{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T18:50:24Z","timestamp":1783536624517,"version":"3.55.0"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T00:00:00Z","timestamp":1517788800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Early on August 2, 2014, in the city of Toledo, Ohio, a media alert informed the public that traces of microcystin, a hazardous toxin, had been detected in the drinking water. The warning stated that residents should not drink, boil, or even touch the contaminated water. A water crisis of this magnitude was recognized to pose a potentially serious and significant impact on patient care and safety in health care environments. ProMedica Toledo Hospital\u2019s Emergency Operation Plan addressed 3 critical issues: safe water availability, alternate cleaning solutions, and preparations for a prolonged crisis. This report details some of the lessons learned throughout the response to the crisis: particularly, because the impact was county-wide which affected other hospitals who used the same vendors, alternate water sources should have been secured in advance; the courier service was vital to delivery of supplies and moving equipment to alternate areas for sterilization processes; and finally, communication with staff and patients was jeopardized by external media outlets. Changes to the emergency plan considering these unanticipated aspects proved useful in a later incident and should be considered by all health care facilities as water emergency policies and procedures are created and reviewed. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2018;12:666\u2013668)<\/jats:p>","DOI":"10.1017\/dmp.2017.135","type":"journal-article","created":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T07:55:58Z","timestamp":1517817358000},"page":"666-668","source":"Crossref","is-referenced-by-count":12,"title":["Something in the Water: Hospital Responds to Water Crisis"],"prefix":"10.1017","volume":"12","author":[{"given":"Roberta","family":"Redfern","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Micham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Daniels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Childers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,2,5]]},"reference":[{"key":"S1935789317001355_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijheh.2016.09.010"},{"key":"S1935789317001355_ref3","unstructured":"Federal Emergency Management Agency (FEMA). Developing and maintaining emergency operations plans, Version 2.0; 2010. https:\/\/www.fema.gov\/media-library-data\/20130726-1828-25045-0014\/cpg_101_comprehensive_preparedness_guide_developing_and_maintaining_emergency_operations_plans_2010.pdf. Accessed August 26, 2016."},{"key":"S1935789317001355_ref4","unstructured":"CDC. A guide to drinking water treatment technologies for household use. Healthy Water Home, 2014. https:\/\/www.cdc.gov\/healthywater\/drinking\/home-water-treatment\/household_water_treatment.html. Accessed September 13, 2017."},{"key":"S1935789317001355_ref5","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.01109663"},{"key":"S1935789317001355_ref1","article-title":"Water crisis grips hundreds of thousands in Toledo area, state of emergency declared","author":"Henry","year":"2014","journal-title":"The Toledo Blade"},{"key":"S1935789317001355_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)12285-1"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789317001355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,13]],"date-time":"2019-04-13T20:11:59Z","timestamp":1555186319000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789317001355\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,5]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["S1935789317001355"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2017.135","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,5]]}}}