Apr 282013
 

Are you in favor of alerts being trigger via passive monitoring of you SMS enabled phone or smart device? For example, you go on a trip to the coast and as you enter a “boundary” for the known tsunami inundation zone, and you are automatically sent a safety alert message to your device advising that you have just entered the hazard zone.

This would be done as a public safety service with no voluntary opting in required. Are you in favor of this or would you view it as government intrusive for surveying your location?

Jan 202013
 

For the past two decades when I have had the honor of educating members of public safety, emergency management and our military I like to ask the question, “How do you determine if someone is being risky versus aggressive in their choice of tactics?” I pose the question as I want people to have to apply critical thinking skills and appreciate how much the make-up of an individual goes into making split second decisions.

For example, most police department policy and procedures do not say “attempt to rescue victims during a structure fire”, and yet it does happen and while behind the scenes they may be chastised for disregarding policy, they often are recognized as a hero. The office made a split second decision to help someone in grave peril yet put themselves at great risk without the requisite knowledge, skills and abilities of a trained fire-fighter. Does that sound risky or aggressive to you?

Individual fire departments across the country and even different officers within the same department may reach different choices when it comes to determining to make an offensive or defensive fire attack. Who is being risky and who is aggressive? Is it the retrospective analysis that determines the fact, i.e. if it worked it was aggressive and if it failed it was risky?

School shootings have been stopped when unarmed students and/or faculty confronted the shooter, and at other times they have been unceremoniously killed. Were the actions of any one individual risky or aggressive? The school plan may have said school teachers should hide and wait yet in a split second, individuals made their choice.

In my career I learned how I will make split second life risk: benefit decisions based upon my knowledge, skills and abilities, as well as my make-up as a person. If my family is in jeopardy, don’t follow me as I will be doing something and it may very well be stupid. If my partner is in jeopardy, I will attempt to intervene as we got into the mess together and will get out of it together. I also will take more risk when children are involved. Am I being risky or aggressive?

The point I am trying to make as the debate rages over what is the right thing to do about a perceived rise in violence against innocents is don’t expect any one policy, plan or procedure to impact what actions some people may choose to attempt to end it. Factor this into whatever plans, policies and procedures that are custom developed for any one organization as boiler-plate plans might work for robots but not when people are involved.

Risk is minimized and better decisions made as additional education and training to enhance existing knowledge, skills and abilities, so don’t be afraid to develop the next evolving practice. The arm chair quarter-backs will always surface to find fault no matter which way you chose, but I think it also exposes how they might react when put in a similar situation.

Jan 072013
 

A rise in static electricity below the ground could be a reliable indicator that an earthquake is imminent, say scientists who are now launching an experiment to predict quakes well in time to save thousands of lives.

Jan 062013
 

I asked the question back last year, what type of disaster would we see in 2012? Natural disasters including severe weather, flooding, earthquakes, fires and drought were the most common answer. Also included from multiple sources were civil unrest and technological hazards impacting infrastructure or supplies of critical materials. Here in the US hurricane Sandy seemed to be the winner. Globally, flooding was intense.

Does anyone see anything new cropping up this year or if you played the odds, what is the one hazard annex you would dust off the shelf and exercise first?

Jan 062013
 

I find it interesting to see terms like “unexpected”. I would argue that most consequences may surprise us, but they were predictable.

Why not form a panel to evaluate who was responsible for obviously not implementing critical components of the plan of improvement developed after the last event/exercise which closely resembled hurricane Sandy?

Every time there is a major event, politicians and policy makers are quick to appear to be doing something/anything in order to defray public criticism. We often accuse the public of displaying apathy towards disaster preparedness, perhaps they are just following the lead of their elected leaders.

Nov 022012
 

Bobby Knight once said “The key is not the will to win… everybody has that. It is the will to prepare to win that is important.” I have to wonder if those in the position of influence to affect change really have the will to prepare to win during disasters and catastrophes.

There is a tremendous amount of conversation regarding FEMA’s role during disasters and of course it has become a political issue at this critical juncture in a close election. As opposed to making the conversation a political football, how about just evaluating the facts on have we or have we not gotten better at preparing and responding to major disasters as a nation. Many of the areas of concern may not be assessable until days or weeks later, but reports of lack of potable water at this early stage are disconcerting and suggest we still have plenty of room for improvement. More important than improvement in factors such as a quicker appointment of a principal federal official, we should be concerned more about disaster survivors receiving support within a timely manner. Also we need to judge if the responders (public, private, volunteer and ad hoc) received the support and services they needed when they needed them.

I have listed below findings from the executive summary in a report entitled A FAILURE OF INITIATIVE. It was the final report of the Select Bipartisan Committee to Investigate the Preparation for and Response to Hurricane Katrina. The Select Committee identified failures at all levels of government that significantly undermined and detracted from the heroic efforts of first responders, private individuals and organizations, faith-based groups, and others. Take a look at their findings and compare if our performance has improved significantly in the last seven years since Katrina.

Area of Concern – The failure of complete evacuations led to preventable deaths, great suffering, and further delays in relief.
■ Evacuations of general populations went relatively well in all three states.
■ Despite adequate warning 56 hours before landfall, Governor Blanco and Mayor Nagin delayed ordering a mandatory evacuation in New Orleans until 19 hours before landfall.
■ The failure to order timely mandatory evacuations, Mayor Nagin’s decision to shelter but not evacuate the remaining population, and decisions of individuals led to an incomplete evacuation.
■ The incomplete pre-landfall evacuation led to deaths, thousands of dangerous rescues, and horrible conditions for those who remained.
■ Federal, state, and local officials’ failure to anticipate the post-landfall conditions delayed post-landfall evacuation and support.

Area of Concern – The Hurricane Pam exercise reflected recognition by all levels of government of the dangers of a category 4 or 5 hurricane striking New Orleans
■ Implementation of lessons learned from Hurricane Pam was incomplete.

Area of Concern – Levees protecting New Orleans were not built for the most severe hurricanes
■ Responsibilities for levee operations and maintenance were diffuse.
■ The lack of a warning system for breaches and other factors delayed repairs to the levees.
■ The ultimate cause of the levee failures is under investigation, and results to be determined.

Area of Concern – Critical elements of the National Response Plan were executed late, ineffectively, or not at all.
■ It does not appear the President received adequate advice and counsel from a senior disaster professional.
■ Given the well-known consequences of a major hurricane striking New Orleans, the Secretary should have designated an Incident of National Significance no later than Saturday, two days prior to landfall, when the National Weather Service predicted New Orleans would be struck by a Category 4 or 5 hurricane and President Bush declared a federal emergency.
■ The Secretary should have convened the Interagency Incident Management Group on Saturday, two days prior to landfall, or earlier to analyze Katrina’s potential consequences and anticipate what the federal response would need to accomplish.
■ The Secretary should have designated the Principal Federal Official on Saturday, two days prior to landfall, from the roster of PFOs who had successfully completed the required training, unlike then-FEMA Director Michael Brown. Considerable confusion was caused by the Secretary’s PFO decisions.
■ A proactive federal response, or push system, is not a new concept, but it is rarely utilized.
■ The Secretary should have invoked the Catastrophic Incident Annex to direct the federal response posture to fully switch from a reactive to proactive mode of operations.
■ Absent the Secretary’s invocation of the Catastrophic Incident Annex, the federal response evolved into a push system over several days.
■ The Homeland Security Operations Center failed to provide valuable situational information to the White House and key operational officials during the disaster.
■ The White House failed to de-conflict varying damage assessments and discounted information that ultimately proved accurate.
■ Federal agencies, including DHS, had varying degrees of unfamiliarity with their roles and responsibilities under the National Response Plan and National

Area of Concern – Incident Management System.
■ Once activated, the Emergency Management Assistance Compact enabled an unprecedented level of mutual aid assistance to reach the disaster area in a timely and effective manner.
■ Earlier presidential involvement might have resulted in a more effective response.

Area of Concern – Massive communications damage and a failure to adequately plan for alternatives impaired response efforts, command and control, and situational awareness
■ Massive inoperability had the biggest effect on communications, limiting command and control, situational awareness, and federal, state, and local officials’ ability to address unsubstantiated media reports.
■ Some local and state responders prepared for communications losses but still experienced problems, while others were caught unprepared.
■ The National Communication System met many of the challenges posed by Hurricane Katrina, enabling critical communication during the response, but gaps in the system did result in delayed response and inadequate delivery of relief supplies.

Area of Concern – Command and control was impaired at all levels, delaying relief.
■ Lack of communications and situational awareness paralyzed command and control.
■ A lack of personnel, training, and funding also weakened command and control.
■ Ineffective command and control delayed many relief efforts.

Area of Concern – The military played an invaluable role, but coordination was lacking
■ The National Response Plan’s Catastrophic Incident Annex as written would have delayed the active duty military response, even if it had been implemented.
■ DOD/DHS coordination was not effective during Hurricane Katrina.
■ DOD, FEMA, and the state of Louisiana had difficulty coordinating with each other, which slowed the response.
■ National Guard and DOD response operations were comprehensive, but perceived as slow. The Coast Guard’s response saved many lives, but coordination with other responders could improve.
■ The Army Corps of Engineers provided critical resources to Katrina victims, but pre-landfall contracts were not adequate.
■ DOD has not yet incorporated or implemented lessons learned from joint exercises in military assistance to civil authorities that would have allowed for a more effective response to Katrina.
■ The lack of integration of National Guard and active duty forces hampered the military response.
■ Northern Command does not have adequate insight into state response capabilities or adequate interface with governors, which contributed to a lack of mutual understanding and trust during the Katrina response.
■ Even DOD lacked situational awareness of post-landfall conditions, which contributed to a slower response.
■ DOD lacked an information sharing protocol that would have enhanced joint situational awareness and communications between all military components.
■ Joint Task Force Katrina command staff lacked joint training, which contributed to the lack of coordination between active duty components.
■ Joint Task Force Katrina, the National Guard, Louisiana, and Mississippi lacked needed communications equipment and the interoperability EMAC processing, pre-arranged state compacts, and Guard equipment packages need improvement.
■ Equipment, personnel, and training shortfalls affected the National Guard response.
■ Search and rescue operations were a tremendous success, but coordination and integration between the military services, the National Guard, the Coast Guard, and other rescue organizations was lacking.
Area of Concern – The collapse of local law enforcement and lack of effective public communications led to civil unrest and further delayed relief
■ A variety of conditions led to lawlessness and violence in hurricane stricken areas.
■ The New Orleans Police Department was ill-prepared for continuity of operations and lost almost all effectiveness.
■ The lack of a government public communications strategy and media hype of violence exacerbated public concerns and further delayed relief.
■ EMAC and military assistance were critical for restoring law and order.
■ Federal law enforcement agencies were also critical to restoring law and order and coordinating activities.

Area of Concern – Medical care and evacuations suffered from a lack of advance preparations, inadequate communications, and difficulties coordinating efforts
■ Deployment of medical personnel was reactive, not proactive.
■ Poor planning and pre-positioning of medical supplies and equipment led to delays and shortages.
■ New Orleans was unprepared to provide evacuations and medical care for its special needs population and dialysis patients, and Louisiana officials lacked a common definition of “special needs.”
■ Most hospital and Veterans Affairs Medical Center emergency plans did not offer concrete guidance about if or when evacuations should take place.
■ New Orleans hospitals, Veterans Affairs Medical Center, and medical first responders were not adequately prepared for a full evacuation of medical facilities.
■ The government did not effectively coordinate private air transport capabilities for the evacuation of medical patients.
■ Hospital and Veterans Affairs Medical Center emergency plans did not adequately prepare for communication needs.
■ Following Hurricane Katrina, New Orleans Veterans Affairs Medical Center and hospitals’ inability to communicate impeded their ability to ask for help.
■ Medical responders did not have adequate communications equipment or operability.
■ Evacuation decisions for New Orleans nursing homes were subjective and, in one case, led to preventable deaths.
■ Lack of electronic patient medical records contributed to difficulties and delays in medical treatment of evacuees.
■ Top officials at the Department at Health and Human Services and the National Disaster Medical System do not share a common understanding of who controls the National Disaster Medical System under Emergency Support Function-8.
■ Lack of coordination led to delays in recovering dead bodies.
■ Deployment confusion, uncertainty about mission assignments, and government red tape delayed medical care

Area of Concern - Long-standing weaknesses and the magnitude of the disaster overwhelmed FEMA’s ability to provide emergency shelter and temporary housing
■ Relocation plans did not adequately provide for shelter. Housing plans were haphazard and inadequate.
■ State and local governments made inappropriate selections of shelters of last resort. The lack of a regional database of shelters contributed to an inefficient and ineffective evacuation and sheltering process.
■ There was inappropriate delay in getting people out of shelters and into temporary housing – delays that officials should have foreseen due to manufacturing limitations.
■ FEMA failed to take advantage of the Department of Housing and Urban Development’s expertise in largescale housing challenges.

Area of Concern – FEMA logistics and contracting systems did not support a targeted, massive, and sustained provision of commodities
■ FEMA management lacked situational awareness of existing requirements and of resources in the supply chain. An overwhelmed logistics system made it challenging to get supplies, equipment, and personnel where and when needed.
■ Procedures for requesting federal assistance raised numerous concerns.
■ The failure at all levels to enter into advance contracts led to chaos and the potential for waste and fraud as acquisitions were made in haste.
■ Before Katrina, FEMA suffered from a lack of sufficiently trained procurement professionals. DHS procurement continues to be decentralized and lacking a uniform approach, and its procurement office was understaffed given the volume and dollar value of work.
■ Ambiguous statutory guidance regarding local contractor participation led to ongoing disputes over procuring debris removal and other services.
■ Attracting emergency contractors and corporate support could prove challenging given the scrutiny that companies have endured.

Area of Concern – Contributions by charitable organizations assisted many in need, but the American Red Cross and others faced challenges due to the size of the mission, inadequate logistics capacity, and a disorganized shelter process

Nov 012012
 

Globally we know that the impoverished are disproportionately impacted by disasters both in direct affects and recovery. I have to wonder if the same holds true within the borders of the United States and I am interested in reader’s responses on the issue, potential reasons if you feel there is disparity in preparedness and more importantly look for innovative solutions.

The role of FEMA (2013 budget near $14 billion and 10,000 employees) is to manage and coordinates the Federal response to and recovery from major domestic disasters and emergencies of all types, in accordance with the Robert T. Stafford Disaster Relief and Emergency Assistance Act. FEMA also serves to coordinate programs to improve the effectiveness of emergency response providers at all levels of government to respond to terrorist attacks, major disasters, and other emergencies. If this were carried out evenly across the country, we should see consistent performance because of the systems and processes in place and would not expect to see the winds of influence involved, but I think the post-Sandy response and recovery will be worth watching.

The State of Louisiana in 2005 when hurricane Katrina came ashore was ranked 42nd nationally in per capita income and Mississippi was ranked 49th and the response and recovery has been soundly criticized. The States of Connecticut, New Jersey and New York where major disaster declarations have been made for hurricane Sandy rank 1st, 3rd and 4th nationally in per capita income. I could be wrong and we might see similar dysfunction in our disaster response and recovery that occurred in 2005, but my gut is telling me that we will be rolling out the green (as in money and resources) carpet to make things right as quickly as possible, especially in the more affluent areas. For those communities where there are more challenges, issues and dissatisfaction in the response and recovery, I wonder if the demographic make-up will show them to be in the “other” class relative to areas where things seem to go well.

There’s an old saying…”If it’s not broke, don’t fix it”…and I have to wonder if we are ignoring an obvious problem because it would indicate we have classes within our borders and admitting it’s a problem is too embarrassing. If we have subjective response and recover in play during a major disaster and it pits one class of citizens against another, what will a catastrophic event like a New Madrid or Cascadia earthquake expose in our system? According to the US Department of Health and Human Services, U.S. Department of Commerce, CATO Institute there are:

Total number of Americans on welfare 4,300,000
Total number of Americans on food stamps 46,700,000
Total number of Americans on unemployment insurance 5,600,000

In addition, CBS News reports roughly 38 percent (about 118 million) of Americans live paycheck-to-paycheck.

Preparedness publications give a list of steps and items we should all have in order to take some personal responsibility when disaster strikes. What disaster preparedness publications seem to disregard is the ability of the person to actually follow these recommendations. It appears sometimes after a disaster when these same Americans are suffering we blame the person for not taking personal responsibility as opposed to the ability of government to mitigate their suffering in a timely manner. I read one recent article where the author was encouraging those impacted by hurricane Sandy to be patient as it takes time to restore the tremendous scope of damaged infrastructure and restore services. I would add patience is a virtue…but not a replacement for poor planning, preparedness and response on the part of government for those less fortunate.

Oct 112012
 

I spent some time in a developing nation recently and came away with a new appreciation for all that we have available to us in the United States and a growing concern that we have too much. Sometimes I used to like to refer to myself as a “hunter and gatherer” when I went off to the market. Simple truth is now I could simply use one of the Aps for my smart phone, have the store do my shopping based upon my past purchases and deliver the food to my home.  This tremendous age of convenience comes at what I suspect could become a growing cost during major emergencies, disasters or catastrophic events.   Yes I list catastrophic events separate from disasters and will address my rationale for that in a later post.

Let’s say I live in a major city where I don’t need a car since public transportation meets my needs, and I rely on my smart phone for financial transaction of deposits and paying bills, ordering my food, communicating with business and family members and entertainment.  A major weather event rolls into the region, knocking out power, creating gridlock with downed trees and utility lines, blackouts across the region.  This is the point when I think we can now measure our self-reliance in a matter of hours as we have grown so accustomed and in some cases spoiled by all we enjoy.  Right or wrong we all get into routines and take for granted the clean water will always flow out of the tap, toilets will flush, the power stay on or be out for a relatively short period of time, at least not requiring food in the refrigerator and freezer to be consumed before spoiling.  How many businesses will stay open when the power is out, unable to process credit cards, cook food or provide adequate lighting for security?

Homes in the country I visited are plagued if viewed from the eyes of a tourist, or blessed if viewed from my emergency preparedness standpoint, with unreliable power.  This means they are used to having their power go out at any moment and therefore structures are built to capture natural light, use few light fixtures and have access to kerosene lanterns for emergencies.  Many people do not have access to motorized vehicles to get around and numerous small neighborhood markets or street vendors allow daily fresh food purchase within walking distance so refrigerators are small and not crammed full of items that could spoil during power outages.

Potable water is another commodity that suffers from reliable deliver compared to standards here in the United States.  What they have learned is to simply have 35 gallon barrels of potable water always available, and/or have a rainwater collection system to allow them to still be self-reliant even during water outages, just like loss of power has little impact on their daily living.  I think any emergency manager in the United States would be thrilled to have a populace prepared to this extent, as they know the challenges associated with providing these basic services under disaster conditions.

I have spent a good number portion of my career working on emergency, disaster and catastrophic planning and response here in the United States, including response in federally declared disasters.  As the magnitude and scope of an event grows the ability for the general public, emergency responders, public and private enterprise to be self-reliant becomes more and more important, yet few people take preparedness to the simple steps as those in the less developed country I visited.   I am now working with an innovative small company and we are looking to design and build a pilot project disaster-resistant amphibious community.  It seems counter-intuitive that we will have a better chance of success in a developing nation than here in the United States, but my own impression is the more ground we have gained here in the United States in making our everyday life easier, the more we surrender self-reliance when disaster hits.

Oct 072012
 

Having been involved in emergency services for over 35 years, including time as a provider, supervisor, training officer and administrator I understand the hazards in the work environment quite well.  As a Department of Defense validated subject matter expert in Emergency Medical Services in CBRNE response, I understand the value of selecting the proper level of Personal Protective Equipment (PPE) in order to operate in a contaminated environment.  As co-author of the college text book Biosecurity and Bioterrorism I understand the subtle yet potentially catastrophic threat biologic agents present.  I have been involved in developing and teaching federal curriculum’s for emergency responders and Incident Commanders, including the selection and proper use of PPE for much of the last 10 years.

Respiratory protection has remained more or less stagnant for the majority of my career, with options consisting of surgical masks, N-95 masks, Air-Purifying Respirators (often called gas masks or APRs), Powered Air-Purifying Masks (APRS), and Self-Contained Breathing Apparatus (SCBA).  For this article I would like to focus on those situations where an N-95 is deemed the appropriate level of respiratory protection. According to the FDA, an N95 respirator is a respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles. Keep in mind when a respirator may come with a 95, 99 or 100 rating indicating they filter out 95%, 99% and 99.7% of the airborne particles present.

Until the development and now release of the new Readi Mask ®, surgical and N-95-type masks were dependent upon straps to hold the mask in place.  The new Readi Mask ® for one time use is strapless and uses acrylic medical grade adhesive which seals the mask to the wearer’s face.  Once you try the mask as I did you will have no doubt the seal is much more secure and comfortable in a work environment than models dependent upon straps.  I wore the half-mask model for over an hour with no loss of seal, comfort or ability to communicate normally.  I even wore the full face piece model in the shower to test the seal and there was no fogging of the face shield or leakage. As it is a new concept and most responders use equipment they trust, the new Readi Mask ® will require utilization in training to build confidence that the protection is as good if not better than what they achieved using other models.

OSHA requires that the employee be informed of the choices, including sets of different face masks and different sizes, and to be made aware that he or she is choosing a face mask for the best fit.  If your hazard assessment indicates respiratory protection requires an N-95 type level of protection, why not select the one best suited to actually protect your respiratory track? Employees may certainly elect to stay with what they are familiar with, but I would anticipate once they try out the new Readi Mask ®, they will see the application, Examples include:

Potential exposure to riot control agents

Working in a situation with particulate matter in the air (sand, post-fire (forest or structure), mowing, dusts and molds)

Potential exposure to post-blast dust, radiation and unknown particulate contamination

Any situation where you are close to large numbers of people during flu season or outbreak

Patient who meets my D.O.C.T.O.R. assessment triggers for PPE/Mask use

Dealing with an ill animal or conducting a necropsy

Need to escape from a smoke-filled environment

Patients or family members with immune compromise conditions

 

Mask Characteristics

Hypoallergenic medical adhesive lining inside perimeter creates complete seal.

Pocket sized and virtually weightless ( you can always have one close)

Comes with or without integrated eye shield

Adult and child sizes

Made in the U.S.A

Can be manufactured in different colors with 5,000 minimum order

As a disclaimer note I am able to act as an agent to sell the Readi Mask, but this is the first product I have ever endorsed and feel it really has the potential to keep responders safer when this level of protection is warranted by the hazard.  The growing list of agencies purchasing the mask and expressing interest means this product should be on your radar if you are concerned about respiratory protection for yourself, employees or family members from multiple threats.

Feel free to email me at abetteremergency@gmail.com to discuss your needs.

Sep 162012
 

Security was determined “excellent” and “good” in Y-12’s performance appraisal last year at a cost of $1.44 million. Yet on July 28, 2012 a 82 year old nun, who gets short of breath easily and two (63 and 57 years old) fellow peace protesters with a pair of bolt cutters were able to gain unimpeded access to the exterior of the Highly Enriched Uranium Materials Facility.  Perish the thought they what they might have been able to accomplish if their motives were different and they carried more than ceremonial hammers, blood and paint.

This is a classic example of the results of our “my paper plan can beat your paper plan” mentality of emergency and disaster preparedness and it reminds me of Hans Christian Andersen’s tale The Emperors’s New Clothes. In this case instead of a vain emperor we have vain program administrators who have been sold an invisible fabric of preparedness under the false belief that contrary views suggesting their preparedness is a joke must be from those unfit for their position or “hopelessly stupid”.   Numerous articles with photos and videos of military-garbed security personnel, firing thousands of rounds per minute out of state of the art machine guns while training at Y-12, now are exposed as security actors.

Across this country are agencies that have bought into this paper-publishing community preparedness theater.  They know that their preparedness is transparent and superficial, but they and their colleagues march forward under false pretenses and are used to exercises designed to pat each other on the back and ignore any deficiencies revealed, let alone correct them.  It ensures continued funding, merit raises and the show continues until real world events expose them for what they are, laughable.

In Hans Christian Andersen’s tale, it takes the innocence of a child to blurt out the Emperor is wearing nothing at all. In the case of Y-12 they had an average age of 67. Instead of the government “throwing the book at them with federal charges”, how about hiring them to test the security at other “impenetrable” facilities.  No doubt there will be no real change out of this, money will be spent and yet another thirty chapters will be added to the already bloated preparedness plan.

Implementable plans are not volumes thick and realistic exercises in many cases can be simple but designed to get people dirty not showcase technology and ensure passing grades.