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The National Disaster Medical System

The Emergency Mobilization Preparedness Board developed plans for improved national preparedness in case of major catastrophic domestic disaster or the possibility of an overseas conventional conflict. Within the health and medical arena, the working group on health developed the concept and system design for the National Disaster Medical System (NDMS). A description of NDMS is presented including the purpose, key components, medical response, patient evacuation, definitive medical care, NDMS activation and operations, and summary and benefits.

Reutershan, Thomas P.↗

When Weather Matters: Science and Service to Meet Critical Societal Needs

The goal of weather prediction is to provide information people and organizations can use to reduce weather-related losses and enhance societal benefits, including protection of life and property, public health and safety, and support of economic prosperity and quality of life. In economic terms, the benefit of the investment in public weather forecasts and warnings is substantial: the estimated annualized benefit is about $31.5 billion, compared to the $5.1 billion cost of generating the information. Between 1980 and 2009, 96 weather disasters in the United States each caused at least $1 billion in damages, with total losses exceeding $700 billion. Between 1999 and 2008, there were an average of 629 direct weather fatalities per year. The annual impacts of adverse weather on the national highway system and roads are staggering: 1.5 million weather-related crashes with 7,400 deaths, more than 700,000 injuries, and $42 billion in economic losses.

Weather forecasting↗

Estimating Tropical Cyclone Threats to Floating Rigs in the Gulf of Mexico

Offshore drilling operations in the Gulf of Mexico are particularly vulnerable during hurricane season. When a weather threat arises, a decision to evacuate the rig and/or move to a safe location may need to be made. Depending on the activities in progress at the time of the threat, securing the well, evacuating, and/or moving to a safe location can take a considerable amount of time. This transition time is called T-time. T-time is not only rig dependent, but also depends on the activity being performed at the time of the threat. For these reasons it is important to assess tropical cyclone threats and the time it takes for them to reach the rig location. The objective of this study is to use the available 50 years of past cyclone history to estimate cyclone threats at any location in the Gulf of Mexico. The cyclone threat is estimated based on the rig location as well as the start date and duration of the offshore activity. By threat, it is meant the likelihood that a specific location with an associated offshore activity would be exposed to an upcoming cyclone whose forecasted track cone and storm size lies within that location. Three representative rig locations in the Gulf of Mexico were selected as assessment sites to evaluate the threat of incoming cyclones for different T-times. To conduct this tropical cyclone study, an Excel spreadsheet tool was developed to automate the analysis of the tropical cyclone data from the Best Track Archive for Climate Stewardship (IBTrACS) Version 4. The spreadsheet tool allows the user to input any location (i.e., longitude and latitude) in the Gulf of Mexico and displays a list of historical cyclones that have passed within 150 nautical miles of that location during the activity period selected by the user. Also, the tool allows the user to input a T-time to assess the threat of cyclones that would not provide adequate time to secure the well, evacuate, and/or move to a safe location.

Risk↗

Forecasting disease risk for increased epidemic preparedness in public health

Emerging infectious diseases pose a growing threat to human populations. Many of the world's epidemic diseases (particularly those transmitted by intermediate hosts) are known to be highly sensitive to long-term changes in climate and short-term fluctuations in the weather. The application of environmental data to the study of disease offers the capability to demonstrate vector-environment relationships and potentially forecast the risk of disease outbreaks or epidemics. Accurate disease forecasting models would markedly improve epidemic prevention and control capabilities. This chapter examines the potential for epidemic forecasting and discusses the issues associated with the development of global networks for surveillance and prediction. Existing global systems for epidemic preparedness focus on disease surveillance using either expert knowledge or statistical modelling of disease activity and thresholds to identify times and areas of risk. Predictive health information systems would use monitored environmental variables, linked to a disease system, to be observed and provide prior information of outbreaks. The components and varieties of forecasting systems are discussed with selected examples, along with issues relating to further development.

Disease Outbreaks↗

Collegiate Aviation Research and Education Solutions to Critical Safety Issues

This Conference Proceedings is a collection of 6 abstracts and 3 papers presented April 19-20, 2001 in Denver, CO. The conference focus was "Best Practices and Benchmarking in Collegiate and Industry Programs". Topics covered include: satellite-based aviation navigation; weather safety training; human-behavior and aircraft maintenance issues; disaster preparedness; the collegiate aviation emergency response checklist; aviation safety research; and regulatory status of maintenance resource management.

Bowen, Brent↗

Assessing Crew Medical Officer Preparedness for International Space Station Missions

INTRODUCTION Astronaut crew medical officers (CMO) undergo additional, specialized training to provide medical support onboard the International Space Station (ISS). CMO training focuses on utilizing resources on-station and optimizing communication with ground-based expertise to manage both common minor conditions as well as emergency/trauma situations. As NASA moves towards future Artemis and exploration class missions, we sought CMO perspectives on past, present, and future CMO training and medical resourcing to help inform mission planners regarding medical risk mitigation considerations. We present an interview-based qualitative assessment of CMO preparedness for the International Space Station with the aim to help iterate future training flows for Low Earth Orbit, Artemis, and exploration-class missions. METHODS A semi-structured interview tool was developed to assess CMO experience and their recommendations for future mission training considerations. Participants were recruited from former or current US astronauts who were designated as CMO and subsequently flew to the International Space Station. 10 former CMOs took part in the study. Interview transcripts were deidentified and evaluated for qualitative thematic analysis by two independent coders with NVivo Software suite (Lumivero, Denver, CO), and emergent themes were compiled. RESULTS Former CMO crew expressed appropriate preparedness for current ISS medical capabilities and requirements. They identified the role of the CMO as serving as a healthcare extender to ground-based flight surgeons for ISS and other LEO missions. Individuals with prior medical experience were preferred though not felt to be necessary for LEO missions. For exploration class missions with limitations in ground communication, a physician-as-CMO and more rigorous training curricula for both the CMO and astronaut crew were desired. DISCUSSION Former NASA astronaut crew were interviewed to retrospectively assess their preparedness as ISS crew medical officers and hypothesize future medical knowledge, skill, and ability needs. Along with medical operations subject matter expert opinion and advanced probabilistic risk assessment modeling, past CMO experience can help inform future CMO training considerations and responsibilities for future Artemis and exploration class missions.

M A Labarbera↗

Earthquake Information System

IAEMIS (Integrated Automated Emergency Management Information System) is the principal tool of an earthquake preparedness program developed by Martin Marietta and the Mid-America Remote Sensing Center (MARC). It is a two-component set of software, data and procedures to provide information enabling management personnel to make informed decisions in disaster situations. The NASA-developed program ELAS, originally used to analyze Landsat data, provides MARC with a spatially-oriented information management system. Additional MARC projects include land resources management, and development of socioeconomic data.

Source record↗

Rift Valley Fever Prediction and Risk Mapping: 2014-2015 Season

Extremes in either direction (+-) of precipitation temperature have significant implications for disease vectors and pathogen emergence and spread Magnitude of ENSO influence on precipitation temperature cannot be currently predicted rely on average history and patterns. Timing of event and emergence disease can be exploited (GAP) in to undertake vector control and preparedness measures. Currently - no risk for ecologically-coupled RVFV activity however we need to be vigilant during the coming fall season due the ongoing buildup of energy in the central Pacific Ocean. Potential for the dual-use of the RVF Monitor system for other VBDs Need to invest in early ground surveillance and the use of rapid field diagnostic capabilities for vector identification and virus isolation.

RVF↗

PLANETARY DEFENSE: FINDINGS AND RECOMMENDATIONS FROM THE NATIONAL ACADEMIES PLANETARY SCIENCE AND ASTROBIOLOGY DECADAL SURVEY 2023 - 2032

The National Academies of Sciences, Engineering, and Medicine was chartered by the NASA Science Mission Directorate (SMD), with support from the National Science Foundation, to conduct a new decadal survey to develop a comprehensive science and mission strategy for planetary science (1). The survey was tasked to determine the current state of knowledge and to identify the most important scientific questions to be addressed in astrobiology and planetary science during the upcoming decade of 2023 - 2032. For the first time, the decadal survey also included and addressed the topic of planetary defense, now recognized as a key element of NASA’s planetary science activities under the direction of NASA’s SMD Planetary Defense Coordination Office. The topic of planetary defense was included in the decadal survey as a dedicated chapter, divided into five sections based on the framework from the U.S. National NEO Preparedness Strategy and Action Plan (2). These sections discussed: NEO Detection, Tracking, and Characterization NEO Modelling, Prediction, and Integration NEO Deflection and Disruption Missions International Cooperation on NEO Preparation NEO Impact Emergency Procedures and Action Protocols Content of these sections included identifying the activities, ground- and space-based assets, facilities, resources, technologies, and missions that should be considered to enable NEO preparedness over the next decade. Supporting inputs to this chapter involved contributions from submitted white papers authored by many members of the NEO science and planetary defense communities. In addition, a planetary defense rapid mission architecture study commissioned by the decadal survey small bodies panel and led by the Jet Propulsion Laboratory examined several different types of in-situ characterization and mitigation demonstration missions. All of this input contributed to the formulation of 42 findings and 11 recommendations that suggest a path forward for increasing our understanding of the NEO population and their associated physical characteristics, modelling the impact probabilities and hazard potential of these objects, and implementing plans to develop and test NEO impact mitigation capabilities. Including planetary defense in the decadal survey has helped sharpen the focus on this international issue and provided key inputs for stakeholders and decision makers to consider when developing future planetary defense-related activities. Such information is vital for developing a long-term integrated planetary defense capability able to protect humanity in the decades to come.

NEO Detection and Characterization↗

Handling Emergency Management in [an] Object Oriented Modeling Environment

It has been understood that protection of a nation from extreme disasters is a challenging task. Impacts of extreme disasters on a nation's critical infrastructures, economy and society could be devastating. A protection plan itself would not be sufficient when a disaster strikes. Hence, there is a need for a holistic approach to establish more resilient infrastructures to withstand extreme disasters. A resilient infrastructure can be defined as a system or facility that is able to withstand damage, but if affected, can be readily and cost-effectively restored. The key issue to establish resilient infrastructures is to incorporate existing protection plans with comprehensive preparedness actions to respond, recover and restore as quickly as possible, and to minimize extreme disaster impacts. Although national organizations will respond to a disaster, extreme disasters need to be handled mostly by local emergency management departments. Since emergency management departments have to deal with complex systems, they have to have a manageable plan and efficient organizational structures to coordinate all these systems. A strong organizational structure is the key in responding fast before and during disasters, and recovering quickly after disasters. In this study, the entire emergency management is viewed as an enterprise and modelled through enterprise management approach. Managing an enterprise or a large complex system is a very challenging task. It is critical for an enterprise to respond to challenges in a timely manner with quick decision making. This study addresses the problem of handling emergency management at regional level in an object oriented modelling environment developed by use of TopEase software. Emergency Operation Plan of the City of Hampton, Virginia, has been incorporated into TopEase for analysis. The methodology used in this study has been supported by a case study on critical infrastructure resiliency in Hampton Roads.

Tokgoz, Berna Eren↗

Flood and Landslide Applications of Near Real-time Satellite Rainfall Products

Floods and associated landslides are one of the most widespread natural hazards on Earth, responsible for tens of thousands of deaths and billions of dollars in property damage every year. During 1993-2002, over 1000 of the more than 2,900 natural disasters reported were due to floods. These floods and associated landslides claimed over 90,000 lives, affected over 1.4 billion people and cost about $210 billion. The impact of these disasters is often felt most acutely in less developed regions. In many countries around the world, satellite-based precipitation estimation may be the best source of rainfall data due to lack of surface observing networks. Satellite observations can be of essential value in improving our understanding of the occurrence of hazardous events and possibly in lessening their impact on local economies and in reducing injuries, if they can be used to create reliable warning systems in cost-effective ways. This article addressed these opportunities and challenges by describing a combination of satellite-based real-time precipitation estimation with land surface characteristics as input, with empirical and numerical models to map potential of landslides and floods. In this article, a framework to detect floods and landslides related to heavy rain events in near-real-time is proposed. Key components of the framework are: a fine resolution precipitation acquisition system; a comprehensive land surface database; a hydrological modeling component; and landslide and debris flow model components. A key precipitation input dataset for the integrated applications is the NASA TRMM-based multi-satellite precipitation estimates. This dataset provides near real-time precipitation at a spatial-temporal resolution of 3 hours and 0.25deg x 0.25deg. By careful integration of remote sensing and in-situ observations, and assimilation of these observations into hydrological and landslide/debris flow models with surface topographic information, prediction of useful probabilistic maps of landslide and floods for emergency management in a timely manner is possible. Early results shows that the potential exists for successful application of satellite precipitation data in improving/developing global monitoring systems for flood/landslide disaster preparedness and management. The scientific and technological prototype can be first applied in a representative test-bed and then the information deliverables for the region can be tailored to the societal and economic needs of the represented affected countries.

Hong, Yang↗

Dissemination of Global Flood Severity and Surface Water Mapping using Remote Sensing Data to Global Stakeholders

Flooding is a natural event that occurs frequently with high severity worldwide, responsible for significant societal and economic impacts. Disaster managers face significant challenges managing essential information for preparedness, response, and recovery efforts. The development of an open access, global flood alerting system for effective identification of flood impacted areas, classification of potential impacts, and the formulation of effective emergency response measures requires the incorporation of a wide variety of flood models and remote sensing data sources from multiple platforms. NASA is currently funding projects focused on flood forecasting, post-event flood mapping, flood depth estimation and pre-event flood severity estimation using Earth observation (EO) datasets and derived flood products. A new initiative in the Disasters Program is underway to disseminate flood products from different hydrologic models and sensors to global stakeholders via Pacific Disaster Center’s DisasterAWARE®, NASA’s Disasters Mapping Portal and potentially other mechanisms. This initiative focuses on improving response capacity and use of EO products in near real-time by a broader community for resource planning in case of extreme events. As part of this initiative, we have deployed Model of Models (MoM) – an open-source ensemble approach, that integrates outputs from hydrologic models and EO data from optical imagery to assess flood severity daily at sub-watershed level globally. The MoM output is integrated with the incident event system of DisasterAWARE to generate flood severity risk and flood impact boundaries, which are disseminated via the DisasterAWARE platform to different stakeholders globally for decision-making and response efforts. The next step will focus on using MoM outputs to estimate flood depth and extent mapping using high-resolution Synthetic Aperture Radar imagery, impact assessment using optical imagery and population datasets, and damage estimation using critical infrastructure datasets, which would be disseminated via DisasterAWARE to decision-makers, emergency managers and first responders around the world.

flood↗

Sea Level Rise and City-Level Climate Action

Background: Climate change is the greatest threat to global health in the 21st century. Rising sea levels are one particularly concerning manifestation of this and many of the world’s largest cities are vulnerable to sea level rise (SLR). Thus, urban climate adaptation and mitigation policies are increasingly important to protect population health. Objectives: This study aimed to determine whether being at risk of SLR was associated with city-level climate action. It also aimed to assess the wider drivers of climate action in cities, in order to guide ongoing efforts to motivate climate action, assess public health preparedness and identify research gaps. Methods: This is an ecological cross-sectional study using secondary data from CDP, the Urban Climate Change Research Network (UCCRN), World Bank, United Nations Cities and EM-DAT (Emergency Events Database). The study population consisted of 517 cities who participated in CDP’s 2019 Cities Survey. Multivariable logistic regression was utilized to assess the relationship between risk of SLR and city-level climate action, and secondly, to assess the wider determinants of city-level climate action. Results: There was evidence of crude associations between risk of SLR and three outcome variables representing city-level climate action. However, after adjusting for confounding variables, these crude associations disappeared. World region, national income status and urban population were shown to be stronger predictors of city-level climate action. Conclusion: It is concerning for population health that there is no association demonstrated between risk of SLR and climate action. This could indicate a lack of awareness of the risks posed by SLR within urban governance. To fulfil their health protection responsibilities, it is essential that public health professionals take a leading role in advocating for climate action.

sea level rise↗

Capacity Building Engagement for Estimating Forest Stand Height Utilizing the SAR Handbook

Utilizing Synthetic Aperture Radar (SAR) which provides information such as vegetation structure and moisture content, independently of weather conditions is a powerful tool that can be employed to more effectively monitor deforestation and estimate biomass which is of paramount concern, especially in South and Southeast Asia which contain nearly 15% of all tropical forests. SERVIR, a NASA-USAID initiative, works in partnership with regional hubs around the world building capacity through promoting the use of Earth observations and geospatial technologies. The SERVIR Global network and the Silva Carbon program collaboratively developed the SAR Handbook: Comprehensive Methodologies for Forest Monitoring and Biomass Estimation which set out to reduce the barriers associated with leveraging SAR and increase the capacity of researchers and practitioners globally to use SAR for monitoring. In particular, utilizing SAR to estimate Forest Stand Height (FSH) is crucial for greenhouse gas emissions reporting and estimating carbon storage. Programs such as Reducing Emissions from Deforestation and Forest Degradation (REDD) rely on parameters such as these for their monitoring efforts. This talk will showcase the collaborative efforts, emergent geospatial technology leveraged, and capacity building approaches utilized by our team to conduct a South and Southeast Asia focused in-person training event located at SERVIR-Mekong, a SERVIR hub lead by the Asian Disaster Preparedness Center (ADPC) in Bangkok.

AGU↗

A Spatial Analysis and Modeling System (SAMS) for environment management

This is a proposal to develop a uniform global environmental data gathering and distribution system to support the calibration and validation of remotely sensed data. SAMS is based on an enhanced version of FE MA's Integrated Emergency Management Information Systems and the Department of Defense's Air Land Battlefield Environment Software Systems. This system consists of state-of-the-art graphics and visualization techniques, simulation models, database management and expert systems for conducting environmental and disaster preparedness studies. This software package will be integrated into various Landsat and UNEP-GRID stations which are planned to become direct readout stations during the EOS timeframe. This system would be implemented as a pilot program to support the Tropical Rainfall Measuring Mission (TRMM). This will be a joint NASA-FEMA-University-Industry project.

Vermillion, Charles H.↗

A Spatial Analysis and Modeling System (SAMS) for environment management

This is a proposal to develop a uniform global environmental data gathering and distribution system to support the calibration and validation of remotely sensed data. SAMS is based on an enhanced version of FEMA's Integrated Emergency Management Information Systems and the Department of Defense's Air land Battlefield Environment Software Systems. This system consists of state-of-the-art graphics and visualization techniques, simulation models, database management and expert systems for conducting environmental and disaster preparedness studies. This software package will be integrated into various Landsat and UNEP-GRID stations which are planned to become direct readout stations during the EOS (Earth Observing System) timeframe. This system would be implemented as a pilot program to support the Tropical Rainfall Measuring Mission (TRMM). This will be a joint NASA-FEMA-University-Industry project.

Stetina, Fran↗

The Global Emergency Observation and Warning System

Based on an extensive characterization of natural hazards, and an evaluation of their impacts on humanity, a set of functional technical requirements for a global warning and relief system was developed. Since no technological breakthroughs are required to implement a global system capable of performing the functions required to provide sufficient information for prevention, preparedness, warning, and relief from natural disaster effects, a system is proposed which would combine the elements of remote sensing, data processing, information distribution, and communications support on a global scale for disaster mitigation.

Bukley, Angelia P.↗

NASA’s Mid-Atlantic Communities and Areas at Intensive Risk Demonstration: Translating Compounding Hazards to Societal Risk

Remote sensing provides a unique perspective on our dynamic planet, tracking changes and revealing the course of complex interactions. Long term monitoring and targeted observation combine with modeling and mapping to provide increased awareness of hydro-meteorological and geological hazards. Disasters often follow hazards and the goal of NASA’s Disasters Program is to look at the earth as a highly coupled system to reduce risk and enable resilience. Remote sensing and geospatial science are used as tools to help answer critical questions that inform decisions. Data is not the same as information, nor does understanding of processes necessarily translate into decision support for disaster preparedness, response and recovery. Accordingly, NASA is engaging the scientific and decision-support communities to apply remote sensing, modeling, and related applications in Communities and Areas at Intensive Risk (CAIR). In 2017, NASA’s Applied Sciences Disasters Program hosted a regional workshop to explore these issues with particular focus on coastal Virginia and North Carolina. The workshop brought together partners in academia, emergency management, and scientists from NASA and partnering federal agencies to explore capabilities among the team that could improve understanding of the physical processes related to these hazards, their potential impact to changing communities, and to identify methodologies for supporting emergency response and risk mitigation. The resulting initiative, the mid-Atlantic CAIR project, demonstrates the ability to integrate satellite derived earth observations and physical models into actionable, trusted knowledge. Severe storms and associated storm surge, sea level rise, and land subsidence coupled with increasing populations and densely populated, aging critical infrastructure often leave coastal regions and their communities extremely vulnerable. The integration of observations and models allow for a comprehensive understanding of the compounding risk experienced in coastal regions and enables individuals in all positions make risk-informed decisions. This initiative uses a representative storm surge case as a baseline to produce flood inundation maps. These maps predict building level impacts at current day and for sea level rise (SLR) and subsidence scenarios of the future in order to inform critical decisions at both the tactical and strategic levels. To accomplish this analysis, the mid-Atlantic CAIR project brings together Federal research activities with academia to examine coastal hazards in multiple ways: 1) reanalysis of impacts from 2011 Hurricane Irene, using numerical weather modeling in combination with coastal surge and hydrodynamic, urban inundation modeling to evaluate combined impact scenarios considering SLR and subsidence, 2) remote sensing of flood extent from available optical imagery, 3) adding value to remotely sensed flood maps through depth predictions, and 4) examining coastal subsidence as measured through time-series analysis of synthetic aperture radar observations. Efforts and results are published via ArcGIS story maps to communicate neighborhoods and infrastructure most vulnerable to changing conditions. Story map features enable time-aware flood mapping using hydrodynamic models, photographic comparison of flooding following Hurricane Irene, as well as visualization of heightened risk in the future due to SLR and land subsidence.

Rogers, Laura↗