Running Head: COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP Communication Emergency Plan and Mine Clean-Up Rebecca McGruder Dr. Wheeler MPH 584 12-13-15 1 COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 2 Introduction Earlier this year the city of Durango and La Plata County in Colorado had to declare a state of emergency because an Environmental Protection Agency (EPA) cleanup crew released mine waste into the Animas River. One million gallons of waste, carrying heavy metals like iron, zinc, and copper, spilled into the river (Ford, 2015). In the United States the EPA has approximately 500,000 abandoned mines, with thousands considered contaminated, that they are in charge of cleaning up. There is always the risk for a buildup of contaminated water, and in Colorado these mines have the potential to contaminate the water supply for small towns. When the emergency happened in Colorado no communication emergency system was set in place and the EPA was not prepared to handle this crises (Associated Press, 2015). An emergency system needs to be created, so the EPA can respond in a timely manner. Small towns in Colorado communities depend on safe mine clean up to protect their water supply, there needs to be a clear system of preparedness by the EPA in order to prevent the cleanup from damaging the water supply it is trying to protect. Mines are generally located in rural areas, where private wells are the main source of water (Locke, 2015). Mine spills are an example of point source pollution and it is easy to identify, control, and treat because the pollution can be pinpointed to a specific source (McKenzie and Pinger, 2015). If the response time to controlling this kind of point source pollution can be minimized more efficiently the environmental effects will be minimized. Vision, Mission, Objectives, Strategies, and Action Plan Vision The Vision of this intervention is to protect clean water supplies. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 3 Mission The mission of this intervention is to protect the water supply of those in mine clean-up areas by developing a communication emergency system to handle a mining water crisis. Objectives By 2017 100% of state and local agencies where the Environmental Protection Agency (EPA) is cleaning up mine sites will have a specific communication plan. By 2017 100% of EPA mine clean- up workers will have completed a training program. By July 2016 communication between EPA clean-up workers in isolated areas and those that can provide help will increase 100%. By 2017 a new emergency communication plan for mine clean-up will be implemented by the EPA. Strategies - Develop a clear and comprehensive communication emergency plan for the EPA, for accidents related to mine clean-up in order to protect the water supply of communities around abandoned mines. - Develop a specific communication plan for state and local agencies when the EPA is cleaning mines. - Develop a communication tool to be utilized in the communities where mine clean-up is happening. - Provide satellite phones to those working in clean-up mines. - Develop a training program to be completed by all EPA clean-up workers. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 4 Action Plan Initiative: Develop a clear and comprehensive communication emergency plan for the EPA, for accidents related to mine clean-up in order to protect the water supply of communities around abandoned mines. In order to develop a specific communication plan for emergencies when cleaning mines it will be important to first research successful programs to gather ideas. The Red Cross has an excellent emergency and disaster response service and has been proven to provide effective communication (American Red Cross, 2015). The Center for Disease Control (CDC) has a wealth of information to assist in developing a successful communication plan and would be a great asset for research (CDC, 2013). The Federal Emergency Management Agency (FEMA) has tools to help build a successful emergency response plan, and has been proven effective in emergency situations (FEMA, 2014). This needs to be the first step to implementing this initiative. Reflection on the current emergency system and how it failed in Colorado is necessary in order to provide the best solution and understand the need for a change. Analysis of successful programs will show any weakness and holes in the current program and provide motivation to improve the current system. Initiative: Develop a specific communication plan for state and local agencies when the EPA is cleaning mines. A communication plan will be created that has clear direction in order to facilitate good communication between the local governments and the EPA. The current communication structure between states and the EPA is not consistent and varies from state to state (EPA, 2015c). The Office of Emergency Management within the EPA is responsible to prepare for and COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 5 preventing environmental emergencies (EPA, 2015a). A committee formed from within the Office of Emergency Management will enlist the help of state and local agencies with contaminated mines listed to be cleaned. A survey will be developed to gather data on effective communication at each governmental agency in order to understand the best chain of command in an emergency. This data will be evaluated and a specific communication plan will be developed and implemented by the EPA and the state and local agencies. No increased cost is needed to implement this initiative. It will be challenging to gather the information and those in charge of the survey will need to be persistent in gathering completed surveys. Initiative: Develop a communication tool to be utilized in the communities where mine clean-up is happening. A communication tool will be developed to provide information to the community on how they will be contacted and what to do if there is an emergency. It will be important to develop a website for easy communication and constant access to information for those in communities where mine clean-up is happening. Utilizing the information gathered in previous initiatives document will be created and distributed to all community members. This document will be mailed and will include instructions, contact information, and information on online communication tools. It is important that these tools be clear and concise with accurate information in order to facilitate effective communication (Mind Tools, 2015). A specific team will be developed by the EPA to create these tools. This will involve the cost of new employees and will be challenging because it involves the initial development of these tools. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 6 Initiative: Provide satellite phones to those working in clean-up mines. Satellite phones need to be provided to those working in isolated areas with no cell phone coverage. The EPA needs to purchase and provide workers with these phones, which will involve a new cost for the EPA. Satellite phones range in cost from $500 to $1,000 dollars, with the need for individual SIM cards for service. SIM cards minutes can be purchased individually (BlueCosmo, n.d.). These phones should only be used in an emergency so the cost of minutes should not be too vast, and after the initial purchase of the satellite phones the cost will be decreased. Initiative: Develop a training program to be completed by all EPA clean-up workers. Utilizing all the new information created by the previous initiatives a new training program needs to be developed and all workers should complete the new training. The additional tools and plans need to be added to the current program. Those who run these programs need access to the new information and will incorporate it into the current program. The EPA already requires training in order to assist in Superfund site issues, like mine clean-up (EPA, 2015d). The new information can be included in already required programs and training. Some of the training is online and it would not take too much cost and time to incorporate the new information into the online aspect of training (EPA, 2015d). Literature Review The Gold King mine spill occurred in the Colorado River Basin and affected the water supply of six U.S. states (Chief, Artiola, Wilkinson, Beaner, and Maier, 2015). The chemicals released into the water totaled approximately 190 tons, including lead, arsenic, mercury, and cadmium. Lead as a toxin affects the body cumulatively and many body systems can be altered. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 7 Lead can be distributed to the brain, kidneys, liver, and bones (World Health Organization, 2015). Mercury can affect the nervous system, eyes, kidneys, intestines, and cause developmental issues (Agency for Toxic Substances and Disease Registry (ATSDR), 2011). Arsenic can cause issues to the renal system, gastrointestinal system, cardiovascular system, and the neurological system (ATSDR, 2009). Water quality was affected for months, agriculture was halted for a short time, and livestock and aquatic life was affected. Drinking water had to be analyzed before ensuring it was safe for consumption and those using a well had to get their wells tested. Long term effects are not fully understood at this time, and it is possible metal sediment can be stirred and released into the future (Chief et al, 2015). This shows that mine spills have long reaching effects to health and the environment. In 1996 a mine spill occurred in the Philippines and large amounts of mine waste spilled into the surrounding area (David, 2002). The mine pollution sediments settled on the ocean floor, affecting the marine life. High metal concentrations were found three years after the crisis, in 1999. Marine sediments traced to the mine spill contained copper, manganese, lead, and zinc in high concentrations (David, 2002). Copper can cause nausea, vomiting, stomach issues, and diarrhea. High concentrations can cause liver and kidney damage (ATSDR, 2004). High concentrations of zinc can cause nausea, vomiting, stomach cramps, anemia, and pancreas damage (ATSDR, 2005). This is another example of the potential long reaching effects of mine spills and contamination. Metal concentrations are not easily removed permanently after contaminating a water source. It shows the importance of water source monitoring well after the mine spill is initially cleaned. In Romania two dam failures in 2000 led to the release of contaminated water into a main tributary (Macklin, Brewer, Balteanu, Coulthard, Driga, Howard, and Zaharia, 2001). Pollution COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 8 and fish deaths were the main result of this spill. Testing of the water showed little movement of contaminated sediment over time and the water contained heavy metal concentrations. The metals can settle into the sediment and release toxins long after the spill is contained (Macklin et al, 2001). These spills affect the environment long after the spill is cleaned up. Communities need to understand this in order to be motivated to keep testing their private water supplies. In the mid 1980’s several Pennsylvania communities experienced outbreaks of giardiasis (Penn State Extension, 2015). Hundreds of people were contaminated and many more were exposed because the drinking water was contaminated with giardia cysts. Giardia is an intestinal parasite and can cause diarrhea, gas, greasy stool, stomach cramps, nausea, vomiting, and dehydration (CDC, 2015). Those with private drinking wells were required to test and safeguard their water supplies (Penn State Extension, 2015). This case shows the importance of clean drinking water. Contaminated water exposes the entire community to disease, illness, and health effects. The largest waterborne disease outbreak in the United States was in Milwaukee in 1993 (Water Quality and Health, 2014). Cryptosporidium is a chlorine-resistant parasite and it affected 25% of the population of Milwaukee. This resulted in over 96 million dollars in healthcare costs (Water Quality and Health, 2014). Cryptosporidium infection causes watery diarrhea, dehydration, weight loss, stomach cramps, fever, nausea, and vomiting (Mayo Clinic, 2015). This event lead to changes in water quality treatment processes, how water quality is monitored, and public health regulations (Water Quality and Health, 2014). This outbreak highlights the importance of clean water and good water quality control. Contamination of water supplies affects a large amount of the communities’ population and can cause high financial burdens. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 9 These examples of the long term effects of mine spills on the quality of water showcases the importance of having a concise, quick, and effective response to an accident. Most mines are located in rural areas and most rural communities rely on untreated private sources, like wells, and utilize groundwater (McKenzie and Pinger, 2015). This initiative is essential in order to protect groundwater sources. Water is essential for life and clean drinking water is necessary (McKenzie and Pinger, 2015). Fifteen million United States households rely on private wells and all private wells use groundwater (CDC, 2014). These wells are not regulated and need to be tested regularly. If contaminated it is the responsibility of the owner to make sure the well water is safe for drinking (EPA, 2015b). These spills release contaminants long after the crises. The faster the response the less impact on the drinking water supply. Extended Parallel Processing Model When motivating the community where mines are located to regulate and be vigilant to possible contamination it is important to establish a perceived threat. The Extended Parallel Process Model (EPPM) is a good guideline to ensure success (DiClemente, Salazar, and Crosby, 2013). This model theorizes that individuals will either accept the message based on fear and be motivated to change behavior or reject the message and focus on controlling fear (DiClemente et al, 2013). It is important to establish a perceived threat, in this case contamination of water. The community needs to feel like they are susceptible to mine leaks and that if their water is contaminated it will have severe effects on the community. It is important that the community understand the threat and how it affects them. It is also important, according to the EPPM, to establish within the community the ability to respond to the threat. The developed community tools given to the community through this initiative should give clear information on what to do if there is a mine spill. The main goal is to motivate the community to get well water tested COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 10 immediately and for some time after containment. If the community focuses on controlling fear instead of behavior change they will not get their water tested. If the EPPM model is utilized it will increase the success of the communities response. Evaluation The program evaluation framework will be used to ensure effectiveness of this intervention. The four standards of utility, propriety, flexibility, and accuracy are elements that should be achieved by this initiative and this framework will help to ensure effectiveness of the program (Morbidity and Mortality Weekly Report, 1999). This framework involves six steps. The first is engaging stakeholders. Stakeholders must be engaged for successful implementation of changes (Morbidity and Mortality Weekly Report, 1999). In this program the EPA and the community surrounding mine clean-ups need to be engaged and invested in this program; they are the main stakeholders. The second step is to describe the program, which involves developing missions and objectives. These objectives need to establish a need, expectations, action plan, and models used to change behavior (CDC, 2011). These have been developed when creating the VMOSA previously mentioned. The third step is to focus the design of the evaluation (Community Tool Box, 2015). This defines the desired purpose of evaluation and how it will be achieved. The evaluation in this program should produce improved communication between EPA workers and those who will assist in an emergency. The fourth step is to gather credible evidence in order to bolster the validity of the evaluation and the recommendations (CDC, 2011). It is important to monitor the amount of satellite phones distributed, the amount of improved communications, changes in training programs, and increased education and awareness within the affected communities. Success within this fourth step will lead to the fifth, the conclusions will be justified (CDC, 2011). If there is success then COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 11 the program is validated. Standards need to be met and a proper analysis conducted to validate findings (Community Tool Box, 2015). Finally it is important to share information in order to make sure new initiatives are utilized (CDC, 2011). People need to understand and accept the information gathered and the resources shared in order to enact change. If people are not convinced of the value of this program they will not be motivated to implement changes. If all these steps are achieved it is important to ensure these procedures are held to specific standards. Utility standards ensure that the initiative is serving a need within the community. Feasibility standards maintain that the evaluation is appropriate to the initiative (Morbidity and Mortality Report, 1999). This evaluation will ensure successful implementation of the program and these changes to the emergency system will protect communities near mine clean-up sites. Propriety involves legal and ethical standards that should be maintained. Accuracy standards will show that the program has value (CDC, 2011). Since this initiative is building on a current system propriety is achieved and the program accurately addresses the needs of the community. These standards ensure that when evaluating the program the needs of the community are valued and taken into account. These standards, if met, means the program is not frivolous and without merit. Innovation The EPA has an emergency system set into place for environmental disasters. When the mine spill happened in Colorado it became evident that the emergency system had a weakness when it came to early communication (Associated Press, 2015). This innovation strengthens the already set into place emergency system by focusing on improving the communication when emergencies develop. An advantage to this innovation is that it builds on already existing programs, which decrease the need for increased costs to implement and engages those who will COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 12 be implementing the necessary changes. A clear and specific plan will be developed in order to minimize confusion and provide a concise strategy for success. The state and local agencies are involved in order to ensure that the plan is practical. The necessary changes will be included on already operating training programs, which is an easy and straightforward way to update policies. Providing satellite phones is the main financial burden of this innovation and also the best way to prevent the previous failures in response. This strategy may have the highest cost, but it is the easiest and simplest way to improve this situation. Creating a communication tool between the EPA and the community will involve those who are most affected by an emergency. Involving an initiative geared directly toward the community is important for engagement. Limitations The biggest limitation to this innovation is also one of its advantages. This initiative utilizes already created organizations and offices within them. Adding more work to those who already have establish workloads can create stress and resentment. This may impede the progress of the innovation. The goal is to stress the need to improve the emergency systems set into place in order to provide better service to those in the communities that are being helped. Another limitation is the involvement of state and local agencies. It can be frustrating trying to contact and get information from so many different departments, but it will be the best way to ensure quality improvements to the emergency program. States should be motivated by improved environment and health of the communities they are in charge of serving. Conclusion There is a need for improvement in the emergency plans within the EPA. It is important to mitigate the effects of mine spills in order to protect the health of the community and COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 13 environment of those living in these areas. The strategies developed in this innovation will improve the communication between workers in mines and those who can assist in emergencies. This innovation will protect those in rural areas who depend on groundwater based private wells for their clean water. Clean water is important and necessary for a healthy life (McKenzie and Pinger, 2015). This initiative will increase the response time in emergencies and therefore decrease the effects of accidental spills. COMMUNICATION EMERGENCY PLAN AND MINE CLEAN-UP 14 References Agency for Toxic Substances and Disease Registry. (2004). 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