Global & Disaster Medicine

Archive for August, 2018

Miriam

cone graphic

387
WTPZ35 KNHC 261438
TCPEP5

BULLETIN
Tropical Storm Miriam Advisory Number 2
NWS National Hurricane Center Miami FL EP152018
800 AM PDT Sun Aug 26 2018

…DEPRESSION STRENGTHENS INTO A TROPICAL STORM…

 

SUMMARY OF 800 AM PDT…1500 UTC…INFORMATION
———————————————-
LOCATION…13.2N 125.3W
ABOUT 1210 MI…1950 KM WSW OF THE SOUTHERN TIP OF BAJA CALIFORNIA
MAXIMUM SUSTAINED WINDS…45 MPH…75 KM/H
PRESENT MOVEMENT…W OR 275 DEGREES AT 13 MPH…20 KM/H
MINIMUM CENTRAL PRESSURE…1004 MB…29.65 INCHES

 

WATCHES AND WARNINGS
——————–
There are no coastal watches or warnings in effect.

 

DISCUSSION AND OUTLOOK
———————-
At 800 AM PDT (1500 UTC), the center of Tropical Storm Miriam was
located near latitude 13.2 North, longitude 125.3 West. Miriam is
moving toward the west near 13 mph (20 km/h), and this general
motion is expected to continue for the next few days.

Maximum sustained winds have increased to near 45 mph (75 km/h)
with higher gusts. Steady strengthening is forecast during the
next the next few days, and Miriam is expected to become a
hurricane late Monday or Monday night.

Tropical-storm-force winds extend outward up to 35 miles (55 km)
from the center.

The estimated minimum central pressure is 1004 mb (29.65 inches).

 

HAZARDS AFFECTING LAND
———————-
None.

 

NEXT ADVISORY
————-
Next complete advisory at 200 PM PDT.

$$
Forecaster Brown

 


Lane dumped the fourth-highest amount of rain for a hurricane to hit the U.S. since 1950

USA Today

WTPA32 PHFO 261439
TCPCP2

BULLETIN
Tropical Depression Lane Advisory Number 49
NWS Central Pacific Hurricane Center Honolulu HI EP142018
500 AM HST Sun Aug 26 2018

…LANE WEAKENS TO A DEPRESSION…

SUMMARY OF 500 AM HST…1500 UTC…INFORMATION
———————————————-
LOCATION…19.1N 162.2W
ABOUT 315 MI…510 KM WSW OF HONOLULU HAWAII
ABOUT 270 MI…435 KM SW OF LIHUE HAWAII
MAXIMUM SUSTAINED WINDS…35 MPH…55 KM/H
PRESENT MOVEMENT…W OR 260 DEGREES AT 10 MPH…17 KM/H
MINIMUM CENTRAL PRESSURE…1006 MB…29.71 INCHES

WATCHES AND WARNINGS
——————–
CHANGES WITH THIS ADVISORY:

None.

SUMMARY OF WATCHES AND WARNINGS IN EFFECT:

There are no coastal watches or warnings in effect.

Interests in the Northwestern Hawaiian Islands should
continue to monitor the progress of Lane.

DISCUSSION AND OUTLOOK
———————-
At 500 AM HST (1500 UTC), the center of Tropical Depression Lane was
located near latitude 19.1 North, longitude 162.2 West. The
depression is moving toward the west near 10 mph (17 km/h), and this
general motion is expected to continue into Monday. A brief slowing
in forward motion is expected Monday night as Lane makes a turn
toward the northwest. Lane is then expected to accelerate
northwestward by Tuesday as it transitions to an extratropical low.

Maximum sustained winds are near 35 mph (55 km/h) with higher gusts.
Some weakening is forecast during the next 48 hours, and Lane is
expected to become a post-tropical remnant low later today or
tonight. In a couple of days, Lane may develop into a gale force
extratropical low as it passes over portions of the Northwestern
Hawaiian Islands.

The estimated minimum central pressure is 1006 mb (29.71 inches).

HAZARDS AFFECTING LAND
———————-
RAINFALL: Lingering moisture associated with Lane will produce heavy
rainfall over portions of the main Hawaiian Islands today, which
could lead to additional flash flooding and landslides.

NEXT ADVISORY
————-
Next complete advisory at 1100 AM HST.

$$
Forecaster Birchard


Mass shooting in Jacksonville, Florida

CNN

 

  • “What happened: A shooting occurred during a Madden 19 Tournament in Jacksonville, Florida…..
  • The victims: The….preliminary reports say 11 people were shot and 4 were killed.
  • The suspect: “One suspect is dead at the scene,” the Jacksonville Sheriff’s Office tweeted.”

 


Weather: Here and There

Central Great Lakes sector loop

Northeast sector loop

National Weather Outlook


Overall last year, 139 aid workers were killed, 102 wounded and 72 kidnapped in the line of duty

UN

 


Military teams as well as disaster response forces and local fishermen have rescued some 22 000 from the Kerala floods

BBC

  • More than 350 people have been killed
  • The number of people taking refuge in the 5,645 relief camps now stood at 725,000.

 


Since the beginning of 2018 in Ukraine botulism has sickened 80 people, of whom 7 have died.

Koz

“…..Experts urged Ukrainians not to consume dried, salted and canned fish, canned food or meat products….”

 


8/19/1980: Fire on board Saudi jet forces landing and fireballs on the ground causing the death of over 300 souls.

HistoryChannel

 


Hurricane-proofing a Nantucket hospital

EMS1

By Cynthia McCormick
The Cape Cod Times

See the source image

  • The 106,000-square-foot, 14-bed hospital is being built to hurricane design specifications established by Miami-Dade County
  • Will allow the hospital to withstand Hurricane Irma-strength winds of 185 mph, rather than 150 mph as specified by Massachusetts building codes
  • Massive 5-foot-by-5-foot concrete footings fortified by mesh
  • Andersen Stormwatch windows
  • A double-hulled exterior building shell will help the new hospital stand up to Category 5 winds
  • Analog and digital phone lines
  • Access to satellite phones
  • The new Nantucket Cottage Hospital won’t even have a basement.
  • The boiler room, currently located in the basement of the existing hospital, will be shackled to the flat roof of the new hospital, including two massive generators
  • Electrical transformer switches will be located on the second floor instead of the first
  • The fuel-pumping room is being built at grade level, but will have waterproof curbing like an inverted bathtub
  • The six-over-six Andersen windows have multiple fastenings and have withstood objects hurled by hurricane-force winds in ballistic tests
  • The shell of the building is constructed almost like two walls, with a water and vapor barrier between the inner and outer skin
  • will have a larger capacity to go days without supplies
  • will have enough food for seven to 10 days and generator fuel for many days
  • will have 27,000 gallons of fuel on-site for the dual-purpose generators, more than three times the current capacity of 8,000 gallons of oil and propane
  • The final cost is estimated to run about $120 million

 

 

 

 


WHO: Prioritizing Emerging Infectious Diseases in Need of Research and Development

The World Health Organization R&D Blueprint aims to accelerate the availability of medical technologies during epidemics by focusing on a list of prioritized emerging diseases for which medical countermeasures are insufficient or nonexistent. The prioritization process has 3 components: a Delphi process to narrow down a list of potential priority diseases, a multicriteria decision analysis to rank the short list of diseases, and a final Delphi round to arrive at a final list of 10 diseases.

A group of international experts applied this process in January 2017, resulting in a list of 10 priority diseases. The robustness of the list was tested by performing a sensitivity analysis. The new process corrected major shortcomings in the pre–R&D Blueprint approach to disease prioritization and increased confidence in the results.

Multicriteria scores of diseases considered in the 2017 prioritization exercise for the development of the World Health Organization R&D Blueprint to prioritize emerging infectious diseases in need of research and development. A) Disease final ranking using the geometric average of the comparison matrices. B) Disease final ranking using the arithmetic average of the raw data. Error bars correspond to SD, indicating disagreement among experts. C) Disease final ranking using the SMART Vaccines

Multicriteria scores of diseases considered in the 2017 prioritization exercise for the development of the World Health Organization R&D Blueprint to prioritize emerging infectious diseases in need of research and development. A) Disease final ranking using the geometric average of the comparison matrices. B) Disease final ranking using the arithmetic average of the raw data. Error bars correspond to SD, indicating disagreement among experts. C) Disease final ranking using the SMART Vaccines prioritization tool (56). P1, Ebola virus infection; P2, Marburg virus infection; P3, Middle East Respiratory Syndrome coronavirus infection; P4, severe acute respiratory syndrome; P5, Lassa virus infection; P6, Nipah virus infection; P7, Rift Valley fever; P8, Zika virus infection; P9, Crimean-Congo hemorrhagic fever; P10, severe fever with thrombocytopenia syndrome; P11, South American hemorrhagic fever; P12, plague; P13, hantavirus infection.

Si Mehand M, Millett P, Al-Shorbaji F, Roth C, Kieny MP, Murgue B. World Health Organization methodology to prioritize emerging infectious diseases in need of research and development. Emerg Infect Dis. 2018 Sep [date cited]. https://doi.org/10.3201/eid2409.171427


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