Global & Disaster Medicine

Archive for the ‘Tropical storms’ Category

Now it’s Hurricane Barry!

NYT

“…….Hurricane Barry has strengthened slightly, with maximum sustained wind speeds at 75 miles per hour, and gusts even higher. The center of the hurricane was about 40 miles south of Lafayette, swirling above Marsh Island……

The storm is moving northwest at 6 m.p.h., and forecasters predicted it would continue through central Louisiana on Saturday night…….”

 


Tropical Storm Barry in the northern Gulf of Mexico is expected to become a hurricane today before reaching the Louisiana coast. Dangerous storm surge, heavy rains and winds are expected across the north-central Gulf Coast. A Hurricane Warning is in effect for a portion of the Louisiana Coast, from Intracoastal City to Grand Isle, and a Tropical Storm Warning is in effect for metro New Orleans.

Southern Mississippi Valley sector loop


What’s Louisiana doing in the face of Barry?

EMERGENCY EVENT: Tropical Storm Barry – July 2019

Infrared Satellite Image

Press Release:

  • State Partners with Louisiana 2-1-1 to Provide Disaster Sheltering and Information for Tropical Storm Barry
    BATON ROUGE (July 12, 2019): Anyone looking for shelter from Tropical Storm Barry can call 2-1-1 or text keyword LASHELTER to 898211 for the most current sheltering information. Shelter information is updated as it becomes available.
    Contd..,

  • Possible temporary closure of Cameron Ferry
    LAKE CHARLES (July 12, 2019): The Louisiana Department of Transportation and Development advises motorists that the Cameron Ferry service may be suspended due to hazardous conditions from Tropical Storm Barry. The ferry will remain in service as long as it is safe to operate, however a decision may be announced with little to no additional warning due to rapidly changing conditions.
    Contd..,

  • DOTD to close Plaquemine Ferry at 5 p.m.
    BATON ROUGE (July 12, 2019): The Louisiana Department of Transportation and Development will stop Plaquemine Ferry operations beginning at 5 p.m. on Friday, July 12, as Tropical Storm Barry continues its path towards Louisiana. The ferry will resume operations once the United States Coast Guard reopens river activity.
    Contd..,

  • Still Time to Prepare for Tropical Storm Barry
    BATON ROUGE (July 12, 2019): As Tropical Storm Barry approaches, Commissioner of Agriculture and Forestry Mike Strain, D.V.M., is urging both pet and livestock owners to continue preparations not only for themselves but also their animals.
    Contd..,

  • Gov. Edwards Request Federal Emergency Declaration in Advance of Tropical Storm Barry
    BATON ROUGE (July 11, 2019): Today, Gov. John Bel Edwards sent a letter to Pres. Donald J. Trump requesting a Federal Declaration of Emergency in advance of Tropical Storm Barry making landfall along the Louisiana coast. The declaration requests that the state receive supplementary federal resources as soon as possible should they be needed. In addition, Gov. Edwards spoke with Acting FEMA Administrator Pete Gaynor to discuss Louisiana’s unprecedented flood fight now in its 258th day, rising level of the Mississippi River, potential for strong storm surge, inundation and large scale statewide impact. Gov. Edwards also reiterated his appreciation to the administration for their support and response to the state during this and other emergencies.
    Contd..,


NOAA: Barry

Infrared Satellite Image


Tropical Storm Barry slowly churned toward the Louisiana coast on Friday, threatening to drop as much as 25 inches of rain in some areas.

CBS


Flooding hits Louisiana as residents brace for Barry

CNN


POTENTIAL TROPICAL CYCLONE TWO: Flash Flooding Risk

[Image of WPC Flash Flooding/Excessive Rainfall Outlook]


POTENTIAL TROPICAL CYCLONE TWO: Possible Rainfall

[Image of WPC QPF U.S. rainfall potential]


Potential Tropical Cyclone Two Is Almost A Tropical Depression in the Northern Gulf of Mexico

000
WTNT32 KNHC 110845
TCPAT2

BULLETIN
Potential Tropical Cyclone Two Advisory Number   4
NWS National Hurricane Center Miami FL       AL022019
400 AM CDT Thu Jul 11 2019

…DISTURBANCE IS NOT A DEPRESSION YET BUT EXPECTED TO BE ONE
SOON…
…STORM SURGE, HEAVY RAINS, AND HURRICANE CONDITIONS ARE
POSSIBLE ACROSS THE NORTH-CENTRAL GULF COAST IN A COUPLE OF DAYS…

SUMMARY OF 400 AM CDT…0900 UTC…INFORMATION
———————————————-
LOCATION…27.5N 88.2W
ABOUT 125 MI…200 KM SSE OF THE MOUTH OF THE MISSISSIPPI RIVER
ABOUT 235 MI…380 KM SE OF MORGAN CITY LOUISIANA
MAXIMUM SUSTAINED WINDS…30 MPH…45 KM/H
PRESENT MOVEMENT…W OR 260 DEGREES AT 5 MPH…7 KM/H
MINIMUM CENTRAL PRESSURE…1009 MB…29.80 INCHES

cone graphic

 

[Image of probabilities of 34-kt winds]


CDC: Vibrio vulnificus Infections and Disasters

CDC

CDC/ Janice Haney Carr: Under a high magnification of 26367X, this digitally-colorized scanning electron microscopic (SEM) image depicted a flagellated Vibrio vulnificus bacterium.

What is Vibrio vulnificus?

Vibrio vulnificus is one of about a dozen species of Vibrio bacteria that can cause human illness, called vibriosisVibrio naturally live in certain coastal waters and are present in higher concentrations between May and October when water temperatures are warmer. Those months overlap with the time when hurricanes and tropical storms are more likely to affect the U.S. mainland and many U.S. territories.

Who is more likely to get a Vibrio vulnificus infection?

Anyone can get a Vibrio vulnificus infection. People with a compromised immune system or liver disease are more likely to get an infection and severe complications. Learn about other medical conditions that increase your chance of infection.

How do people get a Vibrio vulnificus infection?

In the United States, people most often become infected with Vibrio vulnificus and other species of Vibrio by eating raw or undercooked shellfish, particularly oysters. Certain Vibrio species, including Vibrio vulnificus, can also cause a skin infection when an open wound is exposed to brackish or salt water. Brackish water is a mixture of fresh and sea water that is often found where rivers meet the sea.

When a hurricane or storm surge causes flooding, you may be exposed to coastal water. If you are in a group more likely to get a Vibrio vulnificus infection, it is especially important to take steps to reduce your risk of infection.

Learn how to reduce your risk of Vibrioinfection from raw or undercooked oysters or other shellfish or contact with their juices.

How can I protect myself from a Vibrio vulnificus infection during hurricanes and other natural disasters?

You can reduce your risk of infection by following these tips regarding wounds:

  • Stay out of brackish or salt water if possible if you have a wound. Cover your wound with a waterproof bandage if there’s a possibility it could come into contact with brackish or salt water, raw seafood, or raw seafood juices.
  • Wash wounds and cuts thoroughly with soap and water if they have been exposed to brackish or salt water, or raw seafood or its juices.
  • If you develop a skin infection, tell your medical provider if your skin has come into contact with brackish or salt water, raw seafood, or raw seafood juices.

V. vulnificus infection should be considered for infected wounds that were exposed to coastal waters. Treatment should be initiated immediately because antibiotics improve survival. Aggressive attention should be given to the wound site; amputation of the infected limb is sometimes necessary.

  • Culture of wound or hemorrhagic bullae is recommended, and all V. vulnificus isolates should be forwarded to a public health laboratory
  • Blood cultures are recommended if the patient is febrile, has hemorrhagic bullae, or has any sign of sepsis
  • Necrotic tissue should be debrided; severe cases may require fasciotomy or limb amputation
  • Antibiotic therapy: Doxycycline (100mg PO/IV twice a day for 7–14 days) and a third-generation cephalosporin (e.g., ceftazidime 1–2g IV/IM every eight hours) is generally recommended
  • A single agent regimen with a fluoroquinolone such as levofloxacin, ciprofloxacin, or gatifloxacin, has been reported to be at least as effective in an animal model as a regimens with doxycycline and a cephalosporin
  • Children, in whom doxycycline and fluoroquinolones are sometimes contradicted, can be treated with trimethoprim-sulfamethoxazole plus an aminoglycoside

Categories

Recent Posts

Archives

Admin