1. 2004 Hurricane Response NDMS Prepared for MMRS 2005 Conference Homeland Security & Mass Casualty Preparedness By Gary Lindberg, FEMA Emergency Operations Specialist Joe Lamoureux, LT MSC USN, Healthcare Administrator

2. NDMS OPERATIONS 2004/2005 MISSIONS Disasters: 4 Hurricanes; 3 Typhoons & 1 Earthquake = 2,300 NDMS Members. NSSEs: 7 Events = 1,500 NDMS Members. Exercises: 35 = 3,000 NDMS Members.

3. 2004 East Coast Hurricanes Created compilation of multiple storms. Alex July Gaston August Jeanne September Frances August Ivan September Bonnie August Charley August

4. 2004 Multiple Storm Tracks LANDFALLS: TS Bonnie Hurricane Charley Hurricane Gaston (upgraded TS) Hurricane Frances Hurricane Ivan TS Ivan Hurricane Jeanne Presented by: DHS / EP&R / FEMA February 4, 2005

5. Millions Evacuated 2004 a Record Setting Season 9 Named Tropical Systems in the Atlantic Basin affect the U.S.: Hurricane Alex Tropical Storm Bonnie Hurricane Charley Hurricane Gaston Hurricane Frances Tropical Storm Hermine Hurricane Ivan Tropical Storm Ivan Hurricane Jeanne Resulting in 27 Presidential Disaster Declarations Impacting 16 States 2 Territories Presented by: DHS / EP&R / FEMA February 4, 2005

6. Hurricane Ivan - September 11 th Escambia Bay I-10 Bridge October 5 th one side Re-opened

7. FEMA Coordinated National Response US & R NDMS Logistics Staging Area USCG MERS Air Force & National Guard

8. National Disaster Medical System 1,902 Personnel Deployed 9,633 Patients Treated 76 Animals and Pets Treated CHARLEY1 JMT and 11 DMATS 1 VMAT and 2 Specialty Teams 488 Staff3,872 Patients FRANCES1 JMT and 15 DMATS 1 VMAT and 2 Specialty Teams 599 Staff1,461 Patients IVAN1JMT, 21 DMATS, 1 DMORT & 2 Specialty Teams ATLANTA Specialty Medical Group 50 Doctors, Nurses, EMTs, and Paramedics ORLANDO Specialty Medical Group 50 Doctors, Nurses, EMTs, and Paramedics 548 Staff3,339 Patients JEANNE1 JMT and 5 DMATS * HHS Nurses Assisted this operation 267 Staff961 Patients Presented by: DHS / EP&R / FEMA February 4, 2005

9. Special Needs Shelter

10. Partners DHS HHS DOH State of FL Dept of Elder Affairs ARC State EOC EMS Local/County/State Law Enforcement OCCC Management

11. OCCC Special Needs Shelter Mission Provide medical and extended care to a displaced population. Identified population included skilled nursing home, assisted living and home bound clients. Extra medical care maybe required of ambulatory clients that may arrive at shelter site.

12. Orange Count Convention Center Special Needs Shelter 10 Sept 04 ESF#8 Mission Assignment Capability of up to 8,000 patients NDMS set up and operate first 24 hrs 2 DMATs Additional Personnel –51 RNs, 3 NPs, 2 MDs, 1 Pharm, 2 RTs

14. FEMA Coordinated National Response US & R NDMS Logistics Staging Area USCG MERS Air Force & National Guard

15. NDMS Operates in Multiple States and Treat Patients