ML12340A569

Official Exhibit - CLE000057-00-BD01 - Irwin Redlener, M.D., Presentation Excerpt: Evacuation Planning: the Achilles Heel of Disaster Readiness (March 2012)

ML12340A569
Person / Time
Site:	Indian Point
Issue date:	03/31/2012
From:	Redlener I Columbia Univ
To:	Atomic Safety and Licensing Board Panel
SECY RAS
References
RAS 22852, 50-247-LR, 50-286-LR, ASLBP 07-858-03-LR-BD01
Download: ML12340A569 (1)

Text

United States Nuclear Regulatory Commission Official Hearing Exhibit Entergy Nuclear Operations, Inc.

In the Matter of:

(Indian Point Nuclear Generating Units 2 and 3)

ASLBP #: 07-858-03-LR-BD01 Docket #: 05000247 l 05000286 CLE000057 Exhibit #: CLE000057-00-BD01 Identified: 10/15/2012 Admitted: 10/15/2012 Withdrawn: Submitted June 28, Rejected: Stricken:

Other:

Evacuation Planning:

The Achilles Heel of Disaster Readiness By Irwin Redlener, MD Director, National Center for Disaster Preparedness Columbia University Mailman School of Public Health Five Key Points:

1. Will Expectation be Orchestrated or Spontaneous Evacuation?

• Evacuation should not be conceptualized only as the government bringing in buses and taking people to shelters.

• Rather, the vast majority of people evacuate on their own, in their own vehicles.

• Where do they go?

• What are the implications for the host communities?

2. Every evacuation is a public health challenge/crisis

• Evacuees: Health/ Public Health Perspective

1. Separation from loved ones, dependents

2. Extreme return uncertainty

3. End of normalcy

4. Loss of possessions

5. Loss of pets

6. Injuries: blunt trauma, radiation, burns, shock

7. Hunger, thirst

8. Acute evacuation trauma: Motor Vehicle Accidents (MVA)

9. Acute illness: MI, CVA, Acute respiratory problems

10. Complications of chronic disease: DKA, severe hypertension

11. Loss of medication (and critical device) access

12. Disoriented, terrified

3. Pre-disaster vulnerabilities represent critical variables

• How many people (in U.S.A)?

o Children: 75 million o Living in poverty: 44 million o > 65 years old: 40 million o Undocumented: >11 million o Significant chronic illness: > 120 million o Prison population: > 2 million o People with disabilities, age 21 - 64: 22 million o Nursing homes: 1.5 million Vulnerable Individuals/ Population > 50% of U.S.A.

4. Host Community Needs Must be Accounted for (and Resourced)

• To-do list for host communities o Shelter o Medical-care: acute, chronic, mental health o Sanitation support, in-patient care o Reliable supply chains: food, o Educational continuity & day care water, medicines, diapers, cribs o Permanent housing o Communications & messaging o Language and cultural accommodations o Public Safety o Special populations: prisoners, nursing o Re-unification home residents

5. Competency of Evacuation Planning Cannot be Out of Scope in Evaluating Relicensing of Nuclear Power Plants

• Right now, what I just told you - every word of it - cannot be used to not certify a new plant or recertify an old plant.