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Ramsey County │ Annex H: Mass Care and Shelter 13 <br />Two common methods of mass feeding include fixed or mobile (see Section 3.5.1.4 Points of <br />Distribution). Most mass feeding will be accomplished through direct distribution during shelter-in-place <br />operations or as necessary to equitably address the unique cultural and accessibility needs of the <br />County’s diverse populations. Direct distribution may be accomplished through assistance from Meals <br />on Wheels and similar CBOs that regularly provide this service and have established relationships and <br />processes. In a large disaster, a call center may support registering those individuals who require direct <br />distribution. <br />In addition, CHS will coordinate eligibility screening for emergency assistance and food support benefits, <br />authorizing additional benefits and replacement electronic benefits transfer (EBT) cards for current <br />income and food support recipients. <br />3.1.7.6 Incident Status Information <br />It is important to keep the public informed on the incident status. Impacted populations are likely to be <br />especially interested in information related to their impacted neighborhood and community areas. <br />Therefore, message boards must be updated regularly. If radio listening or television viewing options are <br />made available within shelters, these should be sequestered away from the common area so that <br />impacted populations can listen to or view news at times of their choosing. Culturally appropriate, <br />understandable, and ADA accessible incident updates will be accommodated and prioritized. Changes to <br />evolving communication needs may require collaboration and repeated feedback cycles with key <br />community leaders of the disproportionately impacted populations, particularly for message language <br />translations. <br />It is important that all incident status information come from the EOC PIO or JIC representative. Some <br />impacted populations may find it difficult to listen to around-the-clock coverage of disaster information. <br />Establishing and sustaining trusted feedback loops on the communications outreach will be critical for <br />ensuring effective public information messaging, reducing emotional distress, and maintaining <br />community focus on their resiliency and progress towards an informed, equitable recovery. <br />3.1.7.7 Medical Health Services <br />Health care issues will arise in shelter facilities; therefore, ensure informed access to adequate, <br />equitably, and culturally competent health care services for all impacted community members, <br />prioritizing known high risk populations. It is also necessary to maintain records of all health incidents <br />and related actions taken. Some impacted populations within general population shelters may have <br />medical needs that cannot be met within the shelter environment. Proactively address the provision of <br />culturally competent medical health services to ensure equity for each diverse population that may <br />require interpreters and other accessibility support services. <br />Ramsey County MRC will act as the lead agency for medical and health services, including infection <br />prevention and control at each shelter. During an incident necessitating multiple shelter sites, MRC- <br />coordinated medical services may be provided at only one or a small number of specified shelter sites. <br />3.1.7.8 Referral to Recovery Services <br />Once an incident begins to stabilize, recovery resources will become available for individuals and <br />families. These may be provided through federal or state partners, local government, ARC, or other