Disability and Health Program • New York State Department of Health Disabilityand Healthin NewYorkState Autumn2007•IssueNo.11 Be Prepared! Emergency Preparedness for People with Disabilities Whenyouareinthemiddle ofacrisis,thereisnotimetoplan aresponse.Planninginadvance isthebestprotection.Forpeople withdisabilities,beingaware andpreparediscriticalduring anemergencysituation.Perhaps youthinkthatsomeoneelsehas alreadyconsideredyourneedsin anemergency;thisbeliefcancreate newdifficultiesandhazards. Inside this issue •Developingan EmergencyPlan •PuttingTogetherYour EmergencySupplyKit •FireSafetyTips •IndependentLivingCenter ConsumersBeginPreparing ThisissueofOnTargetlooksat emergencypreparednessforpeople withdisabilities.Weexplore whatyoucandotoprepareforan emergency,howtocreateapersonal supportnetwork,whattoincludein •EmergencyPreparedness Resources •NametheNewsletter (continued on page 2) 1 anemergencykitandwheretogofor helpinplanningforemergencies.You maynotbeabletoavoidemergencies, butwithsomethoughtfulplanning youcanreducetheriskstheyposeto yourdailyroutines,andbeconfident thatyouareprepared.Agoodplancan helpyoufeelincontrol,eveninthe faceofunexpectedevents. Accordingtoa2004HarrisPoll,96% ofAmericansfeelitisimportantto prepareforemergencies,butless than20%describethemselvesas totallyprepared.Despiteguidelines fromgovernmentorganizationsand communitybasedserviceslikethe AmericanRedCross,only42%of Americanshavecreatedapersonal emergencykit. What is emergency preparedness? Peoplewithdisabilitiesmay beespeciallyvulnerableduring andafteremergencyevents.Inan emergency,manysystemsyourely onmaynotfunctionaswellasthey usuallydo.Familiarlandmarks andusualtravelroutesyouand yourserviceanimalknowmaybe altered.Utilitieslike electricity,water,gas andphoneservice maybedisrupted. Youmightneedto temporarilyevacuate toashelterwhichmay notbefullyaccessible foryourneeds.Thetips andstrategiesinthis newslettercanhelpyou seedeta ilsonpa plantobepreparedfor ge7 thesesituations. Thetermreferstothesteps youtaketomakesureyouare safebefore,duringandafteran emergencyornaturaldisaster.These plansareimportantforyoursafety inbothnaturaldisastersandmanmadedisasters.Examplesofnatural disastersarefloods, blizzards,tornadoesand earthquakes.Man-made disasterscaninclude explosions,fires, chemicalandbiological attacks. CONTES Sincetheevents ofSeptember11, 2001,andmore recently,Hurricane Katrina,Americans aremoreaware ofemergency events. T Rename the Newslet ter 2 disabilitiesinanemergency.Some communitiesandcountieshavea voluntaryregistryforpeoplewith disabilitiessohelpcanbeprovided quickly.Informationaboutregistries canoftenbefoundonyourcounty orcommunitywebsitehomepage. Contactyourlocalemergency managementoffice.Itshouldbe listedinthegovernmentpagesof yourlocalphonebook.Manyoffices maintainaregistryforpeoplewith disabilities.Mostelectricandutility companieshaveavoluntaryregistry forpeoplewhodependonoxygen orventilatorssoinapoweroutage, theycanalertofficialsastowho willneedhelp.Ifyouareuneasy participatinginaregistry,remember thepurposeofregistriesistogetyou helpasquicklyaspossible. Developing an Emergency Plan Makingapersonalemergency planisthefirststep.Themost importantthingsforyoutoconsider areyoursurroundings,your physicalabilitiesandthetypesof emergenciesthatmayoccurwhere youlive. Itdoesnotmakesensetoplan forsomethingthatwillnothappen inyourtown.Forinstance,aperson wholivesinUpstateNewYorkdoes notneedtoworryaboutatsunami, ortidalwave.But,youmayneedto prepareforafloodifyouliveneara riverorcreek.Inadditiontolearning aboutthetypesofemergencies thatmayaffectyou,learnwhat emergencyplansareinplaceinyour community.Emergenciescanoccur whenyouandyourfamilyareaway fromhome,solearnaboutplansat schoolandwork,too.Itisimportant tofindouthowyouwillbenotified ofanemergencyeventatschooland work.Learnaboutyourcommunity’s warningsignalsandwhatyoushould dowhenyouhearorseethem. Next,makealistofwhattypeofhelp youwillneedduringanemergency. Thismeansyouneedtobeawareof yourphysicalandmentalstrengths andweaknesses.Youdonotneed tobeapersonwithamobility impairmenttoqualifyassomeone whomayneedassistanceduringan emergency.Forexample,ifyouwear hearingaidsorrelyonlip-reading Askaboutregistriesthatmay beinplacetohelppeoplewith 3 tocommunicate,youmostlikely donothavetroubleunderstanding yourco-workersinyournormal officeworkspace.But,youmight havetroubleunderstandingthem ifyouarestandinginasmoky,dark stairwellafterthepowerandlights havegoneout.Likewise,youmay haveavisualimpairmentanda guidedogtoassistyouinwalking aroundyourofficebuilding.If yourguidedoghasparticipatedin allemergencydrills,youmaynot requireassistancetoevacuateyour officeinanemergency. Whenyouhavemadealist ofwhatyourneedswillbeinan emergency,youcanthenfocuson yourpersonalemergencyplan.Your emergencyplanshouldbeastepby-stepguidelinethatwillhelpyou prepareforanddealwithemergency situations.Agoodplancanhelpyou feelincontrol.Onceyouhaveyour plan,shareitwithfamilymembers, friends,neighbors,personalcare attendantsandco-workers.Postyour planinyourhousewhereyoucan easilyreferenceit. Itisbesttostartyourplan bycreatingyourpersonalsupport network.Thisisyour“self-help team,”thepeoplewhoknowabout yourneedsandarewillingto helpinanemergency.Members ofyoursupportnetworkcouldbe roommates,relatives,neighbors, personalcareattendants,friendsand co-workers.Theyshouldbepeople thatyoutrustandwhocareabout yoursafety.Donotdependonjust oneperson.TheAmericanRedCross recommendsyouincludeatleast threepeopleinyournetworkfor eachlocationwhereyounormally spendalotoftime. Somepeoplefinditeasierto listalloftheirneedsbythinkingof theirdailyroutinesandactivities. Thisincludesroutinesforpersonal care,dailymedications,adaptive devicesandanyequipmentthat requireselectricity.Includeyour serviceanimalinyourlist.Many agencies,suchastheAmerican RedCrossandtheNewYorkState EmergencyManagementOffice, havecreatedmedicalinformation sheetstohelpyouorganizethislist. Anexampleofsuchasheetcanbe foundonpage9ofthisnewsletter. 4 Onceyouhaveyoursupport networkinplace,sharewith themyourlistofwhat yourneedswillbeinan emergencyandyour emergencyplan.If youuseamobility device,showyour supportnetwork membershowto operateandsafely moveit.Havethem practiceusingitsothat duringanemergency, theywillfeelconfident helpingyou.Practice givingshort,specific directionstopeople. Thatway,youwillfeel confidentinyourabilities tocommunicateimportant informationinanemergency situation.Eventhoughyouhave practicedwithyournetwork,ina realemergencyyoumayhavetorely onstrangersorpeoplewhohave neverhelpedyoubefore. disabilitypreventsyoufrom accessingvisualoraudioemergency announcements.Agreeonhowyou andyournetworkwillcommunicate duringandafteranemergency. Yourtelephonemaynotbeworking sohaveanalternativeplan.Give membersofyournetworkallthe necessarykeystheymayneedtoget intoyourhouseorvehicle. Askformembersofyournetwork tocheckwithyouimmediatelyif localofficialsgiveanevacuation orderorifadisasteroccurs.This isespeciallyimportantifyour 5 Putting Together Your Emergency Supply Kit Thefollowingchecklistincludes recommendeditemstoinclude inyoursupplykitorGoBag.You maywanttoaddsomeextraitems dependingonyourspecificneeds. Ittakestimeandefforttoprepare. Gathertheseitemsalittleata time,asyourenergyandbudget allow.Thinkabouttheseitemsand determinewhicharemostimportant andrelevanttoyou. IfyousearchtheInternetfor informationrelatingtosupplykits, youwillfindavarietyofchecklists thatsuggestwhattoincludein anemergencysupplykit.The AmericanRedCrossandtheFederal EmergencyManagementAgency bothsuggestthatyoukeepenough suppliesinyourhometomeetyour needsforatleastthreedays.Store theseitemsinsturdy,easy-to-carry containerssuchasbackpacks,duffle bagsorplasticstorageboxes.Ifyou needtoevacuate,youwillwanttobe abletotakeyoursupplieswithyou. •Three-daysupplyofnonperishablefood •Three-daysupplyofwater-1 gallonofwaterperperson,per day • Cashandcoins • Copiesofinsurancepoliciesand bankaccountnumbers • Prescriptionmedicationsandalist ofcurrentdosesandschedule • Eyeglassesand/orcontact lenssolutions • Bowlforfoodandwater • Hearingaidbatteries • 3daysupplyoffood • Listofstyleandserialnumbers ofmedicaldevicessuchas wheelchairorpacemaker • Blanketforbedding • Plasticbagsandpapertowelsfor disposingoffeces • Achangeofclothingandfootwear • Extraharnessand/orleash • Paper,pensand/orpencils • Medications(ifapplicable) • Firstaidkitandmanual • Sanitationsupplies(moist towelettes,toiletpaper,waterless handsanitizer) •Matchesinawaterproof container • Extrasetofhousekeysand carkeys •Kitchenutensils,includinga manualcanopener • Emergencycontactlistandphone numbers.Makesuretoincludeat leastoneout-of-statecontact,too. Rememberthatpets,incontrast toserviceanimals,arenotallowed inmostemergencysheltersdue tohealthregulations.Identify someanimalsheltersorkennels inadvanceforyourpets.Your veterinarianorlocalchapterofthe AmericanRedCrossmaybeableto providehelpwiththis. •Flashlightwithextrabatteries •Awhistle(tonotifypeople outsideofyourlocation) 6 Ifyouhaveaserviceanimal,make planstoincludeitemsforhim/her inyourkit.Makesureyourservice animalhasidentificationtagswith bothyourhomephonenumberand thatofsomeoneinyoursupport network.Youshouldputacopyof youranimal’slicenseandvaccination historyinyourkit.Otheritems specifictoaserviceanimalinclude: • Sleepingbagorwarmblanketfor eachperson •Portable,batteryoperated radioortelevisionwithextra batteries;handcrankradiosare alsoavailable TheNewYorkCityOfficeof EmergencyManagementsuggests eachhouseholdshouldassemble aGoBag–a collectionof itemsyoumay needinthe eventofan evacuation. Thisshould bepackedinasturdy,easy-to-carry container.YourGoBagshouldbe easilyaccessibleifyouneedtoleave yourhomeinahurry. • Photocopiesofcreditcardsand personalidentificationcards • Afavoritetoy 7 Tips and Tools • Install and maintain smoke alarms. Adaptive alarms, such as models with a vibrating pad or flashing light for people with sensory impairments, are available. • Consider smoke alarms with a stobe light. Some of these alarms can even be mounted outside your house to catch the attention of neighbors. • Test your smoke alarms every month. You can use a broom handle to reach the alarm if you use a wheelchair. • Clean your smoke alarm to keep it working. Use a vacuum cleaner hose or a hair dryer to remove dust and dirt that may have settled in your alarm. • Mount a fire extinguisher in your kitchen, as most house fires start in this room. If you have limited hand dexterity, you can replace the pull pin from the trigger mechanism with a spring device that locks the trigger. • If you live in a multi-level dwelling, sleep on the first floor if possible. Being on the ground floor will make it easier to get out quickly. • Know your exits. Practice how you will leave using all available accessible routes. • Prepare written emergency messages to give to first responders or others who do not know about your disability but are helping you. For example, a message could say, “I am deaf, but I read lips.” • If you are in a smoky room, try getting as close to the floor as possible. If you use a wheelchair, lean over from the chest and shoulders if you are able. • If you use a wheelchair and your clothing catches on fire, practice the “stop, lock and cover to smother” procedure. Stop, lock your brakes, cover the fire using a small blanket or towel, and sweep your hand over the towel, away from your face to smother. 8 Samp Fire Ele scape Plan Bedro om Bathro om Kitche n 2 1 Bedro Dining Room om Bedro om FireD epartm ent55 Living Room 5-555 Tree 5 Fire Safety Tips Youcanincreaseyourchances ofescapingafirebycreatingand practicingyourfiresafetyplanuntil youarecomfortablewithit,and byusingfirewarningdevicesthat matchyourabilities.Also,talkto yourfamilymembers,caregivers, neighborsandpersonalsupport networkaboutyourfiresafetyplan. Practiceyourplanwiththemifyou willneedtheirhelpinafire. Whenwethinkofemergencies,it iseasytothinkofnaturaldisasters oreventsoutsideofthehome. However,ahousefireisoneofthe mostcommonhomeemergencies.It iscrucialthateveryoneknowhow togetoutoftheirhouseincase ofafire.But,afireescapeplanis especiallyimportanttoindividuals withdisabilitiessincetheymayface agreaterriskofbeinginjuredin afire. 9 includeisanaccessibleemergency exitfromherbedroom.“Ishould havethoughtaboutdesigningbetter emergencyexitsbutwhostopsto thinkaboutwhatmighthappen? Thankfully,Ihaveneverhada reasontoevacuate,”saidEva. Independent Living Center Consumers Begin Preparing TheCapitalDistrictCenterfor Independenceisanindependent livingcenterservingresidentsof thegreaterNewYorkStateCapital District.LocatedinAlbany,the Centeroffersassistancetopeople withvariousdisabilities.Recently, someconsumerssatdownwiththe NewYorkStateDisabilityandHealth Programstafftodiscusstheirown emergencyplans. Itisimportant tokeepall accessibleexits clearandfree fromobstacles. DonWhiteconsideredemergency evacuationswhenbuildinghis deck.Don,whousesawheelchair, designedarampattherearofhis housethatprovidesanemergency routefortwoexits;onefromhis sleepingareaandonefromhisliving roominthecentralpartofthehouse. Therampleadstoapathawayfrom hishouse.DontoldOnTarget,“It’s importanttokeepallaccessibleexits clear,especiallyinthewinter.” Mostoftheconsumersadmitted theyhadnottakenthestepstobe preparedforemergencies.When askedwhy,theysaidthattheywere toocaughtupindealingwithevery dayroutinestothinkaboutthe“what ifs.”But,somepeoplewhohadmade initialstepstowardspreparation explainedwhattheyhavedone. EvaGalvinpracticesevacuating withherdog,Chuckie,fromher kitchenexit. 10 ForTonyDiGiovannantonio, livingwithaseizuredisorderhas madehimrealizetheimportanceof thinkingahead.Tonyhasbecomea memberofMedicAlert,acompany thatprovidesinformationtohealth careprovidersineventofemergency. TonywearsaMedicAlertbracelet thathasaphonenumberonit.If Tonyisunconscious,anemergency workercancallthe800numberand receivehishealthinformation. EvaGalvin,ahomeowner fromNiskayuna,NY,whousesa wheelchair,workedwithabuilder todesignheraccessiblehouse. Sheexplainedthatwhenshewas planningherhome,shestressed theimportanceofmakingeveryexit wheelchairaccessible.Evaadmitted thattheonethingsheforgotto 11 RENAME THE NEWSLETTER! Doyouhaveauniquewaywith words?Areyouartistically inclined?TheNewYorkState DisabilityandHealthProgram islookingforyou! TheDisabilityandHealth Programhasproducedthe“On Target”newsletterfocusingon healthandwellnessforadults withdisabilitiesforeightyears. Thisnewsletterisdistributed throughoutNewYorkStateto adultswithdisabilities,their families,caregivers,medical careprovidersandservice organizations.Pastnewsletters havecoveredavarietyoftopics, suchasnutrition,physicalactivityandassistivetechnologyfor personswithdisabilities. Nowweneedyourhelp!The “OnTarget”newsletterisgoing tobegivenamakeover,includinganewnameandanewlogo. Thisisyourchancetoexercise yourcreativitybyenteringthe DisabilityandHealthProgram RenametheNewslettercontest. Suggestionsforthenewsletter nameand/orlogomaybe submittedviae-mailto [email protected];or bymailto: NYSDOH Disability and Health Program Newsletter Contest 150 Broadway Riverview 3W Albany, NY 12204 isnotthecase.”Bobhasstarted planningaheadbygettinghis carreadyforwinter.Hehasextra blanketsandglovesincasehe isstuckinasnowstorm.Healso includedextrawindshieldwasher fluid.Bobagreedthatifhetakes preparingonestepatatime,itisnot sooverwhelming. SometownsandcountiesinNew Yorkhavevoluntaryregistriesfor peoplewithdisabilities.Maxcine Johnson,whousesawheelchairdue tomultiplesclerosis,hasregistered withtheAlbanyCountyOfficeof CommunityandEmergencyServices. Maxcinesaidthatthisfreeservice offersher“reassuranceshould somethinggowrong.”Thisregistryis updatedonayearlybasissoAlbany Countyemergencypersonnelhave recentinformationincaseofan evacuationoremergency. Theseindividualshaveall startedtheprocessofpreparingfor emergencies.Theyrecognizethatthe stepsofpreparingareon-goingand needtobemaintained,particularly forpeoplewithdisabilities.As MaxcineJohnsonstated,“It’sup tometotakeresponsibilityformy ownsafety.IfIdon’tcareaboutit, whowill?!” BobWilliams,anAlbanyCounty residentwithadepressivedisorder, said,“Ialwaysthoughtthatpeople withdisabilitiesweretakencareof inemergencysituations.But,that Submissionsmustbereceived byNovember 15, 2007. Sorev upyourcreativeengines,puton yourthinkingcaps,andhelpus renovateourlook.Ifyouridea isselected,youwillreceive recognitioninthenextissue whenwerevealthenewname andlogo. 13 14 15 Emergency Information List Pleasecompletethisformanddistributecopiestoyouremergency contactpeopleaswellastoeachmemberinyournetwork. Name: Birthdate: Address: Telephonenumber: SocialSecuritynumber: Localemergencycontactperson Name Phone home: Networkmembers Name Phone home: Name Phone home: Name Phone home: Name Phone home: Name Phone home: Out-of-townemergencycontact Name Phone home: Howbesttocommunicatewithme work: work: MedicalInformationList Pleasecompletethisformanddistributecopiestoyouremergencycontact peopleaswellastoeachmemberinyournetwork. Primaryphysician: Telephonenumber: Address: Hospitalaffiliation: Address: Typeofhealthinsurance: Policynumber: Bloodtype: Allergiesandsensitivities: Medicationsanddosagesbeingtaken: work: work: work: Specificmedicalconditionsand/orphysicallimitations: Adaptiveequipmentandvendors’phonenumbers: work: CommunicationdifficultiesImayhaveinclude: work: CognitivedifficultiesImayhaveinclude: 16 17 Disability-RelatedSuppliesandSpecialEquipmentList Checkitemsyouuse,anddescribeitemtypeandlocation.Distributecopiesto youremergencycontactpeopleaswellastoeachmemberinyournetwork. Type Location Glasses: Wheelchair: Wheelchairrepairkit: Motorized: Manual: Walker: Crutches: Cane(s): Dentures: Monitors: Ostomysupplies: Type Location Eatingutensils: Groomingutensils: Dressingdevices: Writingdevices: Hearingdevices: Oxygen: Flowrate: Suctionequipment: Dialysisequipment: Sanitarysupplies: Other: Emergency Preparedness Resources AmericanRedCross www.redcross.org NewYorkStateDepartmentofHealth www.nyhealth.gov CenterforDisabilityand SpecialNeedsPreparedness 1010WisconsinAvenueNW,Suite340 Washington,DC20007 (202)338-7158 www.disabilitypreparedness.org PublicHealthEmergency PreparednessandResponse www.bt.cdc.gov UnitedStatesDepartment ofHomelandSecurity www.dhs.gov www.ready.gov DBTAC-NortheastADACenter 201ILRExtensionBuilding CornellUniversity Ithaca,NY14853-3901 1-800-949-4232 www.ilr.cornell.edu/ped/northeastada/ FEMA’s“AGuidetoCitizen Preparedness” http://www.fema.gov/areyouready/ CenteronDiseaseControl’sEmergency PreparednessforBusinesses http://www.cdc.gov/niosh/topics/ prepared/ FederalEmergencyManagement Agency www.fema.gov TheNationalOrganizationonDisability 910SixteenthStreet,NW Washington,DC20006 (202)293-5960 www.nod.org NewYorkCityOfficeofEmergency Management–SeniorCitizensand PeoplewithDisabilities http://www.ci.nyc.ny.us/html/oem/ html/readynewyork/info_seniors.html NewYorkStateEmergency ManagementOffice www.semo.state.ny.us 18 19 Kailes,JuneIsaacson.Emergency EvacuationPreparedness:Taking ResponsibilityforYourSafety:AGuide forPeoplewithDisabilitiesandOther ActivityLimitations,2002.Published anddistributedbyCenterforDisability IssuesandtheHealthProfessions, WesternUniversityofHealthSciences, 309E.SecondStreet,Pomona,CA 91766-1854, Voice:(909)469-5380, TTY:(909)469-5220, Fax:(909)469-5407, E-mail:[email protected], www.cdihp.org NEWYORKSTATEDEPARTMENTOFHEALTH DisabilityandHealthProgram RiverviewCenter 150Broadway,3West Albany,NewYork12204 “OnTarget”isalsoavailableon audiocassetteorinlargeprint. Foracopy,contacttheDisability andHealthProgramat (518)474-2018orwww.nyhealth.gov
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