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National Pandemic Planning – The Forgotten Scenarios

“Are we prepared?” is a simple question with a not-so-simple answer. There are generally two times this question arises: (1) when funding is being requested, and (2) after an incident occurs where the preparedness comes under review. Both timings are appropriate, but arguably not the best time to raise the

The Epitome of Failure – Part 2

The aeolian winds took control of the surrounding environment. A death-defying vortex formed and, along with it, a perturbation as inconceivable as the Camp Fire was overwhelming. This article continues to chronicle the story of a mega-disaster. Part 1 described how the Pacific Gas & Electric Company (PG&E) spent the

Management of the Strategic National Stockpile, A Path Forward

Because of COVID-19, it is time to reevaluate preparedness and reconsider threats to the homeland. Good intentions and grand theories do not make good programs. Programs work best when they’re based on a detailed understanding of the problem begin solved and how they are implemented on the ground with solid

The Wicked Problem of Lifting Social Distancing & Isolation

The issue of when or how to lift social distancing and isolation is a wicked problem. A “Wicked Problem” in policymaking defeats standard solutions because of the interaction between the wicked problem and its potential solutions. The application of the correct solution to one aspect of the wicked problem often

Avoiding the Three As: Apathy, Atrophy & Attrition

Emergency management is everything to everybody, but it often lacks the glue that is so desperately needed to manage catastrophic events. This is likely the result of two common pitfalls that the profession has long suffered from, pitfalls that can begin as soon as one walks out of the meeting

The Epitome of Failure – Part 1

At about 6:15 a.m. on 8 November 2018, an iron hook holding up a 115,000-volt line broke, dropping the live wire and sparking a blaze. Thirty minutes later, what would come to be known as the Camp Fire was out of control. Officials ordered the evacuation of the nearby town

Triggered Collapse, Part 6: A Nationwide Call to Action

Similar to pandemic preparedness, the U.S. government is not doing enough to prepare for failure of municipal water systems when the electric grid goes down. Government programs do not address loss of law and order or cessation of food production and delivery services. Elected and appointed officials often downplay the

Reconsideration of Healthcare Providers in the Age of COVID-19

Lately, there have been a number of discussions about protecting healthcare workers, bolstering the ranks with volunteerism, and utilizing alternative care sites and providers. There have been call-ups of retired clinicians of all stripes, field promotions of health sciences students, and alternative venues for care like telemedicine. However, one group

Triggered Collapse, Part 5: Gaps in National Disaster Planning Scenarios

In contrast to experts’ estimates of millions of deaths, the U.S. Department of Homeland Security (DHS) pandemic influenza planning scenario refers to just 87,000 casualties – not much more than a bad seasonal flu. This version of the scenario seen in public forums has planning assumptions on virus lethality, worker

A Family Tradition – Old School Florida Smuggling, Chapter 16

The evolution of drug smuggling and related crimes in south Florida can be viewed through one family and their many criminal associates. The Barker Family entered the smuggling business in the 1970s and transitioned from marijuana to cocaine and illegal aliens by the 1990s. Through drug and alien loads, broad

Use Caution: Retirees & the Direct Clinical Setting

To help with the increasing surge of COVID-19 patients, there have been a number of calls to re-enlist retired physicians and nurses in the healthcare setting. These calls from those within the government and the clinical setting are understandable on the surface. However, some elements are not being fully considered

A Family Tradition – Old School Florida Smuggling, Chapter 15

The evolution of drug smuggling and related crimes in south Florida can be viewed through one family and their many criminal associates. The Barker Family entered the smuggling business in the 1970s and transitioned from marijuana to cocaine and illegal aliens by the 1990s. Through drug and alien loads, broad

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