Community Disaster Preparedness

Transcription

1 Community Disaster Preparedness Washington Township Fire Department 6200 Eiterman Road Dublin, Ohio FAX

2 Washington Township Fire Department 6200 Eiterman Road Dublin, Ohio FAX Community Disaster Preparedness Disasters can strike quickly and without warning. They can force you to evacuate your neighborhood or confine you to your home. What would you do if basic services, water, gas, electricity or telephones were cut off? Local officials and relief workers will be on the scene after a disaster, but they cannot reach everyone right away. Families can and do cope with disaster by preparing in advance and working together as a team. Follow the steps listed below to create your family's disaster plan. Knowing what to do is your best protection and YOUR responsibility. The disasters identified in the Washington Township Emergency Operations Plan as most probable for our region are: Chemical Emergency Public Health Crisis Thunder Storm Tornado Winter Storm Information on how to prepare for each type of disaster is included in this document. Ask about the disaster plans at your workplace, your children s school or daycare center and other places where your family spends time. Find out how to help elderly or disabled persons. Preparing Makes Sense Get Ready Now 2

3 Table of Contents Table of Contents... 3 Make a Plan... 6 Family Communications Plan... 6 Emergency Information... 6 Emergency Plans... 6 Emergency Preparedness Checklist... 7 Make a Kit... 8 Recommended Items to Include in a Basic Emergency Supply Kit:... 8 Additional Items to add to your kit:... 9 Water Food Clean Air Other Barriers HEPA (High Efficiency Particulate Air Filtration) Filter Fans First Aid Kit Things you should have: Things it may be good to have: Non-prescription drugs: Unique Family Needs For Baby: For Adults: Seniors Create a Support Network Additional Supplies and Documents Disabled and Special Needs For People with Disabilities: More Information Pets Deciding to Stay or Go Staying Put To "Shelter in Place and Seal the Room" Utilities Learn how and when to turn off utilities: Evacuating Create an evacuation plan: At Work and School Schools and Daycare Workplaces Neighborhoods and Apartment Buildings In a High-Rise Building In a Moving Vehicle Biological Threat Preparing Makes Sense Get Ready Now 3

4 If There is a Biological Threat During a declared biological emergency: If you are potentially exposed: If you become aware of an unusual and suspicious substance nearby: Antibiotics Use Common Sense Chemical Threat Earthquakes Prepare for Earthquakes Plan to act Quickly Explosions If There is an Explosion If There is a Fire following the explosion If You Are Trapped in Debris Extreme Heat Fires Take Protective Measures Before a Fire Preventing fire During a Fire After a Fire For More Information Floods Prepare for Flooding Plan to Evacuate a flood Stay Informed Hurricanes Prepare for Hurricanes Plan to Evacuate Stay informed Influenza Pandemic More Information Nuclear Threat If there is advanced warning of an attack If there is no warning Radiation Threat If There is a Radiation Threat or "Dirty Bomb" Thunderstorms and Lightning Preparing for a Thunderstorm and Lightning Have a Thunderstorm Plan Stay Informed Tornadoes Prepare for a Tornado Plan to Take Shelter Stay Informed Wildfires Preparing Makes Sense Get Ready Now 4

5 Stay Informed Winter Storms and Extreme Cold Prepare for Winter Weather Make a Plan Stay Informed Check Lists First Aid Supplies Medicine Kit Supplies, Non-Prescription and Prescription Sanitation and Hygiene Supplies Equipment and Tools Food and Water Clothes and Bedding Supplies Documents and Keys Reminders Be Informed References Preparing Makes Sense Get Ready Now 5

6 Make a Plan Family Communications Plan Your family may not be together when disaster strikes, so plan how you will contact one another and review what you will do in different situations. It may be easier to make a long-distance phone call than to call across town, so an out-of-town contact may be in a better position to communicate among separated family members. Be sure every member of your family knows the phone number and has coins, a cellular phone or a prepaid phone card to call the emergency contact. You may have trouble getting through, or the telephone system may be down altogether, but be patient. Emergency Information Find out what kinds of disasters, both natural and man-made, are most likely to occur in your area and how you will be notified. Methods of getting your attention vary from community to community. One common method is to broadcast via emergency radio and TV broadcasts. You might hear a special siren, get a telephone call, or emergency workers may go door-to-door. Emergency Plans You may also want to inquire about emergency plans at places where your family spends time: work, daycare and school. If no plans exist, consider volunteering to help create one. Talk to your neighbors about how you can work together in the event of an emergency. You will be better prepared to safely reunite your family and loved ones during an emergency if you think ahead and communicate with others in advance. Read more in the School and Workplace section. Preparing Makes Sense Get Ready Now 6

7 Emergency Preparedness Checklist Post emergency telephone numbers by phones (fire, police, ambulance, etc.) Install smoke detectors on each level of your home, especially near bedrooms Conduct a home hazard hunt Stock emergency supplies and assemble a Disaster Supplies Kit Take a first aid and CPR class Find the safe spots in your home for each type of disaster Test your smoke detectors monthly and change the batteries every six months when clocks are set for daylight savings time Quiz your kids every six months so they remember what to do Conduct fire and emergency evacuation drills Replace stored water every three months and stored food every six months. Test and recharge your fire extinguisher(s) according to manufacturer s instructions Teach children how and when to call 911 or your local Emergency Medical Services number for emergency help Show each family member how and when to turn off the water, gas and electricity at the main switches Check if you have adequate insurance coverage Teach each family member how to use the fire extinguisher (ABC type), and show them where it s kept Determine the best escape routes from your home. Find two ways out of each room Preparing Makes Sense Get Ready Now 7

8 Make a Kit When preparing for a possible emergency situation, it's best to think first about the basics of survival: fresh water, food, clean air and warmth. Recommended Items to Include in a Basic Emergency Supply Kit: Water- one gallon of water per person per day for at least three days, for drinking and sanitation Food- at least a three-day supply of non-perishable food Battery-powered or hand crank radio and a NOAA Weather Radio with tone alert and extra batteries for both Flashlight and extra batteries First aid kit Whistle to signal for help Dust mask- to help filter contaminated air and plastic sheeting and duct tape to shelter-in-place Moist towelettes- garbage bags and plastic ties for personal sanitation Wrench or pliers to turn off utilities Can opener for food (if kit contains canned food) Local maps Preparing Makes Sense Get Ready Now 8

9 Additional Items to add to your kit: Prescription medications and glasses Infant formula and diapers Pet food and extra water for your pet Important family documents such as copies of insurance policies, identification and bank account records in a waterproof, portable container Cash or traveler's checks and change Emergency reference material such as a first aid book or information from Sleeping bag or warm blanket for each person. Consider additional bedding if you live in a cold-weather climate. Complete change of clothing including a long sleeved shirt, long pants and sturdy shoes. Consider additional clothing if you live in a cold-weather climate. Household chlorine bleach and medicine dropper When diluted nine parts water to one part bleach, bleach can be used as a disinfectant. Or in an emergency, you can use it to treat water by using 16 drops of regular household liquid bleach per gallon of water. Do not use scented, color safe or bleaches with added cleaners. Fire extinguisher Matches in a waterproof container Feminine supplies and personal hygiene items Mess kits, paper cups, plates and plastic utensils, paper towels Paper and pencil Books, games, puzzles or other activities for children Preparing Makes Sense Get Ready Now 9

10 Water One gallon of water per person per day, for drinking and sanitation Children, nursing mothers, and sick people may need more water. If you live in a warm weather climate more water may be necessary. Store water tightly in clean glass or plastic containers such as soft drink bottles. Keep at least a three-day supply of water per person. Purifying Your Tap Water Any water that you make up yourself needs to be treated. If left untreated over time, it becomes contaminated with bacteria and algae. 9 DROPS OF PURE UNSCENTED LIQUID BLEACH PER GALLON OF WATER WILL REDUCE THE CONTAMINANTS IN THE WATER ADD THE BLEACH WHEN YOU FIRST STORE THE WATER AWAY NOTE: ROTATE YOUR WATER EVERY SIX MONTHS (This includes the 1- and 2- gallon sealed bottles purchased at the store, and the supply you made up from tap water with bleach added.) Another source of water is the hot water heater. Every water heater has a drain valve near the bottom. GETTING THE WATER OUT OF YOUR WATER HEATER: Use extreme caution. Let the water cool. Turn off the cold water supply to the tank Turn off the gas or electric heater for the tank Open the drain valve at the bottom REMEMBER: Some sediment at the bottom of the tank may at first make water flowing out look murky. Continue to drain water until it becomes clear. OTHER SOURCES OF WATER IN YOUR HOME Toilet Water Storage Tank. NOTE: Use the water from the Storage Tank - NOT THE TOILET BOWL (Don t drink the water if you use coloring or chemicals in it) Melted Ice Cubes are a source of water Water-Packed Can Goods (even syrups are mostly water) Water Trapped In Home Piping. Water can be removed by locating and shutting off the main water valve. Then, open the valve at the highest point of your property (i.e., shower head, especially on the 2nd floor). Then, when you open the valve at the lowest point, gravity will force the water from the pipes. Preparing Makes Sense Get Ready Now 10

11 IF THE PURITY OF YOUR WATER SOURCE IS QUESTIONABLE, USE THE FOLLOWING METHODS TO MAKE THE WATER SAFE TO DRINK: BEST! Add Liquid Chlorine Beach to the water (9 drops per gallon of water. Double this dose if the water is cloudy.) OR GOOD! Add 2% Tincture of Iodine to the water (12 drops per gallon of water. Double this dose if the water is cloudy.) OR ACCEPTABLE! Boil the water vigorously (5 min. at sea level, adding an extra minute for every 1000 feet above sea level. Double this time if the water is cloudy.) AND Don't forget to clean and sanitize your food and water containers before using them. Wash with soap and water then fill with a 10% bleach solution. After 5 min. empty the bleach solution and let air dry AND Water that is dirty should first be strained through a coffee filter, cheesecloth, or a paper towel to remove suspended matter. Preparing Makes Sense Get Ready Now 11

12 Food Store at least a three-day supply of non-perishable food. Select foods that require no refrigeration, preparation or cooking and little or no water. Pack a manual can opener and eating utensils. Avoid salty foods, as they will make you thirsty. Choose foods your family will eat. Ready-to-eat canned meats, fruits and vegetables Protein or fruit bars Dry cereal or granola Peanut butter Dried fruit Nuts Crackers Canned juices Non-perishable pasteurized milk High energy foods Vitamins Food for infants Comfort/stress foods Preparing Makes Sense Get Ready Now 12

13 Clean Air Some potential emergencies could send tiny microscopic "junk" into the air. For example flooding could create airborne mold which could make you sick and an explosion may release very fine debris that can cause lung damage. A biological terrorist attack may release germs that can make you sick if inhaled or absorbed through open cuts. Many of these agents can only hurt you if they get into your body, so think about creating a barrier between yourself and any contamination. Nose and Mouth Protection Face masks or dense-weave cotton material, that snugly covers your nose and mouth and is specifically fit for each member of the family. Do whatever you can to make the best fit possible for children. Be prepared to improvise with what you have on hand to protect your nose, mouth, eyes and cuts in your skin. Anything that fits snugly over your nose and mouth, including any dense-weave cotton material, can help filter contaminants in an emergency. It is very important that most of the air you breathe comes through the mask or cloth, not around it. Do whatever you can to make the best fit possible for children. There are also a variety of face masks readily available in hardware stores that are rated based on how small a particle they can filter in an industrial setting. Given the different types of emergencies that could occur, there is not one solution for creating a barrier between yourself and any contamination in the air. For instance, simple cloth face masks can filter some of the airborne "junk" or germs you might breathe into your body, but will probably not protect you from chemical gases. Still, something over your nose and mouth in an emergency is better than nothing. Limiting how much "junk" gets into your body may impact whether or not you get sick or develop disease. Other Barriers Heavyweight plastic garbage bags or plastic sheeting Duct tape Scissors There are circumstances when staying put and creating a barrier between yourself and potentially contaminated air outside, a process known as "shelter-in-place," is a matter of survival. You can use these things to tape up windows, doors and air vents if you need to seal off a room from outside contamination. Consider precutting and labeling these materials. Anything you can do in advance will save time when it counts. Preparing Makes Sense Get Ready Now 13

14 Use available information to assess the situation. If you see large amounts of debris in the air, or if local authorities say the air is badly contaminated, you can use these things to tape up windows, doors and air vents if you need to seal off a room. Read more: Deciding to Stay or Go. HEPA (High Efficiency Particulate Air Filtration) Filter Fans Once you have sealed a room with plastic sheeting and duct tape you may have created a better barrier between you and any contaminants that may be outside. However, no seal is perfect and some leakage is likely. In addition to which, you may find yourself in a space that is already contaminated to some degree. Consider a portable air purifier, with a HEPA filter, to help remove contaminants from the room where you are sheltering. These highly efficient filters have small sieves that can capture very tiny particles, including some biological agents. Once trapped within a HEPA filter contaminants cannot get into your body and make you sick. While these filters are excellent at filtering dander, dust, molds, smoke, biological agents and other contaminants, they will not stop chemical gases. Some people, particularly those with severe allergies and asthma, use HEPA filters in masks, portable air purifiers as well as in larger home or industrial models to continuously filter the air. Preparing Makes Sense Get Ready Now 14

15 First Aid Kit In any emergency a family member or you yourself may be cut, burned or suffer other injuries. If you have these basic supplies you are better prepared to help your loved ones when they are hurt. Remember, many injuries are not life threatening and do not require immediate medical attention. Knowing how to treat minor injuries can make a difference in an emergency. Consider taking a first aid class, but simply having the following things can help you stop bleeding, prevent infection and assist in decontamination. Things you should have: Two pairs of Latex, or other sterile gloves (if you are allergic to Latex). Sterile dressings to stop bleeding. Cleansing agent/soap and antibiotic towelettes to disinfect. Antibiotic ointment to prevent infection. Burn ointment to prevent infection. Adhesive bandages in a variety of sizes. Eye wash solution to flush the eyes or as general decontaminant. Thermometer Prescription medications you take every day such as insulin, heart medicine and asthma inhalers. You should periodically rotate medicines to account for expiration dates. Prescribed medical supplies such as glucose and blood pressure monitoring equipment and supplies. Things it may be good to have: Cell Phone Scissors Tweezers Tube of petroleum jelly or other lubricant Non-prescription drugs: Aspirin or non-aspirin pain reliever Anti-diarrhea medication Antacid (for upset stomach) Laxative Preparing Makes Sense Get Ready Now 15

16 Unique Family Needs Remember the unique needs of your family members when making your emergency supply kit and family emergency plan. For Baby: Formula Diapers Bottles Powdered milk Medications Powder Moist towelettes Diaper rash ointment For Adults: Ask your doctor about storing prescription medications such as heart and high blood pressure medication, insulin and other prescription drugs. Denture needs Contact lenses and supplies Extra eye glasses Preparing Makes Sense Get Ready Now 16

17 Seniors Each person's needs and abilities are unique, but every individual can take important steps to prepare for all kinds of emergencies and put plans in place. By evaluating your own personal needs and making an emergency plan, you can be better prepared for any situation. A commitment to planning today will help you prepare for any emergency situation. Preparing makes sense. Get ready now. Consider how a disaster might affect your individual needs. Plan to make it on your own, at least for a period of time. It's possible that you will not have access to a medical facility or even a drugstore. Identify what kind of resources you use on a daily basis and what you might do if they are limited or not available. Get an emergency supply kit. If you must evacuate, take your pets with you, if possible. However, if you are going to a public shelter, it is important to understand that animals may not be allowed inside. Plan in advance for shelter alternatives that will work for both you and your pets; consider loved ones or friends outside of your immediate area who would be willing to host you and your pets in an emergency. Create a Support Network If you anticipate needing assistance during a disaster talk to family, friends and others who will be part of your personal support network. Write down and share each aspect of your emergency plan with everyone in your support network. Make sure everyone knows how you plan to evacuate your home or workplace and where you will go in case of a disaster. Make sure that someone in your local network has an extra key to your home and knows where you keep your emergency supplies. Teach those who will help you how to use any lifesaving equipment, administer medicine in case of an emergency. Practice your plan with those who have agreed to be part of your network. Preparing Makes Sense Get Ready Now 17

18 Additional Supplies and Documents Medications and Medical Supplies If you take medicine or use a medical treatment on a daily basis, be sure you have what you need to make it on your own for at least a week, maybe longer. Make a list of prescription medicines including dosage, treatment and allergy information. Talk to your pharmacist or doctor about what else you need to prepare. If you undergo routine treatments administered by a clinic or hospital or if you receive regular services such as home health care, treatment or transportation, talk to your service provider about their emergency plans. Work with them to identify back-up service providers and incorporate them into your personal support network. Consider other personal needs such as eyeglasses, hearing aids and hearing aid batteries, wheelchair batteries, and oxygen. Emergency Documents Include copies of important documents in your emergency supply kits such as family records, medical records, wills, deeds, social security number, charge and bank accounts information and tax records. Have copies of your medical insurance and Medicare cards readily available. Keep a list of the style and serial number of medical devices or other lifesustaining devices. Include operating information and instructions. Make sure that a friend or family member has copies of these documents. Include the names and contact information of your support network, as well as your medical providers. If you have a communication disability, make sure your emergency information notes the best way to communicate with you. Keep these documents in a water proof container for quick and easy access. Preparing Makes Sense Get Ready Now 18

19 Disabled and Special Needs For People with Disabilities: Create a support network to help in an emergency. Tell these people where you keep your emergency supplies. Give one member of your support network a key to your house or apartment. Contact your city or county government's emergency information management office. Many local offices keep lists of people with disabilities so they can be located quickly in a sudden emergency. Wear medical alert tags or bracelets to help identify your disability. If you are dependent on dialysis or other life sustaining treatment, know the location and availability of more than one facility. Show others how to operate your wheelchair. Know the size and weight of your wheelchair, in addition to whether or not it is collapsible, in case it has to be transported. Additional Supplies for People with Disabilities: o Prescription medicines, list of medications including dosage, list of any allergies. o Extra eyeglasses and hearing-aid batteries. o Extra wheelchair batteries, oxygen. o Keep a list of the style and serial number of medical devices. o Medical insurance and Medicare cards. o List of doctors, relatives or friends who should be notified if you are hurt. More Information For information and tools related to emergency preparedness for persons with disabilities, visit Preparing Makes Sense Get Ready Now 19

20 Pets If you are like millions of animal owners nationwide, your pet is an important member of your household. The likelihood that you and your animals will survive an emergency such as a fire or flood, tornado or terrorist attack depends largely on emergency planning done today. Some of the things you can do to prepare for the unexpected, such as assembling an animal emergency supply kit and developing a pet care buddy system, are the same for any emergency. Whether you decide to stay put in an emergency or evacuate to a safer location, you will need to make plans in advance for your pets. Keep in mind that what's best for you is typically what's best for your animals. If you must evacuate, take your pets with you if possible. However, if you are going to a public shelter, it is important to understand that animals may not be allowed inside. Plan in advance for shelter alternatives that will work for both you and your pets. Make a back-up emergency plan in case you can't care for your animals yourself. Develop a buddy system with neighbors, friends and relatives to make sure that someone is available to care for or evacuate your pets if you are unable to do so. Be prepared to improvise and use what you have on hand to make it on your own for at least three days, maybe longer. Preparing Makes Sense Get Ready Now 20

21 Deciding to Stay or Go Depending on your circumstances and the nature of the attack, the first important decision is whether you stay put or get away. You should understand and plan for both possibilities. Use common sense and available information, including what you are learning here, to determine if there is immediate danger. In any emergency, local authorities may or may not immediately be able to provide information on what is happening and what you should do. However, you should monitor TV or radio news reports for information or official instructions as they become available. If you're specifically told to evacuate or seek medical treatment, do so immediately. Staying Put Whether you are at home, work or elsewhere, there may be situations when it's simply best to stay where you are and avoid any uncertainty outside. There are other circumstances when staying put and creating a barrier between yourself and potentially contaminated air outside, a process known as "sealing the room," is a matter of survival. Use available information to assess the situation. If you see large amounts of debris in the air, or if local authorities say the air is badly contaminated, you may want to take this kind of action. The process used to seal the room is considered a temporary protective measure to create a barrier between you and potentially contaminated air outside. It is a type of sheltering in place that requires preplanning. Preparing Makes Sense Get Ready Now 21

22 To "Shelter in Place and Seal the Room" Bring your family and pets inside. Lock doors, close windows, air vents and fireplace dampers. Turn off fans, air conditioning and forced air heating systems. Take your emergency supply kit unless you have reason to believe it has been contaminated. Go into an interior room with few windows, if possible. Seal all windows, doors and air vents with plastic sheeting and duct tape. Consider measuring and cutting the sheeting in advance to save time. Be prepared to improvise and use what you have on hand to seal gaps so that you create a barrier between yourself and any contamination. Local authorities may not immediately be able to provide information on what is happening and what you should do. However, you should watch TV, listen to the radio or check the Internet often for official news and instructions as they become available. Preparing Makes Sense Get Ready Now 22

23 Utilities Learn how and when to turn off utilities: If there is damage to your home or you are instructed to turn off your utilities: Locate the electric, gas and water shut-off valves. Keep necessary tools near gas and water shut-off valves. Teach family members how to turn off utilities. If you turn the gas off, a professional must turn it back on. Do not attempt to do this yourself. Preparing Makes Sense Get Ready Now 23

24 Evacuating There may be conditions under which you will decide to get away, or there may be situations when you are ordered to leave. Plan how you will assemble your family and anticipate where you will go. Choose several destinations in different directions so you have options in an emergency. Create an evacuation plan: Plan places where your family will meet, both within and outside of your immediate neighborhood. If you have a car, keep a half tank of gas in it at all times in case you need to evacuate. Become familiar with alternate routes and other means of transportation out of your area. If you do not have a car, plan how you will leave if you have to. Take your emergency supply kit unless you have reason to believe it has been contaminated. Lock the door behind you. Take your pets with you, but understand that only service animals may be permitted in public shelters. Plan how you will care for your pets in an emergency. If time allows: Call or the "out-of-state" contact in your family communications plan. Tell them where you are going. If there is damage to your home and you are instructed to do so, shut off water, gas and electricity before leaving. Leave a note telling others when you left and where you are going. Check with neighbors who may need a ride. Preparing Makes Sense Get Ready Now 24

25 At Work and School Like individuals and families, schools, daycare providers, workplaces, neighborhoods and apartment buildings should all have site-specific emergency plans. Ask about plans at the places where your family spends the most time: work, school and other places you frequent. If none exist, consider volunteering to help develop one. You will be better prepared to safely reunite your family and loved ones during an emergency if you think ahead, and communicate with others in advance. Schools and Daycare If you are a parent, or guardian of an elderly or disabled adult, make sure schools and daycare providers have emergency response plans. Ask how they will communicate with families during a crisis. Ask if they store adequate food, water and other basic supplies. Find out if they are prepared to "shelter-in-place" if need be, and where they plan to go if they must get away. For more information on developing emergency preparedness plans for schools, please visit the U.S. Department of Education at Workplaces If you are an employer, make sure your workplace has a building evacuation plan that is regularly practiced. Visit Ready Business for more information. Take a critical look at your heating, ventilation and air conditioning system to determine if it is secure or if it could feasibly be upgraded to better filter potential contaminants, and be sure you know how to turn it off if you need to. Think about what to do if your employees can't go home. Make sure you have appropriate supplies on hand. For more information on working together, visit Preparing Makes Sense Get Ready Now 25

26 Neighborhoods and Apartment Buildings A community working together during an emergency makes sense. Talk to your neighbors about how you can work together during an emergency. Find out if anyone has specialized equipment like a power generator, or expertise such as medical knowledge, that might help in a crisis. Decide who will check on elderly or disabled neighbors. Make back-up plans for children in case you can't get home in an emergency. Sharing plans and communicating in advance is a good strategy. Preparing Makes Sense Get Ready Now 26

27 In a High-Rise Building Note where the closest emergency exit is. Be sure you know another way out in case your first choice is blocked. Take cover against a desk or table if things are falling. Move away from file cabinets, bookshelves or other things that might fall. Face away from windows and glass. Move away from exterior walls. Determine if you should stay put, "shelter-in-place" or get away. Listen for and follow instructions. Take your emergency supply kit, unless there is reason to believe it has been contaminated. Do not use elevators. Stay to the right while going down stairwells to allow emergency workers to come up. Preparing Makes Sense Get Ready Now 27

28 In a Moving Vehicle If there is an explosion or other factor that makes it difficult to control the vehicle, pull over, stop the car and set the parking brake. If the emergency could impact the physical stability of the roadway, avoid overpasses, bridges, power lines, signs and other hazards. If a power line falls on your car you are at risk of electrical shock, stay inside until a trained person removes the wire. Listen to the radio for information and instructions as they become available Never drive into moving water Preparing Makes Sense Get Ready Now 28

29 Biological Threat A biological attack is the deliberate release of germs or other biological substances that can make you sick. Many agents must be inhaled, enter through a cut in the skin or be eaten to make you sick. Some biological agents, such as anthrax, do not cause contagious diseases. Others, like the smallpox virus, can result in diseases you can catch from other people. If There is a Biological Threat Unlike an explosion, a biological attack may or may not be immediately obvious. While it is possible that you will see signs of a biological attack, as was sometimes the case with the anthrax mailings, it is perhaps more likely that local health care workers will report a pattern of unusual illness or there will be a wave of sick people seeking emergency medical attention. You will probably learn of the danger through an emergency radio or TV broadcast, or some other signal used in your community. You might get a telephone call or emergency response workers may come to your door. In the event of a biological attack, public health officials may not immediately be able to provide information on what you should do. It will take time to determine exactly what the illness is, how it should be treated, and who is in danger. However, you should watch TV, listen to the radio, or check the Internet for official news including the following: Are you in the group or area authorities consider in danger? What are the signs and symptoms of the disease? Are medications or vaccines being distributed? Where? Who should get them? Where should you seek emergency medical care if you become sick? During a declared biological emergency: 1. If a family member becomes sick, it is important to be suspicious. 2. Do not assume, however, that you should go to a hospital emergency room or that any illness is the result of the biological attack. Symptoms of many common illnesses may overlap. 3. Use common sense, practice good hygiene and cleanliness to avoid spreading germs, and seek medical advice. 4. Consider if you are in the group or area authorities believe to be in danger. 5. If your symptoms match those described and you are in the group considered at risk, immediately seek emergency medical attention. Preparing Makes Sense Get Ready Now 29

30 If you are potentially exposed: 1. Follow instructions of doctors and other public health officials. 2. If the disease is contagious expect to receive medical evaluation and treatment. You may be advised to stay away from others or even deliberately quarantined. 3. For non-contagious diseases, expect to receive medical evaluation and treatment. If you become aware of an unusual and suspicious substance nearby: 1. Quickly get away. 2. Protect yourself. Cover your mouth and nose with layers of fabric that can filter the air but still allow breathing. Examples include two to three layers of cotton such as a t-shirt, handkerchief or towel. Otherwise, several layers of tissue or paper towels may help. 3. Wash with soap and water. 4. Contact authorities. 5. Watch TV, listen to the radio, or check the Internet for official news and information including what the signs and symptoms of the disease are, if medications or vaccinations are being distributed and where you should seek medical attention if you become sick. 6. If you become sick seek emergency medical attention. Antibiotics While antibiotics are often an appropriate treatment for the diseases associated with biological weapons, the specific drug must match the illness to be effective. One antibiotic, for example, may be appropriate for treating anthrax exposure, but is inappropriate for treating smallpox. All antibiotics can cause side effects including serious reactions. Plan to speak with your health care provider in advance about what makes sense for your family. Use Common Sense At the time of a declared biological emergency, if a family member becomes sick, it is important to be suspicious. Do not automatically assume, however, that you should go to an emergency room or that any illness is the result of the biological attack. Symptoms of many common illnesses may overlap. Use common sense, practice good hygiene and cleanliness to avoid spreading germs, and seek medical advice. Stay healthy. Eat well. Get plenty of rest. Use common sense to determine if there is immediate danger. Wash your hands with soap and water frequently. In a declared biological emergency or developing epidemic, there may be reason to stay away from crowds where others may be infected. Preparing Makes Sense Get Ready Now 30

31 There may be times when you would want to consider wearing a face mask to reduce spreading germs if you yourself are sick, or to avoid coming in contact with contagious germs if others around you are sick. Symptoms of possible exposure If a family member develops any of the symptoms below, keep them separated from others if possible, practice good hygiene and cleanliness to avoid spreading germs, and seek medical advice. A temperature of more than 100 degrees Nausea and vomiting Stomachache Diarrhea Pale or flushed face Headache Cough Earache Thick discharge from nose Sore throat Rash or infection of the skin Red or pink eyes Loss of appetite Loss of energy or decreases in activity Hygiene If someone is sick, you should practice good hygiene and cleanliness to avoid spreading germs. Wash your hands with soap and water frequently. Do not share food or utensils. Cover your mouth and nose when coughing or sneezing. Consider having the sick person wear a face mask to avoid spreading germs. Plan to share health-related information with others, especially those who may need help understanding the situation and what specific actions to take. Preparing Makes Sense Get Ready Now 31

32 Chemical Threat A chemical attack is the deliberate release of a toxic gas, liquid or solid that can poison people and the environment. Possible Signs of Chemical Threat Many people suffering from watery eyes, twitching, choking, having trouble breathing or losing coordination. Many sick or dead birds, fish or small animals are also cause for suspicion. If You See Signs of Chemical Attack: Find Clean Air Quickly Quickly try to define the impacted area or where the chemical is coming from, if possible. Take immediate action to get away. If the chemical is inside a building where you are, get out of the building without passing through the contaminated area, if possible. If you can't get out of the building or find clean air without passing through the area where you see signs of a chemical attack, it may be better to move as far away as possible and shelter-in-place. If you are outside, quickly determine the fastest way to find clean air is. Consider if you can get out of the area or if you should go inside the closest building and "shelter-in-place." If You Think You Have Been Exposed to a Chemical If your eyes are watering, your skin is stinging, and you are having trouble breathing, you may have been exposed to a chemical.. If you think you may have been exposed to a chemical, strip immediately and wash. Look for a hose, fountain, or any source of water, and wash with soap if possible, being sure not to scrub the chemical into your skin. Seek emergency medical attention. Preparing Makes Sense Get Ready Now 32

33 Earthquakes While Earthquakes are sometimes believed to be a West Coast phenomenon, there are 45 states and territories throughout the United States that are at moderate to high risk from earthquakes. An earthquake is the sudden, rapid shaking of the Earth, caused by the braking and shifting of subterranean rock. Since it is not possible to predict when an earthquake will occur, it is essential that you and your family are prepared ahead of time. Prepare for Earthquakes Securely fasten shelves to walls. Keep large or heavy objects on lower shelves. Store breakable items in lower cabinets with doors and latches. Inspect and repair electrical wiring and gas connections; these can be potential fire hazards during an earthquake. Secure your water heater by strapping it to wall studs and bolting it to the floor. Check your home or building for structural defects and repair cracks in your ceiling and foundation. Keep toxic and flammable items securely stored in cabinets with doors and latches. Identify safe places in your home or office where you will ride out an earthquake. The best protection is under heavy furniture where you are protected from falling debris. Learn how to turn off electricity, gas and water. Get an emergency supply kit. Plan to act Quickly During or immediately after an earthquake, the best protection is to get under heavy furniture, such as a desk, table or bench, staying away from large windows, mirrors or other glass. The greatest danger is directly outside buildings, at exits and along exterior walls, due to falling debris. If you are already outside, stay clear of buildings, power lines, overpasses and elevated expressways. Most deaths and injuries are due to falling walls, flying glass or debris. Expect aftershocks smaller quakes (and sometimes larger ones) can often follow hours or days after the initial shake, causing further damage to weakened buildings and structures. Check for gas leaks if you smell gas or hear a hissing or blowing noise, open a window and leave the building immediately; turn off the gas at the outside main valve, if possible and call the gas company. Preparing Makes Sense Get Ready Now 33

34 Explosions If There is an Explosion Take shelter against your desk or a sturdy table. Exit the building ASAP. Do not use elevators. Check for fire and other hazards. Take your emergency supply kit if time allows. If There is a Fire following the explosion Exit the building ASAP. Crawl low if there is smoke. Use a wet cloth, if possible, to cover your nose and mouth. Use the back of your hand to feel the upper, lower, and middle parts of closed doors. If the door is not hot, brace yourself against it and open slowly. If the door is hot, do not open it. Look for another way out. Do not use elevators. If you catch fire, do not run. Stop-drop-and-roll to put out the fire. If you are at home, go to a previously designated meeting place. Account for your family members and carefully supervise small children. Never go back into a burning building. If You Are Trapped in Debris If possible, use a flashlight to signal your location to rescuers. Avoid unnecessary movement so that you don't kick up dust. Cover your nose and mouth with anything you have on hand. (Dense-weave cotton material can act as a good filter. Try to breathe through the material.) Tap on a pipe or wall so that rescuers can hear where you are. If possible, use a whistle to signal rescuers. Shout only as a last resort. Shouting can cause a person to inhale dangerous amounts of dust. Preparing Makes Sense Get Ready Now 34

35 Extreme Heat A heat wave is an extended period of extreme heat, and is often accompanied by high humidity. These conditions can be dangerous and even life-threatening for humans who don't take the proper precautions. Prepare for a heat wave by checking to see if your home's cooling system is working properly. Make sure your home is well insulated and that you have weather stripping around your doors and window sills to keep the cool air inside. Plan on being inside a cool building during the hottest time of the day. Avoid strenuous outdoor activities. Make sure you remain properly hydrated by drinking plenty of water and limiting intake of alcoholic beverages. Eat light, well-balanced meals. Dress in light, loose-fitting clothing. Never leave children or pets alone in a closed vehicle. Visit for more weather-related information. Stay informed about the types of medical conditions that can result from heat waves, and the proper First Aid measures that should be taken. Preparing Makes Sense Get Ready Now 35

36 Fires Each year, more than 4,000 Americans die and more than 20,000 are injured in fires, many of which could be prevented. Direct property loss due to fires is estimated at $10 billion annually. To protect yourself, it is important to understand the basic characteristics of fire. Fire spreads quickly; there is no time to gather valuables or make a phone call. In just two minutes, a fire can become life-threatening. In five minutes, a residence can be engulfed in flames. Heat and smoke from fire can be more dangerous than the flames. Inhaling the superhot air can sear your lungs. Fire produces poisonous gases that make you disoriented and drowsy. Instead of being awakened by a fire, you may fall into a deeper sleep. Asphyxiation is the leading cause of fire deaths, exceeding burns by a three-to-one ratio. Take Protective Measures Before a Fire Smoke Alarms Install smoke alarms. Properly working smoke alarms decrease your chances of dying in a fire by half. Place smoke alarms on every level of your residence. Place them outside bedrooms on the ceiling or high on the wall (4 to 12 inches from ceiling), at the top of open stairways, or at the bottom of enclosed stairs and near (but not in) the kitchen. Test and clean smoke alarms once a month and replace batteries at least once a year. Replace smoke alarms once every 10 years. Planning Your Escape Review escape routes with your family. Practice escaping from each room. Make sure windows are not nailed or painted shut. Make sure security gratings on windows have a fire safety opening feature so they can be easily opened from the inside. Consider escape ladders if your residence has more than one level, and ensure that burglar bars and other antitheft mechanisms that block outside window entry are easily opened from the inside. Teach family members to stay low to the floor (where the air is safer in a fire) when escaping from a fire. Preparing Makes Sense Get Ready Now 36

37 Preventing fire Cooking Cooking is the leading cause of home fires in the U.S. It is also the leading cause of fire injuries. Deaths due to fires caused by cooking are particularly preventable. Never leave cooking unattended. A serious fire can start in just seconds. Always wear short, tight-fitting sleeves when cooking. Keep towels, pot holders and curtains away from flames and heating elements. Clean cooking surfaces regularly to prevent grease buildup which can ignite. If a fire breaks out while cooking, put a lid on the pan to smother it. Never throw water on a grease fire. Heat oil gradually to avoid burns from spattering grease. Use extra caution when preparing deep-fried foods. Never use the range or oven to heat your home. Double-check the kitchen before you go to bed or leave the house. Make sure all small appliances are turned off. Flammable Items Never use gasoline, benzene, Naphthalene, or similar flammable liquids indoors. Store flammable liquids in approved containers in well-ventilated storage areas. Never smoke near flammable liquids. Discard all rags or materials that have been soaked in flammable liquids after you have used them. Safely discard them outdoors in a metal container. Insulate chimneys and place spark arresters on top. The chimney should be at least three feet higher than the roof. Remove branches hanging above and around the chimney. Heating Sources Be careful when using alternative heating sources. Check with your local fire department on the legality of using kerosene heaters in your community. Be sure to fill kerosene heaters outside, and be sure they have cooled. Place heaters at least three feet away from flammable materials. Make sure the floor and nearby walls are properly insulated. Use only the type of fuel designated for your unit and follow manufacturer's instructions. Store ashes in a metal container outside and away from your residence. Keep open flames away from walls, furniture, drapery, and flammable items. Keep a screen in front of the fireplace. Have heating units inspected and cleaned annually by a certified specialist. Preparing Makes Sense Get Ready Now 37

38 Matches and Smoking Keep matches and lighters up high, away from children, and, if possible, in a locked cabinet. Never smoke in bed or when drowsy or medicated. Provide smokers with deep, sturdy ashtrays. Douse cigarette and cigar butts with water before disposal. Electrical Wiring Have the electrical wiring in your residence checked by an electrician. Inspect extension cords for frayed or exposed wires or loose plugs. Make sure outlets have cover plates and no exposed wiring. Make sure wiring does not run under rugs, over nails, or across high-traffic areas. Do not overload extension cords or outlets. If you need to plug in two or three appliances, get a UL-approved unit with built-in circuit breakers to prevent sparks and short circuits. Make sure insulation does not touch bare electrical wiring. Other Sleep with your door closed. Install A-B-C-type fire extinguishers in your residence and teach family members how to use them. Consider installing an automatic fire sprinkler system in your residence. Ask your local fire department to inspect your residence for fire safety and prevention. Preparing Makes Sense Get Ready Now 38

39 During a Fire To escape a fire, you should: Check closed doors for heat before you open them. If you are escaping through a closed door, use the back of your hand to feel the top of the door, the doorknob, and the crack between the door and door frame before you open it. Never use the palm of your hand or fingers to test for heat - burning those areas could impair your ability to escape a fire (i.e., ladders and crawling). o Hot Door Do not open. Escape through a window. If you cannot escape, hang a white or light-colored sheet outside the window, alerting fire fighters to o your presence. Cool Door Open slowly and ensure fire and/or smoke is not blocking your escape route. If your escape route is blocked, shut the door immediately and use an alternate escape route, such as a window. If clear, leave immediately through the door and close it behind you. Be prepared to crawl. Smoke and heat rise. The air is clearer and cooler near the floor. Crawl low under any smoke to your exit - heavy smoke and poisonous gases collect first along the ceiling. Close doors behind you as you escape to delay the spread of the fire. Stay out once you are safely out. Do not reenter. Call After a Fire The following are guidelines for different circumstances in the period following a fire: If you are with burn victims, or are a burn victim yourself, call 9-1-1; cool and cover burns to reduce chance of further injury or infection. If you detect heat or smoke when entering a damaged building, evacuate immediately. If you are a tenant, contact the landlord. If you have a safe or strong box, do not try to open it. It can hold intense heat for several hours. If the door is opened before the box has cooled, the contents could burst into flames. If you must leave your home because a building inspector says the building is unsafe, ask someone you trust to watch the property during your absence. For More Information If you require more information about any of these topics, go to the U.S. Fire Administration's website at The following are resources that may be helpful. Preparing Makes Sense Get Ready Now 39