- Residents using private wells in hurricane-affected areas should take precautions if wells flooded, including disinfecting with chlorine bleach and testing water quality. - The Louisiana health department issued a list of public water systems under boil advisories following Hurricane Isaac due to potential contamination. - People on boil advisory systems should boil or chemically treat water before use until advisories are lifted to make water safe for drinking, cooking, brushing teeth.

1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT
Hurricane Isaac
KEY LINKS
BACKGROUND FEDERAL GOVERNMENT
DHS
CURRENT SITUATION FEMA
Facebook full site / Facebook mobile site
Twitter full site / Twitter mobile site
DISASTER SUPPLEMENTAL
NUTRITION ASSISTANCE PROGRAM HHS
CDC
WATER USDA
DOD
NORTHCOM
ENVIRONMENTAL ARNORTH
U.S. Army Corps of Engineers - Team New Orleans
National Hurricane Center
ELECTRICAL National Weather Service - Jackson Office, MS
National Weather Service – New Orleans/Baton Rouge
WEATHER LOUISIANA
Louisiana Governor’s Office of Homeland Security and
Preparedness
RIVER CONDITIONS Louisiana State Police
Severe Thunderstorm Louisiana Dept of Wildlife and Fisheries
Louisiana Dept of Corrections
Flash Flood Watch NURSING HOMES Louisiana Dept of Health and Hospitals
Louisiana Dept of Social Services
Severe Weather Louisiana Work Force Commission
DIALYSIS Louisiana Dept of Natural Resources
Flood Warning Louisiana National Guard
PREVENT ILLNESS AFTER A DISASTER Governor’s Office of Coastal Activities
Heat Advisory Louisiana Dept of Environmental Quality
Louisiana Attorney General’s Office
Hazardous Louisiana Economic Development
Louisiana Dept of Transportation and Development
Weather Outlook Division of Administration
TODAY AND TONIGHT A HEAT ADVISORY IS IN Louisiana Dept of Agriculture & Forestry
EFFECT FOR THE LOUISIANA SOUTH SHORE
PARISHES THROUGH THIS EVENING FOR HEAT INDEX
READINGS REACHING 100 TO 106. THERE IS A
CHANCE OF THUNDERSTORMS TODAY MAINLY OVER
THE EASTERN PORTIONS OF THE OUTLOOK AREA.
WHILE ORGANIZED SEVERE THUNDERSTORMS ARE
5 SEPTEMBER 2012
NOT EXPECTED...A FEW MAY PRODUCE WET
MICROBURST GUSTS TO 40 MPH...OCCASIONAL
LIGHTNING AND BRIEF TORRENTIAL RAINFALL.
WATERSPOUTS MAY OCCUR IN THE COASTAL
WATERS EAST OF THE MISSISSIPPI RIVER TODAY.

2. HURRICANE ISAAC
Background
TIME 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, Canterbury's, 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.
Louisiana announced mandatory evacuations for all low-lying areas along the Melanie Martinez stands in the front yard as family members salvage items from their flooded home in
Plaquemines Parish in Braithwaite, La. (Mario Tama / Getty Images / September 3, 2012)
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 – Tuesday 4 September
Recovery efforts continued throughout the state. At least 47% of the state's energy users
lost power in Louisiana, most has been restored.
Low level flooding continues and do flash floods as a result of the rain that Isaac deposited as
it moved inland.
It will likely take weeks to bring Louisiana back to normal after last week’s visit from
Hurricane Isaac, an unusually wet storm that caused serious flooding in 10 parishes and
damaged more than 13,000 homes.
man carries an armload of food, ice and water at a Hurricane Isaac aid distribution site in
Metairie- The Times-Picayune A
Source: New Orleans Times-Picayune
CNN
Washington Post

3. CURRENT SITUATION
 FATALITIES: 5
 DESTRUCTION: Assessments is on going but AIR Worldwide put insured losses
between 700 million – 2 billion in USD
MAJOR DISASTER DECLARATIONS
 UTILITIES: 11,014 without power
 94% of wireless and cellular transmitters are fully operational. NUMBER DATE STATE INCIDENT DESCRIPTION
 SHELTERS: 616
 STATE DECLARATION: 8/27/12
 FEDERAL DECLARATIONS: 8/28/12 4080 08/29 Louisiana Hurricane Isaac
 Resistance Assistance: To date, more than 35,000 Louisianans registered for
assistance, with roughly $400,000 approved, so far, for housing assistance and 4081 08/29 Mississippi Hurricane Isaac
other needs.
EMERGENCY DECLARATION
CURRENT SITUATION:
3347 08/27 Louisiana Tropical Storm Isaac
• LA EOC activated at Level II (Partial Activation)
3348 08/28 Mississippi Tropical Storm Isaac
• The Incident Command Post established to monitor the level of the Pearl River
and initial search and rescue operations ceased operation and closed at 6:30
p.m. CDT on September 4.
• Officials remain cognizant of flooding but are no longer concerned with a threat
of major flooding.
• 5 DRCs are operating in Plaquemines, St. John the Baptist, St. Tammany, St.
Bernard, and Orleans Parishes LINKS
Louisiana Health and Hospitals
• 15 PODs open across LA Department of Public Health
http://www.dhh.louisiana.gov/
Louisiana Governor's Office
• IA valid registrations: 125,022; Total IHP Approved $11,028,439 http://gohsep.la.gov/
Homeland Security and Emergency
Preparedness
• Housing Inspections: 69,545 issued; 17,188 completed Twitter
http://twitter.com/#!/GOHSEP
RIVERS Flickr
http://www.flickr.com/photos/lagohsep/
• River flooding on Pearl River continues http://www.facebook.com/gohsep
Facebook
• No roads are flooded
http://www.nws.noaa.gov/nwr/Maps/PHP/Louisiana.p
NOAA Weather Radio for LA
hp
• All other rivers have crested and should be below flood stage in the next National Weather Service Watches,
day or so http://www.weather.gov/alerts-beta/la.php?x=1
Warnings and Advisories
SOURCE: FEMA DAILY SITREP

4. CURRENT SITUATION
ESF-8 - MEDICAL AND PUBLIC HEALTH PERMANENT SUPPORTIVE HOUSING
Teams are continuing efforts to follow up with recipients. The services they are
MSSN: 1 MSNS at convention center in New Orleans, 21 pts and 4 caregivers last providing include– assisting people to get basic needs, food, water, temporary
night . AS OF 4:30 CDT 5 SEP 2012 the MSNS at the Convention Center is closed. assistance, etc.
ALL MSNS Operations are closed from Isaac response.
PERMANENT SUPPORTIVE HOUSING LATEST FOLLOW UP ON HOUSEHOLDS BY REGION
As of 0700 hrs 5 SEP 2012 Region 1 HOUSEHOLDS HOUSEHOLDS HOUSEHOLDS HOUSEHOLDS
ATTEMPTED SUCCESSFULLY IN UNITS STILL AT
Total Capacity of the MSNS 250 TO REACH REACHED EVACUATION
Available Slots in Shelter Currently SITE
Total in the Medical Special Needs Shelter: Region I 1524 1175 1058 120
Number of shelterees 7 CAHSD 162 129 119 10
Number of caregivers 1 Region III 89 85 71 14
Region IV/V
AMBULANCES JPHSA
DEPLOYED AMBULANCES FPHSA 194 174 174 18
REGION STATE STATE SPT VEHICLES
ASSISTED LIVING FACILITIES
1 29 1 DHH is monitoring the status of Assisted Living Facilities. In the affected areas,
ALF’s 24 ALF’s evacuated. As of 5 SEP 2012 - All have repatriated. All have
2 2 1 power.
3 10
ICF/DD FACILITIES (GROUP HOMES)
6 2
97% of Group Homes have repatriated. There are only 5 remaining
9 6 evacuated, 2 in Region 1 and 3 in Region 3.
TOTAL DISPATCHED 49 2
TOTAL AVAILABLE 16 32
HOSPITALS:
• Hospital are all operational
• Across the state, 60 hospitals lost power. Power has been restored at all
hospitals, no hospitals are running on generators.

5. DISASTER SUPPLEMENTAL NUTRITION ASSISTANCE
PROGRAM (DNSAP)
The Louisiana Department of Children and Family Services (DCFS) today announced The following locations will be open Wednesday, September 5 to Wednesday,
locations where residents of nine parishes can finalize their application for Disaster September 12 from 8 a.m. to 6 p.m., but will be CLOSED for the day on Sunday,
Supplemental Nutrition Assistance Program (DNSAP) benefits. Additional sites will September 9.
be announced as the need arises or as additional parishes are approved for DSNAP. • Plaquemines - Exceleration Church, 202 Woodland Hwy., Belle Chasse
DSNAP provides food assistance for eligible households who do not receive regular • St. Bernard - Christian Fellowship Church, 5816 E. Judge Perez Dr., Violet
SNAP benefits and who need help buying groceries due to lost income or damages • St. Tammany - YMCA, 71256 Francis Road, Covington
following a disaster. • St. Tammany - First Baptist Church, 16333 Hwy. 1085, Covington
• The above sites will follow the following schedule:
The following locations will be open Wednesday, September 5 through Tuesday, • Wednesday, September 5 - A through C
September 11 from 8 a.m. to 6 p.m. • Thursday, September 6 - D through G
• Ascension Parish - Lamar Dixon Expo Center, 9039 St. Landry Rd., Gonzales • Friday, September 7 - H through L
• Jefferson Parish - Alario Center, 2000 Segnette Blvd., Westwego • Saturday, September 8 - M through R
• Lafourche Parish - Peltier Park, 151 Peltier Park, Thibodaux • Sunday, September 9 – CLOSED
• Livingston Parish - Amvets, 26890 Hwy. 42, Springfield • Monday, September 10 - S through Z
• Orleans Parish - University of New Orleans, 6801 Franklin Ave., New Orleans • Tuesday, September 11 - All applicants unable to make prior scheduled day
• St. John - New Wine Christian Church, 1929 W. Airline Hwy., LaPlace • Wednesday, September 12 -- All applicants unable to make prior scheduled
day
In Lafourche Parish, DCFS will open a second site on Friday, September 7 at South
Lafourche Parish Library, 16241 East Main, Cutoff, now that electrical services have DSNAP applicants MUST go to a specified DSNAP site to apply and receive
been restored benefits. DCFS offices will not accept DSNAP applications. Applicants may name
an Authorized Representative to go to a DSNAP site on their behalf.
For the above locations, applicants should go on the following designated days Accommodations will be made for the elderly and those with disabilities to
based on their last name. reduce on-site wait times.
• Wednesday, September 5 - A through C
• Thursday, September 6 - D through G
• Friday, September 7 - H through L
• Saturday, September 8 - M through R
• Sunday, September 9 - S through Z
• Monday, September 10 - All applicants unable to make prior scheduled day
• Tuesday, September 11 - All applicants unable to make prior scheduled day
For a quicker process, residents of those parishes should pre-apply for DSNAP before going
to a DSNAP site. Pre-apply online at WW.DCFS.LA.GOV/PREAPPLY or call 1-888-LAHELP-
U (888-524-3578) 24 hours a day, seven days a week. Callers should select the appropriate
language and then select options 3 and 3.
FOR FURTHER INFORMATION:
http://www.dcfs.louisiana.gov/index.cfm?md=newsroom&tmp=detail&articleID=451

6. WATER
HEALTH DEPARTMENT ISSUES COMPREHENSIVE LIST OF
HEALTH DEPARTMENT ADVISES RESIDENTS WATER SYSTEMS UNDER BOIL ADVISORY FOLLOWING
USING PRIVATE WELLS IN HURRICANE ISAAC (4 SEPT 12)
HURRICANE-AFFECTED
The Louisiana Department of Health and Hospitals' Safe Drinking Water Program issued
AREAS OF RISKS, TESTING OPTIONS
its most comprehensive water system boil advisory list following Hurricane Isaac.
The DHH Office of Public Health staff contacted water systems around the State to
The Louisiana Department of Health and Hospitals advises Louisiana residents in assess whether their systems experienced any of these issues and would need a
the parishes affected by Hurricane Isaac who use private wells for their drinking precautionary boil advisory. See DHH's list of public water systems in Louisiana under
water systems to take water safety precautions if their wells flooded during the a boil advisory. DHH also has a list of water systems safe to drink.
storm.
Customers of a water system that is under a boil advisory should disinfect it prior to
If a homeowner's water well was flooded during Hurricane Isaac, the well owner consumption until notified the system is restored and the advisory is lifted. People
should disinfect the well using a chlorine bleach solution following recommended whose water system is under a boil advisory should disinfect water prior to drinking it,
Environmental Protection Agency guidelines. The owner should then flush the cooking with it, brushing teeth or preparing food using one of the following methods:
well.
• Boil water for one full minute in a clean container. The one-minute boil time begins
If well owners wish to have their water tested for contamination, there are after the water has been brought to a rolling boil. (The flat taste that sometimes
private laboratories throughout the state that are certified to test drinking water results from this process can be eliminated by shaking the water in a bottle or
samples and will perform this service for a fee. DHH has a list of state-certified pouring it from one container to another.)
drinking water laboratories available online at www.dhh.louisiana.gov. Owners
should wait to submit water samples for testing until they have disinfected and • If the water is clear coming from the tap, mix 1/8 teaspoon of unscented, liquid
flushed the well. chlorine laundry bleach with one gallon of water and let it stand for at least 30
minutes prior to consumption. If the water is cloudy or colored, use 1/4 teaspoon
If the lab tests are positive for contaminants, the well owner will be advised not to per gallon of water. Be sure to mix thoroughly. If the treated water has too strong a
consume the water (e.g. drinking, brushing teeth, cooking with it) until the water chlorine taste, it can be made more palatable by allowing the water to stand
has been boiled or chemically disinfected. exposed to the air for a few hours or by pouring it from one clean container to
another several times.
For more information on private well water testing, see DHH's brochure on this
process or contact DHH's Safe Drinking Water Program at 225-342-7499. • Boiling is the most effective method of disinfecting drinking water, and is
particularly important for people have compromised immune systems (e.g. those
To contact your parish sanitarian about submitting well samples to your local who have HIV/AIDS or cancer, and organ transplant patients who are taking
health unit, call 225-342-7643, or visit DHH's list of parish health units throughout immunosuppressive drugs.) This is also recommended for infants and the elderly.
the State to find the contact information for your local health unit
People who obtain their water from these systems must continue disinfecting their
SOURCES:http://new.dhh.louisiana.gov/index.cfm/newsroom/detail/2621
drinking water by one of the above listed methods until the Department of Health and
Hospitals issues a public notice that the water has been tested and is now safe to drink.
http://www.dhh.louisiana.gov/assets/docs/Isaac/WaterNotSafeToDrinkReport.pdf

7. WATER OUTAGES

8. ENVIRONMENTAL
Law enforcement officials ordered the evacuation of homes within a DEQ, along with its state, federal and local partners, continue to conduct
half-mile of storm-damaged Stolthaven chemical plant in Braithwaite to assessments in the impacted area. There have been several small sheens
guard against possible contamination or fire on 3 September. found. Agencies are working with possible responsible parties to clean up any
spills.
Teams with the U.S. Environmental protection agency and the state
Floodwaters could also contain bacteria from a variety of sources. Avoid
department of environmental quality were evaluating the Stolthaven contact with floodwater whenever possible. Sometimes after storm events,
New Orleans plant, which has been without power since Hurricane drums or others types of containers get displaced. These containers may
Isaac struck last week. contain hazardous waste and may need special type of disposal method.
Air monitoring continued but no off-site impacts have been detected. The public should not handle these containers.
The Coast Guard, State Police and other local and state agencies are
joining the effort and Stolthaven contractors are working to manage
any releases,
DEQ responders are assessing orphaned containers in the area, some
from the Stolthaven facility and are overseeing all sampling plans and
reviewing all data for air monitoring, air and water sampling, Mallett
said.
The Louisiana Department of Environmental Quality is reminding people in the
impacted area of Hurricane Isaac and the flooding aftermath to be cautious
around orphaned containers and sheens on the water.
State and federal officials, such as the U.S. Coast Guard, are asking residents to
avoid any contact with chemicals or pollution they come across, and to report
it to the Coast Guard New Orleans Operations Center at 504-365-2200, the
National Response Center at 800-424-8802 or the DEQ hotline at 225-219-
3640, during working hours or 225-342-1234 or 888-763-5424 after hours. A boom surrounds flooded railcars as a chemical plant in Braithwaite, La.
Also, if there is an emergency situation, call local 911 or closest local
emergency responder.
SOURCE: http://www.labeoc.org/labeoc/alerts/Alert_Details.aspx?id=729

9. LDWF CLOSES A PORTION OF COASTAL WATERS DUE TO THE
EMERGENCE OF OIL ON ADJACENT BEACHES
EFFECTIVE IMMEDIATELY - (4 SEP 2012) Louisiana Department of
Wildlife and Fisheries Secretary Robert Barham announced an
emergency closure of a portion of coastal waters due to the
emergence of a large tar mat and concentrations of tar balls on
adjacent beaches.
This action is taken in coordination with the Louisiana Department
of Environmental Quality, who will assist with the investigation to
determine the extent, source, and impacts of the oil in the
environment.
The area affected by this emergency closure includes the portion of
state outside waters seaward a distance of one mile from the
shoreline from the eastern shore of Belle Pass at 90 degrees 13
minutes 30 seconds west longitude eastward to the western shore of
Caminada Pass at 90 degrees 02 minutes 46.6 seconds west
longitude.
All commercial and recreational fishing is prohibited within these
waters except for recreational and charter boat angling. The harvest
of live bait by wholesale/retail seafood dealers who hold a special
bait dealers permit and who harvest live bait for sale to recreational
fishermen exclusively is also permitted.
In addition to this closure, certain areas are still closed to
recreational and commercial fishing due to the 2010 Deepwater
Horizon oil spill. Maps of the areas still closed to recreational and
commercial fishing are posted on the LDWF website
at www.wlf.louisiana.gov/oilspill.
Tar balls photographed by Louisiana state response teams on Elmer’s
Island in Jefferson Parish on September 1, 2012.
Photo credit: Louisiana Department of Wildlife and Fisheries

10. ELECTRICAL OUTAGES
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 9:30 p.m.
Entergy Gulf States Louisiana: 509
Entergy Louisiana: 10,481
Entergy New Orleans: 24
Total System wide: 11,014 (excludes customers with storm
damage or flooding who cannot take service.)
Percent of customers restored:
Entergy Gulf States Louisiana: 100 percent.
Entergy Louisiana: 98 percent.
Entergy New Orleans: 100 percent.
Total System wide: 99 percent
http://stormcenter.entergy.com/default.aspx

11. WEATHER CONDITIONS
AS OF 5 SEPTEMBER 2012
Heat advisory remains in effect until 7 PM CDT this evening
6 – 11 September Thursday through Tuesday there will be a chance of thunderstorms each day
Thursday through Saturday. Some thunderstorms may become strong to marginally severe
Saturday along a strong cold front. Heat index readings will be in the 100 to 110 range each
afternoon through Saturday. Less humid conditions are expected after frontal passage Sunday
through Tuesday. An large area of disturbed weather was moving offshore into the northeast Gulf of
Mexico. There is a slight chance of this system developing further into a tropical depression over
the next few days. At this time...It appears impacts to coastal Louisiana and coastal Mississippi will
be minimal though tide levels will have to be monitored closely through Sunday.
http://www.wunderground.com/weather-forecast/US/LA/New_Orleans.html
http://forecast.weather.gov/showsigwx.php?warnzone=LAZ062&warncounty=LAC071&firewxzone=LAZ062&local_place1=&product1=Hazardou
s+Weather+Outlook

12. A HEAT ADVISORY is in effect primarily for areas still without power and
adequate climate control. Heat index readings should reach 100 to 106 range
this afternoon. Stay out of the sun for prolonged periods of time and drink
plenty of liquids.
A heat advisory is in effect for the Louisiana South Shore Parishes through
this evening for heat index readings reaching 100 to 106. There is a chance of
thunderstorms today mainly over the eastern portions of the outlook area.
While organized severe thunderstorms are not expected...A few may produce
wet microburst gusts to 40 mph. Occasional lightning and brief torrential
rainfall. Waterspouts may occur in the coastal waters east of the Mississippi
river today.

13. RIVER CONDITIONS
THE FLOOD WARNING CONTINUES FOR THE FOLLOWING RIVERS:
BOGUE CHITTO RIVER NEAR BUSH AFFECTING ST. TAMMANY PARISH At 10:15 am Wednesday the stage was 12.1 feet. Minor flooding is
occurring and minor flooding is forecasted (The flood stage is 11.0 feet.)
FORECAST: The river is expected to continue to fall to below flood stage by Friday morning.
IMPACT: At 11.0 feet...The access road upstream of the bridge will flood. The river will leave the main channel on the left bank below the bridge flooding
woodlands on either side of Louisiana highway
PEARL RIVER NEAR BOGALUSA AFFECTING ST. TAMMANY AND WASHINGTON PARISHES IN LOUISIANA At 10:00 am Wednesday the stage
was 20.8 feet. Minor flooding is occurring and minor flooding is forecast. ( The flood stage is 18.0 feet)
FORECAST: the river will continue to slowly fall to a stage of 20.7 feet by tomorrow morning.
IMPACT: At 20.0 feet - .Woodlands and crop acreage along the river will be flooded. The Bogue Chitto wildlife management area will be inundated with
water in recreational camps and over access roads.
SOURCE http://www.srh.noaa.gov/lmrfc/?n=fop
http://www.srh.noaa.gov/lmrfc/

14. FLOODING
• Bogue Chitto River - Water levels have crested and are now
falling on the Bogue Chitto River.
• Pearl River - There is major flooding on the Pearl River for
the next few days .
SOURCE http://www.srh.noaa.gov/lmrfc/?n=fop
http://www.srh.noaa.gov/lmrfc/
Jesse Shaffer Sr. checks on the water level inside the Braithwaite
levee Wednesday September 5, 2012. An intentional breach
helps drain the area. PHOTO DAVID GRUNFELD / THE TIMES-
PICAYUNE

15. NURSING HOMES
• Eleven nursing homes conducted patient movement prior to the storm or as a result of subsequent flooding. All have repatriated
their residents
• Across the state, 80 nursing homes lost power. Power has been restored at 74 nursing homes and two nursing homes are running on
generators. All of the homes currently running on generator have HVAC.
NURSING HOME REPATRIATION
NUMBER OF NURSING HOMES THAT MOVED NURSING HOME REPATRIATION
RESIDENTS PRE-STORM
Bayside Health Care (Gretna) Returned
Luling Living Center (Luling) Returned
Ormond Nursing and Care Center Returned
Maison DeVille Nursing Home (Houma) Returned
9 Lafon Nursing Facility of Holy Family Returned
Maison DeVille Nursing Home (Harvey) Returned
Raceland Manor Nursing Home Returned
West Jefferson Health Care Center in Harvey Returned
Riverbend Nursing and Rehabilitation Center Returned
NUMBER OF NURSING HOMES THAT MOVED NURSING HOME REPATRIATION
RESIDENTS DUE TO THE QUINCY DAM
Tangi Pines Nursing Home Returned
2
Poydras Home Returned

16. DIALYSIS
As a result of Isaac, Louisiana’s dialysis patients are particularly • Store a three-day supply of food based on your emergency meal
vulnerable, since they typically need treatment every 2-3 days, and plan. Speak with your healthcare team about when to begin
any substantial delay can be life threatening. Dialysis patients following your emergency plan. Limit fluid intake to two cups per
impacted 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 when
dialysis clinic to schedule their treatments. WAFB Baton Rouge and needed.
The following are some disaster preparedness tips for dialysis
patients: 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
nearest open dialysis facility. The hotline is staffed by customer
service specialists who can provide locations and contact numbers
for alternate facilities, if necessary.
• 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.

17. PREVENT ILLNESS AFTER A DISASTER
PROTECT YOURSELF FROM ANIMAL - AND INSECT-RELATED KEEP FOOD AND WATER SAFE
HAZARDS 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.
 Don't 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, don't put yourself and your family at risk
including activities to calm children's 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 protect yourself from carbon monoxide
CLEAN co poisoning, see AFTER FLOODS  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 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.

18. 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 alcohol
When 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 prevent
cooler 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.