Each year, the American Red Cross responds to more than 60,000 disasters, including house or apartment fires (making up the majority), hurricanes, floods, earthquakes, tornadoes, hazardous materials spills, transportation accidents, explosions and other natural and man-made disasters.
Although the American Red Cross is not a government agency, its authority to provide disaster relief was formalized when, in 1905, it was granted a congressional charter to "carry on a system of national and international relief in time of peace and apply the same in mitigating the sufferings caused by pestilence, famine, fire, floods, and other great national calamities, and to devise and carry on measures for preventing the same." The charter is not only a grant of power but also an imposition of duties and obligations to the nation, to disaster victims and to the people who support its work with their donations.
Disaster relief focuses on emergency disaster-caused needs. When a disaster threatens or strikes, the American Red Cross provides shelter, food and health and mental health services (Psychological First Aid) to address basic human needs. The core of American Red Cross disaster relief is assistance to individuals and families to enable them to resume their normal daily activities. The organization provides translation and interpretation when necessary, and maintains a database of multilingual volunteers.
At the local level, American Red Cross chapters operate volunteer-staffed Disaster Action Teams. These local volunteer teams are on call 24/7/365 to respond to the 65,000 disasters that occur every year in the United States, like home fires.
The American Red Cross feeds emergency workers of other agencies, handles inquiries from concerned family members outside the disaster area, provides blood and blood products to disaster victims and helps those affected by a disaster to access other resources. It is a member of National Voluntary Organizations Active in Disaster (VOAD) and works closely with other agencies such as Salvation Army and Amateur Radio Emergency Service with whom it has memorandums of understanding.
The American Red Cross works to encourage preparedness by providing important literature on readiness. Many chapters also offer free disaster preparedness and hands-only CPR classes to the general public.
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A major misconception among the general public is that the American Red Cross provides medical facilities, engages in search and rescue operations or deploys ambulances. Instead, first responder roles are left to government agencies as dictated by the National Response Framework. Red Cross societies outside the U.S. may provide such functions; for example, the Cruz Roja Mexicana (Mexican Red Cross) runs a national ambulance service. Furthermore, American Red Cross Emergency Response Vehicles (ERVs) look similar to ambulances. These ERVs instead are designed for distribution of relief supplies, such as meals, drinks and other relief supplies. Although American Red Cross shelters usually assign a nurse to the facility, they are not equipped to provide medical care beyond first aid.
Disaster Workforce Engagement
The Disaster Workforce Engagement team ensures volunteers from American Red Cross chapters and regions are tracked in a national database of responders, classified by their training, experience, and ability to serve in one or more activities within groups. Activities include feeding, sheltering, warehousing, damage assessment, accounting, communications, public affairs, counseling and others. Responders complete training for the specific positions they intend to serve in.
National Response Framework
As a National Response Framework support agency, ARC shelters, feeds and provides other types of emergency relief to victims of disasters. American Red Cross is a co-lead with the Federal Emergency Management Agency (FEMA) for the mass care portion of Emergency Support Function 6. ARC and FEMA share responsibility for planning and coordinating mass care services with FEMA. The American Red Cross has responsibilities for other Emergency Support Functions, such as providing health and mental health services.
Disaster responses
1908 Messina earthquake
In 1908 an earthquake and tsunami devastated the area surround the Strait of Messina. The American public donated nearly $1 million to the American Red Cross which was sent to Italy via the State Department, alongside $800,000 in public funds. The decision to use the State Department to distribute funds, rather than sending them directly to the Italian Red Cross, was indicative of the organization's shift away from the International Red Cross movement and towards US interests. This was the ARC's first major response to an international civilian disaster.
In December of that year two Americans, Harry Bowdoin and Charles King Wood, were in Taormina when the earthquake occurred. Mr. Bowdoin was spending the winter in Taormina with his invalid mother and Mr. Wood was an artist who had lived in Taormina for several years. These two men entered upon the work of relief answering the call of the Red Cross.[110] Afterwards, the Italian government conferred upon the two men the honorific of "Cavaliere". Bowdoin and Wood were two of the twenty-one recipients of the American Red Cross silver medal for "specially meritorious service" for that year.
Before 1908, the U.S. Congress had only rarely allocated funds for natural disasters; likewise, the level of funding given to Italy was also unprecedented. The ARC's aid to Italy carried important diplomatic meaning for the U.S. due to the large number of Italian emigrants who left for the U.S. every year, and Italy's growing importance within Europe. ARC leaders viewed relief efforts in Italy as a way to demonstrate U.S. care for the nation. Alongside this, disaster relief was seen as a tool for social reform. A fundamental goal of the ARC's assistance was to address the perceived threat of pulverization within an area that a large proportion of U.S. immigrants came from.
Role in the United States occupation of Nicaragua (~1912)
As a response to the Nicaraguan resentment of the United States occupation of Nicaragua, U.S. officials employed the use of humanitarian relief in attempt to improve relations. $10,000 was given to the ARC by Philander Knox to provide relief in the form of blankets, clothing, and food to captured soldiers from José Santos Zelaya's army. ARC leaders believed that humanitarian relief would be more effective in fostering goodwill and creating stability than any other action. In 1912 the State and War Department became concerned with increasing reports of hunger within the country. As a result, Knox asked the ARC to supply food for non-combatants as well. American forces worked with the ARC to open railroads to distribute humanitarian supplies to Managua, Granada, Léon, and other key cities.
Although the ARC was a non-governmental agency, its humanitarian efforts lined up with American foreign policy, becoming a useful diplomatic mechanism for softening the effects of American military intervention and securing its political interests.
Role in World War I
Prior to the United States entry into World War I, the American Red Cross was a neutral organization aiding both the allied and central powers. However, when the United States joined the allied powers, the American Red Cross aid to the central powers ended immediately. On May 10, 1917, President Woodrow Wilson created the American Red Cross War Council to aid funding initiatives and direct the activities of the organization. Throughout the war, the Council raised $400 million.
During World War I, the American Red Cross operated as a quasi-state and non-governmental organization, separate from the United States government. Its efforts were primarily focused on civilian aid overseas, rather than domestic disaster relief. The organization spent less than one million dollars on domestic efforts, compared to approximately $120 million allocated to overseas relief. It provided food, shelter, employment, and medical assistance to civilians displaced by the war. By the end of the war, more than one-third of the U.S. population had joined the organization, and approximately $400 million was raised in 1917 and 1918 alone. Notable projects included the Pisa Village housing initiative in Italy, begun in 1918, and the production of 500,000 wound dressings made with Sphagnum moss as an alternative to cotton, based on research by John William Hotson.
The power of the American Red Cross was soon recognized by the Government which began to see "the value of overseas aid as a tool of statecraft". The American Red Cross was increasingly being used as an arm of the state to facilitate the realization of American foreign policy objects. Principally, the American Red Cross enhanced America's image abroad while also disseminating American practices and values throughout Europe. It intervened in European health and welfare practices by introducing American methods. Moreover, after the Bolsheviks seized power in Russia, President Wilson used the American Red Cross as a diplomacy tool to aid the White forces. Wilson believed that food was the "real thing" to combat Bolshevism and ordered the American Red Cross to distribute food and material relief to Bolshevik opponents in the Russian civil war. The American Red Cross, therefore, served the dual functions of assisting the realization of United States foreign policy objectives and promoting international humanitarianism.
At the end of the war the League of Red Cross Societies was created. This international society of national Red Cross organizations was spearheaded by the United States and sought the "improvement of health, the prevention of disease, and the mitigation of suffering throughout the world."
Role in Spanish Flu Outbreak of 1918
During the flu pandemic of 1918, American Red Cross chapters were instrumental in establishing both preventive measures and treatment plans within their local communities throughout the United States. The degree to which the Red Cross was involved with pandemic planning was largely dependent on the needs of the community and the actions of local public health authorities, but large cities and their surrounding communities were often dependent on the organization in mitigating the spread of the disease.
Active initiatives undertaken by local chapters included the sewing of masks for local distribution, the production and promotion of educational pamphlets, the establishment of localized motor corps, and providing door-to-door nursing and social services. In some cities, the motor corps functioned both in providing auxiliary ambulatory services and expanding the logistical dispersion of manpower and supplies. The contribution of nurses, goods, services, and local administrative guidance offered by the American Red Cross provided local community leaders with essential support in combating the pandemic.
Interwar European reconstruction
Unlike European relief organization, which had to invest much of their time in fund-raising efforts, the American Red Cross's collaboration with Herbert Hoover's American Relief Administration had funding on a different scale and well as popular and governmental support at its disposal. With its membership of over 33 million Americans in 1918 (20% of the U.S. population) and its designation as the official U.S. organization for foreign relief by the Geneva Treaty and Congressional mandate, the ARC was neither wholly private nor an official governmental organization. This quasi-governmental support allowed the ARC to secure credibility and support that was unattainable for other relief organizations such as the YMCA or Knights of Columbus.
The ARC's private funding allowed for more flexibility than government organizations, its leaders chose to support U.S. foreign policy in many ways but also often pursued aims that differed from that of the military or political policymakers. Hundreds of ARC workers pursued permanent reform of Italian social politics, rather than emergency relief they founded nursing schools, developed child welfare projects and waged anti-tuberculosis crusades. In introducing these American ideas about public health and social welfare, the ARC acted as what historian Daniel T. Rodgers had referred to as 'brokers of ideas', who facilitated transatlantic exchange on the methods and philosophies of social reform. Work in the ARC allowed American citizens to contribute to transatlantic social reform discourse. ARC workers built upon and expanded the already existing Italian efforts for social reform. ARC reformers embraced a strategic cultural sensitivity as they attempted to work with Italians and help them to take control of their own social institutions. By presenting their reforms as mutual exchange rather than imposed change, ARC workers hoped Italians would willingly accept them. U.S. reformers in the ARC continued to believe in the necessity of American intervention in 'reforming' Italy.
Russian revolution
In July 1918 the ARC established a hospital at the entrance of Vladivostok harbor, followed by eight more hospitals during that year. Vladivostok Refugee hospital was opened in early 1919 in former naval barracks and had up to 250 beds. The ARC provided drugs and medical supplies to Russian hospitals during the civil war.
Role in World War Two
In the 1940s during World War II, the Red Cross enrolled 7.5 million volunteers along with 39,000 paid staff and more than 104,000 nurses for military service, prepared 27 million packages for prisoners of war, shipped more than 300,000 tons of supplies, and collected 13.3 million pints of blood plasma for the armed forces. By the time World War II ended in September 1945, American society contributed over $784 million in support of the American Red Cross. Standards for the female volunteers were higher than those in the military, be a college grad, 25 years of age, stellar reference letters, pass physical examinations as well as personality tests in interviews. During the start of the war the red cross knew the country was somewhat leaning on them making sure they had the volunteers and staff. They made sure to have communications dialed in through the war. World War II: "Donut Dollies" & the American Red Cross
2005 hurricanes
Forecasting a major disaster before the landfall of Hurricane Katrina, ARC enlisted 2,000 volunteers to be on a "stand by" deployment list.
According to ARC, during and after hurricanes Katrina, Wilma and Rita, they opened 1,470 shelters and registered 3.8 million overnight stays. 300,000 American Red Cross workers (82% unpaid) provided sheltering, casework, communication and assessment services throughout these events. In addition, 346,980 comfort kits (which contain hygiene essentials such as toothpaste, soap, washcloths and toys for children) and 205,360 cleanup kits (containing brooms, mops and bleach) were distributed. The organization served 68 million snacks and meals. Disaster Health services provided 596,810 contacts, and Disaster Mental Health services 826,590 contacts. Emergency financial assistance was provided to 1.4 million families, including 4 million people. Katrina was the first natural disaster in the United States that ARC utilized their "Safe and Well" family location website.
Comair Flight 5191
Following the crash of commuter aircraft Comair Flight 5191, the Bluegrass Area Chapter and ARC Critical Response Team (CRT) members were dispatched. This was the worst air disaster in the United States since American Airlines Flight 587. Family and Friends reception centers were established near the arrival and departure airports and in Cincinnati, site of the Comair headquarters. Local chapters in Georgia, Alabama, Kentucky and California provided health and mental health services to family and friends not present in Lexington. Volunteers also staffed the local Emergency Operations Center (EOC) in Lexington, Kentucky.
Florida
In response to the Central Florida Tornado of February 2007, ARC began a large scale disaster relief operation. At least seven shelters were opened. 40,000 pre-packaged meals were sent by ARC, and across the nation, almost 400 American Red Cross volunteers were deployed to assist with local relief efforts. The organization deployed more than 30 Emergency Response Vehicles for community food and supply distribution.
Kansas
ARC immediately responded to the tornado outbreak of May 4–6, 2007, in central Kansas by setting up emergency shelters for displaced residents and started the distribution of over 39,000 meals, water and relief supplies.
Minneapolis bridge collapse
Following the collapse of the I-35W Mississippi River bridge, the Twin Cities Area Chapter responded with their Disaster Action Team to provide food, information and comfort. A family service center was set up, and mental health counselors deployed to numerous locations. Donations contributed for this cause totaled US$138,368 and covered the cost of services but not $65,000 in unexpected expenses. Weather and the collapse placed 70% of Minnesota counties in federal primary or contiguous disaster areas during that August.
2023 Hawaii wildfires
Following the Hawaii wildfires in early August 2023, the ARC began a large-scale disaster relief operation (DRO). More than 1,300 volunteers have been deployed since the fires began. In partnership with the county government, the ARC has been able to provide displaced residents with more than 257,000 overnight emergency shelter and hotel room stays on Maui and Oahu.
2024 Hurricane Milton
The ARC has recruited 15 volunteers from Oklahoma and Kansas regions to go to Florida to help prepare shelters and meal preparations for those affected by the hurricane prior to the hurricane hitting landfall. Volunteers have set up for upwards to 35,000 overnight stays and 513,000 meals.
Controversies
Johnson & Johnson suit over Red Cross image
On August 7, 2007, Johnson & Johnson (J&J) filed suit against ARC over its sub licensing of the International Red Cross image for the production of first aid kits and similar products, which it alleged competed with the company's products. The suit also asked for the destruction of all non-Johnson & Johnson Red Cross Emblem bearing products and demanded that ARC pay punitive damages and J&J's legal fees.
The American Red Cross' position was that it had licensed its name to first aid kit makers in an effort to encourage readiness for disasters and that license revenues supported humanitarian work. J&J claimed that the American Red Cross's commercial ventures were outside the scope of historically well-agreed usage and were in direct violation of federal statutes.
On May 14, 2008, a federal judge ruled against J&J. In June 2008, the two organizations announced a settlement had been reached allowing both parties to use the symbol.
Court ordered consent decree
The FDA took court action against ARC in response to deficiencies in their procedures for ensuring blood supply safety. The resulting consent decree outlines violations of federal law that ARC engaged in before 1993. The consent decree was amended in 2003 with penalties for specific violations. ARC paid millions of dollars in fines.
ARC Biomedical Services instituted a standardized computer system to maintain the blood donor database, five National Testing Laboratories (NTLs) that test some six million units of blood annually, the Charles Drew Biomedical Institute, which provides training and other educational resources to Red Cross Blood Services' personnel, and quality assurance which helps to ensure regulatory compliance.
The FDA could impose penalties after April 2003 up to the following maximum amounts:
$10,000 per event (and $10,000 per day) for any violation of an ARC standard operating procedure (SOP), the law, or consent decree requirement and timeline
$50,000 for the preventable release of each unit of blood for which the FDA finds a reasonable probability of serious adverse health consequences
$5,000 for the release of each unit that may cause temporary problems, up to a maximum of $500,000 per event
$50,000 for the improper re-release of each unsuitable blood unit that was returned to ARC inventory
$10,000 for each donor inappropriately omitted from the National Donor Deferral Registry, a list of all unsuitable donors
The FDA continued to apply pressure and fines to ARC in order to enforce compliance with regulations, including a $1.7 million fine in June 2008.
ARC worked closely with the FDA to develop a more robust system. The systems resulted in a five-year period of sustained compliance that led to the release from the Consent Decree as of December 4, 2015.
Blood donation controversy
ARC faced criticism from lesbian, gay, bisexual, transgender and queer (LGBTQ+) advocacy organizations for prohibiting men who have sex with men from donating blood. This policy was an FDA requirement for all blood collection companies and organizations in the United States. Specifically, the FDA instructs blood collection organizations to "defer for 12 months from the most recent sexual contact, a man who has had sex with another man during the past 12 months". Consequently, ARC was legally unable to collect blood from such men. In 2006, along with the AABB and America's Blood Centers, ARC petitioned the FDA to remove the requirement from blood donations, citing better screening technologies. In August 2020, the American Red Cross reported on its website that its deferral of men who have sex with men from donating blood for three months after any sexual contact with another man is aligned with the newly updated guidance issued by the U.S. Food and Drug Administration. Then in May 2023, the FDA approved a policy to allow "monogamous gay and bi men to finally donate blood immediately" - however would take some time to fully implement across the whole United States of America. An automatic 3-month deferred period still continually applies to non-monogamous individuals, regardless of sexual orientation, who have anal sex.
Hurricane Katrina controversy
In March 2006, investigations of allegations of fraud and theft by volunteers and contractors within ARC Katrina operations were launched by the Louisiana Attorney-General and the Federal Bureau of Investigation (FBI). In response, ARC increased its internal and external education of the organization's fraud and a waste hotline for confidential reporting to a third-party agency. The organization also elected to implement a background check policy for all volunteers and staff, starting in 2006.
In April 2006, an unnamed former ARC official leaked reports made by the International Committee of the Red Cross and the British Red Cross. Such reports are typical of a large-scale disaster relief operation involving other national Red Cross societies to solicit their input, but are usually confidential and not released to the general public. These particular reports were particularly critical of ARC operations in Katrina-affected regions, although the British Red Cross report strongly praised ARC volunteers for their efforts.
Storms controversy (Hurricane Sandy, Isaac, other major storms)
In October 2014, NPR and ProPublica published investigative reports on the American Red Cross's handling of Hurricanes Sandy and Isaac, based on internal Red Cross documents and interviews with former Red Cross and government officials. The reports alleged that public relations concerns affected aspects of the organization's disaster response". Trevor Riggen, a Red Cross vice president, said he was "very proud of the services [the Red Cross] provided". He further stated that the "volume of services and the speed at which [the Red Cross] provided it speaks to the quality of service of the volunteers and staff on the ground".