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3. During emergency response operations and for the first hours after the <br /> occurrence of a catastrophic event there may be little if any assistance <br /> available. <br /> 4. Initially, local resources will be used to relocate individuals to a place <br /> of safety. <br /> a. This will require transportation assistance and designation of <br /> shelters equipped to handle this population. <br /> 5. Receiving shelters will require necessary medical equipment, <br /> personnel and supplies for the care of people with special needs. <br /> a. Re-supply and relief staff will be an ongoing concern. <br /> 6. Resources within the affected disaster area will be inadequate to <br /> clear casualties and/or adequately treat them in local hospitals. <br /> a. Additional mobilized state capabilities will urgently be needed to <br /> supplement and assist in triage and treat casualties in the <br /> impacted area and then transport them to the closest appropriate <br /> hospital or other health care facility. <br /> b. Additionally, medical re-supply will be needed throughout the <br /> affected area. <br /> 7. In a major disaster, coordination will be required for the transportation <br /> of patients by air and ground to areas outside of the impacted area <br /> having sufficient hospital beds and treatment capabilities. <br /> 8. Damage to chemical and industrial plants, sewer lines, water <br /> distribution systems and secondary hazards such as fires, will result <br /> in toxic environmental and public health hazards for the surviving <br /> population and response personnel. This can include contaminated <br /> water supplies, crops, livestock, and food products. <br /> 9. Assistance in maintaining continuity of health and medical services <br /> will be required with specific emphasis on implementation of <br /> communicable disease services (prevention, surveillance, etc.). <br /> 10. Disruption of sanitation services and facilities, solid waste services <br /> and facilities, loss of power, and massing of people in shelters may <br /> increase the potential for disease and injury and/or require the <br /> identification of additional shelter space(s). <br /> 11. Normal medical and health services available to the affected <br /> population may be disrupted. <br /> Indian River County Comprehensive Emergency Management Plan Annex I - Page ESF#8-6 <br />