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d. Disruptions in local communications and transport systems <br /> could prevent a timely re-supply of needed items. <br /> 3. Chronically ill but uninjured individuals may have difficulty obtaining <br /> daily medications, medical supplies and/or equipment due to <br /> destruction of normal supply locations and/or inability to travel. <br /> 4. Disasters such as hurricanes, floods, etc., may not generate high injury <br /> volumes such as an earthquake but will require relocation into <br /> temporary shelter(s), vector control, availability of potable water, <br /> wastewater control and resolving problems with solid waste facilities. <br /> 5. People with special needs will require relocation to shelters equipped <br /> to provide the required level of service. <br /> a. Coordination with nursing homes, ALFs and other licensed <br /> health care facilities will be a critical component of this ESF. <br /> 6. People with extraordinary needs may require follow-up immediately <br /> after the danger has subsided. <br /> 7. The damage and destruction from a catastrophic natural disaster or <br /> acts of terrorism will produce urgent needs for mental health crisis <br /> counseling for disaster victims and response personnel. <br /> 8. People refusing to evacuate will require contact and possible <br /> relocation to a medical facility. <br /> a. Re-supply of medications and other medical items will also be a <br /> required function. <br /> b. If injuries have been sustained, people may need relocation to a <br /> medical facility. <br /> c. Persons treated and released may become people with special <br /> needs, as result of their injuries and require sheltering in a <br /> Special Needs Shelter or other health care facility. <br /> B. Planning Assumptions <br /> 1. The most destructive natural hazard to which Florida is vulnerable is a <br /> hurricane. Consequently, advance warning is likely, with an <br /> opportunity to order evacuation in vulnerable areas. <br /> 2. Past experience has taught us that people are slow to evacuate. <br /> Indian River County Comprehensive Emergency Management Plan Annex I - Page ESF#8-5 <br />