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What's in your disaster plan?
Ronald Gross Rgross at harthosp.orgMon Sep 19 18:19:27 BST 2005
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"FEMA was deprioritized and crammed in with twenty-odd other agencies under the Department of Homeland Security." Pret, That quote says it all - and Chertoff, the guy who is suppoesed to be the guru for the FEMA crew, was "surprised" by all of this. While this is where the Feds should take the blame for their part of the failure in N.O., it still doesn't relieve the Mayor of N.O. and the governor of LA for their complete and total failure of understanding, forethought, planning, and reactivity - or should I say ability to react - to the pre-event information, and the post-event catastrophy that befell the people that they had committed to serve. Ron >>> pbjorn at emh.org 9/7/2005 12:53:22 PM >>> Maine's Senator Collins put it succinctly: "Government at all levels failed." But the Federal Emergency Management Agency's most recent defense of its response amounts to, "We never said we were first responders." It's easy to agree that FEMA should not be in the business of search and rescue or first aid or fixing power lines; these are clearly local issues, with local systems in place which should be flexible and fluid (and which variously failed in responding to Katrina). But -- especially in the Global Struggle Against Violent Extremism -- the feds could, should, and (presumably) HAD been spending the last four years and countless billions of dollars organizing and preparing a cooperative interstate response to catastrophe. Most officials agree that Katrina has woefully quantified our capacity to deal with another 9/11-scale terrorist attack. The President said it himself: "It's as if the entire Gulf Coast were obliterated by the worst kind of weapon you can imagine." And this is a guy who knows how to imagine weapons. FEMA should be leading the national emergency preparedness effort, articulating the standards and ensuring their proper implementation. This includes an inventory of national threats, resources, and responses; developing decision matrices based on various combinations thereof; and enabling local providers to perform them with some semblance of organization. That's why they call it "Federal Emergency Management," and not "Case-by-case Social Work." Instead, FEMA was deprioritized and crammed in with twenty-odd other agencies under the Department of Homeland Security. Its command authority was subverted and its mission truncated by administrative tunnel vision. Homeland Security, in turn, has dispersed hundreds of secret truckloads of anthrax vaccine, trained EMT's in rural Maine to respond to nuke/bio/chem attacks, given Porter Goss and John Bolton permission to search my home and my library records without my knowledge, and sniffed the shoes of millions of travelers; but for all their ability to conjure compelling scenarios of extremist Islamic mayhem, they failed to imagine the consequences of decades of meteorologic roulette along the gulf coast. For about 1/3000th of the rebuilding costs of Katrina, the US could put a million-dollar EMA office in every state capital. Double that, and enable them to share and integrate with one another. Triple it, and weave in an exponentially reinforced state and national EMS infrastructure. We're still at only one tenth of one per cent of the gulf coast reconstruction... but it's thirtyfold what the feds spent on EMS this year. And we were lucky: the President had tried to zero the budget. It's too easy for FEMA to defer its share of the blame the locals, while the budgets of the country's poorest states have been gutted in favor of unfunded federal priorities. It forces one to wonder: how many children were left behind along the shores of Louisiana, Mississippi, and Alabama? Pret -----Original Message----- From: Steve Schecter [mailto:sschecter2002 at yahoo.com] Sent: Tuesday, September 06, 2005 4:40 PM To: Trauma & Critical Care mailing list Subject: Re: What's in your disaster plan? Ben , A good piece in today's WSJ. > Before you get defensive, I just want everyone to keep > this in mind: Something went terribly wrong with our > government's response which resulted in an unnecessary > loss of life and NOW is the time to ask questions. Blame Amid the Tragedy By BOB WILLIAMS September 6, 2005; Page A28 As the devastation of Hurricane Katrina continues to shock and sadden the nation, the question on many lips is, Who is to blame for the inadequate response? As a former state legislator who represented the legislative district most impacted by the eruption of Mount St. Helens in 1980, I can fully understand and empathize with the people and public officials over the loss of life and property. Many in the media are turning their eyes toward the federal government, rather than considering the culpability of city and state officials. I am fully aware of the challenges of having a quick and responsive emergency response to a major disaster. And there is definitely a time for accountability; but what isn't fair is to dump on the federal officials and avoid those most responsible -- local and state officials who failed to do their job as the first responders. The plain fact is, lives were needlessly lost in New Orleans due to the failure of Louisiana's governor, Kathleen Blanco, and the city's mayor, Ray Nagin. The primary responsibility for dealing with emergencies does not belong to the federal government. It belongs to local and state officials who are charged by law with the management of the crucial first response to disasters. First response should be carried out by local and state emergency personnel under the supervision of the state governor and his/her emergency operations center. The actions and inactions of Gov. Blanco and Mayor Nagin are a national disgrace due to their failure to implement the previously established evacuation plans of the state and city. Gov. Blanco and Mayor Nagin cannot claim that they were surprised by the extent of the damage and the need to evacuate so many people. Detailed written plans were already in place to evacuate more than a million people. The plans projected that 300,000 people would need transportation in the event of a hurricane like Katrina. If the plans had been implemented, thousands of lives would likely have been saved. In addition to the plans, local, state and federal officials held a simulated hurricane drill 13 months ago, in which widespread flooding supposedly trapped 300,000 people inside New Orleans. The exercise simulated the evacuation of more than a million residents. The problems identified in the simulation apparently were not solved. A year ago, as Hurricane Ivan approached, New Orleans ordered an evacuation but did not use city or school buses to help people evacuate. As a result many of the poorest citizens were unable to evacuate. Fortunately, the hurricane changed course and did not hit New Orleans, but both Gov. Blanco and Mayor Nagin acknowledged the need for a better evacuation plan. Again, they did not take corrective actions. In 1998, during a threat by Hurricane George, 14,000 people were sent to the Superdome and theft and vandalism were rampant due to inadequate security. Again, these problems were not corrected. The New Orleans contingency plan is still, as of this writing, on the city's Web site, and states: "The safe evacuation of threatened populations is one of the principle [sic] reasons for developing a Comprehensive Emergency Management Plan." But the plan was apparently ignored. Mayor Nagin was responsible for giving the order for mandatory evacuation and supervising the actual evacuation: His office of Emergency Preparedness (not the federal government) must coordinate with the state on elements of evacuation and assist in directing the transportation of evacuees to staging areas. Mayor Nagin had to be encouraged by the governor to contact the National Hurricane Center before he finally, belatedly, issued the order for mandatory evacuation. And sadly, it apparently took a personal call from the president to urge the governor to order the mandatory evacuation. The city's evacuation plan states: "The city of New Orleans will utilize all available resources to quickly and safely evacuate threatened areas." But even though the city has enough school and transit buses to evacuate 12,000 citizens per fleet run, the mayor did not use them. To compound the problem, the buses were not moved to high ground and were flooded. The plan also states that "special arrangements will be made to evacuate persons unable to transport themselves or who require specific lifesaving assistance. Additional personnel will be recruited to assist in evacuation procedures as needed." This was not done. The evacuation plan warned that "if an evacuation order is issued without the mechanisms needed to disseminate the information to the affected persons, then we face the possibility of having large numbers of people either stranded and left to the mercy of a storm, or left in an area impacted by toxic materials." That is precisely what happened because of the mayor's failure. Instead of evacuating the people, the mayor ordered the refugees to the Superdome and Convention Center without adequate security and no provisions for food, water and sanitary conditions. As a result people died, and there was even rape committed, in these facilities. Mayor Nagin failed in his responsibility to provide public safety and to manage the orderly evacuation of the citizens of New Orleans. Now he wants to blame Gov. Blanco and the Federal Emergency Management Agency. In an emergency the first requirement is for the city's emergency center to be linked to the state emergency operations center. This was not done. The federal government does not have the authority to intervene in a state emergency without the request of a governor. President Bush declared an emergency prior to Katrina hitting New Orleans, so the only action needed for federal assistance was for Gov. Blanco to request the specific type of assistance she needed. She failed to send a timely request for specific aid. In addition, unlike the governors of New York, Oklahoma and California in past disasters, Gov. Blanco failed to take charge of the situation and ensure that the state emergency operation facility was in constant contact with Mayor Nagin and FEMA. It is likely that thousands of people died because of the failure of Gov. Blanco to implement the state plan, which mentions the possible need to evacuate up to one million people. The plan clearly gives the governor the authority for declaring an emergency, sending in state resources to the disaster area and requesting necessary federal assistance. State legislators and governors nationwide need to update their contingency plans and the operation procedures for state emergency centers. Hurricane Katrina had been forecast for days, but that will not always be the case with a disaster (think of terrorist attacks). It must be made clear that the governor and locally elected officials are in charge of the "first response." I am not attempting to excuse some of the delays in FEMA's response. Congress and the president need to take corrective action there, also. However, if citizens expect FEMA to be a first responder to terrorist attacks or other local emergencies (earthquakes, forest fires, volcanoes), they will be disappointed. The federal government's role is to offer aid upon request. The Louisiana Legislature should conduct an immediate investigation into the failures of state and local officials to implement the written emergency plans. The tragedy is not over, and real leadership in the state and local government are essential in the months to come. More importantly, the hurricane season is still upon us, and local and state officials must stay focused on the jobs for which they were elected -- and not on the deadly game of passing the emergency buck. Mr. Williams is president of the Evergreen Freedom Foundation, a free market public policy research organization in Olympia, Wash __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/traumalist.html -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/traumalist.html ----------------------------------------------- Confidentiality Notice This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential or proprietary information which is legally privileged. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please promptly contact the sender by reply e-mail and destroy all copies of the original message.
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