The information you need to help prepare for, respond to, and cope with emergencies.
California Fires
Kidney Community Emergency Response
Please contact Kidney Community Emergency Response (KCER) if you need assistance or are having difficulty contacting your dialysis facility.
KCER Helpline: 866.901.3773
Email: KCERInfo@hsag.com
Resources
- End Stage Renal Disease Network 17
- Cal Fire—Current Fire Information
- Los Angeles Fire Department
- City of Los Angeles Emergency Management Department
Patient Helpline Numbers
- DaVita: 800.400.8331
- Fresenius: 800.626.1297
- DCI: 866.424.1990
- DCI Donor Hotline/Transient Patients: 800.969.4438
- ARA/IRC: 978.232.4099
- Satellite: 800.367.8292
- SAMHSA - Disaster Distress Helpline: 800.985.5990
- US Renal Care: 866.671.8772
- Veteran Disaster Relief Hotline: 800.507.4571
Rx Open
Rx Open helps patients find nearby open pharmacies in areas impacted by disaster. Combining multiple data feeds from the pharmaceutical industry, Rx Open displays the precise location on Google Maps of open pharmacies, closed pharmacies, and those whose status is unknown.
State Information
The California Office of Emergency Services (CalOES) is reporting that health community providers and facilities may be affected by temporary power shutoffs. Additional information is available on the websites of the local power companies for the impacted areas:
Virtual Resources
- ASPR TRACIE has a compiled resources including guidance, best practices, and lessons learned specific to the impacts of power outages on residents who receive medical care and rely on power-assisted medical equipment.
- The State of California Emergency Operations Center has been activated by the CA Governor to provide information and support related to this planned power outage.
Information provided by ESRD Network 18
Please monitor the current situation in your area and plan accordingly. See below current updates and resources to support patients and staff.
All Dialysis Facilities Should Conduct the Following Activities:
- Monitor local fire resources for potential impacts and take appropriate precautionary measures.
- Update contact information for all patients and staff.
- Finalize plans for back-up power.
- Educate all patients on the facility plan and who to call when.
- Report to the Network any planned closures or changes to your facility's operational status such as:
- Loss of power.
- Patient transportation issues causing missed treatments.
- Smoke from the fires in the building.
- How to report? Email facility updates to: BBiggham@hsag.com
*Do not email patient identifiers.
Wildfire Resources:
- Los Angeles County Shelter Information and Locations: List of shelters in Los Angeles County.
- Sign Up to Receive Emergency Alerts
- Cal Alerts: Sends alerts about emergency situations that arise in your county.
- Alert LA County: Sends alerts from Los Angeles County about emergency situations.
- CAL FIRE Incidents Updates: Shares the latest updates on all major wildfire incidents in California.
- CAL FIRE Go! Evacuation Guide: Offers guidance for safe and efficient evacuation during wildfires.
- LISTOS California: Provides several resources for individuals and community providers to prepare for emergencies and disasters.
- Response.ca.gov: A one-stop website for information about shelters, transportation, air quality, and more.
- Emergency Preparedness Guide: Offers guidance to help older adults and people with disabilities prepare for emergencies to ensure they stay safe before, during, and after disasters and other emergency events.
- Greater Los Angeles Wildfires | 211LA: Current Wildfire Information, including Airbnb and additional support resources
- HHS Secretary Xavier Becerra Declares Public Health Emergency for California to Aid Health Care Response to Wildfires: includes links to HHS resources and info
County of Los Angeles Public Health Alert
According to the South Coast Air Quality Management District, potential direct smoke impact from the Palisades, Eaton, and Hurst Wildfires burning has caused unhealthy air quality in Los Angeles County. Smoke from the multiple fires is expected to most heavily impact northwest coastal Los Angeles County including Pacific Palisades, the area of Altadena and Pasadena, near San Fernando, respectively, and areas near the fire. This advisory remains in effect through Thursday, January 9, 2025, at 5:00 p.m. Smoke impacts will depend on fire activity, containment efforts, and the weather. For more information, visit CALFIRE.
Wildfire smoke is a mixture of small particles, gases and water vapor. The primary health concern is the small particles, which can cause burning eyes, runny nose, scratchy throat, headaches and illness (i.e., bronchitis). People at higher risk, children, the elderly, those with respiratory or heart conditions, and people with compromised immune systems, may experience more severe effects such as difficulty breathing, wheezing, coughing, fatigue, and/or chest pain.
“Predicting where ash or soot from a fire will travel, or how winds will impact air quality, is difficult, so it's important for everyone to stay aware of the air quality in your area, make plans, and take action to protect your health and your family's health," said Muntu Davis, MD, MPH, Health Officer for Los Angeles County. “Smoke and ash can harm everyone, even those who are healthy. However, people at higher risk include children, older adults, pregnant individuals, and those with heart or lung conditions or weakened immune systems.”
Public Health urges everyone in areas where there is visible smoke or the smell of smoke or unhealthy air quality to avoid unnecessary outdoor exposure and to limit physical exertion (whether indoor or outdoor), such as exercise. Children, older adults, and people who are pregnant or have other air quality sensitive conditions, such as heart disease, asthma, and other chronic respiratory diseases, should follow these recommendations and stay indoors as much as possible even in areas where smoke, soot, or ash cannot be seen or there is no smell of smoke. If your condition worsens, contact your health care provider immediately for medical advice.
“We are also advising schools and recreational programs that are in session in smoke-impacted to review and follow the California Department of Education’s Memo: Get Smart about Wildfire Smoke - Clear Guidelines for Schools and Wildfire Smoke or the California Environmental Protection Agency’s Guidance for Schools During Wildfire Smoke Events , based on the air quality level in their area. This may include limiting or suspending outside physical activities, including physical education and after-school sports, until conditions improve. Non-school related sports organizations for children and adults are advised to follow the same guidance and to cancel outdoor practices and competitions in areas where there is visible smoke, soot, or ash, or where there is a smell of smoke. The same guidance applies to other outdoor activities, like hiking or picnicking, in affected areas,” said Dr. Davis.
People can participate in indoor sports or other strenuous activity in areas with visible smoke, soot, or ash, provided the indoor location has air conditioning that does not draw air from the outside and it has closed windows and doors to protect the cleanliness of indoor air. If not, it is recommended that everyone follow the guidelines as if they were outside.
The following recommendations will help you protect yourself and your family from harmful effects of bad air quality:
- If you see or smell smoke, or notice particles and ash in the air, stay indoors to limit exposure, especially if you have heart or lung conditions, are elderly, or have children.
- Keep indoor air clean by closing windows and doors. Use air conditioners that recirculate air to filter out harmful particles. Wear an N95 or P100 mask if you must go outside in smoky conditions for long periods of time in areas with heavy smoke or where ash is present.
- Avoid air conditioners that only bring in outside air and don’t recirculate. Check and replace air filters regularly. Filters labeled “MERV13” or higher are most effective for removing smoke particles. HEPA air purifiers can further reduce indoor particles.
- If it’s too hot to keep windows and doors closed and you don’t have an air conditioner, go to a public place like a library or shopping center to stay cool and protect yourself from harmful air.
- Avoid using fireplaces, candles, or vacuums. Clean dusty surfaces with a damp cloth and don’t smoke.
- If you experience symptoms like severe coughing, shortness of breath, wheezing, chest pain, palpitations, nausea, or unusual fatigue, contact your doctor or go to urgent care. For life-threatening symptoms, call 911.
- When smoke lingers, fine particles may build up indoors even if you can't see them. Masks can protect against larger particles, but most don’t block fine particles or toxic gases, which are more harmful.
- Practice safe clean-up following a fire. Follow the ash clean-up and food safety instructions at http://www.publichealth.lacounty.gov/media/wildfire/.
The following is recommended for pets:
- Avoid leaving your pets outdoors, particularly at night. Pets should be brought into an indoor location, such as an enclosed garage or a house.
- If dogs or cats appear to be in respiratory distress, they should be taken to an animal hospital immediately. Symptoms of respiratory distress for dogs include panting and/or an inability to catch their breath. Symptoms for cats are less noticeable, but may include panting and/or an inability to catch their breath.
To stay updated with real-time/forecasted Air Quality in your area, download the South Coast AQMD Mobile App: http://www.aqmd.gov/mobileapp (Also available in Spanish!) or visit https://www.aqmd.gov/home/air-quality/air-quality-forecasts.
Dialysis facilities or transplant centers
To find out if your dialysis center is opened or closed, call your dialysis organization's toll-free emergency number:
DaVita: 800.400.8331Fresenius: 800.626.1297DCI: 866.424.1990DCI Donor Hotline/Transient Patients: 800.969.4438DSI: 877.374.3375ARA: 888.880.6867RAI: 800.403.2530US Renal Care: 866.671.8772Satellite Healthcare: 650.830.7954
All dialysis centers including Independent Centers dialysisunits.com
End-Stage Renal Disease (ESRD) Network Coordinating Center 516.209.5253esrdncc.org.
Coronavirus (COVID-19)
Please click the appropriate button below for more information on how to protect and prepare yourself for a Coronavirus outbreak in your area. NKF is here for you! We're working hard to stay up to date and bring you the latest information. We will continue to update this page regularly with additional resources and information. If you have questions or concerns, please contact our NKF Cares Patient Helpline at nkfcares@kidney.org or 1-855-653-2273 (Monday-Friday 9am-5pm ET).
Kidney community emergency response (KCER) coalition
The National Kidney Foundation is a proud member of the Kidney Community Emergency Response (KCER) Coalition.
The KCER Coalition strives to provide disaster preparedness resources to save lives, improve outcomes, empower patients and families, educate healthcare workers, build partnerships with stakeholders, promote readiness in the community, and support the ESRD Network Program.
For more information and Emergency and Disaster Planning resources visit the KCER website at: kcercoalition.com.
The toll-free KCER Emergency Hotline for patients and providers is: 866.901.3773.
Emergency preparedness
Be prepared! Below you'll find useful resources on how to prepare for an emergency with kidney disease.
Preparing for Emergencies: A Guide for People on Dialysis (English) (pdf)
Prepárese para Emergencias: Una guía para personas en dialysis (En Español)(pdf)
Patient identification cardsTo make sure you have important information on-hand in case of an emergency, click here to download and fill out your ID card. Carry it with you at all times in your wallet or purse.