Global & Disaster Medicine

Archive for October, 2016

Haiti: More than 200 cases of cholera have been reported since Hurricane Matthew struck on 4 October.

BBC

  • The WHO is sending a million doses of cholera vaccine to Haiti
  • A race is on to curb new outbreaks before the imminent rainy season makes toilets overflow, helping cholera to spread.
  • The WHO wants to give Haitians an oral vaccine
  • Usually, patients get a double dose of the vaccine. But in this case a single dose may be used to cover twice as many people – a million instead of 500,000.

 


Category Three Hurricane Nicole has roared across Bermuda with maximum sustained winds of more than 125mph.

BBC

Hurricane Track Information

 


Turn Around Don’t Drown®

NWS

Each year, more deaths occur due to flooding than from any other thunderstorm related hazard. The Centers for Disease Control and Prevention report that over half of all flood-related drownings occur when a vehicle is driven into hazardous flood water. The next highest percentage of flood-related deaths is due to walking into or near flood waters. People underestimate the force and power of water. Many of the deaths occur in automobiles as they are swept downstream. Of these drownings, many are preventable, but too many people continue to drive around the barriers that warn you the road is flooded.

A mere 6 inches of fast-moving flood water can knock over an adult.

It takes just 12 inches of rushing water to carry away a small car, while 2 feet of rushing water can carry away most vehicles.

It is NEVER safe to drive or walk into flood waters.

Yellow Warning Sign

TADD Warning Sign

The yellow warning sign, right, “When Flooded, Turn Around Don’t Drown®” complies with Federal Highway Administration (FHA) standards and is intended for deployment as a permanent road sign. Warning signs alert drivers of a possible danger ahead, such as when it may be necessary to slow down and stop, or a road hazard or special situation may be ahead. Details on producing this Turn Around Don’t Drown® warning sign are available here.

The “When Flooded, Turn Around Don’t Drown®” warning sign should be deployed at locations where the incidence of flooding is high, the onset of flooding is rapid, and/or it is not practical to deploy incident signs in a timely manner.

NWS offices are encouraged to work with officials in their local areas in promoting use of this sign to save lives and property.

Warning signs have a black legend (i.e., lettering and outer border) and a yellow background (RGB color 255:208:69 or Pantone 116).  More detailed guidance on use of warning signs can be found in Chapter 2C of the MUTCD

TADD Warning Sign
Pink Incident SignTADD incident sign

The FHA, with its Letter of Support, has encouraged use of the phrase “Flooding Ahead Turn Around Don’t Drown®” as an official incident management road sign (pink) following FHA specifications. Get details on producing this Turn Around Don’t Drown® incident sign.

Incident management signs are a specific type of Temporary Traffic Control (TTC) sign deployed in response to short-term events which impede the normal flow of traffic such as accidents, natural disasters, hazardous material spills, or other unplanned incidents.  The “Flooding Ahead Turn Around Don’t Drown®” incident management sign is intended for use at locations where stream waters flooding across a road have made passage dangerous.  The location may be a road which dips down to the level of a stream channel or a bridge or culvert which cannot pass high flood flows.

Incident management signs are intended for mounting on temporary sign holders such as the one shown above.  They should not be mounted on construction barricades.

This type of incident sign has a black legend (i.e., lettering and outer border) and a fluorescent pink background (RGB color 255:40:140 or Pantone 232).  More detailed guidance on incident signs can be found in Section 6I in Part 6 of the Manual on Uniform Traffic Control Devices (MUTCD).

TADD incident sign

NWS: Major river flooding (some record) will continue in eastern North Carolina and South Carolina due to last weekend’s heavy rain.

Significant Flood Outlook Graphic Map


“….two Kurdish fighters  [killed] in what is believed to be one of the first times the Islamic State has successfully used a drone with explosives to kill troops on the battlefield……”

NY Times

 


Kabul, Afghanistan: At least 17 people are dead and 62 wounded after a militant attack on a Shiite shrine

NY Times

 


The WHO is sending 1 million doses of cholera vaccine to Haiti.

REUTERS

“…..Some 150 suspected cholera cases have been reported in Grand’Anse department and 50 in South department….”

 


Effects of climate change on sea-level rise and hurricane activity on NYC: Water could surge some 9 feet in hurricanes occurring anywhere from 3 to 17 times more often than today

NYC-FutureFloodHazard_PNAS


Beware the call to evacuate: The worst damage occurred inland, in places that might typically be refuges for people fleeing the coasts.

NY Times

“…..Evacuations are not easy. Businesses lose money. Residents, many already exhausted from nailing plywood over windows, have to come up with an evacuation plan. Do they impose on relatives? Do they pay for a hotel, if they can even find one? Do they go to emergency shelters, typically uncomfortable and averse to pets……Then there are those who want to evacuate but have no easy way to do so: people without cars, people who do not speak English well and may not understand directions on how to leave, older people, those with disabilities. Even tourists, who often know no one locally, can be at a loss on what to do…..”

Significant Flood Outlook Graphic Map

Legend description:

  • Occurring or Imminent – Significant flooding is already occurring or is forecast to occur during the outlook period.
  • Likely – Weather conditions indicate that significant flooding can be expected during the outlook period.
  • Possible – Weather conditions indicate that significant flooding could occur. Such flooding is neither certain nor imminent

 

 


The full extent of the disaster in North Carolina was still unclear, but it appeared that thousands of homes were damaged, and more were in danger of flooding.

ABC News

“….The storm killed more than 500 people in Haiti and at least 23 in the U.S. — nearly half of them in North Carolina. At least three people were missing……”


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