Orange County NC Website
patients require transportation and definitive care, but can wait longer than red tag patients. <br /> Green tag patients have only minor injuries and may not even need to go to the hospital, but <br /> should be followed up in clinics or doctor's offices, or can wait until the hospital returns to <br /> normal operations. Black tag patients are either dead or have sustained injuries that are not <br /> conducive to the continuation of life, even with immediate definitive hospital care. These <br /> patients will be the last to be transported. An effective triage system is the only way to prevent <br /> the unnecessary depletion of limited medical resources, including ambulances, emergency <br /> department space, paramedics, nurses, and physicians. <br /> Now we'll talk briefly about how mitigating the consequences of a disaster can <br /> benefit us all. Mitigation is defined as acting before a disaster strikes to permanently prevent <br /> the occurrence of a disaster or to reduce the effects of the disaster when it occurs. Floodplain <br /> ordinances, fire codes, land use permitting, and hazard mitigation buyouts are all examples of <br /> mitigation practices. Floodplain ordinances and mapping identify areas prone to flooding and <br /> restrict the building of structures within those areas. Fire codes have a wide range of <br /> applications from requiring sprinklers to regulating hazardous materials. Land use permitting <br /> can prevent the co-location of potentially hazardous industries with residential areas. Hazard <br /> mitigation buyout projects, which reduce recurrent flood risks, have been used extensively since <br /> Hurricane Floyd. Thousands of flooded homes are being purchased, moved, or destroyed, and <br /> the land reverted back to its natural state. Changing storage methods can be applied to both <br /> interior and exterior storage. This includes practices such as storing oxidizers away from <br /> combustibles, blasting caps away from explosives, and limiting ammonium nitrates to a pile ten <br /> feet by four feet by eight feet with a separation of eight feet between piles to prevent <br /> spontaneous detonation. Hardening of structures include such actions as adding checkpoints in <br /> security, upgrading to shatter proof or bullet proof glass, retrofitting with fireproof roofs and <br /> materials, installing generators, and extending the perimeter by moving parking away from <br /> facilities. Reducing the attractiveness of potential targets may be accomplished by changing <br /> hazardous materials storage practices, the hardening of structures, good planning, increased <br /> visibility of security, and the use of media to educate the public on restrictions at events (i.e., no <br /> book bags allowed). <br /> Orange County received a planning grant from the State Emergency <br /> Management Office to study some issues in the region. The first issue is do we have the ability <br /> and resources to evacuate an entire county or large portion thereof as a result of an <br /> extraordinary event? This question was raised by the Orange County Board of Commissioners <br /> upon realizing that existing Shearon Harris disaster plans only address evacuation of a ten-mile <br /> radius around the site, and that no countywide evacuation plans exist to address any type of <br /> disaster. The second issue was raised because of the anthrax mailings last fall and planning <br /> meetings with public health officials. The issue is, dealing with infectious agents, do we have <br /> the ability, authority, and resources to quickly quarantine an entire county or portion thereof? <br /> Orange County will coordinate a regional hazard vulnerability assessment and facilitate the <br /> entire study for the participating counties—Alamance, Chatham, Durham, Guilford, Johnston, <br /> Orange, and Wake. This initial study is being conducted through the emergency management <br /> agencies and will result in a published report for local and state governments. Thank you for <br /> your attention tonight. Nick has a few closing remarks. <br /> Nick Waters: I hope you found some of that useful in your own planning and <br /> review of your plans. The testing of the assumptions is a very crucial part—that is something <br /> we must do. We must look closely at our daily obligations. Too many times we commit to doing <br /> things and agree to take on fundamental tasks and emergency planning and not consider the <br /> fact that our daily workload may prevent us from doing a good job of that. The example of the <br /> fire department—they are trained, they are willing, they are equipped, and they will do <br /> decontamination unless they are committed to a major fire or some other major incident. The <br /> other point I want to review with you is the psychological effect. Too long, psychology of <br />