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