1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT Hurricane Isaac KEY LINKSFLOOD STATEMENT NATIONAL WEATHER SERVICE FEDERAL GOVERNMENTNEW ORLEANS BATON ROUGE LA 907 AM CDT MON BACKGROUND DHSSEP 3 2012 FEMA CURRENT SITUATION Facebook full site / Facebook mobile siteTHE FLOOD WARNING CONTINUES FOR THE Twitter full site / Twitter mobile siteFOLLOWING RIVERS IN LOUISIANA...MISSISSIPPI... ELECTRICAL HHSTHE PEARL RIVER NEAR BOGALUSA AFFECTING ST. CDCTAMMANY...WASHINGTON... HANCOCK AND PEARL WEATHER USDARIVER COUNTIES/PARISHES THE PEARL RIVER DOD NORTHCOMNEAR PEARL RIVER AFFECTING ST. FLOODING ARNORTHTAMMANY...HANCOCK AND PEARL RIVER U.S. Army Corps of Engineers - Team New OrleansCOUNTIES/PARISHES FEDERAL RESPONSE National Hurricane Center National Weather Service - Jackson Office, MSPRECAUTIONARY/PREPAREDNESS ACTIONS... National Weather Service – New Orleans/Baton RougeFORECAST CRESTS ARE BASED UPON RAINFALL NURSING HOMESTHAT HAS OCCURRED ALONG WITH ANTICIPATED LOUISIANARAIN FOR THE NEXT 12 HOURS. ADJUSTMENTS TO WATER AND SANITATION Louisiana Governor’s Office of Homeland Security andTHE FORECASTS WILL BE MADE IF ADDITIONAL Preparedness Louisiana State PoliceHEAVY RAINFALL OCCURS. DO NOT DRIVE CARS DIALYSIS Louisiana Dept of Wildlife and FisheriesTHROUGH FLOODED AREAS. Louisiana Dept of Corrections PREVENT ILLNESS AFTER A DISASTER Louisiana Dept of Health and HospitalsREMEMBER...TWO FEET OF RUSHING WATER CAN Louisiana Dept of Social ServicesCARRY AWAY MOST VEHICLES INCLUDING Louisiana Work Force CommissionPICKUPS. TURN AROUND AND DON`T DROWN. A Louisiana Dept of Natural ResourcesFOLLOWUP PRODUCT WILL BE ISSUED LATER. Louisiana National Guard Governor’s Office of Coastal Activities Louisiana Dept of Environmental QualitySTAY TUNED TO NOAA WEATHER RADIO...LOCAL TV Louisiana Attorney General’s OfficeAND RADIO STATIONS...OR YOUR CABLE Louisiana Economic DevelopmentPROVIDER...FOR THE LATEST INFORMATION. THE Louisiana Dept of Transportation and DevelopmentLATEST GRAPHICAL HYDROLOGIC INFORMATION Division of AdministrationCAN ALSO BE FOUND AT WEATHER.GOV Louisiana Dept of Agriculture & Forestry. Heat Advisory Flood Warning 3 SEPTEMBER 2012 Flood Advisory Hazardous Weather Outlook
2. HURRICANE ISAAC BackgroundTIME LINE• On the evening of Tuesday, August 28, 2012 Hurricane Isaac made landfall in Louisiana, seven years after Katrina.• Wednesday, August 29, 2012, as Hurricane Isaac continued to batter the area, emergency responders rescued close to 3,500 residents from flooded homes in River Forest, Palmetto, Palmetto Lakes, Palmetto South, Cambridge, Riverlands Subdivision, Live Oak Landing, River Oak Landing, Old 51, Carmel Valley, Canterburys, Summerlin Estates, the Ascension of Our Lord school area, Country Club and LaPlace Park.• Thursday, August 30, 2012 the tropical storm was down graded to a tropical depression but rains drenched a large swath of the Gulf Coast. Flooding in LaPlace, La. Louisiana State. Sept. 1, 2012 (AP) Louisiana announced mandatory evacuations for all low-lying areas along the Tangipahoa River. The river was observed at more than 17 feet Thursday morning -- more than two feet above flood level. The National Weather Service predicted that the river level would rise as high as 19.5 feet by Friday. Average rainfall totals around New Orleans was in the range of 9-12”. New Orleans International Airport officially received 9.69” setting a daily rainfall record shattering the 4.5” mark established during Katrina in 2005. And it’s more than the city’s averages (5.98”) for an entire month.• Friday, Aug 31 – Sunday August 2 Recovery efforts continued throughout the state. At least 47% of the states energy users lost power in Louisiana. Low level flooding continues and do flash floods as a result of the rain that Isaac deposited as it moved inland.Source: New Orleans Times-Picayune CNN A building and camper are inundated in floodwaters from Hurricane Isaac in Braithwaite, La., on Sept. 2, 2012. Credit: AP Photo/Gerald Herbert Washington Post
3. CURRENT SITUATION FATALITIES: 5 State officials inspected ongoing flooding conditions in Southeastern Louisiana. DESTRUCTION: Assessments is on going but AIR Worldwide put insured losses Flood waters are beginning to recede in some areas where response efforts are between 700 million – 2 billion in USD being made to pump or drain water out of the flooded areas. Elevated water UTILITIES: 123,660 without power levels are still impacting several low lying areas. Significant river flooding 94% of wireless and cellular transmitters are fully operational. occurring but some rivers are beginning to back down across the area. SHELTERS: 4135 STATE DECLARATION: 8/27/12 FEDERAL DECLARATIONS: 8/28/12 • LaPlace - Water Level at the gauge is down to 3.75 feet – dropping about a Resistance Assistance: To date, more than 35,000 Louisianans registered for foot per day. Normal level at the gauge is around 1.5-2.0 feet. assistance, with roughly $400,000 approved, so far, for housing assistance and other needs. • Amite River - has crested and levels are now falling. • Blind River crested at 6.1 feet on 2 SEPT. Water levels are now slowly falling.CURRENT SITUATION: • Bogue Chitto River - Water levels have crested and are now falling on the• LA EOC activated at Level I (Full Activation) Bogue Chitto River. Major flooding continues at Bush, but will subside• Repairs to the Plaquemines Parish EOC/911 system were completed. quickly.• The LA Department of Transportation and Development (DOTD) opened all • Pearl River - There is major flooding on the Pearl River for the next few days eastbound and westbound traffic lanes of I-10 to Baton Rouge and New Orleans. • Tangipahoa River - Water levels are subsiding at Robert• Debris has been cleared from all state roadways. Remaining closures are related • Tchefuncte River - Minor flooding at Covington will end today to downed power lines, flood waters, and flood protection efforts.• National Disaster Recovery Planning Division has requested the Housing Recovery Support Function Coordinating Agency, HUD, to prepare for activation in support of LA housing needs. LINKSLouisiana Health and Hospitals http://www.dhh.louisiana.gov/Department of Public HealthLouisiana Governors Office http://gohsep.la.gov/Homeland Security and EmergencyPreparedness http://twitter.com/#!/GOHSEPTwitter http://www.flickr.com/photos/lagohsep/Flickr http://www.facebook.com/gohsepFacebook Part of the Louisiana political delegation, from left, U.S. Sens. David Vitter andNOAA Weather Radio for LA http://www.nws.noaa.gov/nwr/Maps/PHP/Louisiana.php Mary Landrieu, New Orleans Mayor Mitch Landrieu and Louisiana Governor Bobby Jindal, greet President Barrack Obama at Louis Armstrong Airport afterNational Weather Service Watches, Hurricane Isaac, Monday, Sept. 3, 2012 http://www.weather.gov/alerts-beta/la.php?x=1Warnings and Advisories
4. CURRENT SITUATIONLAW ENFORCEMENT OFFICIALS ORDERED THE EVACUATION OF HOMESWITHIN A HALF-MILE OF STORM-DAMAGED STOLTHAVEN CHEMICALPLANT IN BRAITHWAITE TO GUARD AGAINST POSSIBLECONTAMINATION OR FIRE.TEAMS WITH THE U.S. ENVIRONMENTAL PROTECTION AGENCY ANDTHE STATE DEPARTMENT OF ENVIRONMENTAL QUALITY WEREEVALUATING THE STOLTHAVEN NEW ORLEANS PLANT, WHICH HASBEEN WITHOUT POWER SINCE HURRICANE ISAAC STRUCK LAST WEEK.THE REASON FOR THE EVACUATION DAYS AFTER THE STORM WASNTIMMEDIATELY CLEAR, BUT THE COMPANY HAD ALERTED THE STATEPOLICES HAZARDOUS MATERIALS DIVISION ABOUT POTENTIALLYHARMFUL AND FLAMMABLE CHEMICALS INSIDE. A boom surrounds flooded railcars as a chemical plant in Braithwaite, La. http://www.redding.com/photos/2012/aug/31/66247/ A chemical plant and railroad cars sit in Hurricane Isaacs flood waters on September 1, 2012 in Braithwaite, Louisiana
5. CURRENT SITUATIONESF-8 - MEDICAL AND PUBLIC HEALTH – STATE ASSISTED LIVING FACILITIES HOSPITALS: DHH is monitoring the status of Assisted Living Facilities. In the affected areas, • 9 Hospitals conducted patient movement prior to the storm and subsequent twenty-five ALF’s reported evacuations, and 37 reported that they sheltered in flooding, of those 7 were evacuated completely. As of today 3 of the hospitals place. Thirteen of the evacuated facilities have returned. Twenty-five reported are now fully functional (Oceans Behavioral Hospital Westbank in Gretna United that they lost power. Of those, 22 have regained full power. Of the remaining 3 Medical Healthwest in Gretna, River Parishes Hospital in LaPlace ) and four without power, all have evacuated their residents either home or to alternate remain evcauated: (Childrens Hospital-Calhoun Campus in New Orleans, DePaul sites with power. (Psych) in New Orleans St. Theresa Specialty Hospital in Kenner, and Specialty Rehabilitation Hospital in LaPlace) BOIL WATER • Across the state, 60 hospitals lost power. Power has been restored at all The Safe Drinking Water Program staff continue contacting water systems hospitals, no hospitals are running on generators. throughout Louisiana to determine if they experienced pressure loss, flooding or other issues that warrant a boil advisory. Updated information is being made NURSING HOMES: available twice a day as staff continue making contact with water systems. • Eleven nursing homes conducted patient movement prior to the storm or as a result of subsequent flooding. All but 4 have repatriated their residents. DHH created www.dhh.louisiana.gov/IsaacBoilAdvisories. The public can check • Across the state, 80 nursing homes lost power. Power has been restored at 75 this website, which will always have what is the most current list of boil nursing homes. 5 nursing homes are running on generator housing 635 advisories in effect. This site also contains a list of water systems cleared safe to residents. At this point, only Regions 1 and 3 have nursing homes on generator. drink. A news release was issued on this during the weekend, but the friendly All other regions are clear. URL will make it easier for the public to find and frequently check this site.MSSN: 2 Medical Special Needs Shelters are still open, one on standby in CANCER PATIENTSHammond The American Cancer Society is available 24 hours a day to assist cancer patientsAMBULANCES and their families to ensure they get the cancer information and care that is needed. The contact number is: 1-800-227-2345 or www.cancer.org DEPLOYED AMBULANCES DIALYSIS PATIENTS REGION STATE STATE SPT FEDERAL VEHICLES The End Stage Renal Disease Network (covering Louisiana, Oklahoma and Arkansas)13 has identified 17 dialysis centers in regions 1, 3 and 9 that are closed 1 40 1 8 because of the hurricane. The Network is assisting affected patients to receive 2 8 1 services at the other dialysis centers that remain open. 6 5 Dialysis patients impacted by Hurricane Isaac should call 1-800-626-1297 to find 7 10 the nearest open dialysis clinic to schedule their treatments. The hotline is staffed by operators 24 hours a day, 7 days a week to answer inquiries from patients who 9 5 may have relocated or whose clinic may have been affected by an emergency situation. For more information see www.ultracare-dialysis.com/ TOTAL 53 2 23
6. CURRENT SITUATIONESF-8 - MEDICAL AND PUBLIC HEALTH - FEDERAL INCIDENT RESPONSE COORDINATION TEAMMore than 200 experts from the U.S. Department of Health and Human Servicesremain deployed in the Gulf to support response and recovery efforts from The HHS Incident Response Coordination Team remains in Louisiana as aHurricane Isaac. command-and-control element to support federal public health and medical personnel. HHS personnel also continue to serve as public health and medicalFEDERAL MEDICAL STATIONS liaison officers to the National Response Coordination Center, the FEMA Regional Response Coordination Centers, and state Emergency OperationsTwo Federal Medical Stations set up by HHS remain available as shelters for medical Centers in Georgia and Louisianaspecial needs patients, although the number of patients is decreasing as floodingrecedes and electricity is restored to area homes and businesses, allowing patients NDMS DISASTER MORTUARY OPERATIONS RESPONSE TEAMto return to their regular care settings. HHS experts from an NDMS Disaster Mortuary Operations Response Team areOn 3 September, the Federal Medical Station in New Orleans has 55 patients, down available to assist the state of Louisiana in identifying disinterred remains iffrom a high of 77 patients over the weekend. A U.S. Public Health Services team of needed. HHS also is prepared to deploy trained responders for Disaster Casecommissioned corps officers and a Disaster Medical Assistance Team from Virginia Management and environmental health if requested by affected states. Twelveare providing medical care for these remaining patients. additional National Disaster Medical System teams remain ready to deploy if needed.The FMS in Baton Rouge remains open to accept patients if needed. A DisasterMedical Assistance Team from Georgia is augmenting state health care providers in DISASTER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAMcaring for nine medical special needs patients at a shelter in the Louisiana State The Louisiana Department of Children and Family Services (DCFS) announcedUniversity field house in Baton Rouge, adjacent to the Federal Medical Station set up today that the United States Department of Agricultures Food and Nutritionat LSU. Service has approved the Disaster Supplemental Nutrition Assistance Program (DSNAP) in nine parishes -- Ascension, Jefferson, Lafourche, Livingston, Orleans,PATIENT MOVEMENT Plaquemines, St. Bernard, St. John the Baptist and St. Tammany.HHS staff and medical supplies continue to assist in moving patients in Louisiana,although this need is also decreasing, allowing 40 ambulances contracted throughFEMA to demobilize. Sixty ambulances remain in service through that contract. Inthe first week after the storm made landfall in Louisiana, ambulances contractedthrough FEMA responded to more than 170 calls and treated more than 200patients. Approximately 380 patients were transported using paratransit contractedthrough FEMA..
7. PEARL RIVER – CURRENT SITUATIONThe National Weather Service has issued a new bulletin regarding the height ofPearl River. While still predicted to crest at 19.5 feet, the timing of the crest haschanged and that is good news for St. Tammany Parish citizens.The Pearl is now expected to crest Tuesday, September 4th at the Town of PearlRiver around 6:00PM. Travel time from the crest to the Military Road area is 10 –12 hours.For St. Tammany Parish residents, this means that Lake Pontchartrain, which isalready falling, will be lower when the crest approaches the lake. This will allow thePearl to drain more quickly into Lake Pontchartrain, keeping flood waters insubdivisions for shorter time.Rivers rise slowly and crest slowly. Should water enter your area, you will havesufficient time to evacuate if necessary.THE ARMY CORPS OF ENGINEERS IS AT THE SITE ON LOCH 2. They were able torelieve the pressure by lowering the level of the water upstream to the lowestlevel possible. They are conducting tests to determine the structural integrity now.The mandatory evacuation remains in place until the Army Corps of Engineerstells us it is safe.
8. CURRENT SITUATION ELECTRICAL – 3 SEPTEMBER ENTERGY workers have reduced the number of Hurricane Isaac outages by more than 645,000, or 84 percent, from the 769,000 system wide peak. In Louisiana, the slowly-receding flood waters have prevented ENTERGY from making repairs in Plaquemines Parish, but they will start today when they will convoy workers and equipment on the levee, set up a staging site in Buras and begin airlifting material to it. Outages at 8 a.m.: Entergy Gulf States Louisiana: 1,710 Entergy Louisiana: 99,846 Entergy New Orleans: 22,104 Total System wide: 123,660 Percent of customers restored: Entergy Gulf States Louisiana: 99 percent Entergy Louisiana: 77 percent Entergy New Orleans: 82 percent Total System wide: 84 percent http://stormcenter.entergy.com/default.aspx
9. WEATHER CONDITIONS AS OF 3 SEPTEMBER 2012http://www.wunderground.com/weather-forecast/US/LA/New_Orleans.html • 3 September: Hot and humid with scattered (30%) daytime showers/t-storms through Wednesday. Heat index over 100 each afternoon . Today and tonight isolated thunderstorms are expected across the area with the best coverage over Mississippi coast later this afternoon and this evening. Widespread severe weather is not anticipated. Flooding of rivers and low lying areas will continue. Excessive runoff into area rivers with several gages to have major flooding. The Pearl River will be the hardest hit area. • 4 – 9 September: Expect scattered showers and thunderstorms through Saturday mainly during the afternoon each day. Frequent lightning and heavy downpours are possible with these storms. Heat index values will continue to range in the 100 to 105 degree range... Possibly higher in some locations and continue to have a greater impact on people who still do not have power. • A strong cold front is expected to push through the area early Sunday. Scattered thunderstorms are expected to form ahead of the front Saturday night and early Sunday. A few storms may be strong with gusty winds Saturday night and Sunday. Several rivers in southeast Louisiana and coastal Mississippi remain in flood.http://forecast.weather.gov/showsigwx.php?warnzone=LAZ062&warncounty=LAC071&firewxzone=LAZ062&local_place1=&product1=Hazardous+Weather+Outlook
10. FLOODING• Elevated water levels are still impacting several low lying areas. Significant river flooding occurring but some rivers are beginning to back down across the area.• LaPlace - Water Level at the gauge is down to 3.75 feet – dropping about a foot per day. Normal level at the gauge is around 1.5-2.0 feet.• Amite River - has crested and levels are now falling.• Blind River crested at 6.1 feet on 2 SEPT. Water levels are now slowly falling.• Bogue Chitto River - Water levels have crested and are now falling on the Bogue Chitto River. Major flooding continues at Bush, but will subside quickly.• Pearl River - There is major flooding on the Pearl River for the next few days .• Tangipahoa River – Water levels are subsiding at Robert.
11. FEDERAL RESPONSEJoint federal, state and local disaster assessments are underway in Louisiana,Mississippi and Florida. Plans are being made for assessments in other areas, asthey become accessible. These assessments identify the damages in impacted MAJOR DISASTER DECLARATIONScounties to help the governor determine if additional federal support will berequested. NUMBER DATE STATE INCIDENT DESCRIPTIONU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) 4080 08/29 Louisiana Hurricane IsaacThe U.S. Department of Health and Human Services (HHS) has established twoFederal Medical Stations that began receiving patients yesterday in New 4081 08/29 Mississippi Hurricane IsaacOrleans and Baton Rouge. The U.S. Department of Veterans Affairs also isproviding personnel and liaisons to support staffing of the Federal MedicalStations (FMSs). HHS also provided staff and medical supplies to assist in EMERGENCY DECLARATIONmoving patients in Louisiana, using more than 100 ambulances and 300 3347 08/27 Louisiana Tropical Storm Isaacparatransit seats available through FEMAs ambulance contract. Ambulanceshave responded to 172 calls, treated 218 patients and transported 85 people to 3348 08/28 Mississippi Tropical Storm Isaacemergency rooms. Approximately 380 people have been transported using US COAST GUARDparatransit. U.S. Coast Guard continued to work with the maritime industry to respond to a number of ship groundings and barge strandings along the riverbank caused by theFEMA river surge and high winds of the storm. Additionally, Coast Guard hazardousIn support of Louisiana, FEMA recently transferred more than 1.4 million liters materials response teams are surveying the area to identify any hazardous materialsof water, 1.3 million meals, and 28,800 tarps to the State of Louisiana for the released during the hurricane. The Coast Guard Captain of the Port of New Orleansstate to distribute to individuals at Points of Distribution (POD) sites. The state, lifted all restrictions to vessel traffic on the Lower Mississippi River from Baton Rougein coordination with local governments, identifies the location of these PODs to the Gulf of Mexico after assessments and transits by smaller ships indicated thatwhich are currently operating across a number of parishes. Individuals should the channel is safe for all types of vesselscontact their local emergency management for more information NOTE: On Friday, 31 AUG 2012 -The Louisiana major disaster declaration wasU.S. Army Corps of Engineers (USACE) amended to include Individual Assistance for Jefferson, Plaquemines, St.The U.S. Army Corps of Engineers (USACE) has been closely working with Bernard, St. John the Baptist, and St. Tammany parishes. Yesterday, Ascension,Louisiana. Teams are on the ground providing technical assistance, such as Lafourche, Livingston and Orleans Parishes were added to this disasterhydraulic modeling and finding available portable pumps, to reduce flooding declaration. Also, an amendment was announced, yesterday, for Mississippialong the Tangipahoa River and in Plaquemines Parish in Louisiana. making federal funding available for affected individuals in Hancock, Harrison, Jackson, and Pearl River counties. Assistance may include grants for temporaryUSACE also deployed emergency power teams to Mississippi and Louisiana, and housing and home repairs, uninsured property losses, and other programs to helpcommodities, debris and temporary roofing teams are deployed to Louisiana individuals and households recover from the effects of the disaster.To date, the U.S. Army Corps of Engineers deployed more than 150 industrial-sized generators, overall, to supplement state and local resources. Of these, theCorps installed generators at seven sites, including a shelter, a commandcenter, a water system plant and a sewer lift station. SOURCES: http://blog.fema.gov – 2 SEPTEMBER
12. NURSING HOMES Across the state, 80 nursing homes lost power. Power has been restored at 75 nursing homes. 5 nursing homes are running on generator housing 635 residents. DHH Health Standards continues daily contact with nursing homes running on generator and are closely monitoring fuel needs and burn rates, and are working with the associations to help facilities locate and secure fuel when needed. NURSING HOME EVACUATIONNUMBER OF NURSING HOME REPATRIATION EVACUEESNURSINGHOMES THATMOVEDRESIDENTS PRE-STORM Bayside Health Care (Gretna) Returned Luling Living Center (Luling) Returned Ormond Nursing and Care Center 120 patients to evacuated Old Senior Village in Opelousas. Maison DeVille Nursing Home (Houma) Returned 9 Lafon Nursing Facility of Holy Family 63 residents evacuated to Tri Community Nursing Home in St Landry Parish. Maison DeVille Nursing Home (Harvey) Returned Raceland Manor Nursing Home Returned West Jefferson Health Care Center in Harvey Riverbend Nursing and Rehabilitation Center ReturnedNUMBER OF NURSING HOME REPATRIATION EVACUEESNURSING HOMESTHAT MOVEDRESIDENTS DUE TOTHE QUINCY DAM Tangi Pines Nursing Home Emergency Evacuation due to Dam Breach; Moving patients to Bayside. 2 Poydras Home Returned
13. PUBLIC WATER OUTAGES
14. WATER / SANITATION BOIL WATER NOTICE SAFE WATER PRACTICES “Health Department Issues Comprehensive List of Water Systems Under • For residents of parishes with a boil water notice: boiling at a rollingBoil Advisory following Hurricane Isaac” The Louisiana Department of boil for 1 minuteHealth and Hospitals Safe Drinking Water Program today issued its most • For municipal water users: Residents are encouraged to conservecomprehensive water system boil advisory list following Hurricane Isaac water and to take extra precautions to ensure water purity beforefor 28 Louisiana parishes under a boil water advisory go to: consumption. • For private well users: If your well has been flooded, do not use thehttp://www.labeoc.org/labeoc/alerts/Alert_Details.aspx?id=612 water for washing or drinking as flooding can contaminate well water with debris, sediments, and microbes. Even if the well appears undisturbed, it will likely be contaminated if it is fewer than 50 feet deep or more than 10 years old. Once contaminated, wells are very difficult to disinfect; follow the EPA’s guidelines for emergency disinfection of wells. In addition, do not turn on the well pump following flooding due to risk of electrical shock. • Always wash hands thoroughly with soap and clean water or with an alcohol-based sanitizer before eating or drinking and after using the restroom or coming into contact with floodwaters. • Only wash wounds in clean water to avoid infection. DANGERS OF FLOODING AND CAFOSConcentrated animal feeding operations (CAFOs) are farming operations(clandestine) which are at high risk of disease transmission.The Environmental Protection Agency (EPA) has issued cease and desistadministrative orders to two chicken broiler facilities in Lincoln Parish,Louisiana, for discharging chicken litter into a tributary of the DugdemonaRiver. Flooding will result in extreme fecal contamination into local watershed,and transmission of zoonotic disease.Rising waters overflowed from sewer lift stations in Northshore Beach nearSlidell. As a result, Tammany Utilities was shutting off the sewer system for thearea. http://cfpub.epa.gov/npdes/afo/cafofinalrule.cfm http://www.waterworld.com/articles/2012/02/louisiana-cafo-ordered-to-stop-The water supply to LaPlace was shut off to prevent contamination by Lake discharging.htmlPontchartrain flood waters. The water supply will resume when the water level http://www.waterworld.com/articles/2008/11/epa-finalizes-cafo-ruling.htmlof the lake recedes. Sources: EPA I CDC I WWLTV | NOLA
15. DIALYSISAs a result of Isaac, Louisiana’s dialysis patients are particularly • Store a three-day supply of food based on your emergency mealvulnerable, since they typically need treatment every 2-3 days, and plan. Speak with your healthcare team about when to beginany substantial delay can be life threatening. Dialysis patients following your emergency plan. Limit fluid intake to two cups perimpacted by Tropical Storm Isaac should call 1-800-626-1297 24 hours and avoid fresh fruit and vegetables. Periodically check(Fresenius) or 1-800-400-8331 (DaVita) to find the nearest open expiration dates of food items in the kit and replace whendialysis clinic to schedule their treatments. WAFB Baton Rouge and needed.The following are some disaster preparedness tips for dialysispatients: For more information on preparing for a disaster, visit www.ultracare-dialysis.com. Information regarding dialysis care after• Keep your emergency phone numbers handy. When bad weather disasters, such as Tropical Storm Isaac, can be found via the Centers for threatens, contact your local facility and follow instructions they Disease Control and Prevention may provide. In a disaster, Fresenius Medical Care offers a patient hotline at 1-800-626-1297 for patients who need help finding the NEW ORLEANS – dialysis centers in New Orleans regained operation nearest open dialysis facility. The hotline is staffed by customer Thursday morning, August 30, and centers were expected to remain service specialists who can provide locations and contact numbers open throughout the day. Patients are instructed to contact their usual for alternate facilities, if necessary. dialysis centers with questions. Transportation can be arranged by calling the Regional Transit Authority at (504) 658-2500. nola.com• Carry your up-to-date personal information with you at all times (ID, medication and allergy lists, insurance, emergency contact information, type of dialysis treatment).• Talk to your doctor and family about your evacuation plan — what you should do and where you should go if a disaster strikes. Keep track of local weather forecasts.• Create an Emergency Kit with emergency supplies and at least one extra three-day supply of medicines. Many patients find it convenient to keep medicines and medical supplies in an easy-to- carry fanny pack or backpack.
16. PREVENT ILLNESS AFTER A DISASTERPROTECT YOURSELF FROM ANIMAL - AND INSECT-RELATED KEEP FOOD AND WATER SAFEHAZARDS wild or stray animals and biting or stinging insects. Avoid Food may not be safe to eat during and after an emergency. Water may not be safe for cooking. Call local authorities to handle animals. Water may not be safe to drink, clean with, or bathe in after an emergency, such as a hurricane or flood. During and after a disaster, water can become contaminated with microorganisms (for Get rid of dead animals, according to local guidelines, as soon as you can. example, bacteria), sewage, agricultural or industrial waste, chemicals, and other substances that can cause illness or death. For more information, contact your local animal shelter or services, a veterinarian, or the humane society for advice on dealing with pets or stray or wild animals after an emergency. Listen to and follow public announcements. Local authorities will tell you if water is safe to drink or to use for cooking or bathing. Follow local instructions to use bottled water or to boil or disinfect For information on specific animal and insect issues, see protect yourself from animal- and water for cooking, cleaning, or bathing. insect-related hazards after a natural disaster. For more information, see keep food and water safe after a natural disaster or power outage. PREVENT CARBON MONOXIDE POISONING PROTECT MENTAL HEALTH The days and weeks after an emergency are going to be rough. Some sleeplessness, anxiety, anger, Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if you hyperactivity, mild depression, or lethargy are normal and may go away with time. If you feel any of breathe it. Never use generators, pressure washers, grills, camp stoves, or other gasoline, propane, these symptoms acutely, seek counseling. Your state, local, tribal health departments will help you natural gas, or charcoal-burning devices inside your home, basement, garage, or camper—or even find local resources, including hospitals or health care providers that you may need. outside near an open window, door, or vent. Seek medical care if you are injured, feel sick, or have acute stress and anxiety. Dont heat your house with a gas oven. Keep as many elements of your normal routine incorporated into the disaster plans as possible, If you are too hot or too cold, or you need to prepare food, dont put yourself and your family at risk including activities to calm childrens fears. for co poisoning—look to friends, family, or a community shelter for help. Be aware that you may have fewer resources to attend to your day-to-day conflicts, so it is best to If your co detector sounds, leave your home immediately and call 911. resolve what you can ahead of time. Seek prompt medical attention if you suspect co poisoning and are feeling dizzy, light-headed, or Turn to family, friends, and important social or religious contacts to setup support networks to deal nauseated. with the potential stressors. For further guidance on avoiding UP SAFELY AFTER FLOODS CLEAN co poisoning, see protect yourself from carbon monoxide Let your child know that it is okay to feel upset when something bad or scary happens. Encourage your child to express feelings and thoughts, without making judgments. To prevent illness, disinfect and dry buildings and items in them. This will prevent growth of some bacteria, viruses, mold, and mildew that can cause illness. For additional resources, see disaster mental health resources. For more information, see flood water after a disaster or emergency. WASH YOUR HANDS Always wash your hands with soap and boiled or disinfected water before preparing or eating food, after toilet use, after participating in cleanup activities, and after handling articles contaminated by floodwater or sewage. Use warm water when available. Wash childrens hands frequently (always before meals). Disinfect water for washing by mixing 1/8 teaspoon of household bleach per 1 gallon of water). Let it stand for 30 minutes. If the water is cloudy, use a solution of 1/4 teaspoon of household bleach per 1 gallon of water. If water isnt available, use alcohol-based products made for washing hands. For more tips on washing your hands, see hand hygiene after a disaster.
17. PREVENT ILLNESS AFTER A DISASTER AVOID MOSQUITOES PREVENT OR TREAT WOUNDS Immediately clean out all open wounds and cuts with soap and clean water. Keep wounds covered Rain and flooding in a hurricane area may lead to an increase in mosquitoes, which can carry with clean, dry bandages that are large enough to cover the wound and contain any pus or diseases like west nile virus. In most cases, the mosquitoes will be pests but will not carry drainage. communicable diseases. Change bandages as needed and when drainage can be seen through the bandage. Contact a To protect yourself from mosquitoes, use screens on dwellings, and wear long pants, socks, and doctor to find out whether more treatment is needed (such as a tetanus shot). long-sleeved shirts and use insect repellents that contain deet or picaridin. Care must be taken when using DEET on small children. More information about these and other recommended If a wound gets red, swells, or drains, seek immediate medical attention. repellents can be found in the fact sheet updated information regarding insect repellents. AVOID WILD OR STRAY ANIMALS To control mosquito populations, drain all standing water left in open containers, such as flower pots, tires, pet dishes, or buckets, outside your home. If you are bitten by any animal, seek immediate medical attention. If you are bitten by a snake, try to identify it, so that if it is poisonous, you can be given the correct anti-venom. PREVENT ILLNESS FROM SEWAGE Do not cut the wound or attempt to suck the venom out. (See also the CDC rabies website, rat-bite If there is flooding along with a hurricane, the waters may contain fecal material from overflowing fever: frequently asked questions, and medical problems and treatment considerations for the red sewage systems and agricultural and industrial waste. Although skin contact with floodwater does imported fire ant) not, by itself, pose a serious health risk, there is risk of disease from eating or drinking anything contaminated with floodwater. CONTACT WITH HAZARDOUS MATERIAL If your skin or eyes may have come in contact with hazardous materials, such as acid from a car If there has been a backflow of sewage into your house, wear rubber boots and waterproof gloves battery, wash thoroughly with decontaminated water and seek medical attention as needed. during cleanup. Remove and discard contaminated household materials that cannot be disinfected, such as wall coverings, cloth, rugs, and drywall. TETANUS IMMUNIZATION If you have any open cuts or sores that will be exposed to floodwater, keep them as clean as If you have wounds, you should be evaluated for a tetanus immunization, just as you would at any possible by washing them with soap and applying an antibiotic ointment to discourage infection. other time of injury. Wash clothes contaminated with flood or sewage water in hot water and detergent and separately If you receive a puncture wound or a wound contaminated with feces, soil, or saliva, have a doctor from uncontaminated clothes and linens. or health department determine whether a tetanus booster is necessary based on individual records. Do not allow children to play in floodwater areas and do not allow children to play with floodwater- contaminated toys that have not been disinfected. Disinfect toys by using a solution of one cup of For further guidance, see emergency wound care after a natural disaster. bleach in five gallons of water. Some toys, such as stuffed animals and baby toys, cannot be disinfected; they should be discarded. INFECTIOUS DISEASE Short bouts of diarrhea and upset stomach and colds or other breathing diseases sometimes occur in PREVENT TEMPERATURE-RELATED ILLNESS developed countries, such as the united states, after a natural disaster, particularly among large groups of people in a shelter. Basic hygiene measures like frequent hand washing or use of an alcoholWhen standing or working in water that is Prevent heat–related illness: hand gel, especially after using the restroom or changing diapers and before eating, can help preventcooler than 75 f (24°c): Stay in air-conditioned buildings. these diseases. Wear rubber boots. Take breaks in shaded areas or in cool rooms. Diseases like cholera or typhoid are rare in developed countries and do not typically occur after a Ensure that clothing and boots have natural disaster. Drink water and nonalcoholic fluids often. adequate insulation. For information on infectious disease, see infectious disease after a disaster. Wear lightweight, light-colored, loose-fitting clothing. Take frequent breaks out of the water. IMMUNIZATIONS Do outdoor activities during cooler hours. Change into dry clothing when possible. For information on immunizations for evacuees, relief workers, emergency responders and travelers, see For further guidance, visit the cdc extreme heat website. immunization after a natural disaster.