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	emergency responders wearing protective equipment walking past building rubble


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, MA. 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 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 deployment and protection of emergency responders. This includes incident management and response organization leadership, health, safety and medical personnel, and emergency responders.

	ERHMS document covers

ERHMS Documents

ERHMS consists of an NRT Technical Assistance Document and A Guide for Key Decision Makers. These documents can be found at

Three Phases of the ERHMS System

	diagram showing circular process of pre-deployment, deployment, and post-deplayment phases of the ERHMS

ERHMS Online Training Courses

ERHMS System Training Course WB2254

ERHMS training is now available online. The training is free and provides the necessary tools for implementing health monitoring and surveillance of emergency response workers. Important procedures for pre-deployment, deployment, and post-deployment are outlined

Continuing education credits can be obtained for those who register and successfully complete the course. Credits include: CEU/CE; CHES; CME; CNE Contact Hours; Pharmacist Contact Hours; and AAVSB/RACE.

We encourage all emergency response coordinators to take the training. To register, go to CDC TRAIN

IS-930: ERHMS System: Leadership Training

This leadership training course introduces the ERHMS system to leaders in organizations responsible for planning and executing incident response activities. The course focuses on optimizing the health and safety of response, remediation, recovery, and volunteer workers. The intended audience includes local, regional, state, tribal, and federal personnel who are responsible for the occupational safety and health of responders.

Participants can receive 0.1 continuing education units for completing the course.

We encourage all emergency response coordinators to take the training.

To register, go to the FEMA website

ERHMS Fact Sheets

Studies on Emergency Responder Health Monitoring and Surveillance

Other Resources

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