Watch On-Demand Webcast from Tuesday, September 6, 2011

Download: MP3 Audio

SUMMARY AND BACKGROUND

"A good government needs to let its people know, even in the developed world, that we can't get there in the first 24, 36 - let's try 72 hours ... It's when the impact has faded, then you want to see the response community come into full force. And, if that response community does not come into full force, as you come out and, you know, finish your last water bottle, that's when people begin to have criticism. And they blame the government." 4

- Jennifer Leaning

"My recommendation is don't develop temples and monuments for terrorism. So once terrorism is striking, don't leave the area damaged for 10 years ... In Israel, part of the resiliency is clean the area in two days, rebuild there again in four days. Okay, it is like make a thing from the outside. But you could walk in the street, and you can feel relaxed. Like a feeling of being resilient, you can continue your life. This is important." 9

- Isaac Ashkenazi

"Because our disasters in the developed world tend not to displace such large populations of people, we haven't been as good in planning for them." 8

- Stephanie Kayden

Ten years after the 9/11 terrorist attacks, 1 1/2 years after the Haiti earthquake, and six months after the Japanese tsunami, earthquake and nuclear crises, this Forum event examined how far we have come in responding to disasters – and the policy implications for decision making in emergencies. The panel discussed the health risks first responders face, the roles of survivors and government agencies in the hours and days after a disaster, and what measures can be taken to speed recovery and clean-up.

Background
Disaster Response: Lessons Learned Since 9/11
Live Reuters Coverage
9/11 Firefighters Have Higher Cancer Risk: Study
Reuters
Six years after Katrina, praise for Irene response
CNN
Special Issue: The Health Legacy of September 11th
American Journal of Industrial Medicine
National Preparedness Leadership Initiative
Harvard School of Public Health and Harvard Kennedy School
Preparedness and Emergency Response Learning Center
Harvard School of Public Health
Harvard University FXB Center for Health and Human Rights at Harvard School of Public Health
Predicting Cardiovascular Risk and Fitness in Firefighters Study
Acute Chemical Emergencies
New England Journal of Medicine
In praise of ordinary people: They are sometimes overlooked assets during disaster response
Harvard Gazette

Photo © This site includes material which is © 2011 Reuters. All rights reserved. Photo credit: Peter Morgan/Reuters

Peg Blechman Sep 6, 2011 at 11:29 AM

What is the status of emergency preparedness and inclusion of people with disabilities since 9/11? There have been complaints about shelters used during Hurricane Irene being inaccessible for people with disabilities. --Peg Blechman, United States Access Board

FROM ONLINE MODERATOR
Thank you for the question Ms. Blechman. We received a related question about personal care attendants in disasters via our email account from (theforum@hsph.harvard.edu) from Chip Wilson at the Florida Division of Emergency Management.

Watch the expert participants answer the question at the beginning of Chapter 10 in the video above.

Craig Marston Sep 6, 2011 at 12:08 PM

Please comment on lessons learned, coordination between intelligence received through various sources, law enforcement, health care, fire service, private sector) and shared with responders planning and operations.

FROM ONLINE MODERATOR
The continued lack of a national radio band that police and firefighters can access in emergencies is a matter of high concern, said Jennifer Leaning. Isaac Ashkenazi said that a common disaster language is needed among responders. Watch them discuss lessons learned about communications -- and not always implemented -- in Chapter 9, starting at minute 2:16 in the video.

Vera Sistenich Sep 6, 2011 at 12:10 PM

Question for Dr Ashkenazi:

In efforts to empower the public to be effective first responders to disasters, what are your top priorities in how to achieve this? -- Dr. Vera Sistenich, Emergency Physician from Australia, MPH Global Health student

FROM ONLINE MODERATOR:
Isaac Ashkenazi commented that the public is an asset, not an obstacle, and discussed its role. The real first responders are the bystanders, he said. (Watch Chapter 6, starting at minute 4:12.)

Brian Geiger Sep 6, 2011 at 12:19 PM

This week, we will launch a voluntary disability registry permitting Metro area residents to receive first alerts about public emergencies and post-disaster resources for assistance. We are reassuring all users that information is private and stored on a secure server maintained by the county EMA. Access is restricted by password and information is encrypted. What cautions do you suggest for public health professionals and volunteers when implementing a voluntary disability registry? --Brian Geiger, Professor and Assistant Director, Center for Educational Accountability, University of Alabama at Birmingham

FROM ONLINE MODERATOR
Watch Stephanie Kayden answer the question in Chapter 10, starting at minute 3:45 in the video above.

Srihari Cattamanchi Sep 6, 2011 at 12:31 PM

There is so much of technology developed on communication systems, but during a disaster when all communications get jammed or fail, what is the best and safe alternative to communicate with the outside world and disaster zone? -- Dr. Srihari Cattamanchi, Fellow in Harvard-Affiliated Disaster Medicine Fellowship Program

Srihari Cattamanchi Sep 6, 2011 at 12:36 PM

What are the lessons the panel would like to share with the developing world a decade after 9/11 on disaster preparedness and how are you going to get this message to the people and government of the third world to act and make themselves better prepared? -- Dr. Srihari Cattamanchi, Fellow in Harvard-Affiliated Disaster Medicine Fellowship Program

FROM ONLINE MODERATOR
Stephanie Kayden discussed policy implications of mass displacements in the developing world and the developed world. (Watch Chapter 8, starting at minute 4:32).

Peg Blechman Sep 6, 2011 at 12:36 PM

Will a video recording of this webcast be available and provided by email? I would like to send it to my listserv of members within the federal, state, and local governments and disability community. --Peg Blechman, United States Access Board

FROM ONLINE MODERATOR
Yes, this webcast in now available on this website as an on-demand video. We also will post in the next few days a transcript and a summary of key policy points -- all of which we encourage you to share with others.

Thanks to all who sent in questions. Please continue to add your comments and observations.

Scott White Sep 8, 2011 at 9:09 AM

Thanks, will watch this with interest. Wonder if anyone there observed that the gridlock in DC that followed the earthquake showed that disaster prep is still appallingly lacking here.

Ronald McCrary Sep 16, 2011 at 8:58 AM

I'm a Chaplain & local Pastor. Wonderful session, great reflection and ideas. Can't wait for the next one.

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