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Emergency Public Health Response to Hurricane Katrina and Hurricane Rita in Louisiana

Emergency Public Health Response to Hurricane Katrina and Hurricane Rita in Louisiana. Fall 2005. Ted Misselbeck Public Health Advisor Nashville TN May 2006. Hurricane Katrina : 8/29/05 The Day the Music Died.

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Emergency Public Health Response to Hurricane Katrina and Hurricane Rita in Louisiana

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  1. Emergency Public Health Response to Hurricane Katrina and Hurricane Rita in Louisiana Fall 2005 Ted Misselbeck Public Health Advisor Nashville TN May 2006

  2. Hurricane Katrina: 8/29/05 The Day the Music Died

  3. Hurricane Katrina The largest natural disaster in United States history The magnitude of this disaster is not easy to appreciate

  4. This was a monster storm New Orleans Florida Texas 450 miles wide Hurricane Katrina

  5. Bay St. Louis MS New Orleans Florida Texas The recorded storm surge of 30 feet high in Bay St. Louis, MS was the highest ever recorded in U.S. history Hurricane Katrina

  6. Rayne Temporary State TB Control Office

  7. Emergency Public Health Concerns Here’s the deal . . . 1. New Orleans Health Department flooded and closed Here’s how we are managing things right now . . .

  8. Emergency Public Health Concerns New Orleans TB staff: TB Manager # 1 in Shreveport, La. TB Manager # 2 in Houston, Texas Nurse Practitioner in Monroe, La. State secretary house submerged to the roof- living with relatives

  9. Emergency Public Health Concerns 2. State Lab closed No alternative in-state lab available to process sputum specimens

  10. Emergency Public Health Concerns 2. State Lab closed Dr. Charles Wallace TB Control Officer and Texas to the rescue! Texas Provided self-pay mailers (he sent cases ) for specimen processing

  11. Emergency Public Health Concerns 3. State of Louisiana pharmacy and supply room flooded and closed This was the supply for all the TB patients throughout the State of Louisiana

  12. Emergency Public Health Concerns Joe Ware and Versapharm to the rescue- tell us what you need and we will send it- don’t worry about the bills now R. Joe WarePresident

  13. Emergency Public Health Concerns 3. pharmacy • Procedure: Order meds from Versa Pharm • Versa Pharm sends all meds for State to Lafayette, LA. Health Dept. • 2. Meds separated by 9 La. Regions

  14. Emergency Public Health Concerns 3. pharmacy 3. All meds delivered by car 4. Sputum cans also given to be delivered to each Region at the same time.

  15. Emergency Public Health Concerns 4. All 132 TB patients from New Orleans area are missing . . . and we need to find them!!!

  16. Our new Lafayette La. office became: TB Control Officer’s new State office • New State TB Billing Office invoice (buying and payer) Statewide TB supplies (the check is in the mail!)

  17. Our Lafayette La. office became: National Hotline Center (receiving phone calls about found TB patients from health departments around the United States)

  18. Our Lafayette La. office became: The new State Pharmacy distribution Center for all of Louisiana The new State Sputum Can Distribution Center Our new Center comprised of two rooms 15 x 20 feet!

  19. Finding New Orleans area TB patients The detective process Lafayette Office phone number distributed nationally for reporting found New Orleans patients Provide CDC with daily update list Updated daily list sent to TB controllers to continue national search

  20. Finding New Orleans area TB patients The detective process After about a month we were able to get lists of registered shelter clients from FEMA (in Texas) This helped in identifying new locations of about 15 TB patients in Louisiana and Texas

  21. Finding New Orleans area TB patients The detective process Walgreens list (new local address and old New Orleans address) We found about 3 TB patients through these lists

  22. Finding New Orleans area TB patients The detective process Every possible .com lists Katrina.COM Hurricane Katrina.COM Missing Katrina relatives.COM We found 4 TB patients through this effort

  23. Finding New Orleans area TB patients The detective process The main daily process: of phone calls to patients homes, cell phones, emergency contacts and following up leads in other states Hundreds We found 100 or more TB patients through this method

  24. Finding New Orleans area TB patients The big question: Where? did all the TB patients go???

  25. Emergency Public Health Concerns The Changing geography . . . Baton Rouge, Louisiana becomes the largest city in Louisiana overnight From 400,000 to over 500,000

  26. Out of New Orleans' pre-Katrina population of city officials now estimate have returned. 462,269 189,000

  27. The New Orleans TB detective team • Try and get to homes to determine if TB patients are still living there- • or as time went on- did they return? • Make inquiries in neighborhoods if anyone knows their whereabouts

  28. Just when you think you are out of the woods . . . Here come Hurricane Rita!!! You gotta be kidding me!!!

  29. Little Rock Dallas ? Houston Hurricane Rita’s track

  30. This time the Western part of Louisiana was hit Lake Charles Louisiana

  31. Return Route

  32. Lake Charles

  33. Lessons learned TB Control plan for Lake Charles and Western Louisiana Parishes post-Hurricane Rita Set-up contingent reporting network format similar to Hurricane Katrina (if needed)

  34. Lessons learned from Hurricane Katrina October 2005 Instructions to TB patients days before hurricane hit 30 days worth of meds given to all patients March 2006 Result: All TB patients tracked and accounted for okay

  35. Comparison: Hurricane Katrina vs. Hurricane Rita Time Wind speed Size (width) Radius of winds Movement Coastal Surge U.S. Deaths

  36. 6 months later some numbers FEMA has filled only 48,158 of the 90,000 trailer requests 215,000 homes destroyed 189,000 of 500,000 pre-Katrina residents have returned Only 20 of 128 public schools are open

  37. Hospitals 5,200 hospital beds pre-Katrina 1,200 beds now (mostly full) Med-1 unit (12 beds minor surgery) has set up in parking lot between Charity and LSU Medical Center Charity Hospital may never open again

  38. New Orleans school open as of 1/25/06

  39. New Orleans Health Services open as of 1/25/06

  40. Are we prepared for an earthquake?. . . Where?

  41. New Madrid, MO fault line (1811-1812) Mississippi River ran backwards forming new lakes

  42. Can this happen again?? Tennessee responding to Hurricane Katrina in making disaster plans to this and other disaster scenarios

  43. It was once said: The moral test of Government is how that Government treats those who are in the dawn of life, the children, those who are in the twilight of life, the elderly, and those who are in the shadows of life, the sick, the needy and the handicapped. Hubert H.Humphrey Former Vice President of U.S.

  44. For us to ponder . . . How did we measure up as a nation to this disaster? How do you think we will measure up the next time?

  45. Questions??

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