Emergency Responder Health Monitoring and Surveillance

For Everyone

Key points

  • The Emergency Responder Health Monitoring and Surveillance (ERHMS) framework provides recommendations for protecting emergency response and recovery workers.
  • ERHMS includes recommendations for all phases of a response, including pre-deployment, deployment, and post-deployment.
  • Anyone involved in deploying and protecting emergency response and recovery workers can use the framework.
Black text spelling ERHMS with a blue, red, and green stripe

Why it's important

There are significant gaps and deficiencies in health monitoring and surveillance of emergency response and recovery workers. Examples of these workers include:

  • Police
  • Firefighters
  • Emergency medical personnel
  • Cleanup, repair, restoration, and recovery workers
  • Volunteers

Emergency response and recovery workers must be protected from hazardous conditions when responding to disasters and other emergencies. A plan for health monitoring and surveillance is essential to their health and safety.

Recognizing this, NIOSH worked with partners to develop the ERHMS framework. Partners include the U.S. National Response Team and several federal agencies, state health departments, labor unions, and volunteer emergency responder groups. Learn more in the video below.

Keep Reading Deployment Phases

Spotlight

Disaster-related Exposure Assessment and Monitoring Course

This 4-day training course teaches attendees about various disaster epidemiologic tools, including ERHMS. Course topics include assessing, monitoring, and tracking health effects among emergency response and recovery workers and community members before, during, and after a disaster.
Content Source
National Institute for Occupational Safety and Health
About This Page
Published: May 15, 2024
Updated: October 28, 2026

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: January 23, 2024

The information on this page was last reviewed by subject matter experts to ensure accuracy.