Wednesday, October 30, 2013

Human Resilience

Source: Sethdcohen.com
We talk about a community’s ability to cope with and recover from disasters in terms of resilience, but for the most part fail to extend the definition to include how to better mentally and emotionally prepare the people who will be affected. Disaster impacts are quantified by physical damage done to homes, infrastructure, and the total economic losses that result. While these factors are central in determining the severity of an event, it’s a sterile way of classifying the scope of something that exacts a heavy human toll.

According to a Gallup poll, the clinical diagnosis of depression in zip codes heavily affected by Sandy increased by 25% in the weeks following the storm. This coming at a time when Health and Human Service organizations that remained operational were stretched thin and left to deal with the overwhelming number of storm-related needs. What the poll didn’t measure were the number of individuals who were on medications for a pre-existing mental illness that stopped taking them due to facilities being taken off line, medication being lost in the storm, or not being able to contact their case worker due to lack of power, public transportation outages, and an absence of reliable information. 

In addition to the challenges posed by a lack of medications and reliable information, many substance abuse clinics worried/worry about the rise in abuse and relapses as a result of Sandy-related stresses. But the worry extends beyond substance and drug abuse, PTSD in adults and children, acute stress-related behaviors, flashbacks, hoarding, and a host of other personal mental issues continue to plague the survivors in their ability to recover. 

While organizations like the Staten Island Mental Health Society, Long Island Mental Health Services, and other nonprofit human service organizations have setup support groups, free crisis counseling, and other Sandy-related programming, the scale of the ongoing trauma point to an area needing urgent attention, understanding, and additional resources to adequately ensure support is there for those who need it. 

The greatest challenge facing those who preach preparedness is that there is no way for a person to understand how they will react in the face of an event until they're faced with an event. Training can help, but for the average person, training isn't realistic. Up to this point, check lists like the one put out by the American Psychological Association, the Disaster Distress Hotline, self care, and having a strong network of friends and family have been the promoted best practices to help individuals prepare for post-event psychological trauma. To enhance our knowledge of the short and long term psychological affects natural disasters have on people, the Feinstein Institute was recently awarded a $600,000 grant from the CDC. Over the next 2 years, a study will be conducted aimed at deepening our understanding of how to better prepare people to cope with the impacts of natural weather events that are forecast to become more common. 

As a stronger emphasis is placed on whole of community response, stronger advocacy will be needed to ensure that human resilience is made a key value and takeaway as a result of Superstorm Sandy. While building codes can uniformly address needed changes to how we protect ourselves, and flood maps will tell us how high to build, resilience in people is a far more dynamic and individualistic challenge, one that will require ongoing thought and resource to ensure that the communities we're working to make stronger can weather the next storm.

Tuesday, October 29, 2013

The Speed of Long Term Recovery

Normandy Beach, NJ   Credit: Jeremy M. Lange
Today marks the one-year anniversary of Superstorm Sandy making its historic landfall in the mid-Atlantic region. There are numerous articles commemorating the event by examining the causes and impacts ranging from meteorological to psychological, in an effort to better understand what’s been done and what’s left to do. Regardless of the cause or reason, each article revolves around the theme that while steps towards recovery have been made, real issues continue to plague families struggling through the recovery gauntlet. But this shouldn’t come as a surprise to anyone. Sandy impacted millions of people, and did incredible damage to infrastructure and the fabric of communities, so where is it written that 364 days later everything has to be fixed? Most articles question the progress, or lack thereof and ask “what’s holding up the recovery process?” While valid, in reading those same articles I ask if anyone has stopped to consider that it may be dubbed “Long” Term Recovery for a reason, and that it could be due to the fact that holistic rehabilitation takes time.

Because recovery is unique to the community impacted, it’s tough to measure progress without benchmarks. And creating generic benchmarks can’t be done because in each community different demographic sets were impacted--differently. All you can do is track what’s been done on a timeline so that in the future you have something to measure against, to create community-specific recovery data that can be the beginnings of benchmark creation. The long-term recovery of a town or county is a herculean task, when you multiply that by the size and population density of Sandy impacted areas, the scale of recovery needed for the mid-Atlantic region borders on Sisyphean.

I don’t bring that up as a scapegoat for broken programs or inefficient bureaucracy, I bring it up because it’s easy to lose sight of the enormity of the task when reading about how “little” has been done. So instead of adding to the cacophony of damning stats and stories of those still battling the federal government for recovery dollars, I choose to look at the two schools of thought that have added to the complexity of the recovery efforts and have helped set its tempo.

The dueling narratives at work in the mid-Atlantic region are not surprising, one focused on speed and the other trying to be more thoughtful in its approach to recovery. What is surprising is how they have the ability to spur progress and what directions that progress takes.

Restore the Shore
The cries that no act of god or mother nature will keep us from our homes are common as a community dusts itself off and sets about putting the pieces of their lives back together. Following Sandy the phrase “restore the shore” was adopted across NJ and could be felt in many other coastal communities as an unofficial mantra. For NJ building back along the shore wasn’t a question, the question was how quickly it could happen. This fixation on speed was amplified by statements committing resources to building back in the midst of early recovery chaos; oftentimes these proclamations of civic hubris are more about political theater than actually implementing recovery programming, but, it fed the mentality that there was no other course than to build it back, and to do so as quickly as possible. Part of the impetus for speed is due to many of the seaside communities relying heavily on tourism to keep their doors open and the boardwalk and other nostalgic throwbacks are what draw people to the shore year after year.

When Moore, OK was struck for the 5th time in just over a decade by an EF-5 tornado, people were throwing walls and trusses together to get on with their lives as soon as they could—just as they always had. However, it was only until some questioned whether repeating the storm/construction cycle that contributed to the loss of life and property was the best course of action, and asked whether changes should be enacted to building codes to mitigate future loss of life and property, did people pump the brakes on recovery. However, in the face of intense pressure, no changes to Moore’s building codes have taken affect, so all those who have rebuilt are not subject to any changes that would make their homes more resilient in the face of the next storm. Build it back and get on with life dictated the tempo in Moore and while I don’t wish a repeat storm, I don’t know what it will take for people to wake up.
Bob Bielk/The Asbury Park Press, via Associated Press
In September of this year the rebuilt boardwalk in Seaside Park and Seaside Heights, NJ burned down taking significant sections of commercial property along with it. The cause of the blaze was faulty wiring. Investigators found that wiring that had been completely submerged by the storm surge had not been replaced and was overlooked in the rush to reopen the boardwalk. While the loss of the newly built boardwalk and iconic businesses are tragic, some believe that instead of re-rebuilding a boardwalk that would get washed away in a future storm, maybe this is would be an opportunity to explore options that preserve the shore as an economic driver while also incorporating measures that would mitigate the damage form a future storm of equal or greater magnitude. Those hoping for a pause on construction were disappointed when Governor Christie promised additional recovery dollars to be earmarked for boardwalk construction in an effort to get ready for next year’s summer season.

While getting families back in their homes and re-opening businesses are the foundational elements of community recovery, the above are two higher profile examples of how haste can work against the underlying efforts driving recovery. 

Resilient Communities
The other narrative at play, one that’s not quite as popular as it doesn’t have a catchy slogan is the idea that seaside communities have been given an opportunity to rethink their future. That instead of building back to pre-storm conditions, new construction techniques and approaches to planning can make communities less susceptible to storm surges and high wind events, while fulfilling traditional civic needs. Some, like retired coastal geologist Orrin Pilkey take a stronger stance, urging people to retreat from the coast in advance of what will be stronger storms and rising seas. While Mr. Pilkey may be in the minority, there is a growing call for substantive action on the part of those in charge to restore natural marsh and wetlands. These natural sponges absorb storm surge and many were filled in for property development. Their return would be a natural mitigation measure that would lessen future storm impacts while improving the eco-systems of coastal habitats that help drive tourism. Another well-received natural measure is the creation of dunes to mitigate the impacts of high winds and storm surge. In addition to these natural solutions, there are design contests and other actions tied to the receipt of federal dollars that are trying to shake communities out of the build it back mentality.
 
Credit: CT Audubon Society
While the resilient approach to reducing impacts of future Sandy-like storms that will be the new normal seem like the only way forward, much of the call for building resilience into recovery has only been talk up to this point.

So how do you measure the speed of recovery? And whose benchmarks are you going to use? These questions are central to how the next 12 months will play out along the mid-Atlantic region. Many homeowners just want the ability to go home and are pushing for dollars to achieve that end, while others worry that the home they go back to will be at risk the next time a storm rumbles up the east coast.

Like most things in disaster response and recovery, there is no clear way forward. It’s up to those entrusted to oversee the process to strike a balance that works in getting people back in their homes while incorporating as many mitigation measures as possible to reduce future storm impacts.

Which side makes the most sense to you? 

Monday, October 28, 2013

Slow is smooth and smooth is fast -- Sandy Recovery

Slow is Smooth and Smooth is Fast. In theory this beautifully crafted statement would be the tagline for Long Term Recovery. Unfortunately, the reality that many renters, homeowners, and municipalities face during the Long Term Recovery process can be characterized as anything but ‘smooth’ or ‘fast’. You needn’t look further than any one of the stories that the news media has published in light of Superstorm Sandy’s 1-year anniversary for evidence of this fact. Recovery dollars are delayed; homeowner’s continue to wrangle with FEMA, their insurance companies, and contractors on money owed or how best to proceed in the face of the ever-changing landscape that is Long Term Recovery on a wide scale.
 
Staten Island, NY - Midland Beach Area (Credit: Natan Dvir/Polaris)
Given the lasting social, financial, and political impacts Sandy has had on the Mid-Atlantic region, one post devoted to understanding where things stand didn’t seem appropriate. With that said, I’m going to spend this week looking at Sandy through a number of different lens and explore:

The speed of Long Term Recovery
Within hours of Sandy’s passing communities were calling to be rebuilt, urging for the expeditious return to pre-Sandy conditions. At the same time though, another narrative surfaced, one with a focus on building back stronger and smarter to create more resilient communities. These opposing views are at odds with one another and have created environments strained by competing interests, which is affecting recovery speed and responsiveness.

The Mental Impacts of Disaster
While much of the impacts of disaster are quantified by the physical damage done to communities, there are mental impacts that disaster brings that don’t get attention because they’re usually silent. The passage of Sandy was a traumatic event, creating, uncovering, and exacerbating mental illness, adding to the strain of an already difficult situation. The mental toll Sandy exacted on families already struggling isn't a story often told, but one that has impacted everyone who went through the storm in some way.

Nonprofits in Long Term Recovery
In the aftermath of response, images of armies of volunteers doing cleanup work, distributing meals, and generally giving everyone a warm fuzzy feeling were everywhere. In the interceding 12 months the volunteer interest has waned, and many of the groups that descended on the mid-Atlantic region have long since packed up and moved on. So, what role do nonprofits play this far into recovery operations? What challenges are they facing? And how is a balance struck between contractors looking for work and Nonprofits providing similar services for free?

The Future of Long Term Recovery
What have we learned, and will we as a collective conscious care when it happens again in a smaller community? Will the pressure be as intense? If every community that experiences a disaster will go through the trials and tribulations of long-term recovery, how can we make them better prepared so that the speed of recovery is no longer a problem?

The Recovery of any community is a complex and drawn out process where competing interests lobby for how recovery dollars should be spent and opposing viewpoints clash over who should be leading the efforts. While the statement: 'slow is smooth and smooth is fast' would be a great way to characterize long term recovery, until communities are stronger and better prepared for dealing with the realities of what recovery entails, they will have to remain an aspirational ideal. 

Friday, October 25, 2013

Matt Damon, Defender of the Universe

With so many charities out there it's easy to lose your way, to feel that you truly know who you're giving to and what they're do with your donation.
Source: House of Lies
That's why I'd like to introduce you to Damon's Children. Matt Damon, already known for his work in many philanthropic endeavors, is lending his name, his marksmanship, and his apparent ability to prescribe medicine to children around the world.



No stranger to getting his hands dirty, Mr. Damon has long been a staunch advocate for world health issues. His work in raising awareness around Water, Sanitation, and Hygiene issues was most notably promoted by his refusal to use a toilet. (below)

And while some may view Mr. Damon's tactics as unorthodox, with no clear connection between his unique brand of advocacy and work done on the ground I say, look at that smile, that smile wouldn't lie to you.

I would like to commend him for being so vocal, for being a visionary, and for refusing to stand behind his boyish good looks while fighting for what he believes in.

Have a good weekend.

Thursday, October 24, 2013

Surviving a blackout


When the lights went out in NYC for a few hours there were inconveniences for people and losses for business. However, it was only for a few hours and people chalked it up to a once in a lifetime experience.

While many hope that's the case, the aging power grid and books like 'One Second After' point to the potential for a more protracted "lights out" scenario. 

American Blackout is a special that National Geographic will be airing on Oct 27th that explores what a protracted blackout scenario would look like. While I don't know if I'll tune in, I did checkout the interactive website. It breaks down what a 10-day blackout scenario would look like for an individual and I think the format is something that would be interesting to see applied to the broader world of preparedness. It's engaging, interactive, and kept me clicking. 

If you want to kill some time, check it out. 

Do you know of something similar? Leave a comment below, I would like to see what else is out there. 

http://www.survivetheblackout.com/




Wednesday, October 23, 2013

Drought, Fire, and Climate Change?

Earlier this year I posted on an unprecedented firestorm that overtook Tasmanian towns in "Fire on the Mountain." What was astounding about that event was the fact that there was nothing anyone could do to "fight" that blaze; the wind, the soaring temperatures, and the aggressive nature of the fire were more than conventional firefighting tactics could handle, and as such, the only thing people could do was to get out of the way and let it burn.

Six days ago what started as fires in the brush and farm lands around the Blue Mountains of New South Wales (NSW), a national park area roughly 60 miles from the heart of downtown Sydney, has mutated into 60 fires with 18 of them uncontained thanks to high winds, high temps, and low humidity. In addition to the environmental factors fanning the flames, the topography of the mountainous area in question and the high density of volatile eucalyptus, or "gasoline trees," are adding to the challenges of keeping an ever expanding fire front under control.
NSW brushfire 10.21.2013             Source: Brisbanetimes
And while all signs point to the an unholy trinity of environmental factors: high heat, low humidity, and high wind for fanning the flames of the current situation, Andy Pitman from the University of New South Wales believes that climate change is the cause of this current emergency and not the coincidental alignment of environmental factors. Pitman asserts that the 2nd warmest winter on record in NSW, part of Australia's warmest 12 month period created the environment in which the fires are thriving and that there is probably a larger link to climate change. Regardless of the root cause, Rural Fire Services Commissioner Shane Fitzsimmons just wants it to end.

Wednesday Morning (AEDT) Rural Fire Service Media Briefing:



So the big question is...if fires have been a way of life in Australia for decades, would it not make sense to create a map based on fire behavior and historical fire data to inform where and how homes are built in the future? Like all large disasters, the cleanup and restoration of areas are often partially subsidized with taxpayer dollars. While you can't predict where a fire will start, I believe there is enough data to inform the designation of high risk areas where it would be likely to spread and why. Based on this information couldn't mapping of "red zones" or off-limit areas be compiled to not only reduce the scope of these destructive events, but to also alleviate some of the taxpayer burden, and reduce the anxiety of living in fear of fire?

Monday, October 21, 2013

The Bohol quake is about more than churches

October 17th marked the day of the Shakeout, an opportunity for people to run through the motions of an earthquake scenario to see how they would react in the event of a quake.

Last Thursday's simulation was made a lot more real in light of the 7.2 quake that shook the Philippines two days prior. In the last week there have been over 1900 aftershocks keeping tensions high and people on alert. The story that emerged from the Philippines in the days immediately following the quake was the damage done to many of the historic churches that dot the archipelago of islands. However, the human and community toll is just beginning to come into focus.

To give you an idea, the power released during a magnitude 7 earthquake is equivalent to that of 32 Million Tons of TNT; the largest US test of a Thermonuclear device only yielded the power of a Magnitude 6.0 Quake:
Thermonuclear blast from 'Castle Bravo Test' equivalent to 6.0 Quake
And while the Philippines is no stranger to shaking, having a front row seat along the Ring of Fire, coming on the heels of typhoon after typhoon affecting the north island of Luzon (think Manila), the country was already dealing with more than one crisis that has stretched the capacity and resources of its response capabilities.

Given the increasing impact and broadening of scope the quake has had on public/private enterprises and infrastructure, the Philippines isn't turning away the offers of international aid. However, in order to effectively utilize those offers of help, an understanding of the full scope of the quake remains the top priority. According to the latest sitrep from the National Disaster Risk Reduction and Management Council:
  • 186 are dead | 583 injured | 11 missing
  • Out of more than 600,000 families affected, 80,000+ have been displaced
  • Shelter populations: 96 Evacuation Shelters house 22,113 families
  • 45,641 homes have been damaged (10,020 destroyed / 35,621 partially damaged)
The sitrep is extremely detailed and while these numbers remain in a quasi-fluid state, given that its been less than a week and some of the areas have been cut off until recently, having detailed situational awareness early on will help focus attention and resources on areas where the needs remain acute.

The Digital Rumor Mill

As was probably the case in India leading up to Phailin's landfall, the challenge of dealing with misinformation via social networks and SMS chains remains a challenge for those managing preparedness and recovery efforts. Philstar.com reported this message causing panic and confusion:



While subsequent messaging from government agencies was sent to refute this message as well as the rumors of a new Volcano forming in the region, unease among residents trying to begin on their road to recovery remains present.

In the face of the disaster rumor mill, ongoing aftershocks, remote areas continuing to need immediate assistance, and the capital city reeling from an intense Typhoon season, those who are responsible for dealing with the aftermath of last week's temblor have their work cut out for them.

After looking at what's happened and continues to happen to the people of the Philippines, waiting and wondering when the ground will settle down...I wonder if those who participated in the Shakeout drills considered how they would deal with a lack of information and what they could do to help prepare mentally for something so unexpected.

For those who have been impacted and those who are there to help, be safe.