Red Track (C-31): Disaster Preparation and Response

- Session Description (click to collapse)

From managing pandemics to responding to terrorism, current public health disaster preparedness and response systems are intensively petroleum-reliant. This dependency poses a significant threat to the sustainability of present models for disaster response against an anticipated backdrop of petroleum scarcity. Accordingly, this session will explore the implications of this petroleum dependency on future disaster prevention, preparedness, response, and recovery activities. Content will include specific examples of public health approaches used to respond to disasters today, identifying those aspects of response that would be particularly vulnerable in a petroleum-constrained environment. The implications of these vulnerabilities amidst an ever-broadening spectrum of public health threats, including those related to climate change, will be discussed. This will include examination of both physical and psychosocial vulnerabilities. Insights into human, physical infrastructure, and socio-cultural dimensions of disaster response challenges will be explored as the basis for identifying short- and longer-term innovations in disaster readiness systems.

Recommended Readings

Frumkin, Howard, Hess, Jeremy, and Vindigni, Stephen. 2009. Energy and public health: the challenge of peak petroleum. 124, no. 1. Public health reports (Washington, D.C. : 1974): 5-19.
St Louis, Michael E, and Hess, Jeremy J. 2008. Climate change: impacts on and implications for global health. 35, no. 5. American journal of preventive medicine: 527-38.
Frumkin, Howard, Hess, Jeremy, and Vindigni, Stephen. 2007. Peak petroleum and public health. 298, no. 14. JAMA : the journal of the American Medical Association: 1688-90.

- Moderator (click to collapse)


Dan Barnett

Dan Barnett is an Assistant Professor in the Bloomberg School of Public Health’s Department of Environmental Health Sciences. His research interests include best practice models to enhance all-hazards public health emergency readiness and response. Specific areas of focus include design and evaluation of preparedness curricula for public health workers, mental health aspects of public health emergency response, public health readiness exercises, and organizational culture change issues facing health departments in building a ready public health workforce. Dr. Barnett received a National Association of Counties Achievement Award in 2007.

Education:

Graduate of the Johns Hopkins General Preventive Medicine Residency Program, 2002
M.P.H., Johns Hopkins Bloomberg School of Public Health, 2001
M.D., Ohio State University College of Medicine and Public Health, 1999
B.A., English, Yale University, 1993

- Notes (click to collapse)

1. What are respective petroleum supply-related vulnerabilities in the following phases of the “disaster life cycle”: prevention, preparedness, response, and recovery?
move from disaster prone area to not 
what is the nature of disaster?  maintenance of the infrastructure, awarness --> peak oil participatory game and generating augmented reality -- DOD -- community engagement, meadow disaster by FEMA to carry out non-traditional role, new engineerin design and modeling approaches in new approach, new reconstruction design --> reexamining the current and make it applicable to today's needs created by climate issues.  planning lacks and we are more reactive.  energy alternative's solar, renewable and or incremental changes to reduce dependance on oil.  
what are we doing to have the infrastructure prepared to address the upcoming issues. advance investement might divert futher disasters.  
recovery: dependence on the petro makes things fall apart, relocation of the people --> ethical issues must be approached in advance and create conditions that would make it undesirable to start from the get go.  create incentives for people not to be there.  economy of the risk management and recovery. hazard vulnerabilty analysis and factoring petro in this equation, rezoaning the vulnerable areas for other purposes and not residentials.  economic disparity for relocating individuals without means.       
2. Which of the above “disaster life cycle” phase(s) would be most vulnerable in the event of petroleum shortages, and why?
3. What components of disaster readiness infrastructure are most vulnerable to petroleum scarcity based on current models for disaster response?
4. How might the above infrastructure vulnerabilities differ in developed versus developing nations?
ghana: roads are even an issue, lack of adequate PH infrastructure to begin with.  EMAX mutual aid agrrements is used in supply dleivery.  decentralization of disaster control, individual preparedness, regional preparedness.  regionlization of response and preparedness in the US. resilient communities that are protected in the developing countries, goes against the whole notion of global development.  inherent tension between globalization and local delivery.  local war movement has certian preparedness that will potentially move people toward more resilience.  there are different kind of barriers in a developing country.  strong cultural and social individuality of each country.  resiliency of human nature and social fabric of each country varies --> social cohesion.  very high geographical dependency on outside and needs to be addressed. 
PH coomunity needs to be fully integrated in the center of the PH infrastructure --> trade off between specialization and better survival over local 
in tennesse fire in one's house and the fire protection --> moral hazard.  
risk communication, risk perception, accessing plan is a structuring challange.  baseline expectation is different within different people.  
major differences in the developed world and cultural approach, and not dependent on the government by basic goods and services.  vs developing countries and the people's expectation of their government or themselves. 
  
5. Would some categories of disasters be more difficult to address than others in such a petroleum-constrained environment? If so, which ones, and why?
water 
Petro control disaster creates the transportation dependency to shift priority
generally speakking the energy 
6. What post-disaster outcomes might be expected if current approaches to disaster management remain unchanged in the face of an anticipated petroleum scarcity?
7. What would be the psychosocial implications of petroleum scarcity on disaster response and recovery?
isolation, target hardening.  getting over the first shock and then they were able to deal with it.  
what does rationing do to this circumstances.  trade offs between resource and usage.  shift of the behaviors 
survivalist movements.  inheirance issues with the urban living and create constrains that is in NY for example.  the world without us, parts of cities are built in environemntal issues.  and the small steps dont respond to it.
auxiliary system such as sanitation and so on matters very greatly in how we deal with post petro disasters.
8. What would be the physical implications of petroleum scarcity on disaster response and recovery?
9. What population segments would be most physically and psychosocially vulnerable to disasters amidst petroleum scarcity? Are they the same?
10. What types of interdisciplinary collaborations will be critical in driving innovations to make disaster management less petroleum-reliant? engineering, economist, 
policy and ethical --> justice and fairness.  role of socioeconomic factors after disaster -->  out migration economists 
negative consequences of move, why you moved and where you moved.  how does disaster corrolate to this?  local experts HUD results in 90s east St. Lou and taking families from bad places and redistribute the communities.  sudden social ramification and cost to look after this displacement of people.  the previous network of PH was totally lost.  engineering for what it needs to happenexpect the unexpected and think for what will be not what was as we address the problems.  
11. What are some near-term alternative approaches that might make disaster management less petroleum-reliant?
12. What are some longer-term alternative approaches that might make disaster management less petroleum-reliant?
13. What policy changes might these alternative approaches require?
14. What metrics can be used to evaluate the effectiveness of petroleum alternatives for disaster management?
15. What are some priority research areas for addressing anticipated challenges of disaster management in a petroleum-constrained environment?
speed and scope of delivery.  prevention/metigation.  parceling out the element of evaluation.  exchange rate and the commodity and when does it get to the norm --> proxy for societal response.  historical values 
 lessons learned from Katerina--> FEMA is using WHOLE of Community large enormous disaster-->  using people's skills in more than one way.  FEMA will remove liability from people, private sector, professional org, NGO 

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