Irma forces 35 hospitals across 3 states to evacuate: 9 things to know

http://www.beckershospitalreview.com/patient-flow/irma-forces-35-hospitals-across-3-states-to-evacuate-9-things-to-know.html

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Hurricane Irma hit southwest Florida Sunday and continued its destructive march north, forcing at least 35 hospitals across Florida, Georgia and South Carolina to evacuate patients or shut down. Downgraded to a tropical storm Monday morning, Irma still presents a major threat to many healthcare facilities.

Here are nine things to know.

1. As of Saturday afternoon, most of Florida’s hospitals remained open, the Florida Hospital Association told STAT. In advance of the hurricane, healthcare facilities across the state evacuated nearly 1,900 patients.

2. Four hospitals in the Florida Keys — Lower Keys Medical Center in Key West, Fishermen’s Hospital in Marathon, Mariners Hospital in Tavernier and Depoo Hospital in Key West — were among the first healthcare facilities in the state to close last week ahead of the hurricane, according to STAT.

3. In Miami, Mercy Hospital, part of Nashville, Tenn.-based HCA Healthcare, closed Friday after evacuating 200 patients. The patients were transferred to other HCA facilities. The Miami Cancer Institute, part of Coral Gables-based Baptist Health South Florida, also closed.

4. Mt. Sinai Hospital in Miami opened two conference rooms to house 30 expectant couples who were unable to leave during the hurricane. The women are 36 or more weeks pregnant and unable to travel, according to WHDH.

5. Naples, Fla.-based NCH Healthcare System stayed open during the hurricane and provided shelter for hundreds of evacuees, according to the Naples Daily News.

6. On Florida’s west coast, at least five hospitals have closed. Tampa General Hospital, the region’s only Level 1 trauma center, stayed open. As of Sunday, about 650 patients were in the hospital. A group of physicians, nurses and other staff will care for patients throughout the remainder of the storm, according to the Tampa Bay Times.

7. In central Florida, Cape Canaveral Hospital closed after evacuating patients last week, according to STAT.

8. In Georgia, Candler Hospital in Savannah transferred patients to St. Joseph’s Hospital in Savannah. Officials said St. Joseph’s Hospital “is better equipped to handle the long-term needs of our caregivers, medical staff and any patients who are too sick to be discharged or evacuated.”

9. In South Carolina, Hilton Head Hospital evacuated all patients and suspended services.

Harvey pounded the nation’s chemical epicenter. What’s in the foul-smelling floodwater left behind?

http://www.latimes.com/nation/nationnow/la-na-houston-chemical-plant-20170831-story.html

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The pounding rains of Hurricane Harvey washed over the conduits, cooling towers, ethylene crackers and other esoteric equipment of the nation’s largest complex of chemical plants and petroleum refineries, leaving behind small lakes of brown, foul-smelling water whose contents are a mystery.

Broken tanks, factory fires and ruptured pipes are thought to have released a cocktail of toxic chemicals into the waters. Explosions that released thick black smoke were reported at the Arkema Inc. chemical plant, where floods knocked out the electricity, leaving the facility outside Houston without refrigeration needed to protect volatile chemicals.

Meanwhile, emissions into the air have soared as the petrochemical industry shut down and then started up chemical operations, a cycle that causes an uptick in releases.

The potential health problems were magnified by overflowing sewers, inoperative treatment plants and the residues of animal waste, including carcasses.

Nobody is sure how much long-term health impact, if any, will result from the tidal wave of toxins and bacteria that swept through the nation’s fourth largest city.

Exhaustive investigations by the Environmental Protection Agency and the National Academy of Engineering after Hurricane Katrina, in which floodwaters languished in New Orleans for about six weeks, showed that toxic concentrations and the resulting exposures were too low to cause significant long-term health problems.

That festering flood caused a stench for weeks that left soldiers gagging for air as they flew helicopters 2,000 feet over the city. The Army Corps of Engineers had to pump the water out of New Orleans, much of which lies below sea level.

A report by the National Academy of Engineering in March 2006 said the floodwaters contained elevated levels of contaminants. The inorganic compounds were below drinking-water standards, while arsenic levels, attributed in part to lawn fertilizer, were above those standards.

The EPA took 1,800 samples of residue and soil from across the New Orleans area after Hurricanes Katrina and Rita and found that generally “the sediments left behind by the flooding from the hurricanes are not expected to cause adverse health impacts to individuals returning to New Orleans.”

The situation is far different in Houston, where the floodwaters are receding much faster.

But because Houston is far more industrialized, Harvey could have a much larger potential for leaving a toxic trail.

Without question, air emissions rose significantly during and after the storm, said Elena Craft, a toxicologist and senior scientist at the Texas branch of the Environmental Defense Fund.

The industry shutdown and startup cycle released 2 million pounds of pollutants, equal to 40% of all the emissions from 2016, Craft said, based on reports the industry made to the Texas Commission on Environmental Quality.

“In a few days, we have had months of exposure,” Craft said.

Marathon Oil, for example, reported to the state that heavy rain had pounded the roof of a storage tank so hard that it tilted, exposing gasoline to the air.

The emissions reports also included such carcinogens and suspected carcinogens as benzene and butadiene.

Craft said that sewage treatment plants in Beaumont went off line. A pipe carrying anhydrous hydrogen chloride was compromised in La Porte. Harris County’s 26 federal Superfund toxic waste sites may have been affected, including one that contains dioxins from a former paper mill along the San Jacinto River.

The fire at the Arkema chemical plant in Crosby released organic hydrogen peroxide, which officials said is an irritant but not toxic.

Tommy Newsom, who lives about 7 miles from the plant, said he felt fine but wondered what other chemicals might be involved. “Who knows how much of what they’re telling us is true?” he said.

“I think the wind’s in my favor,” said Newsom, a 60-year-old port worker, pointing to Texas state and U.S. flags at the entrance to his housing development.

Jennifer Sass, a senior scientist with the Natural Resources Defense Council’s health program, said the situation in Houston is a perfect breeding ground for hepatitis and tetanus.

“The flood is so large and slow-moving and the area is packed with dirty industries that are poorly regulated. Because the oil and gas industries down here are not as safe, we are concerned those toxins and chemicals are leaking,” she said.

Texas regulators urged caution. “Floodwaters may contain many hazards, including infectious organisms, intestinal bacteria, and other disease agents,” the Texas Commission on Environmental Quality said in a statement. “Precautions should be taken by anyone involved in cleanup activities or any others who may be exposed to floodwaters.”

The American Chemistry Council said its members are in constant communication with state and federal regulators about the status of their operations.

“Hurricane Harvey has presented extreme and unique challenges for the city of Houston and the surrounding areas in southeast Texas and Louisiana, warranting an unprecedented response effort, including that by local industry,” the trade group said in a statement.