New Hampshire

Transcription

New Hampshire

New Hampshire
Emergency Preparedness Plan
2014
Emergency Preparedness Plan: Table of Contents
1. LifeShare Emergency Protocol……………………………….…….......1-2
2. LifeShare Emergency Preparedness Plan .....................................….....3-8
3. New Hampshire Emergency Preparedness Plan……………..…….…9-22
4. Individual Specific Disaster Preparedness Plan ……………………..23-27
5. List of Local Hospitals in New Hampshire…………….……....…….28-29
6 American Red Cross Chapters of New Hampshire………………….…...30
7. Preparing for an Emergency…………………………….……..…….31-32
8. Disaster Plan Supply Checklist……………………....…………..…..33-37
9. Emergency Preparedness Checklist………………………..….…….38-39
10. Lifeshare Home Hazard Hunt…………………………….………….....40
11. Getting Ready for Extreme Weather & Natural Disasters….…...….41-82
12. Know Your Weather Terms……………………………….……..…83-84
13. Preparing for a Power Outage……………………………….……...85-89
14. New Hampshire Radio & TV Stations…..………………………….90-91
15. New Hampshire Emergency Shelter Information…………………..92-95
16. Get Ready Mobile Application ………………………………..……96-97
LifeShare Management Group, LLC
Real Life for Real People
Corporate Office
& NH Adult Manchester
60 Rogers Street
Suite 2
Manchester, NH 03103
603-625-8825
Fax: 603-625-8875
LifeShare NH Adult
Portsmouth Office
100 International Drive,
Suite 358
Portsmouth, NH 03801
603-868-1213
Fax: 603-868-1214
LifeShare NH Adult
Hampstead Office
20 Mary E Clark Dr #4
Hampstead, NH 03841
603-329-4067
Fax: 603-329-9316
Emergency Protocol
If necessary, call 911 or the primary medical personnel responsible
(See individuals’ IDF in Therap).
Once the situation is stabilized:
During office hours -Call your supervisor. If you are unable to reach your supervisor, call the Corporate Office or
Urgent Response Line at 1-866-245-4901.
During non-office hours -Call LifeShare Management Group's Urgent Response at 1-866-245-4901 and the administrative
employee on-call will be contacted.
Emergency Preparedness Plan 2014
Page 1
Real Life for Real People
Contact Personnel
Debra Brewer
Denise Doucette
Jennifer Cordaro
Jillian Mucci
Joshua Boynton
Mary Dionne
Heather Stice
Samantha Murch
Nicole Milnes
Taylor Callahan
Alisha Rousselle
Rachel Boynton
Sybil Morin
Quality Solutions Team Leader
VP of Finance
VP of Operations
VP of Human Resources
President & CEO
Executive Assistant/Office Manager
State Director, NH Adult Day Services
State Director, NH Adult Residential Services
Program Compliance Coordinator, NH Adult
Program Compliance Coordinator, NH Child
State Director NH Child
Senior Vice President
VP Quality Solutions
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LifeShare Emergency Preparedness Plan
This document is supported by numerous informational handouts which are included.
I. Teams and their duties
A. Response Team:
Core Team:
Joshua Boynton, President & CEO
Rachel Boynton, Senior Vice President
Mary Dionne, Executive Assistant/Office Manager
Jennifer Cordaro, Vice President of Operations
Denise Doucette, Vice President of Finance
Jillian Mucci, Vice President of Human Resources
Sybil Morin, Vice President of Quality Solutions
*Management Staff As Needed
II. Communications
A. Communication within LifeShare:
LifeShare utilizes an Urgent Response line which is a 24 hour emergency response line. The
number is 1-866-245-4901, and is used to page On Call personnel. In the event that that person is
unavailable the call is forwarded to another staff in accordance to the On Call protocol, with
Joshua Boynton, President & CEO, always accessible.
B. Communication with Funding Sources:
The Response Core Team will be in direct contact with the CEO or the designee of each funding
source. Communication will be made by phone or internet as needed for overall updates, and
immediately, when possible, if there are changes (i.e. someone being evacuated) Contact info
pertaining to funding sources is kept up to date in the Emergency Preparedness Book.
Efforts will be made to communicate all necessary information in a timely fashion; however, in
case of a catastrophic event where the situation is beyond reasonable control and all means of
communication are down, complete documentation will be kept and communication will be
made as soon as possible. It is important to note that every possible means of communicating
with funding sources will be exhausted and all efforts will continue within reason, until we have
a successful contact.
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III. Resources:
It is important that every Volunteer Provider and Individual be aware of the resources within
their community in which they can contact in the event that there is an emergency. They should
be aware of local hospitals, shelters, and Red Cross chapters. Each Volunteer Provider will
receive a local resources guide with their proactive measures packet and should be sure to post
necessary numbers in their home.
A. Local Red Cross Chapters:
Contact the American Red Cross to locate a shelter in your area, provided is a list of the
American Red Cross Chapters for each state. The Red Cross will be able to direct you to a
shelter or provide you with help during an emergency or disaster. Please refer to state specific
information in order to locate your nearest Red Cross. This can be found on page 30 of this
manual.
B. Local Area Hospitals:
Please refer to state specific information in order to locate your nearest Hospital/Emergency
Room. This can be found on pages 28-29 of this manual.
IV. Residential Programs:
In the event of a disaster/emergency our residential programs will continue to run close to
normal, as possible. It is in our provider contract that if day program is closed that our Volunteer
Providers are to supervise those they support. All individuals in residential placements have an
Emergency Evacuation Plan (in their clinical books and certifications boxes, which explains
where they would go in the event that the provider and individual are to evacuate from their
home. Every effort has been made to include all Individuals in the process of planning and
preparing for an emergency/disaster. Individuals are encouraged to take an active role in the
process and to advocate for themselves in every situation. It is suggested that Individuals carry a
picture ID and an In Case of Emergency (I.C.E.) card with LifeShare listed as the designated
contact.
We have asked that Volunteer Providers be as proactive as possible by following through with
storing supplies, staying on top of medications, as well as running monthly fire drills. Volunteer
Providers will have read and then filed for reference in the cert box, a copy of: Disaster Supply
List as adapted from the American Red Cross, American Red Cross Info and Shelters and Home
Hazard Hunt. Volunteer Providers have access to the Emergency Preparedness Plan along with
all the pertinent handouts via the LifeShare website and are asked to routinely check for updates
and new information regarding the Plan.
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In the event that there is an emergency which requires extra staff in a residence LifeShare will
utilize one of the voluntary staff who is prepared to go into a home to care for an individual. A
comprehensive list of such staff willing to cover programs is maintained for each region/state
and be identified on the LifeShare Website, on the day of.
All Volunteer Providers are aware of our urgent response line, and understand that any and all
changes that occur during after-hours when LifeShare offices are closed must be immediately
reported to LifeShare through the use of the Urgent Response Line.
V. Day Services
Canceling program during an emergency will follow the protocol of canceling program during
inclement weather. The protocol for inclement weather is as follows: during a severe weather
related event, LifeShare will make decisions regarding closing day program, by region/state.
Directors in each state will each make a decision regarding their specific weather
conditions/emergency. Any changes in day program will be posted on the LifeShare web site,
and/or called into the radio stations on the morning of a storm/emergency. Each state will have
specific information as to which radio and/or TV stations will air any changes in programs. In
addition Associate Directors of each region/state are responsible for making courtesy calls to all
Individuals/providers/guardians when day program is cancelled.
If it is stated that transportation is canceled, providers have the option of bringing the individual
they support to their area LifeShare co-op/office. Staff will be on hand to facilitate day programs
at the co-op/office.
Program closings are posted online and on the radio, as mentioned above. All parents/guardians
have reported that they will be able to keep their individual home in the event that there is an
emergency and LifeShare is unable to open. Program closure announcements will follow our
Inclement Weather Protocol.
If there are individuals who attend a LifeShare day program, yet are not supported residentially
by LifeShare; LifeShare will be notified in the event these individuals are to be absent from day
program. If LifeShare is not informed, in advance, LifeShare will take proactive measures by
contacting the respective vendor agency.
If an emergency/disaster occurs during day programs, every effort has been made to include all
individuals in the process of planning and preparing for an event. Individuals are encouraged to
take an active role in the process and to advocate for themselves in every situation. It is
suggested that Individuals carry a picture ID and an In Case of Emergency (I.C.E.) card with
LifeShare listed as the designated contact.
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VI. Emergency Protocol
A. Residential Programs:
If an emergency/disaster occurs, all residential programs are expected to continue.
In the event that the Volunteer Provider and Individual need to be relocated, any changes in
housing situation will be reported to LifeShare through the use of our urgent response line.
LifeShare in turn will report the change to the respective funding source. Each individual has an
“Emergency Evacuation Plan” which is completed at intake and updated annually, or if the
individual changes providers, or as needed. Providers are expected to follow the Individual’s
plan of evacuation; if there are changes they will contact LifeShare. LifeShare will update
funding sources as needed regarding changes in the location of individuals we serve. Throughout
an emergency/disaster, a LifeShare staff in each region would make daily contact with each
Individual and provider on their caseload and document each call. Funding sources will be kept
up-to-date of each situation as developments occur or decisions are made.
If provisions are needed for the home, (above and beyond what they should have supplied
through their proactive plan) providers will communicate with LifeShare through the urgent
response line, and the core team or regional teams will do the best they can to get the provisions
to the homes. Medications should be filled in advance (per regulation identification) as well as
being transferred to chain pharmacies per (proactive plan).
One of the most difficult long term disasters to handle and recover from is the avian flu and other
pandemics. LifeShare feels that again, practicing proactive measures is the best way to deal with
such a long term disaster.
B. Day Programs:
If day programs are closed (both transportation and offices) Individuals, providers, parents and
guardians will be notified through radio and internet, as well as phone calls to the homes (if
possible) on the day program is closed. All Individuals/providers/guardians are notified, yearly
by mail, of our program closure procedure. This policy is also posted on our website. In the event
that a guardian needs assistance they can contact LifeShare through our urgent response line at 1866-245-4901.
VII. Data/Information Needed to Operate Services
A. Staff Information:
Staff phone numbers, addresses, cell phones, email addresses and other contact information is
kept by LifeShare Human Resources. When a staff member’s information changes, they are
required to fill out employee information change form and submit this to the Human Resources
Department. The form is then processed to our contact sheets as well as payroll (electronically)
Staff data is accessible, when necessary, by the appropriate members of the Core Team. Staff
data is updated as necessary.
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B. Individual’s Information:
Our individual’s data is currently stored in a web-based application that provides an integrated
solution for documentation and communication within the agency. LifeShare Staff are required
to keep a hard copy contact sheet in case of an emergency.
C. Electronic Data:
Data in our THERAP program is currently stored in a web-based application that provides an
integrated solution for documentation and communication within the agency. Each user has a
unique login and password that no one can access. A Provider Administrator within LifeShare
can re-set a user’s password temporarily to allow access if they have forgotten it, but a created
password cannot be accessed. The application satisfies all federal guidelines for its login to be
accepted as an electronic signature and all activity is tracked and time/date stamped once a user
accesses the system.
The web-based application’s infrastructure is comparable to other international web services,
such banking and medical systems, where the information is mirrored on several servers
instantaneously.
The servers are monitored 24-7 by operations staff in the event of any issues; however, the
application has over a 99% availability rate.
In the case that a document is unable to be stored in the web-based application, it is stored on our
server. Our Information Technology Department has the right and ability to change passwords at
any time; therefore it is not necessary to acquire individual passwords for programs. Each staff at
LifeShare is restricted to view only the documentation that is pertinent to their position, in order
to retain privacy and in accordance with best practices. Data stored on our LifeShare data bases
is backed up on weekly intervals.
Proactive Measures in Residences
It is most important to our programs that our Individuals, providers, and staff are proactive when
it comes to emergency preparedness planning. LifeShare has developed a proactive check list
that each provider reviews and keeps up to date regularly. This form is also placed in the
certification box under disaster planning. The checklist is as follows:
1. Keep the certification box current, up to date and in a safe, water safe place in the
home. Have emergency paperwork (Individual Data Form (IDF), med. list, releases etc.)
available to pull at a moment’s notice.
2. Post emergency numbers: this includes local emergency officials, LifeShare
Management Group, LLC’s urgent response line and the guardian’s phone number.
3. Be sure that all home/auto insurance is up to date and numbers are available.
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4. Make sure that everyone in the household knows the emergency plan. Practice the
emergency plan and fire drills monthly.
5. Conduct a hazard hunt (during site visits). Look for household items that could cause
problems in the future.
6. Fill all prescriptions at a major chain pharmacy and be sure you have at least 3 -7 day
supply at all times. (if applicable)
7. Keep emergency supplies available and ready in the event that you are unable to leave
your home.
8. It is suggested that the home be equipped with Emergency Power Failure Lights. These
lights plug into the wall and will generate a light source for approximately 4-6 hours after
the power goes out. They can be easily found at home improvement stores. They are
made by several manufacturers and can be purchased for as little as $15.00 each.
LifeShare believes that the best way to be successful during any sort of emergency is to be
prepared, to have a plan, and to communicate changes with all team members. We have
developed this emergency plan to encompass all of those needs and to best suit individuals/
providers/ funding sources and our agency in any sort of emergency. LifeShare recognizes that
information and protocols are ever changing; therefore: this plan will be reviewed and updated
quarterly or as new information becomes available. We also ask that all those who read and
subscribe to this Emergency Preparedness Plan please offer suggestions and constructive
criticism on how we can improve upon meeting the needs of the Individuals that we support in
the event of an emergency/disaster situation.
The information contained in this plan is made available without any express or implied
warranties of any kind. The user assumes all responsibilities to verify the accuracy of
information provided and the implementation of the suggestions contained within this plan.
Neither the web site, its employees nor agents shall be held liable for any damages that may
arise from viewing, distributing, or copying of materials on its web sites and/or web pages.
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Emergency Preparedness Plan for New Hampshire
1. Policies Plans and Procedures:
A. Evacuation Plans for Staff & Individual’s
Staff in the Workplace
In the event that the staff has to evacuate the building due to a disaster, they will follow the
evacuation protocol listed below:
•
•
•
•
•
•
•
•
•
The State Director will identify conditions that an evacuation is necessary
The State Director will set off the alarm/warning
Staff will meet at the designated area within the workplace
The State Director will make sure that all staff is accounted for
The team will locate the posted building site map that is easily accessible to all
staff
Follow the exit and evacuation routes that are clearly marked and that have been
practiced. These will be practiced on a quarterly basis
Designated building evacuation staff have been trained and will shut down
essential operations while an emergency is underway and will assist people in
need (people with disabilities or those that do not speak English) with the ability
to recognize when to abandon a given task. Then will continue to follow the
evacuation route to the designated meeting spot
Other staff will continue to follow the exit and evacuation routes to the team
meeting spot located in the office parking lot
The State Director will make a final head count to make sure all staff is accounted
for
In the event that there is an evacuation of the building due to a disaster and staff is unable to
return to the usual office location, they will follow the evacuation protocol listed below:
•
•
•
•
The State Director will communicate with the staff to meet at the designated
secondary location
The secondary location is one of the locations listed by order and city in the table
on page 10.
The State Director will make a final head count to make sure all staff is accounted
for
Staff will then notify other team members or family members of their location in
case of an emergency by phone contact
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City
1st location
2nd location
3rd location
LifeShare Corporate
Office
60 Rogers Street, Suite 2
603-625-8825
Granite Chapter
2 Maitland Street
Concord, NH 03301
1-800-464-6692
http://www.nhredcross.org
Greater Manchester
Chapter
1800 Elm Street
1-866-284-8842
Manchester
City
1st location
2nd location
3rd location
LifeShare Portsmouth
Office
100 International Drive
Suite 358
603-868-1213
Great Bay Chapter
273 Corporate Drive
603-766-5440
Portsmouth
City
NH Gateway
Chapter
28 Concord St.
Nashua, 03060
603- 889-6664
http://www.nhredcross
.org
1st location
2nd location
3rd location
LifeShare Hampstead
Office
20 Mary E. Clark Drive #4
Hampstead, NH 03841
603-329-4067
Greater Manchester
Chapter
1800 Elm Street
1-866-284-8842
Great Bay Chapter
273 Corporate Drive
603-766-5440
Hampstead
Individuals in the Residence
In the event that the individual and the Volunteer Provider need to evacuate the residence due to
a disaster, they will follow the evacuation protocol listed below:
•
•
The Volunteer Provider will identify conditions that an evacuation is necessary
The Volunteer Provider will set off the alarm/warning to the individual & all
household members and will call 911for help and notify the Program
Administrator at LifeShare Management Group LLC at 1-866-245-4901
• The Volunteer Provider will assist the individual & household members in
evacuating the residence following the practiced exit and evacuation routes posted
in the home
• The Volunteer Provider will assist the individual & household members to the
designated meeting area outside the home
• The Volunteer Provider will account for the individual and all household
members
Page10
•
•
•
The Volunteer Provider will take the individual and household members to a
neighbor’s house for temporary shelter
The Program Administrator at LifeShare Management Group LLC will notify the
Individual’s emergency contact, representative or legal guardian, if any
If the individual receiving support requires shelter due to sustained damage,
Program Administrator will secure temporary shelter for the individual.
New Hampshire Emergency Shelters
Greater Manchester Chapter
1800 Elm Street
1-866-284-8842
Great Bay Chapter
600 Lafayette Rd
603-436-2218
Mount Washington Valley Chapter
2936 White Mountain Hwy
North Conway, NH 03860
603-356-2726
Granite Chapter
2 Maitland Street
Concord, NH 03301
1-800-464-6692
NH Gateway Chapter
28 Concord Street
Nashua, 03060
603- 889-6664
New Hampshire West Chapter
83 Court Street
Keene, NH 03431
603- 352-3210
New Hampshire Warming Stations
William B. Cashin Senior Center
151 Douglas Street
Manchester, NH 03102-4014
603-624-6535
Manchester West Library
76 Main Street
Manchester, NH 03102-4028
603-624-6560
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Carpenter Memorial Library
405 Pine Street
603-624-6550
Salvation Army headquarters
121 Cedar Street
603-627-7013
(until 4 p.m.)
Evacuating, transporting and relocating individual’s in coordination with local emergency
management is including but is not limited to the following:
Are you prepared to evacuate?
Evacuations are more common than many people realize. Hundreds of times each year,
transportation and industrial accidents release harmful substances, forcing people to leave their
homes. Fires and floods cause evacuations even more frequently. Almost every year, people
along the Gulf and Atlantic coasts evacuate in the face of approaching hurricanes.
When community evacuations become necessary, local officials provide information to the
public through the media. In some circumstances, other warning methods, such as sirens or
telephone calls, also are used. Additionally, there may be circumstances under which you and
your family feel threatened or endangered and you need to leave your home, school, or
workplace to avoid these situations. The amount of time you have to leave will depend on the
hazard. If the event is a weather condition, such as a hurricane that can be monitored, you might
have a day or two to get ready. However, many disasters allow no time for people to gather even
the most basic necessities, which is why planning ahead, is essential. Visit the following website
for more information http://www.nh.gov/safety/divisions/hsem/Planning/planningindiv.html
Develop a family evacuation plan before an actual storm threatens your area:
•
Be familiar with the low lying areas you may live around or have to pass through to
evacuate.
•
If ordered to evacuate, do not wait or delay your departure.
If possible, leave before local officials issue an evacuation order for your area.
•
Even a slight delay in starting your evacuation will result in significantly longer travel
times as traffic congestion worsens.
•
Select an evacuation destination that outside of the affected area.
In choosing your destination, keep in mind that the hotels and other sheltering options in
most inland metropolitan areas are likely to be filled very quickly in a large hurricane
evacuation event.
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•
If you decide to evacuate, you must be prepared to wait in traffic.
The large number of people in this state who must evacuate during a disaster will
probably cause massive delays and major congestion along most designated evacuation
routes; the larger the disaster, the greater the probability of traffic jams and extended
travel times.
•
If possible, make arrangements to stay with the friend or relative who resides closest
to your home and who will not have to evacuate. Discuss with your intended host the
details of your family evacuation plan well before the threat of an evacuation.
•
If a hotel or motel is your final intended destination during an evacuation, make
reservations before you leave. Most hotel and motels will fill quickly once evacuations
begin. The longer you wait to make reservations, even if an official evacuation order has
not been issued for your area or county, the less likely you are to find hotel/motel room
vacancies, especially along interstate highways and in major metropolitan areas. Find
Pet-Friendly hotels and motels.
•
If you are unable to stay with friends or family and no hotels/motels rooms are
available, then as a last resort, go to a shelter. Remember, shelters are not designed
for comfort and do not usually accept pets. Bring your disaster supply kit with you to the
shelter and make arrangements for your pets.
•
Make sure that you fill up your car with gas, before you leave. Preferably a day
before you evacuate or you may find yourself stuck in long lines.
•
Do not attempt re-entry to an affected area until the officials say it is ok.
Evacuation is never easy and evacuees should be prepared for the following:
•
•
•
•
•
•
•
•
Extremely heavy traffic with slow highway speeds; residents and tourists in highly
vulnerable areas leave the areas sooner rather than later.
Access to gas stations, restaurants and restroom facilities will be severely limited;
No one should enter an evacuation route without a full tank of gas;
Evacuees should bring their Shelter Go Kit and have their Car Emergency Kit ready
when evacuating;
http://www.fema.gov/areyouready/assemble_disaster_supplies_kit.shtm
Evacuees must obey all special traffic signs and law enforcement orders;
Disabled vehicles should be removed from the travel lanes, if possible;
Dial 9-1-1 only when there is a life-threatening emergency;
Motorists should avoid slowing down or stopping to talk to emergency workers except in
a life threatening emergency or if requested by emergency worker.
The amount of time it takes to evacuate an area depends upon a variety of factors that include the
size of the vulnerable population, high hazard areas and transportation routes. Evacuation is a
difficult process for not only the evacuee who may spend hours waiting in traffic, but also for
those emergency officials who must devote their skills to ensuring residents are moving as
quickly and safely as possible.
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B. Medical Emergencies:
A medical emergency is an injury or illness that is acute and poses an immediate risk to a
person's life or long term health. These emergencies may require assistance from another person,
who should ideally be suitably qualified to do so, although some of these emergencies can be
dealt with by the victim themselves. Dependent on the severity of the emergency, and the quality
of any treatment given, it may require the involvement of multiple levels of care, from a first
aider to an emergency physician through to specialist surgeons.
When to call for emergency medical service?
You might call for emergency services in the following cases:
•
•
•
•
If a person is seriously injured
When a person get a sudden emotional shock followed by unconsciousness
In the case of any natural calamities
In the case of fire
Types of emergency medical services
Types of emergency medical services might be described as:
•
•
•
•
Just transporting the individual to a hospital
Assisting the individual to an alternative hospital or a caring center
Providing first-aid on the way to hospital
Studying the medical history and communicating it with the doctor
For emergencies starting outside of medical care, a key component of providing proper care is to
summon the emergency medical services (usually an ambulance), by calling for help using the
appropriate local emergency telephone number, such as 911. A list of all the New Hampshire
hospitals are located on pages 28-29 of this Emergency Preparedness Manual.
C. Natural Disasters
A natural disaster is the effect of a natural hazard (e.g., flood, tornado, hurricane, volcanic
eruption, earthquake, or landslide). It leads to financial, environmental or human losses. The
resulting loss depends on the vulnerability of the affected population to resist the hazard, also
called their resilience. A natural hazard will hence never result in a natural disaster in areas
without vulnerability, e.g. strong earthquakes in uninhabited areas.
Natural and man-made disasters can strike at any time. A list of all the Red Cross Chapters of
New Hampshire can be found on page 30 of this Emergency Preparedness Manual. This
emergency preparedness plan also includes an informational break down and description of all
the following extreme weather and natural disasters listed below.
•
•
Drought
Earthquakes
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•
•
•
•
•
•
•
•
•
•
•
•
Explosions
Extreme Heat
Floods and Flash Floods
House Fires
Hurricanes
Influenza Pandemic
Public Health Disasters
Terrorism
Thunderstorms and Lightning
Tornadoes
Wildfires
Winter Advisories and Ice Storms
D. Power Failures
A power outage is the loss of the electricity supply to an area. The reasons for a power failure
can for instance be a defect in a power station, damage to a power line or other part of the
distribution system, a short circuit, or the overloading of electricity mains.
A power outage may be referred to as a blackout if power is lost completely, or as a brownout
if some power supply is retained, but the voltage level is below the minimum level specified for
the system.
Sudden power outages can be frustrating and troublesome, especially when they last a long time.
If a power outage is 2 hours or less, you need not be concerned about losing your perishable
foods. For prolonged power outages, though, there are steps you can take to minimize food loss
and to keep all members of your household as comfortable as possible. This emergency
preparedness plan also includes an informational power outage guide that will help you to
prepare and to recover from a power outage. In detail, the guide will cover the items listed
below:
• How to preserve food and keep it safe
• Preparing an emergency preparedness kit
• Supplies you should have on hand
• Electrical equipment
• Using generators safely
• Loss of heat and air conditioning
• Tips for energy conservation
E. Continuity of Medical and Critical Care
Continuity of care is the process by which the individual and the physician are cooperatively
involved in ongoing health care management toward the goal of high quality, cost-effective
medical care.
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Continuity of care is a hallmark and primary objective of family medicine and is consistent with
quality individual care. The continuity of care inherent in family medicine helps family
physicians gain their individuals’ confidence and enables family physicians to be more effective
patient advocates. It also facilitates the family physician's role as a cost-effective coordinator of
the individual's health services by making early recognition of problems possible. Continuity of
care is rooted in a long-term individual-physician partnership in which the physician knows the
individual’s history from experience and can integrate new information and decisions from a
whole-individual perspective efficiently without extensive investigation or record review.
Practice recommendations
•
Sustained continuity of care (SCOC) improves quality of care, by decreasing
hospitalizations, decreasing emergency department use, and improving receipt of
preventive services.
•
SCOC has been consistently documented to improve quality of care for individuals
with chronic conditions such as asthma and diabetes.
•
Volunteer Providers shall not interfere with an individual’s freedom of choice in
seeking medical care from any institution, agency, pharmacy or person who is
qualified to perform a required service.
•
Volunteer Providers shall not discourage or interfere with any individual accessing
medically necessary services for which the individual is eligible.
•
Individuals have the right to reject medical care and treatment but it is best practice to
have a yearly full physical review.
SCOC may encourage communication between physician and the individual throughout the
course of a long-term relationship. As health care providers gain familiarity with a patient’s
history, they may more effectively manage chronic conditions or monitor long-term
development.
Critical care is defined as the direct delivery by a physician(s) of medical care for a critically
ill or critically injured patient. A critical illness or injury “acutely impairs one or more vital
organ systems such that there is a high probability of imminent or life threatening deterioration
in the patient’s condition”.
Critical care services include the treatment of vital organ failure and/or the prevention of further
life threatening deterioration in a patient’s condition. Delivering critical care in a moment of
crisis, or upon being called to the patient’s bedside emergently, is not the only requirement for
providing critical care service. Treatment and management of a patient’s condition in the threat
of imminent deterioration while not necessarily emergent, is also required. A list of all the New
Hampshire Hospitals are located on pages 28-29 of this Emergency Preparedness Manual.
Page 16
F. Emergency Notification Protocol for Family and Natural Supports Team
In case of an accident or adverse change in the condition of an Individual, the Volunteer Provider
shall immediately obtain needed care and notify the Program administrator at LifeShare
Management Group LLC at 1-866-245-4901. A summary of the incident, including follow-up and
notifications, shall be documented. At a minimum, the reportable event should be faxed to the
regional office.
The Program Administrator at LifeShare Management Group LLC will notify the Individual’s
emergency contact, representative or legal guardian, if any.
2. Emergency Preparedness Plans:
Emergency preparedness starts with each individual and family. Businesses, schools and
neighborhoods can also learn to be more resilient, more prepared to "weather the storm."
For public officials, preparedness encompasses planning, training, exercise, public information
and education, facilities and communication.
For business owners it needs to include thinking about emergencies that could affect customer,
supplier or employees.
We can never foresee everything that will happen in an emergency. But by preparing, we
develop a resiliency that will allow us to respond effectively and recover quickly.
A. Home & Family
Make a Plan
•
•
•
•
•
•
Learn about emergencies most likely to happen where you live, learn, and work.
Talk with household members about what you would do in an emergency.
Make sure to plan for the needs of children, household members with disabilities, and
pets.
People with disabilities and functional needs should develop a plan with their support
network, including transportation and in-home support services. Idea: Give a spare key to
a member of your network along with information about your supplies and equipment.
Check your home emergency supplies—what you have and what you need. Assemble a
Disaster Emergency Supply Kit. Visit
http://www.nh.gov/safety/divisions/hsem/Planning/planningindiv.html for a list of items.
Identify an out-of-town contact and make sure all household members have the contact
number in writing.
•
Page 17
•
•
•
•
•
Choose three places to meet—one outside your home, one outside your neighborhood,
and one outside your town.
Determine directions and alternate routes.
Practice your evacuation plan twice a year and drive or walk your planned routes.
Check your home insurance coverage, including flood insurance, and talk to your
insurance agent to learn more.
Visit http://www.redcross.org/www-files/Documents/pdf/Preparedness/ECCard.pdf for
printable emergency contact cards and other printable home plans.
Stay Informed
•
Learn how your community will alert you about emergencies. Watch your local
television news stations or listen to your local radio stations for updated information.
•
•
•
•
•
•
•
•
•
NOAA National Weather Radio: http://www.nws.noaa.gov/nwr/
WZID - 95.7 FM: www.WZID.com
WOKQ - 97.5 FM: www.WOKQ.com
WMUR - Channel 9: www.wmur.com
Subscribe to alert services for bad weather or local emergencies.
Know the difference between weather watches and weather warnings and what you
should do for each. NOAA weather radios can keep you informed.
Identify local evacuation routes, transportation providers, warming/cooling centers, and
regional shelters.
Learn about the emergency plans put in place by your local schools, businesses, health
care providers, etc.
Think safety at all times: TURN AROUND when roads are flooded. Keep generators
OUTSIDE. Be CAREFUL with candles and kerosene lamps. STAY AWAY from
downed power lines.
Help Others
•
•
•
•
Share what you've learned with household members, neighbors, and extended family—
talk about how you can help each other.
If your office, school, or other place you spend time doesn't have an emergency plan,
volunteer to help make one.
Take advantage of local volunteer opportunities. You can join a Community Emergency
Response Team (CERT), a County Animal Response Team (CART) and more.
Join a not-for-profit or faith-based organization that is active in disasters across the state
and beyond.
Page 18
•
•
Give cash donations at any time or disaster relief goods when requested to help disaster
survivors in New Hampshire or beyond. Go to http://www.aidmatrixnetwork.org/fema/
and click the map of New Hampshire.
Visit the links below for more opportunities to help others and volunteer.
http://www.nh.gov/safety/divisions/hsem/Planning/planningindiv.html
http://www.nhcitizencorps.org/
B. Community
During an emergency, many people come together to help others ‘weather the storm.’ These
could include police and fire departments, public works, non-profit organizations, the Red Cross,
elected officials, state and county emergency management agencies, and you.
That’s right. You, Citizens can be critical resources when it comes to community emergency
response. First responders are not an unlimited resource, and they may not always be available to
help you or your neighbors during a disaster.
There are many ways you can help make your community stronger, safer and more able to
weather the storm. The first step is easy: Learn more about how your local officials are planning
for emergencies and how you can get involved.
Planning
Consider the elements of emergency planning, and how those pieces might involve people with
disabilities. Issues that have the greatest impact on people with disabilities include: - Notification
- Evacuation - Emergency transportation - Sheltering - Access to medications, refrigeration, and
back-up power - Access to their mobility devices or service animals while in transit or at shelters
- Access to information Remember the needs of people who use mobility aids such as
wheelchairs, scooters, walkers, canes or crutches, or people who have limited stamina. What
about people who use oxygen or respirators? Or people who are blind or are hard of hearing?
Page 19
Notification
How do you receive emergency messages? Hearing an alert on the radio? Seeing a ‘scroll’ on the
television? Seeing police lights? Watch your local television news stations or listen to your local
radio stations for updated information. A complete list of radio stations and TV stations are listed
on pages 90-91 of this Emergency Preparedness manual.
•
•
•
•
NOAA National Weather Radio: http://www.nws.noaa.gov/nwr/
WZID - 95.7 FM: www.WZID.com
WOKQ - 97.5 FM: www.WOKQ.com
WMUR - Channel 9: www.wmur.com
Develop warning methods that ensure all citizens have access to relevant information and are
empowered to make their own decisions. Often combining many methods of alerts – both
audible and visual – will provide the best outcome.
Some ideas include text messaging, television captioning, door-to-door contact by police or
volunteers, or telephone calls.
Evacuation
When an evacuation is requested or ordered, remember that some members of your community
may need some assistance in complying. Without electricity, elevators may not function.
Individuals relying on community transportation programs may need assistance. Some may
simply need help in understanding their options and the instructions.
Assure that your community Emergency Evacuation Plan incorporates plans helping people with
disabilities to evacuate. Address accessible transportation needs for people who use wheelchairs,
scooters, or other mobility aids as well as people who are blind or who have low vision. This
may involve emergency services or volunteers.
Do you know where those people with disabilities are? Some communities, including Franklin
County, have instituted voluntary registries for these people so that, in case of emergency, help
can be provided as quickly as possible.
Sheltering
In an emergency, a temporary shelter may become home for displaced citizens. Surely your
community has made arrangements for shelters to be stocked with supplies, but have you
considered how accessible the shelter is for people with disabilities? Consider for example an
individual using a wheelchair or scooter arriving at the shelter only to find no accessible
entrance, accessible toilet, or accessible shelter area. See the list of New Hampshire shelters
located on page 10 of this Emergency Preparedness manual.
Page 20
Talk with representatives of area disability organizations. Invite them to meet with you and
review your emergency planning. Together find issues that need improvement for proper
accessibility.
Invite these groups to tour your shelters. Examine the layout to assure that all needed spaces –
restrooms, food areas, sleeping areas - are accessible. If you find barriers, work with the facility
to plan for addressing these issues before an emergency arises.
Remember that some people may have service animals. While some shelters do not allow pets,
these service animals are exempted from such rules.
In addition, some medications may require constant refrigeration – like insulin for diabetics.
Make plans for these resources to be available. See pages 92-94 of this Emergency Preparedness
manual for additional information regarding emergency disaster shelters and shelters for people
with disabilities.
Communication
Develop ways to make information available to people who might be deaf or hard of hearing,
and for people with speech disabilities. Make sure your staff and volunteers are trained on basic
procedures for providing accessible communication, including exchanging notes or posting
written announcements to go with spoken announcements.
Train staff to read printed information, upon request, to persons who are blind or who have low
vision.
Returning Home
When the emergency is over and people may return home, remember that some people might
need assistance. Using the same information you discovered during the evacuation process,
provide assistance to individuals with disabilities to return to their homes.
Make sure to consider their individual needs. If an individual with a mobility device needs a
ramp into their home, and it was destroyed in a flood – they will need special assistance.
Consider temporary housing if individuals cannot return home immediately.
C. Business & Service Organizations
New Hampshire’s businesses form the backbone of the state’s economy; small businesses alone
account for a majority of the economy. If businesses are prepared to survive and recover, the
State and our economy are more secure.
New Hampshire’s service organizations play a critical role in our communities. Their clients rely
on them every day – and during an emergency situation, their roles will be even more important.
Page 21
How quickly your company can get back to business after a terrorist attack or hurricane, a fire or
flood or pandemic flu depends on emergency planning you do today.
A commitment to preparing will help support employees, customers, the community, the local
economy and even the country.
•
•
•
•
•
•
•
•
•
•
Learn what kinds of emergencies might affect your company both internally and
externally.
Find out which natural disasters are most common in the areas where you operate. You
may be aware of some of your community's risks; others may surprise you.
Think about how a disaster would affect your suppliers and customers. A disaster
somewhere else can affect your business if you can't get supplies, or can't ship your
products.
Meet with your insurance agent. Do you need flood insurance at your location? Normal
business insurance does not cover flooding. Should business interruption insurance be a
consideration?
Develop internal safety plans; evacuation, fire prevention, etc. Appoint a safety
coordinator who will check fire extinguishers and arrange for practice and drills
Protect and back up your vital records, both the paper ones and electronic data
Make emergency preparedness a priority with you and your employees and your families.
If you and your employees know that your families are safe, you can focus on getting the
business back on its feet.
Make a communications plan. How will you communicate with your employees,
customers and suppliers, especially if you are closed down for a while?
Make a plan for recovery, for getting back in business. Depending on your type of
business, this could be an alternate location, emergency power, or other solutions.
Invest in improvements that will make your buildings and equipment less likely to be
damaged.
3. Individual Specific Disaster Preparedness Plan
This individualized disaster preparedness plan will cover medical emergencies, natural disasters,
power failures, loss of heat or conditioning, general fire safety, evacuation procedures, continuity
of medical care and fire drills.
Page 22
Disaster Evacuation & Safety Preparedness Plan
Service: NH Adult Residential Services and
NH Child Foster Care
Individual Name
Individual Contact Information
Date of Birth
Address
Phone
Contact Information of Team Members
Address
Phone
Name
Relationship to
Individual
Emergency Telephone Numbers
Name
Police
Fire
Red Cross
Local Hospital
Local Shelter
Address
Phone
I. Disaster Evacuation
Fire:
•
In the event of a fire, all individuals receiving support must immediately vacate
his/her residence.
•
The Volunteer Provider will call 911 and notify the Program Administrator at
LifeShare Management Group LLC at 1-866-245-4901
•
Individual’s emergency contact, representative or legal guardian, if any.
•
If the individual receiving support requires shelter due to sustained damage,
Page 23
•
Fire Drills must be conducted at each residence for each individual on a monthly
basis at alternate times and documented on a fire drill log form. At least two
drills per year shall be conducted during sleeping hours.
Flood:
•
In the event of a flood, the individual will remain indoors if safe.
•
The Volunteer Provider will notify the Program Administrator at LifeShare
Management Group LLC at 1-866-245-4901 for further instructions.
•
In the event that the individual requires evacuation, the Volunteer Provider will
provide transportation to safely evacuate him/her to a secure shelter. All
medications and cert box with individual information must be brought prior to
evacuation.
•
The Volunteer Provider will notify the LifeShare Management Group LLC
Administrator of the shelter’s name and address.
•
Tornado/Severe Weather:
•
In the event of a tornado and/or severe weather (ie: severe thunderstorms), the
individual and the Volunteer Provider will remain in the home and in contact
with the Program Administrator at LifeShare Management Group LLC at 1-866245-4901.
•
The Volunteer Provider will remain informed via radio and/or television of the
weather status.
•
In the event of a tornado warning, the individual and his/her Volunteer Provider
will go to the safest room in the house to remain safe until the pending threat is
over. The safest place for shelter is in small interior rooms on the lowest floor.
•
The Volunteer Provider will continue to monitor severe weather alerts and
maintain contact with program Administrator at LifeShare Management Group LLC
at 1-866-245-4901.
•
In the event the individual is unable to return to their residence or area, he/she
will be provided additional assistance with housing.
•
Hurricane:
•
In the event of a hurricane alert, the Volunteer Provider will notify Program
Administrator at LifeShare Management Group LLC at 1-866-245-4901.
Page 24
•
The Volunteer Provider will remain informed via radio and/or television the
weather status. The safest place for shelter is in small interior rooms on the lowest
floor.
•
In the event that evacuation is necessary, the Volunteer Provider will evacuate the
individual to a hotel outside of the designated hurricane area. All medications and
cert box with pertinent individual information must be brought prior to
evacuation.
•
The individual will remain with the Volunteer Provider until it is safe to return
home and maintain contact with Program Administrator at LifeShare
Management Group LLC
•
The Volunteer Provider will inform the Program Administrator at LifeShare
Management Group LLC at 1-866-245-4901 if the hotel and location.
•
•
In the event the individual is unable to return to their residence or area, he/she will
be provided additional assistance with housing.
Terrorist Attack/Chemical Spill/Bomb Threats/Explosion:
•
In the event that there is an alert by Emergency Systems for a terrorist attack,
chemical spill, bomb threat or explosion, the Volunteer Provider will follow
directives issued by Emergency Systems.
•
If evacuation is required, the Volunteer Provider will transport the individual to a
secure emergency shelter and remain until the threat is over and it is safe to return
home.
•
The individual will remain with the Volunteer Provider until it is safe to return
home and maintain contact with Program Administrator at LifeShare
Management Group LLC
•
The Volunteer Provider will inform the Program Administrator at LifeShare
Management Group LLC at 1-866-245-4901 if the hotel and location.
•
II. Safety Preparedness
Prior to a disaster, each Volunteer Provider and Program Administrator must assure that
the individual being supported has the following supplies at his/her residence:
Page 25
•
•
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•
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•
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•
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•
•
•
3 day supply of bottled water (1 gallon per person per day)
3 day supply of non-perishable food and non electric can opener
Radio. Battery-powered or hand crank radio and a NOAA Weather
Radio with tone alert, and extra batteries for both
Flashlight and extra batteries
First aid kit
Whistle to signal for help
Face mask. To help filter contaminated air and plastic sheeting and duct
tape to shelter in place
Moist towelettes, garbage bags and plastic ties. For personal sanitation
Wrench or pliers. To turn off utilities
Local Maps
Prescription medications and medical supplies
Fire extinguisher
Copies of medical insurance and Medicare cards
Contact information for doctors, relatives or friends who should be
notified if the individual is hurt.
III. Loss of Utilities (Electricity/Gas/Water)
•
In the event of a loss of utilities (electricity/gas/water), The Volunteer Provider
will call 911 if there is a medical emergency due to the loss of utilities.
•
The Volunteer Provider will call their Utility Company to see if there is a known
power outage and to report it.
•
Management Group LLC at 1-866-245-4901
•
If the individual receiving support requires shelter due to the loss of utilities, the
•
IV. Loss of Air Conditioning or Heat
•
In the event of a loss of Air Conditioning or Heat, The Volunteer Provider will
call 911 if there is a medical emergency due to the loss of AC or heat.
Page 26
•
The Volunteer Provider will provide additional blankets or fans utilizing an
emergency power generator for the individual.
•
The Volunteer Provider will call their Utility Company to see if there is a known
power outage and to report it.
•
Management Group LLC at 1-866-245-4901
•
If the individual receiving support requires shelter due to the loss of AC or heat,
the Program Administrator will secure temporary shelter for the individual.
•
VI. Damage to Residence
•
In the event that there is damage to the residence due to severe weather conditions
or natural disasters, The Volunteer Provider will call 911 if there is a medical
emergency due to the damage.
•
Management Group LLC at 1-866-245-4901 for further instructions.
•
In the event that the individual requires evacuation, the Volunteer Provider will
provide transportation to safely evacuate him/her to a secure shelter and remain
until the threat is over and it is safe to return home. All medications and cert box
with individual information must be brought prior to evacuation.
•
The Volunteer Provider will notify the LifeShare Management Group LLC
Administrator of the shelter’s name and address.
•
The Program Administrator at LifeShare Management Group LLCwill notify the
The above listed Disaster Evacuation & Safety Preparedness Plan must be reviewed with
the individual and Volunteer Provider on a monthly basis.
_________________________________
Volunteer Provider
___________________
Date
_________________________________
Program Administrator
___________________
Date
_________________________________
Guardian
___________________
Date
Page 27
List of New Hampshire Hospitals
http://www.ushospital.info/New-Hampshire.htm
Alice Peck Day Hospital-Lebanon
125 MASCOMA STREET
LEBANON, NH 03766
Phone: 603-448-3121
WEBSITE: www.alicepeckday.org
Androscoggin Valley Hospital-Berlin
59 PAGE HILL ROAD
BERLIN, NH 03570
Phone: 603-752-2200
WEBSITE: www.avhnh.org
Catholic Medical Center-Manchester
100 MCGREGOR STREET
MANCHESTER, NH 03102
Phone:603-668-3545
WEBSITE: www.catholicmedicalcenter.org
Concord Hospital - Concord
250 PLEASANT STREET
CONCORD, NH 03301
Phone: 603-225-2711
WEBSITE: www.concordhospital.org
Cheshire Medical Center –Keene
580-90 COURT STREET
KEENE, NH 03431
Phone:603-354-5400
WEBSITE: www.cheshire-med.com
Cottage Hospital - Woodsville
PO BOX 2001
SWIFTWATER RD.
WOODSVILLE, NH 03785
Phone: 603-747-9358
WEBSITE: www.cottagehospital.org
Dartmouth-Hitchcock Medical Center –
Lebanon
ONE MEDICAL CENTER DRIVE
LEBANON, NH 03756
Phone: 603-650-5000
WEBSITE: www.dhmc.org
Exeter Hospital - Exeter
5 ALUMNI DRIVE
EXETER, NH 03833
Phone: 603-778-7311
WEBSITE: www.exeterhospital.com
Frisbie Memorial Hospital - Rochester
11 WHITEHALL ROAD
ROCHESTER, NH 03867
Phone: 603-332-5211
WEBSITE: www.frisbiehospital.com
HealthSouth Rehabilitation Hospital of Concord
254 PLEASANT STREET
CONCORD, NH 03301-2508
Phone: 603-226-9800
WEBSITE:www.healthsouthrehabconcordnh.com
Crotched Mountain Rehabilitation Cntr. Greenfield
ONE VERNEY DRIVE
GREENFIELD, NH 03047
Phone: 603-547-3311
WEBSITE: www.crotchedmountain.org
Elliot Hospital - Manchester
ONE ELLIOT WAY
MANCHESTER, NH 03103
Phone: 603-699-5300
WEBSITE: www.elliothospital.org
Franklin Regional Hospital - Franklin
15 AIKEN AVENUE
FRANKLIN, NH 03235-1299
Phone: 603-934-2060
WEBSITE: www.lrgh.org
Hampstead Hospital - Hampstead
218 EAST ROAD
HAMPSTEAD, NH 03841
Phone: 603-329-5311
WEBSITE: www.hampsteadhospital.com
Page 28
Huggins Hospital - Wolfeboro
240 SOUTH MAIN STREET
WOLFEBORO, NH 03894-0912
Phone: 603-569-7500
WEBSITE: www.hugginshospital.org
Littleton Regional Hospital - Littleton
600 ST JOHNSBURY ROAD
LITTLETON, NH 03561
Phone: 800-464-7731
WEBSITE: www.littletonnhhospital.org
Monadnock Community Hospital Peterborough
452 OLD STREET ROAD
PETERBOROUGH, NH 03458-1295
Phone: 603-924-7191
WEBSITE:Monadnockcommunityhospital.com/
New London Hospital - New London
270 COUNTY ROAD
NEW LONDON, NH 03257
Phone: 603-526-2911
WEBSITE: www.newlondonhospital.org
Portsmouth Regional Hospital - Portsmouth
333 BORTHWICK AVENUE
PORTSMOUTH, NH 03801
Phone: 603-436-5110
WEBSITE: http://portsmouthhospital.com/
Speare Memorial Hospital - Plymouth
16 HOSPITAL ROAD
PLYMOUTH, NH 03264
Phone: 603-536-1120
WEBSITE: www.spearehospital.com
Milford Medical Center - Milford
14 PROSPECT STREET
MILFORD, MA 01757
Phone: 508-473-1190
WEBSITE: www.milfordregional.org
Weeks Medical Center - Lancaster
173 MIDDLE STREET
LANCASTER, NH 03584
Phone: 603-788-4911
WEBSITE: www.weeksmedical.org
Lakes Region General Hospital - Laconia
80 HIGHLAND STREET
LACONIA, NH 03246
Phone: 603-524-3211
WEBSITE: www.lrgh.org
Memorial Hospital - North Conway
3073 WHITE MOUNTAIN HWY/ PO BOX5001
NORTH CONWAY, NH 03860
Phone: 603-356-5461
WEBSITE: www.memorialhospitalnh.org
New Hampshire Hospital - Concord
36 CLINTON STREET
CONCORD, NH 03301
Phone: 603-271-5300
WEBSITE: www.dhhs.state.nh.us
Parkland Medical Center - Derry
ONE PARKLAND DRIVE
DERRY, NH 03038
Phone: 603-432-1500
WEBSITE: www.parklandmedicalcenter.com
Southern New Hampshire Medical Cntr-Nashua
8 PROSPECT ST / PO BOX 2014
NASHUA, NH 03061
Phone: 603-577-2000
WEBSITE: www.snhmc.org
St. Joseph Hospital-Nashua
172 KINSLEY STREET
NASHUA, NH 03061
Phone: 603-882-3000
WEBSITE: www.stjosephhospital.com
Valley Regional Hospital-Claremont
243 ELM STREET
CLAREMONT, NH 03743
Phone: 603-542-7771
WEBSITE: www.vrh.org
Wentworth-Douglass Hospital-Dover
789 CENTRAL AVE
DOVER, NH 03820
Phone: 603-742-5252
WEBSITE: www.wdhospital.com
Page 29
American Red Cross of New Hampshire Chapters
Greater Manchester Chapter
1800 Elm Street
1-866-284-8842
Granite Chapter
2 Maitland Street
Concord, NH 03301
1-800-464-6692
Great Bay Chapter
600 Lafayette Rd
603- 436-2218
NH Gateway Chapter
28 Concord Street
Nashua, 03060
603- 889-6664
Mount Washington Valley Chapter
2936 White Mountain Hwy
North Conway, NH 03860
603-356-2726
New Hampshire West Chapter
83 Court Street
Keene, NH 03431
603- 352-3210
Page 30
Preparing for an Emergency
Evacuate or Stay Put
Start by sizing up your situation. Listen to the local authorities via your local radio or television
and follow their guidance. Has your area been asked to evacuate? If so, follow the evacuation
route provided. Trying to shortcut the traffic may endanger you.
If you have not been asked to evacuate, determine whether your home or work is safe. Is your
structure secure and stable with all walls, ceiling, and floor sound? Is there any threat of hazards
such as fire and flooding? Are the utilities controllable? If your home or workplace is not safe,
you should move to more stable environment, weather conditions permitting.
Gathering up Loved Ones
Your family may not be in one location. If your children are in school, check the local media for
announcements about changes in school openings and closings. Know your schools' policy about
sheltering in place; you may not be able to access your children. For older children who walk,
drive, or take the bus, ask them to follow the instructions of authorities.
Listen to local authorities to determine safe routes to travel to get home or to a shelter.
If you are trying to locate friends and family and you live outside the disaster area, these links
may help:
Finding Lost Family and Friends
• If you have been affected by a disaster, this Web site provides a way for you to register
yourself as "safe and well." Concerned family and friends can search the list of those who
have registered themselves as "safe and well."
http://safeandwell.communityos.org/cms/index.php
• If you have been displaced or separated from family and friends as a result of a disaster
this site allows you to register and provide information about where you can be found.
The site allows you to identify individuals with whom you want to provide information
about your location and other personal matters.
https://egateway.fema.gov/inter/nefrls/home.htm
• NOKR is a free emergency contact system to help if you or your family member is
missing, injured, or deceased. http://nokr.org/nok/restricted/home.htm
Page 31
SATERN can collect information via their online information form and send it to the
disaster area, where SATERN personnel will attempt to locate the person or persons you
wish to contact. http://www.satern.org/
Finding and Managing Pet
• Advice from FEMA about how to care for your pet after a disaster.
http://www.fema.gov/news-release/pets-and-after-disaster-strikes
• Tips from the National Weather Service's National Hurricane Center about having
a plan to handle your pet after a disaster.
http://www.nhc.noaa.gov/HAW2/english/prepare/pet_plan.shtml#after
• The Missing Pet Network is a group of volunteers sponsored by the USDA
Animal Care Office, who help people find missing pet animals.
http://www.missingpet.net/
Page 32
Disaster Plan Supply list
(As adapted from Red Cross)
http://www.redcross.org/prepare/disaster-safety-library
Basic Disaster Supplies Kit
There are six basic supplies you should stock for your home:
1) Water
2) Food
3) First aid supplies
4) Clothing and bedding
5) Tools and emergency supplies
6) Special items
Keep the items that you would most likely need during an evacuation in an easy-to-carry
container.
Water
Store water in plastic containers, such as large soft drink bottles. Avoid using containers that
will decompose or break, such as milk cartons or glass bottles. A person who is generally
active needs to drink at least two quarts of water each day. Hot environments and intense
physical activity can double that amount. Children, nursing mothers, and ill people will need
to drink even more.
Store three gallons of water per person (one gallon for each day and for each person).
Keep at least a three-day supply of water (two quarts for drinking, two quarts for food
preparation and sanitation) for each person in the home
Essentials
____ Battery-operated radio and extra batteries
____ Flashlight and extra batteries
Do not include candles. Candles cause more fires after a disaster than anything else.
Food
Store at least a three-day supply of nonperishable food. Select foods that require no refrigeration,
preparation, or cooking and little or no water. If you must heat food, pack a
can of Sterno and matches. Select food items that are compact and lightweight. Include a
selection of the following foods in your disaster supplies kit:
____ Ready-to-eat canned meats
____ Canned fruits, dried fruits, and nuts
____ Canned vegetables
Page 33
First Aid Kit
Assemble a first aid kit for your home and one for each car. A first aid kit should include the
following:
____ Sterile, adhesive bandages in assorted sizes
____Assorted sizes of safety pins
____Cleansing agent/soap
____Latex gloves (2 pairs)
____Sunscreen
____2-inch sterile gauze pads (4-6)
____4-inch sterile gauze pads (4-6)
____Triangular bandages (3)
____2-inch sterile roller bandages (3 rolls)
____3-inch sterile roller bandages (3 rolls)
____Scissors
____Adhesive tape
____Tweezers
____Needle
____Moistened towelettes
____Antiseptic
____Rubbing alcohol
____Thermometer
____Tongue blades (2)
____Tube of petroleum jelly or other lubricant
____Extra eye glasses
Nonprescription Drugs
____Aspirin or non-aspirin pain reliever
____Anti-diarrhea medication
____Antacid (for stomach upset)
____Syrup of Ipecac (use to induce vomiting if advised by the Poison Control Center)
____Laxative
____Activated charcoal (use if advised by the Poison Control Center)
Sanitation
____Toilet paper, towelettes
____Soap, liquid detergent
____Feminine hygiene supplies
____Personal hygiene items
____Plastic garbage bags, ties (for personal sanitation uses)
____Plastic bucket with tight lid
____Disinfectant
____Household chlorine bleach
____Facial tissues
Page 34
Clothing and Bedding
____One complete change of clothing and footwear per person
____Sturdy shoes or work boots
____Rain gear
____Blankets or sleeping bags
____Hat and gloves
____Thermal underwear
____Sunglasses
Tools and Supplies
____Mess kits or paper cups; plates and plastic utensils
____Cash or traveler's checks, coins.
____Nonelectric can opener, utility knife
____Pliers, screwdriver, hammer, crowbar, assorted nails, wood screws
____Shutoff wrench, to turn off household gas and water
____Tape, such as duct tape
____Compass
____Matches in a waterproof container
____Aluminum foil
____Plastic storage containers
____Signal flare
____Paper, pencil
____Needles, thread
____Medicine dropper
____Adhesive labels
____Safety goggles
____Heavy work gloves
____Whistle
____Heavy cotton of hemp rope
____Patch kit and can of seal-in-air
____Videocassettes
____Disposable dust masks
____Plastic sheeting
____Map of the area (for locating shelters)
Important Family Documents
Keep these records in a waterproof, portable container:
____Copy of will, insurance policies, contracts, deeds, stocks and bonds
____Copy of passports, Social Security cards, immunization records
____Record of credit card accounts
____Record of bank account numbers, names, and phone numbers
____Inventory of valuable household goods, important telephone numbers
____Family records (birth, marriage, death certificates)
____Copy of Supplemental Security Income award letter
Page 35
Medical Needs
____Heart and high blood pressure medication
____Insulin
____Prescription drugs
____Denture supplies
____Contact lenses and supplies
Items for Service Animals/Pets
____Food
____Additional water
____Leash/harness
____Identification tags
____Medications and medical records
____Litter/pan
Entertainment
____Games and books
Other Disaster Supplies
Assemble the supplies below in addition to your basic disaster supplies kit. Combine these
with your disaster supplies kit as you need them, and store them somewhere that is easy for
you to get to.
Disability-Related Supplies and Special Equipment
Check items you use, and describe item type and location.
____Glasses:
____Eating utensils:
____Grooming utensils:
____Dressing devices:
____Writing devices:
____Hearing device:
____Oxygen:
Flow rate:
____Suction equipment:
____Dialysis equipment:
____Sanitary supplies:
____Urinary supplies:
____Ostomy supplies:
____Wheelchair:
Wheelchair repair kit:
Motorized:
Manual:
____Walker:
____Crutches:
Page 36
____Cane(s):
____Dentures:
____Monitors:
____Other:
Service Animal and Pet Supplies
____Food
____Extra water
____Leash/harness
____Collar
____Identification tags
____Medications
____Vaccinations and medical records
Portable Disaster Supplies Kit
____Emergency information list/other lists
____Small flashlight
____Whistle/other noisemaker
____Water
____Extra medication
____Copies of prescriptions
____Extra pair of glasses
____Hearing aid
____Sanitary supplies
____Pad and pencil or other writing device
Car Supplies
____Several blankets
____Extra set of mittens or gloves, wool socks and cap
____Jumper cables and instructions
____Small sack of sand or kitty litter for traction
____Small shovel
____Set of tire chains or traction mats
____Red cloth to use as a flag
____CB radio or cellular telephone
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Emergency Preparedness Grab & Go Bag Checklist
Recommended Items to Include in a Basic Ready Kit:
� Water At least 3 gallons per person, for drinking and sanitation
� Food At least a 3-day supply of non-perishable food
� Can opener for food, if kit contains canned food
� Radio Battery-powered or hand crank NOAA Weather Radio with tone alert and extra
batteries
� Flashlight and extra batteries
� First aid kit
� Whistle To signal for help
� Face mask to help filter contaminated air and plastic sheeting and duct tape to shelter in place
� Moist towelettes, garbage bags and plastic ties For personal sanitation
� Wrench or pliers to turn off utilities
� Local maps
Additional Items to Consider Adding to a Ready Kit:
� Prescription medications and glasses
� Infant formula and diapers
� Pet food and extra water for your pet
� Important family documents Such as copies of insurance policies, identification and bank
account records in a waterproof, portable container
� Cash or traveler’s checks and change
� Emergency reference material Such as a first aid book or information from Ready.gov
� Sleeping bag or warm blanket for each person. Consider adding bedding if you live in a cold
weather climate
� Complete change of clothing Include a long sleeved shirt, long pants and sturdy shoes.
Consider adding clothing if you live in a cold-weather climate
� Household chlorine bleach and medicine dropper
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� Fire extinguisher
� Matches In a waterproof container
� Feminine supplies and personal hygiene items
� Mess kits, paper cups, plates, plastic utensils, paper towels
� Paper and pencil
� Books, games, puzzles or other activities for children
Page 39
LifeShare Home Hazard Hunt
(As adapted from the American Red Cross)
http://www.redcross.org/
In a disaster, ordinary items in the home can cause injury and damage. Anything that can move,
fall, break or cause a fire is a potential hazard. Please go through the home and be sure that the
following items are done:
 Repair defective electrical wiring and leaky gas connections
 Fasten shelves securely
 Place large, heavy objects on lower shelves.
 Hang pictures and mirrors away from beds
 Brace overhead light fixtures
 Secure water heater. Strap to wall studs
 Repair cracks in ceilings or foundations
 Store weed killers, pesticides and flammable products away from heat sources
 Place oily polishing rags or waste in covered metal cans
 Clean and repair chimneys, flue pipes, vent connectors and gas vents.
 All medications are kept in the same place in a secure location
 CERT box is up to date in a water proof container
 All emergency numbers are posted
 Fire drills have been run every month
 The provider has emergency protocol readily available and is aware of the procedure to
follow.
Note: Directors in each region will run Home Hazard Hunts a minimum of every six months.
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Get Ready for Extreme Weather and Natural Disasters
A natural disaster is the effect of a natural hazard (e.g., flood, tornado, hurricane, volcanic
eruption, earthquake). It leads to financial, environmental or human losses. The resulting loss
depends on the vulnerability of the affected population to resist the hazard, also called their
resilience. This understanding is concentrated in the formulation: "disasters occur when hazards
meet vulnerability. A natural hazard will hence never result in a natural disaster in areas
without vulnerability.
Drought
Droughts are extended periods of dry weather, from single season events, like the drought of
1999, to multi-year events such as experienced in the mid 1960s. Historically, most start with dry
winters, rather than a dry summer.
Earthquakes
One of the most destructive phenomena of nature is an earthquake and its aftereffects. Although
there are no guarantees of safety during an earthquake, identifying potential hazards ahead of
time and advance planning can save lives and significantly reduce injuries and property damage.
Explosions
Explosions usually occur suddenly, so it's important to learn in advance how to respond to an
explosion and its aftermath.
Extreme Heat
Temperatures that hover 10 degrees or more above the average high temperature for the region
and last for several weeks are defined as extreme heat. Heat kills by taxing the human body
beyond its abilities.
Floods and Flash Floods
Floods are the second most common and widespread of all natural disasters, after fire. New
England is consistently threatened by severe storms and heavy rains throughout the spring and
summer seasons. While heavy rains themselves can pose a significant threat, the combination of
spring rainfall and winter snow melt can lead to hazardous flooding conditions throughout the
state. It takes only two feet of rushing water to carry away most vehicles.
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House Fires
Each year, household fires cause more than 4,000 Americans deaths and more than 25,000
injuries. Many residential fire-related deaths remain preventable through planning and proper
response.
Hurricanes
A hurricane is a tropical cyclone, which generally forms in the tropics and is accompanied by
thunderstorms and a counterclockwise circulation of winds. An intense tropical weather system
of strong thunderstorms with a well-defined surface circulation and maximum sustained winds of
74 mph or higher. Every resident should plan what to do in the event of an evacuation.
Influenza Pandemic
An influenza pandemic occurs when a new influenza virus emerges for which there is little or no
immunity in the human population. The virus begins to cause serious illness and then spreads
easily person-to-person worldwide.
Public Health Disasters
Public Health disasters can strike at any time. Chemical threats. Biological threats. Ebola. Learn
how to plan, prepare and stay informed to help protect yourself and your family.
Terrorism
Terrorism is a deliberate use of violence against civilians for political or religious means. Each
day, terrorists may be working to obtain chemical, biological, radiological, nuclear and explosive
weapons. Unlike with a Hurricane or a Flood, there will likely be NO WARNING for a terrorist
attack. We can make sure that our families know what we would do to account for each other in
a disaster. A Family Disaster Plan is critical and should be in place at all times.
Thunderstorms and Lightning
All thunderstorms are dangerous because they can produce strong winds, lightning, tornadoes,
hail and flash flooding. The typical thunderstorm is 15 miles in diameter and lasts an average of
30 minutes. Severe thunderstorms produce hail the size of a dime or larger and/or winds of 58
miles per hour or greater.
Tornadoes
Tornadoes are nature's most violent storms. They can appear without warning and can be
invisible until dust and debris are picked up or a funnel cloud appears. Planning and practicing
Page 42
specifically how and where you take shelter is a matter of survival. The Summer Season, from
June until September, has the highest frequencies with usual intensities of F0 or F1 on the Fujita
Scale. This includes those tornadoes that form from land falling Tropical Cyclones.
Wildfires
The threat of wild-land fires for people living near wild-land areas or using recreational facilities
in wilderness areas is real. Dry conditions at various times of the year and in various parts of the
United States greatly increase the potential for wild-land fires. Each year, thousands of acres of
wild-land and many homes are destroyed by fires that can erupt at any time of the year from a
variety of causes, including arson, lightning and debris burning.
Winter Advisories and Ice Storms
While the danger from winter weather varies across the state, most people are likely to face some
type of severe winter weather at some point in their lives. Heavy snowfall and extreme cold can
immobilize an entire region. Even areas that normally experience mild winters can be hit with a
major snowstorm or extreme cold. Winter storms can result in flooding, storm surge, closed
highways, blocked roads, downed power lines and hypothermia. When freezing temperatures, or
low wind chills are expected, the National Weather Service will issue warnings or advisories.
For additional information please visit the websites below:
http://www.ready.gov/be-informed
http://www.disasterassistance.gov/
http://www.fema.gov/hazard/types.shtm
http://www.nh.gov/readynh/resources/index.htm
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Get Ready for Drought
Droughts will have a greater effect on drinking water supplies as population and land use
patterns change, particularly in groundwater dependent areas of the state.
The amount and the timing of precipitation are key indicators of impending drought. Under
normal conditions, late fall and winter precipitation recharges ground water and stream flow
prior to the "green-up" period in April and early May. Short-term drought usually commence
just after the green up period, reaching their greatest intensity during the mid-summer and early
fall. The 1985 and 1999 droughts, for instance, were preceded by "above normal" precipitation
during the spring that was not sufficient to replenish the deficit from the lack of snow and rain
during the previous winter and late fall.
Prepare for Drought by Conserving Water
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Wash only full loads of dishes and laundry. You'll save water and energy.
Take a shower instead of a bath. Filling the bathtub uses about 50 gallons of water; a
shower uses about 20 gallons.
Shorten your shower to five minutes.
Install a water-saving showerhead that uses 2.5 gallons/minute.
Think before you flush. Every eliminated flush can save between two and seven gallons
of water.
Fix leaking faucets and toilets. Test for a leaking toilet by putting a few drops of food
coloring in the toilet tank. Wait a few minutes, then look in the bowl. If the food coloring
has made its way there, you have a leak.
Turn off lights and cut the air conditioner back when not at home. Energy is produced
using large volumes of water. Reducing energy demands can reduce the water needed to
produce that energy.
Prepare food efficiently. Speed clean food by using a vegetable brush. Spray water in
short bursts.
Defrost sensibly and don’t use running water. Defrost foods overnight in the refrigerator
instead. Use the microwave or put wrapped food in a bowl of cold water.
Reduce dishwashing and limit dishwasher use to full loads. Use a rubber spatula to scrape
dishes clean to limit pre-rinse. Soak really dirty pans or dishes for speedier washing.
Reuse clean household water. Collect shower water or water used to boil vegetables. Use
it to water houseplants.
Avoid using your garbage disposal. Compost leftovers fruits and vegetables.
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Use a glass for rinse water when brushing teeth or shaving instead of letting the faucet
run. An electric razor also saves water.
Install a low-flow toilet. Low-flow toilets need only 1.6 gallons per flush, saving
thousands of gallons per year. Unlike earlier models, low flow toilets available today
receive high marks from consumers for overall performance.
Visit http://des.nh.gov/organization/divisions/water/dwgb/water_conservation/index.htm
for more conservation tips.
Make a Drought Plan
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Make a Ready kit. Experts recommend all kits include one gallon of water, per person,
per day for every member of the family.
Stay hydrated by drinking eight to 12 glasses of water a day.
In an emergency, other sources of water may need to be used, such as your hot water
tank. Further treatment of this water will be necessary.
o Hot water tank – be sure gas or electricity is off, and drain the water from the
valve near the bottom of the tank. Do not turn on the gas or electricity while the
tank is empty. NOTE: Alternative sources may have a bad odor and taste, and
may also carry disease-causing micro-organisms. All water of uncertain purity
should be purified before using for drinking, food preparation or hygiene. Boiling
or sanitizing will kill most bacteria, but will not remove other contaminate such as
heavy metals and other chemicals.
Stay Informed
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Follow your local water use restrictions. The most important thing you can during times
of drought is to follow your local water municipalities' current water restrictions. You can
even get ahead of the curve and begin to conserve before restrictions are needed.
Contact your local water authority or utility district for information specific to your area.
Closely monitor a local radio station, TV station or NOAA Weather Radio for the latest
information and follow “boil water advisory” guidelines and other instructions when they
are issued.
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Get Ready for Earthquakes
One of the most frightening and destructive phenomena of nature is a severe earthquake and its
terrible aftereffects. An earthquake is a sudden movement of the earth, caused by the abrupt
release of strain that has accumulated over a long time. For hundreds of millions of years, the
forces of plate tectonics have shaped the earth, as the huge plates that form the earth’s surface
slowly move over, under, and past each other. Sometimes, the movement is gradual. At other
times, the plates are locked together, unable to release the accumulating energy. When the
accumulated energy grows strong enough, the plates break free. If the earthquake occurs in a
populated area, it may cause many deaths and injuries and extensive property damage.
Before an Earthquake
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Develop a Disaster Plan
Secure cabinets, bookcases and mirrors to wall studs. Avoid installing bookcases next to
beds, since heavily loaded structures could fall causing significant injury or death.
Do NOT hang pictures over the bed.
Strap any gas or electric water heater to wall studs. A broken gas line can cause a fire,
while a knocked over or ruptured tank could cause damage or scalding.
Store hazardous or flammable materials safely. If a container of flammable liquid spills
during an earthquake, any source of flame may ignite the fluid and start a fire.
Be prepared for 3-days of self-sufficiency. This is also good preparation for inclement
weather and other disasters. Have on hand a flashlight, portable radio, first aid kits, fire
extinguisher, and water for 3 days.
Bolt house to foundation if possible. Houses in the southeast are built to stand-upright,
and may not withstand shaking.
Loss of contact with the foundation is a major source of damage in many large
earthquakes.
Keep important documents (insurance policies) up to date and safe. Determine if
earthquake insurance is right for you.
Consider having chimneys, roofs, and walls checked for stability. Bricks from chimneys
and wall facings if not secured can fall and cause significant damage or injury.
During an Earthquake
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Drop to the ground fast, otherwise the earthquake shaking may knock you down
uncontrollably.
Cover yourself below a strong table or desk. Falling objects and collapsing structures
cause many of the injuries and deaths during an earthquake. Additionally, cover your
head and face to protect them from broken glass and falling objects.
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Hold onto the table or desk and be prepared to move with it. Holding your position until
the shaking stops.
Do NOT run outside during the shaking or use the stairways or elevators. The
entranceways of buildings and homes are particularly dangerous because of falling bricks
and debris.
After an Earthquake
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When tremors STOP, vacate premises immediately until it is safe to return.
Look for and eliminate fire hazards that can cause further damage.
Follow your disaster plan to locate and communicate with family and loved ones.
Check your building for cracks and structural damage.
Take photos to record damage before you clean up or make repairs.
Move valuables to a safe weatherproof location.
Review your insurance coverage and report claims promptly.
Collect inventory records, appraisals and photographic records.
Use licensed professionals to conduct inspections and repair your home.
Look for ways to better prepare your home for earthquakes as you repair or rebuild.
You can print a full Earthquake Preparation Guide at the web address listed below:
http://www.ready.gov/earthquakes
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Get Ready for Explosions, Fires and Debris
Explosions usually occur suddenly, so it's important to learn in advance how to respond to an
explosion and its aftermath.
If There is an Explosion:
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Take shelter against your desk or a sturdy table.
Exit the building ASAP.
Do not use elevators.
Check for fire and other hazards.
Take your emergency supply kit if time allows.
If There is a Fire:
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Exit the building ASAP.
Crawl low if there is smoke
Use a wet cloth, if possible, to cover your nose and mouth.
Use the back of your hand to feel the upper, lower, and middle parts of closed doors.
If the door is not hot, brace yourself against it and open slowly.
If the door is hot, do not open it. Look for another way out.
Do not use elevators.
If you catch fire, do not run. Stop-drop-and-roll to put out the fire.
If you are at home, go to a previously designated meeting place.
Account for your family members and carefully supervise small children.
Never go back into a burning building.
If You Are Trapped in Debris:
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If possible, use a flashlight to signal your location to rescuers.
Avoid unnecessary movement so that you don't kick up dust.
Cover your nose and mouth with anything you have on hand.
Tap on a pipe or wall so that rescuers can hear where you are.
If possible, use a whistle to signal rescuers.
Shout only as a last resort. Shouting can cause a person to inhale dangerous amounts of
dust.
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Get Ready for Extreme Heat
Temperatures that hover 10 degrees or more above the average high temperature for the region
and last for several weeks are defined as extreme heat. Heat kills by taxing the human body
beyond its abilities.
Heat kills by pushing the human body beyond its limits. In extreme heat and high humidity,
evaporation is slowed and the body must work extra hard to maintain a normal temperature.
Most heat disorders occur because the victim has been overexposed to heat or has overexercised for his or her age and physical condition. Older adults, young children, and those who
are sick or overweight are more likely to succumb to extreme heat.
Conditions that can induce heat-related illnesses include stagnant atmospheric conditions and
poor air quality. Consequently, people living in urban areas may be at greater risk from the
effects of a prolonged heat wave than those living in rural areas. Also, asphalt and concrete
store heat longer and gradually release heat at night, which can produce higher nighttime
temperatures known as the “urban heat island effect.”
Prepare for Extreme Heat
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Check to see if your home's cooling system is working properly.
Make sure your home is well insulated and that you have weather stripping around your
doors and window sills to keep the cool air inside.
Install window air conditioners snugly; insulate if necessary.
Check air-conditioning ducts for proper insulation.
Install temporary window reflectors (for use between windows and drapes), such as
aluminum foil-covered cardboard, to reflect heat back outside, and weather-strip doors
and sills to keep cool air in.
Cover windows that receive morning or afternoon sun with drapes, shades, awnings, or
louvers. (Outdoor awnings or louvers can reduce the heat that enters a home by up to 80
percent.)
Keep storm windows up all year.
Plan to Slow Down
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Stay indoors as much as possible and limit exposure to the sun.
Stay on the lowest floor out of the sunshine if air conditioning is not available.
Spend more time in air-conditioned places. Air conditioning in homes and other buildings
markedly reduces danger from the heat. If you cannot afford an air conditioner, spending
some time each day (during hot weather) in an air-conditioned environment will provide
Page 49
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some protection. Eat well-balanced, light, and regular meals. Avoid using salt tablets
unless directed to do so by a physician.
Drink plenty of water. People with epilepsy or heart, kidney, or liver disease; are on
fluid-restricted diets; or have a problem with fluid retention should consult a doctor
before increasing liquid intake.
Limit intake of alcoholic beverages.
Dress in loose-fitting, lightweight, and light-colored clothes that cover as much skin as
possible.
Protect face and head by wearing a wide-brimmed hat.
Check on family, friends, and neighbors who do not have air conditioning and who spend
much of their time alone.
Never leave children or pets alone in closed vehicles.
Avoid strenuous work during the warmest part of the day. Use a buddy system when
working in extreme heat, and take frequent breaks.
During a Heat Emergency
The following are guidelines for what you should do if the weather is extremely hot:
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Stay indoors as much as possible and limit exposure to the sun.
Stay on the lowest floor out of the sunshine if air conditioning is not available.
Consider spending the warmest part of the day in public buildings such as libraries,
schools, movie theaters, shopping malls, and other community facilities. Circulating air
can cool the body by increasing the perspiration rate of evaporation.
Eat well-balanced, light, and regular meals. Avoid using salt tablets unless directed to do
so by a physician.
Drink plenty of water. Persons who have epilepsy or heart, kidney, or liver disease; are
on fluid-restricted diets; or have a problem with fluid retention should consult a doctor
before increasing liquid intake.
Limit intake of alcoholic beverages.
Dress in loose-fitting, lightweight, and light-colored clothes that cover as much skin as
possible.
Protect face and head by wearing a wide-brimmed hat.
Check on family, friends, and neighbors who do not have air conditioning and who spend
much of their time alone.
Never leave children or pets alone in closed vehicles.
Avoid strenuous work during the warmest part of the day. Use a buddy system when
working in extreme heat, and take frequent breaks.
Stay Informed
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Learn about the types of medical conditions that can result from heat waves, and the
proper first aid measures that should be taken.
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Heat exhaustion symptoms are heavy sweating, weakness, cold, pale and
clammy skin, a thready pulse, and possible fainting and vomiting.
o Heat stroke is a severe medical emergency that occurs when the body
temperature reaches 106° F. or higher. Symptoms include hot dry skin, rapid and
strong pulse, and possible unconsciousness. Summon immediate emergency
medical assistance.
Closely monitor a local radio station, TV station or NOAA Weather Radio at
http://www.weather.gov/nwr/ for the latest information.
For more specific information, please visit http://www.ready.gov/heat
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First Aid for Heat-Induced Illnesses
Extreme heat brings with it the possibility of heat-induced illnesses. The following table lists
these illnesses, their symptoms, and the first aid treatment.
Condition
Sunburn
Symptoms
Skin redness and pain,
possible swelling, blisters,
fever, headaches
First Aid
Take a shower using soap to remove oils
that may block pores, preventing the body
from cooling naturally.
Apply dry, sterile dressings to any blisters,
and get medical attention.
Heat Cramps
Painful spasms, usually in leg Get the victim to a cooler location.
and abdominal muscles;
heavy sweating
Lightly stretch and gently massage affected
muscles to relieve spasms.
Give sips of up to a half glass of cool water
every 15 minutes. (Do not give liquids
with caffeine or alcohol.)
Discontinue liquids, if victim is nauseated.
Heat
Exhaustion
Heavy sweating but skin may
be cool, pale, or flushed.
Weak pulse. Normal body
temperature is possible, but
temperature will likely rise.
Fainting or dizziness, nausea,
vomiting, exhaustion, and
headaches are possible.
Get victim to lie down in a cool place.
Loosen or remove clothing.
Apply cool, wet clothes.
Fan or move victim to air-conditioned
place.
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Give sips of water if victim is conscious.
Be sure water is consumed slowly.
Give half glass of cool water every 15
minutes.
Discontinue water if victim is nauseated.
Seek immediate medical attention if
vomiting occurs.
Heat Stroke
( a severe
medical
emergency)
High body temperature
(105+); hot, red, dry skin;
rapid, weak pulse; and rapid
shallow breathing. Victim
will probably not sweat
unless victim was sweating
from recent strenuous
activity. Possible
unconsciousness.
Call 9-1-1 or emergency medical services,
or get the victim to a hospital immediately.
Delay can be fatal.
Move victim to a cooler environment.
Removing clothing
Try a cool bath, sponging, or wet sheet to
reduce body temperature.
Watch for breathing problems.
Use extreme caution.
Use fans and air conditioners.
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Get Ready for Floods and Flash Floods
Floods are one of the most common hazards in the United States. Flood effects can be local,
impacting a neighborhood or community, or very large, affecting entire river basins and multiple
states.
However, all floods are not alike. Some floods develop slowly, sometimes over a period of days.
But flash floods can develop quickly, sometimes in just a few minutes and without any visible
signs of rain. Flash floods often have a dangerous wall of roaring water that carries rocks, mud,
and other debris and can sweep away most things in its path. Overland flooding occurs outside a
defined river or stream, such as when a levee is breached, but still can be destructive. Flooding
can also occur when a dam breaks, producing effects similar to flash floods.
Be aware of flood hazards no matter where you live, but especially if you live in a low-lying
area, near water or downstream from a dam. Even very small streams, gullies, creeks, culverts,
dry streambeds, or low-lying ground that appears harmless in dry weather can flood. Every state
is at risk from this hazard.
Prepare for Flooding
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Know your area's flood risk – if unsure, call your local emergency management agency
or visit at http://www.floodsmart.gov/floodsmart/
Property insurance does not typically cover flood damage. Talk to your insurance
provider about your policy and consider if you need additional coverage. The National
Flood Insurance Program is designed to provide reasonable flood insurance in exchange
for the careful management of flood-prone areas by local communities. The program,
administered by FEMA, is available in hundreds of participating communities. Visit
www.fema.gov/business/nfip for more information.
Reduce potential flood damage by raising your furnace, water heater, and electric panel if
they are in areas of your home that may be flooded.
Avoid building in a floodplain unless you elevate and reinforce your home.
Elevate the furnace, water heater, and electric panel if susceptible to flooding.
Install "check valves" in sewer traps to prevent flood water from backing up into the
drains of your home.
Construct barriers (levees, beams, floodwalls) to stop floodwater from entering the
building.
Seal walls in basements with waterproofing compounds to avoid seepage.
Plan to Evacuate
•
Get a disaster supplies kit and prepare a portable Ready kit in case you have to evacuate.
Plan how you will leave and where you will go if you are advised to evacuate.
Page 53
•
•
•
•
•
•
If you have a car, fill the gas tank.
If you do not have a car, plan alternate means of evacuating.
Move your furniture and valuables to higher floors of your home.
Listen to the radio or television for information.
Be aware that flash flooding can occur. If there is any possibility of a flash flood, move
immediately to higher ground. Do not wait for instructions to move.
Be aware of streams, drainage channels, canyons, and other areas known to flood
suddenly. Flash floods can occur in these areas with or without such typical warnings as
rain clouds or heavy rain.
If you must prepare to evacuate, you should do the following:
•
•
Secure your home. If you have time, bring in outdoor furniture. Move essential items to
an upper floor.
Turn off utilities at the main switches or valves if instructed to do so. Disconnect
electrical appliances. Do not touch electrical equipment if you are wet or standing in
water.
Stay Informed
•
•
•
•
•
If it has been raining hard for several hours, or steadily raining for several days, be alert
to the possibility of a flood.
Closely monitor a local radio station, TV station or NOAA Weather Radio at
http://www.weather.gov/nwr/ for flood information.
Follow the instructions of local officials. If advised to evacuate, do so immediately.
Do not drive around barricades. They are there for your safety.
NEVER drive through standing water. It only takes two feet of water to float a full-sized
automobile.
o More than half of flood victims are in vehicles swept away by moving water.
Page 54
•
•
•
•
Move to higher ground away from rivers, streams, creeks, and storm drains.
Stay out of floodwaters if possible. The water may be contaminated or electrically
charged. However, if your car stalls in rapidly rising waters, get out immediately and
seek higher ground.
o Six inches of fast-moving water can knock a person off his or her feet
Stay away from downed power lines to avoid the risk of electric shock or electrocution.
Do not return to your home until local authorities say it is safe. Even after floodwaters
recede, roads and bridges may be weakened and could collapse. Buildings may be
unstable, and drinking water may be contaminated. Use common sense and exercise
caution.
Driving Flood Facts
The following are important points to remember when driving in flood conditions:
•
•
•
Six inches of water will reach the bottom of most passenger cars causing loss of control
and possible stalling.
A foot of water will float many vehicles.
Two feet of rushing water can carry away most vehicles including sport utility vehicles
(SUV’s) and pick-ups.
After a Flood
The following are guidelines for the period following a flood:
•
•
•
•
•
•
•
•
•
•
Listen for news reports to learn whether the community’s water supply is safe to drink.
Avoid floodwaters; water may be contaminated by oil, gasoline, or raw sewage. Water
may also be electrically charged from underground or downed power lines.
Avoid moving water.
Be aware of areas where floodwaters have receded. Roads may have weakened and could
collapse under the weight of a car.
Stay away from downed power lines, and report them to the power company.
Return home only when authorities indicate it is safe.
Stay out of any building if it is surrounded by floodwaters.
Use extreme caution when entering buildings; there may be hidden damage, particularly
in foundations.
Service damaged septic tanks, cesspools, pits, and leaching systems as soon as possible.
Damaged sewage systems are serious health hazards.
Clean and disinfect everything that got wet. Mud left from floodwater can contain sewage
and chemicals.
Page 55
Get Ready for House Fires
Each year, household fires cause more than 4,000 Americans deaths and more than 25,000
injuries. Many residential fire-related deaths remain preventable and continue to pose a
significant public health problem.
To protect yourself, it is important to understand the basic characteristics of fire. Fire spreads
quickly; there is no time to gather valuables or make a phone call. In just two minutes, a fire can
become life-threatening. In five minutes, a residence can be engulfed in flames.
Heat and smoke from fire can be more dangerous than the flames. Inhaling the super-hot air can
sear your lungs. Fire produces poisonous gases that make you disoriented and drowsy. Instead
of being awakened by a fire, you may fall into a deeper sleep. Asphyxiation is the leading cause
of fire deaths, exceeding burns by a three-to-one ratio.
Prepare
Install Smoke Alarms
•
•
•
Properly working smoke alarms decrease your chances of dying in a fire by half.
Place smoke alarms on every level of your residence. Place them outside bedrooms on
the ceiling or high on the wall (4 to 12 inches from ceiling), at the top of open stairways,
or at the bottom of enclosed stairs and near (but not in) the kitchen.
Test and clean smoke alarms once a month and replace batteries at least once a year when
you change your clocks back to Standard Time each Fall. Replace smoke alarms once
every 10 years.
Plan
Plan Your Escape
•
•
•
•
•
Review escape routes with your family. Practice escaping from each room.
Make sure windows are not nailed or painted shut. Make sure security gratings on
windows have a fire safety opening feature so they can be easily opened from the inside.
Consider escape ladders if your residence has more than one level, and ensure that
burglar bars and other antitheft mechanisms that block outside window entry are easily
opened from the inside.
Teach family members to stay low to the floor when escaping from a fire.
Clean out storage areas. Do not let trash, such as old newspapers and magazines,
accumulate.
Page 56
Stay Informed
During a Fire
To escape a fire, you should:
•
•
•
•
•
•
Check closed doors for heat before you open them.
If you are escaping through a closed door, use the back of your hand to feel the top of the
door, the doorknob, and the crack between the door and door frame before you open it.
Never use the palm of your hand or fingers to test for heat - burning those areas could
impair your ability to escape a fire (i.e., ladders and crawling).
o Hot Door
Do not open. Escape through a window. If you cannot escape, hang a white or
light-colored sheet outside the window, alerting fire fighters to your presence.
o Cool Door
Open slowly and ensure fire and/or smoke is not blocking your escape route. If
your escape route is blocked, shut the door immediately and use an alternate
escape route, such as a window. If clear, leave immediately through the door and
close it behind you. Be prepared to crawl. Smoke and heat rise. The air is clearer
and cooler near the floor.
Crawl low under any smoke to your exit - heavy smoke and poisonous gases collect first
along the ceiling.
Close doors behind you as you escape to delay the spread of the fire.
Stay out once you are safely out. Do not reenter. Call 9-1-1.
After a Fire
•
•
•
•
If you are with burn victims, or are a burn victim yourself, call 9-1-1; cool and cover
burns to reduce chance of further injury or infection.
If you detect heat or smoke when entering a damaged building, evacuate immediately.
If you have a safe or strong box, do not try to open it. It can hold intense heat for several
hours. If the door is opened before the box has cooled, the contents could burst into
flames.
If you must leave your home because a building inspector says the building is unsafe, ask
someone you trust to watch the property during your absence.
Preventing Fires
Cooking
•
•
Cooking is the leading cause of home fires in the U.S. It is also the leading cause of fire
injuries.
Never leave cooking unattended.
Page 57
•
•
•
•
•
•
•
•
•
Always wear short, tight-fitting sleeves when cooking.
Keep towels, pot holders and curtains away from flames and heating elements.
Clean cooking surfaces regularly to prevent grease buildup which can ignite.
If a fire breaks out while cooking, put a lid on the pan to smother it.
Never throw water on a grease fire.
Heat oil gradually to avoid burns from spattering grease.
Use extra caution when preparing deep-fried foods.
Never use the oven to heat your home.
Double-check the kitchen before you go to bed or leave the house. Make sure all small
appliances are turned off.
Flammable Items
•
•
•
•
•
Never use gasoline, benzine, naptha, or similar flammable liquids indoors.
Store flammable liquids in approved containers in well-ventilated storage areas.
Never smoke near flammable liquids.
Discard all rags or materials that have been soaked in flammable liquids after you have
used them. Safely discard them outdoors in a metal container.
Insulate chimneys and place spark arresters on top. The chimney should be at least three
feet higher than the roof. Remove branches hanging above and around the chimney.
Heating Sources
•
•
•
•
•
•
•
•
Be careful when using alternative heating sources.
Check with your local fire department on the legality of using kerosene heaters in your
community. Be sure to fill kerosene heaters outside, and be sure they have cooled.
Place heaters at least three feet away from flammable materials.
Use only the type of fuel designated for your unit and follow manufacturer's instructions.
Store ashes in a metal container outside and away from your residence.
Keep open flames away from walls, furniture, drapery, and flammable items.
Keep a screen in front of the fireplace.
Have heating units inspected and cleaned annually by a certified specialist.
Heating Oil Safety | HeatingOil.com
http://www.heatingoil.com/articles/heating-oil-safety/ - 38k - Cached - Similar pages
Aug 4, 2009 ... Download PDF version These days, oil heat is not only cost-effective, clean, and comfortable,
it is the safest source of heat. Oil will not burn.
Propane and Natural Gas Safety
http://www.macomb-mi.gov/Fire/Fire%20Tips/July%202010.pdf - - Cached - Similar pages and.
Natural Gas. Safety. If you smell Propane or Natural Gas leave area immediately and call 911 ... portable
stoves and residential central heating. Propane is ...
Page 58
Matches and Smoking
•
•
•
•
Keep matches and lighters up high, away from children, and, if possible, in a locked
cabinet.
Never smoke in bed or when drowsy or medicated.
Provide smokers with deep, sturdy ashtrays.
Douse cigarette and cigar butts with water before disposal.
Electrical Wiring
•
•
•
•
•
•
Have the electrical wiring in your residence checked by an electrician.
Inspect extension cords for frayed or exposed wires or loose plugs.
Make sure outlets have cover plates and no exposed wiring.
Make sure wiring does not run under rugs, over nails, or across high-traffic areas.
Do not overload extension cords or outlets.
Make sure insulation does not touch bare electrical wiring.
Page 59
Get Ready for Hurricanes
A hurricane is a tropical cyclone in which winds reach sustained speeds of 74 miles per hour
(category 1) or more and blow in a large spiral around a relatively calm center (the "eye").
Hurricanes produce damage and destruction from heavy rainfalls, winds, and flooding.
One of the most common disaster preparation mistakes is that people do not prepare while the
sun is shining. When disaster is approaching everyone is after the same resources and they
quickly become scarce. Lines are long, traffic is bad, and tempers are short. Start now to put
together your disaster supply kit. If you have children involve them in the game of finding items
on your list. Prepare now, it’ll take less time.
Page 60
Prepare for Hurricanes
•
•
•
•
•
•
•
Get a kit of emergency supplies and prepare a portable Ready kit in case you have to
evacuate.
Familiarize yourself with the terms that are used to identify a hurricane. A hurricane
watch means a hurricane is possible in your area. Be prepared to evacuate. A hurricane
warning means a hurricane is expected in your area. If local authorities advise you to
evacuate, leave immediately.
Prepare to secure your property.
Cover all of your home's windows with pre-cut ply wood or hurricane shutters to protect
your windows from high winds.
Plan to bring in all outdoor furniture, decorations, garbage cans and anything else that is
not tied down.
Keep all trees and shrubs well trimmed.
If you have a car, fill the gas tank in case you have to evacuate.
Plan to Evacuate
•
•
•
•
Plan how you will leave and where you will go if you are advised to evacuate.
Identify several places you could go in an emergency: a friend's home in another town or
a motel. For more information about public shelters in your community, contact your
local emergency management agency
http://www.nhredcross.org/general.asp?SN=12032&OP=12033&IDCapitulo=9635HCHP
I3
Be familiar with alternate routes and other means of transportation out of your area.
If you are not able to evacuate, stay indoors away from all windows. Take shelter in an
interior room with no windows if possible. Be aware that there may be a sudden lull in
the storm as the eye of the hurricane moves over. Stay in your shelter until local
authorities say it is safe.
Stay Informed
•
•
•
Local authorities may not immediately be able to provide information on what is
happening and what you should do. However, you should listen to NOAA Weather Radio
at http://www.weather.gov/nwr/ or watch TV, listen to the radio or check the Internet
often for official news and instructions as they become available.
Stay out of flood waters, if possible. The water may be contaminated or electrically
charged. However, should you find yourself trapped in your vehicle in rising water get
out immediately and seek higher ground.
Be alert for tornadoes and flooding. If you see a funnel cloud or if local authorities issue a
tornado warning take shelter underground or in an interior room away from windows. If
waters are rising quickly or local authorities issue a flood or flash flood warning, seek
higher ground.
Page 61
•
•
Stay away from downed power lines to avoid the risk of electric shock or electrocution.
Do not return to your home until local authorities say it is safe. Even after the hurricane
and after flood waters recede, roads may be weakened and could collapse. Buildings may
be unstable, and drinking water may be contaminated. Use common sense and exercise
caution.
•
For more information, go to:
http://www.unh.edu/emergency/pdf/UNH_Hurricane_Preparedness_Plan.pdf
Saffir-Simpson Hurricane Scale
Scale
Sustained
Number
Winds
(Category) (MPH)
Damage
Storm Surge
1
74-95
Minimal: Unanchored mobile homes,
vegetation and signs.
4-5 feet
2
96-110
Moderate: All mobile homes, roofs,
small crafts, flooding.
6-8 feet
3
111-130
Extensive: Small buildings, low-lying
roads cut off.
9-12 feet
4
131-155
Extreme: Roofs destroyed, trees
down, roads cut off, mobile homes
destroyed. Beach homes flooded.
13-18 feet
5
More than Catastrophic: Most buildings
155
destroyed. Vegetation destroyed.
Major roads cut off. Homes flooded.
Greater than 18 feet
Get Ready for an Influenza Pandemic
An influenza pandemic occurs when a new influenza virus emerges for which there is little or no
immunity in the human population. The virus begins to cause serious illness and then spreads
easily person-to-person worldwide. In June 2009 the World Health Organization declared H1N1
influenza a pandemic.
Prepare for a Pandemic Outbreak
•
•
Get a kit of emergency supplies and prepare a portable Ready kit in case you have to
evacuate.
If you have a car, fill the gas tank in case you have to evacuate.
Page 62
•
Prepare for the possibility that usual services may be disrupted. These could include
services provided by hospitals and other health care facilities, banks, stores, restaurants,
government offices, and post offices.
Plan for a Pandemic Outbreak
•
•
•
Consider how to care for people with special needs in case the services they rely on are
not available.
Adopt business/school practices that encourage sick employees/students to stay home.
Anticipate how to function with a significant portion of the workforce/school population
absent due to illness or caring for ill family members.
Practice good health habits, including eating a balanced diet, exercising daily and getting
sufficient rest. In addition, take common-sense steps to stop the spread of germs
including frequent hand washing, covering coughs and sneezes and staying away from
others as much as possible when you are sick.
Stay Informed
•
•
•
•
Reliable, accurate and timely information is available at PandemicFlu.gov. You can also
visit this website for more information on influenza http://www.ready.gov/pandemic
Another source for information on pandemic influenza is the Centers for Disease Control
and Prevention (CDC) Hotline at: 1-800-CDC-INFO (1-800-232-4636). This line is
available in English and Spanish, 24 hours a day, 7 days a week. TTY: 1-888-232-6348.
Questions can be e-mailed to [email protected].
Listen to local and national radio, watch news reports on television and read your
newspaper and other sources of printed and Web-based information.
Talk to your local health care providers and public health officials. More information on
Rhode Island’s local planning for Pandemic Influenza can be found at
http://www.dhhs.nh.gov/dphs/cdcs/avian/documents/pandemic-plan.pdf
H1N1 Influenza
Prepare for an increase in the number of individuals affected by the seasonal flu and novel
H1N1.
Plan what to do if you, your loved ones or co-workers get sick and have to stay home. Make
contingency plans for your home and workplace now.
Stay informed through a trusted source for up-to-date information on seasonal flu and novel
H1N1.
Page 63
Questions about H1N1? Here are answers to frequently asked questions:
What is Novel H1N1 (swine flu)?
Novel H1N1 is a new influenza virus causing illness in people. It was originally referred to as
"swine flu" because laboratory testing showed that many of the genes in this new virus were very
similar to influenza viruses that normally occur in pigs in North America. Further study has
shown that this new virus is different from what normally circulates in North American pigs. The
virus was first detected in people in the U.S. in April 2009. On June 11, 2009, the World Health
Organization declared H1N1 flu a pandemic.
How is H1N1 flu contracted?
H1N1 flu is thought to be spread in the same way that seasonal flu spreads. Flu viruses are
spread mainly from person to person through coughing or sneezing. Some people may become
infected by touching something with flu viruses on it and then touching their mouth, nose or
eyes.
Who is at risk for 2009 H1N1?
Anyone can get 2009 H1N1, however children, young adults and pregnant women seem to be at
the highest risk.
Is the Vaccine really safe?
Over the years, hundreds of millions of people in the U.S. have safely received seasonal flu
vaccines. Last flu season, about 80 million people in the U.S. also received the vaccine made to
protect against the 2009 H1N1 virus, and the vaccine’s safety was similar to that of seasonal flu
vaccines. Over the last 50 years, flu vaccines have been shown to be safe. Every year, CDC
works closely with FDA, health care providers, state and local health departments, and other
partners to ensure the highest safety standards for flu vaccines. CDC also works closely with
FDA to ensure systems are in place to promptly detect unexpected health problems following
vaccination.
The benefits of getting the vaccine far outweigh the very small risk of serious complications
from vaccination. Some people getting vaccinated will have mild side effects such as pain,
redness or swelling in the arm where the shot was given or a runny nose and headache after the
nasal spray vaccine.
Who should get the 2009 H1N1 vaccine?
High risk groups including:
•
•
•
•
•
Children 6 months through 24 years of age
Women who are pregnant
People 24 through 64 years of age with chronic diseases such as diabetes or asthma
People caring for infants less than 6 months of age
Health care providers
Page 64
What should people do if they begin experiencing flu-like symptoms?
If people are ill, they should attempt to stay at home and limit contact with others until they are
symptom-free for 24 hrs. Ill people who experience any of the following warning signs should
seek emergency medical care:
In children, emergency warning signs that need urgent medical attention include:
•
•
•
•
•
•
•
Fast breathing or trouble breathing
Bluish skin color
Not drinking enough fluids
Not waking up or not interacting
Being so irritable that the child does not want to be held
Flu-like symptoms improve but then return with fever and worse cough
Fever with a rash
In adults, emergency warning signs that need urgent medical attention include:
•
•
•
•
•
Difficulty breathing or shortness of breath
Pain or pressure in the chest or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting
How can citizens protect themselves and their loved ones?
•
•
•
•
•
Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in
the trash after you use it.
Wash your hands often with soap and water, especially after you cough or sneeze.
Alcohol-based hands cleaners are also effective.
Avoid touching your eyes, nose or mouth. Germs spread that way.
Try to avoid close contact with sick people.
If you become ill with influenza-like symptoms, contact your health care provider,
particularly if you are worried about your symptoms. Your health care provider will
determine whether influenza testing or treatment is needed.
For more information about H1N1 flu, including treatment and taking care of a sick person, visit
www.cdc.gov/h1n1flu. For more information about pandemic outbreaks visit
www.pandemicflu.gov.
Page 65
Get Ready for Public Health Disasters
Public Health disasters can strike at any time. Chemical threats. Biological threats. Ebola. This
section helps you learn how to plan, prepare and stay informed when you need it most.
Radiation Threat
A radiation threat, commonly referred to as a "dirty bomb," is the use of common explosives to
spread radioactive materials over a targeted area.
Plague
Plague is a disease caused by Yersinia pestis (Y. pestis), a bacterium found in rodents and their
fleas. People normally become infected through the bite of infected fleas, and although rare,
other cases can occur by direct contact with infectious body fluids (such as blood) or inhaling
infectious respiratory droplets.
Page 66
Smallpox
Smallpox is a serious, contagious and sometimes fatal infectious disease.
Ricin
Ricin is a bi-product of the processing of Castor beans for oil. Castor beans grow wildly in arid
parts of the United States. Naturally-occurring cases of ricin poisoning involve ingestion of
castor beans and are marked by severe gastrointestinal symptoms, circulatory failure and death.
Nuclear Threat
A Nuclear Blast is an explosion with intense light and heat, a damaging pressure wave and
widespread radioactive material that can contaminate the air, water and ground surfaces for miles
around. During a nuclear incident, it is important to avoid radioactive material.
Chemical Threat
A chemical attack is the deliberate release of a toxic gas, liquid or solid that can poison people
and the environment.
Viral Hemorrhagic Fevers
Viral Hemorrhagic Fevers (VHFs) refer to a group of illnesses that are caused by several
different viruses that damage the body's system that carries blood. When one of these viruses
enters the body, the body cannot regulate itself properly and multiple organ systems are affected.
Ebola and Marburg are two examples of VHF viruses.
Botulism
Botulism is a very serious muscle-paralyzing disease caused by a toxin made by a spore-forming
bacterium called Clostridium botulinum.
Biological Threat
A biological attack is the deliberate release of germs or other biological substances.
For additional information on these Public Health Disasters please visit
http://www.ready.gov/document/are-you-ready-depth-guide-citizen-preparedness
Page 67
http://www.healthdisasteroc.org/
http://www.dhhs.nh.gov/
Get Ready for Threats of Terrorism
As the events of September 11, 2001 demonstrated, terrorist attacks can occur quickly and
unexpectedly. Devastating acts, such as the terrorist attacks on the World Trade Center and the
Pentagon, have left many concerned about the possibility of future incidents in the United States
and their potential impact. They have raised uncertainty about what might happen next,
increasing stress levels. Nevertheless, there are things you can do to prepare for the unexpected
and reduce the stress that you may feel now and later should another emergency arise. Taking
preparatory action can reassure you and your children that you can exert a measure of control
even in the face of such events.
Be Aware of Suspicious Behavior
•
•
•
•
•
•
•
Surveillance: video recording or monitoring activities, taking notes, using cameras, maps
or binoculars near key facilities or events
Suspicious Questioning: attempting to gain information in person, by phone, mail, email, etc. regarding a key facility or people who work there
Tests of Security: attempts to penetrate or test physical security or procedures at a key
facility/event
Acquiring Supplies: attempting to improperly acquire explosives, weapons,
ammunition, dangerous chemicals, uniforms, badges, flight manuals, access cards or
identification for a key facility/event or to legally obtain items under suspicious
circumstances that could be used in a terrorist attack
Suspicious Persons: anyone who does not appear to belong in the workplace,
neighborhood, business establishment or near a key facility or event
“Dry Runs”: behavior that appears to be preparation for a terrorist act, such as mapping
out routes, playing out scenarios with other people, monitoring key facilities/events,
timing traffic lights or traffic flow, or other suspicious activities
Deploying Assets: abandoned vehicles, stockpiling of suspicious materials, or persons
being deployed near a key facility/event
Before:
Be alert and aware of your surroundings - Take precautions when traveling - Be aware of
conspicuous or unusual behavior - Do not accept packages from strangers - Do not leave luggage
Page 68
unattended - Learn where emergency exits are located - Be ready to enact your Family Disaster
Plan
During:
Building Explosion - leave as quickly and calmly as possible -If items are falling from above get under a sturdy table or desk - Fire - stay low to the floor and exit as quickly as possible.
Cover nose and mouth with a wet cloth. If a door is hot to the touch, do not open it — seek an
alternate escape route. Stay below the smoke at all times.
After:
If you are trapped in debris- use a flashlight. Cover your mouth with a piece of cloth. Tap on a
pipe or wall so that rescuers can hear where you are. Use a whistle if available and shout as a last
resort — shouting can result in inhalation of dangerous amounts of dust.
Assisting victims - untrained persons should not attempt to rescue people in a collapsed building.
Wait for emergency personnel to arrive.
Chemical Agent - authorities will instruct you to either seek shelter or seal the premises or
evacuate immediately.
Page69 Emergency Preparedness Plan 2014
Get Ready for Thunderstorms and Lightning
All thunderstorms are dangerous because they can produce strong winds, lightning, tornadoes,
hail and flash flooding. The typical thunderstorm is 15 miles in diameter and lasts an average of
30 minutes.
Lightning is a deadly by-product of thunderstorms, occurring mostly during the warmer months
of June through September. Lightning kills an average of 100 people a year throughout the
United States.
Prepare for Thunderstorms and Lightning
•
•
•
Familiarize yourself with the terms that are used to identify a thunderstorm hazard,
including understanding the difference between a severe thunderstorm watch and a
severe thunderstorm warning.
o A thunderstorm watch means there is a possibility of a thunderstorm in your area.
o A thunderstorm warning means a thunderstorm is occurring or will likely occur
soon. If you are advised to take shelter, do so immediately.
Remove dead or rotting trees and branches that could fall and cause injury or damage
during a severe thunderstorm.
Remember the 30/30 lightning safety rule: Go indoors if, after seeing lightning, you
cannot count to 30 before hearing thunder. Stay indoors for 30 minutes after hearing the
last clap of thunder.
Make a Thunderstorm Plan
•
•
•
•
•
•
•
•
If a thunderstorm is likely in your area, postpone outdoor activities.
Secure outdoor objects that could blow away or cause damage.
Shutter windows and secure outside doors. If shutters are not available, close window
blinds, shades, or curtains.
Avoid showering or bathing during a thunderstorm. Plumbing and bathroom fixtures can
conduct electricity.
Watch for darkening skies, lightning, increasing winds.
Go quickly inside a home, building, or hard top automobile, if possible.
If shelter is not available, go to the lowest area nearby and make yourself the smallest
target possible but do not lie flat on the ground.
If on open water, get to land and shelter immediately.
Page 70
•
Things to avoid include:
o Tall, isolated tree in an open area.
o Hilltops, open fields, the beach, a boat on the water, isolated sheds or other small
structures in open areas.
o Anything metal—tractors, farm equipment, motorcycles, golf carts, golf clubs,
and bicycles
During a Thunderstorm
If you are:
In a forest
Then:
Seek shelter in a low area under a thick growth of small trees.
In an open area
Go to a low place such as a ravine or valley. Be alert for flash
floods.
On open water
Get to land and find shelter immediately.
Anywhere you feel your hair
stand on end (which indicates
that lightning is about to
strike)
Squat low to the ground on the balls of your feet. Place your
hands over your ears and your head between your knees. Make
yourself the smallest target possible and minimize your contact it
the ground. DO NOT lie flat on the ground.
Stay Informed
•
•
•
Listen to battery-operated NOAA Weather Radio at http://www.weather.gov/nwr/ or
radio for the latest updates.
Do not use electrical items such as computers or television sets as power surges from
lightning can cause serious damage.
A corded telephone should only be used in an emergency, but cordless phones and cell
phones are safe to use.
The following are facts about thunderstorms:
•
•
•
•
They may occur singly, in clusters, or in lines.
Some of the most severe occur when a single thunderstorm affects one location for an
extended time.
Thunderstorms typically produce heavy rain for a brief period, anywhere from 3 0
minutes to an hour.
Warm, humid conditions are highly favorable for thunderstorm development.
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About 10 percent of thunderstorms are classified as severe—one that produces hail at
least three-quarters of an inch in diameter, has winds of 58 miles per hour or higher, or
produces a tornado.
Lightning’s unpredictability increases the risk to individuals and property.
Lightning often strikes outside of heavy rain and may occur as far as 10 miles away from
any rainfall.
“Heat lightning” is actually lightning from a thunderstorm too far away for thunder to be
heard. However, the storm may be moving in your direction!
Most lightning deaths and injuries occur when people are caught outdoors in the summer
months during the afternoon and evening.
Your chances of being struck by lightning are estimated to be 1 in 600,000, but could be
reduced even further by following safety precautions.
Lightning strike victims carry no electrical charge and should be attended to immediately.
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Get Ready for Tornado Season
A “tornado” is described as a violently whirling column of air extending downward and seen as
a rapidly rotating, slender, funnel shaped cloud that has a wind velocity of up to 300 miles per
hour. At such intense wind speeds, a tornado can destroy everything along its narrow ground
path. Spawned from powerful thunderstorms, tornadoes can cause fatalities and devastate a
neighborhood in seconds. A tornado appears as a rotating, funnel-shaped cloud that extends
from a thunderstorm to the ground with whirling winds that can reach 300 miles per hour.
Damage paths can be in excess of one mile wide and 50 miles long. Every state is at some risk
from this hazard
Prepare for a Tornado
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Listen to NOAA Weather Radio or to commercial radio or television newscasts for the
latest information. http://www.nws.noaa.gov/nwr/
Familiarize yourself with the terms that are used to identify a tornado hazard.
o A tornado watch means a tornado is possible in your area.
o A tornado warning means a tornado has been spotted in your area, and you need
to take shelter immediately.
Determine in advance where you will take shelter in case of a tornado warning. Storm
cellars or basements provide the best protection.
If underground shelter is not available, go into an interior room or hallway on the lowest
floor possible.
In a high-rise building, go to a small interior room or hallway on the lowest floor
possible.
Stay away from windows, doors and outside walls. Go to the center of the room. Stay
away from corners because they attract debris.
A vehicle, trailer or mobile home does not provide good protection. Plan to go quickly to
a building with a strong foundation, if possible.
If shelter is not available, lie flat in a ditch or other low-lying area. Do not get under an
overpass or bridge. You are safer in a low, flat location.
Plan to Take Shelter
•
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If local authorities issue a tornado warning or if you see a funnel cloud, take shelter
immediately.
Stay in the shelter location until the danger has passed.
During a Tornado
If you are under a tornado WARNING, seek shelter immediately!
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If you are in:
Then:
A structure (e.g. residence,
small building, school, nursing
home, hospital, factory,
shopping center, high-rise
building)
Go to a pre-designated shelter area such as a safe room, basement,
storm cellar, or the lowest building level. If there is no basement,
go to the center of an interior room on the lowest level (closet,
interior hallway) away from corners, windows, doors, and outside
walls. Put as many walls as possible between you and the outside.
Get under a sturdy table and use your arms to protect your head
and neck. Do not open windows.
A vehicle, trailer, or mobile
home
Get out immediately and go to the lowest floor of a sturdy, nearby
building or a storm shelter. Mobile homes, even if tied down,
offer little protection from tornadoes.
The outside with no shelter
Lie flat in a nearby ditch or depression and cover your head with
your hands. Be aware of the potential for flooding.
Do not get under an overpass or bridge. You are safer in a low,
flat location.
Never try to outrun a tornado in urban or congested areas in a car
or truck. Instead, leave the vehicle immediately for safe shelter.
Watch out for flying debris. Flying debris from tornadoes causes
most fatalities and injuries.
Preparing a Safe Room
Extreme windstorms in many parts of the country pose a serious threat to buildings and their
occupants. Your residence may be built “to code,” but that does not mean it can withstand winds
from extreme events such as tornadoes and major hurricanes. The purpose of a safe room or a
wind shelter is to provide a space where you and your family can seek refuge that provides a
high level of protection. You can build a safe room in one of several places in your home.
•
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Your basement.
Atop a concrete slab-on-grade foundation or garage floor.
An interior room on the first floor.
Safe rooms built below ground level provide the greatest protection, but a safe room built in a
first-floor interior room also can provide the necessary protection. Below-ground safe rooms
must be designed to avoid accumulating water during the heavy rains that often accompany
severe windstorms.
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To protect its occupants, a safe room must be built to withstand high winds and flying
debris, even if the rest of the residence is severely damaged or destroyed. Consider the
following when building a safe room:
The safe room must be adequately anchored to resist overturning and uplift.
The walls, ceiling, and door of the shelter must withstand wind pressure and resist
penetration by windborne objects and falling debris.
The connections between all parts of the safe room must be strong enough to resist the
wind.
Sections of either interior or exterior residence walls that are used as walls of the safe
room, must be separated from the structure of the residence so that damage to the
residence will not cause damage to the safe room.
Stay Informed
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Local authorities may not immediately be able to provide information on what is
happening and what you should do. However, you should listen to NOAA Weather Radio
at http://www.weather.gov/nwr/ or watch TV, listen to the radio or check the Internet
often for official news and instructions as they become available.
After a tornado, be sure to remain out of damaged buildings and stay clear of downed
power lines.
Help injured or trapped people. Check on others who may require special assistance, such
as the elderly, children and people with disabilities.
The following are facts about tornadoes:
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They may strike quickly, with little or no warning.
They may appear nearly transparent until dust and debris are picked up or a cloud forms
in the funnel.
The average tornado moves Southwest to Northeast, but tornadoes have been known to
move in any direction.
The average forward speed of a tornado is 30 MPH, but may vary from stationary to 70
MPH.
Tornadoes can accompany tropical storms and hurricanes as they move onto land.
Waterspouts are tornadoes that form over water.
Tornadoes are most frequently reported east of the Rocky Mountains during spring and
summer months.
Peak tornado season in the southern states is March through May; in the northern states, it
is late spring through early summer.
Tornadoes are most likely to occur between 3 p.m. and 9 p.m., but can occur at any time.
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Get Ready for Wildfires
More and more people are making their homes in wooded settings near forests and remote
mountains sites. There, homeowners enjoy the beauty of the environment, but face the very real
danger of wildfires. They spread quickly and change direction rapidly, igniting brush, trees and
homes.
If you live on a remote hillside or in a valley, prairie, or forest where flammable vegetation is
abundant, your residence could be vulnerable to wildfires. These fires are usually triggered by
lightning or accidents.
Prepare for Wildfire
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Learn and teach safe fire practices.
Learn your risk. Learn about the history of wildfire in your area.
Be aware of recent weather. A long period without rain increases the risk of wildfire.
Design and landscape your home with wildfire safety in mind and create a 30- to 100foot safety zone around your home by keeping flammable vegetation in this area to a
minimum.
Use fire-resistant materials when building, renovating, or retrofitting structures.
Remove tree limbs within 15 feet of the ground.
Thin a 15-foot space between tree crowns.
Remove debris from under sun decks and porches.
Install spark arrestors in chimneys and stovepipes.
Identify and maintain an adequate outside water source, such as a small pond.
Make a Plan
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Get a disaster supplies kit and prepare a portable Ready kit in case you have to evacuate.
Plan several escape routes away from your home, by car and by foot.
Keep handy household items that can be used as fire tools: A rake, axe, handsaw or
chainsaw, bucket and shovel.
Remember, you cannot outrun a wildfire. If you are caught by the fire, crouch in a pond
or river and cover your head and upper body with wet clothing. If water is not available,
look for shelter in a cleared area or among a bed of rocks. Breathe the air closest to the
ground.
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Stay Informed
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Monitor radio, NOAA Weather Radio or television for the latest updates
Follow the instructions of local officials. If advised to evacuate, do so immediately.
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Get Ready for Winter Advisories & Ice Storms
While the danger from winter weather varies across the state, most people are likely to face
some type of severe winter weather at some point in their lives. Heavy snowfall and extreme cold
can immobilize an entire region. Even areas that normally experience mild winters can be hit
with a major snowstorm or extreme cold. Winter storms can result in flooding, storm surge,
closed highways, blocked roads, downed power lines and hypothermia. When freezing
temperatures, or low wind chills are expected, the National Weather Service will issue warnings
or advisories.
Prepare for Winter Weather
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Make sure your home is well insulated and that you have weather stripping around your
doors and window sills to keep the warm air inside.
Familiarize yourself with the terms that are used to identify winter weather.
Include adequate clothing and blankets in your Ready kit to keep you warm.
Allow faucets to drip a little during cold weather to avoid freezing.
Open cabinet doors to allow heat to get to un-insulated pipes under sinks and appliances
near exterior walls.
Fully winterize your vehicle and keep your gas tank at least half full to avoid ice in the
tank and fuel lines.
During a Storm
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Plan to stay inside and make it on your own, at least for a period of time.
If you have a wood burning fireplace, consider storing wood to keep you warm if winter
weather knocks out your heat.
Dress for the season, wearing several layers of loose fitting, lightweight, warm clothing,
rather than one layer of heavy clothing. The outer garments should be tightly woven and
water repellent.
Mittens are better than gloves.
Wear a hat; most body heat is lost through the top of the head.
Cover your mouth with a scarf to protect your lungs.
Be careful when shoveling snow. Over-exertion can bring on a heart attack – a major
cause of death in the winter.
Watch for signs of frostbite: loss of feeling and white or pale appearance in the
extremities such as fingers, toes, ear lobes or the tip of the nose. If symptoms are
detected, seek medical help immediately.
Watch for signs of hypothermia: uncontrollable shivering, memory loss, disorientation,
incoherence, slurred speech, drowsiness and apparent exhaustion. If symptoms are
detected, get the victim to a warm location, remove any wet clothing, warm the center of
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the body first and give warm, non-alcoholic beverages, if the victim is conscious. Get
medical help, as soon as possible.
After the Winter Storm
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Roads to allow plowing operations to proceed smoothly.
Help dig out fire hydrants and storm drains in your neighborhood.
Avoid parking too close to corners, allowing Public Safety vehicles and plows to
maneuver safely.
Be aware of children playing in the streets, particularly climbing on or running out from
behind large snowdrifts. Parents should remind their children to be aware of plowing
operations and traffic.
Clear exhaust vents from Direct Vent Gas Furnace Systems to avoid carbon monoxide
poisoning.
Never run automobile until exhaust pipe has been cleared of snow.
Make sure backup generators are well ventilated.
Take your time shoveling. Avoid overexertion.
Use care around downed power lines. Assume a down wire is a live wire.
Stay Informed
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Listen to NOAA Weather Radio at http://www.weather.gov/nwr/ to stay informed of
winter weather watches and warnings.
Also monitor commercial radio, television and the Internet.
Keep in mind that during a severe winter storm it could be hours, or even days, before
emergency personnel are able to reach you.
Winter Driving
The greatest danger during winter storms is the risk of accidents. Preparing your vehicle for the
winter season and knowing how to react if stranded or lost on the road are the keys to safe winter
driving.
Have a mechanic check the following items on your car:
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Battery
Antifreeze
Wipers and windshield washer fluid
Ignition system
Thermostat
Lights
Flashing hazard lights
Exhaust system
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Heater
Brakes
Defroster
Oil level
Install good winter tires - Make sure the tires have adequate tread. All-weather radials are
usually adequate for most winter conditions; however some jurisdictions require that
vehicles must be equipped with chains or snow tires with studs.
Keep a windshield scraper and small broom for ice and snow removal.
Maintain at least a half tank of gas during the winter season.
Plan long trips carefully.
Listen to the radio or call the state highway patrol for the latest road conditions. Always
travel during daylight and, if possible, take at least one other person.
Dress warmly, wear layers of loose-fitting, layered, lightweight clothing.
Carry food and water - Store a supply of high energy "munchies" and several bottles of
water.
Contact your local emergency management office or American Red Cross chapter for
more information on winter driving.
Keep these items in your Winter Car Kit:
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Flashlights with extra batteries
First aid kit with pocket knife
Necessary medications
Several blankets
Sleeping bags
Extra newspapers for insulation
Matches
Extra set of mittens, socks, and a wool cap
Rain gear and extra clothes
Small sack of sand for generating traction under wheels
Small shovel
Small tools (pliers, wrench, screwdriver)
Booster cables
Set of tire chains or traction mats
Brightly colored cloth to use as a flag
Canned food
Nonelectric can opener
Bottled water
If trapped in a car during a blizzard:
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Stay in the car.
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Do not leave the car to search for assistance unless help is visible within 100 yards. You
may become disoriented and lost is blowing and drifting snow.
Display a trouble sign.
Hang a brightly colored cloth on the radio antenna and raise the hood.
Occasionally run engine to keep warm.
Turn on the car's engine for about 10 minutes each hour. Run the heater when the car is
running. Also, turn on the car's dome light when the car is running.
Beware of carbon monoxide poisoning. Keep the exhaust pipe clear of snow, and open a
downwind window slightly for ventilation.
Watch for signs of frostbite and hypothermia.
Do minor exercises to keep up circulation.
Clap hands and move arms and legs occasionally. Try not to stay in one position for too
long. If more than one person is in the car, take turns sleeping.
For warmth, huddle together.
Use newspapers, maps, and even the removable car mats for added insulation.
Avoid overexertion, cold weather puts an added strain on the heart. Unaccustomed
exercise such as shoveling snow or pushing a car can bring on a heart attack or make
other medical conditions worse.
Be aware of symptoms of dehydration.
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Know Your Weather Terms
NOAA's National Weather Service urges residents to keep abreast of local forecasts and
warnings and familiarize themselves with key weather terminology. http://www.nws.noaa.gov/
•
Winter Storm Warning: Issued when hazardous winter weather in the form of heavy
snow, heavy freezing rain, or heavy sleet is imminent or occurring. Winter Storm
Warnings are usually issued 12 to 24 hours before the event is expected to begin.
•
Winter Storm Watch: Alerts the public to the possibility of a blizzard, heavy snow,
heavy freezing rain, or heavy sleet. Winter Storm Watches are usually issued 12 to 48
hours before the beginning of a Winter Storm.
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Winter Storm Outlook: Issued prior to a Winter Storm Watch. The Outlook is given
when forecasters believe winter storm conditions are possible and are usually issued 3 to
5 days in advance of a winter storm.
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Blizzard Warning: Issued for sustained or gusty winds of 35 mph or more, and falling or
blowing snow creating visibilities at or below ¼ mile; these conditions should persist for
at least three hours.
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Lake Effect Snow Warning: Issued when heavy lake effect snow is imminent or
occurring.
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Lake Effect Snow Advisory: Issued when accumulation of lake effect snow will cause
significant inconvenience.
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Wind Chill Warning: Issued when wind chill temperatures are expected to be hazardous
to life within several minutes of exposure.
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Wind Chill Advisory: Issued when wind chill temperatures are expected to be a
significant inconvenience to life with prolonged exposure, and, if caution is not
exercised, could lead to hazardous exposure.
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Winter Weather Advisories: Issued for accumulations of snow, freezing rain, freezing
drizzle, and sleet which will cause significant inconveniences and, if caution is not
exercised, could lead to life-threatening situations.
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Dense Fog Advisory: Issued when fog will reduce visibility to ¼ mile or less over a
widespread area.
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Snow Flurries: Light snow falling for short durations. No accumulation or light dusting
is all that is expected.
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Snow Showers: Snow falling at varying intensities for brief periods of time. Some
accumulation is possible.
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Snow Squalls: Brief, intense snow showers accompanied by strong, gusty winds.
Accumulation may be significant. Snow squalls are best known in the Great Lakes
region.
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Blowing Snow: Wind-driven snow that reduces visibility and causes significant drifting.
Blowing snow may be snow that is falling and/or loose snow on the ground picked up by
the wind.
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Sleet: Rain drops that freeze into ice pellets before reaching the ground. Sleet usually
bounces when hitting a surface and does not stick to objects. However, it can accumulate
like snow and cause a hazard to motorists.
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Freezing Rain: Rain that falls onto a surface with a temperature below freezing. This
causes it to freeze to surfaces, such as trees, cars, and roads, forming a coating or glaze of
ice. Even small accumulations of ice can cause a significant hazard.
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Preparing for a Power Outage
How to prepare for a power outage
To help preserve your food, keep the following supplies in your home:
� One or more coolers—Inexpensive Styrofoam coolers work well.
� Ice—surrounding your food with ice in a cooler or in the refrigerator will keep food colder for
a longer period of time during a prolonged power outage.
� A digital quick-response thermometer—With these thermometers you can quickly check the
internal temperatures of food to ensure they are cold enough to use safely.
Put together an emergency preparedness kit with these supplies in case of a prolonged or
widespread power outage:
•Water—one gallon per person, per day (3-day supply for evacuation, 2-week supply for
home)
• Food—non-perishable, easy-to prepare items (3-day supply for evacuation, 2-week
supply for home)
• Flashlight (NOTE: Do not use candles during a power outage due to the extreme risk of
fire.)
• Battery-powered or hand-crank radio (NOAAWeather Radio, if possible)
• Extra batteries
• First aid kit
• Medications (7-day supply) and medical items
• Multi-purpose tool
• Sanitation and personal hygiene items
• Copies of personal documents (medication list and pertinent medical information,
deed/lease to home, birth certificates, insurance policies)
• Cell phone with chargers
• Family and emergency contact information
• Extra cash
� If someone in your home is dependent on electric-powered, life-sustaining equipment,
remember to include backup power in your evacuation plan.
� Keep a non-cordless telephone in your home. It is likely to work even when the power is out.
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� Keep your car’s gas tank full.
What to do during a power outage
Keep food as safe as possible.
� Keep refrigerator and freezer doors closed as much as possible. First use perishable food from
the refrigerator. An unopened refrigerator will keep foods cold for about 4 hours.
� Then use food from the freezer. A full freezer will keep the temperature for about 48 hours (24
hours if it is half full) if the door remains closed.
� Use your non-perishable foods and staples after using food from the refrigerator and freezer.
� If it looks like the power outage will continue beyond a day, prepare a cooler with ice for your
freezer items.
� Keep food in a dry, cool spot and keep it covered at all times.
Electrical equipment
� Turn off and unplug all unnecessary electrical equipment, including sensitive electronics.
� Turn off or disconnect any appliances (like stoves), equipment or electronics you were using
when the power went out. When power comes back on, surges or spikes can damage equipment.
� Leave one light turned on so you’ll know when the power comes back on.
� Eliminate unnecessary travel, especially by car. Traffic lights will be out and roads will be
congested.
Using generators safely
� When using a portable generator, connect the equipment you want to power directly to the
outlets on the generator. Do not connect a portable generator to a home’s electrical system.
� If you are considering getting a generator, get advice from a professional, such as an
electrician. Make sure that the generator you purchase is rated for the power that you think you
will need.
Extreme Heat
If you have no air conditioning during a power outage and the weather is very hot, there is a risk
for heat stroke, heat exhaustion, heat cramps and fainting. Heat stroke is very serious and can
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cause death if not treated right away. With heat stroke, the body cannot control its own
temperature, sweating stops and the body temperature may rise very fast.
The signs of heat stroke are:
• Red, hot and dry skin
• No sweating
• Rapid and strong pulse
• Throbbing headache
• Dizziness
• Nausea
• Confusion
• Unconsciousness
• A body temperature over 103 degrees Fahrenheit
To prevent and treat heat stroke:
• Drink a glass of fluid every 15 to 20 minutes and at least one gallon each day. Do not drink
alcohol or caffeine. These fluids can dehydrate you.
• Wear lightweight, light colored, loose clothes.
• Go to a cool place, sit or lie down, drink water, and wash your face with cool water if you feel
dizzy, weak or overheated. If you do not feel better soon, call 911.
• Cool yourself by getting in a cool bath, taking a cool shower or wrapping yourself in a cool,
wet sheet.
• Check your body temperature and continue cooling efforts until body temperature drops below
101 degrees Fahrenheit or medical help arrives.
• Open windows if outdoor air quality is good.
Extreme Cold
If you have no heat during a power outage and the weather is very cold, there is a high risk of
hypothermia. This is when a person’s body temperature is below 95 degrees Fahrenheit or 35
degrees Celsius. Hypothermia is caused by a sudden loss of body heat most often from being in
cold water or cold temperatures.
The signs of hypothermia are:
• Confusion
• Sleepiness
• Disorientation
• Mumbled speech
• Trouble walking or moving
• Changes in behavior
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To prevent hypothermia:
• Eat and drink plenty of food and fluids
• Wear layers of clothing
• Move around
• Change your clothes if they are wet
• Stay indoors
If you think a person has hypothermia, call 911. A person with hypothermia needs to be rewarmed slowly. Until help arrives, give the person a warm drink and wrap the person with
blankets. Do not rub or massage the person’s skin. Do not use heat or hot water. Do not give
alcohol to drink.
What to do when the power comes back on
� Do not touch any electrical power lines and keep your family away from them. Report downed
power lines to the appropriate officials in your area.
Throw out unsafe food.
� Throw away any food that has been exposed to temperatures 40° F (4° C) for 2 hours or more
or that has an unusual odor, color or texture. When in doubt, throw it out!
� Never taste food or rely on appearance or odor to determine its safety. Some foods may look
and smell fine, but if they have been at room temperature too long, bacteria causing food-borne
illnesses can start growing quickly. Some types of bacteria produce toxins that cannot be
destroyed by cooking.
� If food in the freezer is colder than 40° F and has ice crystals on it, you can refreeze it.
� If you are not sure food is cold enough, take its temperature with the food thermometer. Throw
out any foods (meat, poultry, fish, eggs and leftovers) that have been exposed to temperatures
higher than 40° F (4° C) for 2 hours or more, and any food that has an unusual odor, color or
texture, or feels warm to touch.
Caution: Carbon Monoxide Kills
� Never use a generator, grill, camp stove or other gasoline, propane, natural gas or charcoalburning devices inside a home, garage, basement, crawlspace or any partially enclosed area.
Locate unit away from doors, windows and vents that could allow carbon monoxide to come
indoors.
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� The primary hazards to avoid when using alternate sources for electricity, heating or cooking
are carbon monoxide poisoning, electric shock and fire.
� Install carbon monoxide alarms in central locations on every level of your home and outside
sleeping areas to provide early warning of accumulating carbon monoxide.
� If the carbon monoxide alarm sounds, move quickly to a fresh air location outdoors or by an
open window or door.
� Call for help from the fresh air location and remain there until emergency personnel
arrive to assist you.
Energy Conservation Recommendations
� Turn off lights and computers when not in use.
� Wash clothes in cold water if possible; wash only full loads and clean the dryer's lint trap after
each use.
� When using a dishwasher, wash full loads and use the light cycle. If possible, use the rinse
only cycle and turn off the high temperature rinse option. When the regular wash cycle is done,
just open the dishwasher door to allow the dishes to air dry.
� Replace incandescent light bulbs with energy-efficient compact fluorescent lights.
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New Hampshire Local TV Stations:
http://newslink.org/nhtele.html
New Hampshire TV Stations by City
Manchester WMUR (Ch. 9) Channel 9 (ABC)
Manchester WPXB Channel 60 Channel 60 (ION)
Durham WENH Channel 11 (PBS)
Durham WEKW Channel 52 (PBS)
Durham WLED Channel 49 (PBS)
Derry WNDS Channel 50 (IND)
Keene WEKW Channel 52 (PBS)
Littleton WLED Channel 49 (PBS)
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New Hampshire Local Radio Stations
http://www.usnpl.com/radio/nhradio.php
New Hampshire Radio Stations by City
Concord WCNH 94.7 FM Classical
Concord WEVO 89.1 FM Public Radio
Concord WJYY 105.5 FM Top 40
Concord WKXL 1450 AM News/Talk
Concord WNNH 104.9 FM Rock
Concord WSPS 90.5 FM Saint Paul's School
Concord WVNH 91.1 FM Religious/Gospel
Concord WWHK 102.3 FM Classic Rock
Dover WXGR-LP 101.5 FM Community / Dance
Durham WUNH 91.3 FM College/Alternative
Hanover WDCR 1340 AM Dartmouth College
Hanover WFRD 99.3 FM Dartmouth College
Hillsborough WTPL 107.7 FM News/Talk
Laconia WLNH 98.3 FM Adult Contemp
Laconia WNHW 93.3 FM Country
Lebanon WGXL 92.3 FM Adult Contemp
Lebanon WHDQ 106.1 FM Classic Rock
Lebanon WWOD 104.3 FM Oldies
Lebanon WXLF 95.3 FM Country
Lebanon WXXK 100.5 FM Country
Manchester WFNQ 106.3 FM Classic Hits
Manchester WGIR AM 610 AM News/Talk
Manchester WGIR FM 101.1 FM Rock
Manchester WKBR 1250 AM Sports
Manchester WMLL 96.5 FM Classic Rock
Manchester WZID 95.7 FM Adult Contemp
New London WNTK 1020 AM News Talk
New London WSCS 90.9 FM Colby-Sawyer
Portsmouth WBYY 98.7 FM Adult Contemp
Portsmouth WERZ 107.1 FM Adult Contemp
Portsmouth WHEB 100.3 FM Rock
Portsmouth WOKQ 97.5 FM Country
Portsmouth WQSO 96.7 FM Oldies
Portsmouth WSHK 105.3 FM Classic Rock
Portsmouth WUBB 95.3 FM Country
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Emergency Shelters during a Disaster
Emergency Shelters
Many shelters in New Hampshire operate under a system developed by the American Red Cross.
Shelter staffing can include any combination of municipal, social services and school employees
with Red Cross volunteers.
Facts about emergency public shelters:
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They provide emergency, short-term shelter to the public.
Shelters outside the storm surge and flood zones meet state building codes and provide a
safer place for people who must leave the hazard areas. All shelters in the path of a
hurricane are subject to high winds.
Emergency shelters may not be able to provide adequate supplies of food, water and
bedding, so individuals coming to shelters should bring the following items to support
their stay:
o Pillows, blankets, sleeping bags or air mattresses
o Extra clothing, shoes, eyeglasses, etc.
o Folding chairs, lawn chairs or cots
o Personal hygiene supplies
o Flashlights and batteries
o Quiet games, books and favorite toys
o Important papers
o Prescription medications
Pets are not allowed in public shelters. Individuals need to consider other options that include
kennels or an animal shelter. Only daily living assistance animals can stay with their owner in
the shelter.
Emergency shelters operate under Red Cross guidelines and provide basic first aid only.
Individuals receiving home health care should consult their physician or home health provider
concerning plans for health care needs and possible evacuation during an emergency.
Emergency Shelter Listings
Each locality has a list of facilities (often public schools) that may be used as emergency
shelters. In the event of a hurricane, however, some of these facilities may be in the path of the
storm or at risk of flooding. When a hurricane is threatening New Hampshire, check here at
www.nh.gov or turn to your local radio or TV station for listings. You will hear where these
shelters are located and when they will open.
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In-place Sheltering or Staying at Home
One of the most important decisions you will have to make is "Should I Evacuate?" If a
hurricane threatens, check here at www.nh.gov or stay tuned to local radio or TV, and if you are
asked to evacuate, you should do so without delay. But unless you live in a coastal or lowlying area, an area that floods frequently, or in manufactured housing, it is unlikely that
emergency managers will ask you to evacuate. That means that it is important for you and your
family to have a plan that makes you as safe as possible in your home.
People who live in storm surge zones receive a great deal of information on various sheltering
options, but everyone in coastal New Hampshire is at some level of risk. This means everyone
needs to do preparedness even if your home is reasonably safe and outside flood zones. A new
idea for hurricane preparedness is the safe room. The concept comes from the tornado regions of
the Midwest where residents learn to identify a central area in a structure away from windows
and doors and on the first floor. Bathrooms, central hallway closets, or areas under stairwells
provide the best locations. In hurricanes, families move into these areas with their disaster supply
kits, flashlights, and portable radios or NOAA weather radios and stay there through the peak of
the storm. This area not only provides protection from the wind, but also from tornadoes
associated with hurricanes.
Pets and Animals in Disasters
Pets are not allowed in public shelters, so if you must evacuate, make sure you are prepared to
leave them in a safe place; pets left behind can become injured, lost or ill.
If you own large animals, such as horses, you should also plan ahead and make arrangements for
your animals. Contact your vet or local animal shelter for more information.
People with Special Needs
People with special needs should include those considerations in their emergency and
preparedness planning based on the capabilities and limitations they believe they will have after
the disaster. It is important to remember that the usual methods of support and assistance may
not be available for some time during an evacuation and after the disaster has occurred.
Make a personal disaster plan to help organize necessary information and activities during and
after a disaster and share your disaster plan with your support network. Keep copies of your
disaster plan in your disaster supplies kit, car, wallet (behind driver's license or primary
identification card), wheelchair pack or at work, etc. Other action steps to prepare for disaster are
listed below:
•
Identify safe places to go. If local officials have not told you to leave the area, stay
upstairs and in the middle of the building, away from windows. Avoid going to the
Page 93
lowest floor because hurricanes often cause flooding. If you are blind or visually
impaired, use a long cane in areas where debris may have fallen or furniture may have
shifted. This is recommended even if you do not usually use a cane indoors.
•
•
•
•
•
•
Keep your service animals with you in a safe place at home or take them with you to a
shelter.
Find the location of main utility cutoff valves and switches in your home. Learn how and
when to disconnect them during an emergency. Try to do this yourself. (Do not practice
shutting off the gas.) If you cannot practice alone, arrange for your network to help.
Turnoff utilities only if local officials tell you to do so or if you believe they are an
immediate threat to life.
Identify as many exits as possible from each room and from your building. Be sure to
include the windows as exits.
Make a floor plan of your home, including primary escape routes. (You may want your
network to assist you with it.) On the floor plan, mark the rooms where you spend a lot of
time. Also, mark where your disaster supplies kit is located. Give a copy of the floor plan
to your network to help them find you and your supplies, if necessary.
Prepare an evacuation plan beforehand.
o If you have to leave your home or workplace, you may need someone's help to
evacuate safely, especially down stairwells. If you need assistance during an
emergency and your network is not available, find helpers and tell them about
your condition. Give them instructions on what you need and how they can help
you evacuate.
o Practice using different ways out of a building, especially if you are above the
first floor in a building with many stories. Remember, the elevator may not work
or should not be used. If you need devices for an emergency escape, think about
your physical capabilities before making a purchase. Store devices nearby, where
you can get to them easily. This may mean having more than one emergency
escape device available.
o Advocate for yourself. Practice how to quickly explain the best way to guide or
move you and your adaptive equipment, safely and rapidly. Be ready to give brief,
clear, and specific instructions and directions to rescue personnel, either orally or
in writing, such as:
o “Please take my...”
 Oxygen tank.
 Wheelchair.
 Gamma globulin from the freezer.
 Insulin from the refrigerator.
 Communication device from under the bed.”
o “I am blind/visually impaired. Please let me grasp your arm firmly.”
o “I am deaf. Please write things down for me.”
When needed, ask for an accommodation from disaster response personnel. For example,
let a responder or relief worker know if you cannot wait in lines for long periods for
items like water, food and disaster relief assistance.
Page 94
•
•
•
•
Keep a small disaster supplies kit in your automobile and maintain more than a half tank
of fuel at all times. If you do not drive, talk with your network about how you will leave
the area if the authorities advise an evacuation.
Become familiar with the emergency or disaster/evacuation plan for your office, school
or any other location where you spend a lot of time. If the current plan does not make
arrangements for people with disabilities, make sure the management at these sites knows
your needs.
Choose an alternate place to stay, such as with friends, family or at a hotel or motel
outside your area if you have been told to leave your home. You may have enough early
warning time (as with a slow-rising flood or hurricane) to leave before the disaster
occurs. Find out if there are predestinated shelters in your area and where they are.
Have a care plan for your pet(s) / service animals if you have to evacuate your home. Pets
will not be allowed into emergency shelters, so it is best to decide now where you will
take your pet if you must leave. Service animals are allowed in hotels/motels and Red
Cross shelters. However, these places cannot care for your animal. When you leave your
home, remember to take a collar, harness, identification tags, vaccination records,
medications and food for your service animal with you.
Page 95
Get Ready On-The-Go
Mobile devices can be lifelines following disasters.
Home and safety preparations for those in a severe storm's path should include using mobile
devices like smartphones for emergencies. Extreme weather and other major disasters can
disrupt communication channels however; your mobile devices could be tools to keep in touch
with family, as well as with response and recovery efforts.
Create a texting phone tree. Create a network of contacts, so you can reach them quickly after
any sort of extreme weather. Texting may be the only available form of communication. You can
also check to see if text alerts are available through businesses and government agencies.
Utilize mobile banking apps. Use mobile banking apps during power outages when ATMs
aren’t accessible.
Take advantage of insurance apps. Many insurance companies allow their customers to file
claims using their smartphones to quickly start the recovery process.
Have a car phone charger and spare battery. If power is out for an extended period, your car
will be a valuable source of energy.
Have a back-up. During a large-scale disaster it is possible that mobile networks can become
overloaded or non-operational. Have a back-up like a battery powered or hand-crack NOAA
weather radio to stay informed.
Use these smartphone apps to be prepared, remain connected and stay safe:
National Weather Service: http://apps.usa.gov/national-weather-service.shtml
The National Weather Service (NWS) provides weather, hydrologic, and climate forecasts and
warnings for the United States, its territories, adjacent waters and ocean areas,for the protection
of life and property and the enhancement of the national economy.
NOAA Weather Radio Apps : http://imapweatherradio.com/
NOAA Weather Radio alerts directly to your smartphone.
FEMA: https://play.google.com/store/apps/details?id=gov.fema.mobile.android
Page 96
The FEMA App (smartphone app for mobile devices) contains disaster safety tips, interactive
lists for storing your emergency kit and emergency meeting location information, and a map with
open shelters and open FEMA Disaster Recovery Centers (DRCs). The app is free to download
through your smartphone provider’s app store:
•
Android devices - https://market.android.com/details?id=gov.fema.mobile.android
•
Apple devices - http://itunes.apple.com/us/app/fema/id474807486?ls=1&mt=8
•
Blackberry devices - http://appworld.blackberry.com/webstore/vendor/18869/
American Red Cross: Shelter View: https://itunes.apple.com/us/app/american-red-crossshelter/id419258261
When a hurricane or earthquake drives people from their homes, the American Red Cross steps
in to provide shelter. That's great as long as you know where the shelter is. American Red Cross:
Shelter View shows you where to go. Currently, this app is not available for Android, but you
can still go online to search for a Red Cross shelter.
Dropbox: https://www.dropbox.com/mobile
Cloud storage for your important documents. Install the program on your PC or Mac, upload
files to your folder, and they are instantly available on all your other computers. With the mobile
app, everything can be found on your mobile devices as well.
Life360: http://www.life360.com/
A smartphone can be a personal GPS tracking device with this app. Life360 will show you where
they are — right now — on a map. The family GPS tracking system can help you find your
loved ones anywhere, get safety alerts to them, or call for help with the tap of a button. It also
provides neighborhood safety monitoring.
Page 97
State Emergency Preparedness Plan Annual Review
I have reviewed the Emergency Preparedness Plan for this state and listed any changes below.
Program Quality Coordinator Signature: Nicole Milnes
Date: _7/15/14_______
The Emergency Preparedness plan will be reviewed annually with any changes made listed in the box below.
Date of
Review
7/15/14
Any
changes
made?
(Yes/No)
YES
What changes or additions were made:
- In all cases where Lifeshare Management Group, Inc. was written, I replaced it with
Lifeshare Management Group, LLC.
-In all cases where Network Development was written, I replaced it with Quality
Solutions
-In all cases where 2013 was written, I changed it to 2014.
- I edited the names/positions of all staff that have changed.
-I checked all web links and any inactive links have been replaced with the correct
links.

New Hampshire

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