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WEATHER

NURSING HOMES

FEDERAL RESPONSE

HOSPITALS

CURRENT SITUATION

PREVENT ILLNESS AFTER A DISASTER

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

Hurricane IsaacKEY LINKS

BACKGROUND

SHELTERS

FMS / MSNS

WATER AND SANITATION

Governor’s Office of Homeland Security and Emergency PreparednessLouisiana State Police Louisiana Dept of Wildlife and FisheriesLouisiana Dept of CorrectionsLouisiana Dept of Health and HospitalsLouisiana Dept of Social ServicesLouisiana Work Force CommissionLouisiana Dept of Natural ResourcesLouisiana National GuardGovernor’s Office of Coastal ActivitiesLouisiana Dept of Environmental QualityLouisiana Attorney General’s OfficeLouisiana Economic DevelopmentLouisiana Dept of Transportation and DevelopmentDivision of AdministrationLouisiana Dept of Agriculture & Forestry

DIALYSIS

2 SEPTEMBER 2012

A FLASH FLOOD WARNING REMAINS IN EFFECT UNTIL 900 AM CDT FOR CENTRAL ST. TAMMANY PARISH

ST TAMMANY PARISH OFFICE OF EMERGENCY MANAGEMENT AND THE CORPS OF ENGINEERS CONTINUE TO REVIEW THE STRUCTURAL INTEGRITY OF THE PEARL RIVER DIVERSION CANAL LOCK AND DAM NUMBER TWO WHICH IS DAMAGED AND COULD POTENTIALLY FAIL.

HEAVY SCOUR HAS TAKEN PLACE ALONGSIDE THE RELIEF SILL BUT PRESSURE HAS BEEN RELIEVED SOME OVERNIGHT. THE BOGUE CHITTO RIVER STAGE READING AT BUSH WAS 19.79 FEET AT 315 AM CDT AND NEAR CREST. THIS IS A FLASH FLOOD WARNING IS FOR ALL RESIDENTS AND INTEREST DOWNSTREAM OF PEARL RIVER LOCK AND DAM NUMBER 2 NEAR BUSH DOWNSTREAM TO HIGHWAY 36 AT HICKORY FOR AREAS EAST OF HIGHWAY 41.

PERSONS AND INTERESTS IN THIS WARNED AREA SHOULD NOT RETURN UNTIL THE LOCAL OFFICIALS GIVE THE ALL CLEAR. REPRESENTATIVES OF THE ARMY CORPS OF ENGINEERS AND ST TAMMANY PARISH PERSONNEL WILL REVIEW THE INTEGRITY OF THE STRUCTURE FIRST THING IN THE MORNING. THIS REMAINS A DANGEROUS SITUATION WITHIN A LIMITED AREA NEAR AND DOWNSTREAM OF THE PEARL RIVER DIVERSION CANAL BELOW LOCK AND DAM NUMBER TWO.

Flash Flood WatchFlood WarningCoastal Flood Advisory

Hazardous Weather Outlook

FLOODING

ELECTRICAL

TIME LINE• On the evening of Tuesday, August 28, 2012 Hurricane Isaac made landfall in

Louisiana, seven years after Katrina. • Wednesday, August 29, 2012, as Hurricane Isaac continued to batter the area,

emergency responders rescued close to 3,500 residents from flooded homes in River Forest, Palmetto, Palmetto Lakes, Palmetto South, Cambridge, Riverlands Subdivision, Live Oak Landing, River Oak Landing, Old 51, Carmel Valley, Canterbury's, Summerlin Estates, the Ascension of Our Lord school area, Country Club and LaPlace Park.

• Thursday, August 30, 2012 the tropical storm was down graded to a tropical depression but rains are still drenching a large swath of the Gulf Coast given the slow moving system.Louisiana announced mandatory evacuations for all low-lying areas along the Tangipahoa River. The river was observed at more than 17 feet Thursday morning -- more than two feet above flood level. The National Weather Service predicts that the river level will rise as high as 19.5 feet by Friday.

THE NUMBERS • Average rainfall totals around New Orleans have been in the range of 9-12” . New

Orleans International Airport has officially received 9.69” setting a daily rainfall record shattering the 4.5” mark established during Katrina in 2005. And it’s more than the city averages (5.98”). in an entire month . As of Thursday morning approximately 700,000 people were without power.

HURRICANE ISAACBackground

Photo credit Jason Samenow Source: New Orleans Times-Picayune CNN Washington Post

State agencies deployed resources today to assist St. Tammany Parish officials who called a mandatory evacuation following a concern that Lock No. 2 -- operated by the U.S. Army Corps of Engineers -- along the Pearl River Diversion Canal is failing.

The Louisiana National Guard is deploying 48 Guardsmen, 24 high-water vehicles, six flat bottom boats, 9 Zodiac boats and two bridge erection boats. The Department of Wildlife and Fisheries (LDWF) has 29 agents going door-to-door to spread the word about the mandatory evacuation in the area. LDWF has 47 agents with 47 vessels and 47 trucks en route to the area. The assets will be staged at the Creek Side Elementary School in Pearl River. The Wildlife and Fisheries agents will be deployed for any search and rescue missions that may take place if the lock fails. The Department of Health and Hospitals is deploying three ambulances to St. Tammany Parish to transport medically fragile evacuees. Louisiana State Police's Troop L Commanders are en route to meet with St Tammany Parish officials at their command post on LA 21 at LA 41. Troopers are responding to assist with evacuations and escorts as needed.

CURRENT SITUATION:

Damage reports have mostly focused on the flooding caused by Isaac's precipitation and slow movement. Much of the worst flooding occurred in Plaquemines Parish, where a combination of storm surge and rainfall caused water to top the levees. Up to 12 feet of standing water was reported in parts of Plaquemines Parish yesterday, where as many as 800 homes are reported to have sustained significant water damage.

Evacuation of low-lying, sparsely-populated areas along the Tangipahoa River has been ordered because the Percy Quinn dam near the border between Louisiana and Mississippi has a 50% chance of breaching. As many as 60,000 people have been ordered to evacuate the area. A controlled release of water from behind the dam has begun in hopes of avoiding a failure.

CURRENT SITUATION

FATALITIES: 2 DESTRUCTION: Assessments is on going but AIR Worldwide put

insured losses between 700 million – 2 billion in USD UTILITIES: Gulf States Louisiana: 40,397

Entergy Louisiana: 265,129 Entergy New Orleans: 92,853

SHELTERS: 4135 STATE DECLARATION: 8/27/12 FEDERAL DECLARATIONS: 8/28/12

LINKSLouisiana Health and Hospitals Department of Public Health

http://www.dhh.louisiana.gov/

Louisiana Governor's Office Homeland Security and Emergency Preparedness

http://gohsep.la.gov/

Twitter http://twitter.com/#!/GOHSEP

Flickr http://www.flickr.com/photos/lagohsep/

Facebookhttp://www.facebook.com/gohsep

NOAA Weather Radio for LA http://www.nws.noaa.gov/nwr/Maps/PHP/Louisiana.php

National Weather Service Watches, Warnings and Advisories

http://www.weather.gov/alerts-beta/la.php?x=1

PEARL RIVER – CURRENT SITUATION

St. Tammany Parish, a community north of New Orleans on Lake Pontchartrain, on Saturday ordered the mandatory evacuation of thousands of residents in some 1,200 homes, fearing the failure of a lock along a canal could send a wave of water sweeping through neighborhoods.

Saturday night, parish emergency officials said that the opening of valves had relieved pressure on Lock 2 on the Pearl River Diversion Canal but the evacuation order would remain in place.Earlier, parish officials said the order covered residents between Locks 1 and 2 on the Pearl River Diversion Canal. "Failure of Lock 2 is imminent," the parish said on its website.

The water level at Lock 2 in the Pearl River Diversion Canal has been lowered by St. Tammany Parish personnel, relieving some of the pressure. Representatives of the Army Corps of Engineers Vicksburg District have arrived at the lock, where they will remain through the night. From the lock, the Corp is sending information back to the Vicksburg office where the integrity of the structure will be determined by their engineers. The mandatory evacuation remains in place until the structural integrity is determined by the Corps. The shelter at Creekside Junior High will remain open for displaced residents.

In this aerial photo provided by the Louisiana Coastal Protection and Restoration Authority, the lock on the Pearl River Diversion Canal has water rushing through the right side that officials fear will erode the land around it and compromise the structure. This fear prompted the evacuation of residents down river.

PERCY QUINN DAM THREAT – CURRENT SITUATION

POSSIBLE DAM FAILURE

August 30th - Mississippi Emergency Management notified GOHSEP and Tangipahoa Parish Government that the dam at Lake Tangipahoa at Percy Quinn State Park is damaged but had not failed.

Out of caution, Tangipahoa parish president Gordon Burgess called for a mandatory evacuation of all areas along the Tangipahoa Riverhttp://www.tangiparishohsep.org/

Currently Emergency crews continue to relieve pressure on the Percy Quin Dam. Heavy equipment and pumps have been brought to the dam site to initiate a controlled water release. Aiding the effort are National Guard troops and the Army Corps of Engineers. Workers are continuing to drain the lake through the normal spill way, utilizing pumps to pump water out over the east side and continuing construction of the emergency breach on the west side and looking for patch solutions to the dam itself. (NY Times and The Advocate)

CURRENT SITUATIONELECTRICAL System wide outages peaked at just over 769,000 System wide at 7:30 a.m. on 30 August 2012.

Outages as o 11 AM 1 Sept 2012:Entergy Gulf States Louisiana: 40,397Entergy Louisiana: 265,129Entergy New Orleans: 92,853

Percent of customers restored:Entergy Gulf States Louisiana: 73 percentEntergy Louisiana: 40 percentEntergy New Orleans: 26 percent

Hurricane Isaac's floods and downed trees are preventing ENTERGY from accessing some areas where damage has occurred. Road closures and local traffic are causing bottlenecks and challenges with moving ENTERGY crews around.

Restoration focus is on removing trees and tree limbs, switching on undamaged circuits and restoring emergency services, life support facilities (police stations, hospitals, fire stations) and communications networks. Repairs of damaged facilities will increase as ENTERGY assessments crews pinpoint those areas that have been damaged.

HOSPITAL REPORTING

• Based on the ongoing threat of flooding and potential disruption of communities, facilities and services, all facilities in Regions 1, 3, and 9 will be required to continue the twice-daily reporting of 10 am and 5 pm. The remaining facilities in other regions will not be required to maintain any daily reporting to EMSTAT or other ESF 8 systems. If facility is affected by something during this incident they should update these systems as needed and inform ESF 8.

• OPH Epidemiology sent request for surveillance data to hospitals with Emergency Departments on 8/27/12. The reporting is not statutorily mandated. Hospitals are, however, asked to complete the request if time permits.

CURRENT SITUATION

CANCER PATIENTSThe American Cancer Society is available 24 hours a day to assist cancer patients and their families to ensure they get the cancer information and care that is needed. The contact number is: 1-800-227-2345 or www.cancer.org

DIALYSIS PATIENTS Dialysis patients impacted by Hurricane Isaac should call 1-800-626-1297 to find the nearest open dialysis clinic to schedule their treatments. The hotline is staffed by operators 24 hours a day, 7 days a week to answer inquiries from patients who may have relocated or whose clinic may have been affected by an emergency situation. For more information see www.ultracare-dialysis.com/

Residents were evacuated from Riverbend Nursing Center as Isaac intensified on Wednesday

ESF-8 - MEDICAL AND PUBLIC HEALTH

• With much of the power remaining off, health officials are concerned about residents who rely on home medical equipment. Medical special needs shelters are open to provide electricity and support with the help of federal disaster medical teams.

• A number of hospital and nursing homes continue to operate on generators. All currently have sufficient fuel supplies. ENTERGY has prioritized these facilities at the top of their list to restore power as quickly as possible.

• Contaminated water is a major concern. A boiling Water order has been issued to many of the Parishes (SEE www.labeoc.org/labeoc/alerts/Alert_Details.aspx?id=612

WEATHER CONDITIONSAS OF 2 SEPTEMBER 2012

http://www.wunderground.com/weather-forecast/US/LA/New_Orleans.html

• TIDE LEVELS... tides of one to two feet above normal will cause some inundation of low lying areas adjacent to Lake Maurepas and Western Lake Pontchartrain through early Sunday morning. While waters continue to recede on Lake Pontchartrain... Minor impacts are still being experienced in some areas...but primarily in the lowest lying areas along the immediate shoreline. Rising rivers that drain into Lake Maurepas and backwater from Lake Maurepas into adjacent swamps... Marshland...  and canals may cause some water levels to remain at elevated levels across Livingston... Ascension... and St. James parishes through Sunday morning before slowly falling later Sunday.

• TIMING... mostly minor coastal flooding is ongoing but lessening in most locations. Water is expected to remain elevated in the tidal lakes through the weekend... particularly within Lake Maurepas.

• IMPACTS... low lying areas near the Lakeshore and adjacent waterways will continue to experience minor flooding until water recedes. 

• PRECAUTIONARY/PREPAREDNESS ACTIONS A coastal Flood Advisory indicates that onshore winds and tides will combine to generate flooding of low areas along the shore.

FLOODING

FLOOD WARNINGS & FOLLOW-UP STATEMENTS

FLOOD WARNING (#0067) FLOOD WARNING HAZARDOUS WEATHER OUTLOOK FLASH FLOOD WARNINGCOASTAL FLOOD ADVISORY

FEDERAL RESPONSE

SOURCES: http://blog.fema.gov/ http://www.fema.gov/disasters / http://www.fema.gov/news-releases / http://www.whitehouse.gov/ http://www.klfy.com/ http://www.nola.com/

MAJOR DISASTER DECLARATIONS

NUMBER DATE STATE INCIDENT DESCRIPTION

4080 08/29 Louisiana Hurricane Isaac

4081 08/29 Mississippi Hurricane Isaac

EMERGENCY DECLARATION3347 08/27 Louisiana Tropical Storm Isaac

3348 08/28 Mississippi Tropical Storm Isaac

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) HHS has deployed two Federal Medical Stations to Baton Rouge and New Orleans, LA, to serve as medical special needs shelters. HHS has also deployed five commissioned corps officers from the U.S. Public Health Service and two 50-person DMATs from the NDMS. There are more than 100 ambulances and more than 300 paratransit seats in Baton Rouge from the federal ambulance contract to move patients.

FEMAFEMA Federal Coordinating Officers remain on the ground. Working with U.S. Northern Command, FEMA will assist in search and rescue efforts. Fort Polk, LA has been designated as a Federal Team Staging Area. The command activated Region VI Defense Coordinating Officer (DCO), and Defense Coordinating Element (DCE) to Baton Rouge, LA, to validate, plan and coordinate potential DOD support of FEMA's hurricane response operations and to facilitate DOD's support of potential life-saving and response operations. A FEMA Disability Integration Specialist is on the ground in Baton Rouge, LA to continue to ensure response efforts fully include individuals with access and functional needs.

DEPARTMENT OF ENERGY (DOE)DOE and local area utility companies are gathering more than 12,000 electricity workers to assess the situation and begin energy restoration efforts.

U.S. Northern CommandU.S. Northern Command deployed their Southwest Navy Regional Mass Communications team to the Naval Air Station Joint Reserve Base in New Orleans.

U.S. Army Corps of Engineers (USACE) USACE has deployed Emergency Power Teams to Louisiana. USACE's commodities, debris, and temporary roofing teams are in Louisiana. USACE teams are working to assist in fighting the flood due to locally owned levees experiencing overtopping.

US COAST GUARDThe U.S. Coast Guard is rapidly assessing impacts to the maritime transportation system and conducting search and rescue operations, port assessments and off shore patrols in the Gulf of Mexico. 17 people and 2 pets have been rescued.

TEXAS TASK FORCE 1 Texas Task Force 1, a federal USAR task force, and an Incident Support Team, remains in Louisiana.

NATIONAL GUARDMore than 4,100 National Guard forces in Alabama, Mississippi, Florida and Louisiana are on State Active Duty prepared to respond to Hurricane Isaac.The Louisiana National Guard is working to set up 27 distribution centers (PODs) to hand out food and tarps for victims of Hurricane Isaac, according to Governor Jindal.

Airmen from the Louisiana National Guard help rescue citizens from Braithwaite, La., in Plaquemines Parish during Hurricane Isaac, Aug. 29, 2012. U.S. Army photo by Cpt. Lance Cagnolatti

HOSPITALS• 12 hospitals running on generator housing 464 patients. All have generators powering

HVAC. There are no outstanding fuel requirements. At this point, only hospitals in Regions 1, 2 and 3 have hospitals on generator. All other regions are clear.

• 9 hospitals conducted patient movement (See below)

NUMBER OF HOSPITALS THAT THAT CONDUCTED PATIENT MOVEMENT DUE TO QUINCY DAM THREAT.

HOSPITAL EVACUEES

3Beacon Behavioral Hospital in Lutcher

Evacuated 5 psychiatric patients to Seaside in Gonzales.

LSU-Lallie KempEvacuated 9 Med. Surge patients to LSU-Bogalusa Medical Center

River ParishesPartially evacuated 3 ICU patients to Teche Regional Medical Center

NUMBER OF HOSPITALS THAT CONDUCTED PATIENT MOVEMENT PRE-STORM

HOSPITAL EVACUEES

6

LSU DePaul Partially evacuated 24 psych patients to Central State LA Hospital

Specialty Rehabilitation Hospital of Luling Evacuated 9 rehab patients to their Hammond facility

United Medical Center in Region 1 Evacuated 9 rehab patients to their Hammond facility.

St. Theresa Specialty Hospital of Kenner Evacuated 3 hospice patients to their Metairie campus.

Ochsner Baptist Medical Center Evacuated 21 Med/Surge and 7 ICU patients. 26 to Ochsner Kenner and 2 to Ochsner Main campus.

Specialty Hospital of Luling Evacuated 1 patient to Specialty LTCH Hammond.

TANGIPAHOA FLOODINGHOSPITAL CONCERNS

There are 4 Hospitals in within 3 miles of the river but all are outside of FEMA “Flood Zone A”

Hospitals:

Ocean’s Behavioral Health Hospital in Kentwood

Southeast Regional Medical Center in Kentwood

Hood Memorial Hospital

Lallie Kemp (LSU Hospital)

# of Patients

20

5

23

20

Status

Evacuating to sister facility in Kenner

Not Evacuating

Not Evacuating

Evacuating inpatients to other LSU hospitals

NURSING HOMES• 21 nursing homes housing 2,520 residents are operating on generator power. The state is closely

monitoring fuel needs and burn rates, and are working with the associations to help facilities locate and secure fuel when needed.

NUMBER OF NURSING HOMES THAT MOVED RESIDENTS DUE TO THE QUINCY DAM.

HOSPITAL EVACUEES

2 Tangi Pines Nursing Home Emergency Evacuation due to Dam Breach; Moving patients to Bayside.

Poydras Home Evacuating to Lambeth House

NUMBER OF NURSING HOMES THAT MOVED RESIDENTS PRE-STORM

NURSING HOME EVACUEES

9

Bayside Health Care (Gretna) 88 patients evacuated to Tangi Pines in Tangiphoa Parish.

Luling Living Center (Luling) 77 patients evacuated to Redeeming Life Ministries in Walker.

Ormond Nursing and Care Center 120 patients to evacuated Old Senior Village in Opelousas.

Maison DeVille Nursing Home (Houma). 136 residents evacuated to Plaquemine Plaza Holding.

Lafon Nursing Facility of Holy Family 63 residents evacuated to Tri Community Nursing Home in St Landry Parish.

Maison DeVille Nursing Home (Harvey) 97 residents evacuated to Plaquemines Plaza Holding.

Raceland Manor Nursing Home 71 residents evacuated to Plaquemine

Riverbend Nursing and Rehabilitation Center Moving critical care patients - 12 to Metairie HC; 8 to Waldon HC, 6 to Home. Remainder moving to Belle Chase Base 3:15pm 8/29; Returning 92 pts from Belle Chase Base back to facility. 8/30 4:00pm.

FEDERAL MEDICAL STATION AND MEDICAL SPECIAL NEED SHELTER

REGION Shelter TypeAvailable Capacity/

Total Capacity

Census

COMMENTSPatients Caregivers Total

1 Convention CenterNew Orleans, LA

FMS 175/250 50 25 75 FOOD NAT READILIY AVAILABLENeed O2

2 LSU Field House Baton Rouge, LA

MSNS 208/300 19 17 72 TRANSFER PATIENTS TO PMAC ON 2 SEPTEMEBER

2 LSU P-MAC Baton Rouge, LA

FMS 0 0 0

6 MegashelterAlexandria, LA

MSNS 121/200 50 20 70 NEED NURSE FOR NIGHT SHIFT.

7 Bossier Civic Center Bossier City, LA

MSNS 191/200 12 13 15

9 Southeastern University Kinesiology BuildingHammond, LA

MSNS 195/200 2 1 3

Update: September 1, 2012 9:30 AM

SHELTERS

CALL 2-1-1 TO LOCATE LOVED ONES Individuals trying to locate loved ones who evacuated to state shelters before or after Hurricane Isaac can call 2-1-1 to find out which shelter they are housed. 2-1-1 operators can tell callers if a certain individual is located at a state-run shelter and take a message for that person, if desired. During registration, evacuees grant permission for DCFS and 2-1-1 to give their location to callers.

STATE SHELTERS

PARISH

SOURCE: WEBEOC REPORT DATED 9/1/2012

SHELTERS

RED CROSS

SOURCE: WEBEOC REPORT DATED 8/30/2012

FAITH BASED

PUBLIC WATER OUTAGES

BOIL WATER NOTICE SAFE WATER PRACTICES

WATER / SANITATION

“Health Department Issues Comprehensive List of Water Systems Under Boil Advisory following Hurricane Isaac” The Louisiana Department of Health and Hospitals' Safe Drinking Water Program today issued its most comprehensive water system boil advisory list following Hurricane Isaac for 28 Louisiana parishes under a boil water advisory go to:

http://www.labeoc.org/labeoc/alerts/Alert_Details.aspx?id=612

Concentrated animal feeding operations (CAFOs) are farming operations (clandestine) which are at high risk of disease transmission. The Environmental Protection Agency (EPA) has issued cease and desist administrative orders to two chicken broiler facilities in Lincoln Parish, Louisiana, for discharging chicken litter into a tributary of the Dugdemona River. Flooding will result in extreme fecal contamination into local watershed, and transmission of zoonotic disease.

Rising waters overflowed from sewer lift stations in Northshore Beach near Slidell. As a result, Tammany Utilities was shutting off the sewer system for the area.

The water supply to LaPlace was shut off to prevent contamination by Lake Pontchartrain flood waters. The water supply will resume when the water level of the lake recedes.

DANGERS OF FLOODING AND CAFOS

• For residents of parishes with a boil water notice: boiling at a rolling boil for 1 minute

• For municipal water users: Residents are encouraged to conserve water and to take extra precautions to ensure water purity before consumption.

• For private well users: If your well has been flooded, do not use the water for washing or drinking as flooding can contaminate well water with debris, sediments, and microbes. Even if the well appears undisturbed, it will likely be contaminated if it is fewer than 50 feet deep or more than 10 years old. Once contaminated, wells are very difficult to disinfect; follow the EPA’s guidelines for emergency disinfection of wells. In addition, do not turn on the well pump following flooding due to risk of electrical shock.

• Always wash hands thoroughly with soap and clean water or with an alcohol-based sanitizer before eating or drinking and after using the restroom or coming into contact with floodwaters.

• Only wash wounds in clean water to avoid infection.

Sources: EPA I CDC I WWLTV | NOLA

http://cfpub.epa.gov/npdes/afo/cafofinalrule.cfmhttp://www.waterworld.com/articles/2012/02/louisiana-cafo-ordered-to-stop-discharging.htmlhttp://www.waterworld.com/articles/2008/11/epa-finalizes-cafo-ruling.html

BOIL WATER NOTICE

Parish: AcadiaChurch Point Town Of Water System

Parish: AllenEast Allen Parish Water WorksWest Allen Parish Water SystemSouth Oakdale Water SystemOberlin Town Of Water SystemElizabeth Town Of Water System

Parish: AscensionSt. Amant Baptist Church SchoolRPCC Technical Education CenterBest Stop # 17Ormet CorporationLions Copolymer GeismarLa Petite Day Care CenterFaith Day School & AcademyGo Bears Food Mart #24Sorrento Lumber CompanyOccidental Chemical CorporationBaby BeginningsPier 13Knights Of Columbus 6389Magoo's BarFisherman's WharfShady Oaks MhpA Childs World Day Care & Learning CenterShell Chemical CompanyMcGaha ApartmentsCountryside Mobile Home CourtWhite Road Mobile Home ParkPlantation Mobile Home VillagePine Trailer ParkWestlake Vinyls Company, L.P.Countryview Mobile Home Court

Parish: Ascension(cont.)R & B GroceryOak Village Mobile HomeFred's Restaurant

Parish: CalcasieuSouth Park Trailer Park Water SystemLake Charles Polymer Plant Water SystemConocoPhillips Water System

Parish: CameronCameron Parish Waterworks District No 9Cameron Par Waterworks District No 2

Parish: East Baton RougeMade To Go Truck stopNC Services

Parish: East FelicianaVillage Of NorwoodParish: EvangelinePine Prairie Correctional Facility Water System

Parish: IberiaRip Van Winkle GardensParish: JacksonNew Hope St Clair Water System

Parish: LivingstonFourth Ward Water WorksColyell Community WaterCarthage Bluff MarinaBest Stop 15Tickfaw State ParkSpringfield Middle SchoolKirby's Place TpCa Inst. Of Tech. - Ligo ObservatoryFrench Settlement Water- Colyell Home siteRiver Pines Plantation UtilitiesFrench Settlement Water Co - SpringfieldFrench Settlement Wh Hall Head Of IslandKillian, Town Of

Parish: St. JamesSt. James Boat ClubNoranda Alumina, LLC

Parish: St. John The BaptistChurch St. John Water District No 1Frenier Landing RestaurantCrab Trap Boil Seafood, LLCCajun Pride Water SystemBeacon LoungeHalfway House BarGators Den Cajun Cafe

Parish: St. LandryWalmart Distribution Water System

Parish: St. MartinButte Larose Rest Stop Water System

Parish: St. TammanyAlton Water SupplyTesi Rigolets HarborIndian Hills Trailer ParkLake RamseyForest Glen SDRiver OaksChapman ApartmentsSt. Tammany Parish - Madisonville WoodsLakeshore EstatesAbita Springs RV ParkSt. Tammany Parish Salvation Manor St. JoeRavenwood SubdivisionH20 Services- I59 Mobile Home ParkTchefuncte Harbor TownhomesMadisonville On The LakeBeverly Heights ManorDream Courts Mobile Home ParkOak Villa Trailer ParkH20 Services- Whippoorwill GroveHillcrest ApartmentsOak River EstatesLewisburg Estates

Parish: Livingston (cont)French Settlement- Paradise PointFrench Settlement water- Vincent PlacePine AcresRiverscape at Clio SubdivisionFrench Settlement Water Co - OakridgeFrench Settlement Water -StonebridgeCarter PlantationVincent Acres Water Co.Jims Trailer Park

Parish: OrleansFort Pike State ParkIrish Bayou Travel CenterCrazy AL's Lounge

Parish: OuachitaSouth Monroe Water System Gowc

Parish: PlaqueminesPointe A La Hache W SPort Sulphur Water DistrictDalcour Waterworks District

Parish: Pointe CoupeeTorbert-Frisco WaterworksAlma Plantation, LtdSSherburne Wildlife Mgmt. Area Water System

Parish: RapidesValentine Lake North Recreation AreaKincaid Lake Recreation AreaParish: St. BernardDomino Sugar

Parish: St. HelenaThe Hitching Post CafeWaterworks District 2 Of St. HelenaWaterworks District #2 Phase3Diversion Water - Tranquility LakesPine Grove Waterworks AssociationsFrank & Ramona's CafeNatalbany Creek CampgroundWaterworks District #2 Of St. Helena - Cross RoadsWaterworks District #2 - Dennis Mills

The Louisiana Department of Health and Hospitals' Safe Drinking Water Program issued its most comprehensive water system boil advisory list following Hurricane Isaac as of 30 August 2012. Major storm events like Hurricane Isaac that cause power outages can result in pressure loss for a water system, or floodwater flowing into the system can cause natural contaminants to enter the drinking water supply. The DHH Office of Public Health staff contacted water systems around the State to assess whether their systems experienced any of these issues and would need a precautionary boil advisory. The following public water systems in 28 Louisiana parishes are under a boil advisory

BOIL WATER NOTICE

Parish: St. Tammany (cont.) St. Tammany Parish - St. GertrudePort Louis TownhomesBobs ApartmentsPiney Ridge Trailer ParkSt. Tammany Parish Pineland Park SdVillage Guthrie SubdivisionCross Gates Utilities -Cross Gate S/DWhisperwood Estates SdTchefuncte Club EstatesTammany Mobile Home ParkOzone Pine SubdivisionSoutheast La State HospitalMangano's Mobile Home ParkMadisonville Water SupplyEden Isles Water SupplyCountry Club Trailer ParkAzalea Lane Trailer ParkH20 Services- Guste Island Water SupplySt. Tammany Parish-Bedico CreekShady Pines Trailer ParkEagle Lake Mobile Home ParkH20 Services- Blue Lake HillsPearl Plantation TownhouseTesi CherrywoodSt. Tammany Parish - Lake Hills VillageChahta Mobile Home ParkMarina Del Ray Water SystemPonderosa EstatesBeau Village SubdivisionTesi Beau Pre Sd Water SupplyThe MeadowsCrossgates Ben Thomas Rd Water DistrictCentral Park SubdivisionPine Crest Trailer ParkPonderosa Ranches SubdivisionHomeland HeightsTesi Rigolets EstatesMeco

The Louisiana Department of Health and Hospitals' Safe Drinking Water Program issued its most comprehensive water system boil advisory list following Hurricane Isaac as of 30 August 2012. Major storm events like Hurricane Isaac that cause power outages can result in pressure loss for a water system, or floodwater flowing into the system can cause natural contaminants to enter the drinking water supply. The DHH Office of Public Health staff contacted water systems around the State to assess whether their systems experienced any of these issues and would need a precautionary boil advisory. The following public water systems in 28 Louisiana parishes are under a boil advisory

Em's Blue DinerWinn Dixie #1500The RestaurantFord Lincoln Mercury Of SlidellLakeshore ChryslerBrian Harris AutoplexAll Star ToyotaCapitol SteelBashab ExpressThe Learning JunctionBackroads MercantileHosanna Lutheran ChurchNorthshore 1 Commercial Condo AssociationB & B Grocery & DeliFontainebleau SchoolCharlous PizzeriaSpeedy G #2ScuttlebuttWaste ManagementBilly's LoungeLake Castle SchoolTwo Sisters BilliardsHwy 59 ChevronTiffany LanesLock 1 PantryCleco Service CenterSt. Tammany School Board Education CenterRussell's Quick StopGoodbee QuickstopSixth Ward CafeteriaT RiversAlisha Bayou BargainLacombe StoresPepe's Mexican RestaurantMonteleone Jr High SchoolRoberts Family M.R.K.T.Planet Kids Academy #2

Tabbi's HouseSlidell SeafoodUpper Room Bible Church, Inc.Lakeshore High SchoolLe Cafe De Bon TempsIndian Village Trading PostCamp SalmenVintage CourtGas -N-ShopCarolla's Shopping CenterRally's HamburgersAT And THyundai Of SlidellKidz KlubhousePaparazziKeith Young's RestaurantJ & S ChevronNorthlake ExpressDaiquiris NowCentral Progressive BankSt. Tammany Recreation District #2Us Fish & Wildlife HeadquartersFolger Coffee Co-Lacombe Distribution Center61700 Hwy 434 BuildingJ&S Bayou Gas & GroceryNew Orleans East KoaNorthshore Square MallSlidell Little TheaterLand-O-Pines CampgroundConquering Word Christian AcademyPopeye's Fried ChickenValue Travel Inn, Inc.Sixth Ward Jr High W SRamsey Grill And CafeWendy's Restaurant 1593Hillcrest Lake Villas

Gymnastics Plus - Eddie ResoFrostopState Police Troop LSal & Judy's Water SupplyFontainebleau State ParkLa Provence RestaurantFifth Ward Jr High W SChata-Ima Elem School W SBush Shell 2Northminster MontessoriHowze Beach WellTulane University Primate CenterStarcBayou Lacombe Middle SchoolLacombe-Mandeville HeadstartLittle Oak Elem SchoolTrinity Marine GroupOne Stop Market & LiquorA To Z Daycare CenterLollipop RanchThe Little AcademyAssunta's RestaurantAlice RestaurantBayou Industrial ParkTaco Bell #2720Pelican ParkKinderhaus MontesorriHouse Of SeafoodCheck-In Check-OutRiverside Travel CenterRelax InnKnights Of Columbus BingoAbita Springs Golf Club W S

Parish: TerrebonneSchriever Wtp Service AreaHouma Water Tp Service Area

Parish: VermilionGlobal Maritime Solutions Water LLC

Parish: VernonUS Forestry Fullerton Recreation AreaEvans School

Parish: WashingtonLil Angels DaycareStewart Seafood & SteakHighway 10 ChevronWindmill NurseryWarnerton Quick StopLil Landers Bar450 Quick StopJimmy's Fish MarketThe Louisiana CastleCoconutz DaiquirisS And P Truck StopPapa J's Hwy MartIsabel Grocery & Kountry KooA & G Enon Quick Shop LLCEnon Elementary SchoolRon Son Bear29 Palms Trailer ParkNorth Folsom HillsKids World DaycareHappy Acres Mobile Home Park

Parish: West Baton RougeWest Baton Rouge Waterworks District #1West Baton Rouge Waterworks District #2

DIALYSIS

As a result of Isaac, Louisiana’s dialysis patients are particularly vulnerable, since they typically need treatment every 2-3 days, and any substantial delay can be life threatening. Dialysis patients impacted by Tropical Storm Isaac should call 1-800-626-1297 (Fresenius) or 1-800-400-8331 (DaVita) to find the nearest open dialysis clinic to schedule their treatments. WAFB Baton Rouge and The following are some disaster preparedness tips for dialysis patients:

• Keep your emergency phone numbers handy. When bad weather threatens, contact your local facility and follow instructions they may provide. In a disaster, Fresenius Medical Care offers a patient hotline at 1-800-626-1297 for patients who need help finding the nearest open dialysis facility. The hotline is staffed by customer service specialists who can provide locations and contact numbers for alternate facilities, if necessary.

• Carry your up-to-date personal information with you at all times (ID, medication and allergy lists, insurance, emergency contact information, type of dialysis treatment).

• Talk to your doctor and family about your evacuation plan — what you should do and where you should go if a disaster strikes. Keep track of local weather forecasts.

• Create an Emergency Kit with emergency supplies and at least one extra three-day supply of medicines. Many patients find it convenient to keep medicines and medical supplies in an easy-to-carry fanny pack or backpack.

• Store a three-day supply of food based on your emergency meal plan. Speak with your healthcare team about when to begin following your emergency plan. Limit fluid intake to two cups per 24 hours and avoid fresh fruit and vegetables. Periodically check expiration dates of food items in the kit and replace when needed.

For more information on preparing for a disaster, visit www.ultracare-dialysis.com. Information regarding dialysis care after disasters, such as Tropical Storm Isaac, can be found via the Centers for Disease Control and Prevention

NEW ORLEANS – dialysis centers in New Orleans regained operation Thursday morning, August 30, and centers were expected to remain open throughout the day. Patients are instructed to contact their usual dialysis centers with questions. Transportation can be arranged by calling the Regional Transit Authority at (504) 658-2500. nola.com

PREVENT ILLNESS AFTER A DISASTER Avoid wild or stray animals and biting or stinging insects.

Call local authorities to handle animals.

Get rid of dead animals, according to local guidelines, as soon as you can.

For more information, contact your local animal shelter or services, a veterinarian, or the humane society for advice on dealing with pets or stray or wild animals after an emergency.

For information on specific animal and insect issues, see protect yourself from animal- and insect-related hazards after a natural disaster.

PROTECT YOURSELF FROM ANIMAL - AND INSECT-RELATED HAZARDS

PREVENT CARBON MONOXIDE POISONING

Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if you breathe it. Never use generators, pressure washers, grills, camp stoves, or other gasoline, propane, natural gas, or charcoal-burning devices inside your home, basement, garage, or camper—or even outside near an open window, door, or vent.

Don't heat your house with a gas oven.

If you are too hot or too cold, or you need to prepare food, don't put yourself and your family at risk for co poisoning—look to friends, family, or a community shelter for help.

If your co detector sounds, leave your home immediately and call 911.

Seek prompt medical attention if you suspect co poisoning and are feeling dizzy, light-headed, or nauseated.

For further guidance on avoiding co poisoning, see protect yourself from carbon monoxideCLEAN UP SAFELY AFTER FLOODS

To prevent illness, disinfect and dry buildings and items in them. This will prevent growth of some bacteria, viruses, mold, and mildew that can cause illness.

For more information, see flood water after a disaster or emergency.

KEEP FOOD AND WATER SAFE Food may not be safe to eat during and after an emergency. Water may not be safe for cooking.

Water may not be safe to drink, clean with, or bathe in after an emergency, such as a hurricane or flood. During and after a disaster, water can become contaminated with microorganisms (for example, bacteria), sewage, agricultural or industrial waste, chemicals, and other substances that can cause illness or death.

Listen to and follow public announcements. Local authorities will tell you if water is safe to drink or to use for cooking or bathing. Follow local instructions to use bottled water or to boil or disinfect water for cooking, cleaning, or bathing.

For more information, see keep food and water safe after a natural disaster or power outage.

WASH YOUR HANDS

Always wash your hands with soap and boiled or disinfected water before preparing or eating food, after toilet use, after participating in cleanup activities, and after handling articles contaminated by floodwater or sewage. Use warm water when available. Wash children's hands frequently (always before meals).

Disinfect water for washing by mixing 1/8 teaspoon of household bleach per 1 gallon of water). Let it stand for 30 minutes. If the water is cloudy, use a solution of 1/4 teaspoon of household bleach per 1 gallon of water.

If water isn't available, use alcohol-based products made for washing hands.

For more tips on washing your hands, see hand hygiene after a disaster.

PROTECT MENTAL HEALTH

The days and weeks after an emergency are going to be rough. Some sleeplessness, anxiety, anger, hyperactivity, mild depression, or lethargy are normal and may go away with time. If you feel any of these symptoms acutely, seek counseling. Your state, local, tribal health departments will help you find local resources, including hospitals or health care providers that you may need.

Seek medical care if you are injured, feel sick, or have acute stress and anxiety.

Keep as many elements of your normal routine incorporated into the disaster plans as possible, including activities to calm children's fears.

Be aware that you may have fewer resources to attend to your day-to-day conflicts, so it is best to resolve what you can ahead of time.

Turn to family, friends, and important social or religious contacts to setup support networks to deal with the potential stressors.

Let your child know that it is okay to feel upset when something bad or scary happens. Encourage your child to express feelings and thoughts, without making judgments.

For additional resources, see disaster mental health resources.

PREVENT ILLNESS AFTER A DISASTERAVOID MOSQUITOES

PREVENT ILLNESS FROM SEWAGE

PREVENT TEMPERATURE-RELATED ILLNESS

PREVENT OR TREAT WOUNDS

AVOID WILD OR STRAY ANIMALS

Rain and flooding in a hurricane area may lead to an increase in mosquitoes, which can carry diseases like west nile virus. In most cases, the mosquitoes will be pests but will not carry communicable diseases.

To protect yourself from mosquitoes, use screens on dwellings, and wear long pants, socks, and long-sleeved shirts and use insect repellents that contain deet or picaridin. Care must be taken when using DEET on small children. More information about these and other recommended repellents can be found in the fact sheet updated information regarding insect repellents.

To control mosquito populations, drain all standing water left in open containers, such as flower pots, tires, pet dishes, or buckets, outside your home.

If there is flooding along with a hurricane, the waters may contain fecal material from overflowing sewage systems and agricultural and industrial waste. Although skin contact with floodwater does not, by itself, pose a serious health risk, there is risk of disease from eating or drinking anything contaminated with floodwater.

If there has been a backflow of sewage into your house, wear rubber boots and waterproof gloves during cleanup. Remove and discard contaminated household materials that cannot be disinfected, such as wall coverings, cloth, rugs, and drywall.

If you have any open cuts or sores that will be exposed to floodwater, keep them as clean as possible by washing them with soap and applying an antibiotic ointment to discourage infection.

Wash clothes contaminated with flood or sewage water in hot water and detergent and separately from uncontaminated clothes and linens.

Do not allow children to play in floodwater areas and do not allow children to play with floodwater-contaminated toys that have not been disinfected. Disinfect toys by using a solution of one cup of bleach in five gallons of water. Some toys, such as stuffed animals and baby toys, cannot be disinfected; they should be discarded.

When standing or working in water that is cooler than 75 f (24°c): Wear rubber boots.

Ensure that clothing and boots have adequate insulation.

Take frequent breaks out of the water.

Change into dry clothing when possible.

Immediately clean out all open wounds and cuts with soap and clean water. Keep wounds covered with clean, dry bandages that are large enough to cover the wound and contain any pus or drainage.

Change bandages as needed and when drainage can be seen through the bandage. Contact a doctor to find out whether more treatment is needed (such as a tetanus shot).

If a wound gets red, swells, or drains, seek immediate medical attention.

If you are bitten by any animal, seek immediate medical attention. If you are bitten by a snake, try to identify it, so that if it is poisonous, you can be given the correct anti-venom.

Do not cut the wound or attempt to suck the venom out. (See also the CDC rabies website, rat-bite fever: frequently asked questions, and medical problems and treatment considerations for the red imported fire ant)

CONTACT WITH HAZARDOUS MATERIAL If your skin or eyes may have come in contact with hazardous materials, such as acid from a car

battery, wash thoroughly with decontaminated water and seek medical attention as needed.

If you have wounds, you should be evaluated for a tetanus immunization, just as you would at any other time of injury.

If you receive a puncture wound or a wound contaminated with feces, soil, or saliva, have a doctor or health department determine whether a tetanus booster is necessary based on individual records.

For further guidance, see emergency wound care after a natural disaster.

TETANUS IMMUNIZATION

Prevent heat–related illness: Stay in air-conditioned buildings.

Take breaks in shaded areas or in cool rooms.

Drink water and nonalcoholic fluids often.

Wear lightweight, light-colored, loose-fitting clothing.

Do outdoor activities during cooler hours.

For further guidance, visit the cdc extreme heat website.

Short bouts of diarrhea and upset stomach and colds or other breathing diseases sometimes occur in developed countries, such as the united states, after a natural disaster, particularly among large groups of people in a shelter. Basic hygiene measures like frequent hand washing or use of an alcohol hand gel, especially after using the restroom or changing diapers and before eating, can help prevent these diseases.

Diseases like cholera or typhoid are rare in developed countries and do not typically occur after a natural disaster.

For information on infectious disease, see infectious disease after a disaster.

INFECTIOUS DISEASE

IMMUNIZATIONS

For information on immunizations for evacuees, relief workers, emergency responders and travelers, see immunization after a natural disaster.