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Part II Preparedness for water emergencies Health considerations https://www.cdc.gov/healthywater/emergency/planning-training-response/planningtraining.html CDC: Preparing for a Water Sanitation Emergency Groups to include Environmental health Water utilities Communications Healthcare and public health Options Plans development Education for responsible agencies Table top exercises to test plans, communications, coordination https://www.cdc.gov/healthywater/emergency/planning-training-response/responding.html Aspects of a Response Drinking water advisories Hauled water or bulk water delivery Hygiene, handwashing, diapering Wastewater Flood waters Worker safety Shelters or mass care Education and communication CDC Emergency Shelter Assessment Tool Facility structure, security, capacity Food and Drinking water Health/medical services Sanitation Solid waste Childcare Sleeping area Companion animals Limitations to the CDC materials Not specific to Alaska Geared toward acute emergencies Arctic environment not addressed May be less useful for slow moving event or gradual loss of service Illness topics focus on preventing waterborne infections Other health issues for water/sanitation emergency Mental health concerns Water or personal insecurity Temporary shelters Special needs of at-risk persons Elderly, disabled, children Immune compromised HIV, cancer treatment, medications Health care providers may be able to identify and help prioritize facilities, care, services Worsening of other mental or behavioral health problems Immunizations, medications, support services Companion animals New health issues for climate change and water systems Northward movement of treeline and animals Increased Giardia risk? Are water systems designed to handle this? Harmful algal blooms Toxin production Skin, eye, throat irritation Respiratory illness Possible in freshwater sources Other emerging problems? Lessons from Alabama Deep Freeze Preparedness was low Compliance with boil-water notice was low Households: Little stored water Utilities: little planning and coordination Distrust, misunderstanding: communication issues Illness outbreak was not recognized Clinics, hospitals, public health reporting Consider other ways of detecting increased illness Increased use of anti-diarrhea meds, other supplies Considerations Link efforts At-risk water/sanitation infrastructure survey Community preparedness and response Use existing resources Local, tribal, state, federal Planning and training Table top exercises? Written plans Thank you!