Running heads: HOW PUBLIC HEALTH AND LAW ENFORCEMENT AGENCIES WORK TOGETHER 1 How Public Health and Law Enforcement Agencies Work Together Zahra Abdalla Health Policy and Management: MPH 525 Dr. Pavlica Running heads: How Public Health and Law Enforcement Agencies Work Together 2 1. Describe the specific collaboration that occurred between different public health and law enforcement agencies. In my opinion it does not matter how big or small the disaster is, when it occurs it leaves behind long lasting food marks: loss of human and animal’s lives, damage to properties and supplies. In 2012 here in Minnesota we have experienced natural disasters luckily nobody died, but emotional and physical distress is still with us. A help including Red Cross, and other public health agencies showed up little bit too late, it took them forever the help to get to us. I think what we had experienced was nothing compared to the aftermath and damage the Hurricane Katrina had left with New Orleans. Hurricane Katrina was the most devastating and one of the five deadliest natural disaster in the United States history. Hurricane Katrina ranked made as the third landfilling. An estimated 1,833 people had lost their lives and millions more were left homeless and caused $108 billion in damage (FEMA, 2013; NOAA, 2015). It is critical for public health and law enforcement agencies to collaborate in the occurrence and management of a natural disasters. The Federal Emergency management Agency (FEMA), was created to support ensure the United States citizens and respond to protect against, and recover from mitigate hazard, (FEMA, 2012). Many public health agencies collaborated with law enforcement agencies to help individuals recovered. Including, the United States Public Health Service Commissioned Corps were involved in the process of aftermath Hurricane Katrina, (CDC, 2005). The Urban Search and Rescue Task Forces (US& RTF), assisted with the location, rescue and initial medical stabilization of trapped individual (FEMA, 2012). The National Disaster Medical System (NDMS), were involved for managing Federal government's medical response to provide a medical response and assist state and local authority’s response to victims’ disasters. Multiple Response Teams, Mobile Emergency Operations Vehicles (MEOV), and Mobile Emergency Response Support (MERS) and Veterinary Medicine Response Teams (VMATs) were also part of the collaboration. Running heads: How Public Health and Law Enforcement Agencies Work Together 3 2. Did volunteer agencies help or hinder? Explain. Several volunteer agencies including American Red Cross, United Way for the greater New Orleans area, Southern Baptist Conventions, Salvation Army, Emergency Communities, and Habitat for Humanity, Catholic Charities and many more took part during the Hurricane Katrina disaster (FEMA, 2012). These volunteer agencies provided medical treatment, emergency equipment, delivering materials (food, water, ice and medicine), providing medical services, and temporary shelter, search and rescue, provide emotional and physiological support for the impacted victims. Communication and coordination among the volunteer organization, and other emergency responders is a critical to success and effective planning during a disaster (Volunteers of America, n.d). Although volunteers agencies intention was to reducing the suffering and loss of life that resulted from the Hurricane Katrina victims sometimes lack of collaboration and communication with the inter-governmental (federal, state, and local) emergency responders led to more chaos. 3. Describe at least three major things that responders did wrong. To begin with the federal government did not fully assessed the nature of the risk and complex of the disaster which led (IRGC, 2009).The responders of the Hurricane Katrina involved the federal, state, and local and public, private and nonprofit including the volunteer agencies (CDC, 2005 and FEMA, 2015). Though it is not an easy process whenever disaster strikes, before and after Hurricane Katrina took place there was a problem with the planning, response and recovery. The National Weather Services issued a warning about the upcoming disaster days before the disaster took place, but Mayor of New Orleans, Mississippi did not declared evacuation three days later (NOAA, ,2015). As result of delay evacuation plan, response and preparedness, the temporary shelter exceeded its capacity, the victims remained without adequate foods, and insufficient medical supplies. There was also a failure comprehend all the involved responders during the Hurricane Katrina because there were too many agencies involved without collaboration and sufficient communication the role and the duty each play (IRGC, 2009; DHS,2010). Running heads: How Public Health and Law Enforcement Agencies Work Together 4 4. Describe at least three things responders did right. Although the complex of the disaster and risk factor was not assess accurately. But after the arrival of FEMA and the Department of Homeland Security (DHS) in collaboration with the local and state this enabled better establishment in terms of rescued operation, relocation, establishment of better communications and as well providing a funding for reconstruction(DHS,2010). Also the Centers for Disease Control and Prevention (CDC) was involved in supporting the Secretary of the Department of Health and Human Services response. The CDC helped with health issues that involved infectious disease detection, prevention, and outbreak control in shelters and provided drugs and medical supplies to the affected communities (CDC, 2006). 5. What were some of the roles public health fulfilled following the hurricane and flooding and did they perform these in a timely fashion? Explain. Public health agencies responded to Hurricane Katrina by following core function public health's to assess and assure the situation of the disaster. But in term of responding in timely matter fashion was influenced by the lack of collaboration and ineffective communication and lack of knowledge to assess the risk of the disaster. Also due to heavy flooded these agencies faced challenges providing emergency services to the victims. Despite the challenges with provided adequate resources including medical equipment and medications, shelters, food, clothing and necessary resources, I think at the end public health agencies assisted the communities in recovery as the best possible way they could. 6. What are the specific roles of the local, state, and federal governments following a disaster? Who responds first? Who has overall responsibility? In Hurricane Katrina, did each branch fulfill their roles. Explain your reasoning and provide justification. The local, state and federal government are responsible issuing warnings, putting evacuation and preparation procedures in place (NOAA, 2015). The federal government is responsible supporting the preparedness plans issued by the National Weather Service. The New Orleans and Mississippi states were responsible implementing the aware of preparedness plans. Both the local, states and federal government failed to communicate and coordinate with the local and Running heads: How Public Health and Law Enforcement Agencies Work Together 5 state government as anticipated. There was a concern of how much effort that was formed within the federal, state and local officials to initiating warnings and evacuate and respond to, rescued operations and recovery Hurricane Katrina took placed ( NOAA, ,2015). As result there was inadequate response, resource for the victims impacted by the disaster. This also led to resignation of the director of the Federal Emergency Management Agency (FEMA), as well as New Orleans police department superintendent Louisiana governors (NOAA, ,2015). 7. Discuss the challenges individuals and/or communities had with legal authority, control of resources, and jurisdiction over populations. Due the questionable leadership decision in preparation, response capabilities, there was definitely a concern with the legal authority control of resources and jurisdiction. Individual and communities had challenges with legal authority control of resources, and jurisdiction over populations. Some of the challenges between communities and the legal authority that took place during the disaster included corruption in the system, slow response, and violent crime .Some individuals had problem with the law enforcement particularly the police department because communities felt they were discriminated against. There was an issue with controlled looting and crimes violence (Moynihan, 2009). There was a lack of control over resources and jurisdictions included the ability of maintaining order, during the disaster several police officers cross the professionalism boundaries and instead of following protocol and assisting with evacuation they went to rescue their own family. Other issue with resources included establishing transportation assistance for relocating and returning individuals displaced from their residences in a major disaster (Moynihan, 2009). 8. What changes have been made to make current disaster management policies sufficient to meet the needs of communities in the event of another disaster? In the response to Hurricane Katrina led to the Post-Katrina Emergency Management Reform Act of 2006 (PKEMRA). The Post-Katrina Act, requires the Federal Emergency Management Agency (FEMA), to take new leadership role in management of emergency alert systems and operations, restored previous missions and strengthened the authority (Bea, 2007). The PostKatrina Act, ensures the FEMA responsibilities includes effectiveness grants, and administering and implementing the national response program. The Post-Katrina Act, allow better Running heads: How Public Health and Law Enforcement Agencies Work Together 6 establishment to accommodate individuals with disabilities, coordinates and supports precautionary evacuations and recovery efforts, and provides cases management assistance to identify the unmet needs of survivors (Bea, 2007). The current disaster management policies is a good start but I do not think it is sufficient to meet the needs of the communities in the event of another disaster. Since this post-Katrina Act is intended to response a future disaster and it is not put into practice to assess the use of this policy. Running heads: How Public Health and Law Enforcement Agencies Work Together 7 References Bea, K,.(2007). Federal emergency management policy changes after hurricane Katrina: A summary of statutory provision. Congressional Research Service. Retrieved from, http://fas.org/sgp/crs/homesec/RL33729.pdf Centers for disease control and prevention.(2005).Morbidity and Mortality Weekly Report Hurricane Katrina response and guidance for health-care providers, relief workers and shelter operators 54 (35); 877.Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5435a5.htm Centers for Disease Control and Prevention. (2006). CDC learns from Katrina, plans for pandemic. Retrieved from http://www.cdc.gov/news/2006_11/katrina.htm Department of Homeland Security (2010). Katrina/Rita. The 5th commemoration. FEMA. Retrieved from http://www.fema.gov/pdf/hazard/hurricane/2005katrina/5th_comm_book.pdf Federal Emergency Management Authority (2012). About urban search & rescue. Retrieved from http://www.fema.gov/about-urban-search-rescue IRGC. (2009). The response to Hurricane Katrina. Retrieved from http://irgc.org/wpcontent/uploads/2012/04/Hurricane_Katrina_full_case_study_web.pdf National Oceanic and Atmospheric Administration. (NOAA). (2015) .Hurricane Katrina - a look back 10 years later. Retrieved from http://www.srh.noaa.gov/lix/?n=katrina_anniversary Moynihan, D. P, .(2009). The response to Hurricane Katrina. International Risk Governance Council. Retrieved from, http://irgc.org/wp content/uploads/2012/04/Hurricane_Katrina_full_case_study_web.pdf Volunteers of America.(n.d). Disaster related volunteerism. Retrieved from http://www.handsonnetwork.org/files/best_practices_manual__disaster_related_volunteerism1.pdf Running heads: How Public Health and Law Enforcement Agencies Work Together 8