Abstract |
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1 | (2) |
Summary |
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3 | (20) |
Part I: A Healthy Community Approach To Disaster Recovery |
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23 | (24) |
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29 | (2) |
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Approach to Addressing the Charge |
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31 | (3) |
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31 | (1) |
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32 | (1) |
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32 | (1) |
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33 | (1) |
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Disaster Recovery in the Context of Comprehensive Risk Management |
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34 | (2) |
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The Current Policy Context for Health-Focused Recovery: Why Now? |
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36 | (4) |
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The Changing Disaster Policy Landscape |
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37 | (3) |
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The Changing Health Policy Landscape |
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40 | (1) |
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How This Report Is Intended to Be Used |
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40 | (2) |
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42 | (5) |
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2 Post-Disaster Opportunities To Advance Healthy, Resilient, And Sustainable Communities |
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47 | (26) |
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What Is a Healthy Community? |
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49 | (3) |
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49 | (1) |
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Elements of a Healthy Community |
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50 | (2) |
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Equity, Resilience, Sustainability, and Health in the Post-Disaster Context |
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52 | (6) |
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52 | (2) |
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54 | (1) |
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55 | (1) |
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The Need for an Explicit Focus on Health |
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56 | (2) |
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The Need for an Integrated Approach |
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58 | (9) |
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60 | (2) |
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A Health in All Policies Approach to Disaster Recovery |
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62 | (5) |
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67 | (1) |
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68 | (1) |
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69 | (4) |
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3 A Framework For Integrating Health Into Recovery Planning |
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73 | (44) |
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The Strategic Planning Process as a Framework |
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73 | (8) |
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Building on Previous Strategic Planning Processes |
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74 | (7) |
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A Healthy, Resilient, Sustainable Community Vision for Disaster Recovery |
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81 | (3) |
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The Critical Role of a Vision |
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81 | (1) |
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The Importance of Having a Vision and Goals in Place Before a Disaster |
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81 | (2) |
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Creating a Shared Vision as a First Step in Engaging the Public in Disaster Recovery |
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83 | (1) |
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Assessments to Inform Recovery Planning |
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84 | (2) |
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Community Health Assessments |
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84 | (1) |
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Threat and Hazard Identification and Risk Assessments |
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85 | (1) |
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Disaster Impact Assessments |
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86 | (1) |
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86 | (19) |
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Organizing for an Integrated Approach |
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86 | (15) |
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Using Health-Related Information to Inform Recovery Decision Making |
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101 | (4) |
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105 | (2) |
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Seeking and Applying Recovery Resources |
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105 | (1) |
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Creating a Learning System |
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106 | (1) |
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107 | (1) |
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Summary of Findings and Recommendations |
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107 | (5) |
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112 | (5) |
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4 Leveraging Recovery Resources In A Coordinated Manner To Achieve Healthier Post-Disaster Communities |
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117 | (32) |
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Resource Implications of Disaster Declarations |
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117 | (2) |
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Federal Recovery Programs and Their Applications to Health Recovery |
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119 | (7) |
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FEMA Funding Programs Authorized Under the Stafford Act |
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119 | (3) |
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Federal Block Grant Programs for Disaster Recovery |
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122 | (3) |
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Other Federal Recovery Funding Programs |
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125 | (1) |
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Nonfederal Resources for Recovery |
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126 | (3) |
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126 | (1) |
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Nonprofit and Philanthropic Resources |
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127 | (2) |
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State and Local Government Funding Mechanisms |
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129 | (1) |
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129 | (1) |
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Challenges in Applying Funding to the Creation of Healthy Communities |
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130 | (3) |
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Limited Pre-Disaster Recovery Planning Resources |
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130 | (2) |
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Challenges in the Post-Disaster Context |
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132 | (1) |
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Overcoming Barriers to Coordination of Funding to Support a Healthy Community Approach to Recovery |
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133 | (3) |
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134 | (1) |
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134 | (2) |
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Summary of Findings and Recommendation |
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136 | (1) |
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Annex 4-1: Funding for Disaster Recovery |
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137 | (6) |
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143 | (6) |
Part II: Operational Guidance To Support A Healthy Community Approach To Disaster Recovery |
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149 | (44) |
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Public Health in the Context of a Healthy Community |
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150 | (1) |
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Disaster-Related Public Health Challenges |
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151 | (1) |
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Public Health Sector Organization and Resources |
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152 | (12) |
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The Federal Public Health Enterprise |
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152 | (3) |
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State and Local Health Departments |
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155 | (5) |
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Public Health Partners for Healthier Post-Disaster Communities |
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160 | (4) |
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Pre-Disaster Public Health Sector Priorities |
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164 | (8) |
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Conduct Community Health Assessments |
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165 | (1) |
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Engage Community Stakeholders in Pre-Disaster Community Health Improvement and Recovery Planning |
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166 | (1) |
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Ensure That Public Health Community Programs and Services Are Integrated into Healthy Community and Disaster Recovery Planning Processes |
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167 | (3) |
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Leverage Pre-Disaster Preparedness Activities in Recovery Planning |
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170 | (2) |
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The Continuum of Post-Disaster Public Health Response and Recovery Priorities |
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172 | (1) |
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Early Post-Disaster Public Health Recovery Priorities |
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173 | (3) |
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Participating in a Shared Communication Effort |
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173 | (1) |
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Conducting Impact Assessments on the Community's Health and Medical Needs |
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173 | (1) |
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Reestablishing Critical Public Health Infrastructure |
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174 | (1) |
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Delivering Public Health Services to Meet Post-Disaster Needs of the Community |
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174 | (1) |
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Providing Support to Impacted Health Care Delivery Systems |
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175 | (1) |
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Intermediate- to Long-Term Recovery: Opportunities to Advance Healthier and More Resilient and Sustainable Communities |
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176 | (3) |
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Facilitating Health-Informed Recovery Decision Making Through Data |
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176 | (1) |
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Engaging in Health-Informed Community Rebuilding and Redevelopment Planning |
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177 | (1) |
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Sharing Lessons Learned with Other Communities to Improve Disaster Recovery Planning |
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178 | (1) |
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179 | (1) |
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Summary of Findings and Conclusions |
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179 | (1) |
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Public Health Sector Recovery Checklist |
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180 | (10) |
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190 | (3) |
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193 | (50) |
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Health Care in the Context of a Healthy Community |
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194 | (2) |
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Disaster-Related Health Care Challenges |
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196 | (1) |
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Health Care Sector Organization and Resources |
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197 | (9) |
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197 | (5) |
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Regional, State, and Local Levels |
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202 | (4) |
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Pre-Disaster Health Care Sector Priorities |
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206 | (8) |
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Assessing the Capacity and Vulnerability of the Health Care System |
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207 | (1) |
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Establishing, Sustaining, and Exercising Health Care Coalitions and Other Coordinating Groups |
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208 | (1) |
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Developing Continuity of Operations and Recovery Plans |
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209 | (3) |
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Establishing a Resilient Health Information Technology System |
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212 | (2) |
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Early Post-Disaster Health Care Recovery Priorities |
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214 | (4) |
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Conducting Post-Disaster Assessments |
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214 | (1) |
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Restoring Care Delivery Infrastructure and Services |
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215 | (1) |
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Ensuring Availability of the Required Medical Workforce |
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216 | (2) |
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Intermediate- to Long-Term Recovery: Opportunities to Advance Healthier and More Resilient and Sustainable Communities |
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218 | (5) |
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Rebuilding Health Care Facilities After Disasters for Increased Resilience and Sustainability |
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218 | (1) |
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Improving Health Care System Access and Quality of Care |
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219 | (4) |
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223 | (1) |
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Summary of Findings and Recommendation |
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224 | (4) |
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Health Care Sector Recovery Checklist |
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228 | (10) |
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238 | (5) |
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243 | (44) |
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Behavioral Health in the Context of a Healthy Community |
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244 | (1) |
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Disaster-Related Behavioral Health Challenges |
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245 | (2) |
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Behavioral Health Sector Organization and Resources |
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247 | (10) |
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248 | (4) |
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National-Level Nongovernmental Resources |
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252 | (1) |
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252 | (1) |
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253 | (2) |
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Challenges to Coordination and Integrated Planning |
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255 | (2) |
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Pre-Disaster Behavioral Health Sector Priorities |
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257 | (1) |
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Strengthening the Existing System with Day-to-Day Responsibility for Promoting Behavioral Health and Delivering Behavioral Health Services |
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257 | (1) |
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Engaging in Disaster Preparedness and Recovery Planning Activities |
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257 | (1) |
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The Continuum of Post-Disaster Behavioral Health Interventions |
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258 | (8) |
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Delivering Early Behavioral Health Interventions |
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260 | (1) |
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Providing Ongoing Psychosocial Support |
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261 | (2) |
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Identifying and Treating Behavioral Health Disorders |
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263 | (3) |
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Special Considerations for Vulnerable Populations |
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266 | (2) |
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266 | (1) |
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Community Members with Preexisting Behavioral Health Disorders |
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266 | (2) |
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Responders, Care Providers, and Recovery Workers |
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268 | (1) |
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Building a More Resilient and Sustainable Behavioral Health Sector |
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268 | (1) |
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269 | (1) |
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Summary of Findings and Recommendation |
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270 | (2) |
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Behavioral Health Sector Recovery Checklist |
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272 | (8) |
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280 | (7) |
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287 | (36) |
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Social Services in the Context of a Healthy Community |
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288 | (1) |
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Disaster-Related Social Services Challenges |
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289 | (2) |
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Social Services Sector Organization and Resources |
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291 | (4) |
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291 | (2) |
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293 | (1) |
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Cross-Sector Collaboration |
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293 | (2) |
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Pre-Disaster Social Services Sector Priorities |
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295 | (5) |
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Establishing Forums for Coordination and Collaboration Before and After Disasters |
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295 | (1) |
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Establishing Mechanisms to Facilitate Record and Information Sharing After Disasters |
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296 | (1) |
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Planning for Fluctuations in Social Services Workforce Needs |
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297 | (3) |
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The Continuum of Post-Disaster Social Services Interventions |
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300 | (1) |
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Early Post-Disaster Social Services Recovery Priorities |
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300 | (3) |
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Meeting Basic Human Needs |
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300 | (2) |
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Initiating Disaster Case Management |
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302 | (1) |
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Providing Psychosocial/Behavioral Health Support for Survivors |
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302 | (1) |
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Intermediate- to Long-Term Recovery Priorities |
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303 | (2) |
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Providing Ongoing Psychosocial Support |
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303 | (1) |
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Building Client Self-Sufficiency and Managing Chronic Medical Conditions |
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304 | (1) |
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Special Considerations for Children and the Elderly |
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305 | (3) |
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306 | (1) |
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307 | (1) |
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Building a More Resilient and Sustainable Social Services Sector |
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308 | (1) |
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308 | (1) |
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Summary of Findings and Recommendation |
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309 | (1) |
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Social Services Sector Recovery Checklist |
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309 | (11) |
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320 | (3) |
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9 Place-Based Recovery Strategies For Healthy Communities |
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323 | (46) |
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A Systems View of a Healthy Community |
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325 | (6) |
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The Impact of Place on Health |
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325 | (3) |
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A Systems Approach for Health Improvement |
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328 | (1) |
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Contemporary Approaches to Healthier and More Resilient and Sustainable Communities |
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329 | (2) |
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Disaster Impacts on Community Systems: Implications for Health and Recovery |
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331 | (1) |
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Organizational Structures and Resources for Healthy Community Planning and Redevelopment |
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332 | (6) |
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332 | (2) |
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State and Regional Levels |
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334 | (1) |
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335 | (1) |
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Nonprofits, Philanthropies, and the Private Sector |
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335 | (1) |
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Collaboration and Coordination |
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336 | (2) |
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338 | (2) |
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Creating a Healthy Community Vision for Recovery |
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338 | (1) |
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Organizing for Disaster Recovery Planning |
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338 | (1) |
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Conducting Vulnerability and Capacity Assessments |
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339 | (1) |
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Early Post-Disaster Recovery Priorities |
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340 | (2) |
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Assessing Disaster Impacts on Community Systems |
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340 | (1) |
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Restoring Critical Infrastructure and Remediating Immediate Health Threats |
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341 | (1) |
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Intermediate- to Long-Term Recovery: Opportunities to Advance Healthier and More Resilient and Sustainable Communities |
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342 | (13) |
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Developing Transportation and Land Use Strategies |
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343 | (1) |
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Developing Community Development Strategies |
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343 | (3) |
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Developing Environment Management Strategies |
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346 | (2) |
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Incorporating Hazard Mitigation, Resilience, and Sustainability Planning |
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348 | (2) |
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350 | (5) |
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355 | (1) |
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Summary of Findings and Recommendations |
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355 | (1) |
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Place-Based Recovery Strategies Checklist |
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356 | (8) |
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364 | (5) |
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369 | (46) |
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Housing in the Context of a Healthy Community |
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370 | (3) |
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Housing Standards That Promote Health |
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371 | (1) |
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Green Housing Standards and Health |
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372 | (1) |
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Disaster-Related Housing Challenges |
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373 | (2) |
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Disaster-Related Health Hazards |
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373 | (1) |
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374 | (1) |
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Displacement and the Need for Healthy Temporary Housing |
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374 | (1) |
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Loss of Affordable Housing |
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375 | (1) |
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Housing Sector Organization and Resources |
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375 | (5) |
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376 | (1) |
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377 | (1) |
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Nongovernmental and Philanthropic Organizations |
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378 | (1) |
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378 | (1) |
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Partnering Organizations and Cross-Sector Collaboration |
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378 | (1) |
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Engaging the Community in Housing Recovery |
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379 | (1) |
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Pre-Disaster Housing Sector Priorities |
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380 | (2) |
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Establishing a Disaster Housing Task Force |
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380 | (1) |
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Conducting Vulnerability and Capacity Assessments |
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380 | (2) |
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Planning for Siting of Temporary Housing |
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382 | (1) |
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Early Post-Disaster Housing Recovery Priorities |
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382 | (8) |
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384 | (1) |
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Preventing Unnecessary Displacement |
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384 | (1) |
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Protecting Homeowners and Recovery Workers Against Health Risks |
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385 | (1) |
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Providing Short- and Long-Term Temporary Housing That Meets Health and Human Service Needs |
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386 | (4) |
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Special Considerations for Vulnerable Populations |
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390 | (1) |
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Survivors with Disabilities and Special Medical Needs |
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390 | (1) |
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390 | (1) |
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Intermediate- to Long-Term Recovery: Opportunities to Advance Healthier and More Resilient and Sustainable Communities |
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391 | (6) |
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Incentivizing the Use of Green and Healthy Housing Standards |
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393 | (2) |
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Strengthening the Resiliency of Housing |
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395 | (1) |
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Ensuring Adequate Affordable Healthy Housing |
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395 | (1) |
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Providing Financial Incentives |
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396 | (1) |
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397 | (1) |
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Summary of Findings and Recommendation |
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397 | (1) |
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Housing Sector Recovery Checklist |
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397 | (9) |
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406 | |
Part III: Appendixes |
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A The Federal Policy Environment Influencing Disaster Recovery |
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415 | (6) |
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B Disaster Recovery Funding: Achieving a Resilient Future? |
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421 | (22) |
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443 | (4) |
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D Measures and Tools for Healthy Communities |
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447 | (4) |
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E Committee-Identified Research Needs |
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451 | (4) |
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F Key to Select Terms Used to Describe Primary Actors and Key Partners in Chapter 5-10 Checklists |
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455 | (2) |
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G Public Committee Meeting Agendas |
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457 | (12) |
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469 | |