Running head: HURRICANE KATRINA NATURAL DISASTER 1 Hurricane Katrina Natural Disaster Ferris State University Brandy Everson, Molly Pacola, Katie Lewandowski, Lori Rosendale, Erin VanderHorst HURRICANE KATRINA NATURAL DISASTER 2 Abstract In 2005, one of the most deadly hurricanes in U.S. history, Hurricane Katrina, impacted New Orleans and the Mississippi coast. Over a thousand people died in the hurricane and thousands of others were left homeless and without food and water for survival. The incidence of hurricanes and other natural disasters is currently on the rise. It is of extreme importance that communities nationwide be adequately prepared and know the risks such events may bring to their community. HURRICANE KATRINA NATURAL DISASTER 3 Hurricane Katrina Natural Disaster In 2005, Hurricane Katrina ripped through the United States affecting New Orleans and the Mississippi coast. In this paper we will summarize this natural disaster that killed 1,200 people (National Weather Service, 2012, para 4). We will discuss how severe the damage was to this city of roughly 484,684 residents and the risk of this disaster happening again to New Orleans. We will see how this disaster had health implications for the residents and how it will impact the health care system. Lastly, we will discuss how to prevent and mitigate this disaster in the future. Summary of Natural Disaster Hurricanes are natural disasters that are a result of a tropical storm. They have winds with a speed of at least 75 miles per hour and blow in a large spiral formation with the center of the storm being calm and referred to as the eye (Veenema, 2013). The center of the storm can be 20-30 miles wide, while the outlying storm itself can be up to 400 miles wide (Veenema, 2013). It can consist of pouring rain, very strong winds and storm surges. The hurricane can take place over a two week period or more out in the open waters and can run along the entire coastline (Veenema, 2013). Hurricanes are rated based on their wind speed. They are categorized into five different categories. Category 1 consists of a storm with maximum winds of HURRICANE KATRINA NATURAL DISASTER 4 74-95 miles per hour. Category 2 has winds from 96-110 miles per hour while a Category 3 has winds from 111-130 miles per hour. A Category 4 storm has winds form 131-155 miles per hour and the highest category, Category 5, has maximum winds greater than 155 miles per hour (Blake, Landsea & Gibney, 2011). Hurricane Katrina Hurricane Katrina began developing on 8/23/2005 over the Bahamas (History.com, 2015). It hit parts of Louisiana, Mississippi, and Alabama, but New Orleans was the area hit the hardest. On 8/28/05, the mayor of New Orleans issued the first ever mandatory evacuation order and the storm hit New Orleans on 8/29/05 (History.com, 2015). The storm surge was as high as nine meters and over 80% of the city was eventually covered with some amount of water (History.com, 2015). New Orleans had many levees in place, but unfortunately, these failed during Hurricane Katrina and resulted in much damage to the city (Plyer, 2014). Hurricane Katrina was a Category 3 hurricane with winds between 111-130 miles per hour (Blake, Landsea & Gibney, 2011). HURRICANE KATRINA NATURAL DISASTER 5 Severity of Damage Hurricane Katrina caused severe damage, especially to the city of New Orleans. It has been deemed the largest residential disaster in US history (Plyer, 2014). It ranks as the third deadliest Hurricane with approximately 1,200 deaths (Blake, Landsea, & Gibney, 2011). Many of these deaths were due to drowning, physical trauma, and heart conditions suffered by those involved. Most of the deaths occurred to the elderly population. It is estimated that more than one million people were displaced in the Gulf Coast region as a result of Katrina. There were more than a million housing units damaged along the Gulf Coast region and over half of these were in New Orleans. In the city of New Orleans, more than 70% of the housing units were damaged (Plyer, 2014). Hurricane Katrina caused so much damage that it soon became the costliest hurricane in history. It is reported that it caused more than $108,000,000,000 in damage (Blake, Landsea & Gibney, 2011). The amount of water varied throughout the city, but some areas had about a foot of water, while other areas had over ten feet of water (Plyer, 2014). While there was the initial disaster and loss of homes, businesses, and lives, the damage continued to affect lives long after the hurricane was gone. There were at least 50,000 children that did not attend school for the 2005-2006 school year (Veenema, 2013). The school districts were severely affected and there was major loss of funding for many (Veenema, 2013). HURRICANE KATRINA NATURAL DISASTER 6 The population of New Orleans decreased dramatically as a result of the hurricane. Initially, the population was 484,674 people and by the following year the population was down to 230,172. By 2012, the population had increased back to 369,250 although this number still remains below the original population (Plyer, 2014). The severity of Hurricane Katrina disrupted many people’s lives and changed their lives in many ways. Risk for Disaster Increasing or Decreasing? With such devastation done by Hurricane Katrina, it is wondered if hurricane activity is increasing or decreasing. According to Geophysical Fluid Dynamics Laboratory (2015) “Anthropogenic warming by the end of the 21st century will likely cause hurricanes globally to be more intense on average (by 2 to 11% according to model projections for an IPCC A1B scenario). This change would imply an even larger percentage increase in the destructive potential per storm, assuming no reduction in storm size.” Hurricane Katrina was a Category 3, and there is evidence that larger hurricanes, Categories 4 and 5, are also increasing. There have been studies done by Environmental Science Institute of Texas (ESI). It is stated that two weeks prior to Hurricane Katrina, a scientist published a paper on the increase in hurricane activity. ESI (2015) states “hurricanes worldwide have increased by HURRICANE KATRINA NATURAL DISASTER 7 about 50 percent since the 1970’s and that this trend directly corresponds with a global increase in tropical sea surface temperature.” Analysis of Health Implications Hurricane Katrina was one of the worst natural disasters in U.S. history. Beyond the physical devastation, the hurricane led to elevated health and mental health difficulties among survivors. The effects of hurricane Katrina had a huge impact on our health care system. At Risk Population According to Am J Orthopsychiatry (2010) low-income, African American, single mothers were at particularly high risk for suffering the adverse effects. Much of this research focuses on the short-term implications and indicates that disaster survivors evidence a wide range of reactions, including symptoms of posttraumatic stress disorder (PTSD) as well as other, often co-morbid, conditions such as depression, anxiety, somatization, substance abuse, and physical illness. “Growing evidence suggests that the hurricane had both immediate and lasting adverse health and mental health consequences. A rapid-needs assessment of returning New Orleans residents conducted by the Centers for Disease Control and Prevention in October 2005 revealed that more than 50 percent of respondents showed signs of a “possible” need for mental health treatment. A study of families HURRICANE KATRINA NATURAL DISASTER 8 living in FEMA-subsidized hotels or trailers conducted in February of 2006 reported high rates of disability among caregivers of children, due to depression, anxiety and other psychiatric problems. The survey also yielded high rates of reports of chronic health problems (34 percent) and numerous new mental health problems (nearly 50 percent) among children in these families. Another crosssectional survey of 222 survivors found that over half (52%) continued to experience poor mental and physical health 15 months after Katrina” (Am J Orthopsychiatry, 2010). Risk of Morbidity and Mortality Hurricane Katrina had a negative health impact on many people. According to Morantz (2005) the CDC states of the 6,167 illnesses and injuries in which disposition status was known, five persons died and 552 (9.0 percent) were admitted to hospitals. Among those injured, 42 had intentional injuries (i.e., selfinflicted or violent), seven of whom were victims of assault. The proportion of ill patients evaluated for acute respiratory infection (ARI) increased from September 8 to September 25, when data were analyzed. Among the 505 patients with ARI, 371 (73.5 percent) had cough, 62 (12.3 percent) had shortness of breath, and 60 (11.9 percent) had fever. A total of 23 persons with ARI (4.6 percent) were admitted to a hospital. Potential Impact on the Health Care System HURRICANE KATRINA NATURAL DISASTER 9 As you can imagine Hurricane Katrina impacted the health care system. According to a Health Affairs article (2006) before Hurricane Katrina struck in August 2005, New Orleans had a largely poor and African American population with one of the nation’s highest insurance rates, and many relied on the Charity Hospital system for care. The aftermath of Katrina devastated the New Orleans health care safety net, entirely changing the city’s health care landscape and leaving many without access to care a year after the storm. State and local officials face the challenge of rebuilding and improving the city’s health care system by assuring health care coverage for the population and promoting broader access to primary care and community-based health services. Prevention and Mitigation A natural disaster such as Hurricane Katrina is not preventable. Since we cannot prevent a natural disaster from occurring we must put plans in place to prepare for them. We also should practice these plans we set in place so that when it does happen we can respond quickly. Disaster drills help people to know what they need to and should be realistic. You should plan that normal everyday activities such as telephoning, mail delivery, and banking will be shutdown. You should plan for alternative routes to do these things. Businesses may be shut down if they are affected by the disaster so having alternate places to set up a temporary HURRICANE KATRINA NATURAL DISASTER 10 business can be helpful. Plan for any inspections or permits needed for a temporary business (FFIEC, n.d.). Communication Communicating in a disaster is essential but difficult if everyone is attempting to at the same time. Using two way radios or cell phones with out of state area codes will be helpful in not overcrowding the system (FFIEC, n.d.). The emergency alert system should be tested and effective at alerting public. Text messaging is a good method to give quick concise directions in an emergency. Mass media can be used to inform public about health risks such as contaminated water. Effective communication in an emergency can prevent casualties (Veenema, 2013, p. 9). Businesses may want to have toll free number used for emergencies. Banking may be shut down so to not have disruptions in your finances banks should encourage direct deposit for bills (FFIEC, n.d.). Evacuation Disaster planning should include evacuation. Hospitals, schools, homes and business will all need to have a plan and know where to go. During Hurricane Katrina there was difficulty evacuating people from health care facilities and many people refused to leave their homes. To plan for better evacuation all forms of transportation should be considered in case some forms are not usable. Patients should be triaged and a plan should be setup before so transferring patients is a HURRICANE KATRINA NATURAL DISASTER 11 smoother process (Veenema, 2013, p. 9). In the event of a disaster nurses should know what constitutes needing to evacuate. In short if the electricity, water, oxygen, heating/cooling or septic system is not functioning then evacuation is necessary (Veenema, 2013, p. 15). First Medical Stations or FMS were in Hurricane Katrina. They are setup within buildings still intact. They can house 250 beds and have three days’ worth of medical supplies. They are provided from Strategic National Stockpile and 48 hours’ notice is needed (Veenema, 2013, p. 36). Building Stronger Structures FEMA has information on how to build your home stronger when you live near the coast. Stronger homes can help against the strong winds experienced from a hurricane. The beams in the home should be reinforced so roofs do not cave in. Anchor the house on to concrete foundation. Storm shutters help to keep wind and water out of the buildings. Homes should be elevated so they are less likely to flood. There should be a room with emergency supplies in the center of the house. Conclusion There have been many natural and environmental disasters in U.S. history, just like Hurricane Katrina. These disasters are inevitable, but with preparation, planning, and use of response plans by all, we as a country, community, and members of society will be ready for such events in the future. The mark a HURRICANE KATRINA NATURAL DISASTER 12 disaster, or any type of traumatic event, leaves on a person or community will hold forever. New Orleans is still continuing to rebuild its foundation today but with a new and even stronger foundation the city and all affected will soon thrive again. HURRICANE KATRINA NATURAL DISASTER 13 References Am J Orthopsychiatry. (2010). The impact of hurricane katrina on the mental and physical health of low income parents in New Orleans. Retrieved March 27, 2015: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276074/ Blake, E.S., Landsea, C.W. & Gibney, E.J. (2011). The deadliest, costliest, and most intense United States tropical cyclones from 1851-2010 (and other frequently requested hurricane facts). NOAA Technical Memorandum NWS NHC-6. Federal Financial Institute Examination Consult (FFIEC). (n.d.). Lessons learned from hurricane katrina: Preparing your institution for a catastrophic event. Retrieved from: https://www.ffiec.gov/pdf/katrina_lessons.pdf Federal Emergency Management Agency. (2015). Plan, Prepare and Mitigate. Retrieved from: https://www.fema.gov/mitigation-best-practicesportfolio/mitigation-best-practices-portfolio-hurricane-katrina Health Affairs. (2005). Health care in New Orleans before and after hurricane Katrina. Retrieved March 27, 2015. from: http://content.healthaffairs.org/content/25/5/w393.full History.com (2015). History of hurricane katrina. Retrieved from: http://www.history.com/topics/hurricane-katrina HURRICANE KATRINA NATURAL DISASTER 14 Morantz, C. (2005). Practice guidelines: CDC reports on illnesses in hurricane katrina evacuees and relief workers - american family physician. Retrieved March 27, 2015, from http://www.aafp.org/afp/2005/1115/p2132.html National Weather Service. (2012. May). Hurricane in History. Retrieved from: http://www.nhc.noaa.gov/outreach/history/#katrina Plyer, A. (2014). Facts for Features: Katrina Impact. Retrieved from: http://www.datacenterresearch.org/data-resources/katrina/facts-for-impact/ Veenema, T.G. (2013). Disaster nursing and emergency preparedness for chemical, biological and radiological terrorism and other hazards (3rd ed.). New York, NY: Springer Publishing Co. Waple, A. (2005, December). Hurricane Katrina; NOAA’s National Climatic Data Center, Asheville, NC. Retrieved from: http://www.ncdc.noaa.gov/extremeevents/specialreports/HurricaneKatrina.pdf Grading Rubric for The Group Project: Natural or Environmental Disaster A. Introduction B. Summary of a type of major natural or environmental Below Expectation Needs Improvement (2 points) The introduction is below average or missing. The focus of the paper is not clear as well as what will be discussed in the text of the paper (9 points) There is below average summary of a major natural or (3 points) There is an average introduction to the paper. The focus of the paper may be somewhat unclear as well as what will be discussed in the text of the paper (12 points) There is an average summary of a major natural or Meets Expectations (4 points) There is a good introduction to the paper that includes a clear focus to the paper and what will be discussed in the text of the paper (14 points) There is a good summary of a major natural or Exceptional (5 points) There is an excellent introduction to the paper that includes a very clear focus of the paper and what will be discussed in the text of the paper (15 points) There is an excellent summary of a major natural or HURRICANE KATRINA NATURAL DISASTER disaster that includes the severity of damage C. Discussion as to whether the risk for this disaster is increasing or decreasing D. An analysis of the health implications related to this disaster that include the population at risk (affected population), the risk of morbidity and mortality, and the potential impact on the health care system E. Provision of prevention and/or mitigation measures that are supported with the literature F. Conclusion or Summary G. Data & Information environmental disaster that does not include the severity of damage and is not supported with the literature. (9 points) There is a below average discussion of whether the risk for this disaster is increasing or decreasing. The position is not supported with the literature. (9 points) There is a below average analysis of the health implications related to this disaster and the population at risk, the risk of morbidity and mortality and the potential impact on the health care system. The analysis is not supported with the literature. ( 9 points) There is below average provision of prevention and/or mitigation measures that are supported with the literature. These measures are not supported with the literature. (2 points) There is a below average summary or conclusion related to the key points in the paper. All new information is introduced or conclusion is missing. (14 points) Less than 3 resources beyond the textbook are used to support your plan. Less than 50% are current within the last 5 years. environmental disaster that includes the severity of damage. The summary may not be clearly supported with the literature. (12 points) There is an average discussion of whether the risk for this disaster is increasing or decreasing. The position may not be clearly supported with the literature. 15 environmental disaster that includes the severity of damage and is supported with the literature. environmental disaster that includes the severity of damage and is supported with the literature. (14 points) There is a good discussion of whether the risk for this disaster is increasing or decreasing. The position is clearly supported with the literature. (13 points) There is a good analysis of the health implications related to this disaster and the population at risk, the risk of morbidity and mortality and the potential impact on the health care system. The analysis is clearly supported with the literature. (12 points) There is an average provision of prevention and/or mitigation measures. These measures are not clearly supported with the literature. (13 points) There is a good provision of prevention and/or mitigation measures that are supported with the literature (15 points) There is an excellent discussion of whether the risk for this disaster is increasing or decreasing. The position is clearly supported with the literature. (15 points) There is an excellent analysis of the health implications related to this disaster and the population at risk, the risk of morbidity and mortality and the potential impact on the health care system. The analysis is clearly supported with the literature. (15 points) There is an excellent provision of prevention and/or mitigation measures that are supported with the literature (3 points) There is an average summary or conclusion related to the key points in the paper. Mostly new information is introduced. (4 points) There is a good summary or conclusion related to the key points in the paper. Some new information may be introduced. (5 points) There is an excellent summary or conclusion related to the key points in the paper. No new information is introduced. (16 points) A minimum of 3 resources beyond the textbook are used to support your plan. 50% are current within the last 5 years. (18 points) A minimum of 4 resources beyond the textbook are used to support your plan. 75% are current within the last 5 years. (20 points) A minimum of 5 resources beyond the textbook are used to support your plan. All are current within the last 5 years. (12 points) There is an average analysis of the health implications related to this disaster and the population at risk, the risk of morbidity and mortality and the potential impact on the health care system. The analysis is not clearly supported with the literature. HURRICANE KATRINA NATURAL DISASTER H. APA Format; Spelling & Grammar; Clarity of ideas (4 points) APA format is below average; >15 errors in grammar or spelling; Ideas are not clearly presented (6 points) APA format is average; 11-15 errors in grammar or spelling; Ideas are almost always clearly presented 16 (8 points) APA format is good; 5-10 errors in grammar or spelling; Ideas are clearly presented (10 points) APA format is excellent; <5 errors in grammar or spelling; Ideas are clearly presented Your research on Katrina was well done, but that was an event 10 years ago. You should have concentrated on hurricanes as a natural disaster in general. Katrina could have been used as support to example some things. Your information was comprehensive, well organized, some areas were synthesized and others not, and lacked application to health populations. Your small group produced a paper that told of a historical event; it did not resonate with “one voice” in your writing. There seemed to be segments in the writing where direct quotes were used/not used, citations done appropriately, others not, and consistently abbreviations not spelled out (in addition to other grammatical concerns). I do suggest NOT using direct quotes or block quotes. There was nothing unique in those passages that could not have been paraphrased in your own words. You should always use your own words except when there is absolutely no other way to state a rare passage or relay some information. See paper for comments and items that were corrected. +82/100