Source: National Institute for Occupational Safety and Health — Content from the Centers for Disease Control and Prevention (public domain).
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.

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.
Emergency Responder Health Monitoring and Surveillance Overview
Keep Reading Deployment Phases
Studies and Practical Application
These articles highlight uses of the ERHMS framework.
* [A comparative assessment of major international disasters](<https://link.springer.com/article/10.1186/s12889-016-3939-3>)
* [ERHMS: Successful application](<https://www.sciencedirect.com/science/article/pii/B9780128093184000162>)
* [Monitoring the health of public health responders](<https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1935789318001027>)
* [Utilizing ERHMS to prepare for and respond to emergencies](<https://www.hsdl.org/c/view?docid=827942>)
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.