On 11/20/07, Kendall D. Corbett <[log in to unmask]> wrote:
> 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
> > > > >
> > > > > -----------------------
> > > > >
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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
> >
> > -----------------------
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> >
> > -----------------------
> >
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> >
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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
>
> -----------------------
>
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>
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>
>
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