Emergency Access Initiative

Maria Elizabeth CollinsPublic Services Division

National Library of MedicineNational Institutes of Health

U.S. Department of Health and Human Services

What is the Emergency Access Initiative

Collaborative partnership between NLM and participating publishers to provide free access to full-text articles from 240+ biomedical serial titles and select reference books to healthcare professionals and libraries affected by disasters in the United States and internationally

EAI Beginnings

Pass Christian Public Library in Mississippi after Hurricane Katrina. Photo courtesy of Sally James, Branch Manager

EAI Content

• 241 journals• 2,000+ monographs• 3 online databases– Cochrane (also listed in journals)– DynaMed– Essential Evidence Plus

Sample Journal Titles• Accident and emergency nursing• American journal of infection control• Burns• Cochrane database of systematic reviews • Depression and anxiety• Emergency radiology• Environmental toxicology and pharmacology• International journal of cardiology• International journal of infectious diseases• Journal of anxiety disorders• Journal of emergency medicine• Journal of traumatic stress• New England journal of medicine• Pest management science

Sample Book Titles

• Merck manual of diagnosis and therapy• Public health and prevention management• Trauma• Human virology• Emergency medicine procedures• Infectious diseases: the clinician’s guide to diagnosis, treatment

and prevention• AHFS Drug Information• Radiation risk estimates in normal and emergency situations

Participating Publishers• American Academy of Pediatrics• American Association for the

Advancement of Science• American Chemical Society• American College of Physicians• American Society of Health-Systems

Pharmacists • ASM Press • B.C. Decker• BMJ • EBSCO• Elsevier • F.A. Davis

• Mary Ann Liebert • Massachusetts Medical Society• McGraw-Hill• Merck Publishing• Oxford University Press• People’s Medical Publishing House• Rittenhouse• Springer• University of Chicago Press• Wiley• Wolters Kluwer

EAI Editorial Committee

• Gail Bang, CDC• Maria Collins, NLM• Ethel Madden, Ochsner Clinic Foundation• Mary Moore, University of Miami• Kimberly Parker, WHO• Angela Ruffin, NLM• Mary Ryan, University of Arkansas for Medical Sciences

Library• Dan Wilson, University of Virginia• Laura Wong, NLM

Editorial Committee Tasks

• Journal title selection– Most requested titles from NLM after Katrina– Titles recommended by CDC and WHO

• Book title selection– Emergency medicine– Infectious disease prevention and management– Public health

• Periodic review of titles

Activation Team

• Joyce Backus, NLM• Bill Curtis, Springer• Mary Ryan, University of Arkansas for Medical

Sciences

• Rotate membership in 2 year increments• Single individual can activate

Guidelines for Triggering EAI

1. Federal or state disaster declaration exists, and2. Five (5) or more health sciences libraries are

affected by loss of power and communications systems or other disruption that force closure, and

3. Loss of access to biomedical literature is expected to last for at least 2 weeks.

Disaster definition

• For the purposes of the Emergency Access Initiative project, a “disaster” is a naturally-occurring or man-made event that interrupts or severs access to biomedical literature for health care professionals, students, and other users of health science libraries in the United States or internationally.

• Typically, a “disaster” causes disruptions or failures in essential infrastructure systems: transportation, communications and public utilities (water, gas, electric). When such a disaster overwhelms the local emergency management resources, a state and federal major disaster declaration will usually follow.

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PubMed Search Results

PubMed Abstract Record

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EAI Activations

• Haiti – earthquake– January 25, 2010 – March 19, 2010

• Pakistan – flooding– September 10, 2010 – November 6, 2010

• Haiti – cholera– October 24, 2010 – December 18, 2010

• Japan – earthquake, tsunami, nuclear– March 14, 2011 – May 6, 2011

Questions & Discussion