Emergency Response and Management: Lessons Learned on the Gulf Coast

2015 ◽  
pp. 200-219
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.


Author(s):  
Randall Spain ◽  
Jason Saville ◽  
Barry Lui ◽  
Donia Slack ◽  
Edward Hill ◽  
...  

Because advances in broadband capabilities will soon allow first responders to access and use many forms of data when responding to emergencies, it is becoming critically important to design heads-up displays to present first responders with information in a manner that does not induce extraneous mental workload or cause undue interaction errors. Virtual reality offers a unique medium for envisioning and testing user interface concepts in a realistic and controlled environment. In this paper, we describe a virtual reality-based emergency response scenario that was designed to support user experience research for evaluating the efficacy of intelligent user interfaces for firefighters. We describe the results of a usability test that captured firefighters’ feedback and reactions to the VR scenario and the prototype intelligent user interface that presented them with task critical information through the VR headset. The paper concludes with lessons learned from our development process and a discussion of plans for future research.


Author(s):  
Hao Jin ◽  
Ligong Lu ◽  
Junwei Liu ◽  
Min Cui

Abstract Motivation Nations around the world have been significantly impacted during the COVID-19 pandemic. China’s strategies for controlling COVID-19 offer valuable lessons for the global community. By learning from China’s experience and lessons, other countries could also find appropriate methods to control the pandemic. Problem statement What measures has China taken to control the pandemic? What lessons has China learned through this pandemic? Approach/methods The literature on China’s lessons and experience in controlling the COVID-19 pandemic was searched and reviewed. Related newspapers and magazines were also searched. Results China’s experience can be summed up as establishing temporary hospitals, strict isolation, experts with a knowledge of COVID-19, and measures that increase social distancing. Conclusions By learning from the experience of China, other countries in the world could eventually find the methods to control the COVID-19 pandemic. An emergency response system should be established in each country. Doctors and nurses are not alone in fighting COVID-19, and the entire world is helping them. With cooperation, current difficulties could be overcome.


Author(s):  
John Sullivan ◽  
Sharon Croisant ◽  
Marilyn Howarth ◽  
Wilma Subra ◽  
Marylee Orr ◽  
...  

This paper is intended to complement our extended documentation and analysis of the activities of the Gulf Coast Health Alliance: Health Risks related to the Macondo Spill project Community Outreach and Dissemination Core entitled, “Building and maintaining a citizen science network with fishermen and fishing communities after the Deepwater Horizon oil disaster using a Community-Based Participatory Research (CBPR) approach.” We discuss nuances of CBPR practice, including trust-building, clarification of stakeholder expectations, balancing timelines and agendas, cultural fluency, and the importance of regional history—political-economic context, regulatory practices, and cultural life-ways—in creating social dynamics that overarch and underpin the entire process. We examine the unique role of knowledge-making hybrid structures like the project’s Fishermen’s citizen science network and compare/contrast this structure with other models of participatory science or deliberation. Finally, we reiterate the importance of environmental health literacy efforts, summarize project outcomes, and offer thoughts on the future roles of collaborative efforts among communities and institutional science in environmental public health.


Author(s):  
Hamzeh Ghorbani ◽  
◽  
Mohammad Reza Abdali ◽  
Nima Mohamadian ◽  
David A. Wood ◽  
...  

Sustainability in petroleum wells drilling operation systems strongly depends on the use of sustainable materials and a set of technical and safety measures that lead to the survival and proper operation of drilling rig equipment's and personnel. Adherence to the highest levels of standards of tools, materials and methods, although always recommended as the most important option for advancing a safe drilling operation and completing the well efficiently, low risk and stable, but drilling operation is inherently a battle with underground challenges and unexpected dangers. Learning from past such well blowout events and the problems they pose to rapidly control is essential to reduce future impacts including injuries, damage and emissions. Such analysis offers guidance for adapting working practices to improve both prevention and emergency response to such incidents. The causes of blowout during drilling and the necessary technical and safety measures to adopt are reviewed, highlighting how best practices can prevent blowout incidents by improving responses to early warning signals. The particular risks associated with potential shallow gas blowouts are identified and described with the aid of a case study associated with a catastrophic blowout of an onshore well in Iran and the methods used to ultimately control it. The multiple causes of the incident relating to defects in safety systems, equipment and operating procedures are addressed. Lessons learned from the incident reveal the complexity of well control once a blowout incident has occurred and developed into a surface fire. from the stage of the incident to fire control. There is a need for further research into top-hole well kill techniques for wells in a blowout state, as drilling bottom-hole relief wells takes substantial time, during which much surface damage, resource loss and emission typically occurs.


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