The city of Annapolis, Maryland, has released an emergency preparedness guide tailored to the LGBTQ+ community, arguing that members of the community are more likely to be affected by natural disasters.

The Annapolis Office of Emergency Management, led by Kevin Simmons, published a graphic this week outlining its emergency preparedness recommendations for LGBTQ+ residents. The office states that disasters “present unique challenges for the LGBTQ+ community,” claiming that “After a disaster, LGBTQ+ people are almost twice as likely as the overall population to be displaced – and far more likely to face food insecurity, unsanitary conditions, and isolation during recovery.”

“This #PrideMonth, OEM is sharing practical steps for LGBTQ+ residents to prepare: building support networks, identifying safe spaces, managing medical needs, and packing essential supplies,” the agency wrote. “By planning for everyone in our community, we can create a stronger and safer Annapolis for all.”

The guide encourages LGBTQ+ residents to “stay connected,” “prepare for medical needs,” and “gather supplies.”

Under the recommendation to stay connected, the guide advises residents to establish a support network that can be contacted during emergencies and to identify “safe spaces” where resources may be available. For medical preparedness, the guide recommends speaking with healthcare providers to get an “emergency supply of retroviral and/or hormonal medications.”

The guide’s list of recommended supplies to gather includes standard emergency items as well as things such as “syringes” and “gender-affirming clothing.” It also lists “chest binders,” “wigs,” and “packers,” which are used by trans-identifying biological women to make it appear as though they have a bulge in their pants. 

“Extreme heat can be challenging for those who rely on gender-affirming clothing,” the guide warned at the bottom. “Stay hydrated and take frequent breaks from chest binders on hot days.”