Presentation on theme: "New Orleans Winter Service Trip Heidi Bramson, Taafoi Kamara, Laura Norris, Jennifer Allard, Michael Oldham, Amber Harris, Genevieve Birkby, Kerry Shannon,"— Presentation transcript:
New Orleans Winter Service Trip Heidi Bramson, Taafoi Kamara, Laura Norris, Jennifer Allard, Michael Oldham, Amber Harris, Genevieve Birkby, Kerry Shannon, Joel Palmer, Anna Dolinsky
We would like to acknowledge: The MPH Program Office Our faculty sponsor: Dr. Holly Grason Additional faculty sponsors: Dr. Lynn Goldman & Dr. Norma Kanarek
New Orleans, LA Population: 484,674 Post-Katrina Estimates: 181,400 in the city Jan. 2006, 160,000 relocated Over 1,000 deaths directly related to Katrina in LA
The Lower 9 th : Pre-Katrina: 14,008 people, 4,820 households 98.3% African American, 0.5% Caucasian, 0.5% Hispanic Highest rates of black home-ownership in the country—59% Of the 117 schools in Orleans Parish, only 25 have reopened Hit hardest by flooding, and no government population data is available post-Katrina
R.A.L.L.Y. Foundation Founded in October, 2005 by Dr. Nancy Mock, a Tulane Associate Professor in Public Health Created to monitor and evaluate the impact of recovery efforts in areas affected by Hurricane Katrina
Focus Groups Central City Focus Group Trinity Christian Community Americorps Focus Group
ACORN: Association of Community Organizations for Reform Now The nation's largest community organization of low- and moderate-income families 850 neighborhood chapters in 100 cities across the United States Canada, Dominican Republic, Peru
ACORN’s Katrina Relief Work Re-claiming Lower 9 th Ward Homes House gutting Rehabilitation Work Continuing Community Advocacy and Community Organizing
Access to Health Services In 2004 only 47% of Louisiana's non-elderly had employer-sponsored benefits and 21% of the non-elderly population were uninsured. Of the 10 full service hospitals in NOLA, only 4 have reopened since Hurricane Katrina. Only half of the health care professionals have returned to the area FEMA trailer parks and access to care
Mental Health Impact Both residents and first-responders affected Increased rates of of PTSD, depression, substance abuse, chronic stress, domestic violence Complicated by limited access to care and deficits in trained professions who have returned to the area SAMHSA
Flood Waters Variety of water conditions Most affected regions had elevated levels of E.Coli, lead, arsenic, chromium, and other VOCs Region has 54 former toxic waste dump sites, some of which may have been compromised EPA tests suggested that many on the toxic chemicals were below what is considered to be “immediately hazardous”, what about long term effects?
Hazards of Clean-up Physical injuries Disposal of hazardous waste Mold growth-long-term effects unclear Air quality concerns from demolition “Katrina Cough”
Oil Spills 6 major, 4 medium and 134 minor spills totaling 8 million gallons. Spill at Murphy Oil Company Plant totaled more than 25,000 barrels of oil. 3.8 million gallons recovered, significant amounts evaporated, were dispersed in water sources, 100,000 washed onshore. Reports of possible affects to shellfish population
Lower 9 th Ward Pre-Katrina: A Community of Vitality and Social Activism 1 st deep-South school district to open its all-white doors to black children (1960, School McDonogh #19, St. Claude Avenue) Variety of community/social service agencies: Lower Ninth Ward Neighborhood Council; Total Community Action's Lower Ninth Ward Head Start Program ; Lower Ninth Ward Housing Development Corporation 60 percent of the residents in lower 9 th Ward were homeowners, compared to 46 percent home ownership in the rest of New Orleans
Displacement: Who: Working Poor Black Elderly Disabled Single Mothers Pre-Katrina: 65% Black 1960-2000: 37% to 66% Black 97% of increase descendants of New Orleanians Post-Katrina: Return Rate for Black New Orleanians 30%
Homeowners Lower 9th: 80-85% African- American Home Ownership Low cost of living: 2 nd and 3 rd generation homes 20% return rate Gas and water only turned on in October, 2006 “Do not Bulldoze” gut homes : $4000.00 Keep yards kept How do you re-build a city that plans for economic revitalization and both secure the housing rights of residents? Eminent Domain: Business interests in Industrial Canal. Mayor Nagin’s 17 member planning commission: 10 powerful business owners, 5 are real estate developers.
Kirk v. City of New Orleans (Dec. ‘05) City planned on bulldozing approx. 2,500 homes without owners consent or a court hearing City: dangerously unstable homes Plaintiffs(homeowners in Orleans Parish) contend: -involvement in the demolition process -compensation -flawed inspection process -many of the homes in 9 th ward 1.13.06 – settlement: -reasonable time period for notice of demolition -written notification to last known address -toll-free number for residents to inquire about their home -Times-Picayune notice for 3 consecutive days and notice on City of New Orleans website -process for residents to challenge demolition http://www.advancementproject.org/press_releases/2006/011306.html
Rebuildingtheninth.org Urban Planning Report: January 2007 Cornell, Columbia, Univ. of Ill. http://www.rebuildingtheninth.org/ 230 household surveys 3,500 properties assessed 400 businesses assessed 27 parks, public facilities, street conditions Over 80 percent of Ninth Ward's structures "suffered no terminal structural damage“ Most can meet new flood zone reqs. b/c built on piers. Re-building can be cost-effective
Anderson V. Jackson 6.27.06 Class-action lawsuit Plaintiffs: approx. 5,000 displaced families of “The Big Four” Housing Dvlpts.: Lafitte St. Bernard C.J. Peete B.W. Cooper Defendants: US Dpt. Of Housing and Urban Dvlpt. (HUD)/ Housing Authority of NO (HANO) Feds delayed move-in date, stopped repairs, and admitted demolition. Feds: mold and structural damage mixed-income plan for public housing Renters: Leases Rent hike Vouchers insufficient (utilities) Mixed-Income history in New Orleans: built by private developers; not public housing St. Thomas: 1510 families > 100 families, Wal-mart
New Mixed-Income Plans: costs and reach according to LA Housing Finance Agency Lafitte: demo and rebuild fewer units: $100 mil.+ overhaul: $85 mil. repair: $20 mil. St. Bernard: demo and rebuild fewer units: $197 mil. overhaul: $130 mil. repair: $41 mil. BW Cooper: demo and rebuild fewer units: $221 mil. overhaul: $135 mil. Lafitte: 850 families > 410; 154 low-income St. Bernard: 1400 apts. > 595; 160 low- income B.W. Cooper: 1546 apts.> 410; 154 low- income C.J. Peete: 723 apts. > 410; 154 low- income
Judge: 4 key points for trial Times-Picayune 2.9.07 # of units ready for lease Type of repairs needed for damaged units # of tenants who want to return: Approx. 1200 have already returned where allowed 90% of families in Lafitte surveyed by HANO want to return “Inadequacies” of voucher program Blanco just asserted support of re-opening public housing where possible
Free Medical Care for Uninsured Organized by NOLA Department of Health, funded and staffed by Operation Blessing, Remote Area Medical, federal/state/local agencies and NGOs. 3,900 people provided with medical, dental, optical, and behavioral health care (including HIV testing and counseling). 700 patients seen each day. Lines began forming before dawn, even in pouring rain. Patients given flash drive with their medical records as part of research on healthcare information portability.
HIV Testing and Referrals NOLA Mayor’s Office on HIV Policy and Funding did not know about Health Recovery Week one month before the event! 2 agencies provided VCT. 160 people tested, 2 diagnosed with HIV/AIDS. Everyone who tested got a flier with referral to legal services hotline - free legal counseling to prevent discrimination, identify potential legal problems.
Outpouring of Volunteers Estimated number of US volunteers in the Gulf Region to date: 575, 554
The Red Cross In the two weeks after storm, the Red Cross dispatched over 74,000 volunteers, providing shelter to 160,000 people and dispensing 7.5 million meals By most recent counts, the Red Cross has deployed more than 244,000 volunteers (95% unpaid) and provided: 346,980 comfort kits 205,360 clean up kits 68 million snacks and meals 596,810 health contacts 826,590 mental health contacts
Corporation for National and Community Service Over 35,000 national service volunteers have worked with federal, state, and non-profit organizations in the rebuilding efforts Provided over 1.6 million service hours http://www.nationalservice.gov/about/newsroom/katrina.asp
Many more groups involved… 21,595 gallons of water purified by Southern Baptist Convention volunteers 22,000 survivors received free medical care from Episcopal Relief and Development 10,000+ college students spent Spring Break volunteering in the region 350 “built in a box” houses sent by Habitat for Humanity http://www.nationalservice.gov/pdf/katrina_volunteers_respond.pdf
Help is still desperately needed: Thousands of homes remain to be rebuilt Hundreds of thousands of volunteers needed for gutting, skilled labor, health services, mentoring,….. Extensive list of almost 50 organizations working in the Gulf Coast: http://www.nationalservice.gov/pdf/katrina_volunteers_respond.pdf
Job opportunities NOHD divisions: school-based health, healthcare for the homeless, WIC, nursing services. Louisiana Dept. of Health job search for public health positions: disease intervention specialist, PH epidemiologist. Louisiana Public Health Institute: Clinical program manager, school health. See list of 50 organizations working in Gulf Coast