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Disabled People Left Behind in Emergencies

By Megan Tady, The NewStandard. Posted August 21, 2006.


Right now, there is no standardized federal preparedness plan for disabled people, so when a Katrina-level disaster strikes again, many will be left in the cold.

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During Hurricane Katrina, Benilda Caixeta, a New Orleans resident with quadriplegia, tried for two days to seek refuge at the Superdome. Despite repeated phone calls to authorities, help never arrived for Caixeta. Days later, she was found dead in her apartment, floating next to her wheelchair.

"Benilda need not have drowned," testified Marcie Roth before the US House of Representatives Bipartisan Disabilities Caucus in November 2005. Roth, executive director of the National Spinal Cord Injury Association, had personally placed calls to prompt Caixeta's evacuation.

"People with disabilities are not in good hands," Roth said.

While there are no concrete estimates of how many people with disabilities died as a result of Hurricane Katrina, 71 percent of the 1,330 victims were older than 60, according to a 2006 report by the White House, suggesting people with special needs suffered disproportionately.

Disabled-rights activists have been calling for inclusive disaster-preparedness plans for years -- from wheelchair-accessible transportation to closed-caption emergency messages on television. But despite some progress on both the federal and state levels, and even a 2004 Executive Order to strengthen preparedness plans to serve people with disabilities, critics say recent disasters illustrate how disabled people are still being left out of evacuation plans.

The Americans with Disabilities Act (ADA) of 1990 requires that emergency preparedness and response programs be accessible to people with disabilities. But critics say there is currently no standardized federal preparedness plan for disabled people, and many state and local emergency management offices do not have appropriate plans in place to account for special needs.

"There isn't ownership clearly defined by the federal government as to who is responsible for disability planning," Hilary Styron, director of the Emergency Preparedness Initiative for the National Organization on Disability, told The NewStandard.

While President Bush's executive order created the Interagency Coordinating Council on Emergency Preparedness and Individuals with Disabilities, the council is only instructed to "encourage" state and local jurisdictions to consider special needs in its planning.

The ADA defines a disability as a "physical or mental impairment that substantially limits one or more of the major life activities of such individual." There are an estimated 50 million people living with disabilities in the United States.

Disabled-rights advocates say traditional evacuation plans, which often rely on at least some walking, driving, seeing and hearing, are not appropriate for many people with disabilities. Activists have been pushing for more responsive plans, and for governments to include people with disabilities and their advocates in the planning process. Although some states have adopted measures that have begun to account for the needs of people with disabilities, such as a reverse 9-1-1 system and more accurate records on the locations of people with disabilities, gaps still exist.

Styron said emergency managers have difficulty planning for people with disabilities because there is no "one-size-fits-all approach."

She also said many states have seen emergency management funding cut in recent years. According to the National Emergency Management Association, a national nonprofit that produces the only report to examine state-level emergency management funding, there is currently a $246 million shortfall in the government's Emergency Management Performance Grant Program. The program is the primary federal funding source for states and local jurisdictions' emergency management programs.

A three-year study completed in 2006 by the Research and Training Center on Independent Living at the University of Kansas investigated 30 randomly selected counties, cities or boroughs in the US that had recently experienced a natural or man-made disaster. Researchers found that only 20 percent of the emergency managers had specific guidelines to assist people with mobility impairments during emergencies.

Additionally, the study discovered that 57 percent of emergency managers did not know how many people with mobility impairments lived in their jurisdiction, and only 27 percent of managers reported completing a course offered by FEMA to help emergency responders understand the needs of people with disabilities. "People [with disabilities] are being left behind," said Cat Rooney, project coordinator for the study.

FEMA and emergency management offices in Louisiana, Arizona, Florida, California and Delaware that were part of the University study, did not return TNS interview requests.

Disability un-preparedness

Jeanne Abide, complaints specialist for the Advocacy Center, a disabled-rights organization in New Orleans, said there simply was not appropriate assistance for people with disabilities after the hurricane. According to the National Council on Disability, 155,000 residents living in the three cities hardest hit by Katrina -- Biloxi, Mississippi; Mobile, Alabama; and New Orleans -- were disabled and over the age of five.


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View:
bushies
Posted by: rsaxto on Aug 21, 2006 3:42 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If the Bushies would stop making so many disabled veterans in their illegal/immoral wars, that would help the disabled situation considerably by making less people to treat and less money thrown away on ghastly wars.

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» RE: bushies Posted by: lakelady91
» RE: bushies Posted by: sheena2u
medical disabilities go furter then weelchairs
Posted by: ellie on Aug 21, 2006 4:48 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I always go back to the little girl in the superdome who was comatose. a nurse, another evacuee, luckly was nearby and recognized what was going on. the media filmed the nurse screaming for insulin and majically it appeared along with a syringe. never did find out if the little girl made it.


type 1 diabetics are more likely to die during an evacuation because of not being able to access insulin. it isn't needed just when you eat, but all the time. did the red cross or fema ever think of this one

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These things must not happen again
Posted by: sheena2u on Aug 21, 2006 5:14 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I very much appreciate that a 2004 Executive Order was made which strengthens preparedness plans for people with disabilities. I commend and thank the president for taking that step, but it is time for more follow through.

In the meantime, I urge caregivers to take all possible steps to better respond during any large emergency. Long before an emergency situation occurs, notify the local fire department, emergency responders, and Red Cross that a person with disabilities lives in the home. This can help responders act more quickly when an emergency arises. Have a backpack with emergency supplies on hand for the person in case a quick evacuation is necessary. Get a NOAA radio. Some are appropriate for hearing impaired. They can give advance warning of a weather emergency before it comes on the news programs. Be sure you have good First Aid and CPR skills. Have emergency numbers, and a health directive for the person, ready and accessible. Do everything you can, now, to provide a plan of action in the event no outside help is available during an emergency. Responders can be overwhelmed with other calls during a widespread emergency situation.

In preparedness booklets it is recommended to keep an emergency supply of medicine on hand. However, pharmacies are prohibited from dispensing more than a small supply of certain medications at any one time. This is an unfortunate obstacle to providing care to the individual in an emergency. And, it is unacceptable for any companion work animal to be separated from the person who depends on their help to survive. These are things that must change.

I support activism by those affected with these challenges. I also urge all interested, and caring, neighbors and friends to get involved. Take steps to assure that our brothers and sisters with special needs are not, tragically, left without help, and forced to die as a result.

I understand many people were left in holding areas on the sixth floor in the towers on 9/11. They were taken to the holding area, and told to wait for help to come. They waited, but help never came. The firefighters did not know they had been there until it was too late. Insufficient steps had been taken ahead of time to assure their safety and survival. If there had been only a building fire, they would have been alright. But, a total building evacuation was necessary, and no one planned ahead for this. No one had planned for a wide enough range of emergencies. This must change.

There were the numerous reports of people in nursing homes, during Katrina, dying because the electricity was cut off, or because they were not evacuated in time. People with special needs must be the first to be evacuated, considered, and attended to. Many elderly clients drowned in their beds. This is an intolerable tragedy. I call on all caring and interested people to push for changes, and for follow through on this issue.

We must take steps to provide for our most vulnerable citizens. How would we feel if we had their disabilities, and we were the ones needing help? We must not allow these things to happen to people who are just like us except they cannot hear, or see, or judge for themselves, or move independenly or easily.

I hope we will move quickly to do everything possible to make sure these things do not happen again in the future.

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It Isn't Just During Emergencies
Posted by: glorybe on Aug 21, 2006 2:20 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
People with disabilities are poorly served at all times not just after a natural disaster. For example just how could a type I diabetic keep his insulin both at hand and refrigerated if he were homeless?
Have you ever seen a feeding center for seniors or the poor that cooked or handed out food for diabetics or any other people with strict medical diets?
How about heart patients that can't tolerate much heat or cold? Many areas will not provide either housing or utilities for such people. Cancer patients dieing in the bushes in Florida aren't all that uncommon. People are dieing simply because they can't afford chemotherapy and yet the government pretends that great efforts are being made. Bullshit!

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A very important issue
Posted by: badkitty on Aug 21, 2006 3:54 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
As a member of my company's emergency response team, you have no idea how grateful I am that we have no employees with mobility problems. The hallways are filled with racks of clothes and periodically the fire department comes and hands out citations for this. Someone in a wheelchair couldn't make it down some of our hallways on a bad day. I keep water and crackers and peanut butter at my desk just in case we're stuck here for a while after an earthquake, but when I asked at a safety meeting if I should find out if anyone I worked with had diabetes or some other issue, I was told not to ask because that is a "privacy issue". That kind of puts any special care (food, insulin) in the hands of one of our vice presidents who is now on insulin. Personally, I'd like to know if anyone in my group has medical issues. I can't help if I don't know...

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Pack your own parachute, crips!
Posted by: coalbanks on Aug 30, 2006 1:51 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If you do not trust the gov't agencies to take care of you, or are realistic enough to understand that under some circumstances they just will not be able to help you: PACK YOUR OWN PARACHUTE!. In other words, take responsibility for your own emergencey plan; 1) DO NOT LIVE IN A HURRICANE ZONE! BUT IF YOU MUST, TRY TO PREPARE WITH CANNED FOOD, BOTTLED WATER, FLASHLIGHTS, MEDICINE, etc. Easy to say if you have the $ to prepare an emergancy package & the ability to use it on your own & the disaster does not destroy it or strand you somewhere else, but as your life depends on it you might give it a shot. 2) PREPARE TO DIE: pills, gun, razor, or you could just let nature kill you, maybe more acceptable on a moral stance but generally slower & usually more painful than suicide. Easy for me to say: I have the ability/means to poison, or open my arteries, some do not. Enough of this rant except to say we all/each have a responsibility to ourselves to do as much as possible for ourselves because when the crap hits the fan it is usually a case of everyone taking care of themselves & tough for those who can't. Happy Hurricane Season. Meanwhile I had better get prepared for winter.

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