Separated After a Disaster: Trust and Privacy Issues in Sharing Children’s Personal Information

Abstract

Background:After disasters, unaccompanied children may present to an emergency department requiring reunification. An effective reunification system depends on the willingness of guardians to utilize it.Objective:Assess guardian willingness to share children’s personal information for reunification purposes after a disaster, perceived concerns and beliefs, and trust in reunification agencies.Methods:Guardians of children presenting to 2 pediatric emergency departments were approached to participate in a survey-based study. Willingness to share their children’s personal information was scored on a scale of 1 to 19 (1 point per item). Perceived concerns about and importance of sharing information, level of trust in reunification agencies, and guardian demographics were collected. Chi-square was used to compare trust and attitudes/beliefs. Multivariate linear regression was used to determine factors associated with willingness to share information.Results:A total of 363 surveys were completed (response rate, 80%). Most guardians (95.6%) were willing to share at least some information (mean, 16 items; range, 1-19). Half were concerned about protection (55.4%) or abuse (52.3%) of their child’s information. Hospitals were trusted more than other reunification agencies (P < .001). Perception of reunification importance was associated with willingness to share (P < .001).Conclusions:Guardians are willing to share their children’s information to facilitate reunification after disasters, but have privacy concerns.

Paediatric patients in mass casualty incidents: a comprehensive review and call to action

“…48 There is no single mechanism for reunifying families in the USA. 49 In Australia, the Red Cross manages a nationwide system that is used by laypeople, EMS, and police. 46 A similar system in the UK is established by police when needed and is referred to as a casualty bureau.…”