Global & Disaster Medicine

Archive for the ‘Tropical cyclones’ Category

10/26/1998: Between 11,000 and 18,000 people are believed to have died because of Hurricane Mitch’s devastation across the Caribbean

History

Mitch sat pic

 


Typhoon Yutu: Maximum sustained winds of 180 mph were recorded around the eye of the storm, which passed over Tinian and Saipan early Thursday.

FEMA SitRep

State/Local Response • CNMI EOC is closed, re-opening tomorrow morning (local time) o Saipan, Tinian, and Rota at COR I o All CNMI public schools remain closed until further notice • Guam EOC returned to Normal Operations; the island returned to COR 4 o Governor declared a State of Emergency o All Guam public schools are closed until further notice o No unmet needs identified, no requests for FEMA assistance

FEMA HQ/Federal Response • FEMA/Federal Response • The President signed Emergency Declaration (FEMA-3408-EM) for CNMI on October 23 • FEMA Region IX RWC at Steady State, continues to monitor o FEMA Region IX IMAT-2 and select ESFs deployed to Saipan o LNOs in Guam and CNMI (already deployed for Typhoon Mangkhut) • FEMA Region VII IMAT deployed to Guam/CNMI in support of FEMA-4396/4398-DR • FEMA HQ ISB team • MERS assets deployed to Guam and Saipan • FEMA NRCC Response Operations Cell (ROC) activated (day shift) • HHS deployed Incident Response Coordination Team (IRCT)

https://www.youtube.com/watch?v=l2-m1G8IhF0

US&R requirements limited and within the capacity of local and territorial responders

Food, Water, Sheltering: • CNMI has 14 days of commodities; requesting additional 10 days supply • Water: Saipan water service restoration timeline unknown • Shelters/Occupants: (Region IX midnight SPOTREP ) o CNMI: 17/677 (Saipan 12/553; Tinian 3/45; Rota 2/79) • FEMA is providing 10 days of food and water, 360 cots, 360 blankets, 125 tents, 125 tent kits, 125 toilet kits and 250 tarps in anticipation of needs post storm • Tinian has limited supplies and has requested food and water; DOD is providing resupply via c-17 on 10/26 o Guam: All shelters closed

Health and Medical: • 14 DMAT members transferred to Saipan 10/25 • Tinian Medical Center closed due to extensive damage (no patients were present) • No reported damage at Rota health clinic • Saipan Hospital and the Rota Medical Center on generator power

Energy: • CNMI: widespread power outage; generators requested • Commonwealth Utility Company (CUC) estimates 21 days of fuel available; working with ESF 12 to validate permanent power restoration resource requirements

Communication: • CNMI: Significant damage to cell towers throughout the incident area • Guam: Intermittent cell service

Transportation: • Ports inaccessible; all ports are Condition Zulu (closed) (USCG as of midnight EDT) • Saipan airport sustained significant damage, assessments planned; most flights cancelled • CNMI: Many areas inaccessible due to debris • Guam: Seaport open with restriction


FEMA SitRep on Yutu: October 24 (Cat 5)

FEMA

Tropical Cyclone Yutu (CAT 5) (Advisory #12 as of 5:00 a.m. EDT)

• 85 miles SE of Tinian

• Maximum sustained winds 165 mph; moving NNW at 12 mph

• Typhoon force winds extend 65 miles; Tropical storm force winds extend 205 miles

• Typhoon Warnings in effect for Tinian, Saipan, and Rota • Tropical Storm Warning in effect for Guam, Alamagan, Pagan, and Agrihan

Potential Impacts

• Winds: Typhoon conditions are expected this evening through late Thursday morning for Tinian, Saipan and Rota; Tropical storm conditions are expected on Guam late this afternoon through Thursday night

• Rainfall: A Flash Flood Watch is now in effect. 10-14 inches of rain expected for Tinian and Saipan. 6-8 inches for Rota and 4-6 inches on Guam

• Storm Surge and High Surf: Dangerous, extremely high surf is expected along windward shores. Low lying along windward coasts may see inundation of 15-20 feet.

Once Yutu passes surf will build to 16-20 feet along exposed west facing coasts with 5-7 feet of inundation possible. Surf will be 10-20 feet range on Guam and Rota with inundation of 2-4 feet possible

State/Local Response

• CNMI at Full Activation o Saipan, Tinian, and Rota at COR I (onset of damaging winds within 12 hours)

• Guam EOC at Full Activation, COR I (onset of damaging winds within 12 hours)

• Governor of Guam declared State of Emergency

• All Guam and CNMI schools are close until further notice

FEMA Region IX

• IMAT-2 deployed to Saipan

• LNOs deployed to Guam and CNMI

• FEMA Region IX RWC at Steady State, continues to monitor

• FEMA Region IX IMAT-2 and select ESFs deployed to Saipan

FEMA HQ/Federal Response

• The President signed Emergency Declaration (FEMA-3408-EM) for CNMI on October 23

• FEMA Region VII IMAT deployed to Guam/CNMI in support of FEMA-4396/4398-DR

• FEMA HQ ISB team, MERS assets deployed to Guam and Saipan

• FEMA NRCC Response Operations Cell (ROC) activated (day shift)

• HHS deployed Incident Response Coordination Team (IRCT) and DMAT to Guam

• The JFO in Guam for FEMA-4396-MP/4398-DR-GU will be closed October 24; staff have been instructed to work from hotel rooms and shelter in place

State/Local Response

• CNMI at Full Activation o Saipan, Tinian, and Rota at COR I (onset of damaging winds within 12 hours)

• Guam EOC at Full Activation, COR I (onset of damaging winds within 12 hours)

• Governor of Guam declared State of Emergency

• All Guam and CNMI schools are close until further notice

Safety and Security:

Guam: ESF 13 on the ground and embedded with HHS; no unmet needs at this time
Food, Water, Sheltering:

• Shelters o Saipan: 12 shelters, 538 occupants (626 capacity) o Tinian: 1 shelter, 17 occupants (190 capacity) o Rota: 2 shelter, 78 occupants (160 capacity) o Guam: 8 shelters, 290 occupants

• Saipan: Water service for the entire island has been taken down intentionally

Health and Medical:

1 Dialysis and 1 outpatient clinic closed

Energy:

CNMI:

• Commonwealth Utility Company (CUC) estimates 21 days of fuel is currently available on the islands

• Saipan has generators available for post-storm use

• Power has been intentionally shut down for 8 of 9 feeders to protect the system

Communication:

In the event of a post-landfall communications disruption, routine checks through NAWAS and FNARS will commence by Region IX with the Territory

Transportation:

CNMI: • All ports are Condition Zulu (closed) (USCG as of midnight EDT)

• Airports: o Saipan: Airport is at normal operations however several flights are delayed/cancelled

o All flights cancelled out of Tinian and Rota

• Saipan local transit suspended normal services October 23 to provide services for residents to shelter


Yutu


Vincente & Willa on their way to Mexico

cone graphic

cone graphic


FEMA Sit Rep: Health and Medical issues after Michael as of October 14

GA: 2 (-5) hospitals on generator power, 1 (+1) no power; 1 nursing home no power, 9 (-13) on generator power; 10 (-11) sheltering-in-place •

FL: 3 hospitals closed; 8 dialysis centers closed; Nursing Homes/ Assisted Living Facilities: 18 sheltering in place, 2 with no power, 17 (-1) on generator power, 1(-1) closed/evacuating, and 7 (-1) closed/evacuated •

HHS DMATS: FL: 6; AL 1 (and 1 DMORT); 1 cache staged in Atlanta, GA


Local, state, and Federal responses continue after Michael

AL EOC at Partial Activation:

o Governor declared a statewide State of Emergency

o Emergency Declaration FEMA-3407-EM approved on October 12th

• FL EOC at Full Activation:

o Governor declared a State of Emergency for 35 counties

o Emergency Declaration FEMA-3405-EM-FL approved October 9th

o Major Disaster Declaration FEMA-4399-DR-FL approved October 11th

GA EOC at Full Activation:

o Governor declared State of Emergency for 108 counties

o Emergency Declaration FEMA-3406-EM-GA approved on October 10th

o Governor requested an Major Disaster Declaration on October 12th

NC EOC at Monitoring; Governor declared a State of Emergency

SC EOC at Normal Operations; Governor declared a State of Emergency

TN EOC at Monitoring (EMAC support)

• VA EOC at Monitoring; Governor declared a State of Emergency

 

FEMA Region IV

• RRCC at Level I (24/7), all ESFs, DCO/DCE and DHS NPPD

• LNOs deployed to FL and GA

• IMAT-2 deployed to FL EOC

 

FEMA HQ/Federal Response

• NRCC at Level II with select ESFs

• National IMAT East deployed to FL EOC

• Region II IMAT deployed to AL EOC

• Region V IMAT deployed to GA EOC

• ISB Team deployed to Montgomery, AL

• Staging areas: Montgomery, AL (Maxwell AFB); Fayetteville, NC (Ft Bragg); North AF AUX, SC


The Condition of Healthcare after Michael

FEMA Daily Operations Briefing for October 13, 2018

Health and Medical

• GA: 7 hospitals & 20 nursing homes/assisted living facilities on generator power, 6 dialysis centers closed

• FL: 4 hospitals closed; 8 dialysis centers closed; 23 nursing homes/assisted living facilities closed, 20 on generator power, 2 without power

• HHS DMATS: FL: 6; AL 1 (and 1 DMORT); 1 cache staged in Atlanta, GA


Hurricane Leslie swept into the centre and north of Portugal leaving 15 000 homes without power.

BBC

https://www.youtube.com/watch?v=WI_NOH0j9Bs


Mexico Beach reduced to rubble in the aftermath of Michael

NYT

“……..Mr. Foster, 60, and his 99-year-old mother had no car, no electricity. The food had spoiled in his refrigerator. The storm had ripped off large sections of his roof. He had no working plumbing to flush with. No water to drink. And as of Friday afternoon, he had seen no sign of government help……This was the problem that government officials were racing to solve on Friday, as desperation grew in and around Panama City under a burning sun. Long lines formed for gas and food, and across the battered coastline, those who were poor, trapped and isolated sent out pleas for help……”


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