Hurricane Katrina The collaboration between different public health and law enforcement agencies began once it was safe enough for first responders. These agencies conducted strategic plans, resolved issues, coordinated incident management, and provides planning and direction (FEMA, n.d.). U.S. Coast Guard, National Guard, and local state and federal first responders began rescue in. Medical Assistant Teams, 11 Disaster Mortuary Operational Response Teams and began body recovery and identification. Other teams and agencies also began search and rescue missions. The Federal Emergency Management Agency (FEMA, n.d.) works along side the local states and governments to provide recovery of major disasters (FEMA, n.d.). The public health and medical responses were coordinated by the federal government by focusing on ‘sanitation, hygiene, water safety, surveillance and infection control, environmental health, and access to care’ (Teitelbaum & Wilensky, 2013). The American Red Cross helped by creating 30 shelter, designated 12 emergency vehicles, worked with local areas to open kitchens to provide meals for everyone. Once the agencies were told they activated their response teams to help with resources and rescue programs. They were late to aid help, they weren’t organized with roles and responsibilities, and lack the training and planning (Ringel et al, 2007). For example, medications and medical equipment for special conditions were not supplied (Ringel et al, 2007). Rescued thousands of people, delivering necessities like food and water, provided medical services (Moynihan, n.d). The roles of the public health was to provide access to clean water and restoring sanitary sewage handling (Lister, 2005). FEMA took days to organize and implement a plan of action. This left the people affected by the disaster stranded and desperate. Thousands of people had no where to go, once the Superdome in New Orleans took enough refugees, everyone else was turned away and locked out (‘Hurricane Katrina’, 2009). So there wasn’t enough shelter created in a timely fashion either. The roles of the local government is to maintain control of assets needed in the response and recovery process. They are also the first provider. The state government is responsible for assisting the local government in responding to a disaster. They are also the gate keepers in notifying if the Federal disaster assistance is needed. The federal government is responsible for providing extra resources that that the local and state governments cannot provide. At this level FEMA can be activated. In Hurricane Katrina the levels of government did fulfill part of its job however most of the government wasn’t active due to the evacuation. This evacuation wasn’t implemented very well, thousands of people didn’t evacuate due to the lack of transportation to remove themselves (Morris, n.d.). There was no local government in existence when the storm hit, all had evacuated (Morris, n.d.). The state government and federal governments had a delay in the response to the disaster that occurred (Morris, n.d). The Post Katrina Emergency Reform Act (PKEMRA) of 2006 was enacted. This act was created to prevent the gaps in the response that appeared during the Hurricane Katrina. Some of the gaps that were addressed are: providing a disability coordinator to develop a policy to aid refugees with disabilities, provides the National Emergency Gamily and Locator System to connect separated families with each there, coordination of precautionary evacuations and recoveries, provides assistance with transportation for relocating individuals that have been displaces from their homes during a disaster, and provides assistance with unmet needs of those affected (FEMA, n.d.). References Federal Emergency Management Reform Act.Retrieved from http://emilms.fema.gov/IS230c/FEM0101200.htm Hurricane Katrina. (2009). Retrieved from http://www.history.com/topics/hurricane-katrina Lister, S. A. (2005, September 21). Hurricane Katrina: The Public Health and Medical Response. Retrieved from http://fpc.state.gov/documents/organization/54255.pdf Morris, J. (n.d.). From Disaster to Lessons Learned: What Went Wrong in the Response to Hurricane Katrina? Retrieved from http://ww2.odu.edu/ao/instadv/quest/DisasterLessons.html Moynihan, D. P. (n.d.). The Response to Hurricane Katrina. Retrieved from http://irgc.org/wpcontent/uploads/2012/04/Hurricane_Katrina_full_case_study_web.pdf Ringel, J. S., Chandra, A., Leuschner, K., Lim, Y., Lurie, N., Ricci, K. A., . . . Wasserman, J. (2007, February). Lessons Learned from the State and Local Public Health Response to Hurricane Katrina. Retrieved from http://www.rand.org/content/dam/rand/pubs/working_papers/2007/RAND_WR473.sum. pdf