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There are significant disparities in health status and access to health care in King County, Washington. Poverty, discrimination, and limited English proficiency (LEP) affect access to health care and insurance coverage. Uninsured individuals disproportionately turn to emergency medical services (EMS) for health care services and as such, EMS providers are at the front lines in providing care to those most in need.

In 2014, 21.2% of King County’s residents were foreign-born and of these individuals, 26.4% of King County residents ages 5 and older spoke a language other than English at home.

Research shows that LEP communities in King County experience unique challenges in accessing 9-1-1 related to communication barriers and cultural differences.

About VPSI

The Vulnerable Population Strategic Initiative (VPSI) is a team of highly dedicated staff that works in partnership with the University of Washington School of Public Health, emergency response organizations and community leaders.

Their goal is to conduct programmatic, scientific and case-based evaluations to assure that EMS provides the best possible care to all King County residents regardless of race, ethnicity, age, socio-economic status, culture, gender or language spoken.

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Below are resources for CPR, heart attacks, and 9-1-1 organized by language:

Streaming video of when to call 9-1-1 created by students with the School of Public Health, University of Washington, 2017.

Chinese novella on calling 911 and performing CPR during an emergency.

The graphic novella, "How to Save a Life", is a story about an elderly Chinese woman who witnesses a cardiac arrest in her home. The story describes how she calls 9-1-1, requests interpreter services and performs telephone-assisted CPR to save her husband’s life.

The novella is written in traditional/simplified Chinese. The script is translated in English starting on page 21 of the novella.

Video on the King County 9-1-1 Call Center and King County Medic One paramedic system in Cantonese Chinese with Chinese and English subtitles. To enlarge video, press the play button then click on the Full Screen icon located on the lower right of the video screen.