JDR Vol.17 No.7 pp. 1150-1157
doi: 10.20965/jdr.2022.p1150


Integrating Health Considerations into Local Level Recovery Planning: An Exploration of Florida’s Recovery and Redevelopment Plans

Megan Archer*,**, Katherine Pedersen**,***, Mallory Kennedy*, and Nicole A. Errett*,***,†

*Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington
4225 Roosevelt Way NE, Suite 100, Seattle, Washington 98105, USA

Corresponding author

**Urban Design and Planning, College of Built Environments, University of Washington, Seattle, USA

***Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, USA

November 18, 2021
August 19, 2022
December 1, 2022
disaster, recovery, planning, health promotion

Objective: Disasters result in impacts to the health and wellbeing of members of affected communities, as well as damage to healthcare infrastructure. These impacts are not experienced equally, and often disproportionately affect those facing higher health, social and economic risks even before a disaster strikes. Recovery planning provides an opportunity for pre-emptive consideration of how to address pre-existing health vulnerabilities and disparities, as well as insufficient and/or inequitable access to healthcare, with the resources and momentum that often come following a disaster. After the 2004 and 2005 hurricane seasons, Florida began requiring coastal jurisdictions to plan for recovery. This study sought to identify if and how Florida jurisdictions have integrated health-sector restoration and revitalization strategies into local disaster recovery planning. Design: Plans were collected and coded using content analysis methods. Setting: Florida, USA. Participants: 16 county-level disaster recovery and post-disaster redevelopment plans. Results: While nearly three-quarters of plans described actions to address both short-term healthcare and behavioral health needs, the majority of recovery plans lacked long-term health-sector recovery activities and approaches to collect and analyze data to guide health-related recovery efforts. Moreover, plans did not explicitly call for evaluating health-sector recovery strategies. Conclusions: Additional resources are necessary to ensure local jurisdictions integrate short- and long-term health-sector strategies into disaster recovery planning.

Cite this article as:
M. Archer, K. Pedersen, M. Kennedy, and N. Errett, “Integrating Health Considerations into Local Level Recovery Planning: An Exploration of Florida’s Recovery and Redevelopment Plans,” J. Disaster Res., Vol.17 No.7, pp. 1150-1157, 2022.
Data files:
  1. [1] J. H. Masterson et al., “Planning for Community Resilience: A Handbook for Reducing Vulnerability to Disasters,” Island Press, 2014.
  2. [2] K. I. Shoaf and S. J. Rottman, “Public Health Impact of Disasters,” Aust. J. Emerg. Manag., Vol.15, No.3, pp. 58-63, 2000.
  3. [3] K. M. Crossett, T. J. Culliton, P. C. Wiley, and T. R. Goodspeed, “Population Trends Along the Coastal United States: 1980–2008,” Coastal Trends Report Series, National Ocean Service of National Oceanic and Atmospheric Administration (NOAA), United States (U.S.) Department of Commerce, 2004, [accessed July 10, 2021]
  4. [4] D. P. Aldrich and M. A. Meyer, “Social Capital and Community Resilience,” Am. Behav. Sci., Vol.59, No.2, pp. 254-269, doi: 10.1177/0002764214550299, 2015.
  5. [5] Institute of Medicine, “Healthy, Resilient, and Sustainable Communities After Disasters: Strategies, Opportunities, and Planning for Recovery,” The National Academies Press, 2015.
  6. [6] R. V. Tuckson, V. J. Dzau, and N. Lurie, “Creating Healthy Communities After Disasters,” N. Engl. J. Med., Vol.377, No.19, pp. 1806-1808, doi: 10.1056/NEJMp1711834, 2017.
  7. [7] V. J. Dzau, N. Lurie, and R. V. Tuckson, “After Harvey, Irma, and Maria, an Opportunity for Better Health – Rebuilding Our Communities as We Want Them,” Am. J. Public Health, Vol.108, No.1, pp. 32-33, doi: 10.2105/AJPH.2017.304194, 2018.
  8. [8] M. Kennedy, S. Gonick, H. Meischke, J. Rios, and N. A. Errett, “Building Back Better: Local Health Department Engagement and Integration of Health Promotion into Hurricane Harvey Recovery Planning and Implementation,” Int. J. Environ. Res. Public Health, Vol.16, No.3, Article No.299, doi: 10.3390/ijerph16030299, 2019.
  9. [9] Federal Emergency Management Agency (FEMA), “National Disaster Recovery Framework,” 2nd Edition, 2016, [accessed February 3, 2018]
  10. [10] L. Rudolph, J. Caplan, K. Ben-Moshe, and L. Dillon, “Health in All Policies: A Guide for State and Local Governments,” American Public Health Association and Public Health Institute, 2013.
  11. [11] M. Gakh and L. Rutkow, “Lessons from Public Health Legal Preparedness to Operationalize Health in All Policies,” J. Law Med. Ethics, Vol.45, No.3, pp. 392-401, doi: 10.1177/1073110517737540, 2017.
  12. [12] C. B. Pendergrast and N. A. Errett, “Public Health Requirements and Authorities in State Statutory Disaster Recovery Law: A Cross-Sectional Legal Assessment,” Health Secur., Vol.19, No.3, pp. 271-279. doi: 10.1089/hs.2020.0070, 2021.
  13. [13] M. Kennedy, S. A. Gonick, and N. A. Errett, “Are We Ready to Build Back ‘Healthier?’ An Exploratory Analysis of U.S. State-Level Disaster Recovery Plans,” Int. J. Environ. Res. Public Health, Vol.18, No.15, Article No.8003, doi: 10.3390/ijerph18158003, 2021.
  14. [14] P. Berke, J. Cooper, M. Aminto, S. Grabich, and J. Horney, “Adaptive Planning for Disaster Recovery and Resiliency: An Evaluation of 87 Local Recovery Plans in Eight States,” J. Am. Plan. Assoc., Vol.80, No.4, pp. 310-323, doi: 10.1080/01944363.2014.976585, 2014.
  15. [15] FEMA, “Pre-Disaster Recovery Planning Guide for Local Governments,” 2017, [accessed June 10, 2020]
  16. [16] FEMA, “Planning for Post-Disaster Redevelopment,” 2020, [accessed June 23, 2022]
  17. [17] Florida Department of Economic Opportunity, Florida Division of Emergency Management, “Post-Disaster Redevelopment Planning: Addressing Adaptation During Long-Term Recovery,” 2nd Revised Version, 2018, [accessed June 23, 2022]
  18. [18] S. Meyer, E. Henry, R. E. Wright, and C. A. Palmer, “Post-Disaster Redevelopment Planning: Local Capacity Building Through Pre-Event Planning,” J. Disaster Res., Vol.5, No.5, pp. 552-564, doi: 10.20965/jdr.2010.p0552, 2010.
  19. [19] G. Smith, “Planning for Post-Disaster Recovery: A Review of the United States Disaster Assistance Framework,” 2nd Edition, Island Press, 2012.
  20. [20] Florida Department of Community Affairs, Florida Division of Emergency Management, “Post-Disaster Redevelopment Planning: A Guide for Florida Communities,” CSA International, Inc., 2010, [accessed June 15, 2022]
  21. [21] A. Boyd, J. B. Hokanson, L. A. Johnson, J. C. Schwab, and K. C. Topping, “Planning for Post-Disaster Recovery: Next Generation,” American Planning Association (APA), 2014, [accessed June 23, 2022]
  22. [22] Florida Division of Emergency Management, “Florida Division of Emergency Management GeoPortal,” 2021, [accessed June 23, 2022]
  23. [23] Alachua County Working Group, “Alachua County, Florida Post-Disaster Redevelopment Plan,” 2010, [accessed April 6, 2020]
  24. [24] The Bay County Long-Term Recovery Task Force and Branch Leaders, “Bay County, Florida Rebuild. Long-Term Recovery Plan,” 2019, [accessed April 6, 2020]
  25. [25] Broward County, Florida, “Broward County Recovery Plan,” 2016, [accessed April 6, 2020]
  26. [26] Hernando County, Florida, “Hernando County Post-Disaster Redevelopment Plan,” 2012, [accessed April 6, 2020]
  27. [27] Hillsborough County, Florida, “Post-Disaster Redevelopment Plan Documents,” 2010, [accessed April 6, 2020]
  28. [28] Indian River County, Florida, “Indian River County Post-Disaster Redevelopment Plan,” 2013, [accessed April 6, 2020]
  29. [29] The Apalachee Regional Planning Council, “Leon County Post-Disaster Redevelopment Plan,” 2012, [accessed April 6, 2020]
  30. [30] Manatee County, Florida, “Recovery Plan – Post-Disaster Redevelopment Plan (PDRP),” 2008, [accessed April 7, 2020]
  31. [31] Monroe County Emergency Management, “Monroe County Florida Recovery Plan,” 2010, [accessed April 7, 2020]
  32. [32] Nassau County Post Disaster Redevelopment Plan Executive Technical Committee, “Nassau County Post Disaster Redevelopment Plan,” 2009, [accessed April 7, 2020]
  33. [33] Osceola County Office of Emergency Management, “Osceola County Recovery Plan,” 2016, [accessed April 7, 2020]
  34. [34] Division of Emergency Management, Public Safety Department, Palm Beach County, “Palm Beach Disaster Recovery Plan,” 2016, [accessed April 7, 2020]
  35. [35] Office of Emergency Management, Board of Country Commissioners, Pasco County, “Pasco County Post-Disaster Redevelopment Plan,” 2016, [accessed April 8, 2020]
  36. [36] Sarasota County Staff, “Sarasota Country Post-Disaster Redevelopment Plan,” 2015, [accessed April 8, 2020]
  37. [37] St. Lucie County, Florida, “St. Lucie County Post-Disaster Redevelopment Plan,” 2012, [accessed April 8, 2020]
  38. [38] Walton County, Florida, “Walton County Post Disaster Redevelopment Plan,” 2012, [accessed April 8, 2020]
  39. [39] D. J. Barnett, A. J. Rosenblum, K. Strauss-Riggs, and T. D. Kirsch, “Readying for a Post-COVID-19 World: The Case for Concurrent Pandemic Disaster Response and Recovery Efforts in Public Health,” J. Public Health Manag. Pract., Vol.26, No.4, pp. 310-313, doi: 10.1097/PHH.0000000000001199, 2020.
  40. [40] A. van Dorn, R. E. Cooney, and M. L. Sabin, “COVID-19 Exacerbating Inequalities in the US,” The Lancet, Vol.395, No.10232, pp. 1243-1244. doi: 10.1016/S0140-6736(20)30893-X, 2020.
  41. [41] National Academies of Sciences, Engineering, and Medicine, “Evidence-Based Practice for Public Health Emergency Preparedness and Response,” The National Academies Press, doi: 10.17226/25650, 2020.
  42. [42] D. Mileti, “Disasters by Design: A Reassessment of Natural Hazards in the United States,” The National Academies Press, doi: 10.17226/5782, 1999.
  43. [43] Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, “Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health,” 2018, [accessed June 21, 2022]
  44. [44] G. C. Benjamin and A. D. Moulton, “Public Health Legal Preparedness: A Framework for Action,” J. Law Med. Ethics, Vol.36, No.S1, pp. 13-17, doi: 10.1111/j.1748-720X.2008.00254.x, 2008.
  45. [45] P. Berke, G. Smith, and W. Lyles, “Planning for Resiliency: Evaluation of State Hazard Mitigation Plans Under the Disaster Mitigation Act,” Nat. Hazards Rev., Vol.13, No.2, pp. 139-149, doi: 10.1061/(ASCE)NH.1527-6996.0000063, 2012.
  46. [46] P. Berke and D. R. Godschalk, “Searching for the Good Plan: A Meta-Analysis of Plan Quality Studies,” J. Plan. Lit., Vol.23, No.3, pp. 227-240, doi: 10.1177/0885412208327014, 2009.

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