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Children & Disasters


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Children are especially vulnerable to environmental hazards. They eat more food, drink more liquids, and breathe more air than adults on a pound for pound basis. Children are in a critical period of development when toxic exposures can have profound negative effects and their exploratory behavior often places them in direct contact with materials that adults
would avoid.

Wildfires expose children to a number of environmental hazards (eg, fire, smoke, psychological conditions, and the byproducts of combustion of wood, plastics, and other chemicals released from burning structures and furnishings). While wildfires are burning (acute phase), the major hazards to children are fire and smoke.

In the aftermath of wildfires (recovery phase) children may be exposed to a different set of environmental hazards involving not only their homes, but also nearby structures, land, and recovery activities. The environmental landscape is dotted with potential hazardous conditions and situations. Some of these are easy to see, such as broken glass and exposed electrical wires, and others are not, such as soil contaminated with hazardous materials like lead or persisting hot spots which can flare without warning.

Key requirements for children to return to an area impacted by wildfires include restored drinking water and sewage removal, safe road conditions, removal of ash and debris, and structurally sound homes. Schools and outdoor play areas should be cleaned, cleared of hazards and made ready for use. Persisting hazards should be isolated and made inaccessible to children. Children, and whenever possible, teens, should only be permitted to return after affected areas have been cleaned up. Children should be the last group to return.

To address the health risks to children from wildfires, the Pediatric Environmental Health Specialty Units (PEHSUs), with review and input from the AAP Committee on Environmental Health, have developed the following two fact sheets. These documents have been reviewed and endorsed
by the AAP.

Health Risks of Wildfires for Children – Acute Phase
English Version | Spanish Version

Environmental Hazards for Children in the Aftermath of Wildfires – Recovery
English Version | Spanish Version

Additional Resources
Disaster Preparedness for Pediatric Practices – Pediatricians can work with office staff to develop a written preparedness plan by using this online, interactive tool. Designed to support planning related to natural disasters, this resource can also support pediatric practice preparedness for all hazards.
Federal Emergency Management Agency (FEMA) Wildfire Resources
Talking to Children about Wildfires and Other Natural Disasters (AACAP)


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