Task Force St. Bernard: Operational Issues and Medical Management of a National Guard Disaster Response Operation

2007 ◽  
Vol 22 (5) ◽  
pp. 440-447
Author(s):  
Carl J. Bonnett ◽  
Tony R. Schock ◽  
Kevin E. McVaney ◽  
Christopher B. Colwell ◽  
Christopher Depass

AbstractAfter Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incor- porated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encoun- tered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

2018 ◽  
Vol 18 (1) ◽  
pp. 24-39 ◽  
Author(s):  
Fayola Jacobs

After Hurricane Katrina’s devastation of the United States’ Gulf Coast, conversations about flooding became focused on the interconnections between so-called “natural” disasters, poverty, gender and race. Although research has long shown that women, people of color and low-income communities are more vulnerable to natural hazards, the disproportionate effects of Hurricane Katrina and subsequent federal and state disaster response efforts forced the national spotlight on the institutional and systemic nature of racism, classism and sexism. Using Black feminism and radical planning theory, two lenses that provides a comprehensive framework for understanding racism, classism and sexism, this article examines the concept and literature of social vulnerability. I argue while social vulnerability research has made significant contributions to planners’ understandings of disasters and inequity, it fails to center community knowledge, identify intersectional oppressions and name them as such and encourage community activism, all of which are keys to making meaningful change.


2015 ◽  
Vol 9 (6) ◽  
pp. 657-665 ◽  
Author(s):  
Tonya Cross Hansel ◽  
Howard J. Osofsky ◽  
Jennifer Langhinrichsen-Rohling ◽  
Anthony Speier ◽  
Tim Rehner ◽  
...  

AbstractObjectiveFor close to a decade, the Gulf Coast of the United States has been in almost constant disaster recovery mode, and a number of lessons have been learned concerning disaster recovery and behavioral health. The purpose of this report was to describe the natural development of a Gulf Coast Resilience Coalition (GCRC).MethodsThe GCRC methods began with state-specific recovery goals following Hurricane Katrina in 2005 and transitioned to a shared multistate and multidiscipline coalition. The coalition’s effectiveness is demonstrated through continuation, procurement of funding to provide response services, and increased membership to ensure sustainability.ResultsThe coalition has enhanced response, recovery, and resilience by providing strategic plans for dissemination of knowledge; post-disaster surveillance and services; effective relationships and communication with local, state, and regional partners; disaster response informed by past experience; a network of professionals and community residents; and the ability to improve access to and efficiency of future behavioral health coordination through an organized response.ConclusionsThe GCRC can not only improve readiness and response, but work toward a shared vision of improved overall mental and behavioral health and thus resilience, with beneficial implications for the Gulf South and other communities as well. (Disaster Med Public Health Preparedness. 2015;9:657–665)


2009 ◽  
Vol 95 (1) ◽  
pp. 6-12
Author(s):  
Kusuma Madamala ◽  
Claudia R. Campbell ◽  
Edbert B. Hsu ◽  
Yu-Hsiang Hsieh ◽  
James James

ABSTRACT Introduction: On Aug. 29, 2005, Hurricane Katrina made landfall along the Gulf Coast of the United States, resulting in the evacuation of more than 1.5 million people, including nearly 6000 physicians. This article examines the relocation patterns of physicians following the storm, determines the impact that the disaster had on their lives and practices, and identifies lessons learned. Methods: An Internet-based survey was conducted among licensed physicians reporting addresses within Federal Emergency Management Agency-designated disaster zones in Louisiana and Mississippi. Descriptive data analysis was used to describe respondent characteristics. Multivariate logistic regression was performed to identify the factors associated with physician nonreturn to original practice. For those remaining relocated out of state, bivariate analysis with x2 or Fisher exact test was used to determine factors associated with plans to return to original practice. Results: A total of 312 eligible responses were collected. Among disaster zone respondents, 85.6 percent lived in Louisiana and 14.4 percent resided in Mississippi before the hurricane struck. By spring 2006, 75.6 percent (n = 236) of the respondents had returned to their original homes, whereas 24.4 percent (n = 76) remained displaced. Factors associated with nonreturn to original employment included family or general medicine practice (OR 0.42, 95 percent CI 0.17–1.04; P = .059) and severe or complete damage to the workplace (OR 0.24, 95 percent CI 0.13–0.42; P < .001). Conclusions: A sizeable proportion of physicians remain displaced after Hurricane Katrina, along with a lasting decrease in the number of physicians serving in the areas affected by the disaster. Programs designed to address identified physician needs in the aftermath of the storm may give confidence to displaced physicians to return.


2012 ◽  
Vol 27 (4) ◽  
pp. 325-329 ◽  
Author(s):  
David Howard ◽  
Rebecca Zhang ◽  
Yijian Huang ◽  
Nancy Kutner

AbstractIntroductionDialysis centers struggled to maintain continuity of care for dialysis patients during and immediately following Hurricane Katrina's landfall on the US Gulf Coast in August 2005. However, the impact on patient health and service use is unclear.ProblemThe impact of Hurricane Katrina on hospitalization rates among dialysis patients was estimated.MethodsData from the United States Renal Data System were used to identify patients receiving dialysis from January 1, 2001 through August 29, 2005 at clinics that experienced service disruptions during Hurricane Katrina. A repeated events duration model was used with a time-varying Hurricane Katrina indicator to estimate trends in hospitalization rates. Trends were estimated separately by cause: surgical hospitalizations, medical, non-renal-related hospitalizations, and renal-related hospitalizations.ResultsThe rate ratio for all-cause hospitalization associated with the time-varying Hurricane Katrina indicator was 1.16 (95% CI, 1.05-1.29; P = .004). The ratios for cause-specific hospitalization were: surgery, 0.84 (95% CI, 0.68-1.04; P = .11); renal-related admissions, 2.53 (95% CI, 2.09-3.06); P < .001), and medical non-renal related, 1.04 (95% CI, 0.89-1.20; P = .63). The estimated number of excess renal-related hospital admissions attributable to Katrina was 140, representing approximately three percent of dialysis patients at the affected clinics.ConclusionsHospitalization rates among dialysis patients increased in the month following the Hurricane Katrina landfall, suggesting that providers and patients were not adequately prepared for large-scale disasters.Howard D, Zhang R, Huang Y, Kutner N. Hospitalization rates among dialysis patients during Hurricane Katrina. Prehosp Disaster Med. 2012;27(4):1-5.


2010 ◽  
Vol 14 (14) ◽  
pp. 1-12 ◽  
Author(s):  
Shrinidhi Ambinakudige ◽  
Sami Khanal

Abstract Southern forests contribute significantly to the carbon sink for the atmospheric carbon dioxide (CO2) associated with the anthropogenic activities in the United States. Natural disasters like hurricanes are constantly threatening these forests. Hurricane winds can have a destructive impact on natural vegetation and can adversely impact net primary productivity (NPP). Hurricane Katrina (23–30 August 2005), one of the most destructive natural disasters in history, has affected the ecological balance of the Gulf Coast. This study analyzed the impacts of different categories of sustained winds of Hurricane Katrina on NPP in Mississippi. The study used the Carnegie–Ames–Stanford Approach (CASA) model to estimate NPP by using remote sensing data. The results indicated that NPP decreased by 14% in the areas hard hit by category 3 winds and by 1% in the areas hit by category 2 winds. However, there was an overall increase in NPP, from 2005 to 2006 by 0.60 Tg of carbon, in Mississippi. The authors found that Pearl River, Stone, Hancock, Jackson, and Harrison counties in Mississippi faced significant depletion of NPP because of Hurricane Katrina.


Author(s):  
Kenneth Joh ◽  
Alexandria Norman ◽  
Sherry I. Bame

AbstractHurricanes Katrina and Rita struck the US Gulf Coast in 2005, leading to the largest mass evacuation in US history and straining the region’s transportation infrastructure and services. This case study addresses the topic of disaster response to transportation unmet needs through an unprecedented spatial and longitudinal analysis of transportation-related disaster 2-1-1 call data collected in real-time, allowing for the investigation of unmet transportation needs by location and disaster phases. The authors analyze 25,205 transportation-related calls logged in Texas’ 25 regional 2-1-1 Area Information Centers from August 1 to December 31, 2005, including a baseline period before Hurricane Katrina, evacuation and landfall, and 3-months recovery post-Hurricane Rita. The spatial results show that transportation unmet needs were concentrated in Texas’ major metropolitan areas, especially in Houston-Galveston, and along highway evacuation routes. However, after controlling for population size, areas close to the landfall site and evacuation destinations had greater unmet transportation needs. Longitudinally, transportation unmet needs surged during evacuation and immediate disaster response then returned to baseline levels during recovery. Based on the results of the case study analyzing Texas 2-1-1 call data of unmet transportation needs, strategies and policies for improving mass evacuation and transportation support services are proposed and discussed.


Author(s):  
David Perkes ◽  

What is changing in the world so that the word “resilience” is so frequently used? 2015 marks the ten year anniversary of Hurricane Katrina and the five year anniversary of the Gulf of Mexico oil spill. The Gulf Coast Community Design Studio has been working on the Mississippi Gulf Coast since Hurricane Katrina and their work provides the vantage point of this paper. The Gulf Coast Community Design Studio is an off-campus research and service center of Mississippi State University College of Architecture, Art and Design located in Biloxi, Mississippi. It was created to respond to Hurricane Katrina and has evolved from disaster response to long-term efforts of resilience. The design studio’s evolution is not an isolated story. It is part of a national move toward resilience.


2015 ◽  
Vol 10 (1) ◽  
pp. 174-179 ◽  
Author(s):  
Curtis Harris ◽  
Tawny Waltz ◽  
James Patrick O’Neal ◽  
Kelly Nadeau ◽  
Matthew Crumpton ◽  
...  

AbstractThe watershed events of September 11, 2001; the anthrax attacks; Hurricane Katrina; and H1N1 necessitated that the United States define alternative mechanisms for disaster response. Specifically, there was a need to shift from a capacity building approach to a capabilities based approach that would place more emphasis on the health care community rather than just first responders. Georgia responded to this initiative by creating a Regional Coordinating Hospital (RCH) infrastructure that was responsible for coordinating regional responses within their individual geographic footprint. However, it was quickly realized that hospitals could not accomplish community-wide preparedness as a single entity and that siloed planning must come to an end. To reconcile this issue, Georgia responded to the 2012 US Department of Health and Human Services concept of coalitions. Georgia utilized the existing RCH boundaries to define its coalition regions and began inviting all medical and nonmedical response partners to the planning table (nursing homes, community health centers, volunteer groups, law enforcement, etc). This new collaboration effectively enhanced emergency response practices in Georgia, but also identified additional preparedness-related gaps that will require attention as our coalitions continue to grow and mature.(Disaster Med Public Health Preparedness. 2016;10:174–179)


2007 ◽  
Vol 135 (12) ◽  
pp. 3905-3926 ◽  
Author(s):  
Ron McTaggart-Cowan ◽  
Lance F. Bosart ◽  
John R. Gyakum ◽  
Eyad H. Atallah

Abstract The devastating effects of Hurricane Katrina (2005) on the Gulf Coast of the United States are without compare for natural disasters in recent times in North America. With over 1800 dead and insured losses near $40 billion (U.S. dollars), Katrina ranks as the costliest and one of the deadliest Atlantic hurricanes in history. This study documents the complex life cycle of Katrina, a storm that was initiated by a tropical transition event in the Bahamas. Katrina intensified to a category-1 hurricane shortly before striking Miami, Florida; however, little weakening was observed as the system crossed the Florida peninsula. An analog climatology is used to show that this behavior is consistent with the historical record for storms crossing the southern extremity of the peninsula. Over the warm Gulf of Mexico waters, Katrina underwent two periods of rapid intensification associated with a warm core ring shed by the Loop Current. Between these spinup stages, the storm doubled in size, leading to a monotonic increase in power dissipation until Katrina reached a superintense state on 28 September. A pair of extremely destructive landfalls in Louisiana followed the weakening of the system over shelf waters. Despite its strength as a hurricane, Katrina did not reintensify following extratropical transition. The evolution of the storm’s outflow anticyclone, however, led to a perturbation of the midlatitude flow that is shown in a companion study to influence the Northern Hemisphere over a period of 2 weeks. An understanding of the varied components of Katrina’s complex evolution is necessary for further developing analysis and forecasting techniques as they apply to storms that form near the North American continent and rapidly intensify over the Gulf of Mexico. Given the observed overall increase in Atlantic hurricane activity since the mid-1990s, an enhanced appreciation for the forcings involved in such events could help to mitigate the impact of similar severe hurricanes in the future.


Author(s):  
John Collier ◽  
Srijith Balakrishnan ◽  
Zhanmin Zhang

AbstractOver the past years, the frequency and scope of disasters affecting the United States have significantly increased. Government agencies have made efforts in improving the nation’s disaster response framework to minimize fatalities and economic loss due to disasters. Disaster response has evolved with the emergency management agencies incorporating systematic changes in their organization and emergency response functions to accommodate lessons learned from past disaster events. Technological advancements in disaster response have also improved the agencies’ ability to prepare for and respond to natural hazards. The transportation and logistics sector has a primary role in emergency response during and after disasters. In this light, this paper seeks to identify how effective policy changes and new technology have aided the transportation and logistics sector in emergency response and identify gaps in current practices for further improvement. Specifically, this study compares and contrasts the transportation and logistical support to emergency relief efforts during and after two major Hurricane events in the U.S., namely Hurricane Katrina (which affected New Orleans in 2005) and Hurricane Harvey (which affected Houston in 2017). This comparison intends to outline the major steps taken by the government and the private entities in the transportation and logistics sector to facilitate emergency response and the issues faced during the process. Finally, the paper summarizes the lessons learned from both the Hurricane events and provides recommendations for further improvements in transportation and logistical support to disaster response.


Sign in / Sign up

Export Citation Format

Share Document