The document provides an overview of severe weather events in multiple states in late April 2014, including tornadoes and flooding. As of April 29th, there were 200 injured and 35 deaths reported across affected areas. Oklahoma, Iowa, Kansas, Missouri, Arkansas, Alabama, Mississippi, Tennessee, and other states experienced tornadoes and thunderstorms between April 27-30. The document outlines ongoing response efforts and contact information for various state emergency management agencies.

1. CURRENT SITUATION
YALE - TULANE ESF-8 SPECIAL REPORT
SEVERE THUNDERSTORMS AND TORNADOES – APRIL 2014
AS OF29 APRIL 2014, 2100 HRS EDT
INJURED DEAD
200* 35*
BACKGROUND
* Subject to change
CURRENT WEATHER SITUATION
STATE GOVERNMENT
OKLAHOMA DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
OKLAHOMA DEPARTMENT OF PUBLIC SAFETY
OKLAHOMA STATE DEPARTMENT OF HEALTH.
IOWA DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
IOWA DEPARTMENT OF PUBLIC SAFETY
IOWA DEPARTMENT OF PUBLIC HEALTH
MISSISSIPPI DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY
MISSISSIPPI DEPARTMENT OF HEALTH AND ENVIORNMENT
ARKANSAS DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
ARKANSAS STATE POLICE
ARKANSAS STATE DEPARTMENT OF HEALTH
FEDERAL GOVERNMENT
FEMA
TWITTER | FACEBOOK | YOUTUBE | BLOG
HHS
PUBLIC HEALTH EMERGENCY – ASPR
TWITTER | FACEBOOK
CDC
TWITTER | FACEBOOK
NOAA NATIONAL SEVERE STORMS LABORATORY
NOAA NWS STORM PREDICTION CENTER
NWS – LITTLE ROCK AR
NWS – NORMAN, OK
NWS BIRMINGHAM, AL
NWS HUNTSVILLE, AL
NWS NEW ORLEANS, LA
NWS SERVICE JACKSON MS
DIMRC - TORNADOES
ORGANIZATION
AMERICAN RED CROSS
SALVATION ARMY
DEVELOPING SITUATION
ALABAMA DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
ALABAMA DPERTMENT OF PUBLIC SAFETY
ALABAMA DEPARTMENT OF PUBLIC HEALTH
GEORGIA DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
GEORGIA DEPRTMENT OF PUBLIC SAFETY
GEORGIA DEPARTMENT OF HEALTH
TENNESSEE DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
TENNESSEE DEPARTMENT OF SAFETY
TENNESSEE I DEPARTMENT OF HEALTH
KANSAS DEPARTMENT OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
KANSAS HIGHWAT PATROL
KANSAS DEPARTMENT OF HEALTH AND ENVIORNMENT.
FLORIDA DIVISION OF EMERGENCY MANAGEMENT
TWITTER | FACEBOOK
FLORIDA HIGHWAY SAFETY AND MOTOR VEHICLES
FLORIDA DEPARTMENT OF HEALTH
MISSOURI STATE EMERGENCY MANAGEMENT AGENCY
MISSOURI DEPARTMENT OF PUBLIC SAFETY
MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES
DISTRESS SYMPTOMS AFTER A TORNADO
PREPARING FOR A FLOOD
PREVENT ILLNESS AFTER A DISASTER
WEATHER

2. BACKGROUND
A powerful upper level storm system moved into the Plains on Sunday
April 27th 2014. This storm helped to produce an initial round of
thunderstorms early in the morning out over western and central OK
which moved into eastern OK and northwest AR during the day. Other
storms developed farther east in AR as well.
SUNDAY, 27 APRIL 2014
ARKANSAS
Just after 7:00 pm CDT, a supercell (storm with rotating updrafts) rapidly
intensified northwest of the Little Rock (Pulaski County) area. An EF-3
tornado was produced, with the tornado tracking through Mayflower
and Vilonia (both in Faulkner County) before apparently dissipating near
El Paso (White County). Along the way, houses and businesses were
heavily damaged or reduced to rubble. 15 fatalities and 130 injured have
been reported.
IOWA
Severe weather and an EF-1 tornado struck Keokuk County. 2 fatalities
and four injured have been reported. Damages includes a down trees,
power lines and farm buildings. Straight-line winds caused also caused
damage. The Mahaska Health Partnership building near the Oskaloosa
Family Medical Center had its roof torn off by the storm.
KANSAS
An EF 2 tornado struck the community of Baxter Springs in Cherokee
County at approximately 5:46 p.m. Sunday evening, April 27. Sixty to 70
homes and 20-25 businesses are reported destroyed. No fatalities or
injuries were reported.
MISSOURI
One reported tornado along Kansas/Missouri boarder in Bates County
(pop 16k) on 27 APRIL. The tornado stayed on the ground for
approximately 45 minutes. Fortunately, according to the Bates County
Sheriffs Department, no injuries were reported.
OKLAHOMA
One person was killed when a EF-2 tornado struck Quapaw, Okla., a town
about 100 miles northeast of Tulsa, around 5:30 p.m., 27 APRIL 2014.
MONDAY, 28 APRIL 2014
ALABAMA
Severe storms in the form of scale, high winds and tornadoes entered
Northwest Alabama between 3:00 PM and 3:30 PM on Monday, 28 April
2014. Super cell thunderstorms moved eastward out of Mississippi to
produce significant damages for areas near and north of I 20/59 as well as
west of Montgomery and southeast of Auburn. At least 31 counties have
been impacted. Etowah County reports under 250 homes either damaged or
destroyed and St. Clair Sumter and Russell counties report 5 to 10 damaged
in each. Words are closed due to water and debris in Baldwin, Limestone, Lee
and Mobile. Three fatalities were reported and 16 people were injured.
GEORGIA
An EF 2 tornado occurred in Troup County Georgia Damage was limited to
watch trees and power lines. No fatalities or injuries were reported.
MISSISSIPPI
NWS confirmed that at least 12 tornadoes touched down .Preliminary
reports are that the tornado in Tupelo was an EF-2. In Winston County it was
an EF-4 tornado and in Rankin County an EF 3. 12 fatalities have been
reported in at least 80 injured. Damages are extensive. The Winston Medical
Center has been damaged.
TENNESSEE
EF-3 tornado touch down in Lincoln County on Monday, 28 APR 2014. 25
buildings were destroyed in the elementary school was severely damaged.
The state confirmed two fatalities, and a total of six injuries.

3. BACKGROUND
http://www.spc.noaa.gov/wcm/2014/20140427-28-map.png

4. FLORIDA
• A cluster of thunderstorms has developed across
North Florida. Flash Flood Watches and Warnings
are in effect for Several Panhandle Counties. Some
places are reporting up to 22 inches of rainfall
over the last 24 hours, and an additional 3-5
inches of widespread rainfall will be possible today
with locally heavier amounts of between 6-8
inches.
• The State Emergency Response Team (SERT)
encourages Floridians to use caution around
flooding and standing water resulting from the
heavy rains in the Florida Panhandle. Floridians
should continue to take precautions to ensure
safety during and after severe weather, and to
protect life then property.
ALABAMA
• In Alabama, much of downtown Mobile was
flooded and a reverse 911 – the name for the
emergency notification service that calls residents
in advance of an impending natural disaster or
other emergency – was sent to residents at Fish
River, near Silverhill, where water levels were at
their highest for 60 years.
• Baldwin County crews had been rescuing stranded
people since before midnight and some were in
shelters Wednesday morning, emergency
management director Mitchell Sims told
AL.com the flooding is historic.
DEVELOPING SITUATION – 30 APR 2014
Radar estimated event
rainfall totals (in.) between
848 PM CDT Mon., 28 April –
920 AM CDT Wed., 30 April.
See scale on top. SOURCE:
NWS Mobile-Pensacola
The Fish River
near Silverhill will
rise to 23 feet
cresting above
the highest
historical crest.
http://water.weat
her.gov/ahps2/in
dex.php?wfo=mo
b

5. WEATHER
NATIONAL FORECAST MAP
PREDOMINANT WEATHERPERCIPITATION
TEMEPRATURES

6. CURRENT SITUATION
FEMA RESPONSE
SITUATION
• 110 tornadoes reported across FEMA Region IV, VI, VII
• Very heavy rain reported along Gulf Coast / Florida Panhandle
• 93k customers without power in FEMA Region IV; most in GA
(50k)(EAGLE I, 7:45am)
• 28 shelters are open with 893 occupants (NSS and Region VI IMAT,
as of 5:00am ED
FEMA HQ
• NRCC remains activated to Level III, from 8 a.m. to 8 p.m. EDT
• NWC activated to Enhanced Watch from 8 p.m. to 8 a.m. EDT
• IST White & TX-TF1 demobilizing from LRAFB, AR; NE-TF1 released
from Alert
• FEMA Log prepared Delta Initial Response Resource (IRR) Package
to be ready to be
• deployed from the Fort Worth Distribution Center upon request
• Delta Package has sufficient meals, water, and other supplies for
15k people for 1 day
FEMA REGION IV
• RRCC is activated to Level III (w/ESF’s 1, 3, 6, 7, 8, 15 and the DCE)
• Regional IMATs (Type II) are deployed to NC and MS
• LNOs and pre-designated FCOs are in place in AL and MS; LNO in
place at FL EOC
• Representatives from ESF 3, 6 and 8 deploying to MS to support the
Regional IMAT
FEMA Region VI
• RRCC returned to Normal Operations
• IMATs are deployed to AR & OK
FEMA REGION VII
• RRCC is activated to Level III
• LNO deployed to Kansas State EOC
• No unmet needs; no requests for FEMA assistance

7. ALABAMA DEPARTMENT OF
PUBLIC HEALTH
http://adph.org/
ALABAMA EMERGENCY
MANAGEMENT AGENCY
http://ema.alabama.gov/
TWITTER
https://twitter.com/AlabamaEMA
FACEBOOK https://www.facebook.com/AlabamaEMA
NOAA WEATHER RADIO FOR
ALABAMA
http://www.nws.noaa.gov/nwr/Maps/PHP/Alabama.php
NATIONAL WEATHER
SERVICE WATCHES,
WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/al.php?x=1
SITUATION
(ALABAMA)
 FATALITIES: 3
 INJURED: 30 Injured
 DESTRUCTION: At least 244 homes were damaged or destroyed
 UTILITIES: 33,000 electrical homes and businesses are without electrical service
 SHELTERS: 8 shelters are open
 STATE DECLARATION: Alabama Gov. Robert Bentley declared a state of emergency for
all counties.
 FEDERAL DECLATION: Requested on Tuesday 29 April 2014
AL - LINKS
SOURCES APRIL 28 - SEVERE WEATHER | LIVE MEMA PRESS CONFERENCE | MPB
TORNADOE DAMAGES:
• 244 residences were hit, but the number will rise because reports are still
coming in. No numbers are in yet for hard-hit Limestone County.
• The greatest reported concentration of destruction the Smith Institute
community of Etowah County, where between 100 and 150 homes were
damaged or destroyed. Another 90 homes were hit in Blount County.
SOURCES: ALABAMA EMA SITREP 30 April 2014
FEMA DAILY OPERTIONS BRIEF 30 APRIL 2014
NWS LITTLE ROCK
USGS CURRENT WATER DATA
SEVERE FLOODING IN MOBILE AL (ON GOING)
First responders continue to rescue people who are stranded along the Fish River.
Once it is safe preliminary assessments will be conducted.
(http://ow.ly/i/5pLVu/origina)
Laura Lassiter, 80, is brought in by boat as Fish River crested to historic
levels on Wednesday, April 30, 2014, in Baldwin County, Ala. Lassiter's
home was flooded. (Marc D. Anderson/manderson@al.com)

8. LIMESTONE COUNTY HAS OPENED UP VOLUNTEER RECEPTION CENTERS.
VOLUNTEERING
Anyone wanting to volunteer for cleanup or other duties can call the United Way of
Athens-Limestone County, (256) 233-2323. The UW office at 419 South Marion in
Athens is open 9 a.m.-2 p.m. Volunteers can register at
unitedwayathenslimestone.com. Volunteers will not be deployed until Thursday due
to power lines being down.
RED CROSS
Red Cross shelter at Central Church of Christ in Athens had 21 families staying there as
of 10 a.m. today. It will likely stay open as long as it is needed.
The Red Cross has also dispatched mobile feeding units in Limestone, DeKalb, Etowah,
Jefferson and Tuscaloosa counties to provide meals and water to Red Cross workers
DONATIONS
Storage Boxes:
• InsideOut Ministries in Madison will collect storage boxes for families affected by
last night's storms in Limestone County.
• Bring empty storage boxes to InsideOut Ministries, 103 Gin Oaks Ct., Madison, or
call (256) 325-5193. Boxes can be left at the front door.
Tarps:
• The Limestone County Emergency Management Agency is asking the public for
donations of tarps, specifically in sizes of 20x100 and 20x50. Tarps can be brought
to the EMA office at 1101 West Market Street in Athens. (256) 232-2631
• Tarps can also be brought to the Salvation Army in Decatur at 114 14th Street.
Financial Assistance: Donating money is one of the quickest ways to help storm
victims, said Capt. David Sams of The Salvation Army in Decatur. Those who want to
donate can write a check to the Salvation Army and bring to the office at 114 14th
Street in Decatur, or mail it to 100 Austinville Road, Decatur, AL 35601.
SITUATION
(ALABAMA)
THE GADSDEN/ETOWAH COUNTY - VOLUNTEERING
• The Gadsden/Etowah County Emergency Management Agency and United
Way of Etowah County are letting people know how they can help those
affected by the tornado that hit this area.
• There will be a volunteer registration at Bethlehem Missionary Baptist
Church, 5850 Sardis Road, Boaz today through 4 p.m. Individuals who
register at the church will receive an armband identifying the person as a
volunteer. Armbands are needed to enter the area.
• No chainsaws are needed, but heavy equipment is needed for cleanup.
• All volunteer registrations will be at Bethlehem Missionary Baptist Church.
For more information call 211 or (256) 546-HELP. Call 211 First Call for Help
or the Salvation Army if you wish to donate food items.
A storm destroyed this trailer in the Smith Institute community in Etowah
County just north of Gadsden Tuesday, April 29, 2014. (William Thornton /
wthornton@al.com)

9. ARKANSAS DEPARTMENT OF PUBLIC
HEALTH
http://www.healthyms.com/msdhsite/index.cfm/44,
0,122,292,html
ARKANSAS EMERGENCY
MANAGEMENT AGENCY
http://www.adem.arkansas.gov/ADEM/index.aspx?A
spxAutoDetectCookieSupport=1
TWITTER
https://twitter.com/ar_emergencies
FACEBOOK https://www.facebook.com/ARemergencies
NOAA WEATHER RADIO FOR
MISSISSIPPI
http://www.nws.noaa.gov/nwr/Maps/PHP/Arkansas.
php
NATIONAL WEATHER SERVICE
WATCHES, WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/ar.php?x=1
SITUATION
(ARKANSAS)
 FATALITIES: 15 confirmed fatalities (tornadoes)
 INJURED: 130 Injuries
 DESTRUCTION: Preliminary Report for Faulkner County – 254 destroyed, 78
damaged, 84 minor damage, 204 affected structures, 12 inaccessible.
 UTILITIES: Entergy is reporting 1,821 customers without power
 SHELTERS: 5 shelters open with 471 occupants
 STATE DECLARATION: The Governor has declared a State of Emergency for the
State of Arkansas (State of Arkansas – 15347)
 FEDERAL DECLATION: President approved a Major Disaster Declaration for
the of State of Arkansas
AR- LINKS
SOURCES: ARKANSAS DEPARTMENT OF EMERGENCY MANAGEMENT
FEMA DAILY OPERTIONS BRIEF 30 APRIL 2014
NWS LITTLE ROCK
USGS CURRENT WATER DATA
.
Due to the copious amount of rainfall that fell over the weekend in the White River
basin, river flooding will continue through the next one to two weeks along portions
of the Black, White, and Cache rivers. Continue to monitor latest forecasts at
www.water.weather.gov for any updates
• FAULKNER COUNTY - Preliminary Report – 2545 destroyed, 78 damaged, 84
minor damage, 204 affected structures, 12 inaccessible. 11 Fatalities.
• INDEPENDENCE COUNTY – two homes damaged
• JACKSON COUNTY : 3 Homes were damaged.
• PULASKI COUNTY affected by Tornado and Severe weather damage.
• Reported: 3 Fatalities, 4 Injuries
• RANDOLPH COUNTY has suffered county wide flooding due to severe storms
• WHITE COUNTY has reported 1 fatality

10. SITUATION
(ARKANSAS)
.
• FAULKNER COUNTY - Preliminary Report – 2545 destroyed, 78 damaged, 84
minor damage, 204 affected structures, 12 inaccessible. 11 Fatalities.
• INDEPENDENCE COUNTY – two homes damaged
• JACKSON COUNTY : 3 Homes were damaged.
• PULASKI COUNTY affected by Tornado and Severe weather damage.
• Reported: 3 Fatalities, 4 Injuries
• RANDOLPH COUNTY has suffered county wide flooding due to severe storms
• WHITE COUNTY has reported 1 fatality
NWS – Little Rock
FOOD AND WATER
• DHS set up 2 sites where any member of the community can get food and
shelter: Mayflower Middle School & Beryl Baptist Church Hwy 64,Vilonia.
• The American Red Cross is delivering hot meals and sandwiches via their national
system of Emergency Response Vehicles (ERVs). ERVs will visit each effected
neighborhood on a regular schedule. Listen for their horn.
• Meals are being served at all American Red Cross shelters. You do not have to
spend the night in the shelter to receive a meal. Mealtimes are generally 8 a.m.,
noon, and 6 p.m..
• Arkansans are donating food and water which is being distributed by private
organizations. The following are known distribution points:
‐ Mayflower Middle School, 10 Leslie King Dr.
‐ Mayflower Point of Grace Baptist Church, 1070 Markham St, Conway
• The Salvation Army is providing canteen operations at the following locations:
• Kanis Command Post, 34106 Kanis Road, Little Rock
• Mayflower City Hall, 2 Ashmore Street, Mayflower
• Dollar General Store, 1100 Main Street, Vilonia
COMMUNICATIONS
Verizon is providing mobile device charging stations in both Mayflower and
Vilonia. The stations also offer emergency telephones and WiFi connections
for email.
• Mayflower Middle School, 10 Leslie King Drive, Mayflower
• Plantation Acres Subdivision, Mayflower
• Beryl Baptist Church, 873 U.S. 64 B, Vilonia
• Vilonia City Hall, 18 Bise St., Vilonia
• SHELTERS
‐ Mayflower Middle School , Address: 17 Leslie Street , City:
Mayflower (Open)
‐ Oak Bowery Baptist Church , Address: 889 Otto Road , City:
Conway (Open)
‐ Beryl Baptist Church , Address: 873 U.S. 64 Business , City:
Vilonia , Zip: 72173 (Open)
‐ St. Joseph's Catholic Church , Address: 1115 College Avenue
, City: Conway (Open)
‐ Point of Grace , Address: 1070 Markham St , City: Conway
(Open)

11. GEORGIA DEPARTMENT OF PUBLIC
HEALTH http://dph.georgia.gov/
GEORGIA EMERGENCY
MANAGEMENT AGENCY
http://www.gema.state.ga.us/
TWITTER
https://twitter.com/GeorgiaEMA
FACEBOOK
https://www.facebook.com/GEMA.OHS?ref=ts
NOAA WEATHER RADIO FOR
GEORGIA
http://www.nws.noaa.gov/nwr/Maps/PHP/Georgia.php
NATIONAL WEATHER SERVICE
WATCHES, WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/ga.php?x=1
SITUATION
(GEORGIA)
 FATALITIES: 1
 INJURED: Mass casualties have occurred. Triage teams from Oxford have been
dispatched to Tupelo area. Medical resupply trailer has been deployed. Jackson Team
is being mobilized to respond to Winston County.
 DESTRUCTION: Minor damage
 UTILITIES: 198 outages, affecting 4,670 customers.
 SHELTERS: 0
 STATE DECLARATION: Governor Deal declared a state of emergency at 11:00 PM on
4/28 .The Governor’s State of Emergency remains in effect until 11 PM Wednesday
night and the State Operations Center will remain activated.
 FEDERAL DECLATION: None required at this time
GA - LINKS
.
TROUP/HEARD COUNTY: Confirmed tornado (EF-2) at 7:00 PM. This tornado
was on the ground for 10 minutes, traveling 5.5 miles. Hundreds of trees
snapped or uprooted. 4-6 homes sustained minor
damage.
WHITFIELD COUNTY: Two chicken houses were destroyed, several roads were
littered with debris and limited power outages occurred. The National Weather
Service reported today that damages reported
on 04/28 were the result of a tornado.
SHELTERS:
Several counties opened shelters as safe places for people to wait out the
storms. They are being opened by county EMA, staffed with CERT members or
other county staff and do not require Red Cross support.
ROAD/TRAVEL CONDITION:
GDOT reports no closed roads at this time.
POWER OUTAGES:
Georgia Power reports 198 outages, affecting 4,670 customers. Georgia EMC
reports 7,300 customers
SOURCES: GEORGIA OF EMERGENCY MANAGEMENT AGENCY
FEMA DAILY OPERTIONS BRIEF 30 APRIL 2014
USGS CURRENT WATER DATA
NWS PEACHTREE CITY, GA
April 28th, 2014 -
Troup/Heard County Tornado

12. IOWA DEPARTMENT OF
PUBLIC HEALTH https://www.idph.state.ia.us/
IOWA EMERGENCY
MANAGEMENT AGENCY
http://homelandsecurity.iowa.gov/
TWITTER https://twitter.com/IowaHSEMD
FACEBOOK https://www.facebook.com/IowaHSEMD
NOAA WEATHER RADIO FOR
IOWA
http://www.nws.noaa.gov/nwr/Maps/PHP/Iowa.php
NATIONAL WEATHER SERVICE
WATCHES, WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/ia..php?x=1
SITUATION
(IOWA)
 FATALITIES: 2
 INJURED: Only minor.
 DESTRUCTION: Winston County and Tupelo – Severe damage
 UTILITIES: Power lines are down
 SHELTERS: 1 shelter has been open East 75 South Main Street, Tupelo
MS.
 STATE DECLARATION: NONE
 FEDERAL DECLATION:NONE
MS - LINKS
April 29 (1 p.m. CDT) - Parts of the U.S. were battered by heavy rain and flooding,
strong winds, and tornadoes over the weekend, from the Midwest to the east
coast.
Storm damage that has been reported in Iowa occurred mainly in rural areas of
the southwest part of the state. Reported damage includes trees, farm
outbuildings, grain bins, and a few residential structures. Localized flooding and
tornadic activity has also been reported, and the National Weather Service offices
in Des Moines and the Quad Cities have now each confirmed one tornado: an EF-
1 tornado touched down in Wapello County and another EF-1 tornado made its
way through Keokuk, Iowa and Johnson counties.
In addition, as many as 30,000 customers were without power at some point on
Sunday.
A few minor injuries have been reported and two Keokuk County residents have
been killed as a result of the storms.
No requests for state assistance have been received from any Iowa counties and
the State Emergency Operations Center was not activated, however, Iowa
Homeland Security and Emergency Management continues to monitor the
situation and will work with its local partners to assist should a need arise.
Because of storm effects in Arkansas, Iowa has temporarily assumed
the role of the National Coordinating State for the Emergency
Management Assistance Compact (EMAC).
EMAC is a nationwide interstate mutual aid compact that facilitates
the effective sharing of resources between member states impacted
by catastrophic disasters. Iowa served as the National Coordinating
State from March 2013 until March 2014, when Arkansas assumed
the responsibilities.
States typically serve one year as the National Coordinating State,
except during times when events in their jurisdiction preclude them
from doing so. Iowa Homeland Security and Emergency Management
will oversee EMAC response and recovery operations until Arkansas
is able to reassume the role.
SOURCES: IOWA EMEGENCY MANAGEMENT AGENCY
FEMA DAILY OPERTIONS BRIEF 30 APRIL 2014

13. KANSAS DEPARTMENT OF PUBLIC
HEALTH
http://www.kdheks.gov/cphp/
KANSAS EMERGENCY MANAGEMENT
AGENCY
http://www.kansastag.gov/kdem_default.asp
TWITTER
https://twitter.com/okem
FACEBOOK
https://www.facebook.com/pages/Kansas-Division-of-
Emergency-Management/67758892983
NOAA WEATHER RADIO FOR KANSAS
http://www.nws.noaa.gov/nwr/Maps/PHP/kansas.php
NATIONAL WEATHER SERVICE WATCHES,
WARNINGS AND ADVISORIES
http://alerts.weather.gov/cap/ks.php?x=1
SITUATION
(KANSAS)
 FATALITIES : 0
 INJURED: 25
 DESTRUCTION: Sixty to 70 homes and 20-25 businesses are reported
destroyed
 UTILITIES:
 SHELTERS: 1 shelters open
 STATE DECLARATION: Gov. Sam Brownback gave approval for a State of
Disaster Emergency proclamation at 6:30 p.m., 27 APR 2006
 FEDERAL DECLATION: NONE
KS - LINKS
An EF 2 tornado struck the community of Baxter Springs in Cherokee County at
approximately 5:46 p.m. Sunday evening, April 27. Sixty to 70 homes and 20-25
businesses are reported destroyed. No fatalities or injuries were reported.
• Baxter Springs (pop. 4k ) Cherokee County (Most heavily impacted area
was Cherokee County)
• Hammond (pop. 15k ) Bourbon County
• Hume (pop. 336) Linn County
• Prescott (pop. 264) Linn County
After producing damage in the town of Quapaw Oklahoma...The tornado crossed the
state line into Kansas and moved into the town of Baxter Springs...Producing a 150
yard wide swath of damage from southwest to northeast through the center of
town. Numerous homes and businesses were damaged or destroyed in Baxter
Springs and 25 injuries were reported. Several areas of EF 2 damage were noted
with areas of EF 0 and EF1 damage surrounding the more significant damage swath.
Wind speeds were estimated to be between 120 and 130 mph.
NWS – Springfield MO
SOURCES: KANSAS EMERGENCY MANAGEMENT AGENCY
FEMA DAILY OPERTIONS BRIEF 30 APRIL 2014
NWS – SPRINGFIELD MO
USGS CURRENT WATER DATA

14. MISSISSIPPI DEPARTMENT OF
PUBLIC HEALTH
http://www.msdh.state.ms.us/
MISSISSIPPI EMERGENCY
MANAGEMENT AGENCY
http://www.msema.org/
TWITTER
https://twitter.com/msema
FACEBOOK https://www.facebook.com/msemaorg?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
SITUATION
(MISSISSIPPI)
 FATALITIES: 12 Dead
 INJURED: Mass casualties have occurred. Triage teams from Oxford have been
dispatched to Tupelo area. Medical resupply trailer has been deployed. Jackson Team
is being mobilized to respond to Winston County.
 DESTRUCTION: Winston County and Tupelo – Severe damage
 UTILITIES: Power lines are down
 SHELTERS: 5 shelters open with 232 occupants
 STATE DECLARATION: Gov. Phil Bryant has declared a State of Emergency
Monday to make state resources available to assist affected areas.
 FEDERAL DECLATION: On April 29, 2014, the Governor of Mississippi requested a
Major Disaster Declaration For Severe Storms, Tornadoes, straight-line Winds and
Flooding beginning on April 28, 2014 and continuing
MS - LINKS
The Mississippi Emergency Management Agency has received reports of at 12
deaths and widespread damages related to the severe weather and tornadoes
that moved through the state Monday.
The counties reporting storm-related deaths are as follows:
• Issaquena: One death.
• Lee: One death.
• Rankin: One death.
• Winston: Nine deaths.
National Weather Service survey crews have confirmed tornadoes touched
down in at least three counties. Crews have rated the tornado in Tupelo as an
EF-2 with winds between 111 to 135 mph. Due to some areas being inaccessible
survey teams will look at additional damages to determine if the tornado may
have been stronger. In Winston County NWS surveyors determined damages
are the result of an EF-4 tornado with winds estimated between 166 to 200
mph. In Rankin County NWS survey teams have determined an EF-3 tornado
with winds between 136-165 mph touched down Monday evening.
The primary focus of emergency crews is search and rescue in the affected
areas. MEMA area coordinators have been dispatched to Itawamba, Lee and
Winston counties to assist with operations.
SHELTERS: :
• Columbus- Southside Baptist Church 100 Nashville Ferry Rd. East
• Louisville- First Methodist Church, 300 W. Main St.
• Louisville- First Baptist Church, 305 S. Church Ave.
• Pearl- Pearl Community Center next to City Hall 2420 Old Brandon Rd.
• Tupelo- BanccorpSouth Building, 375 E. Main St.
UTILITIES: As of 4 p.m. approximately 27,350 customers are without power in
the state.
.
Volunteers interested in assisting affected communities may sign up at
http://volunteermississippi.org/2014/04/2014-tornado-relief/.

15. SITUATION
(MISSISSIPPI)
DAMAGES: THE COUNTIES REPORTING DAMAGES ARE AS FOLLOWS:
CHOCTAW-: Several roads affected by flash flooding.
DESOTO: Several roads affected by flash flooding.
GRENADA: Eight homes minor damage.
HINDS: Several homes damaged, trees and power lines down, roads
affected by flash flooding.
ITAWAMBA: Several Homes damaged and roads affected by debris and
flash flooding.
JONES: Homes damaged and roads affected by flash flooding.
LEAKE: Several homes damaged.
LEE: Major damage in the City of Tupelo. Reports of extensive home
damage in the area.
LOWNDES: 35 homes with major damage. 55 homes with minor damage
and one business was destroyed.
MADISON: Several roads closed due to damage.
MONTGOMERY: Two homes destroyed, one with major damage and
eight homes with minor damage.
NESHOBA: Several roads closed due to debris and flooding.
NEWTON: Four homes destroyed and four homes with major
damage. Eight homes suffered minor damage and four homes were
affected. Five roads received major damage and another six had minor
damage.
QUITMAN: Trees and power lines down in the Marks community.
RANKIN: One death in Richland. Highland Park Trailer Park: 37 mobile homes destroyed,
12 with major damage, 11 with minor damage and 59 affected. Numerous injuries
reported from this location. Additional damage surveys are underway in other parts of
the county.
SCOTT: One home destroyed and one home with minor damage. One business received
minor damage and three people were injured. One person remains hospitalized.
SIMPSON: Two homes were destroyed, five homes with major damage and 15 homes
with minor damage.
WARREN: Four homes with major damage and three homes sustained minor damage.
WAYNE: Several homes affected and roads closed due to flooding.
WINSTON: Seven deaths and numerous injuries. Major damage near Louisville. The
Winston Medical Center has been damaged. Several homes have been destroyed.
Ambulances gather outside the Winston Medical Center in Louisville, Miss., Monday, April 28, 2014 after
a tornado hit the small hospital as well as several homes in the community. (AP Photo/Rogelio V. Solis)

16. OKLAHOMA DEPARTMENT OF
PUBLIC HEALTH
http://www.dps.state.ok.us/
OKLAHOMA EMERGENCY
MANAGEMENT AGENCY
http://www.ok.gov/oem/
TWITTER
https://twitter.com/okem
FACEBOOK https://www.facebook.com/OklahomaDepartmentofEmergen
cyManagement?sk=walll
NOAA WEATHER RADIO FOR
OKLAHOMA
http://www.nws.noaa.gov/nwr/Maps/PHP/Oklahoma.php
NATIONAL WEATHER SERVICE
WATCHES, WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/ok.php?x=1
SITUATION
(OKLAHOMA)
 FATALITIES: 1 confirmed (tornadoes)
 INJURED: 12 injured (5 treated and released at hospital /one
hospitalized)
 DESTRUCTION: Approximately 12 homes destroyed
 UTILITIES: Emergency power has been restored to the water supply
and the waste water treatment services.
 SHELTERS: 1 shelters open
 STATE DECLARATION:
 FEDERAL DECLATION:
OK - LINKS
SOURCES
OKLAHOMA DEPARTMENT OF EMERGENCY MANAGEMENT
One person was killed when a EF-2 tornado struck Quapaw, Okla., a town about 100
miles northeast of Tulsa, around 5:30 p.m., 27 APRIL 2014.
DAMAGE
The first damage from the tornado was that ranch home...Which lost numerous
shingles...A nearby barn was damaged...A mobile home had siding removed...And
large tree limbs were snapped in this area. The tornado moved northeast and
snapped several power poles and hardwood trees.
he tornado had very little condensation associated with it until it neared Highway
69a just outside of Quapaw where it snapped trees and destroyed a barn.
The tornado then moved into the town...Where it severely damaged several metal
building structures...Including the fire station. Numerous homes were severely
damaged several of which had their roofs blown off. Several buildings in town were
destroyed.
Two people were in a vehicle that they parked right up against one of those
buildings. In an attempt to shelter themselves from the approaching tornado. The
brick and concrete walls of the building collapsed on top of the vehicle. crushing it
and killing a 68year old male and injuring a female. Several other vehicles in
this area were damaged from flying debris.
About a dozen injuries occurred in town. Seven of which were serious enough to
warrant being transported to medical facilities. Numerous trees and power poles
were snapped
.

17. MISSISSIPPI DEPARTMENT OF
PUBLIC HEALTH
http://health.state.tn.us/
MISSISSIPPI EMERGENCY
MANAGEMENT AGENCY
http://www.tnema.org/
TWITTER
https://twitter.com/t_e_m_a
FACEBOOK
https://www.facebook.com/TNDisasterInfo
NOAA WEATHER RADIO FOR
MISSISSIPPI
http://www.nws.noaa.gov/nwr/Maps/PHP/Tennessee.php
NATIONAL WEATHER SERVICE
WATCHES, WARNINGS AND
ADVISORIES
http://www.weather.gov/alerts-beta/tn.php?x=1
SITUATION
(TENNESSEE)
 FATALITIES: 2
 INJURED: There were six persons seen at Lincoln Medical Center (LMC) for
storm related injuries. Additionally, two non-injury oxygen dependent victims
were transported to LMC by emergency medical services due to a loss of
electrical power to run home oxygen devices.
 DESTRUCTION: 11 homes had minor damage, 24 homes with major damage,
15 homes are destroyed
 UTILITIES: 4,604 customers are still without power statewide
 SHELTERS: 1 shelter has been open East 75 South Main Street, Tupelo MS.
 STATE DECLARATION:
 FEDERAL DECLATION:
TN - LINKS
EF-3 tornado touch down in Lincoln County on Monday, 28 APR 2014. 25
buildings were destroyed in the elementary school was severely damaged.
The state confirmed two fatalities, and a total of six injuries.
Search operations have concluded in all counties and all life-safety needs
have been met at this time. The state has transitioned fully into recovery
operations as of this date.
UTILITIES: A TVA tower is down in Lincoln County, however TVA is able to back-feed
power to area. Local power outages are still reported in Lincoln county
(approximately 3,000 customers) and in Memphis (999 customers). A total of
approximately 4,604 customers are still without power statewide
The South Lincoln Elementary School was heavily damaged by a tornado strike
on Monday, April 28, 2014. (TEMA)

18. SIGNS OF EMOTIONAL DISTRESS RELATED TO TORNADOES AND SEVERE STORM
 Eating or sleeping too much or too little
 Pulling away from people and things
 Having low or no energy
 Feeling numb or like nothing matters
 Having unexplained aches and pains like constant stomachaches or
headaches
 Feeling helpless or hopeless
 Excessive smoking, drinking or using drugs (including prescription
medication)
 Feeling unusually confused or forgetful
 Worrying a lot of the time; feeling guilty but not sure why
 Feeling like you have to keep busy
 Hyper-vigilant- constantly thinking that something is going to happen,
including when forecasts for any storm are issued whether or not they have
the chance to produce tornadoes or other severe weather
 Constant yelling or fighting with family and friends; irritable*
 Having thoughts and memories related to the storm that you can't seem to
get out of your head; nightmares
 'Triggers' such as sights or sounds that 'take you back' to the storm;
sweating or heart racing when you experience these triggers
 Unable to perform daily tasks like taking care of your kids or other
dependents, trouble showing up to work or school on time or at all
(excessive absences), trouble concentrating and getting things done, etc.
 Thinking of hurting or killing yourself or someone else.
Severe storms that produce tornadoes, strong wind gusts, lightning strikes, flash floods and other damaging effects can trigger
emotional distress in those that experience them: survivors in impacted areas (including children and teens), loved ones of victims,
those who have suffered damaged to or who have lost completely residential or business property, and first responders, rescue &
recovery workers are all at risk.
DISTRESS SYMPTOMS AFTER A TORNADO
Disaster Distress Helpline
1-800-985-5990 or
Text TalkWithUs to 66746
TTY for Deaf/Hearing Impaired:
1-800-846-8517
Feeling stressed?
If you or someone you know has been affected by a disaster and needs immediate
assistance, please call this toll-free number for information, support, and counseling.
You will be connected to the nearest crisis center.
Information and Referrals Within Tornado or Severe Storm-Impacted Areas: The
national '2-1-1' system offers up-to-the-minute, local, disaster-specific information and
resources. Visit http://www.211.org to locate a center serving a tornado or severe storm-
impacted area or just dial '2-1-1'.
SOURCE: SAMHSA – Disaster Distress
Raella Faulkner, at left, and
Bobby McElroy survey
what's left of their home
Monday, April 28, 2014
after a tornado struck the
town of Vilonia, Ark. late
Sunday. (AP Photo/Karen
E. Segrave)

19. BASIC STEPS
PREPARING FOR A FLOOD
 Contact the local county geologist or county planning department to find out if your home is
located in a flash-flood-prone area or landslide-prone area.
 Learn about your community's emergency plans, warning signals, evacuation routes, and
locations of emergency shelters.
 Plan and practice a flood evacuation route with your family. Ask an out-of-state relative or
friend to be the "family contact" in case your family is separated during a flood. Make sure
everyone in your family knows the name, address, and phone number of this contact person.
 Post emergency phone numbers at every phone.
 Inform local authorities about any special needs (Elderly or bedridden people, or anyone with
a disability)
 Identify potential home hazards and know how to secure or protect them before the flood
strikes. Be prepared to turn off electrical power when there is standing water, fallen power
lines, or before you evacuation. Turn off gas and water supplies before you evacuate. Secure
structurally unstable building materials.
 Buy a fire extinguisher and make sure your family knows where it is and how to use it.
 Buy and install sump pumps with back-up power.
 Have a licensed electrician raise electric components (switches, sockets, circuit breakers and
wiring) at least 12" above your home's projected flood elevation.
 For drains, toilets, and other sewer connections, install backflow valves or plugs to prevent
floodwaters from entering.
 Anchor fuel tanks which can contaminate your basement if torn free. An unanchored tank
outside can be swept downstream and damage other houses.
 Gather the emergency supplies you previously stocked in your home and stay tuned to local radio or
television station for updates.
 Turn off all utilities at the main power switch and close the main gas valve if evacuation appears
necessary.
 Have your immunization records handy or be aware of your last tetanus shot, in case you should
receive a puncture wound or a wound becomes contaminated during or after the flood.
 Fill bathtubs, sinks and plastic soda bottles with clean water. Sanitize the sinks and tubs first by
using bleach. Rinse and fill with clean water.
 Bring outdoor possessions, such as lawn furniture, grills and trash cans inside or tie them down
securely.
 Several clean containers for water, large enough for a 3-5 day supply of water (about five gallons for
each person).
 A 3-5 day supply of non-perishable food and a non-electric can opener.
 A first aid kit and manual and prescription medicines and special medical needs.
 A battery-powered radio, flashlights, and extra batteries.
 Water-purifying supplies, such as chlorine or iodine tablets or unscented, ordinary household chlorine
bleach.
 Baby food and/or prepared formula, diapers, and other baby supplies.
 Sleeping bags or extra blankets.
 Disposable cleaning cloths, such as "baby wipes" for the whole family to use in case bathing facilities
are not available.
 Personal hygiene supplies, such as soap, toothpaste, sanitary napkins, etc.
 An emergency kit for your car with food, flares, booster cables, maps, tools, a first aid kit, fire
extinguisher, sleeping bags, etc.
 Rubber boots, sturdy shoes, and waterproof gloves.
 Insect repellent containing DEET or Picaridin, screens, or long-sleeved and long-legged clothing for
protection from mosquitoes which may gather in pooled water remaining after the flood. (More
information about these and other recommended repellents can be found in the fact sheet Updated
Information Regarding Insect Repellents.)IF YOU ARE UNDER A FLOOD WATCH OR WARNING
NEEDED DURING THE EMERGENCY PERIOD
SOURCE: http://www.ct.gov/agingservices/lib/agingservices/pdf/preparingforaflood.pdf

20. IF YOU ARE ORDERED NOT TO EVACUATE
PREPARING FOR A FLOOD
Expect the need to evacuate and prepare for it. When a flood watch is
issued, you should:
 Fill your vehicle’s gas tank and make sure the emergency kit for your
car is ready.
 If no vehicle is available, make arrangements with friends or family for
transportation.
 Identify essential documents such as medical records, insurance card
along with ID cards and put in water prove material to carry with you
during evacuation.
 Fill your clean water containers.
 If you have pet, identify a shelter designated for pets.
 Review your emergency plans and supplies, checking to see if any
items are missing.
 Tune in the radio or television for weather updates.
 Listen for disaster sirens and warning signals.
 Put livestock and family pets in a safe area. Due to food and sanitation
requirements, emergency shelters cannot accept animals.
 Adjust the thermostat on refrigerators and freezers to the coolest
possible temperature.
You should never ignore an evacuation order. Authorities will direct you to
leave if you are in a low-lying area, or within the greatest potential path of
the rising waters. If a flood warning is issued for your area or you are
directed by authorities to evacuate the area:
 Take only essential items with you.
 If you have time, turn off the gas, electricity, and water.
 Disconnect appliances to prevent electrical shock when power is
restored.
 Follow the designated evacuation routes and expect heavy traffic.
 Do not attempt to drive or walk across creeks or flooded roads.
 If you are ordered not to evacuate
 To get through the storm in the safest possible manner:
 Monitor the radio or television for weather updates.
 Prepare to evacuate to a shelter or to a neighbor's home if your home
is damaged, or if you are instructed to do so by emergency personnel.
IF YOU ARE ORDERED TO EVACUATE
To get through the storm in the safest possible manner:
 Monitor the radio or television for weather updates.
 Prepare to evacuate to a shelter or to a neighbor's home if your home is
damaged, or if you are instructed to do so by emergency personnel.
PREPARING TO EVACUATE
SOURCE: CDC Key Facts About Flood Readiness

21. PREVENT ILLNESS AFTER A DISASTER
 Avoid wild or stray animals and biting or stinging insects.
 Call local authorities to handle animals.
 Get rid of dead animals, according to local guidelines, as soon as you can.
 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.
 For information on specific animal and insect issues, see protect yourself from animal- and
insect-related hazards after a natural disaster.
PROTECT YOURSELF FROM ANIMAL - AND INSECT-RELATED HAZARDS
PREVENT CARBON MONOXIDE POISONING
 Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if you
breathe it. Never use generators, pressure washers, grills, camp stoves, or other gasoline, propane,
natural gas, or charcoal-burning devices inside your home, basement, garage, or camper—or even
outside near an open window, door, or vent.
 Don't heat your house with a gas oven.
 If you are too hot or too cold, or you need to prepare food, don't put yourself and your family at risk
for co poisoning—look to friends, family, or a community shelter for help.
 If your co detector sounds, leave your home immediately and call 911.
 Seek prompt medical attention if you suspect co poisoning and are feeling dizzy, light-headed, or
nauseated.
 For further guidance on avoiding co poisoning, see protect yourself from carbon monoxideCLEAN UP SAFELY AFTER FLOODS
 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 more information, see flood water after a disaster or emergency.
KEEP FOOD AND WATER SAFE
 Food may not be safe to eat during and after an emergency. Water may not be safe for
cooking.
 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 example, bacteria), sewage, agricultural or industrial waste, chemicals, and other
substances that can cause illness or death.
 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 water for cooking, cleaning, or bathing.
 For more information, see keep food and water safe after a natural disaster or power outage.
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 children's 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 isn't available, use alcohol-based products made for washing hands.
 For more tips on washing your hands, see hand hygiene after a disaster.
PROTECT MENTAL HEALTH
 The days and weeks after an emergency are going to be rough. Some sleeplessness, anxiety,
anger, hyperactivity, mild depression, or lethargy are normal and may go away with time. If you
feel any of these symptoms acutely, seek counseling. Your state, local, tribal health departments
will help you find local resources, including hospitals or health care providers that you may need.
 Seek medical care if you are injured, feel sick, or have acute stress and anxiety.
 Keep as many elements of your normal routine incorporated into the disaster plans as possible,
including activities to calm children's fears.
 Be aware that you may have fewer resources to attend to your day-to-day conflicts, so it is best
to resolve what you can ahead of time.
 Turn to family, friends, and important social or religious contacts to setup support networks to
deal with the potential stressors.
 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.
 For additional resources, see disaster mental health resources.

22. PREVENT ILLNESS AFTER A DISASTER
AVOID MOSQUITOES
PREVENT ILLNESS FROM SEWAGE
PREVENT TEMPERATURE-RELATED ILLNESS
PREVENT OR TREAT WOUNDS
AVOID WILD OR STRAY ANIMALS
 Rain and flooding in a hurricane area may lead to an increase in mosquitoes, which can carry
diseases like west nile virus. In most cases, the mosquitoes will be pests but will not carry
communicable diseases.
 To protect yourself from mosquitoes, use screens on dwellings, and wear long pants, socks, and
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
repellents can be found in the fact sheet updated information regarding insect repellents.
 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 there is flooding along with a hurricane, the waters may contain fecal material from overflowing
sewage systems and agricultural and industrial waste. Although skin contact with floodwater does
not, by itself, pose a serious health risk, there is risk of disease from eating or drinking anything
contaminated with floodwater.
 If there has been a backflow of sewage into your house, wear rubber boots and waterproof gloves
during cleanup. Remove and discard contaminated household materials that cannot be disinfected,
such as wall coverings, cloth, rugs, and drywall.
 If you have any open cuts or sores that will be exposed to floodwater, keep them as clean as
possible by washing them with soap and applying an antibiotic ointment to discourage infection.
 Wash clothes contaminated with flood or sewage water in hot water and detergent and separately
from uncontaminated clothes and linens.
 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
bleach in five gallons of water. Some toys, such as stuffed animals and baby toys, cannot be
disinfected; they should be discarded.
When standing or working in water that is
cooler than 75 f (24°c):
 Wear rubber boots.
 Ensure that clothing and boots have
adequate insulation.
 Take frequent breaks out of the water.
 Change into dry clothing when possible.
 Immediately clean out all open wounds and cuts with soap and clean water. Keep wounds covered
with clean, dry bandages that are large enough to cover the wound and contain any pus or
drainage.
 Change bandages as needed and when drainage can be seen through the bandage. Contact a
doctor to find out whether more treatment is needed (such as a tetanus shot).
 If a wound gets red, swells, or drains, seek immediate medical attention.
 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.
 Do not cut the wound or attempt to suck the venom out. (See also the CDC rabies website, rat-bite
fever: frequently asked questions, and medical problems and treatment considerations for the red
imported fire ant [PDF, 658 KB/8 pages].)
CONTACT WITH HAZARDOUS MATERIAL
 If your skin or eyes may have come in contact with hazardous materials, such as acid from a car
battery, wash thoroughly with decontaminated water and seek medical attention as needed.
 If you have wounds, you should be evaluated for a tetanus immunization, just as you would at any
other time of injury.
 If you receive a puncture wound or a wound contaminated with feces, soil, or saliva, have a doctor
or health department determine whether a tetanus booster is necessary based on individual
records.
For further guidance e, see emergency wound care after a natural disaster.
TETANUS IMMUNIZATION
Prevent heat–related illness:
 Stay in air-conditioned buildings.
 Take breaks in shaded areas or in cool rooms.
 Drink water and nonalcoholic fluids often.
 Wear lightweight, light-colored, loose-fitting clothing.
 Do outdoor activities during cooler hours.
For further guidance, visit the cdc extreme heat website.
 Short bouts of diarrhea and upset stomach and colds or other breathing diseases sometimes occur in
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 alcohol
hand gel, especially after using the restroom or changing diapers and before eating, can help prevent
these diseases.
 Diseases like cholera or typhoid are rare in developed countries and do not typically occur after a
natural disaster.
 For information on infectious disease, see infectious disease after a disaster.
INFECTIOUS DISEASE
IMMUNIZATIONS
For information on immunizations for evacuees, relief workers, emergency responders and travelers, see
immunization after a natural disaster.