Since 2009, the US National Library of Medicine (NLM) has used Sahana software to support disaster preparedness and response in family reunification and hospital triage, enabling capture of photos, exchange of data across facilities for use in US-hospital-focused catastrophic situations for the Bethesda Hospitals Emergency Preparedness Partnership as well as international responses such as the Haitian earthquake of 2010, the 2011 Christchurch (New Zealand) Earthquake the 2011 Sendai (Japan) Earthquake and Tsunami.