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Does the city website explain clearly what to do in case of evacuation? Who can forget the images of stranded New Orleans residents, or the 5-mph crawl out of Houston? It turned out that New Orleans's evacuation plans were both inadequate and poorly communicated. One way cities can avoid a similar nightmare is to put clear and easy-to-find evacuation information on their websites. Some cities, such as Boston and Washington, post the preferred street routes. Others, like Las Vegas, won't disclose details due to security fears, but their websites may provide ways to quickly get evacuation details when you need them (such as numbers to call or alert services you can sign up for). Among the more important things to address are people without vehicles of their own (a huge failing in New Orleans) and instructions for pet owners.
Does the website include details for residents with special needs? In July 1995, a vicious heat wave killed nearly 500 people in Chicago; a disproportionate number of them were older residents who lived alone. In any crisis, the elderly and disabled can be uniquely vulnerable. That's why cities such as Houston are creating registries of residents who would need special help. Such lists would indicate, for instance, that a certain person in a certain apartment building is wheel-chair-bound. Other cities are instructing people with disabilities to call 911 for assistance—though this relies on phone systems that could be overloaded or go dead. If a city's disaster planning shows no awareness of special-needs people, it isn't complete.
Crisis Communications
Can first responders—police, fire and medical—talk to one another? On September 11, firefighters died inside the World Trade Center because they could not make contact with police helicopters trying to radio warnings. Incompatible communications is a country-wide problem, and converting or replacing decades-old radio systems can be a long, expensive process. Cities have gotten a big boost if they've taken part in RapidCom, a DHS program providing technical assistance and training that speeds up the transition.
Has the city adopted E911? Many cities have upgraded their 911 call centers in recent years, but they're even better prepared if they've incorporated "E911" (or "enhanced 911"). This technology enables emergency operators to identify the precise location of cell-phone callers through GPS systems. If you wind up stranded in floodwaters, E911 could save your life.
Does the city provide 24-hour emergency alerts? What if an evacuation order goes out, but it's 3 a.m. and you're sound asleep? Not a problem if your city has a way of alerting you at any time of day. Some rely on street sirens(警报器)to do the trick. Others have used their websites to invite residents to sign up for e-mail notifications or automated phone calls in an emergency.
Medical Response
Are there at least 500 hospital beds for every 100,000 residents? Getting to victims quickly is a critical first step. But you'd better have a place to take them for treatment. A reasonable standard, according to preparedness experts, is 500 hospital beds for every 100,000 people—a ratio that would likely mean a city could find enough spare beds in an emergency. Of course, beds alone won't s help a massive number of burn victims or people suffering from chemical exposure unless the hospital is prepared to treat them. But all the cities in our survey have specialty units in their hospitals that can handle such cases.
Are local teams trained to respond quickly and work together? If and urban area was targeted by weapons of mass destruction, city health officials couldn't just wait for federal help to arrive. First responders and hospital would need to react right away. They could also need medical volunteers—say, to help vaccinate people or distribute medicines and supplies. How to ensure that all these professionals and volunteers work together as seamlessly as possible? If a city is part of DHS's Metropolitan Medical Response System, it has obtained federal assistance in developing plans, and has received critical training and equipment.
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