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From:
"Cleveland, Kyle E." <[log in to unmask]>
Reply To:
Cerebral Palsy List <[log in to unmask]>
Date:
Tue, 20 Nov 2007 13:43:14 -0500
Content-Type:
text/plain
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text/plain (509 lines)
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
> > >
> > > -----------------------
> > >
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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

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