Emergency Manager | Speaker | Writer

Tag: pandemic

The Year of Disaster: A Paradigm Shift in Emergency Management

While the Chinese Zodiac defines 2020 as the Year of the Rat, most people will remember it as the Year of Disaster. It seems that 2020 will not only be the demarcation of a new decade in this young millennium, but will also be a clear milestone year that will transition us from one historical era to the next. We will think back on events in the early part of this century as either before or after 2020 and its great pandemic. With disaster and disruption at the forefront of the collective consciousness, emergency management can finally mature into a known and essential discipline. Across industries, emergency managers are now being leveraged for the tools and skill sets that they bring to the table. Yet during this critical time, our own internal resources are stretched thin as we juggle a pendulum swinging constantly between response and recovery.

The traditional disaster cycle.

A core emergency management concept is that of the ‘disaster cycle.’ We have all seen the diagram or variations of it and most of us have used it to convey this theory in training presentations. This diagram describes conventional disasters that move through time with a linear narrative. Emergency plans typically follow suit, assuming there will be an initial response, an expanded response and then an initial recovery. Through my time working at CalOES I became fascinated with the ‘response to recovery transition’ and the triggers that guide a community or organization from response to recovery. This period between expanded response and initial recovery is a critical one as careful navigation can set the stage for smooth sailing through the long term recovery. The transition is typically marked by evacuations lifting, the storm dissipating or the firefighters advancing containment. The community breathes a sigh of relief, damage assessments begin and the organization looks toward next steps for longer term planning. This is an opportunity to move from a reactive stance toward a proactive, calculated plan for recovery.

COVID-19 has flipped this paradigm on its head. A pandemic is capricious, slow moving and nonlinear. The metrics we have to measure it have a serious lagtime from the time of disease transmission. Case count and positivity rate are reflective of community transmission from weeks ago. We do not know how long this altered living will last, but we do know that it will be at least several more months and probably closer to a year. When a vaccine is finalized, it will still take months to deploy it to the millions who will want it. As our focus begins to blur with fatigue, questions creep in from the peripheries within the emergency management community, are we in response or recovery? Should emergency operations centers remain active or should we move to operating through a recovery task force model? We have spent the past six months creating new systems and processes to quell the effects of this virus, we have in essence created a new normal. So is it really still an emergency situation? It doesn’t have the markers of your typical disaster anymore. There is hardly a rush of adrenaline as we respond to the same EOC desk we have each day since March. Yet, when a community experiences a sudden outbreak, as many colleges and universities have in recent weeks, the adrenaline resurges and the mad dash of response takes over. With a pandemic, multiple waves of the virus are likely and you can’t easily identify the point where high tide has been reached and the waters begin to recede.

A summary of CalFIRE’s 2020 incidents as of 9.23.20

But for many of us the pandemic is not even the only incident on our plates. In California, we have already been thrust into the deep end of a devastating wildfire season. Our neighbors to the north in Oregon and Washington are hurting as well. By August 18th, the State Operations Center was activated to its highest level in response to the August 2020 wildfires that dominated seven counties and leaked toxic smoke into the air of most of Northern California. While conditions cooled off about 10 days later and outdoor activities were able to resume, the SOC never had a chance to scale back fire response before yet another round of fire weather heralded a new surge of wildfires. Fire resources committed to fully containing the original round of fires had to be diverted to the snarling infernos now on the loose in other portions of the state. People were airlifted from remote areas, barely escaping before the fire descended upon them. This second wave prompted another round of state emergency declarations from the Governor. A new statewide fire event had already arrived, linked loosely to the first only through a prolonged heat event and lack of precipitation. So where is the line between these two events? Can we ever get to recovery if we always must be vigilant in a responsive posture throughout the near year-round wildfire season? As years of drought and more extreme heat conditions combine to ripen fire weather for prolonged periods due to permanent changes to the Earth’s climate, we must prepare to exist in this realm outside of the traditional disaster cycle diagram.

This shift in posture presents significant new challenges for emergency managers. A constant response stance is exhausting, especially for the many one person shops that exist at the local level and in universities across the country. If your EOC has remained activated for six months, that is a lot of EOC action plans and situation reports that you are ultimately responsible for. You are probably facing burnout and increasing apathy from your EOC team members, if you are lucky enough to still have them. Many EOC’s have moved to a low-level activation, which is typically just an emergency manager and maybe one or two others supporting. If you don’t have anyone to trade off with, you may feel like you are constantly on call, a duty officer shift with no end in sight as various headlines on COVID-19 outbreaks, new legislation at every level, and shifting metrics present a behemoth of evolving information on the virus. A typical incident is fairly localized which makes it much easier to maintain situational awareness. This is a worldwide event and thus the data sources are infinite.

Destruction in Santa Cruz County following the August 2020 CA wildfires.

When your focus is a continued and prolonged response, recovery activities quickly begin to run parallel to response rather than dovetailing gracefully at the distinct end of an EOC activation. You must collect your expenses for reimbursement from FEMA and/or the CARES act as it is applicable. FEMA has recently announced that there is no incident termination date in sight, so your collection of documentation is a new constant–a new full-time job that emergency managers must facilitate. Having a good Finance Section Chief can be a lifesaver here, but that person may also experience burnout and bitterness at the sheer scope of the incident which is continuously growing. The bottom line is that when your organization must focus on both response (to COVID and additional incidents that might occur within the pandemic environment) and recovery simultaneously, neither task can be achieved with high standards of excellence.

Constant response and recovery renders preparedness time obsolete.

However the greatest problem with this posture is that we are forced to nearly abandon preparedness, planning, and mitigation. In a typical year, an emergency manager will likely spend the majority of his/her time planning, training, educating, and coordinating prevention-oriented activities. In the classic disaster cycle model, we imagine ourselves in the ‘blue skies’ preparedness environment for most of the time, readying ourselves for when the incident occurs. But in the COVID-19 era we simply do not have the bandwidth to do our normal jobs. And we know from years of advocating for investment in emergency management, that for every dollar spent on mitigation, we save an average of six dollars later when the disaster hits. When we can’t devote our attention to these critical activities that normally make up our full time jobs, we leave our communities further vulnerable to other hazards. The catastrophic earthquake will not care that California has spent its year focused on pandemic and wildfire response. It will descend upon us either way and if we haven’t recently exercised or updated our plans we will not be prepared to meet the moment.

Photo by Sergi Kabrera on Unsplash

Luckily, there are some silver linings to this new reality. The need for EOC training and exercises is greatly reduced because we are living in activation mode and everyone is feeling increasingly comfortable with tools and processes. We also have the spotlight right now, for better or for worse. I have never seen so many of my non-EM social media friends posting about wildfires, disaster preparedness, evacuation tips, and pandemic prevention measures. Suddenly, disaster is trending continually. Typically, PIOs like to capitalize on a hurricane, earthquake or other disaster in the news to remind people in their own jurisdictions about the importance of preparedness. In 2020, we don’t have to worry about drawing people’s attention to planning for the what if, everyone has been impacted in some way and has started thinking about disruptions and preparedness.

Now is also an excellent time to make a case to leadership about the importance of investing in emergency management. For the reasons I’ve outlined above, you can argue that additional full-time staff support is needed–we can’t possibly support constant response and a ballooning recovery while also providing top notch preparedness and planning programs. Strong emergency management programs are also more critical than ever with the eye of the media watching so closely. While budgets are extremely constrained across all organizations, creative solutions are possible. Leadership can consider shifting staff responsibilities from positions that have seen a reduced workload due to COVID, like those that manage conferences, special events, sporting or tourism activities that have ceased.

Destruction from the 2017 Thomas Fire in Ventura County.

When this first started, we hoped that it would be over relatively quickly. Past pandemics in our lifetimes have never caused such prolonged disruptions to our lives. But as the year has worn on and we’ve seen multiple resurgences of disease transmission here in Southern California I know that the pandemic is here to stay for the foreseeable future, and this fact has permanently shifted our world. For the fourth year in a row California is experiencing an incredibly destructive wildfire season which has only just begun. Just in the last month we have seen 3 of the top 4 largest wildfires in the state’s history burn over 3 million acres. That is unprecedented. The Cedar Fire held the title for 14 years, before being overtaken by the Thomas Fire which only stayed in first place for seven months before the Mendocino Complex Fire eclipsed it. That was only two years ago.

Photo by Fré Sonneveld on Unsplash

In response to the fact that many of these devastating fires have been started by electrical equipment failure, our utility companies have instituted preemptive power shut offs under the guise of public safety during fire weather events. While it may be well intentioned, the result is that we now have additional disruptions in the pandemic era when the workforce has shifted to a remote environment. These disruptions often proceed the actual wildfire disasters that inevitably seem to break out despite these protective measures. We have activations for PSPS, on top of activations for the pandemic, on top of wildfire activations. These types of weather induced phenomena will only increase in frequency as the earth’s climate permanently shifts due to human activity. We are predicted to see more frequent and longer heat waves in 21st century California, precipitation will become less frequent yet more intense, likely triggering debris flow hazards on our charred hillsides.

The disasters of this brave new world are dominated by constant hazards and stressors. The underlying culprit, climate change, which will  trigger further public health crises as air quality continues to deteriorate and bring widespread respiratory impacts. Environmental inequities will further exacerbate social tensions due to systemic racism, which we have seen as a prominent stressor in 2020. Many EOC’s were activated for the resulting civil unrest in urban centers throughout the United States this year. Like the pandemic, these demonstrations are with us for the forseeable future while lawmakers mold and debate policy changes and America’s culture slowly shifts. Emergency managers are faced directly with coordinating resources for people experiencing homelessness in the pandemic, which has compounded this pre-existing social stressor. Substance abuse, domestic violence and suicide rates have also skyrocketed during the pandemic, further complicating social services. Managing these constant stressors and maintaining an active state of response will continue to be our new normal.

This year has truly ushered in a new paradigm within emergency management. Like it or not, the disaster cycle concept can no longer guide us. During these times, we must think critically on how to adapt our field to best meet changing needs. We must work together in tandem with our leadership to rise to the many challenges of this new and hazardous world.

Emergency Managers: Who are they and how are they helping with COVID-19?

I am an Emergency Manager–but what the heck does that mean? I like to explain my job as a California Emergency Manager as ‘like FEMA but for the state.’ While the majority of the general public has not heard of emergency management, they have heard of FEMA and generally understand that FEMA works on disaster response, recovery and preparedness. Positions like mine exist for cities and counties too, as well as universities, school districts, museums, and many large corporations like Disney, Target and Walmart. 

So right now, while the world is in a state of emergency due to a global pandemic I want to take some time to tell you what we emergency managers are doing and further explain why our function is important. It’s important to note that we are working very collaboratively with public health professionals and that while most of the subject matter expertise is in their court, we play a major role in supporting them.

Photo by Elevate on Unsplash

Coordinating Resources

Facilitating the resource request process is a critical function of emergency managers. When we say ‘resource’ it can mean any supply, material, or personnel needed to accomplish the mission. The scope of this disaster is massive and literally every entity is involved in this response, which makes resource coordination trickier than usual. In California, when a city runs out of a resource, they will in turn ask their local county if they are able to help, if not the county will make an ask for state assistance. If the state can’t fill the request, we will ask the federal government for help. Emergency managers are in charge of creating and managing the way that this information is transmitted by the various levels of government. These are the common types of resource requests that we are helping with in the pandemic: 

  • Personal Protective Equipment such as N95 masks, gloves, Tyvek suits and gowns 
  • Disinfecting wipes and hand sanitizer 
  • Trailers to provide isolation space for quarantine of homeless populations
  • Personnel to assist with food distribution
  • Personnel to assist with onsite logistics for medical field hospitals and drive thru testing sites
  • Cots, blankets, and hygiene supplies for congregate shelters
  • Meals Ready to Eat (emergency food for first responders)
  • Communication equipment to support virtual operations to ensure better social distancing. 
  • Body bags for mass fatality planning.

It’s important to note that the public health side of the house has their own resource ordering system so they handle the ordering and distribution for actual medical equipment and medically trained staff.

Photo by Luke Chesser on Unsplash

Producing Situation Reports

Another key function of emergency managers is to coordinate information. An incident like this is incredibly dynamic as the situation changes daily. We try to keep track of all the updates in our assigned areas and produce reports that can be shared with partner agencies to keep everyone on the same page. We also work with GIS folks to create dashboards that are interactive and accessible to the public. We are working closely with public health on this, since they are the keepers of the official case and fatality counts. Information you might not think of that’s important to us include: 

  • Actions of other departments within our agencies
  • Emergency Operations Center activations within our areas (the coordination centers where we work together)
  • The status of emergency proclamations by our local governments and requests for state / federal assistance (the legal documentation of states of emergencies)
  • The number of resource requests pending and filled
  • The status of first responders (i.e. are police and fire at full functioning status)
  • The status of executive emergency orders such as business / public facility closures, banning of gatherings, etc.
  • Press conferences scheduled / public information that has been disseminated

Monitoring Continuity

While collecting data for situation reports from other departments, emergency managers are also learning about continuity of their organization. This is an especially important function of private sector agency emergency managers. In an event like COVID-19, it’s important for us to understand how employee absenteeism and/or telework is impacting the mission of the agency overall and if we are still able to meet our customer service goals–including continuity of government for public agencies. In a pandemic this is really critical and I think that as the situation continues to evolve the focus will shift a bit toward organizational continuity, especially as closures endure for months. How will businesses stay afloat? Can their models evolve toward delivery or online service / products? I’ve seen many yoga studios and gyms move toward online courses and our schools are being forced to rapidly evolve to meet their goals. Emergency managers (and business continuity managers) play a huge role in planning for this and helping the organization continue to meet its goals.

Photo by William Iven on Unsplash

Managing Public Information

Emergency Managers also have a responsibility for keeping the public informed about emergency actions that are being taken. An emergency management department typically has a Public Information Officer assigned or works closely with a PIO from another department to ensure that talking points for press conferences are vetted, press releases have actionable and accurate information and that social media is engaged with current information. During press conferences, I’ve seen the Emergency Management Director of California, as well as the City of Los Angeles, make appearances. I have also seen agencies utilizing the Wireless Emergency Alert system (i.e. the Amber alert function on your phone) to send messaging to all cell phones in their areas. I’ve gotten several notifications with COVID-19 updates from my City’s emergency notification system too. 

Photo by Dimitri Houtteman on Unsplash

Planning for Recovery

As Emergency Managers we plan for all functions of the ‘disaster cycle.’ That includes planning for the aftermath of the incident–even though it feels like it might never come in this one. What is the future going to look like economically for the agency? How many citizens in the jurisdiction might be impacted by unemployment? In this disaster, because we don’t have debris removal or rebuilding to worry about, our focus will be on helping people and businesses to get through this in order for our communities to return to normalcy. What existing social service programs can be expanded to support people in the aftermath of this crisis? We also apply for reimbursement from the federal government through the disaster cost recovery process. In coordination with grants personnel we fill out the forms needed to account for all the overtime and ‘emergency protective measures’ that we expended during the response so that our local jurisdictions can recoup some of what was spent in this already very expensive disaster.

Photo by Markus Spiske on Unsplash

How Can You Help?

Now that you have a better understanding of what emergency managers are doing during this pandemic, you may be thinking what can I do to support the mission? Here are three ways…

  1. Keep Emergency Supplies: What I’m hoping will be a major takeaway for the general public is to keep a disaster preparedness kit–including food and toilet paper!–ready for future disasters. We saw how everyone made a run on the stores and the negative impacts that had. Make sure you’ve got some emergency food and water already stored up. We were lucky no major supply chain impacts (besides some disruptions to PPE) have occurred in this disaster, but the next one may cause major physical damage that will disrupt supply lines. Take this as a lesson to have what you need to survive on hand before it happens. 
  2. Know How to Stay Informed: We hope you are more dialed into the emergency channels now–hopefully you’ve signed up for emergency alerts in your local jurisdiction and/or followed them on Twitter and other social media. This is a great way to stay informed. The COVID response is somewhat slow moving compared to other disasters, so it’s a good idea to continue to follow these outlets closely in future emergencies. 
  3. Advocate for Emergency Planning: And finally if you’re ever in a position where you can speak up about the importance of funding emergency management, please do! We are the ones working behind the scene to make improvements to the plans, processes, and systems so that we can respond swiftly to the next disaster. Give us a shout out to your executive management or let your local representative know!

Navigating the Pandemic as a New Parent

Last summer I gave birth to a baby girl who will turn 8 months old during the pandemic. Living through this crisis as a parent is completely different than it would have been if I was still looking forward to motherhood. There are so many layers of responsibilities and emotions for parents as we cope with this new reality of the world. My child is definitely too young to understand what is going on and certainly won’t remember this, but it’s an even more complex situation for parents with older kids who don’t understand why they aren’t in school and why they can’t go to their friends birthday parties anymore. I’ve been reflecting on how the crisis impacts my new identity as a parent.

The Protector

The primary way that I am approaching this situation differently is that I am now a protector. I work in the field of emergency management and my job for the last 3 years has been focused on response, so in this situation I theoretically should be going out into the world to help manage this crisis in any way I can. But in my new role as a mom I am the protector of an infant who is just learning to wobble on her own two feet. It has spurred me to seek opportunities to support my agency’s mission remotely so that I can keep my daughter home from daycare and self isolate the both of us as much as possible.

There is nothing more important to me than her safety so I will have to make difficult choices while navigating the career path that I loved so much before. While I retain the ambition and drive for my career and remain passionate about crisis management and disaster relief, I am finding myself needing to rethink my approach. How can I best apply myself professionally while prioritizing my role as a protector for Scarlett, especially in the era of the pandemic? I am challenging myself to find new, creative ways to remain productive and to thrive professionally while working from home and entertaining my daughter. I think many parents may be grappling with similar choices and exploring new productivity strategies, especially those who have careers that could put them in harm’s way during the outbreak.

Playing with her flash cards during the pandemic.

The Curator of their Universe

Especially now that so many of us are home with kids who would normally be in school, we are more responsible for crafting our children’s worlds than we ever were before. Shaping each day is now solely within our control, we can’t rely on teachers and strict school schedules to guide their days. It is up to parents to design the pace of day and find a good balance of playtime and learning, breaks for snacks and exercise, and the ratio of time spent indoors vs outdoors. Scarlett and I have settled into a good schedule–I have set up a couple different play areas that I rotate her between while I fire off emails and enter resource requests in the system. For conference calls, there are a few safe places I can use to keep her entertained and contained while mama moves to the office for the call. Her morning and afternoon naps provide an opportunity for me to catch up on the bigger projects that require utilization of my double screen set up in the office. 

While the work that I’m engaged in deals directly with the impacts of the pandemic and how we move resources to assist local government with their response, I know that I need to also be mindful of the atmosphere in the household. The tone of my voice when I’m speaking, my body language as I react to new urgent tasks, will all have an effect on my daughter. While Scarlett is too young to remember this time, it’s especially important for parents of older children to be purposeful in the atmosphere that they create. The situation is grim in many regards but within your own household you are the curator of their universe. You can shape this memory into a deeply meaningful, positive era when the family got to spend more time together and take a break from the hurried American lifestyle. They can learn to cook dinners or experiment with baking, perhaps learn to garden, change the oil in the car, learn to scrapbook or engage in other crafts that they wouldn’t normally have time to do in school. This is a great time to learn extracurricular skills and if we create a world where the quarantine is actually a fun vacation rather than a prison sentence our children may look back on this time fondly.

Scarlett G around 3 months old.

The Student

While many of us are taking on the role of teacher whether or not we like it, I think we should also try to take on the role of the student. Our kids for the most part are blissfully unaware of the greater world and the threat of the pandemic. They aren’t worrying about transmission and mortality rates or the status of the economy. They are waking up each day ready to experience life, explore new things, grow, and learn. Their outlooks are inherently positive because they have so much life to live and so much to look forward to. My daughter has been babbling excitedly at us and is so thrilled to be able to stand now. She loves to practice curling her toes under and elevating herself. The house is a brand new place to explore for her as she can now see and touch things that she never could before when she was limited to army crawling. She starts each day with a smile. Teenagers may not have the blissful naivety of Scarlett, but are probably at least thankful for some extra time to sleep in and access to household snacks all day.

When I feel myself getting overwhelmed with the devastation and isolation of COVID-19, I try to focus on Scarlett’s face, her attitude and the smile she gives me when I make a silly face and just absorb the small moments of mother-daughter bonding. We may be newly minted teachers but our kids actually have a lot they can teach us about focusing on simple moments of bliss throughout the day and the uncomplicated joy of smiling and laughing in the sun. Give yourself this opportunity to recapture the innocence of childhood and allow them to share with you their hope for the future.

Surviving Cancer and the Pandemic of 2020

As the world grapples with the first truly devastating pandemic of the globalization age, I’d like to offer my reflections on this catastrophe through my perspective as a cancer survivor. There are attributes of the situation that I find are akin to coping with cancer, which may conjure many familiar emotions for cancer survivors. There are strengths and lessons that we as survivors have gleaned from our experiences that I hope the world can impart from this scary situation. 

Photo by Rúben Marques on Unsplash

The Invisibility of Disease

People who have never had a close friend or family member with a disease tend to have a perception that when someone is sick, they look sick. There’s an assumption out there that the person will be pale, thin, or exhibit other obvious physical symptoms that something is not right. As many of those who have been diagnosed with cancer are all too aware, you often feel just fine. Or perhaps you’ve got a bit of discomfort, a strange ache or recurring pain but it definitely does not seem insidious enough to be life threatening. What’s striking for me with the COVID-19 outbreak is the similarity in that many only ever exhibit mild symptoms and nearly all cases are asymptomatic during the incubation period which can be 2-5 days from what I’ve heard. 

This means that at least in the beginning COVID-19 is invisible. You can’t look at yourself in the mirror and see it. When I had cancer, I had no changes in my physical appearance except for some welcomed weight loss. I was a 26-year-old woman, in pretty good shape and definitely able bodied. No one would have ever guessed, myself included, that I had cancer. You can’t tell if someone has COVID-19 by looking at them, and you can’t tell if they just have a cough because so many common colds are going around too.

We keep hearing the virus can survive on surfaces for days, and we have to assume that it could literally be anywhere in our communities. It is invisible–microscopic just like the cancer cells that can lurk deep within. One of the most difficult things to come to grips with about this crisis is that we cannot see it as it spreads, our enemy’s presence is unknown and that raises the stakes and heightens our anxiety.

The Anxiety of Uncertainty

One of the words most associated with this crisis is ‘uncertainty.’ We don’t know how long it will last. We don’t know when cases will peak. We don’t know if our hospitals will be able to keep pace with the need for ventilators. We don’t know if someone in our inner circle will be infected, or if they will die. These are familiar emotions for cancer survivors. We never know how successful our treatments will be. We never know if a follow up scan will reveal good news or bad news because we feel ok and the disease is invisible. 

For me personally, I recently went through a period of intense anxiety and uncertainty for my future. A routine scan revealed something the doctors recommended for further investigation. The period between learning this and receiving the results of the follow up scan was nearly a month long and I went through a roller coaster of emotions. I oscillated between visions of my future self–one with a healthy, normal, ‘unremarkable’ life after receiving good news and another of myself once again gearing up for a big battle and calling upon my inner strength to survive another assault from within. Thankfully, the results of the second scan were normal and I was allowed to refocus on my vision for a healthy future, a longer life, and being able to watch my daughter grow up. I received the results the week before the Governor issued the Stay At Home order, so as I released one anxiety the other quickly took its place. 

The uncertainty has settled over us like a dark cloud and we don’t know when it will dissipate. We have been stripped of our ability to plan our futures, not knowing if weddings or big trips we looked forward to will happen. We don’t know the extent that this disease will impact us personally. Much like cancer survivors, the world must now learn to accept the uncertainty and wait.

Photo by Rebecca Prest on Unsplash

The Susceptibility of Being the Other

Many cancer survivors who are currently undergoing treatment or have recently finished are considered to be more susceptible to COVID-19 as their immune systems are still fighting and healing. This amplifies the anxiety that everyone feels. We must lean on others to make the right choices of staying in to flatten the curve, and we must deal emotionally with being classified yet again as ‘other.’ After my diagnosis, I longed for the luxury and freedom of being normal, of being average, of just being someone with no ‘underlying issues,’ or ‘pre-existing conditions.’ It can be very isolating to feel ostracized in this way.

Everyone has been hoping the teenager that passed away from COVID-19 earlier this week had an ‘underlying condition’ to make him/her more susceptible because no one wants to think that this disease can kill those who are normal, healthy and young. But how does that make people already in those classifications feel? For me, it exacerbates an already existent anxiety and almost shame for having been sickly. It reignites a deep traumatic fear I have because my immune system failed me once before by letting a tumor develop, that it could fail me again in a situation like this. Now this classification as one of those ‘at risk’ has been extended to those with heart disease, diabetes, compromised immune systems, and even to every person over the age of 65. Today, more people than ever have the unease of being othered and separated from the healthy herd of humans into the realm of uncertain vulnerability to an invisible enemy.

Endurance

Cancer survivors have a lot to offer the world right now when it comes to guiding our fellow humans through coping with a global pandemic. One of the key things that we can offer is inspiration for endurance. We are used to enduring long, uncertain waits between procedures or follow up scans. We are used to enduring the mental distress of entrapping medical statistics and difficult prognoses. We have been through weeks, months, some of us many years of grappling mentally with a barrage of testing and the possibility of shortened futures. Not knowing whether we will hit certain milestones we had planned for that year and our lives. I think right now we can offer our perspectives to our communities–we will get through this, we have to take whatever protective actions we can, maintain a positive attitude and know that if we preserve through these unpleasant times wrought with negativity and challenges that we will get to a better place. Patience is the key to endurance in a crisis like this when so much is out of our hands and we have to wait for answers. Think about the things that helped you endure your journey with disease and share your strategies with those who might not have ever had to deal with something as scary as this.

Photo by Sharon McCutcheon on Unsplash

Celebrating the Small

One strategy for me when I was diagnosed with cancer was to stop focusing so much on the future. I had spent much of my life looking forward to life’s biggest milestones and trying to accelerate on the fast track for a successful professional career. When cancer blindsided me I had to totally regain my balance and find a way to re-frame my perception of my future, and–in a way–my perception of time in general. I feel like we are in a similar situation now, with so much being canceled we suddenly have these giant, blank calendars and it’s unknown if the things we have planned for the summer will come to pass. 

While most of this situation is out of our control, we can regain our sense of self by setting new metrics for success and celebrating the small, everyday moments in our life that we would have otherwise overlooked. For me, my daily walks are one of the metrics I use to measure my success toward my health goals. Writing is another action I can take that elevates my mood and sense of accomplishment toward professional goals. Engaging in family dinners at the table, rather than being scattered all around is another way you can glean a personal success and find joy. Even finding a quiet 30 minutes to be able to do yoga, just read or relax in the sun can really boost your spirits during this dark time. Eating healthy is a challenge for all of us right now, so I feel like I’m achieving in that arena when I can get at least a couple fresh fruits or veggies into my diet. We may feel powerless but there are all kinds of little things we can do to fight back and try to stay healthy both in mind and spirit.

Photo by Noah Buscher on Unsplash

Sharing our Emotions

Right now, you can be sure that everyone you know is going through an array of emotions associated with the pandemic crisis. Anxiety, fear, relief at being able to stay home, and hope that we will come through this stronger than ever. Now is a really great opportunity to connect with friends, acquaintances, and previous professional connections you may not have heard from in a while. Check in on each other, be vocal about how you are feeling. We need to lean on each other now and try to nurture our connections to get through this. When I was going through cancer, I was overwhelmed with the love that I felt from all corners of my life–both past and present. People I hadn’t spoken to in years reached out to make sure that I was doing ok and offer supportive words and virtual hugs. It really helped me a lot to know that so many people were in my corner and praying for me during a dark time. We can all do this for each other now, particularly those who might be more at risk for this or who are struggling without much support either from being laid off or being overwhelmed at home with both work and childcare. Community is a powerful tool and we can all do our part to leverage it now. Speak up, share your story, share how you are feeling. You can create a wave of positivity that will break down barriers in this quarantined world. 

How are you reflecting on the current situation in comparison to past adversity you have survived? What strategies can you borrow from those times to get through this? 

How COVID-19 will change Emergency Management Forever

This disaster is nowhere near over, in fact I think things will continue to escalate in the United States for weeks. Yet the global pandemic of 2020, COVID-19, has already changed the field of emergency management forever. 

Depicts how small a person is in comparison to the Grand Canyon.
Photo by David Mullins on Unsplash

Scale

The word I keep finding myself using is unprecedented. I know we’ve said that before, to the devastation of the Camp Fire in 2018, the colossal losses in the Carribean when two category five hurricanes hit within 10 days, the drain on resources in Ventura County when a mass shooting occurred within hours of two major wildfires breaking out, the destruction of the Tohoku earthquake and pan-Pacific tsunami…all of these were catastrophic, for the jurisdictions they impacted. But none of these were global disasters. They were all regional. In California, we are always planning for the Big One, we just recently put a ton of time and effort into developing a Catastrophic Earthquake Plan for Southern California. It was always seen as this extreme scenario that would truly test our limits. But even in that seemingly extreme scenario there would be outside resources available, we could activate mutual aid systems and rely on our neighboring states, or at least the East Coast to alleviate some of our burden. If people wanted to escape the devastated region, they could migrate to other parts of the country as we saw with the diaspora following Hurricane Katrina. 

The pandemic is different. You cannot escape it, because you don’t know exactly where it is. You have to assume that it is literally everywhere in the world. Every jurisdiction is impacted. Everyone is proclaiming an emergency and everyone is activating their EOC (as of this morning there were 106 EOC’s activated in Southern California). The scale is just enormous, and I don’t think that it’s something that the state or the federal government ever really thought through or anticipated to the degree that we are now impacted. As it turns out when everyone everywhere is impacted a lot of the assumptions we have always made about emergency management change. How can the federal government possibly reimburse every jurisdiction? How can we make and distribute tens of millions of masks, gloves and other supplies everywhere simultaneously? Can FEMA and the American Red Cross be everywhere at once? Neighbors can’t help neighbors if everyone is impacted and if getting too close to each other puts our lives at risk. As we move forward from COVID-19 I anticipate a new subset of this field focused solely on global disasters, and not in the distant mythical kind of approach that we always used when talking about ‘megadisasters’ before. 

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Response Experience

The pandemic will be a great equalizer in a way because now every emergency manager who was working in 2020 has response experience. Obviously everyone’s role is a little different right now, but in some way literally all of us are having to respond or adapt our planning because of COVID-19. There are many emergency managers for small jurisdictions who might have NEVER had to activate their EOC in the twenty years they were working there. There are cities I have never even heard of in Southern California that now have activated EOCs. Some of us that activate regularly are getting a whole new kind of experience–one where there are real resource requests that need to be filled ASAP and LOTS of them. There are true shortages of supplies in this incident and we are all using that system for real now, not just talking about it in an exercise scenario. No matter what type of jurisdiction or what your role is, if you are an emergency manager in 2020 you have now earned your pandemic response badge. This response will be the topic of discussion and dissection for many years to come, everyone will have a story to tell and every jurisdiction is learning how to better operate their EOC’s after this incident. 

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Safety in the EOC

In most responses that I’ve been a part of, the Safety Officer position in the EOC typically became an ‘other duty as assigned’ because there was just not enough to do. This position makes a lot of sense in the field, at the ICP for a shooting or a wildfire, but EOC’s are pretty inherently safe working environments. Most of them are secured facilities that are built to withstand earthquakes, hurricanes, car bombs, etc. When non-EM friends see my posts about responding to fires, they typically say ‘stay safe’ without realizing that when I respond to an EOC I’m responding to an office like environment. I’ve joked many times that the biggest hazard for me is the 10 pounds I’ll inevitably gain from sitting too much and snacking on EOC food all day. But in this incident, all of the sudden our jobs did become dangerous. The Safety Officer is now critical in protecting EOC staff from spreading the virus–implementing medical screenings, keeping a strict sanitation schedule and ensuring work spaces are 6 feet apart are enough to keep any one person busy all day. Things we normally don’t think about like sharing a common pen with the sign in sheet, or using a common key pad to access a facility…all of these practices have now become hazardous. 

It is also distressing in a way that many of us aren’t used to. If you came into this field having studied it and are passionate about operating at a coordination level separate from the field operations, this is probably the first time your job has truly been dangerous. We are not first responders, like firefighters and police officers. We aren’t used to putting our lives and our family’s safety on the line by going to work and now many of us are. I know several EOC’s that don’t have the space to practice social distancing–cramming 50-100 bodies into a small room and spending 12+ hours there. In the future, this is going to become a huge consideration for how we can better protect ourselves. I also think some of us may have a lot to chew on mentally–myself included–about whether we want to work in a job that can be so dangerous.

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Remote EOC’s

The discussion of safety in the EOC leads me to my next point. Most of us aren’t well equipped enough in our processes and procedures to take our operations virtual at this point. Some of our essential functions are still done with pen and paper, or with T-cards, or with hard copy 214’s, or with a desktop computer that has to be hooked up to a certain server. Many are scrambling right now to be able to execute the essential functions of their EOC’s remotely so as to preserve the safety of their critical staff. The tools are out there and some jurisdictions are extremely successful at this. Your planning meetings can be conducted over web conferencing, even press conferences can be as we are seeing in California. Email and phone allow you to ask questions of other sections. Virtual environments like slack that are conducive to group chats and discussion threads are extremely useful to engage several people working on the same problems. I think many of us have drastically underutilized WebEOC, VEOCI, and other EOC management software. It hasn’t been trained and integrated enough into our operation to be able to function at its full capability. I think this is a huge lesson learned from COVID-19. The ability to work remotely is crucial, and it is possible, we just need to practice and equip our responders to be able to do it comfortably. Pandemics aren’t the only disasters this can be good for, if roads are damaged in a major earthquake but communications are still up it might be a lot easier to get your EOC up and running virtually for the first operational period. This is the major way that I think this disaster will change the field.

California Gov. Gavin Newsom holds a conference on the COVID-19 conference on March 15, 2020. (Credit: KTXL)

Political Ubiquity

Now that every jurisdiction has been involved in such a major disaster response, all of our elected leaders are getting a crash course in disaster management. Whether they were engaged with EM before or not, they now undoubtedly have had to function in a crisis environment. More proclamations means that every city council and board of supervisors out there has had to draft and approve a resolution pertaining to an emergency. I bet it was the first time many of them had done it in decades. Mayors, governors, and even our President are giving press conferences on this disaster daily and having to learn good risk communication. They are learning a lot about continuity of government and just what services are essential. They are having to make some pretty big decisions that impact their constituents in huge ways–shelter in place orders? Closing down local businesses? These are not things that are easy to do and certainly won’t please all the voters. But as emergency managers I think that this is a win for us because I don’t think we’re going to have trouble convincing our bosses in the future why emergency management is important. For the next several years this disaster will be fresh in everyone’s memories on a scale we’ve never seen before. We are used to seeing news of distant disasters and being entranced for a couple weeks, sending donations and creating hashtags #anyplacestrong. But now that our lives are truly disrupted in a major way for an extended period, politicians and previously detached coworkers are going to care about our field. 

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More Funding? 

That brings me to my last point, more funding. I have it with a question mark because in the immediate future I think a pretty big recession is inevitable, so I don’t think there is going to be much money to go around. However, I can tell you one thing. Emergency management programs are certainly not going to be the first on the chopping block as they historically have been in some jurisdictions. Executives will remember the plan, the program, the person they had to turn to in this dark time for guidance and they will not cut that program. I think that the long term fiscal impact on EM funding is going to be positive after COVID-19. I think there will be more emergency management positions created and hopefully more young folks interested in filling them. For once, everyone is going to see our value because this will be an incident that is not soon forgotten. 

I am sure there will be many more lessons learned in the weeks to come of this prolonged disaster. But these are the initial ways in which I think our field will never be the same.

COVID-19 and Society

Today we watch the outbreak known as COVID-19 continue to grow with ferocity, spurring emergency proclamations from more than half of the United States. The number of Emergency Operations Centers active in California softly escalates to what is likely an all-time high since my career in emergency management began. The scale of impacts the COVID-19 virus will have on our society remains to be seen, yet there are already some salient lessons that can be gleaned from this experience. These are my thoughts so far as my world is slowly consumed by the first pandemic of my emergency management career.

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Social Distancing, Telework and Disproportionate Impacts

The Governor of the State of California announced late last night a statewide ban on public gatherings and more and more agencies are implementing telework policies that allow employees to work from home. Universities throughout the nation are moving toward online classes and almost all conferences are being canceled / postponed to a later date. Major music festivals such as Coachella and major sports such as the NBA are being suspended. The impacts of COVID-19 are widespread. I commend the decisions in most of these cases to minimize the spread of disease, especially the move of computer work to an online environment. I have always been a proponent of telework, even in a blue skies environment, particularly after becoming a mother. So many people work in industries that are almost entirely computer based and don’t actually require in person interactions at all. So why do we still get in our cars everyday and drive to an office, making traffic just a little bit worse? I think that the widespread usage of telework in response to COVID-19 may enlighten agencies that telework can be a feasible option that actually increases productivity and boosts employee morale (and people will see how much this helps traffic in urban areas!). Especially as a breastfeeding mother, the ability to directly nurse throughout the day would actually increase my working hours as pumping, washing bottles, and properly storing and rationing breastmilk is significantly more time consuming than nursing.

Today, anyone who can definitely should try to complete their work in a place of relative isolation. Those of us who are young and relatively healthy may not see this as imperative, but if it slows the spread of this disease that could be fatal to our elderly families and immune comprised peers (including pregnant women!) then it is certainly worth it. I believe we will find that many of the in person meetings we previously held may have been a drain on resources and will be shorter and more efficient if conducted in an online environment—either through video conferencing, phone calls, or email exchanges.

However, the move toward online work will inevitably leave behind many hourly workers who typically earn lower wages than their salaried office counterparts. Even though the disease does not discriminate based on wealth and fame, as we have already seen with Tom Hanks, politicians, and NBA players being impacted, exposure will almost certainly be disproportionate. In line with so many other disasters, this outbreak will impact socially vulnerable groups, particularly low income populations who already struggle day to day. These are the folks who most often work in customer service roles at gas stations, grocery stores, as hotel maids, as servers in restaurants. Often they don’t have paid sick leave, and shifts may even be canceled due to event cancelations as many aren’t represented by unions to guarantee a set number of hours. These are the people we need to consider and support as a community to ensure that they feel financially secure enough to stay home if they are sick and feel able to care for family members who may be sick. I am fully supportive of extending government paid sick leave for these purposes. We need to think through how we can best protect these workers and how we can sustain these functions with as little human exposure as necessary. I think we need to be innovative now and rise to the challenge of public health to protect all citizens not just those privileged enough to be able to work from home.

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Health is Precious

With my daughter starting day care recently and immediately being stricken with a tough cold that had her home for a week and the anxiety of a recent personal health scare, the subject of health was already at the forefront of my thoughts. But now that COVID-19 has so rampantly run through our society, we need to rethink health as a priority. Every day, healthy people take for granted their ability to breathe, to walk, to eat without pain or difficulty. But this status can change rapidly at any moment, especially with such a highly contagious disease that is now so prominent worldwide. This is another way that COVID-19 will have disproportionate impacts, in this case on those who are already challenged by underlying medical issues. We need to take actions to boost our health and our immune systems and to actively be thankful when are well. Far too many of us only think of and wish for health when we are already sick. Instead, I challenge you to be mindfully thankful for your health every day—take pride in heathy choices that you make, eat your veggies, go on that walk, do that yoga, drink that water, EmergenC and green tea! Wash your hands, stay home if you can and remember that if we can slow the spread of this disease we can diminish the immediate need for finite resources such as hospital beds and ventilators, giving older people and those with compromised immune systems the best chance to fight this illness.

Photo by Rodion Kutsaev on Unsplash

Technology and the Culmination of Couch Culture

I just recently returned to work after a 7 month maternity leave, some of which I didn’t have a personal vehicle. I am well practiced at social isolation and one of the major factors that makes me feel empowered to stay home is technology. Particularly the plethora of readily available delivery services—I am a regular user of Amazon Prime, Uber Eats and Vons grocery delivery. All of these were not available with the speed and precision just 5 years ago and are still not as accessible in many rural parts of the country. These technologies are a very powerful weapon in the fight against COVID-19 and I think we should make ready use of them. There is no need to make a rush on Costco or Walmart when you can have the essentials brought to your door step. I am aware that there are humans involved in these logistical processes, but I guarantee there are far fewer total opportunities for exposure in the quick interaction of the exchange at the doorstep then there are if you went to a crowded store or restaurant and spent an hour there. As technology progresses, it’s possible to envision a future where we could utilize drones and other automated technologies such as autonomous vehicles rather than Ubers to further mitigate the spread of this biological threat. It goes without saying that the Internet, smart phones, and tools such as Zoom and Go To Meeting are huge technological enablers in the work from home revolution. I know that loss of some hourly jobs is inevitable as we lean more heavily on technology, but I believe there will be more opportunities for creative, strategic employment for the next generation who, like my infant daughter, are practically born with a knack for technology. And isn’t this the perfect culmination of the ‘couch culture’ that we have been cultivating for years?? This generation of 20 somethings goes out far less than prior generations, and who can blame them with so many movies, shows, tasty foods, and even alcohol available with a few swipes of the smart phone? We have already been training for social isolation, now it’s game day.

These are my immediate musings on COVID-19, as I enter a week long period as the Emergency Management Duty Officer for eleven counties in Southern California. In the first nine hours of my shift I have received ELEVEN proclamations of local emergencies for cities and counties in CA. Wish me luck as I attempt to stay on top of this dynamic situation, and feel free to share the thoughts this pandemic is triggering for you.