insulin Glucose strips (urine, blood) Glucometer	Dedicated refrigerator for medications (not shared with food items)
Limited or mobility impairment	Wheel chair, walker, crutches, bed-bound	Access, wheelchair accessible Hospital beds and staff to turn patients who need particular kinds of help
Families with children		Segregated area, activities
Cardiopulmonary disease	Oxygen
Communicable disease e.g. active tuberculosis	Isolation	Isolation is not feasible, and so must be hospitalized
Cognitive impairment and mental illness	Behavioral health and personal support services	Adequate staff: evacuee ratio Special attention to night shift
Most evacuees	Medications	Names, doses, and schedule may be unavailable