Protocol Development for Pro-Active Emergency Responses By
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Louisiana State University LSU Digital Commons LSU Master's Theses Graduate School 2007 Protocol development for pro-active emergency responses by veterinary clinics and hospitals Laura Marie Basirico Louisiana State University and Agricultural and Mechanical College Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_theses Part of the Environmental Sciences Commons Recommended Citation Basirico, Laura Marie, "Protocol development for pro-active emergency responses by veterinary clinics and hospitals" (2007). LSU Master's Theses. 4168. https://digitalcommons.lsu.edu/gradschool_theses/4168 This Thesis is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Master's Theses by an authorized graduate school editor of LSU Digital Commons. For more information, please contact [email protected]. PROTOCOL DEVELOPMENT FOR PRO-ACTIVE EMERGENCY RESPONSES BY VETERINARY CLINICS AND HOSPITALS A Thesis Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College In partial fulfillment of the Requirements for the degree of Master of Science In The Department of Environmental Studies By Laura M. Basirico B.S., Southeastern Louisiana University, 2006 December 2007 © Copyright 2007 All rights reserved Laura M. Basirico ii ACKNOWLEDGMENTS I would like to thank my major professor Dr. Ralph Portier for providing guidance and support throughout this study. Dr. Martin Hugh-Jones also encouraged me in every step. My funding was ensured by these two men and I am so appreciative for this. I do not think that I could have been match to anyone better; thank you both. Dr. Piers Chapman willingly served on my committee and he provided invaluable insight that I am exceedingly grateful for. My dad and mom, Pete and Connie, supported me whole-heartedly through this endeavor. Their love for me is amazing; there really are no words to adequately describe it. My brother, Nathan and sister, Bethany came to visit me on weekends to just hang out; I love y‘all. Thank you to all of my friends, too many to name, who did amazing things for me while I worked on this document. Y‘all watched my dog, brought me coffee, took notes in class, made me laugh when I needed it, and so much more. I love y‘all. I want to thank everyone in ECE building and on other parts of campus who have loved and helped me along the way. Y‘all are amazing and have made this experience wonderful. To everyone else who is not implicitly named, thank y‘all so much. I could not have done this work without all of you. iii TABLE OF CONTENTS ACKNOWLEDGMENTS . iii LIST OF TABLES . vi LIST OF FIGURES . vii ABSTRACT . viii 1. INTRODUCTION . 1 1.1 Research Purpose . 1 1.2 Overview of the Development of Emergency Management Protocol . 2 2. BACKGROUND RESEARCH . 5 2.1 Storm Events . 5 2.1.1 Hurricane Katrina . 5 2.1.2 Hurricane Rita . 10 2.2 Post-Storm Dynamics of the Gulf Coast Region . 10 2.3 Federal Response to Hurricane Katrina . 12 2.4 Veterinary Community Impact . 14 3. DATA AND METHODS . 17 3.1 Defining the Problem . 17 3.2 Objectives . 17 3.3 Data Description . 18 3.3.1 Interviews and Site Visits . 19 3.3.1.1 Selection of Interview Participants . 20 3.3.1.2 Interview Format . 21 3.3.1.3 Veterinarian Demographics . 22 3.3.2 Preexisting Emergency Preparedness and Response Data . 26 3.4 Development of Framework Document for Proposed Manual . 27 3.4.1 Establishing the Scope of Manual . 28 3.4.2 Developing the VEPR Manual Through Outside Involvement . 29 3.4.3 Revision of Manual Based on Feedback . 29 3.5 Website Development . 30 3.5.1 Technical Assistance in Website Building . 30 3.5.2 Providing Access to the VEPR Website . 31 4. RESULTS AND DISCUSSION . 32 4.1 Overview of Results . 32 4.2 Hardcopy Veterinary Emergency Preparedness and Response (VEPR) Manual . 32 4.2.1 Contents of VEPR Manual . 33 4.2.2 Distribution of VEPR Manual . 34 4.3 Veterinary Emergency Preparedness and Response (VEPR) Website . 35 4.3.1 VEPR Website Format. 36 iv 4.3.2 Positive and Dynamic Qualities of VEPR Website . 38 4.4 Discussion . 39 5. INPUT AND FUTURE DEVELOPMENT . 41 5.1 Continuing Adaptation and Input . 41 5.2 Nation and Disaster Wide Preparedness Document . 42 5.3 Permanent Funding and Maintenance of the Website . 43 REFERENCES . 45 APPENDIX A: WORK PLAN FOR ASSESSMENT AND REMEDATION OF PUBLIC HEALTH IMPACTS DUE TO HURRICANES AND MAJOR FLOODING . 49 APPENDIX B: VETERINARIAN QUESTIONNAIRE . 90 APPENDIX C: SAMPLE LETTER OF INTRODUCTION . 91 APPENDIX D: TRANSCRIPT, CONTACT ONE – DR. PETE HENDRY; GENERAL ANIMAL HOSPITAL . 92 APPENDIX E: TRANSCRIPT, CONTACT FOUR – DR. DANIEL BRENNAN; HONEY ISLAND ANIMAL CLINIC . 96 APPENDIX F: TRANSCRIPT, CONTACT FIVE – DR. GARY LEVEY; LAKEVIEW VETERINARY HOSPITAL, INCORPORATED . 102 APPENDIX G: TRANSCRIPT, CONTACT TWO – DR. BETTIE FAUNTLEROY; HILLSIDE ANIMAL CLINIC . 107 APPENDIX H: TRANSCRIPT, CONTACT THREE – DR. DARREN SCHILLING; FRANKLINTON VETERINARY CLINIC . 111 APPENDIX I: PRELIMINARY VEPR MANUAL TABLE OF CONTENTS . 117 APPENDIX J: VETERINARY EMERGENCY PREPAREDNESS AND RESPONSE (VEPR) MANUAL . 119 VITA . 292 v LIST OF TABLES Table 2.1 Summary of Levee Failures and Subsequent Flooding . 9 Table 3.1 Demographic and Hurricane Impact Summary . 25 vi LIST OF FIGURES Figure 1.1 Flow Chart From Original Work Plan . 3 Figure 2.1 Water Temperature in Gulf of Mexico During Hurricane Katrina Event . 6 Figure 2.2 Track and Development of Hurricane Katrina . 8 Figure 2.3 The Inside of Lakeview Veterinary Hospital After Hurricane Katrina . 14 Figure 2.4 Veterinary Clinics of Slidell, LA and Waveland, MS . 15 Figure 3.1 Distribution of Interviewed Veterinarians . 22 Figure 4.1 Homepage of VEPR Website . 36 Figure 4.2 Guide Section of VEPR Website . 37 vii ABSTRACT The Gulf Coast hurricanes of 2005 necessitated the development of a guidance document concerning emergency preparedness and response for veterinary clinics and hospitals. The aftermaths of the largest natural disasters in United States‘ history, namely Hurricanes Katrina and Rita, brought to light the need for a protocol designed specifically for veterinarians and veterinary practitioners. Disaster management information was synthesized and modified to be subject-specific for the veterinary community. This synthesis resulted in the creation of the Veterinary Emergency Preparedness and Response (VEPR) manual and website. Two types of data were collected to develop the emergency protocol; interviews with veterinarians and staff and site visits to affected clinics and hospitals were conducted to gather primary data for inclusion in the preparedness and response document, and preexisting information concerning disaster management from an array of sources was compiled and reviewed. A preliminary manual was provided to affected individuals for feedback and input and the subsequent comments were formatted and incorporated into a final protocol recommendation. Two deliverables resulted from the current study including a hardcopy VEPR manual and website based on the information from the manual, <.http://info.envs.lsu.edu/vepr/>. The guidance document provides pertinent information for pre-hurricane planning, weathering the physical storm, and post-hurricane recovery. Together the manual and website facilitate the widespread distribution of the emergency recommendations to the veterinary community and are expected to be a comprehensive source for specific disaster management materials. The VEPR manual and website are resources that can be used as tools to mitigate damaging affects viii particularly to lessen the post-disaster burden on the staff and operations of veterinary clinics and hospitals. VEPR provides a foundation for the development of viable emergency preparedness and response protocols for other types of natural disasters. Updates.