Category Archives: Preparedness
NewPublicHealth has been conducting a series of interviews with health directors impacted by weather disasters this year. Last month marked the official start of hurricane season in the Atlantic. We recently spoke with Mary O’Dowd, health commissioner of New Jersey, which is continuing its recovery and rebuilding after Hurricane Sandy last fall.
>>Read our interview with Oklahoma Health Commissioner Terry Cline on the tornadoes that struck Oklahoma this summer.
NewPublicHealth: How far along are you in the recovery process?
Mary O’Dowd: One of the things that we’ve learned is that recovery takes years not months when you’re dealing with a disaster of the proportion that Superstorm Sandy was for New Jersey. I would say that we’ve made significant progress. Some communities have very little signs of Sandy left, others are still working to rebuild a significant amount of their property and they’re still in the process of demolition of damaged buildings and properties. Great strides have been made, much progress has already occurred, but there still is a lot of work yet to be done.
NPH: What are some of the public health endeavors you’re still engaged in for the response?
HHS: 2013 So Far Sees 8 Foodborne Outbreaks, 2 New Global Diseases, 37 Disasters
The U.S. Department of Health and Human Services has awarded more than $916 million to continue improving preparedness and health outcomes for a variety of public health threats in every state, eight U.S. territories and four of the nation’s largest metropolitan areas. “Already in 2013, local and state health agencies have responded to eight food borne outbreaks, two new global diseases, and 37 disaster and emergency declarations, a clear indication of the breadth of threats that public health departments must be capable of responding to,” said Ali Khan, MD, director of the Centers for Disease Control and Prevention Office for Public Health Preparedness and Response. The grants have included funding for the Hospital Preparedness Program (HPP) cooperative agreement and the Public Health Emergency Preparedness (PHEP) cooperative agreement. The programs encourage health care and state and local public health departments to work together to maximize resources and prevent duplicative efforts. Such coordination of activities with emergency management and homeland security programs supports “whole community” planning to improve national preparedness efforts.. Read more on preparedness.
DOT Issues New Rules to Reduce Truck Driver Fatigue
The U.S. Department of Transportation (DOT) has announced new safety regulations to reduce truck driver fatigue:
- The maximum hours per week a truck driver can drive has been reduced from 82 to 70.
- Truck drivers who reach the maximum 70 hours of driving within a week can resume driving if they rest for 34 consecutive hours, including at least two nights from 1 to 5 a.m.
- All truck drivers must take a 30-minute break during the first eight hours of a shift.
- As before, truck drivers have a daily 11-hour driving limit.
Read more on injury prevention.
Sleepy Teenagers Often Make Poor Food Choices
Well-rested teenagers tend to make more healthful food choices than those who are sleep deprived, according to a study by preventive medicine researchers at the Stony Brook University School of Medicine in New York State. The findings were presented at the annual meeting of the Associated Professional Sleep Societies and funded in part by the National Institutes of Health. The study looked at the relationship between sleep duration and food choices in a national survey of more than 1,300 teenagers, finding that those teens who reported sleeping less than seven hours per night were more likely to consume fast food two or more times per week and less likely to eat healthful food such as fruits and vegetables. “Teenagers have a fair amount of control over their food and sleep, and the habits they form in adolescence can strongly impact their habits as adults,” said Allison Kruger, MPH, a community health worker at Stony Brook University Hospital and lead author of the study. Read more on obesity.
In several recent and upcoming posts, NewPublicHealth is connecting with communities that have faced severe weather disasters in the last year. New York City, for example, is continuing to regroup and rebuild after Hurricane Sandy struck the region eight months ago. The city, and its health department, recently announced several initiatives aimed at “building back better” while supporting residents still facing housing as well as mental health problems since the storm last October. Some examples are detailed below.
- The New York City Building Resiliency Task Force, an expert panel convened after Hurricane Sandy to help strengthen buildings and building standards, recently issued a report with recommendations for buildings and homes of all sizes in the city. The report recommends establishing backup power in the event that primary networks fail; protecting water supplies and stabilizing interior temperatures if residents need to shelter in place. ”Making our city’s buildings more resilient to coastal flooding and other climate hazards is a challenge that requires collaboration among government, designers, engineers, and building owners, among others,” said City Planning Commissioner Amanda M. Burden. “The Task Force's work exemplifies the kind of innovation and cooperation necessary to prepare our city for a changing climate.” To create the report, the Task Force convened over 200 volunteer experts in architecture, engineering, construction, building codes and real estate.
Less than a month ago cities in Oklahoma were struck by some of the most powerful tornadoes in the state’s history, killing more than 40 people, injuring scores more and destroying thousands of homes and other structures.
As part of an ongoing series on how public health responds to disaster, NewPublicHealth recently spoke with Gary Cox, director of the Oklahoma City-County Health Department.
NewPublicHealth: What roles has your health department had following the tornadoes?
Gary Cox: We do many things. For example, a lot of people are out cleaning up and come into contact with nails and other sharp objects and they get cuts and puncture wounds. We partnered with Blue Cross Blue Shield and we have three mobile vans staffed those vans with nurses who go out into the affected areas and give tetanus shots and minor first aid. Mental health services can also be provided out of the vans. In fact, we put out a call for assistance and many trained professionals signed up within just a couple of days to volunteer their services to work with individuals and with families, particularly over the stress issues related to these tornados and floods. We have a very broad and deep layer of partnerships, and of course we rely on those. And what we try to do is to take a holistic type so that people in need can get a whole range of services from one location.
One important mission has been to deploy food safety inspectors out into all those areas affected to look at each one of those restaurants and to help them assess their food spoilage and food safety and work with them to get back to business if they can and as soon as they can.
Prepared for a Disaster and Building Back Better: Terry Cline on Public Health’s Response to Oklahoma Tornados
Tornadoes that struck Oklahoma just a few weeks ago have left more than 40 people dead, scores injured and billions in losses, including whole neighborhoods wiped out. The devastating weather of the past year—including superstorm Sandy, which wreaked havoc on the Northeast, especially New Jersey and New York City—has called even greater attention to the critical need for public health departments to be ready to respond at all times. Health departments in the communities and states where disasters happen have to be nimble enough to respond to the expected and the unexpected—as you’ll see from three interviews NewPublicHealth recently conducted with the health commissioners of New Jersey and Oklahoma, as well as with the health director of Oklahoma City, the most recent area to be rocked by severe weather.
And because disasters don’t honor state lines and devastated areas may not have the capacity on their own to handle the myriad of disaster health issues, the manpower and equipment of even far-flung health departments can be critical—making preparedness a year-round, 24/7 responsibility for everyone in public health.
Read the first installment in the series, a conversation with Terry Cline, PhD, the Commissioner of Health in Oklahoma.
NPH: With the recent tornadoes, what were you able to prepare for and what was unexpected?
Terry Cline: Unfortunately, in Oklahoma we have a lot of experience in dealing with disasters and we have what I consider to be a well-oiled machine in place. So overall, I think the response to this tragic situation went very well. The multiple tornados were a bit of a surprise though. It’s not unusual to have several tornados in the same area, but it’s unusual to have two significant tornados and then have one of those go through an urban area. I think a critical impact that was not anticipated was the flooding during the most recent tornado. The bottom line is that you need to have a strong infrastructure in place because Mother Nature has a way of always having the upper hand.
Millions of cell phone customers might have heard their phones let out a high pitched alarm and spontaneously shake yesterday afternoon. The mobile siren is an indication that the severe weather is threatening the area—and roughly 62 million Americans were in the path of severe weather along the East Coast yesterday, as the region was wracked with severe thunder storms, tornados and flooding.
The mobile shake, rattle and siren is a free service from the Federal Emergency Management Agency and many nationwide cell phone carriers. You can find out if you’re covered by pressing 6-1-1 on your cell phone, which is your carrier’s customer service line. Earlier this week a NewPublichealth reporter, unaware of the service, suddenly felt his phone shake and was alerted to potential life-threatening flooding along his commuting route.
The service is actually two years old, but to get consumers to pay attention to the alerts, and the threats they’re warning about, FEMA recently partnered with the Ad Council on a new public service announcement.
The specific warnings come through as text messages with no more than 90 characters. Categories of alerts include extreme weather, AMBER alerts indicating a child has been abducted, and Presidential alerts during a national emergency.
One of the best features of the service is that it automatically tunes to weather where you are, not where you’re from. Go on vacation to the Outer Banks of North Carolina from Missouri, for example, and you will get alerts, if needed, about whether out on the barrier island. That’s important. Gary Cox, health director of Oklahoma City, which recently saw devastating tornadoes that killed and injured scores of people, said among those killed and injured were travelers to the area who hadn’t tuned into weather forecasts and didn’t know to take cover.
>>Bonus Link: Read an FAQ from FEMA on the wireless alerts.
A new study from Columbia University finds that deaths linked to a warming climate may rise by as much as 20 percent by the 2020s. The study was published in Nature Climate Change, by an interdisciplinary team at Columbia University’s Earth Institute and the Mailman School of Public Health.
“This serves as a reminder that heat events are one of the greatest hazards faced by urban populations around the globe,” said coauthor Radley Horton, PhD, a climate scientist at the Center for Climate Systems Research. In fact, although tornadoes are currently trending as the most common “weather word” right now, according to the Centers for Disease Control and Prevention, extreme heat kills more Americans each year than tornadoes, hurricanes, flooding and earthquakes combined.
Cities could be hit harder than other areas, according to the new research that found that daily records from Central Park in Manhattan show that average monthly temperatures already increased by 3.6 degrees Fahrenheit from 1901 to 2000—substantially higher than the global and U.S. trends, according to the researchers, who say that cities tend to concentrate heat. Buildings and pavement soak it up during the day and give it off at night. Last year was the warmest year on record for New York City.
Resilience is about how quickly a community bounces back to where they were before a public health emergency—and only a healthy community can do that effectively.
RWJF President and CEO Risa Lavizzo-Mourey, MD, weighed in on what it takes to create healthy, resilient communities—and shared examples of some communities that have done just that—through a post on the professional social networking site, LinkedIn. Dr. Lavizzo-Mourey is one of about 300 LinkedIn Influencers. Read an excerpt of the LinkedIn post below.
It is a testament to the American spirit that less than a day after a tornado brought a 20-mile-wide swath of death and destruction to Moore, OK, public officials and residents unequivocally pledged to rebuild the community. “We will rebuild and we will regain our strength,” Gov. Mary Fallin told a news conference after viewing the devastation.
Similar assertions were made after Hurricane Sandy wiped out entire neighborhoods on the New York and New Jersey coasts eight months ago, and I am sure they will be made again after future natural disasters. I applaud the can-do determination. But I also suggest that we take a minute and think, not just about rebuilding, but creating something better. Why not rebuild communities where health and wellness is a top priority?
Imagine rebuilding neighborhoods that make healthy living an easy and fun choice, that offer more places to safely walk or bike, more open spaces where families can exercise and play, and more restaurants that offer healthy choices and provide nutritional information on their menus.
This is not just some do-gooder’s pipe dream. New Orleans has shown us that it can be done.
Aiding in the response and recovery effort in Oklahoma following last week’s tornadoes are several state disaster medical assistance teams (DMATs), requested by Oklahoma governor Mary Fallin. The New Mexico DMAT includes a member, Cliff Rees, who is experienced in law as it pertains to public health emergencies. Rees is the practice director of the Network for Public Health Law’s Western Region.
NewPublicHealth spoke with James G. Hodge, Jr., JD, LLM, Principal Investigator/Director of the Network for Public Health Law’s Western Region, about how knowledge of law during an emergency can help speed assistance to victims.
NewPublicHealth: What is Cliff Rees’ role on the ground?
James Hodge: As a member of the DMAT team, he is well trained in many areas of response and is working with his team to provide needed assistance on multiple fronts. However, Cliff is also capable of assessing legal concerns on the ground if they come up.
NPH: What are some of those concerns?
FDA Releases Safety Checklist for ‘Hurricane Preparedness Week’
The U.S. Food and Drug Administration (FDA) has made available a Hurricane Safety Checklist for Hurricane Preparedness Week, which runs from May 26 to June 1. The list includes tips and steps to ensure water, food and medical supplies are safe not only during hurricanes, but also during flooding and lengthy power outages that may follow. Emergency medication and supplies are especially critical for those with serious health concerns or at particular risk, such as people with chronic conditions or the elderly. The checklist is also available in Spanish. Hurricane season in the Atlantic runs from June to November and in the Eastern Pacific from May 15 to November 30, according to Ready.gov. Read more on preparedness.
Study: Mother’s Obesity Surgery Decreases Child’s Risk of Obesity
A woman’s obesity surgery can reduce the risk of having an overweight or obese child later in life, according to a new study. Researchers from Laval University in Quebec, Canada looked at 20 mothers who had children before and after gastrointestinal bypass or a biliopancreatic bypass weight-loss surgeries, finding an actual genetic effect on the later offspring. They are at decreased risk of not only obesity, but also diabetes and cardiovascular disease. While the study is small, the researchers say this is the first step toward better identifying and even blocking “obese” genes. Read more on obesity.
Task Force: Screen All Pregnant Women for Gestational Diabetes after 24 Weeks
A new draft recommendation statement from the U.S. Preventive Services Task Force (USPSTF) says that all pregnant women should be screened for gestational diabetes after 24 weeks. The screening should be performed even for those women who haven’t shown symptoms. Gestational diabetes increases the risk of various labor and birth complications; the babies are also at increased risk of increased birth weight, birth injuries, glucose intolerance and childhood obesity. "It's always better to prevent a disease than to be diagnosed with one," said task force member Wanda Nicholson, MD, in a release. "Women should have a conversation with their doctor before getting pregnant or in the early stages of pregnancy about steps they can take—such as improving their diet, being physically active or other strategies—to reduce their risk of developing gestational diabetes." Read more on maternal and infant health.