Disaster: Texas Severe Storms, Straight-line Winds, and Flooding (DR-4879-TX)
Year: 2025
Primary Jurisdictions Served: City of Kerrville & Kerr County (in coordination with TDEM)
ESF Supported: 5, 6, 7, 15
Mission Tasking: National EMR transitioned from event support to disaster operations, providing a Type 1 IMT for Unified Command plus buses, MCPs, logistics, and reunification/mental health teams to stabilize response and early recovery.

Disaster: Texas Hurricane Beryl (DR-4798-TX)
Year: 2024
Primary Jurisdictions Served: Texas Department of State Health Services / SMOC (state medical operations)
ESF Supported: 5, 6, 8
Mission Tasking: National EMR operated turnkey medical shelters, an MCP, and the state medical triage hotline, providing staffed beds, EMS transports, and shelter case management to support medical surge and post-shelter transitions.

Disaster:  Texas Panhandle Wildfires, Smokehouse Creek Fire (DR-5488-TX)
Year: 2024
Primary Jurisdictions Served: Texas Division of Emergency Management (TDEM)
ESF Supported:  6, 7
Mission Tasking: National EMR mobilized in under two hours and established and operated a 24-hour turnkey 250-bed base camp in Borger, TX, supporting wildfire response personnel through rapidly scalable lodging, life-support services, and full logistical and facilities management operations.

Disaster: Texas Hurricane Harvey (DR-4332-TX)
Year: 2017 – 2018
Primary Jurisdictions Served: Texas Department of State Health Services (DSHS)
ESF Supported: 5, 6, 8
Mission Tasking: National EMR mobilized in under 24 hours to establish and operate seven turnkey general population and medical emergency shelters (2,000 combined shelter beds), along with a 250-bed base camp to support response operations. The team delivered medical support and individual assistance services statewide, reaching 243,000 survivors through shelters, mobile and fixed case management teams, a dedicated hotline, and support at Disaster Recovery Centers.

Disaster: Hawaii Wildfires (DR-4724-HI)
Year: 2023 – 2024
Primary Jurisdictions Served: Administration for Strategic Preparedness and Response (ASPR)
ESF Supported: 6, 8
Mission Tasking: National EMR partnered with ASPR and the State of Hawaii to deliver behavioral health support for Lahaina wildfire survivors. The team deployed licensed counselors, social workers, and case managers to a disaster mental health clinic, schools, community events, Disaster Recovery Centers (DRCs), and hotel outreach to help survivors navigate recovery. National EMR expanded access through bilingual behavioral health and translation services for Hispanic survivors and developed the “Wellness with Aloha” intervention program, providing culturally grounded coping strategies and a train-the-trainer model to sustain recovery support through local providers.

Disaster: North Carolina Tropical Storm Helene (DR-4827-NC)
Year: 2024
Primary Jurisdictions Served: Health and Human Services (HHS) & Operation BBQ Relief
ESF Supported: 3, 5, 6
Mission Tasking: Deployed personnel to support Hurricane Helene response through mass feeding and damage assessments across North Carolina. The team fielded six mobile assessment teams to assess 61 human services facilities, providing HHS with critical data to guide recovery priorities. In partnership with Operation BBQ Relief, National EMR helped produce 41,750 meals for impacted residents and disaster responders.

Disaster: Florida Hurricane Milton (DR-4834-FL)
Year: 2024
Primary Jurisdictions Served: Florida Division of Emergency Management (FDEM) & Operation BBQ Relief
ESF Supported: 5, 6, 8
Mission Tasking: Deployed 131 responders to staff and support 17 general population and medical shelters across Florida ahead of Hurricane Milton and partnered with Operation BBQ Relief to help provide meals for survivors and responders. The team mobilized in under 14 hours and arrived on site within 18 hours, while embedding a Liaison Officer in the State EOC to support state leadership and guide shelter operations. During landfall, National EMR maintained on-the-ground shelter support, implemented safety plans, addressed critical infrastructure needs, and supported 8,824 shelter guests.

Disaster: COVID-19 and Influenza Mobile Vaccination Operations
Year: 2023
Primary Jurisdictions Served: Disability Rights Texas (DRTx)
ESF Supported: 6, 8
Mission Tasking: In partnership with Disability Rights Texas (DRTx), established and operated a statewide mobile vaccination program to deliver COVID-19 and influenza vaccines to individuals who were homebound or faced disability-related access barriers. A mobile team provided in-home and community-based vaccinations across 37 Texas counties, administering 1,471 total vaccines and expanding equitable access to preventive care.

Disaster: Uvalde Mass Shooting
Year: 2022
Primary Jurisdictions Served: Texas Department of Public Safety (DPS), in coordination with TDEM
ESF Supported: 5, 6, 7
Mission Tasking: Deployed resource navigation teams to support Uvalde victims and families, helping 39 families access resources for immediate and ongoing needs. In coordination with the State of Texas, the team advocated for survivors and linked them to critical support services. National EMR also provided logistical support to sustain operations, including cots and linen, Western Shelters, Conex containers, and generators.

Disaster: Eastland Complex Fire
Year: 2022
Primary Jurisdictions Served: Texas Division of Emergency Management (TDEM)
ESF Supported: 5, 6, 7
Mission Tasking: Established and operated a 300-bed turnkey base camp at the Eastland High School football stadium in response to the Eastland Wildfire Complex. The team delivered full-service life-support operations for first responders, including sheltering, showers, restrooms, cots, linen, lighting, and generator support.

Disaster: Texas Base Camp Operations
Year: 2021
Primary Jurisdictions Served: Texas Department of Public Safety (DPS)
ESF Supported: 5, 6, 7
Mission Tasking: Established and operated a 400-bed turnkey base camp in Del Rio, Texas, delivering full life-support, lodging, and logistical services to sustain law enforcement personnel supporting operations in the area.

Disaster: Louisiana Hurricane Delta (EM-3547-LA)
Year: 2020
Primary Jurisdictions Served: Louisiana Department of Health (LDH)
ESF Supported: 5, 6, 8
Mission Tasking: Stood up and operated a 100-bed medical shelter at the Alexandria Mega Shelter in Louisiana to support Hurricane Delta evacuees.

Disaster: Texas Hurricane Laura (DR-4572-TX) & Louisiana Hurricane Laura (DR-4559-LA)
Year: 2020
Primary Jurisdictions Served: Texas Department of State Health Services & Louisiana Department of Health
ESF Supported: 6, 8
Mission Tasking: Established and operated three turnkey medical shelters in Texas and Louisiana, providing 426 medical shelter beds for evacuees. EMR also deployed disaster case management teams and a case management call center, supporting 1,322 survivors as they navigated recovery needs.

Disaster: California Wildfires (DR-4407-CA)
Year: 2019
Primary Jurisdictions Served: U.S. Office of Human Services Emergency Preparedness and Response (OHSEPR) HHS
ESF Supported: 6
Mission Tasking: Mobilized in under 48 hours and delivered disaster case management services to 1,564 families to help them overcome access barriers and navigate critical recovery services. Teams worked alongside FEMA and partner agencies at the Disaster Recovery Center and conducted extensive mobile outreach across 90 community locations.

Disaster: Sutherland Springs Mass Shooting
Year: 2017
Primary Jurisdictions Served: Texas Department of Public Safety (DPS) / TDEM
ESF Supported: 5, 6, 13, 15
Mission Tasking: Deployed IMT personnel and a Mobile Command Platform (MCP) to support community recovery and restoration following the event. The team assumed crime control from the Texas Rangers, established a Family Assistance Center and a 24-hour victim hotline, supported the restoration and conversion of the church into a memorial site, and managed public information and media operations at the local and national levels.

Disaster: Puerto Rico Hurricane Maria (DR-4339-PR) and Virgin Islands Hurricane Maria (DR-4340-VI)
Year: 2017
Primary Jurisdictions Served: U.S. Office of Human Services Emergency Preparedness and Response (OHSEPR) HHS
ESF Supported: 6
Mission Tasking: Delivered disaster case management to 15,992 survivors across 143 locations in Puerto Rico, the U.S. Virgin Islands, and multiple states including Massachusetts, Illinois, Colorado, Connecticut, and Florida. Teams reached displaced populations and assisted evacuees with disabilities and needs from the U.S. Virgin Islands with safe return or relocation.

Disaster: Texas Severe Storms and Flooding (DR-4269-TX)
Year: 2016
Primary Jurisdictions Served: U.S. Office of Human Services Emergency Preparedness and Response (OHSEPR) HHS
ESF Supported: 6
Mission Tasking: Provided comprehensive disaster case management services to 3,888 survivors, delivering individualized recovery support, resource coordination, and guidance to help impacted households address immediate needs and progress toward long-term recovery.

Disaster: Texas Severe Storms, Tornadoes, Straight-line Winds, and Flooding (DR-4223-TX)
Year: 2015
Primary Jurisdictions Served: Texas Department of Public Safety (DPS), TDEM, & U.S. Office of Human Services Emergency Preparedness and Response (OHSEPR) HHS
ESF Supported: 2, 5, 6
Mission Tasking: Provided disaster case management services to 258 survivors, supporting recovery through Individual Assistance (IA) guidance and resource coordination. Additionally, deployed specialized response assets across Central Texas, including a Mobile Command Platform (MCP), that served as the Incident Command Post (ICP) for unified operations, and a trailer mast system to deliver reliable, fail-safe communications support during incident response.

Disaster: West Africa Ebola Public Health Emergency of International Concern
Year: 2014
Primary Jurisdictions Served: Tenet Healthcare Hospitals
ESF Supported: 5, 8
Mission Tasking: Deployed IMT personnel to support Tenet Healthcare during the Ebola outbreak, providing coordination and communications support for response operations. The team also supplied public health and medical experts to develop clinical procedures and deliver training, strengthening infection control practices and preparedness within healthcare facilities.

Disaster: Haiti Earthquake
Year: 2010
Primary Jurisdictions Served: Adventist Hospital of Haiti
ESF Supported: 5, 8
Mission Tasking: Provided ongoing IMT support to hospital administration after the Haiti earthquake, assisting with public health emergency management. The team deployed medical staff and resources, providing clinical support and guidance on sanitation and infection control during widespread system disruption. These efforts sustained hospital operations during a catastrophic event with over 200,000 fatalities, and more than 1.2 million displaced, as part of one of the largest international humanitarian responses on record.

Disaster: Texas Hurricane Ike (DR-1791-TX)
Year: 2008
Primary Jurisdictions Served:  Texas Department of State Health Services (DSHS)
ESF Supported: 5, 6, 8
Mission Tasking: Delivered large-scale mass care services to over 17,000 evacuees and responders after Hurricane Ike, including support for 1,700+ individuals with higher-acuity medical needs and 700+ displaced residents weeks after landfall. The team assumed command of the public health and medical response for Task Force Ike, one of the largest mobilizations of its kind in U.S. history.

Disaster: Louisiana Hurricane Katrina (DR-1603-LA)
Year: 2005
Primary Jurisdictions Served: FEMA
ESF Supported: 6, 7, 8
Mission Tasking: Deployed over 1,500 personnel to rapidly establish and operate emergency shelters across Louisiana and Mississippi, delivering full-scale medical and logistics support in response to Hurricane Katrina.

Disaster: Indian Ocean Earthquake and Tsunami
Year: 2004
Primary Jurisdictions Served: Sri Lanka International Response
ESF Supported: 6, 8
Mission Tasking: Provided medical services and established a foster care program for orphaned children, supporting community recovery efforts following the 2004 tsunami.

Disaster: Influx Care Facility (ICF)
Year: 2012, 2013, 2014, 2015, 2016, 2018, 2019, 2021
Primary Jurisdictions Served: Office of Refugee Resettlement (ORR), Health & Human Services (HHS)
ESF Supported: 1, 5, 6, 7, 8
Mission Tasking: National EMR provided large-scale border influx sheltering for Unaccompanied Children (UAC) under ORR care, establishing eight 24/7 Influx Care Facilities and shelters. The team delivered medical care, case management, food service, portable power, hygiene and climate control systems, mobile laundry, IT/communications, waste removal, onsite education/recreation, and 24-hour security, deploying over 6,500 responders. During the COVID pandemic, the team sustained 250 isolation beds, the single largest negative-pressure isolation capability in Texas at the time, with dedicated epidemiologists, achieving a 0% on-site COVID positivity rate.