FEDERAL GOVERNMENT

FEMA

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HHS

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CDC

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NATIONAL WEATHER SERVICE

National Weather Service

National Hurricane Center

NATIONAL OCEANIC AND ATMOSPHERIC

ADMINISTRATION

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NOAA Environmental Visual Laboratory

DOD

NORTHCOM

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ARMY NORTH

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U.S. DEPARTMENT OF ENERGY

ENVIRONMENTAL PROTECTION AGENCY

U.S. DEPARTMENT OF THE INTERIOR, U.S. GEOLOGICAL

SURVEY

CURRENT SITUATION

FEDERAL ACTIVITIES

YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT

HURRICANE SANDY - RECOVERY

FEDERAL LINKS STATE LINKS

BACKGROUND Connecticut

CT Department of Emergency Services and Public

Protection

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Hurricane Sandy Preparations

New Jersey

New Jersey Office of Emergency Management

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New York State

New York State Division of Homeland Security and

Emergency Services

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NWS Office NYC

Hurricane Sandy News and Information

New York City

New York City Office of Emergency Preparedness

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NWS Office NYC

AS OF 10:00PM EST

21 NOV 2012

RED CROSS

NEW YORK CITY

NEW JERSEY

NEW YORK

THE FOCUS OF THIS REPORT WILL BE PRIMARILY ON NY AND NJ

USACE

HHS

DEATH TOLL

US LANDFALL Just before 8 a.m. EDT, on October 29, Sandy turned to the north-northwest and started to make its expected approach towards the U.S. coast. At 7 p.m. EDT that evening, Sandy was declared a post-tropical cyclone, while still maintaining Category 1 strength. Sandy made its final landfall 5 miles (8 km) southwest of Atlantic City, New Jersey at about 8 p.m. EDT on October 29 . U.S. IMPACT: Sandy impacted 24 states, 14 along the U.S. East Coast, from Florida to New England, stretching tropical storm force winds far inland, causing major flooding in coastal communities and New York City, exacerbating mountain snows in the Mid Atlantic Appalachian region, especially in West Virginia, halting mass transit and cutting power to more than 7 million homes and businesses, and causing at least $50 billion in estimated damages across the East Coast, Mid Atlantic and Appalachian regions.

BACKGROUND

OVERVIEW: Hurricane Sandy was a late-season tropical cyclone that first affected Jamaica, Cuba, The Bahamas, Haiti and Florida before slamming into the U.S. East Coast and Canada. In diameter, it was the largest Atlantic hurricane on record, with winds spanning 1,100 miles (1,800 km) TROPICAL DEVELOPMENT: The eighteenth tropical cyclone and tenth hurricane of the 2012 Atlantic hurricane season, Sandy developed from an elongated tropical wave in the western Caribbean Sea on October 22. It quickly strengthened after becoming a tropical depression and was upgraded to a tropical storm six hours later. On October 24, Sandy was upgraded to a hurricane. The storm made landfall on Cuba during the early morning of October 25 as a Category 2 hurricane. During the late evening of October 25, Sandy weakened to Category 1 strength; in the early hours of October 26, it headed north through the Bahamas and north along the U.S. East Coast. Sandy showed some characteristics of both tropical and extratropical cyclones on October 26 and briefly weakened to a tropical storm in the early morning hours of October 27, then strengthened to a Category 1 hurricane later that morning.

NOR’EASTER: Immediately after Sandy made landfall, forecasters were already discussing the possibility of a nor'easter directly impacting the North East during the following week. In preparation for the storm, some residents of the state's coastal areas were evacuated once again due to the threat of high winds, flooding, and storm surge of up to three feet; . The storm hit New Jersey, New York, Connecticut and New England on November 7, a little more than a week after Sandy's landfall bringing snow, freezing temperatures, downing trees and power lines.

FATALITIES BY COUNTRY

RESPONSE: Sandy caused billions in damage. The widespread destruction has resulted in the largest relief effort since Hurricane Katrina. Local, tribal, state and federal assets have been mobilized to meet the needs.

CURRENT SITUATION

As of 21 NOV 12, More than 453,318 from Connecticut, New York and New Jersey, and Rhode Island had applied for federal disaster assistance and more than $ 844 million has been approved . Assistance can include grants for temporary housing and home repairs, low-cost loans to cover uninsured property losses and other programs to help individuals and business owners recover from the effects of the disaster. Individuals and businesses in designated areas who sustained losses due to the storm can apply for federal disaster assistance online at www.disasterassistance.gov , by web enabled mobile device at m.fema.gov, or by calling 1-800-621-FEMA(3362). Disaster assistance applicants, who have a speech disability or hearing loss and use TTY, should call 1-800-462-7585 directly; for those who use 711 or Video Relay Service (VRS), call 1-800-621-3362.

ENEREGY

SHELTERS AND WARMING CENTERS

ASSITANCE

As of 2:00 pm EST November 19, there are no impacted States which have more than 1,000 customers without power due to Hurricane Sandy or the Nor’easter. The combined total peak customer outages from Hurricane Sandy and the Nor’easter (reported in the Situation Reports) are 8,661,527: 8,511,251 from Hurricane Sandy and 150,276 from the Nor’easter Storm, respectively. On Friday (November 16), the U.S. Environmental Protection Agency (EPA), in consultation with the US Department of Energy, extended waivers relating to the use of reformulated gasoline (RFG) and ultra low sulfur diesel (ULSD) through December 7, 2012 for the State of New Jersey, the five boroughs of New York City, and Nassau, Suffolk, Rockland, and Westchester counties in the State of New York. The RFG waiver allows the sale of conventional gasoline in the stated areas. The ULSD waiver allows the use of high-sulfur heating oil in diesel-powered highway and nonroad equipment and vehicles in the stated areas. On November 18, the City of New York extended the emergency order that established an odd-even license plate system for motor fuel purchases through this Friday (November 23).

WARMING CENTERS With the drop in temperatures, New York City is providing 235 warming centers located within Senior Centers in the five boroughs for a place to get out of the cold during the day. Please see link.

SHELTERS

In New Jersey, with only 110 storm evacuees left, the two state-supported shelters located in Monmouth County will close this week (20 NOV 2012) Throughout New Jersey there are 6 state run shelters.

DISASTER RECOVERY CENTERS

Within the tri-state area (CT, NJ, NY) there are 76 DRC’s - New York: 37 - New Jersey: 31 - Connecticut: 8

Disaster Recovery Centers (DRCs) continued to open in the hardest hit areas to provide information to survivors. A total of 68 Disaster Recovery Centers were open in Connecticut, New York and New Jersey. Of that amount, 30 Disaster Recovery Centers were open in New York, 30 in New Jersey and 8 in Connecticut and more continued to open. Specialists from the state, FEMA and the U.S. Small Business Administration (SBA) were on hand to answer questions and provide information on the types of assistance available to survivors. To find a disaster recovery center location, visit FEMA.gov/disaster-recovery-centers, access data by mobile phone at m.fema.gov or text DRC and a Zip Code to 43362 (4FEMA). To date, more than 46,000 survivors have visited disaster recovery centers for information and assistance.

FEMA TIMELINE

ESF 12 Actions: ESF 12 staffed the FEMA National Response Coordination Center (NRCC) in Washington, D.C. and demobilized on November 19. Additionally, ESF 12 has been demobilized from the FEMA New Jersey Joint Field Office (JFO).

DEATH TOLL IN THE TRI STATE AREA

• Some patterns emerged in mapping the deaths in the region.

• Elderly residents were hit especially hard, with close to half of the

people who died age 65 or older. In New York City, the majority of deaths occurred in Queens and on Staten Island, and most people perished at the height of the storm, drowned by the surge.

• In more inland areas, downed trees were more often the cause of death.

• The days after the storm were also deadly, as people tried to clear away storm damage or used poorly ventilated generators to ward off the dark and the cold.

Connecticut 5 deaths

Long Island 14 deaths

Northern New York Suburbs 7 deaths

New Jersey 37 deaths

New York City 43 deaths

SOURCE: NEW YORK TIMES – 17 NOV 2012

FEMA Twitter | Facebook | YouTube | Blog

• SEEKING ASSISTANCE: call1-800-462-7585

• SHELTERS: for those who are unable to return home, states, tribes, localities and the Red Cross continue to operate emergency shelters along the East Coast. Download the Red Cross Hurricane app, visit the Red Cross web site, call 1-800-RED CROSS (1-800-733-2767), or check local media outlets. Download the FEMA smartphone app. To search for shelters via text message, text: SHELTER and your zip code to 43362 (4FEMA). For example: Shelter 01234 (Standard rates apply).

• FEMA Housing Portal: Individuals and families who have been displaced by the disaster can use the FEMA Housing Portal to help find a place to live.

• Recovery Tips: ensuring your safety and coping with disasters

• DISASTER RECOVERY CENTERS: A Disaster Recovery Center is a readily accessible facility or mobile office where applicants may go for information about FEMA or other disaster assistance programs, Currently, a total of 40 Disaster Recovery Centers are open in New York, New Jersey and Connecticut. Search for a Disaster Recovery Center - To search for a Disaster Recovery Center via text message, text: DRC and your zip code to 43362 (4FEMA). For example: DRC 01234 (Standard rates apply).

FEMA More than 7,622 FEMA personnel have been deployed to support response operations, including search and rescue, situational awareness, communications and logistical support in states affected by the storm. Community relations teams are on the ground in the hardest hit areas going door-to-door to inform disaster survivors about available services and resources and to gather situational awareness. FEMA continues to coordinate with the federal family who has mobilized hundreds of staff from various federal agencies to support community relations and operational activities. More than 2,040 housing inspectors are on the ground, meeting with disaster survivors to identify damages to homes, to further expedite assistance to individuals; To date, FEMA housing inspectors have completed 80 percent of the more than 92,000 inspections requested by disaster survivors in New Jersey. In New York, Nearly 1,300 inspectors in the field have completed more than 110,000 home inspections.

THE U.S. SMALL BUSINESS ADMINISTRATION (SBA) SBA has an electronic loan application (ELA) for homeowners, renters and businesses to apply for a disaster loan for Hurricane Sandy damages. ELA provides a convenient alternative to visiting a Disaster Recovery Center or mailing in a paper loan application. The online program checks for errors, prompts for more information when needed and provides a quicker decision than the hand-written applications. Visit https://disasterloan.sba.gov/ela to apply online. The SBA also offers Economic Injury Disaster Loans to small businesses, small agricultural cooperatives, small businesses engaged in aquaculture, and most private non-profit organizations, to help meet working capital needs caused by the disaster. Economic Injury Disaster Loan assistance is available regardless of whether the business suffered any physical property damage. SBA continues to operate several Business Recovery Centers in New York and New Jersey. In addition to SBA staff in each Disaster Recovery Center, SBA continues to open and staff Business Recovery Centers in New York, New Jersey and Connecticut For more information, call the SBA Customer Service Center at 800-659-2955 (800-877-8339 for the deaf and hard-of-hearing) or go to www.sba.gov.

FEDERAL ACTIVITIES

FEMA community relations staff and FEMA Corps personnel help Red Cross volunteers at the FEMA center in Springfield provide household items and clothing donated for Hurricane Sandy relief. (Photo by Patsy Lynch/FEMA)

U.S. DEPARTMENT OF ENERGY: SitRep November 7 a Nor’easter impacted the Mid-Atlantic and Northeast with strong winds, rain or snow, and coastal flooding. People without power: 8,661,527 Petroleum Stations lists and closures or call 202-586-7517, William N. Bryan ENVIRONMENTAL PROTECTION AGENCY: Call 1-800-424-8802. NEW YORK: EPA has assessed 3 drinking water facilities and 7 wastewater treatment plants. Hurricane Proof plan. NEW JERSEY: EPA has assessed 14 drinking water facilities and 11 wastewater treatment plants. All 105 of the short-term, removal sites have been assessed and do not pose an immediate threat to public health or the environment. THE DEPARTMENT OF TRANSPORTATION'S FEDERAL TRANSIT ADMINISTRATION as secured as many as 350 buses which will be used across New Jersey to help commuters connect to or reach Manhattan and the surrounding area. 1-800-877-8339, or DOT Customer Service Center: 202-366-4000 U.S. DEPARTMENT OF THE INTERIOR, U.S. GEOLOGICAL SURVEY The USGS has released a series of aerial photographs showing before-and-after images of Hurricane Sandy’s impacts on the Atlantic Pre- and post-storm images of the New Jersey and New York shoreline in particular tell a story of a coastal landscape that was considerably altered by the historic storm.

FEDERAL ACTIVITIES

:

Register for Assistance: Survivors in declared counties in New York, New Jersey, and Connecticut can register for assistance. Learn more information and FAQs before you apply for assistance. Find Housing - The Department of Housing and Urban Development has help for people displaced by the storm, steps to take for a storm damaged home, and contacts if you feel you have experienced housing discrimination. Wreckage Removal - State and local governments who are public assistance applicants may be reimbursed by the Department of Homeland Security for the salaries and benefits of employees involved in cleanup efforts. Avoid Disaster Scams - Learn how to avoid charity and home repair cams after a disaster, from the Federal Trade Commission. Guides for Rebuilding - The U.S. Department of Housing and Urban Development offers disaster recovery guides for builders. Food Assistance - USDA provides food to disaster relief organizations for people affected by a disaster. It also offers grants for rural communities with water quality and supply issues, and assistance to farmers and others for natural disaster losses. Business Loans – Your business may be eligible for disaster assistance from the Small Business Administration. Government Contracting – The General Services Administration helps federal, state, and local governments get supplies, equipment, and services needed to support disaster relief.

U.S. DEPARTMENT OF LABOR

The U.S. Department of Labor is

assisting in the recovery efforts

in communities affected by this

season's hurricanes. The

Department of Labor support

includes the following income

and job assistance: DOL's

National Contact Center 1-866-4-

USA-DOL (1-866-487-2365)

OCCUPATIONAL SAFETY AND HEALTH The Department's Occupational Safety and Health Administration (OSHA) is making available technical assistance and resources to help protect those participating in cleanup and recovery efforts. Learn how to keep workers safe during clean up and recovery operations following hurricanes OSHA field staff is working diligently to provide assistance and support to those involved in the Hurricane Sandy cleanup and recovery. Common hazards include downed electrical wires, carbon monoxide and electrical hazards from portable generators, fall and "struck-by" hazards from tree trimming or working at heights, being caught in unprotected excavations or confined spaces, burns, lacerations, musculoskeletal injuries, being struck by traffic or heavy equipment, and encountering contaminated water during flood cleanup. Protective measures involve evaluating the work area for all hazards; assuming all power lines are live; following safe practices when doing tree work; using fall protection and proper ladder safety when working at heights; task specific exposure monitoring; and utilizing proper precautions for traffic work zones. For additional information on US Department of Labor recovery efforts in communities affected by Hurricane Sandy, see DOL's Hurricane Recovery Assistance page. If you need to contact OSHA for an emergency situation, please call the toll-free hotline 1-800-321-OSHA. For non-urgent matters, you can call the OSHA hotline or send an email. OSHA urges workers and members of the public engaged in cleanup and recovery activities to be aware of the hazards they might encounter and the necessary steps they should take to protect themselves.

FLOOD CLEANUP

HAZARDS

Flood Cleanup Fact Sheet [PDF*] Molds and Fungi Mold QuickCard [PDF*] [Español*] [Vietnamese*] [Portuguese*] Mold Fact Sheet [PDF*] Fungi Hazards Fact Sheet [PDF*] [Español*] More...

ELECTRICAL HAZARDS DOWNED ELECTRICAL WIRES Fact Sheet [PDF*] Electrical Safety QuickCard [PDF*] [Español*] Working Safely with Electricity Fact Sheet [PDF*] [Español*]

TREE TRIMMING AND DEBRIS REMOVAL AERIAL LIFTS QuickCard [PDF*] [Español*] Fact Sheet [PDF*]

CHAIN SAW SAFETY QuickCard [PDF*] [Español*] [Portuguese*] Fact Sheet [PDF*] [Español*] More...

CHIPPER MACHINE SAFETY QuickCard [PDF*] [Español*] [Portuguese*]

TREE TRIMMING AND REMOVAL SAFETY QuickCard [PDF*] [Español*] [Vietnamese*] [Portuguese*] Fact Sheet [PDF*] [Español*]

FALLS AERIAL LIFTS

QuickCard [PDF*] [Español*] Fact Sheet [PDF*]

PREVENTING FALLS Fact Sheet [PDF*] [Español*] [Portuguese*]

PORTABLE LADDERS QuickCard [PDF*] Slips, Trips, and Falls

Portable Generators Portable Generator Safety

QuickCard [PDF*] [Español*] Fact Sheet [PDF*] Grounding Portable Generators Fact Sheet [PDF*] Carbon Monoxide Poisoning QuickCard [PDF*] [Español*]

WORK ZONE TRAFFIC SAFETY QuickCard [PDF*] [Español*] Fact Sheet [PDF*]

FEDERAL ACTIVITIES

US ARMY CORPS OF ENGINEERS

USACE – 19 NOV 2012

CURRENT OPERATIONS AS O F19 NOV 2012 • USACE has more than 3,000 employees within the North Atlantic Division, and at

the peak of response activities an additional 990 team members from other USACE divisions were engaged to support the response mission.

• USACE debris teams are in ports, waterways and coastal areas in NJ and NY clearing debris along the Atlantic seaboard. Thirty-five debris teams are assisting local NY and NJ authorities. 59,422 cubic yards of debris have been removed within NY.

• Planning response teams also are assisting with debris management, infrastructure assessment, temporary roofing, critical public facilities, and temporary housing.

• FEMA assigned the New Jersey Recovery Field Office (NJ RFO) the mission to re-design Building 365 on Fort Monmouth to prepare for temporary housing for people who need housing following Hurricane Sandy.

• With local authorities USACE concentrated pumping efforts at 14 critical locations as determined by local officials. Pumping is complete at all 14 locations. During de-watering operations USACE controlled 162 pumps and removed more than 275 million gallons of water, equivalent to 864 Olympic-sized swimming pools.

• The USACE Water Delivery Mission is complete. USACE provided 512 truckloads (18,000 liters per load) of water to NY, NJ, PA, and WV.

CRITICAL PUBLIC FACILITIES • USACE assets at the New Jersey Recovery Field Office are providing Technical

Assistance to FEMA. Planning Teams are helping entities complete grant applications/project worksheets. Technical assistance is also being provided for site layouts to include the placement of structures, infrastructure, and other site requirements--

• The Critical Public Facilities PRT is completing 30 percent design for local entities (and assisting with the independent government estimate), and assisting in the preparation of environmental documentation as required by local, state and the Federal government.

• The Critical Public Facilities Mission includes assessing of fire, police, school, city halls, EMS, hospitals and public works facilities. The assessment of these facilities in New Jersey is complete for all 158 facilities and found a need for 29 facilities. Those that require temporary structures are: 8 fire, 8 police, 3 schools, 1 city hall, 1 EMS and 8 public works facilities.

• Estimated completion date for the Critical Public Facilities Technical Assistance mission is Dec 15.

TEMPORARY POWER • USACE deployed teams to strategic locations in NY, NJ, PA and WV, with

resources in place to haul, install, operate and maintain generators at critical facilities. USACE installed 198 generators in critical locations.

• 101 de-installs of generators have been completed as grid power had been restored.

• At peak capacity, USACE generated 55MW of power, enough to support the power needs of 50,000 families.

• Additionally, we sent power experts and generators to support NY Public Housing, the Hoboken High Rise Complex, the Kinder Morgan Petroleum Terminal and Hoboken Terminal.

• USACE deployed temporary emergency power assets - Planning and Response Teams, the 249thEngineer Battalion, Emergency Command and Control Vehicles/Deployable Tactical Operating Systems (ECCV/DTOS), Mobile Command Vehicle (MCV) to provide support to areas impacted by Hurricane Sandy.

HEALTH AND HUMAN SERVICE (HHS) Public Health Emergency – ASPR Twitter | Facebook • HHS has 500 personnel in New York and

New Jersey, providing public health and medical assistance.

• A Disaster Distress Help Line has been established with counselors to provide support and referrals to mental help resources: Call 1-800-985-5990 or SMS (text “TalkWithUs” to 66746)

CENTER FOR DISEASE CONTROL Twitter | Facebook • Text “SANDY” to 87000 for Sandy Storm

Health Updates • CASPER: Community Assessment for

Public Health Emergency Response (CASPER) Toolkit

• CDC house proof vs hurricane NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (NIOSH) Hurricane Sandy - Common Hazards: Please be extra vigilant for hazards likely to appear during the Hurricane Sandy response, including: exposures while cleaning up flood water and mold, carbon monoxide exposures, working in cold weather.

HEALTH AND HUMAN SERVICES As hospitals, nursing homes and other healthcare facilities return to service and HHS medical support is no longer needed, HHS teams return to their home states. Four Disaster Medical Assistance Teams from the National Disaster Medical System with caches of medical supplies and a team of U.S. Public Health Service commissioned corps officers are currently in New York providing care in medical shelters and augmenting hospital staff the state’s and city’s request.

21 NOV 2012 the medical team providing care in temporary facilities set up in a Long Beach, N.Y., soccer field will begin transitioning care back to the Long Beach Medical Center. The medical center closed due to severe storm damage and the LBMC will use a Mobile Satellite Emergency Department to resume emergency care services for the community. The MSED came from Hackensack University Medical Center and the New Jersey Emergency Medical Services Task Force.

Approximately 500 HHS personnel remain deployed to provide public health and medical assistance to New York and New Jersey in Hurricane Sandy recovery efforts, including a disaster case management team deployed by the Administration for Children and Families to assist impacted New Jersey residents connect with needed local, state and federal disaster recovery services.

AMBULANCES

Approximately 40 ambulances remain deployed in the New York City area to assist with emergency management services. These ambulances deployed from other areas of the country under a FEMA contract. At the height of the response, 350 ambulances were deployed in the New York City area. PUBLIC HEALTH SITUATION UPDATES – 20 and 19 NOV 2012 NYT- Storm Victims, In Cleanup Face Rise in Injury and Illness

FOOD AND DRUG ADMINISTRATION:

• How to keep food and water clean and safe

• Immediate assistance with water and food 1-888-INFO-FDA (1-888-463-6332). The FDA reminds consumers to take precautions for storing water and ensuring the safety of their food and medical supplies for themselves, their families, and their pets during and after any hurricane-related rain, possible flooding and power outages.

• For food and drug safety messaging, visit the Food and Drug Administration hurricane safety checklist, available in English and Spanish http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm317232.htm.

• Medical Devices - If you have a "life-

supporting" or "life-sustaining" device that depends on electricity, you should contact your healthcare provider for information on how to maintain function in the event of a loss of power. Keep your device and supplies clean and dry. If possible, notify your local Public Health Authority to request evacuation prior to adverse weather events. For more information, see FDA Offers Tips about Medical Devices and Hurricane Disasters

HEALTH AND HUMAN SERVICES ADMINISTRATION FOR CHILDREN AND FAMILIES

For at least the next 30 days a National Veterinary Response Team of nine veterinarians and veterinary technicians from HHS is providing primary and acute care for pets in the hard hit area New York City known as Far Rockaway and at a large pet shelter in the New York City area. The vet team members are working from a mobile vet clinic in the Far Rockaway area as local veterinary practices repair their offices and become available again in the community. The large pet shelter is being managed by the ASPCA with funding from television personality Rachel Ray. Members of the HHS vet team came from as far as Alaska and Florida to support the New York City community.

NATIONAL VETERINARY RESPONSE TEAM

A team of specialists from the Administration for Children and Families continues to support child care, foster care, and Head Start recovery efforts in New York and New Jersey. This support includes developing a plan to provide child care services to families who have lost child care services as a result of storm impacts to child care facilities. To find open child care facilities in New York State, call 800-345-KIDS(5437) and in New Jersey call the Child Care Help Line of New Jersey, 800-332-9227.

FOOD AND DRUG ADMINISTRATION The U.S. Food and Drug Administration personnel assisted the state of New Jersey in assessing more than 50 retail food establishments, such as restaurants and grocery stores, in two days. These personnel remain available should additional assistance be needed in New Jersey or other states impacted by Hurricane Sandy.

CRISIS COUNSELING The Substance Abuse and Mental Health Services Administration has increased staff for the National Disaster Distress Helpline to help New York and New Jersey residents connect with local crisis counselors during the holiday season. This toll-free, multilingual, crisis support service is available 24/7 via telephone (1-800-985-5990) and SMS (text ‘TalkWithUs’ to 66746).

EMERGENCY PRESCRIPTION ASSISTANCE PROGRAM (EPAP) HHS activated the Emergency Prescription Assistance Program (EPAP) to assist people in the impacted areas without any form of health insurance coverage to replace certain prescription medications and limited durable medical equipment lost or damaged in the hurricane. To learn about EPAP, visit www.phe.gov/epap.

In addition to requesting HHS medical team support, New York and New Jersey health departments have called on more than 615 medical volunteers available through two HHS sponsored programs: each state’s Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) and local Medical Reserve Corps (MRC). ESAR-VHP and MRC are fully integrated programs in New York and New Jersey. These volunteers are assisting in shelters, including general, American Red Cross, and special medical needs shelters; emergency departments; special needs registries, and call centers.

EMERGENCY SYSTEM FOR ADVANCE REGISTRATION OF VOLUNTEER HEALTH PROFESSIONALS (ESAR-VHP) AND LOCAL MEDICAL RESERVE CORPS (MRC).

A member of a Department of Health and Human Services National Veterinary Response Team examines a dog belonging to a Hurricane Sandy survivor in Rockaway, N.Y., Nov. 16, 2012. (DoD photo by Eliud Echevarria, FEMA/Released)

AMERICAN RED CROSS

The American Red Cross is still on the ground in New York and New Jersey, helping people affected by Superstorm Sandy. Thanks to the generosity of the American public, the Red Cross has been able to serve more than 6.4 million meals and snacks, distribute 3.6 million relief items and provide thousands of shelter stays. The Red Cross has also provided more than 75,000 health services and emotional support contacts for people who have been living in very tough conditions. SHELTERS: Some people are still unable to return to their homes. About 750 people spent Sunday night, 18 NOV, in ten shelters. Since Sandy hit, organizations have provided more than 148,000 shelter stays. The Red Cross has provided more than 76,000 of those stays. FEEDING - In partnership with the Southern Baptist Convention, the Red Cross is handing out meals at fixed sites and on mobile routes throughout the affected neighborhoods. More than 5,000 Red Cross volunteers are driving through neighborhoods to hand out food and relief supplies in more than 300 Red Cross vehicles as well as rental cars, trucks and other vehicles. Over the weekend in New York, the Red Cross mobilized a large effort and handed out more than 1.4 million items to people in need. List of Red Cross feeding sites currently open in NYC and on Long Island See Link THANKSGIVING - American Red Cross volunteers will be working throughout this holiday weekend to provide meals and comfort to people affected by Sandy. This includes:

- Delivering about 20,000 boxes of food in New York during Thanksgiving week. • The boxes contain enough non-perishable food to feed a family of four for

several days; items such as canned sweet potatoes, green beans and corn, and packages of mashed potatoes and rice.

• Red Cross workers and volunteers from Feeding America and the Church of Jesus Christ of Latter-day Saints packed the boxes.

‒ Providing about 35,000 hot meals on Thanksgiving Day to people across New York and New Jersey.

‒ Supporting faith-based and community Thanksgiving meal programs in many neighborhoods in New York and New Jersey.

Red Cross Graphic Massive Sandy Relief Effort Still Ongoing Red Cross News Room

New Jersey Office of Emergency Management Twitter Facebook FEMA Region 2

THANKSGIVING: All Disaster Recovery Centers (DRCs) and Small Business Administration (SBA) Business Recovery Centers in New Jersey will be closed on Thanksgiving Day, the New Jersey Office of Emergency Management and FEMA announced today. Starting Friday, Nov. 23, all but one of the DRCs will go to a daily schedule of 9 a.m. to 7 p.m. to assist people who suffered damage in Hurricane Sandy. The center in Bay Head will resume its previous schedule of 8 a.m. to 5 p.m. daily while the curfew is still in effect. All DRCs have representatives available to help answer questions about assistance and recovery programs. SBA Business Recovery Centers (BRCs) will resume their regular hours on Monday, Nov. 26. Anyone affected by Hurricane Sandy can now visit four newly opened DRCs if they have questions about recxzovery programs. There are now 25 DRCs are open daily from 8 a.m. to 8 p.m. until further notice. For locations and times, see here. Or text DRC and a Zip Code to 43362 (4FEMA).

STATE OF EMERGENCY for NJ is still in effect, with NJ ROIC and NJOEM currently at operational Level 4. All 21 counties are still included for Public and Individual Assistance in areas determined to have been adversely affected by the event declared a major disaster by POTUS on October 30, 2012.

DEATH TOLL: 37 deaths have been tied to Sandy and at least five were attributed to carbon monoxide poisoning, mostly from the fumes of gas or diesel-powered generators.

INDIVIDUAL ASSISTANCE: As of 6 p.m. EST Nov. 15, 29,367 applications have been approved; Total Individual & Households Program: $149.9 million (approved); Total Housing Assistance: $140.2 million (approved); Total Other Needs Assistance: $9.6 million (approved) See here for daily updates.

COST: New Jersey is still computing the toll of storm damages, but it is expected to reach into the billions of dollars; some estimates of the insured losses are already at $20 billion. As part of the emergency funds, the governor’s office said New Jersey will seek to have the federal government pick up 90% of cleanup and recovery costs instead of the usual 75%. That upgrade has taken place before during major disasters, such as Katrina. New Jersey could also seek trailers to house people during the repair phase. The Federal Emergency Management Agency has staged trailers in the area, but they have not been distributed pending an official request. SHELTERS: 6 NJ Shelters Open, Occupancy 526

PUBLIC HEALTH

NEW JERSEY

IMPACT

Click here for most current information on transit, power, fuel, and public health notices.

DISASTER RECOVER CENTERS

DOE HOTLINE

Public health experts are available through the state's 2-1-1 system to answer questions about food and water safety and mold removal due to the affects of Hurricane Sandy. Call 2-1-1 24/7 or 1-866-234-0964 from 8am to 8pm on weekdays and 10am to 5pm on weekends.

DOE Hotline -- The Department of Education announced the launch of a hotline for families displaced by Hurricane Sandy. Call 609-292-2070. M-F 8am-4pm to speak with a department staffer with any questions about the schooling options. A free legal hotline for storm victims has been launched by the New Jersey State Bar Association, ABA Young Lawyers Division and FEMA help residents who cannot afford to pay an attorney. To request free legal assistance call 888-541-1900 from 9-5 (M-F). Messages can be left and calls will be returned the next day.

MENTAL HEALTH RESOURCES

The New Jersey Department of Human Services' Division of Mental Health and Addiction Services - Disaster and Terrorism Branch is coordinating statewide efforts to help individuals and communities manage the emotional impact of the storm. The Disaster and Terrorism Branch partners with the Mental Health Association in New Jersey to offer assistance through a toll-free Disaster Mental Health Helpline: 1-877-294-HELP (4357). A TTY line is available for persons who are deaf and hearing impaired at 1-877-294-4356. The federal government also has a Disaster Distress website and provides 24/7 crisis counseling and support resources available at 1-800-985-5990 or Text TalkWithUS to 66746. The federal Helpline is staffed by trained counselors from a network of crisis call centers located across the United States.

ROAD CLOSURES

NEW JERSEY

DRINKING WATER

Click here for most current information on transit, power, fuel, and public health notices.

MASS TRANSIT

POWER

NEW JERSEY

HURRICANE SANDY BY THE NUMBERS

2 - The number of hospitals evacuated 5 - Number of state shelters opened 11 - The number of long-term care facilities evacuated 39 - The number of acute care hospitals that lost power 60 - Number of DOH staff who worked in Health Command Center and the

Regional Operations and Intelligence Center 73 - The number of conference calls hosted by DOH with partners 74 - The number of assisted living facilities that lost power 100 - Number of EMS Task Force units activated 127 - Number of shelters at height of the storm 135 - Number of out-of-state ambulance units, sent from 5 states, that

assisted during the storm 137 - The number of health care facilities that lost power 1,746 - The number of health care facility residents evacuated 7,005 - Number of people in shelters at the height of the storm 2.7 million - Number of households that lost power at the height of the storm NJ Health News Letter October/November 2012

HURRICANE RECOVERY VOLUNTEER OPPORTUNITIES FOR HEALTH CARE PROFESSIONALS Healthcare professionals interested in helping with New Jersey's response to Hurricane Sandy can register with the New Jersey Medical Reserve Corps (NJMRC) program. The NJMRC Program is a statewide county-based program that is comprised of healthcare professionals and community health volunteers. Individuals can submit an application online to volunteer for an MRC Unit where they reside or work. Once the application is submitted, an NJMRC Unit Coordinator will be in contact. Contact information for all NJMRC Unit Coordinators in New Jersey is available on the NJMRC website. Currently there are more than 5,800 volunteers statewide in 25 MRC units. Health care professional makes up approximately 3,800 of the volunteers and more than 2,000 are community volunteers.

Hurricane Recovery Volunteer Opportunities for Health Care Professionals

MONMOUTH COUNTY http://www.visitmonmouth.com/

List of Municipal Emergency Management Offices

CURFEW REMAIN IN THREE COASTAL TOWNS SEE LINK Communities restricted during designated hours

• The curfew in three of Monmouth County’s coastal communities remain in effect as follows:

– Highlands - 11 p.m. - 6 a.m. curfew

– Manasquan - 7 p.m. - 7 a.m. curfew in effect East of East Main Street Bridge

– Union Beach - 6 p.m. - 6 a.m. curfew

• In Belmar, the curfew is lifted, but only essential personnel are allowed on Ocean Avenue.

• In towns where the county curfew remains in effect, only essential personnel may be outside and on the roads between designated hours. This includes emergency service personnel and those who are responsible for critical services within the county.

• “The curfew continues for selected coastal communities to assist our law enforcement operations, ensure the safety of our residents and also help meet the needs of our communities,” said Sheriff Shaun Golden.

PETS - The Humane Society has a phone number to report lost/missing pets, pets left behind, and donations related to Hurricane Sandy. Call 1-855-407-4787.)

HUDSON COUNTY http://www.hudsoncountynj.org/home.aspx

BAYONNE CITY

Marine Service, both of Bayonne, to remove and dispose of oil from roads and properties in the area roughly bounded by Avenue F, Prospect Avenue, East 19th Street and East 22nd Street. After Hurricane Sandy struck the region on Oct. 29, the water surge from New York Bay pushed oil above ground that had been left in the area, most likely by a long gone oil refiner, creating a slick mess for residents

JERSEY CITY

Hot Meal Distribution Sites Here. Also Check Out The Fourth Annual A Community That Cares Thanksgiving Feeding At The Bethune Center, 140 MLK Dr. Volunteers and Donations of Prepared Food Needed!

Update 11/19 -Update 11/19 – SANDY BUSINESS RECOVERY: A toll-free hotline,

1-888-541-1900,is now available for NJ survivors facing legal issues because of Hurricane Sandy. Disaster survivors with storm-related legal issues can call the hotline to request free legal assistance.

HOBOKEN

NEW JERSEY

A home in Union Beach that was destroyed by Sandy's surge. The mayor said some 200 homes had been wrecked by the superstorm, with as many as five times that number flooded by seawater. (Christopher Weaver/The Wall Street Journal

Coping with the historic oil that rose to the surface on the city’s east side when Hurricane Sandy struck, the Bayonne City Council approved three contracts yesterday to help address the problem. The city officially hired EQ Industrial Services and Ken’s

Mayor Dawn Zimmer is strongly urging all residents to file with FEMA with their latest storm-related damage estimates. Local businesses are urged to complete an online survey so the City can establish an accurate accounting of damage: http://hobokennj.wufoo.com/forms/hoboken-business-storm-damage-survey.

ATLANTIC COUNTY: http://www.aclink.org/

Public Safety http://www.aclink.org/oep/

Atlantic County has received a federal declaration for public and individual assistance from the Federal Emergency Management Agency (FEMA) as of October 30. Residents and businesses may now apply for assistance for uninsured or underinsured losses from Hurricane/Tropical Storm Sandy. Applications are available online at www.fema.gov or by calling customer service at 1-800-621-3362.

Owners of Storm Damaged Properties Urged to Apply for Tax Assessment Reductions (11/19/2012) Atlantic County Executive Dennis Levinson urges all property owners whose dwellings have been destroyed or made significantly less valuable as a result of Superstorm Sandy to notify their local tax assessor in writing before January 10, 2013 to see if ... Click here for more.

Second FEMA Disaster Recovery Center Opening Today in Hamilton Township (15 NOV 2012) A second FEMA Disaster Recovery Center will be opening in Atlantic County as of 2 PM today, Thursday, November 15, behind the Hamilton Mall at 4403 Black Horse Pike (Rt. 322), Mays Landing, Hamilton Township. An existing DRC is located at the Atlantic ... Click here for more.

Storm Debris Removal Tips - The following tips are provided by the New Jersey Department of Environmental Protection to help residents impacted by Sandy manage their trash and debris: 1. Storm-affected residents should take special care to document storm damages before disposing ... Click here for more.

OCEAN COUNTY: http://www.co.ocean.nj.us/

Emergency Management: http://www.co.ocean.nj.us/EmMgmt/Main.aspx

Citizens enrolled in SNAP will receive an automatic 25% replacement benefit on their EBT cards to account for food lost due to power outages Link to pantries & soup kitchens open in the county The Dept. of Banking and Insurance will have staff at a mobile office to provide information and handle consumer’s complaints on Thursday, Nov. 15 from 9am-5pm. Address: Berkeley Township Recreation Center, 630 Route 9, Bayville, NJ. Ocean County Library branches are open providing free e-device charging stations and free WIFI access to the Internet Shelter open at St. Mary’s of the Pine Church

Clothing distribution available at Nai Israel Synagogue in Manahawkin and Your Grandmothers Cupboard in Roslyn Plaza

Ocean County YMCA open from 7am-5pm for showers, coffee and electronic charging

Boil Water Advisory still in affect for (NJDEP): (Last Updated: November 17, 2012 at 3:45 PM)

• Beach Haven Water Dept.

• Fountainhead Parks – Jackson Township

• Long Beach Township Water Dept. – Brant Beach and

• Holgate, Long Beach Township

• NJAW – Coastal North, Ortley beach and Pelican Island

• Seaside Heights Water Dept.– Seaside Heights

• Seaside Park Water Dept. – Seaside Park

• Shore Water Company

NEW JERSEY

NY Division Homeland Security & Emergency Services Twitter / Facebook / FEMA Region 2

Gov. Cuomo declared a state of emergency on 10/26/12 for all 62 counties in advance of Hurricane Sandy in anticipation of severe weather impacting New York.

NEW YORK

IMPACT

DRINKING WATER ADVISORIES FOLLOWING HURRICANE SANDY: (link) DO NOT DRINK:

PHARMACIES THAT ARE OPEN AND DELIVERING: See Link 1 or Link 2

Governor Andrew M. Cuomo announced New York State has received a waiver from the U.S. Department of Agriculture to replace food lost by recipients of Supplemental Nutrition Assistance Program (SNAP) benefits, formerly known as Food Stamps, in areas hardest hit by Hurricane Sandy. Under this grant, current recipients of SNAP will be automatically issued 50 percent of monthly benefits to replace food lost as a result of the storm starting next week. The Governor also announced that SNAP recipients in these areas will be able to purchase hot and prepared foods with their benefits. See link for more details.

DRINKING WATER

BOIL WATER NOTICES

Here is what you need to do if your drinking water system is under a boil water notice: Bring tap water to a rolling boil, boil for one minute, and cool before using. Or use bottled water certified for sale by the New York State Department of Health. Boiled or bottled water should be used for drinking, making ice, washing dishes, brushing teeth, and preparing food until further notice. Much more information on how to protect your family during a boil water notice may be found at Boiling Water and Emergency Disinfection.

FOOD ASSITANCE

SHELTERS

4 shelters open with 555 occupants

DIALYSIS

The New York State Department of Health (DOH) is advising renal patients in need of dialysis to first contact their dialysis facility to schedule treatment. If the facility is unable to deliver the needed dialysis treatment, patients should call the End Stage Renal Disease (ESRD) Network Hotline at: 1-800-238-ESRD (3773) to obtain information on outpatient dialysis facilities that can provide needed treatment. This hotline is operational 24 hours/7 days a week during this recovery period. Patients are being urged to avoid visiting an emergency department for dialysis since many emergency departments are at full capacity handling other storm-related health needs.

• DEATH TOLL: 64 in New York State (See Slide)

• MAJOR DISASTER DECLARATION: There are now 13 New York counties designated for both individual and public assistance under President Obama’s Federal Disaster Declaration for New York, including: Bronx, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster and Westchester.

NEW YORK

See FEMA’s NY Hurricane Sandy website for more info.

POWER

Con Edison reported that there are 2,700 customers in areas of Brooklyn, Queens and Staten Island who are not able to receive power. Those customers cannot get electrical service until their own internal equipment is repaired, tested and certified by an electrician as ready for service. The company is working with the New York City Buildings Department to expedite the restoration of these customers. Long Island Power Authority (LIPA) reported that there are 6,460 customers in Nassau, Long Beach, and Suffolk and 24,000 in the Rockaways who are unable to safely receive power without repairs. LIPA is working with local jurisdictions to complete needed surveys to determine whether or not electric power can be delivered to customer homes in those areas. LIPA has completed surveys Nassau and Suffolk counties, and they continue working with community representatives in the City of Long Beach, Atlantic Beach, Lido Beach, and Point Lookout to assess whether homes and businesses are safe to receive power. In Rockaway Peninsula, the New York City Department of Buildings (DOB) is inspecting buildings damaged by Hurricane Sandy to inform residents about the condition of their building

HEALTHCARE FACILITIES

Bellevue Hospital is offering walk-in non-emergency services 24 hours a day, 7 days a week, and will open limited adult and pediatric outpatient primary care clinics and routine OB-GYN services to women from 8 a.m. to 8 p.m., Monday through Friday. In patient services are closed due to the damages inflicted by Sandy. Limited emergency care services are expected to open in December and the hospital will resume full operations in February 2013. Coney Island Hospital is providing walk-in services, 24 hours a day, 7 days a week, in addition to primary care services and some specialty clinics, Monday through Friday, 8 a.m. to 8 p.m., and Saturday to Sunday, 8 a.m. 4 p.m. Pharmacy services are available for prescription renewals, 9am-5pm. Call 718-794-6712 for pharmacy information. Cancer patients can be served at Kings County Hospital and can call 718-245-2848. A mobile medical van is serving the community at 19th Street and Mermaid Avenue from 9am to 5pm, 7 days a week. Another medical van is providing limited services at 43 Seba Avenue in Geritsen Beach, from 9am to 5pm, through Fri 11/23. Neither van will be open on Thanksgiving, 11/22. In patient services are closed due to the damages inflicted by Sandy Manhattan VA Medical Center remains closed - As of November 16, VA, working with Federal and state partners, has found extensive damage to the electrical systems, building circuitry, heating, fire protection, elevator, water pumping, and information technology support structure of the medical center. NYU Langone Medical Center's main campus at 550 First Avenue is in the process of reopening after Hurricane Sandy. If you have a medical emergency, call 911. • Physician Practices (FGPs) are open and most practices previously located in

Skirball at 530 First Avenue have re-opened. See below for more detailed information, including practices still at temporary locations and contact information for all practices.

• Tisch Hospital, physician offices located in Schwartz Health Care Center (HCC), and 400 East 34th Street (Rusk) are temporarily closed, as is the Emergency Room.

• Outpatient lab testing services and the blood bank are temporarily closed. • The Outpatient Pharmacy on the 1st floor of HCC is now open. Hours are from

Monday-Friday from 9:00 am-5:00 pm. • All other NYU Langone sites are operational and patient appointments have

resumed.

NEW YORK

ROCKLAND COUNTY: County Information FUEL POLICY has been lifted. There are no longer restrictions on purchasing gasoline or diesel. ASSITANCE • Visit the FEMA Disaster Recovery Center at Provident Bank Park The Center

will be closed for Thanksgiving on Thursday, November 22 and Friday, November 23.

• Piermont residents can visit the FEMA Disaster Recovery Center at Piermont Village Hall, November 17 - 21, from 9 a.m. to 5 p.m.

• Apply at www.DisasterAssistance.gov • Call 1-800-621-FEMA (3362) • The TTY number is 1-800-462-7585

• To apply for unemployment benefits or disaster unemployment assistance

because of the storm, call the Department of Labor Telephone Claims Center (TCC) at 1-888-209-8124.

• Guide to Disaster Assistance and Relief Funding

NASSAU COUNTY: County Information

SOME COUNTY PARKS REOPENED - 11/20/2012 11:12 AM: The following County parks have been reopened to the public, although some trails remain closed: Haverstraw Bay Park, Demarest Kill Park, Dutch Gardens, Kennedy Park, Kakiat Park, Samuel G. Fisher Mount Ivy Environmental Park, H. Pierson Mapes Flat Rock Park, Sean Hunter Ryan Park, Gurnee Park and Amphitheater, South Mountain Park and Monsey Glen Park.

INFORMATION ABOUT FLOODING AND SEWAGE OVERFLOWS FROM HEALTH DEPT. Cleaning Up After A Flood Or Sewage Overflow Disinfecting Drinking Water Rockland County Registered Well Testing Laboratories Rockland County Registered Well Contractors If Your Private Well Has Been Flooded

MEGA RECOVERY CENTER AT CEDAR CREEK PARK FEMA REGISTRATION CENTER: FEMA’s Disaster Recovery Center at Cedar Creek Park is now open daily from 9am to 7pm. Applicants may go to the Center to receive guidance regarding disaster recovery aid, clarification of any written correspondence received, Housing Assistance and Rental Resource information, resolutions to problems and referrals to agencies that may provide further assistance, status of applications being processed by FEMA, as well as U.S. Small Business Administration (SBA) program information. INSURANCE RESOURCE CENTER: The New York State Department of Financial Services is available at Cedar Creek Park daily from 8am to 8pm to offer residents advice on how to file an insurance claim for property damage from Hurricane Sandy. Representatives will also be present from several of the nation’s largest insurance companies, including: Allstate, Metlife, New York Life, Travelers, USAA and more. RED CROSS FOOD DISTRIBUTION The Red Cross has opened a meal distribution centers at Cedar Creek Park. Daily meals are served from 11:00 a.m. to 1:00 p.m. and 4:00 p.m. to 6:00 p.m. FREE LAUNDRY AND SHOWER FACILITIES Showers, as well as washers and dryers (open 9am – 6pm), are available to residents at Cedar Creek Park. Residents may utilize these facilities free of charge. Free detergent is also available. CONTACT NUMBERS: LIPA: 1-800-490-0075/631-755-6900 National Grid: 1-800-490-0045 (Gas Leaks)/ 1-800-930-5003 (Service) Nassau County Non-Emergency Hotline: 1-888-684-4274 Consumer Affairs Price Gouging Hotline: 516-571-2449 FEMA Disaster Assistance Hotline: 1-800-621-3362 NYS Hotline for Insurance Issues: 1-800-339-1759 Nassau Chapter of American Red Cross: 516-747-3500

NEW YORK

SUFFOLK COUNTY: County Information The Suffolk County Water Authority announced today that it would provide free well testing in its service area to Suffolk County residents using private wells who want to make sure their water supply has not been compromised by Super Storm Sandy. SCWA Chairman James F. Gaughran said the program will be extended for one month, from November 20 through December 20, to allow Suffolk homeowners in communities that suffered extensive storm damage sufficient time to take care of their other priorities. In addition, tithe time period will be extended indefinitely for anyone who has not returned to their homes by December 20. Tests would be conducted to make sure that private wells have not been contaminated by bacteria, fuels or chlorides via saltwater intrusion during the storm. Suffolk residents interested in having their water tested free call (631) 698-9500. New-Suffolk County Water Authority Update Water Supply is Safe to Drink For Nearly All of Fire Island. Fire Island, which was impacted severely by Super Storm Sandy, was the only area in SCWA’s service territory to incur significant service interruptions as a result of the storm. Fire Island residents with any questions about their water should call the SCWA call center at (631) 698-9500.

SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES The Suffolk County Department of Health Services (SCDHS) has collected and analyzed approximately 145 samples from various public water supply systems throughout Suffolk County to ensure the bacteriological quality of the county’s drinking water. All major public water supply systems, serving a population of approximately 1,364,000 on the mainland of Suffolk County, have not reported any service disruptions and the water has been safe for potable use throughout the duration of the storm and its aftermath. There are currently four water systems that are still under boil water advisories. SCDHS is in the process of notifying system operators and attempting to collect follow-up samples. For additional information, residents should contact their water suppliers or SCDHS at: (631) 852-5810. (Note: This is a NEW contact number for residents to call re: water supply questions.) Suffolk Department of Health Services Offering FREE Vaccination Clinics at FEMA DRCs this week. NEW updated schedule. Please see NEW hours for this week (11/19 - 11/25) for the SCDHS Free Adult Vaccination Clinics at the Disaster Recovery Assistance Centers. FREE Tetanus and Influenza immunizations will be provided for first responders, volunteers and personnel responding to storm aftermath, and residents who have been affected by Super Storm Sandy. This week's immunization schedule at the DRCs for adults only is listed below. Please check the schedule as days and hours vary by site.

WESTCHESTER COUNTY:

County Information • MULTI-PURPOSE HURRICANE RECOVERY CENTER is open from 8am-8pm

daily at 198 Central Ave., White Plains. Parking fees have been waived. The center will be staffed with representatives from FEMA, Con Edison, SBA, a variety of social services agencies and the Department of Health.

• DISASTER SNAP BENEFITS are available to residents impacted by Hurricane

Sandy. Applications are accepted 11/16-11/23. For location, see link. • PUBLIC HEALTH:

o The Westchester County Department of Health is advising people who use the Hudson River waters for recreational purposes, namely swimmers, boaters, kayakers and windsurfers to avoid direct contact with the water until further notice.

o Tetanus shots will be offered free of charge at the Multi-Purpose Hurricane Recovery Center to anyone involved with cleanup.

NEW YORK CITY

IMPACT

• DEATH TOLL: 43 in New York City, 23 of which were in Staten Island.

• POWER OUTAGES: Con Edison reported that there are 2,700 customers in areas of Brooklyn, Queens and Staten Island who are not able to receive power. Those customers cannot get electrical service until their own internal equipment is repaired, tested and certified by an electrician as ready for service. The company is working with the New York City Buildings Department to expedite the restoration of these customers

EXTENSION OF THE ODD-EVEN GASOLINE PURCHASING SYSTEM

Mayor Bloomberg extended the emergency order establishing an odd-even license plate system for gasoline purchases. It will remain in effect until and including Friday, November 23, and operates as follows: Vehicles with license plates ending in an even number or 'zero' purchase fuel on even numbered days. Vehicles with license plates ending in an odd number purchase fuel on odd numbered days. Vehicles with licenses plates ending in letters will be deemed as odd numbered plates and can make purchases on odd numbered days. Commercial vehicles, emergency vehicles, buses and paratransit vehicles, Medical Doctor (MD) plates and vehicles licensed by the Taxi and limousine Commission are exempt

FOOD, WATER & SUPPLY DISTRIBUTION AT CITY-RUN RESOURCE SITES

The City has opened food and water distribution sites in the hardest hit areas and are staffed by City employees, volunteers, the Salvation Army and National Guard. Locations and hours: http://www.nyc.gov/html/misc/html/2012/foodandwater.html.

PARTNERSHIP WITH LOCAL FOOD TRUCKS The Mayors Fund to Advance New York City partnered with the NYC Food Truck Association and local food trucks to coordinate hot food distribution in areas severely impacted by Hurricane Sandy in Brooklyn, Queens and Staten Island. Since the start of the partnership, the food trucks have served or donated 161,337 meals. The locations and hours are available here: http://www.nyc.gov/html/misc/html/2012/hot_food.html.

Mayor Bloomberg directed the Department of Sanitation to adjust collections schedule so that 24-hour cleanup could continue in the hard-hit areas of Staten Island, Queens and Brooklyn. Sanitation crews have collected more than 271,073 tons of trash, debris and tree as a part of storm cleanup operations. They has continued work throughout the weekend to clean up backlogged recycling and refuse left at curbside from redeployment to emergency storm debris cleanup TREES AND DEBRIS - Tree service requests from both Hurricane Sandy and the nor'easter total 26,011, and 15,432 of those were for trees down. The City has addressed 16,908 of these emergency tree conditions and crews continue to work around the clock to address conditions. UPDATE ON CITY RECOVERY AND ASSISTANCE OPERATIONS -19 NOCV 2012

SANITATION 24-HOUR DEBRIS CLEANUP CONTINUES

SHELTER FOR THOSE WITHOUT HEAT

Evacuation shelters remain open and as of 19 NOV, they were 286 evacuees and 71 staff. A list of evacuation shelters is available online: http://www.nyc.gov/html/misc/html/2012/hurricane_shelters.html. The City also has opened daytime-only warming centers at senior centers in every borough: ttp://www.nyc.gov/html/misc/html/2012/warming_ctr.html. Those who are using generators in their homes to run their heat should be very careful to avoid carbon monoxide poisoning by never using portable generators indoors, in garages or near open windows. Early signs of hypothermia include uncontrollable shivering, confusion or sleepiness, slowed or slurred speech, stiffness in arms and legs, poor control over body movements and slow reaction.

NEW YORK CITY – HEALTH

MOBILE MEDICAL VANS

HEALTH NEEDS

The NYC Health Department has been monitoring data from hospital emergency departments daily to assess health and mental health impacts of the storm. Thus far, the data indicate:

• The total number of visits went down on the day of storm and has since returned to normal levels

• There was a brief increase in cases of hypothermia immediately after the storm but no sustained increase since then

• There is a modest increase in visits for prescription medicine refills • There has not been an increase in injuries or illnesses overall • There was a modest increase in asthma exacerbations in the Rockaways

that was not been seen in other impacted areas. Rates seem to have returned to baseline. This increase could have been caused by:

‒ People living in cold temperatures ‒ People using their stove to heat their homes ‒ Dust from clean-up activities ‒ Reduced access to prescription medications

The City has deployed vans staffed with primary care providers who will be able to provide medical care and distribute commonly prescribed drugs at several locations in the Rockaways, Brooklyn, and Staten Island. Volunteers are also going door-to-door to reach people who may have medical needs but remain in their homes without heat and power. The location and hours are available here: http://www.nyc.gov/html/misc/html/2012/medical_vans.html.

HEALTH CARE SERVICES

7-10 mobile health clinics have been established since the storm in impacted areas and are operating daily. These providers are each seeing 10-40 patients per day and are not turning away patients. The most common complaint is need for medication refills.

• The health department is contacting medical providers to assess the services available and coordinate across providers in the Rockaways. As of 11/15, in the Rockaways, the following providers are open for business

‒ 54 community physicians (including community health center providers) ‒ 1 hospital (St. John's Episcopal) ‒ 18 pharmacies

• CVS, Duane Reade and Walgreens have agreed to provide medications without copay in affected areas for a

• limited time • Vaccinations against influenza and tetanus are available through many of the

mobile clinics. • Mental health staff is onsite at restoration centers. The majority of clients

were seen in Coney and Far Rockaway and were seeking care for general distress and anxiety.

VULNERABLE POPULATIONS

The people at greatest health risk are the elderly, young children, socially isolated, those with chronic health problems, and those living on the upper floors of high-rise buildings Prolonged exposure to cold, along with the absence of electricity and water increases various health risks, including hypothermia, falls from inadequate lighting, exposure to carbon monoxide in persons using stoves for heat, and stress-related exacerbation of pre-existing health problems.

DOOR –TO –DOOR CANVAS HUMAN RESOURCES ADMINISTRATION has conducted outreach and door-to-door operations through its social service provisions, including Adult Protective Services, HASA and Home Care. Follow up in all cases is ongoing. The City coordinated a massive relief effort through NYC Service, the Department of Health and Mental Hygiene and nonprofits and also organized medical teams that: • Canvassed high-rise apartments in the Rockaways, Coney Island and Red Hook • Provided food, water and medical assessments with prescriptions • Evacuated 44 people for medical reasons.

HOME CARE: Following Sandy, staff and first responders visited Home Care clients in Far Rockaway and contacted 1,515 high-risk clients to check on their status and deliver food, water, and blankets. ADULT PROTECTIVE SERVICES: Through the weekdays and weekends following the storm, HRA’s staff visited devastated neighborhoods to deliver flashlights, food, water and blankets to impaired adults at risk to ensure their care and safety. HASA: Staff members visited at-risk clients living with HIV/AIDS residing in Far Rockaway, Staten Island and other areas throughout the City, and distributed blankets, food and water. In addition to client outreach, since November 1, HASA has located emergency housing for 354 homeless clients. NYC EXPANDING DOOR-TO-DOOR OUTREACH TO VULNERABLE POPULATIONS

NYC.GOV – NYC HEALTH CARE OUTREACH IMPACT

ANIMAL PLANNING TASK FORCE As a member of the New York City Office of Emergency Management's Animal Planning Task Force, the ASPCA has collaborated with other animal welfare groups to launch a hotline to help New York City's animals. Callers to the hotline can request pet supplies, report abandoned animals, and advise of any other needs they have. The Animal Help Hotline is (347) 573-1561 and is manned seven days a week from 8 a.m. to 8 p.m. EST. EMERGENCY GRANT Whenever and wherever a disaster strikes nationwide, the ASPCA's Grants department expedites the review of grant requests made by applicants impacted by the disaster. Hurricane Sandy has been no different, and so far the ASPCA has awarded grants to worthy recipients, such as City Critters, Monmouth County SPCA, Staten Island Hope Animal Rescue and Urban Cat League. These groups are using the funds awarded them for projects such as replacing the destroyed winter shelters used by feral cats and helping affected residents with their pet care needs. The ASPCA encourages animal welfare organizations to apply for grant funding to help offset costs associated with animal rescue, care, relief and re-homing following Hurricane Sandy. For information, please visit www.aspcapro.org/grants. FOOD DISTRIBUTION AND CARE As the ASPCA has been distributing pet food where it is needed and providing free veterinary care to animal evacuees, we've recognized that one of the biggest needs of Sandy's victims is a safe place to board pets. While there are still a few evacuation centers available for people to stay with their pets, those centers will not allow pets to remain if their humans are not there with them. In many cases, people who cannot return home are able to stay with friends or family, but their hosts cannot accommodate their pets. Rachael Ray has donated $500,000 to the ASPCA so that we can temporarily board pets belonging to people who cannot care for them now due to housing problems resulting from the hurricane. ASPCA EMERGENCY BOARDING FACILITY The ASPCA is working in collaboration with Animal Care & Control of NYC (AC&C), the Mayor's Alliance for NYC's Animals, NYC Veterinary Emergency Response Team (NYCVERT), and the U.S. Department of Health and Human Services National Veterinary Response Team (NVRT) on the management of the emergency boarding facility, which will be open for 30 days. The ASPCA Emergency Boarding Facility provides temporary sheltering for hundreds of animals displaced by Hurricane Sandy. The ASPCA facility is located at 1508 Herkimer Street in Brooklyn, is open seven days a week from 9 a.m. to 6 p.m., and will be open for pets for 30 days. Those who need temporary sheltering for their pets should take a government-issued photo ID and a proof of address (utility bill, driver's license, etc.) to the facility. If possible, we'd like people to have their pets wearing ID tags in a carrier or crate along with vaccination records and medications or supplies for pets with special needs, although we certainly understand that not everyone can gather these materials given the circumstances.

NEW YORK CITY - ANIMAL

SOURCE: ED SAYRES – PRESIDENT ASPCA ASPCA Opens Emergency Boarding Facility in Brooklyn to Help Pet Owners, Animal Victims of Hurricane Sandy