Hurricane Isabel Brought Communication to a Standstill, But It Will Not Happen Again—The Code System Is Here!

ISSUE: Central Virginia received warnings regarding the potential of damage from Hurricane Isabel, prompting healthcare facilities to prepare for potential wind and water damage. All forms of communication were assaulted by extensive power interruption. Ten acute-care facilities, two rehabilitation hospitals and long-term-care facilities struggled to communicate with local health departments (HDs) and each other. The only reliable source for communication was local television. The water supply to the entire region was contaminated at the source according to local television reports and all hospitals were notified not to use tap water. The extent of contamination was unclear, including concerns about potability, use for washing and hygiene, and contamination duration was not projected. PROJECT: The area ICPs and HDs performed a post-disaster review. Communication was determined to be the major problem. The HDs were available by beeper but the ICPs were not aware. The HDs were not aware that the ICPs had questions. A task force was charged with developing a “code system” capable for broadcast on local television. RESULTS: The code system was established such that “P” indicates that the HD is available on pager. “D” indicates information is coming through the regional command center. “I” indicates that the HD has information for the ICP. LESSONS LEARNED: After 9/11, disaster plans were developed but communication remained vulnerable. In this case, the communication between the ICP and HD was vital for conveying information about a basic resource, water. Each HD can now communicate their specific code via television, which may the only reliable source for communication.