From the Harvard Medical School: Puerto Rico after Maria. Harvard doctor on providing critical health care in Puerto Rico.
Thanks to Peg Blechman for providing the citation.
From the Harvard Medical School: Puerto Rico after Maria. Harvard doctor on providing critical health care in Puerto Rico.
Thanks to Peg Blechman for providing the citation.
From The Conversation: Scientist at work: Measuring public health impacts after disasters.
In Houston, recovery is under way across the city. Residents and volunteers are gutting and restoring flooded homes. Government agencies and nonprofit organizations are announcing cleanup programs and developing plans to distribute relief funds.
But many questions remain about impacts on public health. What contaminants did floodwaters leave behind? How many people are being exposed to mold – which can grow rapidly in damp, humid conditions – as they repair their homes? Will there be an increase in Zika, West Nile or other vector-borne diseases as mosquito populations recover? Or an uptick in reported cases of other illnesses?
As a follow up to an earlier posting about grants and contracts at FEMA see this one: Whitefish’s No-Bid Puerto Rico Contract Spotlights Troubled FEMA Grants.
The federal agency paying for a controversial no-bid, $300 million contract to rebuild Puerto Rico’s power grid has for years received scathing reports from government auditors for how it oversees the management of similar grants.
Members of Congress from both parties have raised questions about the selection last week of Whitefish Energy Holdings LLC to lead the rebuilding of Puerto Rico’s hurricane-ravaged electrical grid. The two-year-old Montana-based company had just two employees prior to beginning its work in Puerto Rico.
Update: Apparently, FEMA did not let the contract with Whitefish Energy Holdings according to this article: In its statement Friday, FEMA clarified that it was not involved in hiring the company to restore power to the island and hasn’t provided any reimbursement to the PREPA yet for its contract with Whitefish. See: FEMA Has ‘Significant Concerns About $300 M Utility Deal.
As of Oct. 29, it appears that the contract was let by the island’s utility co. The Governor is planning to cancel it. What took so long to figure this out? Here is an article from Huff Post on the subject; PR’s Contract with Whitefish Is As Bad As it Looks.
It was slow in coming, and likely to be short on funds and duration, but here are some details about the Trump declaration of an emergency re opioids. Trump to declare health emergency over opioids but no new funds to help.
The president’s announcement of an emergency over the opioid epidemic may be more symbolic, with no plan to assign money for state’s proposed measures
Donald Trump is to order his health secretary to declare a public health emergency in response to the US’s escalating opioid epidemic. But while the announcement that the president intends to “mobilise his entire administration” to combat the crisis will be seen as an important symbolic moment, there will be no new funds to deal with an epidemic claiming 100 lives or more a day.
America’s opioid crisis: how prescription drugs sparked a national trauma
Aggressive marketing of painkillers made from opium poppy led to a generation of addicts and The declaration, which follows a report from the president’s opioid commission recommending he proclaim an emergency, is for 90 days and can be renewed.
Update: From the latest issue of Domestic Preparedness, this article: Implications of the Opioid Crisis During Disaster Response, by Dawn Thomas
From the Huffington Post, this article: Disaster Recovery That Solves Regional Problems. [URl was added.]
The Diva thinks this article is not correctly titled. She would title it Disaster Recovery That Could Solve Regional Problems. To assume the many problems listed in the article will be tackled during recovery is quite optimistic at the present time.
Note that GAO is a Congressional agency and does not have the same restrictions that executive branch employees have — such as the recent muzzling of EPA scientists.
New GAO report: Congressional Auditor Urges Action to Address Climate Change
Fires, floods and hurricanes are already costing the federal government tens of billions of dollars a year and climate change will drive those costs ever higher in coming years, a new federal study warns.
The report by the Government Accountability Office, Congress’s auditing arm, urges the Trump administration to take climate change risks seriously and begin formulating a response.
One more aspect of disaster response and recovery that is suffering from federal neglect and budget cutbacks: Post-hurricane cleanup work could kill more workers than storms themselves.
The two hurricanes that battered Texas and Florida left 200 people dead but neglect of health and safety among mainly day laborers could exact a great toll
A man shovels seagrass from the entrance of his mobile home in the wake of Hurricane Irma at Tavenier Key, Florida.
The Politics of Crisis Management” by Arjen Boin, Paul ‘t Hart, Eric Stern, and Bengt Sundelius. 2017 (2nd edition); Cambridge University Press.
Reviewed by Greg Jones.
This is the second edition of this book, produced by a multinational scholarly team. The authors note openly in their introduction that a lot has occurred since the first (2006) edition was released. They are unabashedly trying to keep up and they succeed admirably.
Their “model” (the scholarly go-to mechanism to explain and understand a complex environment) is straightforward, useful, and remarkably jargon – free. Delineated into five “critical strategic leadership tasks”, the book’s model structure is well – suited for stimulating thoughtful reflection in segments. Busy emergency management professionals can readily take these ideas aboard in the half – hour – per – evening time gaps that are all their duties may allow.
The authors describe the pressure with which governing leaders and councils must contend in a crisis. Their efforts are the essence of “politics”. (“Politics”, for our purposes here, is the building of consensus and resources to enact policy and achieve objectives.) In the moments – to – weeks after the crisis event, management, leadership, confidence, communications and compassion are at a vital premium. The display or absence of these qualities is the running public evaluation of emergency management competence.
Community trust hinges and fluctuates upon that evaluation. The more catastrophic the event, the narrower the margin for the political leadership to earn and, at least temporarily, maintain that trust. Boin and his team describe clearly how political councils can all too rapidly squander their margin for effective decision making and quickly find themselves beset by another crisis: the necessity to re-establish public confidence. This in addition to trying to manage the original, actual event response.
The authors are performing an important service with their writing. They are both expanding and elevating the thought space for the emergency and disaster management community.
The “expanding” occurs when they push outward from specific event types. The subject being explored here is “all hazards” and “all origins”. They assert that common features exist and drive how today’s societies react to any serious, large – scale emergency.
The “elevating” in their writing is not only about government jurisdictions. They suggest that all events have political dimensions above the incident site and that those developments matter. Long – term consequences (hopefully improvements) emerge from the post – event, intensely political conversations.
Whatever your emergency management discipline, and whether your political leader is a mayor, governor, or president, you’ll recognize the dynamics described in this book, and it’s insights will help you, help them manage bad events better.
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Gregg Jones is CEO of the global crisis management consultancy Strategic Applications, LLC, and lectures on crisis and emergency management at Georgetown University. He is currently researching the impact of volunteers in humanitarian emergencies. More of his writing is at http://theagilestrategist.blogspot.com
Ad noted in earlier postings, FEMA is working 22 declarations and in the process of hiring 2,000 workers. Therefore, it is not a surprise that response and recovery in the areas recently struck by major hurricanes are lagging. See: Still Waiting for FEMA in Texas and Florida After Hurricanes
Outside the White House this month, President Trump boasted about the federal relief efforts. “In Texas and in Florida, we get an A-plus,” he said. FEMA officials say that they are successfully dealing with enormous challenges posed by an onslaught of closely spaced disasters, unlike anything the agency has seen in years. But on the ground, flooded residents and local officials have a far more critical view.
According to interviews with dozens of storm victims, one of the busiest hurricane seasons in years has overwhelmed federal disaster officials. As a result, the government’s response in the two biggest affected states — Texas and Florida — has been scattershot: effective in dealing with immediate needs, but unreliable and at times inadequate in handling the aftermath, as thousands of people face unusually long delays in getting basic disaster assistance.
From Bloomberg News: FEMA Is Spending Billions, and Some Questionable Companies Are Getting Work. A surge in disaster contracts from hurricanes has put the agency under pressure to bypass the usual competitive bidding process.
Two excerpts:
This year’s record hurricane season has led to the biggest spike in government disaster contracts in more than a decade, testing the government’s ability to manage the unpredictable and growing costs of climate change. Since Hurricane Harvey struck Texas on Aug. 25, the Federal Emergency Management Agency has awarded $2.2 billion in contracts….
BOTTOM LINE – Since Hurricane Harvey hit, FEMA has given out $2.2 billion in contracts, some of which are being awarded to companies with past violations for similar work.