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Severe Weather Event Public Health Response: Kentucky’s Experience

Severe Weather Event Public Health Response: Kentucky’s Experience. CAPT (USPHS) Doug Thoroughman , PhD, MS CDC Career Epidemiology Field Officer Kentucky Department for Public Health. Ice Storm Impact on Kentucky. Jan 26, 2009 Ice storm moves across state

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Severe Weather Event Public Health Response: Kentucky’s Experience

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  1. Severe Weather Event Public Health Response:Kentucky’s Experience CAPT (USPHS) Doug Thoroughman, PhD, MS CDC Career Epidemiology Field Officer Kentucky Department for Public Health

  2. Ice Storm Impact on Kentucky • Jan 26, 2009 Ice storm moves across state • Leaves nearly 800,000 without power • Worst natural disaster in Kentucky’s history • 36 Storm Related Deaths • 101 counties declared state of emergency

  3. Statewide Impact

  4. Tornado Impact on Kentucky • March 2, 2012 severe weather event moves across state • 15 tornados spawned • 1 tracked 86 miles • Even affected “hollers” • 22 Tornado related deaths • 650 Homes destroyed (1600 more damaged) • Two communities destroyed

  5. Background

  6. West Liberty, KY

  7. West Liberty, KY

  8. Disaster Data Collection • Shelter surveillance • Environmental • Infectious disease • CASPER Rapid Needs Assessments • Carbon Monoxide Poisoning Surveillance • Tornado Injury Surveillance • Mortality surveillance

  9. CASPER • Community Assessment for Public Health Emergency Response • Epidemiologic technique to provide household-based information about an affected community’s needs after a disaster. • Identify needs • Prioritize responses • Plan for distribution of resources • Based on WHO-EPI method

  10. When to Conduct a CASPER • Effect of disaster on population is unknown • Health status and basic needs are unknown • Concerns about specific groups or individuals (e.g. older adults, children, pregnant women) • Response and recovery efforts evaluation • Information needed for planning

  11. Multi-stage Cluster Sampling • Define sampling frame (population of concern) • Political boundaries • Geographic boundaries • Subpopulation of affected area • 30 clusters/region • census block • probability proportional to estimated number of housing units • 7 households/cluster • Data weighted to: • account for incomplete sampling • provide population estimates of data collected 30 X 7 Design

  12. CASPER in Kentucky • 2 Emergency Response Uses • 2009 Ice Storm • 2012 Tornado Response • 1 Health Impact Assessment • 2 Preparedness/Functional Needs Assessments • USPHS Response Team Training Missions • National Level Exercise: Western KY • Training Mission in Eastern KY • Strategic Plan – non-disaster CASPER use to increase PH Preparedness

  13. CO Poisonings By Day

  14. Sources of CO Poisoning

  15. Tornado Injury Surveillance • Night of March 2nd adapted CDC Mortality Surveillance Form • Revised, vetted and distributed before noon March 3rd • Tasked regional Epi’s with data collection • Hospital ICP’s, LHD Epi’s submitted reports daily

  16. Surveillance Findings

  17. Surveillance Findings

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