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1 FEDERAL GOVERNMENT DHS FEMA Facebook full siteFEMA Facebook full site / Facebook mobile site Twitter full site / Twitter mobile site EPAFacebook mobile site Twitter full siteTwitter mobile site EPA HHS CDC OSHA USDA DOD NORTHCOM ARNORTH U.S. Army Corps of Engineers - Vicksburg District U.S. Army Corps of Engineers - Team New Orleans HUD National Weather Service - Slidell Office National Weather Service - Jackson Office STATES Arkansas Emergency Management Agency Facebook full site Facebook full site / Facebook mobile site Twitter full site / Twitter mobile siteFacebook mobile site Twitter full siteTwitter mobile site Louisiana Governor’s Office of Homeland Security and Preparedness Facebook full site Facebook full site / Facebook mobile site Twitter full site / Twitter mobile siteFacebook mobile site Twitter full site / Twitter mobile site Missouri Emergency Management Agency Facebook full site Missouri Emergency Management Agency Facebook full site / Twitter full site / Twitter mobile site Mississippi Emergency Management Agency Facebook full site / Facebook mobile site Twitter full site / Twitter mobile site Information on volunteering Tennessee Emergency Management Agency Twitter full site Twitter mobile site Mississippi Emergency Management Agency Facebook full siteFacebook mobile site Twitter full site Twitter mobile site Information on volunteering Tennessee Emergency Management Agency Facebook full site Twitter full site /Facebook full site Twitter full site / Twitter mobile siteTwitter mobile site BACKGROUND AS OF 1200 HRS EDT 12 MAY 2011 WEATHER FEDERAL RESPONSE FEDERAL RESPONSE FEDERAL RESPONSE FEDERAL RESPONSE TENNESSEE MISSISSIPPI Historic Flooding Continues Along Mississippi... The crest of the Mississippi River is approaching and forecast to pass Helena, Ark., by early Thursday morning.Details...Details... ARKANSAS LOUISIANNA PREPARING FOR A FLOOD PREPARING FOR A FLOOD PREPARING FOR A FLOOD PREPARING FOR A FLOOD PREVENT ILLNESS AFTER A DISASTER PREVENT ILLNESS AFTER A DISASTER PREVENT ILLNESS AFTER A DISASTER PREVENT ILLNESS AFTER A DISASTER MISSOURI YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT (MISSISSIPPI VALLEY FLOODING) YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT (MISSISSIPPI VALLEY FLOODING) KEY LINKS MAPS

2 Significant rainfall across the middle Mississippi and Ohio River valleys over the past month has led to historic, and in some cases record breaking rises on both rivers. The swollen Mississippi River carried its dangers of flooding and damage toward the Delta on Wednesday morning as residents in three prepared for weeks of battling the river’s growing energy. The river crested just inches below its record stage of 48.7 feet in Memphis, Tenn., on Tuesday. But, by Wednesday morning, the river had passed its record in Natchez, Miss., reaching 58 feet and growing, according to the National Weather Service. Forecasters predict the river will crest in Natchez on May 21 at about 64 feet. As this water moves downriver, significant rises will occur along the Mississippi and Atchafalaya Rivers through southeast and south central Louisiana. All of the latest river forecasts from the lower Mississippi River Forecast Center account for the Army Corps of Engineers opening some of the Bonnet Carre Spillway bays on 9 May 2011 bays with more expected to be open later this week. The Morganza Spillway will be opened, if the threshold reaches a flow rate of 1.5 million cubic feet per second. The current flow rate is 1.36 million cubic feet per second; threshold could be reached as early as May 14 MISSISSIPPI VALLEY FLOODING 2001 (BACKGROUND) (BACKGROUND)

3 WEATHER (12 May 2011) WEATHER (12 May 2011) TEMPERATUREFORECAST PRECIPITATION PREDOMINANT WEATHER SOURCE:

4 Extended Forecast May 13May 14May 15 May 16May 17

5

6 (MISSOURI) SITUATION  FATALITIES: 2 Deaths attributed to flooding  INJURED: 0  DESTRUCTION:  UTILITIES:  SHELTERS: As of May 9, there are 5 shelters are open with 83 occupants.  STATE DECLARATION: The Governor declared a State of Emergency on April 22.  FEDERAL Butler, Mississippi, New Madrid, St. Louis, and Taney Counties LINKS MISSOURI - Severe storms have resulted in flooding issues across southern Missouri. The Missouri State Highway Patrol and its Water Patrol Division pre-staged assets to assist evacuations and water rescues as needed. The State Emergency Management Agency (SEMA) is currently activated, providing assistance to affected counties as requested. MISSOURI - Severe storms have resulted in flooding issues across southern Missouri. The Missouri State Highway Patrol and its Water Patrol Division pre-staged assets to assist evacuations and water rescues as needed. The State Emergency Management Agency (SEMA) is currently activated, providing assistance to affected counties as requested. RiverFlood StageRecord StagePresent StageCrest Ohio at Cairo 40 ft Crested May 7 Mississippi at: 1 pm Chester27 ft FallingCrested May 1 Cape Girardeau32 ft FallingCrested May 1 Thebes33 ft FallingCrested May 2 New Madrid34 ft FallingCrested May 6 Tiptonville37ft RisingCrested May 7 Caruthersville32 ft RisingCrested May 7 Black River 1 pm Annapolis08 ft FallingCrested May 2 Poplar Bluff16 ft FallingCrested May 3 St. Francis River 1 pm Fisk20 ft FallingCrested May 3

7 (TENNESSEE) SITUATION  FATALITIES: 38 confirmed fatalities (tornadoes) (1 flooding)  INJURED: 94 Injured (tornadoes)  DESTRUCTION: Multiple counties reported damages to homes, road closures, SHELTERS: There are 10 shelters open in West Tennessee with 516 occupants STATE DECLARATION: The Governor has declared a State of Emergency for the State of Tennessee  FEDERAL DECLATION: The President approved Major Disaster Declaration FEMA-1979-DR for Severe Storms, Tornadoes, Straight-line Winds, and Flooding on April 19, 2011 and continuing. The declaration provides Individual Assistance for Dyer, Lake, Obion, Shelby, and Stewart Counties. Also, provides Public Assistance for The counties of Benton, Carroll, Crockett, Dyer, Gibson, Henderson, Henry, Houston, Lake, Lauderdale, Madison, Montgomery, Obion, Shelby, and Stewart to include Direct Federal assistance is authorized. All counties in the State of Tennessee are eligible to apply for assistance under the Hazard Mitigation Grant Program. The Federal Coordinating Officer is W. Montague Winfield. On May 9, 2011, the President approved Major Disaster Declaration FEMA-1978-DR was declared for severe storms, flooding, tornadoes, and straight-line winds that occurred April 4, The declaration provides Public Assistance for Chester, Davidson, Decatur, Dickson, Henderson, Humphreys, Lake, Shelby, and Sumner Counties. All counties in the State of Tennessee are eligible to apply for assistance under the Hazard Mitigation Grant Program. LINKS The Mississippi River levees in the Memphis area are performing as designed. The crest is projected to pass Memphis on today. Some areas of Memphis are experiencing backwater flooding; that is the water that would normally drain into the river but cannot because of the river’s high water levels. These affected parts are in low-lying areas prone to flooding, not protected by the federal levee system.. Recovery efforts from the recent flood will be slow and costly. Code inspectors with the City of Memphis and Shelby County will conduct assessments of the flood damage. It may be several days before damage reports are complete due to the high flood waters. No one should come into contact with flood waters. Flood waters are full of contaminates and could lead to serious health problems. Many roads are still blocked by high water. Motorists should expect traffic delays for the next several days and not go around barricades. Vehicles can be carried into rivers and creeks by only a few inches of water. Submerged roads can also

8 (TENNESSEE) FLOOD PREDICTIONS RIVER FORECASTS WITHIN 48 HOURS AS OF 11 MAY 2011, 6:48 PM CDT Full map available at: NWS Advanced Hydrologic Prediction Services AREA PROJECTED TO BE IMPACTED BY FLOODING THROUGH MIDNIGHT 11 MAY 2011 AS OF 08 MAY 2011 Full map available at: Shelby County Office of Preparedness

9 (TENNESSEE) SITUATION FLOODING IN SHELBY COUNTY (MEMPHIS) Although the Mississippi River has crested, high waters will continue to be a danger to residents throughout Shelby County for several days. Rivers and creeks are flowing at swift speeds and are filled with river debris, trash and other contaminants. Several intersections are still closed due to the high water. Motorists should expect traffic delays for the next few days and not go around barricades. Not only can vehicles be carried into rivers and creeks by only a few inches of water, but submerged roads could be damaged by sink holes and erosion EVACUATION & SHELTERING There are six American Red Cross Shelters open (16 on standby) in West Tennessee with 146 occupants. Memphis and Shelby County have opened three faith-based shelters (one on standby) with 368 occupants. To help displaced residents find housing quickly, the Tennessee Housing Development Agency is urging all property providers to list available rental housing on the free, statewide housing locater service as soon as possible. The process of listing takes about 10 minutes and is completely free.www.TNHousingSearch.org NUTRITION ASSISTANCE The Tennessee Department of Human Services, with USDA approval, began issuing SNAP (Supplemental Nutrition Assistance Program, formerly food stamps) benefits to eligible residents of four tornado-ravaged counties that have been federally declared disaster areas following the late April storms. The benefits are for eligible residents of Bradley, Greene, Hamilton and Washington counties. Applications for SNAP disaster benefits can be submitted Monday through Saturday, May 9-14, and on Monday, May 16. HEALTH CONCERNS The Tennessee Department of Health is urging Tennesseans to take extra precautions when returning to flood- or storm-damaged homes or businesses. Conditions left by severe weather damage can pose a risk of injury or illness. Safety tips for returning to a damaged building available here: Recent flooding positions the state to see a significant increase in mosquito activity. Standing water provides the perfect breeding ground for mosquitoes, and flooded areas in Tennessee could easily cause populations of these disease-carrying pests to flourish. The Tennessee Department of Health is reminding the residents working to clean up homes, businesses and other facilities in Tennessee to take steps to help prevent illnesses associated with mosquitoes. Mosquitoes most likely to transmit WNV bite at dawn and dusk. The best way to prevent WNV infection is to avoid mosquito bites. Tips for disease prevention available here: There have been several reports of wildlife fleeing floodwaters and entering business and residential areas, including snakes and deer. As rivers and creeks rise, wildlife search for food and shelter inside houses, storage sheds and buildings. Residents are encouraged to be aware of the possibility of contact with wildlife. Memphis Light, Gas & Water reports that the water supply is safe for drinking and has not been contaminated. The Tennessee Department of Health has released a number of reports with tips on re-entering flooded homes, food & water safety, and protecting yourself from mold. These resources are available at the TN Department of Health Site: MLGW – Water Remains Safe: 05 May 2011 SCOP Status Update: 10 May 2011 TEMA Status Update: 10 May 2011 TN Gov - Damaged Buildings: 05 May 2011 TN Gov - Mosquito Risk: 05 May 2011

10 (ARKANSAS) SITUATION  FATALITIES: 11 confirmed fatalities (tornadoes)  INJURED: 14 Injured  DESTRUCTION: Area struck by severe storms, tornadoes, and associated flooding beginning on April 23, 2011, and continues.  UTILITIES:  SHELTERS: There are 11 shelters open with 160 occupants  STATE DECLARATION: The Governor declared a State of Emergency on April 25.  FEDERAL DECLATION: Crittenden, Madison, Montgomery, Phillips, Washington, Benton, Clay, Faulkner, Garland, Lincoln, Pulaski, Randolph, and Saline Counties LINKS ARKANSAS - Flooding continues along White, Black, and Mississippi Rivers. Multiple roads are flooded at White River crossings including I-40 east of Little Rock, AR. The district’s reservoir operations and assistance to local levee boards have dramatically reduced flood damages in a number of towns in the region. U.S. Geological Survey field crews continue to measure historic flooding across most of Arkansas. River levels are still rising in parts of the state; many have increased by as much as 15 to 30 feet since heavy rainfall began on April 22. Near real-time river level and streamflow information from 149 USGS Arkansas streamgage locations is available online. USGS scientists continue to collect critical streamflow data that are vital for protection of life, property and the environment. These data are used by the National Weather Service (NWS) to develop flood forecasts, the U.S. Army Corps of Engineers to manage flood control, and the various state and local agencies in their flood response activities.online The state is bracing for Mississippi River to crest o May 12 th.

11 A powerful storm system which began affecting parts of the state on Tuesday, April 26th, producing tornadoes in South Mississippi Tuesday morning and tornadoes in Northwest Mississippi Tuesday evening, intensified on Wednesday, April 27th with dozens of tornadoes touching down during the early morning hours and during the afternoon and evening.tornadoes in South Mississippi Tuesday morning According to the latest storm damage assessments, at least 34 tornadoes were found to have impacted parts of 33 out of Mississippi's 82 counties from Tuesday into Wednesday, including Monroe, Chickasaw, Lafayette, Tishomingo, Coahoma, Tunica, Pontotoc, Alcorn, Sharkey, Sunflower, Yazoo, Holmes, Leflore, Attala, Montgomery, Carroll, Grenada, Choctaw, Webster, Clay, Kemper, Noxubee, Neshoba, Winston, Copiah, Hinds, Smith, Lauderdale, Jasper, Newton, Clarke, Covington and Jones. Several of the tornadoes were confirmed as strong to intense with six EF-3 tornadoes with winds up to 150 mph, two EF-4 tornadoes with winds up to 180 mph and one rare and catastrophic EF-5 tornado with winds up to 205 mph. SITUATION(MISSISSIPPI)  FATALITIES: 35 confirmed fatalities (tornadoes)  INJURED: 176 injuries (tornadoes)  DESTRUCTION: 350 homes damaged, 540 destroyed homes, 170 mobile homes destroyed, 63 mobile homes damaged, and 62 businesses destroyed and 12 damaged  UTILITIES:  SHELTERS: 1 shelters open with 21 occupants.(ARC)  STATE DECLARATION: The Governor has declared a State of Emergency for the State of Mississippi.  FEDERAL DECLATION: Alcorn, Attala, Clay, Coahoma, DeSoto, Grenada, Holmes, Leflore, Marshall, Montgomery, Newton, Panola, Quitman, Smith, Sunflower, Tishomingo, Tunica, Winston, Chickasaw, Choctaw, Clarke, Greene, Hinds, Jasper, Kemper, Lafayette, Monroe, Neshoba and Webster MS - LINKS SOURCES As Mississippi River flooding moves south, more evacuations imminent Mississippi Storm Damage Update Jackson Weather Examiner - Over 30 tornadoes tore across MS The rain-swollen Mississippi River inundated evacuated neighborhoods in the Mississippi Delta on Wednesday and washed away precious crops, as residents farther downstream prepared for the looming floodwaters. After cresting at 47.8 feet Tuesday in Memphis, Tenn., the river's high waters moved south, reaching 58 feet and growing in Natchez, Miss., the National Weather Service said. The river is expected to crest there at 64 feet on May 21. Memphis Across Mississippi, about 1,000 structures have been hit by floodwaters, and officials expect to evacuate between 2,000 and 5,000 people in coming days. In Vicksburg, Miss., 65 homes were underwater, displacing about 250 people

12 SITUATION (MISSISSIPPI – HEALTH ) PUBLIC HEALTH The Mississippi State Department of Health is working with the Mississippi Emergency Management Agency and the federal government to monitor the Mississippi River flooding and the impact it will have on the citizens of Mississippi. MSDH Emergency Response Coordinators are working with county emergency management agencies and local governments on evacuation plans for areas projected to be flooded. MSDH is assisting nursing homes, personal care homes, and hospitals with evacuation and other needs. MSDH environmentalists are working with restaurants in the affected areas to make sure they are aware of the protocol for re- opening. The Mississippi Public Health Laboratory is testing water samples in the impacted areas. MSDH County Environmentalists are inspecting open shelters and providing technical assistance. An MSDH Advanced Planning Unit is developing patient evacuation and medical shelter plans, and determining the need for federal resources. MSDH has formed a Healthcare Flood Impact Task Force made up of 35 Mississippi state agencies and healthcare associations, including representation for MSDH licensed facilities and hospitals, to assess potential flood impact and to review and coordinate plans to lessen the impact on the Mississippi healthcare system. MSDH also advises residents affected by the flood to be aware of the following important information: WOMEN, INFANTS AND CHILDREN NUTRITIONAL PROGRAM (WIC) WIC services are available at alternate locations to residents affected by the flood who are currently on or are eligible for the program. For information on where you can receive WIC services, contact the county health department in the area where you are currently relocated. Visit for a list of county health departments and their contact information.www.HealthyMS.com TETANUS People in flooded areas may be at risk for tetanus, a bacterium that can enter the body through a wound. A tetanus vaccination, along with proper first aid, can prevent infection. Clean any puncture wound contaminated by dirt or flood water. Consult a healthcare provider to determine whether a tetanus booster is needed. People who received standard childhood immunizations, and have had a tetanus booster in the last ten years, do not need the vaccination. For more information on preparing for the flood, visit MISSISSIPPI DEPARTMENT OF MENTAL HEALTH Natural disasters like tornadoes can cause serious stress and depression. Victims of the tornadoes are encouraged to talk about their feelings, even though it may be difficult and to rely on support groups like family, friends, local churches, and local community mental health centers. For more information about behavioral health resources in your area, contact the Mississippi Department of Mental Health Helpline at

13 SITUATION(MISSISSIPPI) ANIMALS Employees from the Mississippi Board of Animal Health, Mississippi State University Extension Service, MSU College of Veterinary Medicine, Farm Bureau, Cattlemen’s Association, the MS Veterinary Medical Association, Humane Society of the United States and the National Animal of Recue and Shelter Coalition are working together to address issues related to pets and livestock affected by the recent tornado outbreak and ongoing flooding of the Mississippi River. In response to the tornado and severe weather outbreak from April , MBAH is working with the American Society for the Prevention of Cruelty to Animals to move some animals for adoption from the Amory Humane Society. The Monroe County extension director is also coordinating volunteers and resources to rebuild fences for livestock. In response to flooding, the above agencies have provided the following updates:  The Natchez Humane Society, HSUS, and United Animal Nations will open a 300-animal sheltering facility in Natchez for pets of evacuees. They will start accepting animals on Wednesday.  The Vicksburg-Warren Humane Society is accepting animals. They are currently housing chickens, goats, dogs and cats. They are also involved in local animal search and rescue.  PAWS is assisting the Vicksburg City Shelter. They have moved all of the cats and almost all of the dogs. This shelter normally has animals and is expected to flood. The shelter will be closed this afternoon until further notice.  Tunica County pet shelter is not accepting any additional animals at this time. Mississippi Board of Animal Health: Storm related: Extensive damage was done to poultry houses and other farm structures on the east side of the state. The MBAH is consulting with poultry companies regarding euthanasia and disposal permits. The MBAH is working with the animal shelter in Monroe County to assess needs and facilitate requests for resources. River flooding: The MBAH and the MVMA have contacted animal shelters and veterinary clinics along the Mississippi River from Tunica to Natchez. These shelters are undertaking preparations to move out adoptable animals to make room for animals that may be affected by the flooding. Owner/pet/animal evacuation and sheltering information will be available on the MBAH website at The MBAH hotline number is Donations may be made to the MS Animal Disaster Relief Fund to help animals and their people affected by these disasters. Information on making a donation or applying for assistance can be found on the following websites: College of Veterinary Medicine, and Mississippi Veterinary Medical Association, ENVIRONMENT Mississippi Department of Environmental Quality: As a result of flooding forecasts and rising water levels for the Mississippi River, the Mississippi Department of Environmental Quality advises Mississippians to think about possible environmental issues that can result if flooding reaches their homes, farms, and businesses. The release of oil, gasoline, or chemicals into flood waters can be an environmental hazard. MDEQ requests that if residents observe any releases of oil, gasoline or chemicals or any stray barrels, waste containers, cylinders and pressure vessels that they promptly report the discovery to the state's 24-hour spill line: or TORNADO AND FLOODING UPDATES FOR PET AND ANIMAL OWNERS

14 (LOUISIANA) SITUATION  FATALITIES:  INJURED:  DESTRUCTION:  UTILITIES:  SHELTERS:  STATE DECLARATION: On April 28, 2011, Governor Bobby Jindal issued flood warnings and declared a state of emergency for Louisiana.  FEDERAL DECLARATIONS The U.S. Department of Homeland Security’s Federal Emergency Management Agency has made funding available to the state of Louisiana for necessary emergency protective measures for potential flooding under President Obama’s emergency disaster declaration LINKS To date, 28 Parishes have declared a Parish State of Emergency: Ascension, Assumption, Avoyelles, Caldwell, Catahoula, Concordia, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Iberia, Iberville, Lafourche, LaSalle, Madison, Morehouse, Pointe Coupee, St. Charles, St. James, St. John the Baptist, St. Landry, St. Martin, St. Mary, Tensas, Terrebonne, West Baton Rouge, and West Feliciana. All affected State agencies and parishes are taking precautions deemed necessary to prepare for the impending flood. Six parishes have instituted voluntary evacuations. The Morganza Spillway will be opened, if the threshold reaches a flow rate of 1.5 million cubic feet per second. The current flow rate is 1.36 million cubic feet per second; threshold could be reached as early as May 14. There are about 2,500 people located inside the Morganza Spillway and 2,000 structures. In the backwater area, there are about 22,500 people and 11,000 structures that would be impacted by the spillway opening. Roughly, three days after opening the Morganza Spillway, the water will reach the Morgan City area and about five days after reaching Morgan City, the water will begin causing backwater flooding. The Bonnet Carre Spillway, whose job it is to protect New Orleans, was opened on May 9 and the spillway was operational as of May 10, 2011.

15 FEDERAL RESPONSE SOURCE: Through our regional offices in Atlanta, Ga., Chicago, Ill., Denton, Texas, and Kansas City, Mo., we remain in close contact and coordination with our state and local partners in all of the areas affected by, or potentially impacted by, flooding. And as the crest moves down the Mississippi River, we will continue to coordinate closely with officials from the states of Tennessee, Mississippi, Arkansas, and Louisiana. At the request of the states, we currently have staff on the ground in Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri and Tennessee working with state emergency management partners, to coordinate federal support. Last week, President Obama declared emergency declarations for Mississippi, Tennessee and Louisiana, and a major disaster declaration for Kentucky, allowing the federal government to support emergency measures to save lives and to protect property and public health and safety. In addition to personnel on the ground, we're also sending supplies to a pre-determined staging area in western Kentucky to ensure the needed supplies are located close to the affected areas. Here’s a quick look at the supplies at the staging area so far:MississippiTennesseeLouisianaKentucky  More than 720,000 meals,  More than 460,000 thousand liters of water,  More than 39,000 blankets,  More than 20,000 tarps and  More than 14,000 cots.

16 BASIC STEPS YOU SHOULD STOCK YOUR HOME WITH SUPPLIES THAT MAY BE NEEDED DURING THE EMERGENCY PERIOD. AT A MINIMUM, THESE SUPPLIES SHOULD INCLUDE NEEDED DURING THE EMERGENCY PERIOD. AT A MINIMUM, THESE SUPPLIES SHOULD INCLUDE: PREPARING FOR A FLOOD  Contact the local county geologist or county planning department to find out if your home is located in a flash-flood-prone area or landslide-prone area.  Learn about your community's emergency plans, warning signals, evacuation routes, and locations of emergency shelters.  Plan and practice a flood evacuation route with your family. Ask an out-of-state relative or friend to be the "family contact" in case your family is separated during a flood. Make sure everyone in your family knows the name, address, and phone number of this contact person.  Post emergency phone numbers at every phone.  Inform local authorities about any special needs, i.E., Elderly or bedridden people, or anyone with a disability.  Identify potential home hazards and know how to secure or protect them before the flood strikes. Be prepared to turn off electrical power when there is standing water, fallen power lines, or before you evacuation. Turn off gas and water supplies before you evacuate. Secure structurally unstable building materials.  Buy a fire extinguisher and make sure your family knows where it is and how to use it.  Buy and install sump pumps with back-up power.  Have a licensed electrician raise electric components (switches, sockets, circuit breakers and wiring) at least 12" above your home's projected flood elevation.  For drains, toilets, and other sewer connections, install backflow valves or plugs to prevent floodwaters from entering.  Anchor fuel tanks which can contaminate your basement if torn free. An unanchored tank outside can be swept downstream and damage other houses.  Gather the emergency supplies you previously stocked in your home and stay tuned to local radio or television station for updates.  Turn off all utilities at the main power switch and close the main gas valve if evacuation appears necessary.  Have your immunization records handy or be aware of your last tetanus shot, in case you should receive a puncture wound or a wound becomes contaminated during or after the flood.  Fill bathtubs, sinks and plastic soda bottles with clean water. Sanitize the sinks and tubs first by using bleach. Rinse and fill with clean water.  Bring outdoor possessions, such as lawn furniture, grills and trash cans inside or tie them down securely.  Several clean containers for water, large enough for a 3-5 day supply of water (about five gallons for each person).  A 3-5 day supply of non-perishable food and a non-electric can opener.  A first aid kit and manual and prescription medicines and special medical needs.  A battery-powered radio, flashlights, and extra batteries.  Water-purifying supplies, such as chlorine or iodine tablets or unscented, ordinary household chlorine bleach.  Baby food and/or prepared formula, diapers, and other baby supplies.  Sleeping bags or extra blankets.  Disposable cleaning cloths, such as "baby wipes" for the whole family to use in case bathing facilities are not available.  Personal hygiene supplies, such as soap, toothpaste, sanitary napkins, etc.  An emergency kit for your car with food, flares, booster cables, maps, tools, a first aid kit, fire extinguisher, sleeping bags, etc.  Rubber boots, sturdy shoes, and waterproof gloves.  Insect repellent containing DEET or Picaridin, screens, or long-sleeved and long-legged clothing for protection from mosquitoes which may gather in pooled water remaining after the flood. (More information about these and other recommended repellents can be found in the fact sheet Updated Information Regarding Insect Repellents.)Updated Information Regarding Insect Repellents IF YOU ARE UNDER A FLOOD WATCH OR WARNING

17 PREPARING TO EVACUATE PREPARING FOR A FLOOD  Expect the need to evacuate and prepare for it. When a flood watch is issued, you should:  Fill your vehicle’s gas tank and make sure the emergency kit for your car is ready.  If no vehicle is available, make arrangements with friends or family for transportation.  Identify essential documents such as medical records, insurance card along with id cards and put in water prove material to carry with you during evacuation.  Fill your clean water containers.  If you have pet, identify a shelter designated for pets.  Review your emergency plans and supplies, checking to see if any items are missing.  Tune in the radio or television for weather updates.  Listen for disaster sirens and warning signals.  Put livestock and family pets in a safe area. Due to food and sanitation requirements, emergency shelters cannot accept animals.  Adjust the thermostat on refrigerators and freezers to the coolest possible temperature.  You should never ignore an evacuation order. Authorities will direct you to leave if you are in a low-lying area, or within the greatest potential path of the rising waters. If a flood warning is issued for your area or you are directed by authorities to evacuate the area:  Take only essential items with you.  If you have time, turn off the gas, electricity, and water.  Disconnect appliances to prevent electrical shock when power is restored.  Follow the designated evacuation routes and expect heavy traffic.  Do not attempt to drive or walk across creeks or flooded roads.  If you are ordered not to evacuate  To get through the storm in the safest possible manner:  Monitor the radio or television for weather updates.  Prepare to evacuate to a shelter or to a neighbor's home if your home is damaged, or if you are instructed to do so by emergency personnel.  Flood recovery, including preventing illness and injury, returning home safely, and clean up. Flood recovery IF YOU ARE ORDERED TO EVACUATE  To get through the storm in the safest possible manner:  Monitor the radio or television for weather updates.  Prepare to evacuate to a shelter or to a neighbor's home if your home is damaged, or if you are instructed to do so by emergency personnel. IF YOU ARE ORDERED NOT TO EVACUATE

18 PREVENT ILLNESS AFTER A DISASTER  Avoid wild or stray animals and biting or stinging insects.  Call local authorities to handle animals.  Get rid of dead animals, according to local guidelines, as soon as you can.  For more information, contact your local animal shelter or services, a veterinarian, or the humane society for advice on dealing with pets or stray or wild animals after an emergency.  For information on specific animal and insect issues, see protect yourself from animal- and insect-related hazards after a natural disaster.protect yourself from animal- and insect-related hazards after a natural disaster PROTECT YOURSELF FROM ANIMAL - AND INSECT-RELATED HAZARDS PREVENT CARBON MONOXIDE POISONING  Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if you breathe it. Never use generators, pressure washers, grills, camp stoves, or other gasoline, propane, natural gas, or charcoal-burning devices inside your home, basement, garage, or camper—or even outside near an open window, door, or vent.  Don't heat your house with a gas oven.  If you are too hot or too cold, or you need to prepare food, don't put yourself and your family at risk for co poisoning—look to friends, family, or a community shelter for help.  If your co detector sounds, leave your home immediately and call 911.  Seek prompt medical attention if you suspect co poisoning and are feeling dizzy, light-headed, or nauseated.  For further guidance on avoiding co poisoning, see protect yourself from carbon monoxideprotect yourself from carbon monoxide CLEAN UP SAFELY AFTER FLOODS  To prevent illness, disinfect and dry buildings and items in them. This will prevent growth of some bacteria, viruses, mold, and mildew that can cause illness.  For more information, see flood water after a disaster or emergency.flood water after a disaster or emergency KEEP FOOD AND WATER SAFE  Food may not be safe to eat during and after an emergency. Water may not be safe for cooking.  Water may not be safe to drink, clean with, or bathe in after an emergency, such as a hurricane or flood. During and after a disaster, water can become contaminated with microorganisms (for example, bacteria), sewage, agricultural or industrial waste, chemicals, and other substances that can cause illness or death.  Listen to and follow public announcements. Local authorities will tell you if water is safe to drink or to use for cooking or bathing. Follow local instructions to use bottled water or to boil or disinfect water for cooking, cleaning, or bathing.  For more information, see keep food and water safe after a natural disaster or power outage.keep food and water safe after a natural disaster or power outage WASH YOUR HANDS  Always wash your hands with soap and boiled or disinfected water before preparing or eating food, after toilet use, after participating in cleanup activities, and after handling articles contaminated by floodwater or sewage. Use warm water when available. Wash children's hands frequently (always before meals).  Disinfect water for washing by mixing 1/8 teaspoon of household bleach per 1 gallon of water). Let it stand for 30 minutes. If the water is cloudy, use a solution of 1/4 teaspoon of household bleach per 1 gallon of water.  If water isn't available, use alcohol-based products made for washing hands.  For more tips on washing your hands, see hand hygiene after a disaster.hand hygiene after a disaster PROTECT MENTAL HEALTH  The days and weeks after an emergency are going to be rough. Some sleeplessness, anxiety, anger, hyperactivity, mild depression, or lethargy are normal and may go away with time. If you feel any of these symptoms acutely, seek counseling. Your state, local, tribal health departments will help you find local resources, including hospitals or health care providers that you may need.  Seek medical care if you are injured, feel sick, or have acute stress and anxiety.  Keep as many elements of your normal routine incorporated into the disaster plans as possible, including activities to calm children's fears.  Be aware that you may have fewer resources to attend to your day-to-day conflicts, so it is best to resolve what you can ahead of time.  Turn to family, friends, and important social or religious contacts to setup support networks to deal with the potential stressors.  Let your child know that it is okay to feel upset when something bad or scary happens. Encourage your child to express feelings and thoughts, without making judgments.  For additional resources, see disaster mental health resources.disaster mental health resources

19 PREVENT ILLNESS AFTER A DISASTER AVOID MOSQUITOES PREVENT ILLNESS FROM SEWAGE PREVENT TEMPERATURE-RELATED ILLNESS PREVENT OR TREAT WOUNDS AVOID WILD OR STRAY ANIMALS  Rain and flooding in a hurricane area may lead to an increase in mosquitoes, which can carry diseases like west nile virus. In most cases, the mosquitoes will be pests but will not carry communicable diseases.west nile virus  To protect yourself from mosquitoes, use screens on dwellings, and wear long pants, socks, and long-sleeved shirts and use insect repellents that contain deet or picaridin. Care must be taken when using DEET on small children. More information about these and other recommended repellents can be found in the fact sheet updated information regarding insect repellents.updated information regarding insect repellents  To control mosquito populations, drain all standing water left in open containers, such as flower pots, tires, pet dishes, or buckets, outside your home.  If there is flooding along with a hurricane, the waters may contain fecal material from overflowing sewage systems and agricultural and industrial waste. Although skin contact with floodwater does not, by itself, pose a serious health risk, there is risk of disease from eating or drinking anything contaminated with floodwater.  If there has been a backflow of sewage into your house, wear rubber boots and waterproof gloves during cleanup. Remove and discard contaminated household materials that cannot be disinfected, such as wall coverings, cloth, rugs, and drywall.  If you have any open cuts or sores that will be exposed to floodwater, keep them as clean as possible by washing them with soap and applying an antibiotic ointment to discourage infection.  Wash clothes contaminated with flood or sewage water in hot water and detergent and separately from uncontaminated clothes and linens.  Do not allow children to play in floodwater areas and do not allow children to play with floodwater- contaminated toys that have not been disinfected. Disinfect toys by using a solution of one cup of bleach in five gallons of water. Some toys, such as stuffed animals and baby toys, cannot be disinfected; they should be discarded. When standing or working in water that is cooler than 75 f (24°c):  Wear rubber boots.  Ensure that clothing and boots have adequate insulation.  Take frequent breaks out of the water.  Change into dry clothing when possible.  Immediately clean out all open wounds and cuts with soap and clean water. Keep wounds covered with clean, dry bandages that are large enough to cover the wound and contain any pus or drainage.  Change bandages as needed and when drainage can be seen through the bandage. Contact a doctor to find out whether more treatment is needed (such as a tetanus shot).  If a wound gets red, swells, or drains, seek immediate medical attention.  If you are bitten by any animal, seek immediate medical attention. If you are bitten by a snake, try to identify it, so that if it is poisonous, you can be given the correct anti-venom.  Do not cut the wound or attempt to suck the venom out. (See also the CDC rabies website, rat-bite fever: frequently asked questions, and medical problems and treatment considerations for the red imported fire ant [PDF, 658 KB/8 pages].)CDC rabies websiterat-bite fever: frequently asked questionsmedical problems and treatment considerations for the red imported fire ant CONTACT WITH HAZARDOUS MATERIAL  If your skin or eyes may have come in contact with hazardous materials, such as acid from a car battery, wash thoroughly with decontaminated water and seek medical attention as needed.  If you have wounds, you should be evaluated for a tetanus immunization, just as you would at any other time of injury.  If you receive a puncture wound or a wound contaminated with feces, soil, or saliva, have a doctor or health department determine whether a tetanus booster is necessary based on individual records. For further guidance e, see emergency wound care after a natural disaster.emergency wound care after a natural disaster TETANUS IMMUNIZATION Prevent heat–related illness:  Stay in air-conditioned buildings.  Take breaks in shaded areas or in cool rooms.  Drink water and nonalcoholic fluids often.  Wear lightweight, light-colored, loose-fitting clothing.  Do outdoor activities during cooler hours. For further guidance, visit the cdc extreme heat website.cdc extreme heat website  Short bouts of diarrhea and upset stomach and colds or other breathing diseases sometimes occur in developed countries, such as the united states, after a natural disaster, particularly among large groups of people in a shelter. Basic hygiene measures like frequent hand washing or use of an alcohol hand gel, especially after using the restroom or changing diapers and before eating, can help prevent these diseases.hand washing or use of an alcohol hand gel  Diseases like cholera or typhoid are rare in developed countries and do not typically occur after a natural disaster.  For information on infectious disease, see infectious disease after a disaster.infectious disease after a disaster INFECTIOUS DISEASE IMMUNIZATIONS For information on immunizations for evacuees, relief workers, emergency responders and travelers, see immunization after a natural disaster. immunization after a natural disaster


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