EMERGENCY RESPONDER HEALTH MONITORING AND SURVEILLANCE (ERHMS)
Overview
The nation depends on emergency responders to preserve the public’s safety and health when disasters strike. To successfully meet this challenge, emergency responders must be protected from the hazardous conditions that disasters and other emergencies create, whether natural or a result of human action such as the April 15, 2013, tragedy in Boston. A plan for monitoring emergency responder health and safety is an important part of protecting them.
Recognizing this, NIOSH worked with the U.S. National Response Team (NRT), and a number of federal agencies, state health departments, labor unions, and volunteer emergency responder groups to develop the Emergency Responder Health Monitoring and Surveillance (ERHMS) system. The ERHMS consists of an NRT Technical Assistance Document and A Guide for Key Decision Makers.
The ERHMS provides guidelines for protecting emergency responders over a full range of emergency types and settings. It is for use by all who are involved in the deployment and protection of emergency responders. This includes incident management and response organization leadership, health, safety and medical personnel, and emergency responders themselves.
Resources
Summary Document
Summary of the guidelines contained in the NRT Technical Assistance Document
Fact Sheets
- Emergency Responder Health Monitoring and Surveillance System Overview [PDF - 195KB] - May 2013
- Rostering and Credentialing of Emergency Response and Recovery Workers [PDF - 382KB] - January 2013
- Pre-deployment Health Screening for Emergency Responders [PDF - 195KB] - January 2013
- Health and Safety Training [PDF - 287KB] - January 2013
- Data Management and Information Security[PDF - 180KB] - January 2013
- On-site Responder In-processing[PDF - 237KB] - January 2013
- Health Monitoring and Surveillance During Response Operations [PDF - 350KB] - January 2013
- Integration of Exposure Assessment, Responder Activity Documentation, and Controls into ERHMS [PDF - 147KB] - January 2013
- Communications of Exposure and Health Monitoring and Surveillance Data During an Emergency Response [PDF - 576KB] - January 2013
- Incident Personnel Out-processing Assessment [PDF - 209KB] - January 2013
- Post-Event Tracking of Emergency Responder Health and Function [PDF - 263KB] - January 2013
- Lessons Learned and After Action Assessments [PDF - 293KB] - January 2013
Other Resources
- NIOSH traumatic incident Stress
- CDC Mass Casualty Preparedness and Response Information
- OSHA Best Practices Information on Mass Casualty Incidents for Hospital-Based First Receivers
- NIOSH Fire Fighter Fatality Investigation and Prevention Program
- CDC Health Advisory: Resources Available for Local and State Public Health Officials: Preparing for and Responding to Bombing Events
- U.S. Chemical Safety Board
Contact Us:
- National Institute for Occupational Safety and Health (NIOSH)
- Centers for Disease Control and Prevention
- 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348 - New Hours of Operation
8am-8pm ET/Monday-Friday
Closed Holidays - Contact CDC-INFO


