Kyle, I just sent a reply under the "old" subject heading, but rather than
emergency response agencies buying paratransit vehicles, how about
coordinating with existing paratrans people to use their inventory?  Some
hurricane prone zones tend to have a higher percentage of elderly and
disabled in their populations, so may have a correspondingly larger
inventory of accessible vehicles.  We're including people from our Regional
Centers for people with disabilities, as they tend to have accessible
vehicles as well, realizing that their first priority will be to the people
that they serve.

On Nov 20, 2007 11:43 AM, Cleveland, Kyle E. <
[log in to unmask]> wrote:

> Mags,
>
> The size of the disabled community would have to be taken into
> consideration, and frankly, the strength of their local lobby.  There's
> a finite amount of emergency preparedness money and the first responder
> community has to determine the best return on the dollar.
>
> Some jurisdictions, regardless of the size of the pwd community,
> wouldn't need to go in that direction (buying a bunch of paratransit
> vans) because the risk of mass evacuations is slight.  For example, here
> in Ohio the chance of a generalized natural disaster requiring mass
> evacuation is fairly remote (except for the towns prone to flooding
> along the Ohio River).  So our Emergency Operations Plan does not have a
> strong focus on exfiltration of the community.  Communities in, say, the
> hurricane belt might need to look strongly at things like paratransit
> vans.
>
> For your area there's a bit of a conundrum: The biggest risk is
> earthquake, but unlike hurricanes and other weather-related events,
> there is no real warning mechanism to give folks enough time to evac out
> of the quake zone.  Therefore, the reality is that the funds need to be
> spent on response and recovery--fire trucks, earth movers, building
> jacks, etc.
>
> What Kendall said is, unfortunately, true.  Folks with mobility
> disabilities are going to have their own plans in place--at least for
> the early part of the disaster recovery process.  The Department of
> Homeland Security has a preparedness website for pwd:
> http://www.disabilitypreparedness.gov/
> This may be a helpful starting point, but it's just that--a starting
> point.
>
> DHS also has a general preparedness site at www.ready.gov, but the
> content is sort of mediocre.  IMHO, the Federation of American
> Scientists came up with a much better alternative:  www.reallyready.org
>
> There is a disability specific section at this site:
> http://www.fas.org/reallyready/disabilities/index.html
>
> Hope this was helpful.
>
> Kyle
>
> -----Original Message-----
> From: Cerebral Palsy List [mailto:[log in to unmask]] On Behalf
> Of Tamar Raine
> Sent: Tuesday, November 20, 2007 11:58 AM
> To: [log in to unmask]
> Subject: Re: history an affront to science?
>
> Kyle, what about paratransit vans? those can hold at least 3 or 4
> chairs.
>
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> http://www.zazzle.com/TamarMag*
> Tamar Mag Raine
> [log in to unmask]
> www.cafepress.com/tamarmag
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>
>
>
> ----- Original Message ----
> From: "Cleveland, Kyle E." <[log in to unmask]>
> To: [log in to unmask]
> Sent: Tuesday, November 20, 2007 5:13:11 AM
> Subject: Re: history an affront to science?
>
> Kendall,
>
> Yes, it is a concern that's left us scratching our heads.  DHS responded
> without a whole lot of thought into their "on your own" answer, but one
> of the professional organizations to which I belong, the International
> Association of Emergency Managers (IAEM), has had a number of
> "teleforums" on that subject (I'll see if I can dig up some transcripts
> for you).
>
> Unfortunately, DHS is not plugged into IAEM.  This year, primary grant
> funding has been for interoperable communications.  We'll have to wait
> and see what the funding cycle looks like for next year, but there's
> quite a lot of interest at the local level for dealing with evac of PWD.
> If I were chair-dependent I would look at my county's Emergency
> Operations Plan (EOP) to see if it has an "annex" for the disabled
> community.  The county's EOP should be accessible to you as it's public
> record and not a secure document.
>
> We have few vehicles that could handle more than one or two chairs.
> One
> of the scenarios we ran at a recent inter-agency exercise was evacuating
> a senior living facility where people had their own apartments with
> medical care onsite.  The scenario called for using chair gurneys and
> two-man hand carry techniques to evac folks in chairs and scooters.  It
> was an element of the exercise that didn't go very well.  "Kneeling"
> city buses would have allowed chair access to the vehicle, but there is
> very little room for the chairs once you're on the bus.  Military
> vehicles, such as HMMWVs ("hum-vees") and deuce-and-a-half trucks were
> really impractical.
>
> At this stage we can get folks in chairs out, but we don't have the
> equipment to take their chairs/scooters with them.  We might be able to
> handle evac in the early stages of the disaster, but mobility for these
> folks in the aftermath while they're at shelter facilities is really
> going to be problematic.
>
> Kyle
>
> -----Original Message-----
> From: Cerebral Palsy List [mailto:[log in to unmask]] On Behalf
> Of Kendall D. Corbett
> Sent: Friday, November 16, 2007 1:18 PM
> To: [log in to unmask]
> Subject: Re: history an affront to science?
>
> Kyle,
>
> In the guard and civilian work you do, how much emphasis is put on
> people
> with disabilities?  After Katrina and Rita, a huge hole was revealed in
> plans for this population, and we're trying to plan for it on a state
> level.  One of the responses from Homeland Security was that people with
> disabilities should have their own evacuation plans in place, and these
> would basically be "it."  This doesn't take into consideration the
> tremendous dislocation caused by a disaster.  One of the things we were
> told
> was that we needed to have a list of accessible vehicles to use to
> evacuate
> people using power mobility.  This is workable _IF_ I have time to get
> my
> chair to the evacuation point, unload it, and go back to pick people up.
> This also assumes that there won't be road hazards that will prevent a
> lowered floor van from entering an area, and that emergency management
> personnel are provided with a list of authorized vehicles to enter areas
> that private vehicles might otherwise be barred from entering.
> I don't argue that people with disabilities shouldn't have plans in
> place,
> but the nature of disaters is that they aren't optimal circumstances.
> On Nov 7, 2007 5:55 AM, Cleveland, Kyle E.
> <[log in to unmask]>
> wrote:
>
> > Mag,
> >
> > I Teach at OCS (Officer Candidate School).  In broad terms the subject
> > is "Military Aid to Civil Authorities", meaning how ARNG officers
> > interact with their civilian counterparts in government and law
> > enforcement in disaster situations.  Some of the sub-subjects are
> force
> > continuum/rules of engagement, history of the militia in the US,
> > disaster psychology and Military Operations Other Than War (MOOTW).
> The
> > list is far from exhaustive and changes all the time depending on
> > current events and direction from the state and federal governments.
> My
> > courses have a primary focus on Guard operations in "Title 32"
> > status--meaning when they are called by the governor for state
> > emergencies.  However, since a lot of the coursework relates directly
> to
> > some of the issues that Guard troops are facing (primarily) in Iraq,
> we
> > have a lot of deploying officers auditing the courses.
> >
> > On the other side of the house I work as a Continuity of Operations
> and
> > Government (COOP/COG) Analyst.  My work involves keeping the local
> > government running of there's some sort of disaster.  So I look for
> ways
> > to make sure bad guys stay in jail, Police and EMS can still respond,
> > taxes can get paid and people can still get marriage licenses--when
> the
> > world's coming down around everyone's heads.  It's kind of developing
> > nuclear bombs--you're working on something you hope never gets used.
> >
> > Kyle
> >
> > -----Original Message-----
> > From: Cerebral Palsy List [mailto:[log in to unmask]] On
> Behalf
> >  Of Tamar Raine
> > Sent: Tuesday, November 06, 2007 11:47 PM
> > To: [log in to unmask]
> > Subject: Re: history an affront to science?
> >
> > kyle, what do you teach at the natl guard?  and I forgot what your
> other
> > job is...
> >
> > Mag
> >
> > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> > http://www.zazzle.com/TamarMag*
> > Tamar Mag Raine
> > [log in to unmask]
> > www.cafepress.com/tamarmag
> > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> >
> >
> >
> > ----- Original Message ----
> > From: "Cleveland, Kyle E." <[log in to unmask]>
> > To: [log in to unmask]
> > Sent: Tuesday, November 6, 2007 12:11:14 PM
> > Subject: Re: history an affront to science?
> >
> > Ah well, it's what I do for a living--both for the gov't and the
> Guard.
> > This has been simmering and simmering in South East Asia since before
> > the SARS scare.  One case in Vietnam was caused by the patient's
> > drinking raw duck blood, so the fact that most of us in the West don't
> > have such intimate contact with poultry is a mitigating factor.
> >
> > There have been several documented cases where H5N1 has made the
> > avian-to-mammal jump.  It's been to cats and dogs, so this has raised
> a
> > few eyebrows because there's so much interaction between the three in
> > just about all cultures.
> >
> > Ken, do you remember the 1976-77 "Swine Flu" scare?  It started with a
> > couple of soldiers at Ft. Dix coming down with flu symptoms and then
> > blood tests showed that 200+ soldiers had been exposed to H1N1.
> Nobody
> > less than 50 years old had any immunity.  I was in college at Ohio
> State
> > the time and you would have thought the world was ending.  Kids were
> > lined up around the block at St. John Arena (the old basketball gym)
> to
> > get shots.  Instead of hypodermic needles they used the air guns that
> > shot the vaccine right through your skin.  The air guns had been
> > supplied by the military, but the nurses had little to no training on
> > their use.  If you didn't hold the gun at a right angle, tight against
> > the arm, the thing would rip a nasty crescent shaped hole in your
> skin.
> > I still have my scar.  What a trip that was.  LOL!
> >
> > -----Original Message-----
> > From: Cerebral Palsy List [mailto:[log in to unmask]] On
> Behalf
> > Of ken barber
> > Sent: Tuesday, November 06, 2007 2:43 PM
> > To: [log in to unmask]
> > Subject: Re: history an affront to science?
> >
> > you got a pretty good handle on this, much more than a
> > normal layman. we'd lose millions of people.
> >
> > --- "Cleveland, Kyle E."
> > <[log in to unmask]> wrote:
> >
> > > Yeah...the documentation supports two-generation
> > > infections in SE Asia
> > > for Human-Human infection right now.  Seven of eight
> > > family members in
> > > one dwelling became infected.
> > >
> > > Of the 200+ human infections, here are the things
> > > that scare me about
> > > this (see www.pandemicflu.gov for an overview)
> > >
> > > 1) Primarily young, healthy people are
> > > affected--with a 60% mortality
> > > rate.
> > > 2) Of the four antivirals that we currently have
> > > available, two were
> > > totally ineffective in the clinical settings in
> > > which they were used,
> > > one was suspect.  IVIG (Intra-venous
> > > Immunogammablobulin) therapy has
> > > not been shown to be effective.
> > > 3) There are only four known A subtypes of influenza
> > > viruses (H1N1,
> > > H1N2, H3N2, and H7N2) currently circulating among
> > > humans.  H5N1 is a
> > > whole new game--no one has a natural immunity.
> > > (It's pretty much common
> > > knowledge that a vaccine will take at least 6 months
> > > to produce once the
> > > specific genetic subtype has been isolated.)
> > > 4) In the US, "Just-In-Time" logistical systems will
> > > be overwhelmed by
> > > surge--particularly those of hospitals and
> > > pharmaceutical producers.
> > > 5) The only effective means to break the cycle of
> > > infection will be
> > > quarantine/isolation.  This will be almost
> > > impossible to control on a
> > > volunteer basis.
> > > 6) All public works, government, law enforcement,
> > > medical facilities,
> > > grocery outlets (you name it) will experience up to
> > > 80% absenteeism
> > > through actual infection, caregiving, "worried
> > > well".
> > >
> > > This will be the great equalizer--affecting rich and
> > > poor to almost the
> > > same degree.  The "free world's" enemies and friends
> > > will both be
> > > equally affected, superposing even the most strident
> > > socio-political
> > > issues.
> > >
> > > -----Original Message-----
> > > From: Cerebral Palsy List
> > > [mailto:[log in to unmask]] On Behalf
> > > Of ken barber
> > > Sent: Tuesday, November 06, 2007 12:21 PM
> > > To: [log in to unmask]
> > > Subject: Re: history an affront to science?
> > >
> > > are we talking bird flu as the start of the
> > > pandemic?
> > > this is a scare that history supports.
> > >
> > > --- "Cleveland, Kyle E."
> > > <[log in to unmask]> wrote:
> > >
> > > > Peter,
> > > >
> > > > Depends on who's doing the modeling: Who's writing
> > > > the code?  Who's
> > > > creating the scenarios?  Who's interpreting the
> > > > extrapolated data?
> > > > Who's deciding which data is input into the model?
> > >
> > > > Modeling for
> > > > long-term climactic study is still in its infancy.
> > >
> > > > We don't really know
> > > > if "it works".  How can we?  Modeling is based on
> > > > input of data that has
> > > > produced predictable, reliable results over time.
> > > >
> > > > Personally, I would look at the NIH/CDC models for
> > > > pandemic flu if you
> > > > want a good scare.  Using the data from the 1918,
> > > > 1956 and 1968
> > > > pandemics, these models are terrifying in that
> > > they
> > > > predict death rates
> > > > up to 20% in some cases.  This, in a three-surge
> > > > event over a period of
> > > > two years.  I think this trumps concerns about
> > > > climactic change, in my
> > > > book, and I believe this is a clear and present
> > > > danger that we need to
> > > > be marshalling forces for NOW.
> > > >
> > > > Public Health officials are absolutely terrified
> > > of
> > > > an influenza
> > > > pandemic because they have absolutely no means of
> > > > realistic prophylaxis
> > > > in the general population.  All we have for
> > > > direction at the moment is
> > > > to be vigilant about hand washing and wear an N95
> > > > mask (dubious
> > > > protection for something as small as a virus).
> > > >
> > > > I would that our Internet pioneer, Mr. Gore, had
> > > put
> > > > his eggs into this
> > > > basket if he needed a "cause celebre".  Talk about
> > > > your Inconvenient
> > > > Truths...
> > > >
> > > > Respectfully,
> > > >
> > > > Kyle C.
> > > > -----Original Message-----
> > > > From: Cerebral Palsy List
> > > > [mailto:[log in to unmask]] On Behalf
> > > > Of Peter Hunsberger
> > > > Sent: Tuesday, November 06, 2007 10:01 AM
> > > > To: [log in to unmask]
> > > > Subject: Re: history an affront to science?
> > > >
> > > > Ken two words:
> > > >
> > > > "Computer modeling"
> > > >
> > > > It didn't exist in very usable form until as
> > > > recently as 15 years ago.
> > > >
> > > > It does now. It works, it's accurate.
> > > >
> > > > Stop pretending that 100 year old events, or even
> > > 30
> > > > year old events,
> > > > have
> > > > anything to do with the current concern over the
> > > > climate.
> > > >
> > > >
> > > > --
> > > > Peter Hunsberger
> > > >
> > > > -----------------------
> > > >
> > > > To change your mail settings or leave the C-PALSY
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> > >
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> > > >
> > >
> > >
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>
>
>
> --
>
>
> Kendall
>
> An unreasonable man (but my wife says that's redundant!)
>
> The reasonable man adapts himself to the world; the unreasonable one
> persists in trying to adapt the world to himself. Therefore, all
> progress
> depends on the unreasonable man.
>
> -George Bernard Shaw 1856-1950
>
> -----------------------
>
> To change your mail settings or leave the C-PALSY list, go here:
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>


-- 


Kendall

An unreasonable man (but my wife says that's redundant!)

The reasonable man adapts himself to the world; the unreasonable one
persists in trying to adapt the world to himself. Therefore, all progress
depends on the unreasonable man.

-George Bernard Shaw 1856-1950

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