Emergency Preparedness Plan
Transcription
Emergency Preparedness Plan
MAINE 2014 Emergency Preparedness Plan 1. LifeShare Emergency Protocol…………………………….………….........1 2. LifeShare Emergency Preparedness Plan ...........................................…...2-8 3. Maine Emergency Preparedness Plan & list of shelters………………………….……………………………….…....... 9-19 4. Individual Specific Disaster Preparedness Plan (Natural Supports & Localized Resources)….…………………………20-22 5. Emergency Preparedness Basic Kit Checklist………..…..…………….23-24 6. Disaster Plan Supply Checklist.………………………………………..25-29 7. Preparing for an Emergency……………………………….….………..30-31 8. American Red Cross of Maine Chapters........................................……32-33 9. Local Hospitals in Maine…………………….…..........................……34-36 10.Maine DHHS regional office contacts…………………………….………………………….…….……..37 11.Preparing for a Power Outage………………………….……..………..38-42 12.Know Your Weather Terms………………………..…………...……...43-44 13.Getting Ready for Extreme Weather & Natural Disasters….……….....45-74 14.16. Get Ready Mobile Application…………………………...………..75-76 15.Contacts for Maine funding sources……………………..…..………...77-80 16.Review Page……………………………………………………………………..81 Real Life for Real People LifeShare Maine Waterville Office Corporate Office 60 Rogers Street, Suite 2 2 School St. Waterville, ME 04901 207-692-2068 Fax: 207-692-2061 Manchester, NH 03101 603-625-8825 Fax: 603-625-8875 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. Contact Personnel Debra Brewer Denise Doucette Jennifer Cordaro Jillian Mucci Joshua Boynton Jeri-Lynn Chambers Meg Brown Karen Snyder Ashleigh Overlock Rachel Boynton Sandy Hunt Sybil Morin Compliance Team Leader VP of Finance VP of Operations VP of Human Resources President & CEO State Director - Maine Program Compliance Director - Maine Associate Director – Maine Case Manager - Maine Senior Vice President VP VP of Compliance Emergency Preparedness Plan 2014 LifeShare Emergency Preparedness Plan This document is supported by numerous informational handouts which are included. I. Teams and their duties A. Response Team: Contact Personnel Debra Brewer Denise Doucette Jennifer Cordaro Jillian Mucci Joshua Boynton Jeri-Lynn Chambers Meg Brown Karen Snyder Ashleigh Overlock Rachel Boynton Sandy Hunt Sybil Morin Compliance Team Leader VP of Finance VP of Operations VP of Human Resources President & CEO State Director - Maine Program Compliance Director - Maine Associate Director – Maine Case Manager - Maine Senior Vice President VP VP of Compliance *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. 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. 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 pages 27- 28 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 page 24-26 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. 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. 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 Life Share 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. 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. 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, Inc’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. 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 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 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 critique 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. http://www.e-emergencypreparedness.com/Disclaimer.html Emergency Preparedness Plan for Maine 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 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 local Red Cross Chapters listed on pages 2728 of this Emergency Preparedness Manual. Your team and State Director will communicate the appropriate Red Cross Location. 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 Individual’s 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 Inc. 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 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 Inc. 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. Maine Emergency Shelters Salvation Army Northern New England The Salvation Army 297 Cumberland Avenue Portland, ME 04101 Tel.: (207) 774-6304 American Red Cross in Eastern Maine 2 Court Street Ellsworth, Maine 04605 Phone: 207-667-4737 Rockland Service Unit 312 Broadway Street Rockland, Maine 04841 Phone: 207-594-4576 Pine Tree Chapter 33 Mildred Avenue Bangor, Maine 04401 Phone: 207-941-2903 American Red Cross of Southern Maine 2401 Congress Street Portland, ME 04102 Phone: (207) 874-1192 United Valley Chapter 1180 Lisbon Street - Suite 2 Lewiston, ME 04240 Phone: (207) 795-4004 Aroostook County Branch 141 State Street Presque Isle, Maine 04769 Phone: 207-762-5671 Mid-Coast Chapter 16 Community Way Topsham, Maine 04086 Phone: 207-729-6779 Evacuating, transporting and relocating individual’s in coordination with local emergency management is including but is not limited to the following: 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 centre 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 Maine Hospitals are located on pages 24 to 26 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 Maine can be found on pages 27-28 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 Explosions Extreme Heat Floods and Flash Floods House Fires Hurricanes Influenza Pandemic Public Health Disasters Terrorism Thunderstorms and Lightning Tornadoes Wildfires 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. 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 and is a MaineCare provider. • Volunteer Providers shall not discourage or interfere with a MaineCare individual accessing medically necessary MaineCare services for which the individual is eligible. • Individual’s 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 Maine Hospitals are located on pages 24 to 26 of this Emergency Preparedness Manual. 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 Inc. 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 Inc. 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. School administrators need to include local responders and parents in their preparedness steps. 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 Home Emergency Supply Kit and a Grab-N-Go bag. Visit http://www.maine.gov/mema/prepare/prep_display.shtml?id=198589 for a list of items. Identify an out-of-town contact and make sure all household members have the contact number in writing. Printable emergency contact cards and other printable home plans can be found at www.maineprepares.org. 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. • • • • • • • • • WLBZ - Newscenter Channel 2: http://www.wlbz2.com/ WABI TV - Channel 5: http://www.wabi.tv/ WQCB - Q106.5: http://www.wqcb-fm.com/ NOAA National Weather Radio http://www.nws.noaa.gov/nwr/ Subscribe to alert services for bad weather or local emergencies. Alerting devices for the hearing impaired are available through the Maine Center on Deafness at (207) 797-7656. 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. Give cash donations at anytime or disaster relief goods when requested to help disaster survivors in Maine or beyond. Go to http://www.aidmatrixnetwork.org/fema/ and click the map of Maine. Visit http://www.volunteermaine.org/ for more opportunities to help others and volunteer. 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? 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. • • • • WLBZ - Newscenter 2: http://www.wlbz2.com/ WABI TV - Channel 5: http://www.wabi.tv/ WQCB - Q106.5: http://www.wqcb-fm.com/ NOAA National Weather Radio http://www.nws.noaa.gov/nwr/ 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 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 Maine shelters located on pages 9 & 10 of this Emergency Preparedness manual. 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. 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 Maine’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. Maine’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. 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. Maine’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. 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. Disaster Evacuation & Safety Preparedness Plan Service: Residential Habilitation Name Contact Information of Team Members Address Phone Name Name Police Fire Red Cross Local Hospital Shelter Emergency Management Office of Hillsborough County II. Fire: • • • • • Date of Birth ‘s Contact Information Address Address Phone Relationship to Emergency Telephone Numbers Phone Disaster Evacuation In the event of a fire, all in the home must immediately vacate the residence. The residential provider will call 911 and notify the Program Administrator at LifeShare, Inc at 1-866-245-4901 The Program Administrator at LifeShare, Inc will notify the Support Coordinator, Guardian, Family Members and State personnel. If requires shelter due to sustained damage, Program Administrator will secure temporary shelter for him/her. Fire Drills must be conducted at each residence for each on a monthly basis and documented on a fire drill log form. 1 Flood: • In the event of a flood, will remain indoors if safe. • The residential provider will notify the Program Administrator at LifeShare, Inc at 1-866245-4901 for further instructions. • In the event that requires evacuation, the residential provider will provide transportation to safely evacuate him/her to a secure shelter. All medications and CertBox with information must be brought prior to evacuation. • The residential provider will notify the LifeShare, Inc Administrator of the shelter’s name and address. • Program Administrator at LifeShare, Inc will notify the Support Coordinator, Guardian, Family Members and State personnel. Tornado/Severe Weather: • In the event of a tornado and/or severe weather (ie: severe thunderstorms), and the residential provider will remain in the home and in contact with the Program Administrator at LifeShare, Inc at 1-866-245-4901. • The residential provider will remain informed via radio and/or television of the weather status. • In the event of a tornado warning, and his/her residential provider will go to the safest room in the house to remain safe until the pending threat is over. The safest place for shelter are in small interior rooms on the lowest floor. • The residential provider will continue to monitor severe weather alerts and maintain contact with program Administrator at LifeShare, Inc at 1-866-245-4901. • In the event that is unable to return to his/her residence or area, he/she will be provided additional assistance with housing. Hurricane: • In the event of a hurricane alert, the residential provider will notify Program Administrator at LifeShare, Inc at 1-866-245-4901. • The residential provider will remain informed via radio and/or television the weather status. The safest places for shelter are in small interior rooms on the lowest floor. • In the event that evacuation is necessary, the residential provider will evacuate the to a hotel outside of the designated hurricane area. All medications and CertBox with pertinent information must be obtained prior to evacuation. • will remain with the residential provider until it is safe to return home and maintain contact with Program Administrator at LifeShare Management Group, Inc. • The residential provider will inform the Program Administrator at LifeShare, Inc at 1866-245-4901 if the hotel and location. • The Program Administrator at LifeShare, Inc will notify the Support Coordinator, Guardian, Family Members and State Personnel of the ’s location. • In the event that the is unable to return to their residence or area, he/she will be provided additional assistance with housing. 2 Terrorist Attack/Chemical Spill/Bomb Threats: • In the event that there is an alert by Emergency Systems for a terrorist attack, chemical spill and/or bomb threat, the residential provider will follow directives issued by Emergency Systems. • If evacuation is required, residential provider will transport to a secure emergency shelter and remain until the threat is over and it is safe to return home. • will remain with the residential provider until it is safe to return home and maintain contact with Program Administrator at LifeShare Management Group, Inc. • The residential provider will inform the Program Administrator at LifeShare, Inc at 1-866245-4901 if the hotel and location. • The Program Administrator at LifeShare, Inc will notify the Support Coordinator, Guardian, Family Members and State Personnel of the ’s location. II. Safety Preparedness Prior to a disaster, each residential provider and Program Administrator must assure that the following supplies at his/her residence: • 3 day supply of bottled water (1 gallon per person per day) • First aid kit • Flashlight and extra set of batteries • 3 day supply of non-perishable food and non electric can opener • A battery powered radio with extra batteries • Hurricane maps • Hygiene supplies • Prescription medications The above listed Disaster Evacuation & Safety Preparedness Plan must be reviewed with the and residential provider on a monthly basis. Acknowledgement Form __________________________ Individual’s Name ___________________ Date __________________________ Residential Provider ___________________ Date __________________________ Program Administrator ___________________ Date __________________________ Guardian ___________________ Date __________________________ Support Coordinator ___________________ Date 3 has 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 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 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 Disaster Plan Supply list (As adapted from Red Cross) http://www.redcross.org/services/disaster/beprepared/apendixa.html 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 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 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 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: ____Sanitary supplies: ____Urinary supplies: ____Ostomy supplies: ____Wheelchair: Wheelchair repair kit: Motorized: Manual: ____Walker: ____Crutches: ____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 ____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 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." www.disastersafe.redcross.org • 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 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.tsasw.org/qso/healthandwelfare.asp Finding and Managing Pet • Advice from FEMA about how to care for your pet after a disaster. http://www.fema.gov/rebuild/recover/pets.shtm • 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/ American Red Cross of Maine Chapters http://www.maineredcross.org/ Red Cross Chapter Locations in Maine American Red Cross in Eastern Maine 2 Court Street Ellsworth, Maine 04605 Phone: 207-667-4737 http://emaine-redcross.org Pine Tree Chapter 33 Mildred Avenue Bangor, Maine 04401 Phone: 207-941-2903 http://www.pinetree.redcross.org Mid-Coast Chapter 16 Community Way Topsham, Maine 04086 Phone: 207-729-6779 Web Site: http://www.midcoast.redcross.org Rockland Service Unit 312 Broadway Street Rockland, Maine 04841 Phone: 207-594-4576 http://www.maineredcross.org/ 141 State Street Presque Isle, Maine 04769 Phone: 207-762-5671 http://arcaroostook.homestead.co m/Home.html Mid-Maine SSDA 167 Silver Street Waterville, Maine 04901 Phone: 207-872-5642 http://www.maineredcross.org/ American Red Cross of Southern Maine 2401 Congress Street Portland, Maine 04102 Phone: 207-874-1192 http://southernmaine.redcross.org Sanford Site 889 Main Street Sanford, Maine 04073 Phone: 207-324-4071 http://www.maineredcross.org/ United Valley Chapter 137 East Ave. Lewiston, ME 04210 Phone: 207-795-4004 http://www.maineredcross.org/ Maine Hospitals http://www.themha.org/members/hospitals.htm The Acadia Hospital P.O. Box 422 Bangor, Maine 04402-0422 (207) 973-6100 The Aroostook Medical Center 140 Academy Street Presque Isle, Maine 04769 (207) 768-4000 Blue Hill Memorial Hospital 57 Water Street PO Box 823 Blue Hill, Maine 04614 (207) 374-3400 Bridgton Hospital 10 Hospital Drive Bridgton, Maine 04009 (207) 647-6000 Calais Regional Hospital 24 Hospital Lane Calais, Maine 04619 (207) 454-7521 Cary Medical Center 163 Van Buren Road, Suite #1 Caribou, Maine 04736 (207) 498-3111 Central Maine Medical Center 300 Main Street Lewiston, Maine 04240 (207) 795-0111 C.A. Dean Memorial Hospital 364 Pritham Ave. P.O. Box 1129 Greenville, Maine 04441 (207) 695-5200 Down East Community Hospital RR #1, Box 11 Court Street Machias, Maine 04654 (207) 255-3356 Eastern Maine Medical Center 489 State St. P.O. Box 404 Bangor, Maine 04402-0404 (207) 973-7000 Franklin Memorial Hospital 111 Franklin Health Commons Farmington, Maine 04938 (207) 778-6031 Goodall Hospital 25 June Street Sanford, Maine 04073 (207) 324-4310 Houlton Regional Hospital 20 Hartford Street Houlton, Maine 04730 (207) 532-2900 Inland Hospital 200 Kennedy Memorial Drive Waterville, Maine 04901 (207) 861-3000 Maine Coast Memorial Hospital 50 Union Street Ellsworth, Maine 04605 (207) 667-5311 MaineGeneral Medical Center Waterville: 149 North St. Waterville, Maine 04901 (207) 872-1000 Maine Medical Center 22 Bramhall Street Portland, Maine 04102 (207) 662-0111 Mercy Hospital 144 State Street Portland, Maine 04101 (207) 879-3000 Mayo Regional Hospital 897 West Main Street Dover-Foxcroft, Maine 04426 (207) 564-8401 Miles Memorial Hospital 35 Miles St. Damariscotta, Maine 04543 (207) 563-1234 Mid Coast Hospital 123 Medical Center Drive Brunswick, Maine 04011 (207) 729- 0181 Mount Desert Island Hospital 10 Wayman Lane Bar Harbor, Maine 04609-0008 (207) 288-5081 Millinocket Regional Hospital 200 Somerset Street Millinocket, Maine 04462 (207) 723-5161 Northern Maine Medical Center 194 East Main Street Fort Kent, Maine 04743 (207) 834-3155 New England Rehabilitation Hospital of Portland 335 Brighton Avenue Portland, Maine 04102 (207) 775-4000 Penobscot Bay Medical Center 6 Glen Cove Drive Rockport, Maine 04856-4240 (207) 596-8000 Parkview Adventist Medical Center 329 Maine Street Brunswick, Maine 04011 (207) 373-2000 Redington-Fairview General Hospital 46 Fairview Avenue Skowhegan, Maine 04976 (207) 474-5121 Penobscot Valley Hospital 7 Transalpine Road Lincoln, Maine 04457-0368 (207) 794-3321 St. Andrews Hospital & Healthcare Center 6 St. Andrews Lane Boothbay Harbor, Maine 04538 (207) 633-2121 Rumford Hospital 420 Franklin Street Rumford, Maine 04276 (207) 369-1000 St. Joseph Hospital Southern Maine Medical Center One Medical Center Drive Biddeford, Maine 04005 (207) 283-7000 Sebasticook Valley Hospital 447 North Main Street Pittsfield, ME 04967 (207) 487-5141 Stephens Memorial Hospital 181 Main Street Norway, Maine 04268 (207) 743-5933 Spring Harbor Hospital 123 Andover Road Westbrook, ME 04092 (207) 761-2200 York Hospital 15 Hospital Drive York, Maine 03909 Waldo County General Hospital 118 Northport Ave. Belfast, ME 04915 (207) 338-2500 (207) 363-4321 Bangor, Maine 04401 (207) 262-1000 Maine Key Contacts for funding sources: Region I (Portland) 169 Lancaster Street, Portland, Me 04101 Tel: 207-822-0270 or 1-800-269-5208 TTY: 207-822-0272 FAX: 207-822-0295 Contact: Mel Owen, Resource Coordinator Region 2A (Augusta) 60 State House Station, Augusta, Me 04330 Tel: 207-287-2205 TTY: 207-287-1798 FAX: 207-287-7186 1-800-232-0944 Contact: Geoff Gross, Resource Coordinator Region 2R (Rockland) 91 Camden Street, Suite 103, Rockland, ME 04841 Tel: 207-596-4302 (voice) 1-800-704-8999 (voice) TTY: 1-800-606-0215 Fax: 207-596-2304 Contact: Kent Simendinger, Resource Coordinator Region 3B (Bangor) 176 Hogan Road, Bangor, Me 04401 Tel: 207-941-4360 TTY: 207-941-4392 FAX: 207-941-4389 1-800-606-0215 Contact: Julie Helwig, Resource Coordinator 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 • 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. 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 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. • 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 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! 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. 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. 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. • 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. • 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. • Lake Effect Snow Advisory: Issued when accumulation of lake effect snow will cause significant inconvenience. • Wind Chill Warning: Issued when wind chill temperatures are expected to be hazardous to life within several minutes of exposure. • 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. • 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. • • Dense Fog Advisory: Issued when fog will reduce visibility to ¼ mile or less over a widespread area. Snow Flurries: Light snow falling for short durations. No accumulation or light dusting is all that is expected. • Snow Showers: Snow falling at varying intensities for brief periods of time. Some accumulation is possible. • 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. • 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. • 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. • 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. 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: • • • • • 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: • • • • • • • • • • • 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: • If possible, use a flashlight to signal your location to rescuers. • • • • 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. Get Ready for Earthquakes Stay as safe as possible during an earthquake. Be aware that some earthquakes are actually foreshocks and a larger earthquake might occur. Minimize your movements to a few steps to a nearby safe place and stay indoors until the shaking has stopped and you are sure exiting is safe. Before an Earthquake • • • • • • • • • • 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 • • • 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. 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 • • • • • • • • • • 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.disastercenter.com/guide/earth.html Get Ready for Drought Maine traditionally has had few drought concerns as we are a water rich state. Droughts occur about every 20 years with severe 3–5 year droughts occurring about every 40 years. A serious drought affected Maine in 2001 through 2003. Regional water shortages, or a water shortage that affects a home or neighborhood, are not uncommon. A little over half of Maine people are served by a water district. The rest have private wells. Wells that are dug are especially vulnerable to water shortages. Drilled wells are less vulnerable because they reach down into the bedrock where water levels do not change quickly. However, a severe drought over a long period of time can affect the water available in drilled wells. Prepare for Drought by Conserving Water • • • • • • • • • • • • 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. 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. 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. Make a Drought Plan • • • 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 • • • 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. Get Ready for Extreme Weather and Natural Disasters Natural and man-made disasters can strike at any time. Ice Storms. Wildfires. Floods. This section helps you learn how to plan, prepare and stay informed when you need it most. Drought Maine traditionally has had few drought concerns as we are a water rich state. Droughts occur about every 20 years with severe 3–5 year droughts occurring about every 40 years. A serious drought affected Maine in 2001 through 2003. Regional water shortages, or a water shortage that affects a home or neighborhood, are not uncommon. 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. It takes only two feet of rushing water to carry away most vehicles. 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 In Maine, hurricanes don't happen often but they can be devastating when they do. Recent storms that had impact on Maine are: Carol and Edna in 1954, Donna in 1960, Gloria in 1985, and Bob in 1991. 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 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. 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. 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 specifically how and where you take shelter is a matter of survival. 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. 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 For additional information please visit the websites below: http://www.ready.gov/Stay-Informed http://www.disasterassistance.gov/disasterinformation/disaster-types.shtm 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. Prepare for Extreme Heat • • • • • • • • • • • • • • • • • 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. 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 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. Stay Informed • • • Learn about the types of medical conditions that can result from heat waves, and the proper first aid measures that should be taken. o 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 www.fema.gov/areyouready/heat.shtm. Get Ready for Winter Advisories & Ice Storms Winter storms pose a particular hazard in Maine, or anywhere in the north, because they may be accompanied by, or followed by, extreme cold. And if we get a lot of snow, you may not be able to get to the store for a day or two. Couple that with a power outage, and many Maine people will be challenged to stay well fed and warm. Remember the ice storm in 1998! That could mean snow or subfreezing temperatures, as well as strong winds or even ice or heavy rain storms. Winter storms, which often affect North Georgia, result in extreme cold, downed power lines and blocked roads and highways. Prepare for Winter Weather • • • • • • 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 uninsulated 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. Make a Plan • • 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. Stay Informed • • • 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. 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. Prepare for Wildfire • • • • • • • • • • 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 • • • • • • 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. Monitor radio, NOAA Weather Radio or television for the latest updates Follow the instructions of local officials. If advised to evacuate, do so immediately. 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. The tornados experienced in recent history in Maine have been generated by severe summer storms. The southwestern and central sections of the State have been most often affected. Because of Maine's sparse population, there have not been significant amounts of property damage or personal injury. Mobile homes are most vulnerable to substantial damage. Maine averages one to two tornadoes per year, typically touching down in uninhabited wooded areas. A tornado touched down in Phippsburg on Thanksgiving Day 2005, causing damage to trees and coastal homes and camps. In 2009 and 2010, tornadoes were verified in Aroostook and in Oxford County, Maine. Prepare for a Tornado • Familiarize yourself with the terms that are used to identify a tornado hazard. 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. o • • • • • • Plan to Take Shelter • • 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. 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. 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. Get Ready for Thunderstorms and Lightning Maine has the 8th highest per capita lightning casualties rate in the US and over the past 10 years (1999-2008), Maine's fatality rate per capita ranked 7th highest in the country. These statistics are rather alarming since Maine and New Hampshire have considerably less lightning than virtually all of the country east of the Rocky Mountains. With all our summer recreation activities, and all the visitors to our great outdoors, sometimes we forget to take basic safety precautions. 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. 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. 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 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. 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 If You See Something, Say Something • If you see someone behaving suspiciously, report it to local law enforcement. 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. 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.maine.gov/dhhs/boh/ophep/ http://www.healthdisasteroc.org/ 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. 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 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 Maine’s local planning for Pandemic Influenza can be found at http://www.maine.gov/dhhs/health.shtml 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. 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 H1N1 Vaccine available in Maine? The Department of Health & Human Services of Maine can help to find healthcare providers in their area who may have the vaccine http://www.maine.gov/dhhs/boh/maineflu/h1n1/h1n1flu.shtml. Residents can also call the H1N1 Hotline at 888-H1N1-INFO (888-4161-4636) with questions about seasonal flu, H1N1, and the vaccine. 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 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: • • • • • • 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. 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. In Maine, hurricanes don't happen often but they can be devastating when they do. Recent storms that had impact on Maine are: Carol and Edna in 1954, Donna in 1960, Gloria in 1985, and Bob in 1991. 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. 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. 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. A list of open shelters can be found at http://maine.gov/mema/prepare/staying_safe.shtml 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. 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. 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. 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. 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. 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. o • • • 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. 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 Propane and Natural Gas Safety http://www.macomb-mi.gov/Fire/Fire%20Tips/July%202010.pdf - - Cached - Similar pages If you smell Propane or Natural Gas leave area immediately and call 911 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. Get Ready for Floods and Flash Floods Floods are the second most common and widespread of all natural disasters, after fire. Floods can be slow or fast rising but generally develop over a period of days. Dam failures are potentially the worst flood events. When a dam fails, a gigantic quantity of water is suddenly let loose downstream, destroying anything in its path. Flash floods usually result from intense storms dropping large amounts of rain within a brief period. They occur with little or no warning and can reach full peak in only a few minutes. Communities particularly at risk are those located in low-lying areas, near water, or downstream from a dam. Prepare for Flooding • • • Know your area's flood risk – if unsure, call your local emergency management agency or visit at http://www.maine.gov/mema/prepare/prep_display.shtml?163451 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 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. 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. 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. 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. More than half of flood victims are in vehicles swept away by moving water. 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. o • • • • 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 making mobile devices like smartphones for emergencies. Extreme weather and other major disasters can disrupt communication channels, 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 and 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 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. Maine Key Contacts for funding sources: Augusta Bangor Biddeford Calais Caribou Ellsworth Farmington Fort Kent 35 Anthony Avenue Augusta, ME 04330 624-8090 or 1-800-452-1926 TTY: Maine relay 711 Map Picture 396 Griffin Road Bangor, ME 04401 561-4100 or 1-800-432-7825 TTY: Maine relay 711 Map Picture 208 Graham Street Biddeford, ME 04005 286-2400 or 1-800-322-1919 TTY: Maine relay 711 Map Picture 392 South Street Calais, ME 04619 454-9000 or 1-800-622-1400 TTY: Maine relay 711 Map Picture 30 Skyway Drive, Unit 100 Caribou, ME 04736 493-4000 or 1-800-432-7366 TTY: Maine relay 711 Map Picture 17 Eastward Lane Ellsworth, ME 04605 667-1600 or 1-800-432-7823 TTY: Maine relay 711 Map Picture 114 Corn Shop Lane Farmington, ME 04938 778-8400 or 1-800-442-6382 TTY: Maine relay 711 Map Picture 137 Market Street Fort Kent, ME 04743 834-7700 or 1-800-432-7340 TTY: Maine relay 711 Map Picture Houlton Lewiston Machias Portland Rockland Sanford Skowhegan South Paris 11 High Street Houlton, ME 04730 532-5000 or 1-800-432-7338 TTY: Maine relay 711 Picture 200 Main Street Lewiston, ME 04240 795-4300 or 1-800-482-7517 TTY: Maine relay 711 Map Picture 38 Prescott Drive Machias, ME 04654 255-2000 or 1-800-432-7846 TTY: Maine relay 711 Map Picture 161 Marginal Way Portland, ME 04101 822-2000 or 1-800-482-7520 TDD/TTY 1-888-720-1925 Map Picture 91 Camden Street, Suite 103 Rockland, ME 04841 596-4200 or 1-800-432-7802 TTY: Maine relay 711 Map Picture 890 Main Street, Suite 208 Sanford, ME 04073 490-5400 or 1-800-482-0790 TTY: Maine relay 711 Map Picture 98 North Avenue Suite 10 Skowhegan, ME 04976 474-4800 or 1-800-452-4602 TTY: Maine relay 711 Map Picture 243 Main Street, Suite 6 South Paris, ME 04281-9901 744-1200 or 1-888-593-9775 TTY: Maine relay 711 Map Picture