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Ramsey County │ Annex H: Mass Care and Shelter 18 <br />established trust and credibility, and are better able to negotiate with people who might resist <br />evacuation efforts. Jurisdictions should coordinate outreach teams, drivers, and accessible vehicles in <br />advance and assign them to specific designations as soon as possible to prevent delays during a <br />potentially small window of time. <br />3.1.8.7 LGBTQI+ Populations <br />The safety and privacy concerns of LGBTQI+ shelter residents should be planned for and continually <br />monitored to ensure equal and inclusive treatment and comfort for all individuals in the shelter site. <br />Clearly communicate respect for all of those taking shelter through multiple approaches including <br />written materials and publicly displayed icon signage about safety. Plan for transparent protocols for <br />potentially sensitive issues such as gender identification and bathroom access. Provide safe reporting <br />protocols and transparent mediation processes for issues or perceived concerns that may arise. <br />3.1.9 ADDITIONAL SHELTER CONSIDERATIONS <br />3.1.9.1 Cleaning and Other Environmental Health Factors <br />The quality of life in any shelter environment with large numbers of people living in close quarters will <br />be affected. Shelter planning should consider the environmental factors that may affect the overall <br />health of impacted populations. This includes issues like the condition of the facility, food safety, <br />sanitation, drinking water, and sleeping areas. SPRCPH Environmental Health will coordinate services to <br />ensure safe environmental health conditions at mass care facilities. <br />3.1.9.2 Quiet Room for Nursing Mothers, Children, and Others <br />Quiet room space should be set aside for nursing mothers, overstimulated children, and those who <br />suffer from anxiety or need tranquility. This may require specialized resources (e.g., breast pumps, <br />mental health services) that can be coordinated through Ramsey County Women Infant Children (WIC) <br />and Health Communities Divisions. <br />3.1.9.3 Security <br />Maintaining a safe environment in all mass care facilities is a MCS operational priority. Controlling access <br />is of great importance. If fencing is not available, procuring fencing to control access will be needed <br />around the perimeter. Other security measures include: <br />• Client and staff identification system (such as wristbands). <br />• Check-in/check-out procedures. <br />• Single entrance/exit. <br />• Additional exits locked from the inside to allow emergency exits but no entrance. <br />• On-scene security. <br />Security personnel and equipment may be obtained via a resource request through the EOC Logistics <br />Section. Preferably, at least one licensed peace officer will serve as security lead for each facility (may be <br />uniformed or ununiformed depending on the situation).