Terrorism—Preparing for the Unexpected

Devastating acts, such as the terrorist attacks on the World Trade Center and the Pentagon, have left many concerned about the possibility of future incidents in the United States and their potential impact. They have raised uncertainty about what might happen next, increasing stress levels. Nevertheless, there are things you can do to prepare for the unexpected and reduce the stress that you may feel now and later should another emergency arise. Taking preparatory action can reassure you and your children that you can exert a measure of control even in the face of such events.

What You Can Do to Prepare

Finding out what can happen is the first step. Once you have determined the events possible and their potential in your community, it is important that you discuss them with your family or household. Develop a disaster plan together.

1. Create an emergency communications plan.
Choose an out-of-town contact your family or household will call or e-mail to check on each other should a disaster occur. Your selected contact should live far enough away that they would be unlikely to be directly affected by the same event, and they should know they are the chosen contact. Make sure every household member has that contact's, and each other's, e-mail addresses and telephone numbers (home, work, pager and cell). Leave these contact numbers at your children's schools, if you have children, and at your workplace. Your family should know that if telephones are not working, they need to be patient and try again later or try e-mail. Many people flood the telephone lines when emergencies happen but e-mail can sometimes get through when calls don't.

2. Establish a meeting place.
Having a predetermined meeting place away from your home will save time and minimize confusion should your home be affected or the area evacuated. You may even want to make arrangements to stay with a family member or friend in case of an emergency. Be sure to include any pets in these plans, since pets are not permitted in shelters and some hotels will not accept them.

3. Assemble a disaster supplies kit.
If you need to evacuate your home or are asked to "shelter in place," having some essential supplies on hand will make you and your family more comfortable. Prepare a disaster supplies kit in an easy-to-carry container such as a duffel bag or small plastic trash can. Include "special needs" items for any member of your household (infant formula or items for people with disabilities or older people), first aid supplies (including prescription medications), a change of clothing for each household member, a sleeping bag or bedroll for each, a battery powered radio or television and extra batteries, food, bottled water and tools. It is also a good idea to include some cash and copies of important family documents (birth certificates, passports and licenses) in your kit.

Copies of essential documents-like powers of attorney, birth and marriage certificates, insurance policies, life insurance beneficiary designations and a copy of your will-should also be kept in a safe location outside your home. A safe deposit box or the home of a friend or family member who lives out of town is a good choice.

For more complete instructions, ask your local Red Cross chapter for the brochure titled Your Family Disaster Supplies Kit (stock number A4463).

4. Check on the school emergency plan of any school-age children you may have.
You need to know if they will they keep children at school until a parent or designated adult can pick them up or send them home on their own. Be sure that the school has updated information about how to reach parents and responsible caregivers to arrange for pickup. And, ask what type of authorization the school may require to release a child to someone you designate, if you are not able to pick up your child. During times of emergency the school telephones may be overwhelmed with calls.

If Disaster Strikes

• Remain calm and be patient.
• Follow the advice of local emergency officials.
• Listen to your radio or television for news and instructions.
• If the disaster occurs near you, check for injuries. Give first aid and get help for seriously injured people.
• If the disaster occurs near your home while you are there, check for damage using a flashlight. Do not light matches or candles or turn on electrical switches. Check for fires, fire hazards and other household hazards. Sniff for gas leaks, starting at the water heater. If you smell gas or suspect a leak, turn off the main gas valve, open windows, and get everyone outside quickly.
• Shut off any other damaged utilities.
• Confine or secure your pets.
• Call your family contact—do not use the telephone again unless it is a life-threatening emergency.
• Check on your neighbors, especially those who are elderly or disabled.

A Word on What Could Happen
As we learned from the events of September 11, 2001, the following things can happen after a terrorist attack:

• There can be significant numbers of casualties and/or damage to buildings and the infrastructure. So employers need up-to-date information about any medical needs you may have and on how to contact your designated beneficiaries.
• Heavy law enforcement involvement at local, state and federal levels follows a terrorist attack due to the event's criminal nature.
• Health and mental health resources in the affected communities can be strained to their limits, maybe even overwhelmed.
• Extensive media coverage, strong public fear and international implications and consequences can continue for a prolonged period.
• Workplaces and schools may be closed, and there may be restrictions on domestic and international travel.
• You and your family or household may have to evacuate an area, avoiding roads blocked for your safety.
• Clean-up may take many months.

Evacuation
If local authorities ask you to leave your home, they have a good reason to make this request, and you should heed the advice immediately. Listen to your radio or television and follow the instructions of local emergency officials and keep these simple tips in mind-

1.       Wear long-sleeved shirts, long pants and sturdy shoes so you can be protected as much as possible.

2.       Take your disaster supplies kit.

3.       Take your pets with you; do not leave them behind. Because pets are not permitted in public shelters, follow your plan to go to a relative's or friend's home, or find a "pet-friendly" hotel.

4.       Lock your home.

5.       Use travel routes specified by local authorities—don't use shortcuts because certain areas may be impassable or dangerous.

6.       Stay away from downed power lines.

Listen to local authorities.
Your local authorities will provide you with the most accurate information specific to an event in your area. Staying tuned to local radio and television, and following their instructions is your safest choice.

If you're sure you have time:

• Call your family contact to tell them where you are going and when you expect to arrive.
• Shut off water and electricity before leaving, if instructed to do so. Leave natural gas service ON unless local officials advise you otherwise. You may need gas for heating and cooking, and only a professional can restore gas service in your home once it's been turned off. In a disaster situation it could take weeks for a professional to respond.

Shelter-in-place Fact Sheet
If you are advised by local officials to "shelter in place," what they mean is for you to remain inside your home or office and protect yourself there. Close and lock all windows and exterior doors. Turn off all fans, heating and air conditioning systems. Close the fireplace damper. Get your disaster supplies kit, and make sure the radio is working. Go to an interior room without windows that's above ground level. In the case of a chemical threat, an above-ground location is preferable because some chemicals are heavier than air, and may seep into basements even if the windows are closed. Using duct tape, seal all cracks around the door and any vents into the room. Keep listening to your radio or television until you are told all is safe or you are told to evacuate. Local officials may call for evacuation in specific areas at greatest risk in your community.

Additional Positive Steps You Can Take

Raw, unedited footage of terrorism events and people's reaction to those events can be very upsetting, especially to children. We do not recommend that children watch television news reports about such events, especially if the news reports show images over and over again about the same incident. Young children do not realize that it is repeated video footage, and think the event is happening again and again. Adults may also need to give themselves a break from watching disturbing footage. However, listening to local radio and television reports will provide you with the most accurate information from responsible governmental authorities on what's happening and what actions you will need to take. So you may want to make some arrangements to take turns listening to the news with other adult members of your household.

Another useful preparation includes learning some basic first aid. To enroll in a first aid and AED/CPR course, contact your local American Red Cross chapter. In an emergency situation, you need to tend to your own well-being first and then consider first aid for others immediately around you, including possibly assisting injured people to evacuate a building if necessary.

People who may have come into contact with a biological or chemical agent may need to go through a decontamination procedure and receive medical attention. Listen to the advice of local officials on the radio or television to determine what steps you will need to take to protect yourself and your family. As emergency services will likely be overwhelmed, only call 9-1-1 about life-threatening emergencies.

First Aid Primer
If you encounter someone who is injured, apply the emergency action steps: Check-Call-Care. Check the scene to make sure it is safe for you to approach. Then check the victim for unconsciousness and life-threatening conditions. Someone who has a life-threatening condition, such as not breathing or severe bleeding, requires immediate care by trained responders and may require treatment by medical professionals. Call out for help. There are some steps that you can take, however, to care for someone who is hurt, but whose injuries are not life threatening.

Control Bleeding

• Cover the wound with a dressing, and press firmly against the wound (direct pressure).
• Elevate the injured area above the level of the heart if you do not suspect that the victim has a broken bone.
• Cover the dressing with a roller bandage.
• If the bleeding does not stop:
  • Apply additional dressings and bandages.
  • Use a pressure point to squeeze the artery against the bone.
• Provide care for shock.

Care for Shock

• Keep the victim from getting chilled or overheated.
• Elevate the legs about 12 inches (if broken bones are not suspected).
• Do not give food or drink to the victim.

Tend Burns

• Stop the burning by cooling the burn with large amounts of water.
• Cover the burn with dry, clean dressings or cloth.

Care for Injuries to Muscles, Bones and Joints

• Rest the injured part.
• Apply ice or a cold pack to control swelling and reduce pain.
• Avoid any movement or activity that causes pain.
• If you must move the victim because the scene is becoming unsafe, try to immobilize the injured part to keep it from moving.

Be Aware of Biological/Radiological Exposure

• Listen to local radio and television reports for the most accurate information from responsible governmental and medical authorities on what's happening and what actions you will need to take. The Web sites referenced at the end of this brochure can give you more information on how to protect yourself from exposure to biological or radiological hazards.

Reduce Any Care Risks
The risk of getting a disease while giving first aid is extremely rare. However, to reduce the risk even further:

• Avoid direct contact with blood and other body fluids.
• Use protective equipment, such as disposable gloves and breathing barriers.
• Thoroughly wash your hands with soap and water immediately after giving care.

It is important to be prepared for an emergency and to know how to give emergency care.

Family Disaster Planning

Disaster can strike quickly and without warning. It can force you to evacuate your neighborhood or confine you to your home. What would you do if basic services--water, gas, electricity or telephones--were cut off? Local officials and relief workers will be on the scene after a disaster, but they cannot reach everyone right away.

Four Steps to Safety
1. Find Out What Could Happen to You

• Contact your local Red Cross chapter or emergency management office before a disaster occurs--be prepared to take notes.
• Ask what types of disasters are most likely to happen. Request information on how to prepare for each.
• Learn about your community's warning signals: what they sound like and what you should do when you hear them.
• Ask about animal care after a disaster. Animals are not allowed inside emergency shelters because of health regulations.
• Find out how to help elderly or disabled persons, if needed.
• Find out about the disaster plans at your workplace, your children's school or day care center, and other places where your family spends time.

2. Create a Disaster Plan

• Meet with your family and discuss why you need to prepare for disaster. Explain the dangers of fire, severe weather, and earthquakes to children. Plan to share responsibilities and work together as a team.
• Discuss the types of disasters that are most likely to happen. Explain what to do in each case.
• Pick two places to meet:

1.       Right outside your home in case of a sudden emergency, like a fire.

2.       Outside your neighborhood in case you can't return home. Everyone must know the address and phone number.

• Ask an out-of-state friend to be your "family contact." After a disaster, it's often easier to call long distance. Other family members should call this person and tell them where they are. Everyone must know your contact's phone number.
• Discuss what to do in and evacuation.  Plan how to take care of your pets.

3. Complete This Checklist

• Post emergency telephone numbers by phones (fire, police, ambulance, etc.).
• Teach children how and when to call 9-1-1 or your local Emergency Medical Services number for emergency help.
• Show each family member how and when to turn off the utilities (water, gas, and electricity) at the main switches.
• Check if you have adequate insurance coverage.
• Get training from the fire department for each family member on how to use the fire extinguisher (ABC type), and show them where it's kept.
• Install smoke detectors on each level of your home, especially near bedrooms.
• Conduct a home hazard hunt-home hazard hunt.
• Stock emergency supplies and assemble a Disaster supply kit.
• Take a Red Cross first aid and CPR class.
• Determine the best escape routes from your home. Find two ways out of each room.
• Find the safe places in your home for each type of disaster.

4. Practice and Maintain Your Plan

• Quiz your kids every six months or so.
• Conduct fire and emergency evacuations.
• Replace stored water and stored food every six months.
• Test and recharge your fire extinguisher(s) according to manufacturer's instructions.
• Test your smoke detectors monthly and change the batteries at least once a year.

Neighbors Helping Neighbors
Working with neighbors can save lives and property. Meet with your neighbors to plan how the neighborhood could work together after a disaster until help arrives. If you're a member of a neighborhood organization, such as a home association or crime watch group, introduce disaster preparedness as a new activity. Know your neighbors' special skills (e.g., medical, technical) and consider how you could help neighbors who have special needs, such as disabled and elderly persons. Make plans for child care in case parents can't get home.

If Disaster Strikes
Remain calm and patient. Put your plan into action.

Check for Injuries
Give first aid and get help for seriously injured people.

Listen to Your Battery-Powered Radio for News and Instructions

Check for Damage in Your Home...

• Use flashlights. Do not light matches or turn on electrical switches, if you suspect damage.
• Sniff for gas leaks, starting at the water heater. If you smell gas or suspect a leak, turn off the main gas valve, open windows, and get everyone outside quickly.
• Shut off any other damaged utilities. (You will need a professional to turn gas back on.)
• Clean up spilled medicines, bleaches, gasoline, and other flammable liquids immediately.

Remember to...

• Confine or secure your pets.
• Call your family contact--do not use the telephone again unless it is a life-threatening emergency.
• Check on your neighbors, especially elderly or disabled persons.
• Make sure you have an adequate water supply in case service is cut off.
• Stay away from downed power lines.

Disaster Supplies Kit

There are six basics you should stock for your home: water, food, first aid supplies, clothing and bedding, tools and emergency supplies, and special items. Keep the items that you would most likely need during an evacuation in an easy-to carry container--suggested items are marked with an asterisk(*). Possible containers include a large, covered trash container, a camping backpack, or a duffle bag.

Water

• Store water in plastic containers such as soft drink bottles. Avoid using containers that will decompose or break, such as milk cartons or glass bottles. A normally active person needs to drink at least two quarts of water each day. Hot environments and intense physical activity can double that amount. Children, nursing mothers, and ill people will need more.
• Store one gallon of water per person per day.
• Keep at least a three-day supply of water per person (two quarts for drinking, two quarts for each person in your household for food preparation/sanitation).*

Food

• Store at least a three-day supply of non-perishable food. Select foods that require no refrigeration, preparation or cooking, and little or no water. If you must heat food, pack a can of sterno. Select food items that are compact and lightweight. Include a selection of the following foods in your Disaster Supplies Kit:
• Ready-to-eat canned meats, fruits, and vegetables
• Canned juices
• Staples (salt, sugar, pepper, spices, etc.)
• High energy foods
• Vitamins
• Food for infants
• Comfort/stress foods

First Aid Kit
Assemble a first aid kit for your home and one for each car.

• (20) adhesive bandages, various sizes.
• (1) 5" x 9" sterile dressing.
• (1) conforming roller gauze bandage.
• (2) triangular bandages.
• (2) 3 x 3 sterile gauze pads.
• (2) 4 x 4 sterile gauze pads.
• (1) roll 3" cohesive bandage.
• (2) germicidal hand wipes or waterless alcohol-based hand sanitizer.
• (6) antiseptic wipes.
• (2) pair large medical grade non-latex gloves.
• Adhesive tape, 2" width.
• Anti-bacterial ointment.
• Cold pack.
• Scissors (small, personal).
• Tweezers.
• CPR breathing barrier, such as a face shield.

Non-Prescription Drugs

• Aspirin or non-aspirin pain reliever
• Anti-diarrhea medication
• Antacid (for stomach upset)
• Syrup of Ipecac (use to induce vomiting if advised by the Poison Control Center)
• Laxative
• Activated charcoal (use if advised by the Poison Control Center)

Tools and Supplies

• Mess kits, or paper cups, plates, and plastic utensils*
• Emergency preparedness manual*
• Battery-operated radio and extra batteries*
• Flashlight and extra batteries*
• Cash or traveler's checks, change*
• Non-electric can opener, utility knife*
• Fire extinguisher: small canister ABC type
• Tube tent
• Pliers
• Tape
• Compass
• Matches in a waterproof container
• Aluminum foil
• Plastic storage containers
• Signal flare
• Paper, pencil
• Needles, thread
• Medicine dropper
• Shut-off wrench, to turn off household gas and water
• Whistle
• Plastic sheeting
• Map of the area (for locating shelters)

Sanitation

• Toilet paper, towelettes*
• Soap, liquid detergent*
• Feminine supplies*
• Personal hygiene items*
• Plastic garbage bags, ties (for personal sanitation uses)
• Plastic bucket with tight lid
• Disinfectant
• Household chlorine bleach

Clothing and Bedding
*Include at least one complete change of clothing and footwear per person.

• Sturdy shoes or work boots*
• Rain gear*
• Blankets or sleeping bags*
• Hat and gloves
• Thermal underwear
• Sunglasses

Special Items

• Remember family members with special requirements, such as infants and elderly or disabled persons

For Baby*

• Formula
• Diapers
• Bottles