Yale - Tulane ESF -8 VMOC Special Report - TS Karen 11 pm EDT - 4 OCT 2013

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In light of Tropical Storm Karen the Yale-Tulane ESF #8 Planning and Response Program has produced this special report.

The Yale-Tulane ESF #8 Program is a multi-disciplinary, multi-center, graduate-level, program designed to produce ESF #8 planners and responders with standardized skill sets that are consistent with evolving public policy, technologies, and best practices. The group that produced this summary and analysis of the current situation are graduate students from Yale and Tulane Universities.

It was compiled entirely from open source materials. Please feel free to forward the report to anyone who might be interested.

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Yale - Tulane ESF -8 VMOC Special Report - TS Karen 11 pm EDT - 4 OCT 2013

  1. 1. FEDERAL GOVERNMENT FEMA Facebook full site Twitter full site Ready. Gov HHS Public Health Emergency – ASPR Twitter | Facebook CDC Twitter | Facebook U.S. Army Corps of Engineers - Team New Orleans National Weather Service National Hurricane Center National Weather Service – Lake Charles National Weather Service - New Orleans/Baton Rouge National Weather Service – Mobile/Pensacola National Weather Service - Tallahassee STATES LOUISIANA Louisiana Governor’s Office of Homeland Security and Preparedness Facebook | Twitter Louisiana Health and Hospitals Louisiana National Guard Louisiana Dept of Wildlife and Fisheries MISSISSIPPI Mississippi Emergency Management Agency Facebook | Twitter Mississippi Department of Health ALABAMA Alabama Emergency Management Facebook | Twitter Alabama Department of Public Health FLORIDA Florida Division of Emergency Management Facebook | Twitter Florida Department of Health TRAVEL FAA Flight Delays AMTRAK Service Alerts ORGANIZATION American Red Cross POTENTIAL TROPICAL STORM FORCE WINDS CURRENT SITUATION HURRICANE PREPAREDNESS CHECKLIST YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT TOPICAL STORM KAREN KEY LINKSMAPS ACTIVE WATCH AND WARNING POTENTIAL HEALTH THREATS FROM HURRICANES PERSONAL HURRICANE PREPAREDNESS ACTIVITIES 72 HOUR RAINFALL FORECAST PREPARATIONS DECISION MATRIX STORM SURGE 4 OCTOBER 2013 2100 EDT
  2. 2. CURRENT SITUATION WHERE: Gulf Coast region of eth United States WHEN: Developing Situation. SITUATION: TROICAL STORM KAREN As of the 5:00 PM (CDT 2100) advisory, the center of Tropical Storm Karen was located near 25.9N 90.3W about 235 miles southwest of the mouth of the Mississippi River. Maximum sustained winds are currently at 50 mph with higher gusts. Karen remains highly disorganized with most of its shower and storm activity displaced to the east of the center. This is likely to continue with environmental conditions promoting strong wind shear and dry air near the center. Beyond that time, some additional strengthening will be possible on Saturday night and Sunday before it makes landfall. Karen is presently moving toward the north-northwest at 7 mph. Minimum central pressure is currently 1003mb. Karen is expected to make a turn toward the north and a decrease in forward speed are expected by early Saturday. A turn toward the northeast is expected on Sunday with an increase in forward speed. TS WARNING: Morgan City Louisiana to the mouth of the Pearl River TS WATCH: Metro New Orleans; Lakes Maurepas & Pontchartrain; East of the Mouth of the Pearl River to Indian Pass, Florida WINDS: • 25-35 mph over land and Lake Pontchartrain • 40-60 mph near immediate coast and off shore • Hurricane force gust possible in hurricane watch area STORM SURGE: • 1-3 feet West of Mississippi and Lake 3-5 feet East of river and Mississippi coast • Highest on East and Southeast facing shores RAIN: 4 – 8 in over central & eastern Gulf; isolated 12 inches SOURCE: NATIONAL HURRICANE CENTER FEMA DAILY OPERATIONS BRIEF – 4 OCT 2013 NOAA
  3. 3. TS KAREN PREPARATIONS - LOUISIANA • Governor declared a State of Emergency Oct 3 • GOHSEP - activated to Level III (Crisis Action Team) • 650 National Guard personnel activated Oct 3 additional 7,000 on standby • Preparatory actions underway; working with USACE & staging assets • Grand Isle, located on a barrier island, is under a state of emergency. The mayor called for voluntary evacuations FEMA DAILY OPERATIONS BRIEF – 4 OCT 2013 • Plaquemines Parish authorities have called a mandatory evacuation for the east bank of the Mississippi River, as well as for Plaquemines communities on the west bank that are not protected by levees • New Orleans says it's monitoring the storm and asks residents to call 311 for preparation info • Louisiana’s price gouging laws are in effect: prices must remain the same as they were before unless the increase is to offset reasonable extra costs incurred by the business because of the state of emergency. • The Louisiana Department of Health and Hospitals have closed oyster harvest areas 1-23, which are located from Lake Borne in St. Bernard Parish to Oyster Bayou in Terrebonne Parish, effective on Friday, October 4, 2013.LINKS Louisiana Health and Hospitals Department of Public Health http://www.dhh.louisiana.gov/index.cfm/subhome/ 17/n/173 Louisiana Governor's Office Homeland Security and Emergency Preparedness http://gohsep.la.gov/ Twitter http://twitter.com/#!/GOHSEP Flickr http://www.flickr.com/photos/lagohsep/ Facebook http://www.facebook.com/gohsep NOAA Weather Radio for LA http://www.nws.noaa.gov/nwr/Maps/PHP/Louisian a.php National Weather Service Watches, http://www.weather.gov/alerts-beta/la.php?x=1
  4. 4. TS KAREN PREPARATIONS - MISSISSIPPI FEMA DAILY OPERATIONS BRIEF – 4 OCT 2013 MSEMA – 4 OCT • Traffic at the mouth of the Mississippi River stopped at 6 a.m. Friday as coastal Louisiana prepares for a possible strike. • A spokesman for the Port of New Orleans says cargo operations will continue as scheduled Friday, despite the river's closure at Southwest Pass. The Associated Branch Pilots, who guide ships through the river's twists and turns, are shutting down at daybreak. • MDOT moving equipment (front end loaders, bull dozers, etc.) to the coast to stage them; immediately after the storm they can start removing sand from U.S. Highway 90. • Miss. Department of Humans Services county directors in the potentially affected counties are working closely with local EMA Directors and Red Cross to open and staff shelters as requested. • American Red Cross staff is communicating with local emergency managers and Department of Human Services to coordinate shelter openings if needed. Volunteers, shelter teams, and 11 emergency response vehicles have been placed on alert. • Search and Rescue teams have been sent to support Jackson, Harrison and Hancock counties. • State Emergency Response Team has deployed to the Combat Readiness Training Center in Gulfport. • 300 Mississippi National Guard troops with high water vehicles have been deployed to affected areas. Mississippi Department of Public Health http://www.healthyms.com/msdhsite/index.cfm/44,0,122,2 92,html Mississippi Emergency Management Agency http://www.msema.org/ Twitter http://twitter.com/msema Facebook http://www.facebook.com/home.php#/pages/Pearl- MS/Mississippi-Emergency-Management- Agency/81599105731?ref=sgm NOAA Weather Radio for Mississippi http://www.nws.noaa.gov/nwr/Maps/PHP/Mississippi.php National Weather Service Watches, Warnings and Advisories http://www.weather.gov/alerts-beta/ms.php?x=1 MS - LINKS As Tropical Storm Karen approaches the Gulf Coast and is expected to affect Mississippi with rising storm surge, high winds and torrential rains, state agencies are making preparations in anticipation of landfall. • State EOC is at Level I (Fully Activated) • Mississippi Governor Phil Bryant declared a state of emergency as Karen approaches the state on October 3MEMA has asked people in flood-prone areas to start thinking about a evacuation plan. • Mississippi Dept. of Marine Resources said oyster reefs that had opened earlier in the week were closed as a precaution.
  5. 5. TS KAREN PREPARATIONS ALABAMA • Alabama Gov. Robert Bentley declares state of emergency on 4 Oct. • Mobile Ferry will not run Friday • Dauphin Island Sea Lab Estuarium will be closed Friday • Organizers of the Bayfest music festival say the show will go on as much as possible FEMA DAILY OPERATIONS BRIEF – 4 OCT 2013 THE WEATHER CHANNEL – 4 OCT 2013 6:11 PM EDT FLORIDA • State EOC is activated to Level II (Partial Activation) • National Guard personnel activated • Tropical Storm emergency declaration for 18 counties: Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Washington, Bay, Gulf, Calhoun, Jackson, Franklin, Liberty, Gadsden, Wakulla, Leon, Jefferson, Madison, and Taylor Counties. Alabama Department of Public Health http://www.healthyms.com/msdhsite/index.cfm/44,0, 122,292,html Alabama Emergency Management http://www.ema.alabama.gov/ Twitter https://twitter.com/alabamaema RSS Feeds: http://www.msema.org/wordpress/?feed=rss2 Facebook https://www.facebook.com/AlabamaEMA NOAA Weather Radio for Alabama http://www.nws.noaa.gov/nwr/CntyCov/nwrAL.htm National Weather Service Watches, Warnings and Advisories http://www.weather.gov/alerts-beta/ms.php?x=1 AL - LINKS Florida Department of Health http://www.doh.state.fl.us/ Florida Division of Emergency Management http://www.floridadisaster.org/index.asp Twitter https://twitter.com/flsert RSS Feed http://floridadisaster.org/feeds/pressreleases.asp Facebook https://www.facebook.com/FloridaSERT NOAA Weather Radio for Florida http://www.nws.noaa.gov/nwr/CntyCov/nwrFL.htm National Weather Service Watches, Warnings and Advisories http://alerts.weather.gov/cap/fl.php?x=1 FL - LINKS
  6. 6. TS KAREN PREPARATIONS - FEMA FEMA HEADQUARTERS: • National Response Coordination Center (NRCC) - activated to Level III (Day only) • National Watch Center - Enhanced Watch Level (8:00 pm to 8:00 am EDT) • Resource Support - Atlanta Distribution Center (DC) has been activated • National Processing Service Centers - activated from 7:00 a.m. to 1:00 am • National IMAT-East - deploying to Florida EOC today • Urban Search & Rescue - on Advisory status FEMA DAILY OPERATIONS BRIEF – 4 OCT 2013 NOAA FEMA REGION IV: • RRCC activated to Level III w/ ESFs 1,3,6,8 • LNOs deployed to Florida, Mississippi & Alabama • Region IV IMATs deploying to AL & MS today FEMA REGION IV: • RRCC activated to Level III w/ ESFs 1,3,6,8 • LNOs deployed to Florida, Mississippi & Alabama • Region IV IMATs deploying to AL & MS today
  7. 7. ACTIVE WATCH / WARNINGS National Weather Service Severe Thunderstorm Warning Severe Weather Statement Civil Emergency Message Blizzard Warning Winter Storm Warning High Wind Warning Tropical Storm Warning Flood Warning Gale Warning Freeze Warning Red Flag Warning Hurricane Watch Tropical Storm Watch Winter Weather Advisory Coastal Flood Advisory Dense Fog Advisory Small Craft Advisory For HazardousSeas Small Craft Advisory For Winds Small Craft Advisory Lake Wind Advisory Wind Advisory Blowing Dust Advisory Frost Advisory Rip Current Statement Winter Storm Watch Hard Freeze Watch Freeze Watch Fire Weather Watch Special Weather Statement Marine Weather Statement Air Quality Alert Hazardous Weather Outlook Hydrologic Outlook
  8. 8. ACTIVE WATCH / WARNINGS Tropical Storm Warning Hurricane Watch Tropical Storm Watch Coastal Flood Advisory Small Craft Advisory Rip Current Statement Hazardous Weather Outlook LAKE CHARLES BATON ROUGE/NEW ORLEANS MOBILE/ PENSACOLA TALLAHASSEE
  9. 9. 72 HOUR RAINFALL FORECAST Image Source: http://www.nhc.noaa.gov/refresh/graphics_at2+shtml/144417.shtml?rainqpf?large#contents • Karen is expected to produce rainfall amounts of 3 to 6 inches over portions of the Central and Eastern gulf coast through Sunday night, mainly near and to the right of the path of the center. • Isolated storm total amounts of 10 inches are possible. Tropical Storm KAREN Public Advisory #7
  10. 10. STORM SURGE The combination of storm surge and the tide will cause normally dry areas near the coast to be flooded by rising waters. The water could reach the following heights above ground if the peak surge occurs at the time of high tide: • West of the Mississippi river to Terrebonne Bay 1 to 3 feet • Mouth of the Mississippi River to Mobile Bay 3 to 5 feet • East of Mobile Bay to West of Apalachee Bay 1 to 3 feet • Apalachee Bay including Cedar Key 2 to 4 feet • South of Apalachee Bay to Tampa Bay 1 to 2 feet The highest water will occur: • Along the immediate coast near and to the east of where landfall occurs. • Where the surge will be accompanied by dangerous waves . Tropical Storm KAREN Public Advisory #7
  11. 11. POTENTIAL TROPICAL STORM FORCE WINDS Image Source: http://www.nhc.noaa.gov/refresh/graphics_at2+shtml/205419.shtml?tswind120#contents • Tropical storm conditions are expected within portions of the tropical storm warning area on Saturday. • Hurricane conditions are possible in portions of the hurricane watch area by Sunday morning.
  12. 12. Water-Borne Disease Vector-Borne Disease Rodent-Borne Disease Molds/Allergens Infections Infectious Diseases Food safety HAZMAT Exposure Patient Evacuation Patient Care Drowning Waterborne Illnesses Foodborne Chronic Diseases Infectious Disease CO Poisoning Acute Respiratory Infections Meningitis Measles Dehydration Diarrhea Chronic Disease Hurricane Environmental Infrastructure Socio-Economic Loss of Assets Contamination of Drinking Water Sanitation Health Facilities Utilities Road Networks Loss of Employment Essential Services Displacement Loss of Shelter Surveillance - Water Quality - Air Quality - Spills/Releases - Breeding Sites - Harborage Areas - Health Services - Shelters - Food Service - DNBI - Animal Assessment - Operational Risk Coordination - Who - What - Where - When - How Fill Gaps - Health Services - Vet Services - Immunizations - Pharmaceuticals - Medical Supplies - Vector Control - Rodent Control - Sanitation Inspections - Outbreak Response - Transportation - Evacuation Build Capacity - Education - Training Airports/Sea Ports Loss of Access To Food/Water Government Emergency Services 911 Public Health Homecare Animal Control Increased Morbidity & Mortality TIC/TIM Debris and Waste Flooding Services Command and Control Info - Communication Coordination POTENTIAL HEALTH THREATS FROM HURRICANES
  13. 13. 1 Decision Point 1: (TROPICAL STORM) Prepare PRIOR TO IMPACT Primary Activities: • Monitor the developing situation • Review appropriate plans and policies • Consider activation of Emergency Operations • Contact headquarters and subordinate organizations • Consider cancellation of elective procedures and early discharge • Consider executing evacuation operations • Consider if it is safe to Shelter in Place • Consider reducing the patient population within the facility using early discharging and cancelling elected procedures • Determine staffing/material needs based on eth threat and the selected COA • Initiate and complete buildings and grounds preparations • Communicate THREAT INFORMATION REQUIREMENTS CRITICAL INFORMATION REQUIREMENTS  Has an alert or warning been issued?  Has the situation altered in any way?  What are the characteristics of the threat?  Size and magnitude  Strength  Duration  What is the geographic area likely to be impacted?  At what time will the threat impact the area?  What is the threats expected impacts on the :  Population  Utilities  Healthcare Systems  Infrastructure  Security  What are the possible cascading effects  Has the time for impact changed?  If flooding is possible, what is the predicted depth of the flooding?  What security issues will arise because of the threat?  What is the evacuation or SIP status of neighboring facilities (hospitals, facilities, etc.)?  Have shelters been established, if so where?  Have any APOEs and APODs been activated for evacuation, if so where?  Has a state of emergency been declared?  Have local and State EOCs been activated?  What is the status of local municipality response elements?  What mandatory evacuation procedures are being considered?  Have evacuation resources have been requested ACTIONS COMMAND OPERATIONS PLANNING FACILITIES/LOGISTICS ADMIN/FINANCE  Consider full activation of the Emergency Command Center  Consider cancellation of elected surgeries  Consider cancellation of appointments  Consider early discharge of patients  Consider evacuating  Consider evacuation procedures for staff, employee , and family members  Approve the IAP for next operational period  Maintain close coordination with departments and address requirements  Establish approved methods of updated information dissemination (e.g. website) to inform staff and patients of the hospital’s status  Provide regularly scheduled status updates to staff  Maintain full operational status  Run available models based on current track/intensity forecasts  Monitor for any alerts or warnings  Monitor current and developing weather conditions including areas vulnerable to flooding  Synchronize activities with appropriate agencies.  Determine status and needs, coordinate relief as necessary, continue regular conference calls  Initiate C2 structure for response  Execute evacuation operation if necessary  Execute shelter in place preparations if it is possible.  Evaluate the developing situation  Develop Incident objectives  Recommend courses of action (COA)  Identify which resources will be needed to achieve the objectives.  Develop an IAP for next operational period  Disseminate approved IAP  Begin buildings and ground preparations  Contact necessary vendors and ensure that all necessary supplies are fully stocked prior to landfall  Ensure generator fuel storage is at full capacity  Ensure that the following supplies are sufficient to support partial or full operational for at least 72 hours  Medical Supplies  Linen  Water  Food  Pharmaceuticals  Medical Gases  Blood  Coordinate for the back-up of critical files and materials to a safe location outside the impacted zone  Capture cost  Implement emergency financial procedures  Obtain current patient census  Monitor changes to Medicaid, Medicare due to the emergency
  14. 14. 2 Decision Point 2: (TROPICAL STORM) Prepare 24 hours to 12 hours prior to impact Primary Activities: Complete evacuation operations Execute Shelter in Place activities Complete early discharge activities Harden facility through protective measures Monitor facility and area conditions as impact occurs Finalize staffing arrangement Take appropriate actions to maintain operations THREAT INFORMATION REQUIREMENTS CRITICAL INFORMATION REQUIREMENTS  What is the level of the threat?  How large is the area projected to be impacted?  How much of the populations are projected to be impacted?  Is the facility located in the impacted zone  Has the facility been impacted?  Have services been impacted?  Which ones?  To what degree?  Are any of your remote facilities in the impacted zone?  Do any of your employees or staff live in the impacted zone? ACTIONS COMMAND OPERATIONS PLANNING FACILITIES/LOGISTICS ADMIN/FINANCE  Review all policies, plans and procedures to ensure that they are current and reflect any changes to the facility or infrastructure since last season  Review Shelter in Place and Evacuation decision-making requirements  Review various agreements with area hospitals, agencies and vendors  Ensure that the staff is familiar with the All Hazards Plan  Ensure that families have a care plan in case of emergencies  Conduct/review hazard vulnerability assessment for each activity. Include specific projects and research vulnerability.  Prioritize resources for response and recovery efforts based on cost-benefit analysis.  Monitor forecasted flood areas, track current, impending, and potential impact  Begin movement to secondary facilities for operational integrity if severe flooding is imminent  Synchronize activities with appropriate local/regional/State agencies  Determine status and needs, coordinate relief as necessary, continue regular conference calls  Test redundant communications systems  Implement facility physical security plan  Draft and maintain IAP for next operational period  Disseminate approved IAP  Review all applicable plans  Review gap analysis  Review dormant contracts  Identify requirements for sheltering in place (SIP)  Identify requirements for evacuation  Vertically  People  Specimens  Primates  Review MOUs, MOAs and Mutual Aid Agreements  Elevate the generator, furnace, water heater, and electric panel if susceptible to flooding.  Inventory stockpiles to determine (and augment) self-sustainability when municipal systems are inoperable  Inspect Alternate Sites  Review Regulated Medical Waste disposal surge contract s and processes  Review Trash disposal/storage plan  Review mortuary plans  Capture cost  Ensure continuity of current staff throughout operational period
  15. 15. 3 Primary Activities: • Assess damages to the facility and injuries to employees and staff • Maintain accountability • Safety for employees and staff • Make emergency repairs • Take appropriate actions to maintain operations • Evacuate if necessary • Move to an alternate facility if necessary • Information Dissemination • Report status Decision Point 3 (TROPICAL STORM) Response Impact +24 Hours THREAT INFORMATION REQUIREMENTS CRITICAL INFORMATION REQUIREMENTS  Have/When will adverse conditions subside?  How large was the impact?  What are the cascading effects as a result of the threat?  What is forecasted for the next 24 hours?  What additional information is being provided by the local weather forecasters?  Has criminal activities increased?  What is status of your facility?  What is the status of your remote facilities?  What services have been impacted?  What capabilities have been degraded?  What is the status of your staff and their families? Are all accountable for? Any fatalities?  Has the disaster generated a mass casualty incident?  What is the status of municipal utilities, water and waste water?  What roads are closed due to the impact?  What is the status of local emergency response agencies?  Has NDMS been activated? If so, which portions  Has the FEMA ambulance contract been activated?  What information is being provided to the public?  What is the status of airports being used for additional evacuations?  What resources are available to assist your facility?  What capability shortfalls are there?  Has patient care been compromised? ACTIONS COMMAND OPERATIONS PLANNING FACILITIES/LOGISTICS ADMIN/FINANCE  Assess the threat and the damage  Determine the need to evacuate the facility, continue Sheltering in Place  Is an alternative care sites for patient treatment needed?  Is an effective patient ID and tracking system in place?  Contact and notify staff of the facility status, operational capacity and timeline for return to work  Contact higher headquarters with status and relay needs  Report situation to :  Higher HQ  Local government  Health authorities  Maintain staff and employee accountability  Maintain full activation of the Command Center  Approve the IAP for next operational period  Maintain close coordination with departments and address requirements  Ensure Shelter in Place needs/provisions are in place and being met  Determine if it is necessary to evacuate the facility completely  Determine if it is necessary to close down operations or limit services  Contact staff to relay needs and operability  Determine if it is necessary to move to some or all services an alternate facility  Conduct damage, risk and injury assessments to determine operational status and capacity of the facility  Coordinate search an d rescue activities  Establish triage areas if needed  Synchronize activities with appropriate local/regional/State agencies  Ensure EOC is fully operational at current facility, if necessary relocate or work remotely  Determine operational status of remote clinics  Determine status and needs, coordinate relief as necessary, continue regular conference calls  Implement redundant communications as necessary  Account for staff and employees  Review staffing requirements  Coordinate evacuation if necessary  Establish accountability methods for patient counts & movements  Issue needed risk communication messages  Identify critical objectives based on the planning requirement, provide a complete and integrated picture of the sequence and scope of the tasks to achieve the objectives, and ensure the objectives are implementable within the time frame contemplated within the plan using available resources for prevention-related plans.  Develop and execute appropriate courses of action in coordination with Federal, state, local, and private sector entities in order to prevent an imminent terrorist attack within the United States.  Maintain an Incident Action Plan (IAP) for next operational period  Disseminate approved IAP  Assess the damage  Prioritize and perform repairs to the facility as necessary  Monitor all departments and portions of the facility, take appropriate actions to harden the facility and take any protective measures to prevent damages  Conduct periodic inventory checks to ensure there is adequate supply for sustained operation and allow plenty of time to obtain additional supplies if necessary.  Coordinate needs and actions through the Command Center  Review staffing requirements  Assess facility functionality, determine operational capacity and requirements for repairs  Monitor emergency systems and determine fuel capacities to inform sustainability requirements  Identify most urgent food & non-food requirements  Capture cost  Ensure continuity of current staff throughout operational period  Set up disaster accounting systems  Work with appointed authorities to determine applicant and reimbursement eligibility for disaster-related expenses
  16. 16. PERSONAL HURRICANE PREPAREDNESS ACTIVITIES DEVELOP / UPDATE / REVIEW PERSONAL PLAN STOCK DISASTER SUPPLY KIT  Know your home’s vulnerabilities to Storm Surge, Flooding and Wind  Locate a safe room or safe area in your home or community for each hazard  Determine escape routes and places to meet  Have an out-of-state friend or family contact as a single point for all persons in the home  Have a place to go for evacuations  Be aware of traffic considerations  If using a hotel/motel, make reservations first  Ensure that destination is pet-friendly ,if necessary  Plan for what to do with pets if you need to evacuate  Post emergency phone numbers and ensure children know how and when to call 9-1-1  Review insurance coverage – flood damage may not be covered  Stock non-perishable emergency supplies and a Disaster Supply Kit  Ensure First Aid Kits are stocked  Water (1 gallon per person per day)  Food for 3 to 7 days  Non-perishable food items  Foods for infants/elderly  Snack foods  Non-electric can opener  Cooking tools/fuel  Plates/utensils  Blankets/Pillows  Medications  Ice Chest  Matches  Clothing  First Aid Kit  Toiletries  Special Items – Babies/Elderly  Flashlight/Batteries  Radio (Battery Operated NOAA)  Phones – Fully Charged w/Extra Batteries  Keys  Toys/Books/Games  Important Documents (In Waterproof Container)  Tools and Tape  Pet Care Items  Identification and Photos  Ample food and water  Medications  Immunization Records  Muzzle, collar, leash  Crate PREPARE YOURSELF AND YOUR HOME FOR THE STORM  Bring in everything not attached to the house (plants, wind chimes, patio furniture, etc.)  Fill clean 2 liter bottles with water and place in freezer  Make and store ice (if possible)  Refill medications  Ensure vehicles are fully fueled  Charge all cell phone batteries  Board windows  Place changes of clothing in plastic bags  Fill trash can or tub with water  Turn refrigerator and freezer to their lowest setting (coldest)  Unplug valuable electronics and turn off gas/electricity to house  Place memorabilia in plastic bags  Detach propane tank(s) from gas grill(s)  Cover pools and super-chlorinate  Tie down any boats that are on trailers or move into a garage  Get extra cash, ATMs will not work without electricity  Gather additional radios, verify battery needs (batteries should be changed every 6 months)  Gather lanterns and extra oil (do not use in high wind conditions)
  17. 17. HURRICANE PREPAREDNESS CHECKLIST DURING THE STORM AFTER LANDFALL  Listen to the radio or TV for information.  Secure your home, close storm shutters and secure outdoor objects or bring them indoors.  Turn off utilities if instructed to do so. Otherwise, turn the refrigerator thermostat to its coldest setting and keep its doors closed.  Turn off propane tanks  Avoid using the phone, except for serious emergencies.  Moor your boat if time permits.  Ensure a supply of water for sanitary purpose such as cleaning and flushing toilets. Fill the bathtub and other larger containers with water.  Find out how to keep food safe during and after and emergency. YOU SHOULD EVACUATE UNDER THE FOLLOWING CONDITIONS:  If you are directed by local authorities to do so. Be sure to follow their instructions.  If you live in a mobile home or temporary structure – such shelter are particularly hazardous during hurricane no matter how well fastened to the ground.  If you live in a high-rise building – hurricane winds are stronger at higher elevations.  If you live on the coast, on a floodplain, near a river, or on an island waterway. READ MORE ABOUT EVACUATING YOURSELF AND YOUR FAMILY. IF YOU ARE UNABLE TO EVACUATE, GO TO YOUR WIND-SAFE ROOM. IF YOU DO NOT HAVE ONE, FOLLOW THESE GUIDELINES:  Stay indoors during the hurricane and away from windows and glass doors.  Close all interior doors – secure and brace external doors.  Keep curtains and blinds closed. Do not be fooled if there is a lull; it could be the eye of the storm – winds will pick up again.  Take refuge in a small interior room, closet or hallway on the lowest level.  Lie on the floor under a table or another sturdy object.  Avoid elevators.  Continue listening to a NOAA Weather Radio or the local news for the latest updates.  Stay alert for extended rainfall and subsequent flooding even after the storm has ended.  If you have become separated from your family, use your family communications plan or contact FEMA or the American Red Cross.  FEMA has established the National Emergency Family Registry and Locator System (NEFRLS), which has been developed to help reunite families who are separated during a disaster.  The American Red Cross also maintains a database to help you find family. Contact the local American Red Cross chapter where you are staying for information.  If you evacuated, return home only when officials say it is safe.  If you cannot return home and have immediate housing needs. Text SHELTER + your ZIP code to 43362 (4FEMA) to find the nearest shelter in your area (example: shelter 12345).  For those who have longer-term housing needs, FEMA offers several types of assistance, including services and grants to help people repair their homes and find replacement housing. Apply for assistance or search for information about housing rental resources  Drive only if necessary and avoid flooded roads and washed¬ out bridges. Stay off the streets. If you must go out watch for fallen objects; downed electrical wires; and weakened walls, bridges, roads, and sidewalks.  Keep away from loose or dangling power lines. Report them immediately to the power company.  Walk carefully around the outside your home and check for loose power lines, gas leaks and structural damage before entering.  Stay out of any building if you smell gas, floodwaters remain around the building or your home was damaged by fire and the authorities have not declared it safe.  Inspect your home for damage. Take pictures of damage, both of the building and its contents, for insurance purposes. If you have any doubts about safety, have your residence inspected by a qualified building inspector or structural engineer before entering.  Use battery-powered flashlights in the dark. Do NOT use candles. Note: The flashlight should be turned on outside before entering - the battery may produce a spark that could ignite leaking gas, if present.  Watch your pets closely and keep them under your direct control. Watch out for wild animals, especially poisonous snakes. Use a stick to poke through debris.  Avoid drinking or preparing food with tap water until you are sure it’s not contaminated.  Check refrigerated food for spoilage. If in doubt, throw it out.  Wear protective clothing and be cautious when cleaning up to avoid injury.  Use the telephone only for emergency calls.  NEVER use a generator inside homes, garages, crawlspaces, sheds, or similar areas, even when using fans or opening doors and windows for ventilation. Deadly levels of carbon monoxide can quickly build up in these areas and can linger for hours, even after the generator has shut off.Ready.Gov

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