Americans at Risk: Why We Are Not Prepared for Megadisasters and What We Can Do Review

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Americans at Risk: Why We Are Not Prepared for Megadisasters and What We Can Do ReviewDr. Redlener talks about the following five megadisasters and what can be done to improve our response to them: an outbreak of avian flu in New York City; and earthquake in Seattle and the Puget Sound; the detonation of a nuclear bomb in a major city; an accidental chlorine release in a tornado-risk zone; and, finally, the targeting of American children by terrorists. After the interesting discussion of each megadisaster, Dr. Redlener points out the many things we can do to improve our response to them.
He very thoughtfully discusses the four barriers that prevent Americans from being in a state of optimal readiness. The first barrier is the lack of goals and accountability assigned to the monies given by the Feds. The second barrier is the failure to imagine the consequences of situations before they happen. In one example of this barrier, he talks about the fact that all nursing homes in New Orleans were required to have an emergency evacuation plan, and they did. However, all the plans called for evacuating residents to other nursing homes. After Katrina 80% of the nursing homes were damaged and the flooding made them inaccessible. The third barrier is the lack of leadership as demonstrated by DHS Secretaries Brown and Chertoff. The fourth and final barrier is what he calls the strange psychology of preparedness. For example, one in three Americans believes a terrorist attack will happen within a year; however, fewer than half Americans have a family emergency preparedness plan. The thinking follows the line of there will be an attack, but it wont happen me.
We are introduced to Prochaska's "Stages of Change " model to help us better understand how people normally modify their behaviors. By understanding this model we will be better able to create a culture of readiness. We are also introduced to the efforts other countries have undertaken to better prepare and deal with megadisasters. I enjoyed reading about what other countries were and are doing to better prepare for handling megadisasters. I did particularly like the Chinese example that he used. A major earthquake happened in the Qinglong district of China in 1976. It was between a 7.8 and an 8.2 magnitude on the Richter scale. The disaster claimed 240,000 lives and injuring another 165,000 people. The city of Tangshan was virtually destroyed. Qinglong, a community close by, suffered from the same quake, however, the outcome was very different. Two years earlier, Qinglong was warned about the possibilities of an earthquake striking their city. They took the warning seriously and prepared for the day when it might happen. The death toll in Qinglong on July 28th, the day of the quake? ONE --- a man died of a heart attack!! As Dr. Redlener said, "the lesson is overwhelmingly important: mitigation, education, and planning work".
The only megadisaster that could happen now is not getting this book, and the answers it provides, into the hands of our politicians!!!
George DumiganAmericans at Risk: Why We Are Not Prepared for Megadisasters and What We Can Do Overview

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