A disaster waiting to happen? Tsunamis, elderly people and rest homes in Mt Maunganui Rachael McMillan Research Officer, National Institute of Demographic and Economic Analysis Student dissertation Presentation to PANZ Conference Wellington, NZ 27-28 June 2013 ©NIDEA 1 Background • Global Platform for Disaster Risk Reduction 2009 • Elderly people suffer more than the general populace from natural hazard events both in the event itself and the aftermath • More than 70% of deaths related to Hurricane Katrina were from elderly people – they made up 15% of the population ©NIDEA 2 Case study - Mt Maunganui and elderly people • Is there a problem? • Would building rest homes out of at risk areas be feasible? Overall place vulnerability - likelihood of an event occurring, location, mitigation or reduction measures, and social conditions ©NIDEA 3 Research design • Ethics approval – University of Waikato Mixed method approach: • Technical reports GNS, NIWA, BOPRC etc. hazard zones, risk levels • Census data • Ministry of Health data • Semi-structured interviews from retirement villages, rest homes, District and Regional Councils, Civil Defence, and District Health Board ©NIDEA 4 Tsunamis – how likely? Tsunami sources (Berryman, 2005) ©NIDEA 5 Return period - Palaeotsunami data Summary of known past tsunami events - Bay of Plenty (historical and sediment deposits - last 4000 years) Estimated tsunami run-up height No. of events < 0.5m 0.5-1 m 1-3 m 3-5 m >5m >6 1 4-5 * 5-6 (Bell, et al., 2004) * these cannot yet be identified through soil deposits ©NIDEA 6 Landscape • • • • ©NIDEA 7 Modified landscape Low lying Limited escape routes No vertical evacuation structures If the big one happened! ©NIDEA 8 Bay of Plenty – Population aged 65+ 30 Medium projections 80,660 % of population 65+ 25 61,280 20 44,810 15 Bay of Plenty New Zealand 10 5 0 1996 2001 2006 2011 2016 Census year 2021 2026 2031 (Statistics NZ, 2007), NIDEA ©NIDEA 9 Coastal communities - Age 65 + 35 Age 65+ % of population 30 25 20 NZ average 12.3% 15 10 5 0 Mt Maunganui North Omanu Arataki Te Maunga Census area unit ©NIDEA 10 Pacific View Palm Beach (Statistics NZ, 2006) Elderly and disaster • Mobility problems and lack of physical strength • Medical and dietary care needs are “rarely taken into account” in the aftermath of a disaster (Ngo, 2012, p. 449) • Elderly people suffer physically, psychologically, socially and economically ©NIDEA 11 Level of disability, by age and residential status, 2001 Percentage of elderly people 90 80 70 60 50 40 65-74 30 75+ 20 10 0 Mild Moderate Severe Mild Household population Severe Residential care population (Source: Ministry of Health, 2002; Cornwall and Davey, 2004) ©NIDEA Moderate 12 Rest homes and retirement villages in Mt Maunganui Rest homes 3 183 beds Retirement villages 2 307 dwelling units ©NIDEA 13 Evacuation issues Rest homes/Retirement villages/Elderly in the community • Rest homes – evacuation plans (largely ineffective) • No vertical evacuation facilities • Loss of power • Potential loss of staff to rescue own families • Elderly people in rest homes are at very high risk • Low priority for evacuation • Elderly people of limited mobility/severe disability in the community are just as risk as those in rest homes ©NIDEA 14 Is there a problem??? Yes there is! ©NIDEA 15 Taking action Design and location strategies to reducing risk to built vulnerability • Location – land use planning, zoning • Design – building codes, vertical evacuation structures, requiring rest homes to be built with several levels ©NIDEA 16 Feasibility – rest homes • Social spatial issues – there to fulfil a demand • Perceptions of risk • Risk and responsibility – individual risk vs community resilience • Human rights • Political challenges • Economic practicalities ©NIDEA 17 Conclusion Building rest homes out of at risk zones will: • Improve community resilience and enable faster recovery (only marginally) • Reduce pressure on rescuers • Face intense challenge • Have minimal impact on the vulnerability of the wider community ©NIDEA 18 Policy suggestions • Government policy – elderly people in their own homes for longer • Elderly people policy – consider location, vulnerability and risk • Planning for elderly people – further social vulnerability studies • Pro-active strategies required ©NIDEA 19 Final comments “The more lead up time, the better. The risk is real.” “We’ve got the ability to assess the risk. I think we ought to have the compassion to respond to the risk, address it and manage it.” ©NIDEA 20 • Thank you • Enquiries welcome • [email protected] • www.waikato.ac.nz/nidea ©NIDEA 21 Evacuation structures ©NIDEA 22 Bay of Plenty – Age group distribution 35 30 25 Percentage of pop. aged 65+ 20 1996 2001 15 2006 10 5 0 65-69 years 70-74 years 75-79 years Age groups ©NIDEA 23 80-84 years 85+ years “SUPPOSING WE COULD MANAGE TO LOAD UP ALL 86 PEOPLE AND HEAD FOR [HIGH GROUND], THEN YOU HAVE PROBLEMS THEREAFTER; TOILETS, HOT AND COLD WATER, EVEN IF YOU DO GET TO A SAFE ZONE. WE COULD BE TAKING THEM FROM ONE DANGER TO ANOTHER.” – REST HOME MANAGER Fatalism • “If it comes, I hope it is sudden and devastating and it gets rid of me” – Elderly participant • “[They say] I can’t walk, I can’t do anything, I may as well sit here, have a glass of sherry and let it happen” – Participant ©NIDEA 25 Triage or evacuation priorities? • “Looking at who you can save, [the authorities] will look at pre-schoolers and school age children and rest homes will probably be further down the list.” – Professional participant • Who gets out? - “Is your responsibility to your staff or to your residents? – It’s a hell of a question” – Participant • “[If the tsunami was close] it would only be staff who go. Nobody else would get time to go. You couldn’t get [the elderly] to go. They wouldn’t move fast enough to get out.” – Rest Home Manager ©NIDEA 26 Perceptions of risk - feasibility • “It didn’t occur to me when I came [into the retirement village] that [tsunamis] could be an anxiety I would have. I am conscious of the risk that I hadn’t thought of.” – Elderly Participant • “There are always those who think it is not going to happen to me and I am probably in that category.” – Elderly Participant • “The resident community [at the retirement village] would fiercely oppose being told where [they could or] couldn’t live because there was a slight risk that a natural disaster could impact on them more than on younger folk.” – Retirement Village Manager ©NIDEA 27
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