|
Pandemic
Preparedness Decentralized Operational Capabilities
by James Rush [written first in 2008 - brought
back to Big Med for another run on September 14, 2009]
Public Health
officials tell us that a Pandemic is only a matter of “when” and not
“If.” If organizations plan to require employees to work from home
during a Pandemic, it just makes sense to periodically test an
organization’s ability to function in a decentralized mode before
the actual Pandemic. Social distancing is a tried and true method of
limiting contagion, so
1. Develop standard
office procedures for decentralized work, establish standards and
measurements for working from home, including expected work outputs.
Train all employees on working from home procedures. Prepare
Management Information Systems (MIS) division to relocate to an
alternative site using hardened, redundant communication systems.
2. Select a division
(or other operating unit) monthly and announce all employees will
"Work from Home" and will sign on to their electronic workspace from
home for a week.........Afterward, determine what worked well and
what did not. Learn, implement corrective actions, and re-test in 30
days.
3. Once a quarter have
a multi-divisional (or Total Program) "work from home
week"....Determine what worked well and what did not. Learn and
re-test as soon as practical.
4. Once a year have an
agency-wide work from home week. Learn, implement corrective
actions and replace ineffective managers and executives as
necessary. Firing ineffective employees may be distasteful and
unfortunate, but the Nation's future and the lives of millions of
American's may depend on organizational Readiness.
It
makes no sense to me
to identify a few "Mission Essential" functions like the Executive
Command Group and then find out in an actual disaster that the
Executive Command Group cannot effectively control the necessary
functions of the Agency. It would seem a little late to say to
Americans "Your Social Security checks will be discontinued
until further notice." ...or tell hospitals "We'll process your
reimbursements as soon as the pandemic is over."
I really do appreciate
how hard this effort will be, but I don't see any real alternative
to hard work and proactive measures. I believe that
problems experienced by one Division during a "Work from Home
Week" would almost certainly be common problems that can be
corrected for all future Divisions exercising the "Work from
Home" program. Thus, the learning curve may be much shallower than
initially expected. These exercises will be extraordinarily
challenging but they are the stuff of true Readiness and the essence
of real Emergency Management.
Advanced Policy Directives
Imagine how many
hospitals in America will fail if the Centers for Medicare and
Medicaid Services (CMS) and major American healthcare insurance
companies fail to implement simplified
reimbursement and billing procedures to hospitals for use during a
Pandemic. The
saddest aspect of this would be the same Agency that predicted the
Pandemic failed to prepare for it. It needs to be said that HHS and
DHS both have wonderful dedicated folks working hard and serving
America with distinction. This paper is not intended as a criticism
to any agency or firm. I am simply
concerned about our overall lack of National Readiness as evidenced
by a lack of advanced policy directives.
The same concept of
Readiness applies to many other Private and Public Sector
organizations providing critical products and services. How many
Americans have sufficient financial reserves to survive a 12-18
month Pandemic if their place of employment should fail and work is
scarce? Are state unemployment offices prepared to pay the number of
unemployment claims associated with a Pandemic?
The fact is checks
have to get out, payroll has to be electronically transmitted,
Healthcare and Public Health services need to be provided, Public
Safety, and Public Works (like waste management) services have to be
performed. We had better understand how essential services will be
provided using a decentralized paradigm before Disaster Day (D-Day).
I know I have been
harping on things for a long time now; like developing a patient
evacuation system and a citizen relocation and resettlement plan for
select Federal Planning Scenarios where relocation is necessary.
New Orleans during hurricane Katrina taught us how critical
emergency services were, especially for persons with
disabilities, patients and seniors. I hope those very sad lessons
were in fact learned and not just observed (as one IAEM-Lister put
it). A repeat of that 2005 experience would be a failure of historic
proportions and a repeat of what was already a National disgrace.
Also, we need to
develop Federal Reserve Inventories (FRI) of food (Meals Ready to
Eat), medical supplies and equipment, over the counter
(OTC) medications, chronic condition pharmaceuticals, test kits and
supplies and life's necessities ..........like the things everyone
seeks to purchase just prior to a forecasted hurricane or major
snowstorm.
There is nothing
America can’t do when it puts its collective mind to it.
We proved this point in 1969 when we put a man on the moon
and we can do it in Domestic Preparedness. It is time to set lofty
goals and to achieve them for America’s sake.
Economic Consequences of Swine Flu
Outbreak
by Geary Sikich [August 24, 2009]
Introduction
A paradigm is broadly defined as: a
philosophical or theoretical framework of any kind. A
paradox on the other hand, is an apparently true statement or group of
statements that leads to a contradiction or a situation which defies
intuition. A paradox, while seemingly self-contradictory or absurd
in reality expresses a possible truth.
At the time of this writing H1N1 known as Swine Flu has
spread through much of the world. Its low mortality rate has made it a
relatively mild pandemic. Yet to be determined is what will happen when the
flu season arrives in the northern hemisphere this fall. The World Health
Organization (WHO) and Centers for Disease Control (CDC) have been revising
much of their guidance and we are seeing almost daily some revelation from
the WHO, CDC and the popular media.
Far Greater Immediate and Long Term
Impacts?
The economic impact of the swine flu virus in some countries
may be drastic, the chief economist for the International Monetary Fund has
warned. Chief economist Olivier Blanchard said the tourism industry in some
countries may be negatively affected during a speech at the Carnegie
Endowment for International Peace in Washington.
Thomson Reuters reported
recently that fears of a deadly swine flu pandemic wrecking an already
wobbly global economy. These fears have materialized with a vengeance in
the commodities markets. Hog futures dropped dramatically and cascaded to
share prices of U.S. meat companies which also dropped. Egypt reported that
it will slaughter its entire pig population of approximately 300,000 in an
effort to stem the Swine Flu virus. Early sell-offs in commodities recall
market reactions to the SARS and H5N1 bird flu in 2003. Those outbreaks also
raised concerns over demand for food commodities.
Economic Impacts are
already being felt
The impact of Swine Flu on the
markets combined with the current financial crisis and an already weak world
economy could make Asia’s experience during the
Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 pale by
comparison. This is partly due to the fact that the current Swine Flu virus
is spreading faster than SARS did. Secondly, we have seen a much quicker
reaction by the WHO and CDC, raising the Pandemic Phase from 3 to 5 in rapid
succession. The cascade effects will be seen in commodity prices, stocks of
food companies, energy prices, pharmaceutical company expenditures to find a
vaccine and any measure of things to come, the region's economies may find
themselves in a much deeper hole should swine flu spread. Economists and
industry leaders are closely watching the spread of the swine flu. Should a
severe outbreak of the flu occur in Asia, economists and industry executives
fear the economic damage would be worse than that of the Severe Acute
Respiratory Syndrome outbreak in 2003.
In an article entitled, “Matthews
borrows against turkeys” (By
Iain Dey, Sunday Telegraph, published on 24/06/2007)
the following excerpts reveal the economic impact that H5N1 is already
having:
Bernard
Matthews, the poultry farmer whose eponymous empire was blighted by avian
flu earlier this year, has been forced to refinance his business by securing
its future against his stock of turkeys.
Sales of the
company's "bootiful" turkeys have been hammered by the health scare. Recent
research suggested sales of both frozen and fresh turkeys across the UK are
down around 30 per cent in the wake of the outbreak. The last figures
provided by the company suggested a 20 per cent plunge in sales.
Bernard
Matthews has now been refinanced through an asset finance deal struck with
Burdale, a subsidiary of Bank of Ireland, and supported by a handful of
other major international lenders.
The loans
have been secured against some of the company's 56 farms, its plant and
equipment, as well as its livestock, according to banking sources.
Matthews
founded the business in 1950 with 20 turkey eggs and a second-hand
incubator. The business turned over about £400m last year and employs more
than 6,000 people worldwide. The company produces 7m turkeys in the UK every
year.
The avian
flu disaster is estimated to have wiped around £70m from Matthews personal
fortune. The business is run from his Norfolk mansion, Great Witchingham
Hall, set in 36 acres, which he restored from dereliction.
My
colleague, John Stagl and I transcribed some notes as we were preparing to
discuss the economic consequences of a pandemic at a luncheon in Chicago in
2006. We had come to the conclusion at the time, that a pandemic will have
a domino effect worldwide. We all know that a pandemic will create a unique
set of conditions that impact society, the business markets and medical
support systems. One of the differentiating characteristics of a pandemic,
unlike any other disaster, is its wide-spread impact. We have already seen
that this impact has occurred without human-to-human contagion occurring.
The economic consequences to the poultry industry have been dramatic.
However, let’s turn
our attention to the human-to-human aspects of the post-pandemic period.
While we know that the medical community will be one of the hardest hit
areas, it is by no means the only area that will suffer extensive near-term
and severe long term impact. The medical impact, for that matter it will
most probably be the most short-lived impact factor of the pandemic (in
terms of deaths, etc.) and post-pandemic periods (people will alter their
lifestyles to, perhaps do with less medical services). The longer term
ramifications will be felt economically throughout the world. Below is a
list of some of the various elements that will feel the impact of a
pandemic, either directly or indirectly. Impacts will reverberate through
various sectors of the worldwide socio-economic system. The key point to
note is that the reverberation and cascading effect will be painfully
uneven. Some countries will fare better than others. Some companies will
fare better than others. Collectively though, each will feel the impact of
the other as if they were dominos falling creating a cascade effect. An
analogy would be to compare the cascade effect of a pandemic to a tsunami
wave. The initial wave may be hardly noticeable however, as it ripples out
it gains strength until it surges over the land causing devastation and
destruction. Current thinking about pandemic generally starts with the
recognition of the illness and a projection on its societal impacts. We
know that:
-
People are affected
-
Society is unprepared
-
Governments are unprepared
-
Private Sector Enterprises
are unprepared
-
Medical Institutions will be
impacted
-
Economic Sectors Worldwide
will be impacted
-
Medical Support Systems are
impacted
-
Social Behavior will reflect
be Susceptible to Significant Degradation
But what we do not know and can only speculate about is
the scalable variables brought about by random chance. Biological variables
(mortality and morbidity rates as a result of the pandemic) can be estimated
based on the lethality of the virus (currently at almost 60% versus the
Spanish Influenza virus which was around 2 – 3%). There is an excellent
study that has been published regarding the impact of a pandemic on the Life
Insurance Industry (I will cite from it later). With scalable variables, as
Taleb says in the Black Swan, “the longer you wait, the longer you will
be expected to wait.” This is as a result of the scalability of random
events – randomness runs counterintuitive to conventional logic and the
normal bell curve deviations that we are used to.
So, here are some purely speculative projections as to
what the post-pandemic recovery, restoration and realignment may look like.
I have based some of what I am about to project on limited historical
evidence from the Plague and Spanish Influenza. I use the term “limited” as
a reference to the differences in technology, population, education,
industrialization, etc. that was present at the time of the Plague and
Spanish Influenza (a mere 89 years ago as of this writing in 2007).
Here are some fast facts (courtesy of Maplecroft Index
– August 2007) to ponder as we get ready for our journey into post-pandemic
speculation.
Nearly two billion people (mostly in developing countries) do not have
access to electricity
Nearly half the world's population (three billion people) have never made a
phone call
Enabling digital inclusion is most urgent in Africa – a continent that
houses 1 in 8 people (12%), has only 1 in 40 fixed line telephones (2.5%), 1
in 30 mobile telephones (3%), 1 in 70 personal computers – PCs (1.5%), 1 in
150 Internet users (0.7%) and 1 in 500 Internet hosts (0.2%).
Developing countries now account for almost half (49%) of total telephone
subscribers in the world, up from just 19% in 1990
Globally only 650 million people have PCs. In
the developing world, figures average at about 1/100 people but can be as
high as 8/100 in Argentina or as low as 0.18/100 in Burundi
In 1990 only 20 countries were connected to the Internet. In 2003 there
were 209.
Consider these aspects of predicting the future. In
the material that follows, I have calculated a possible error rate of 100%.
I could be completely wrong. Other than that what I am writing is pure
speculation based on a random event occurring at some time in the future.
However, I have cleverly, I hope not cast my forecast with any date specific
timeframe and therefore could be 100% right – eventually! Forecasting
without incorporating an error rate uncovers, according to Nicholas Taleb (The
Black Swan) three fallacies all arising from the same misconception
about the nature of uncertainty. His first fallacy is that variability
matters. I agree; that is why I am not taking my projections too seriously
and casting them with a date, hence I propose a range of possible outcomes.
Second, he states that there is the fallacy of failing to take into account
forecast degradation as the projected period lengthens. Here again, I
agree; we do not realize the full extent of the difference between near and
far futures. H5N1 is extremely lethal at present. Viruses mutate in order
to survive. I would speculate that the influenza virus that creates a
pandemic will be far less lethal than the current strain of H5N1. This,
however, also allows for the virus to spread faster, longer and to infect
more people – because we stay alive longer and can pass it to many others
over time (evidence my projection figure from the previous chapter.
Finally, Taleb offers his third, and according to him possibly the most
grave fallacy that concerns a misunderstanding of the random character of
the variables being forecast. We do not realize the consequences of the
rare event. It is the lower bound of estimates (worst case scenario) that
matters when engaging in a decision. The worst case is far more
consequential than the forecast itself.
Remember –
“A black swan is a highly improbable event with three principal
characteristics: it is unpredictable; it carries a massive impact; and,
after the fact, we concoct an explanation that makes it appear less random,
and more predictable, than it was.”
Nassim Nicholas Taleb
The Black Swan: The Impact of the
Highly Improbable
The following are
the initial albeit speculative impacts that we can attribute to a pandemic:
Business (all forms of
Private Enterprise) Impact
Reduction in workforce this leads
to a reduction in output capacity
Reduction in consumption (people
staying at home) leads to a decrease in demand
Reduction in revenue leading to
less profit, leading to less taxes being paid
Lack of consumption demand
leading to employees being laid off; leading to loss of benefits (healthcare
insurance, etc.)
Reduction in disposable income
leads to further consumption declines and consumption focused on necessities
(healthcare insurance may become a luxury)
Redistribution of family asset
spending – necessities only
Food
Medical (if you can pay health
insurance, you still have deductibles; will the influenza be covered under
your existing plan?)
Housing
Private transportation – if possible
More layoffs due to a worldwide
sloughing off of demand and some countries closing borders as they attempt
to isolate themselves
Business bankruptcies medium and
small businesses will feel the pain because they have limited cash
reserves. Large enterprises will suffer as a result of loss of consumers
and suppliers (how dependent is your business on the small to medium size
supplier/vendor? Or, is your small/medium size business heavily dependent on
a customer (large enterprise) that may experience a drop in demand putting
your operations at risk?)
Medical Support Systems
(All Medically Related Endeavors)
Doctors in demand for patient
diagnosis – office visits
Hospitals overwhelmed with
patients
Patients must be isolated, from
traditional patient care
Isolation supplies become
limited, if available at all
Respiratory equipment in short
supply - for secondary pneumonia
Committees will decide who gets
respirator support & who does not
Limited supplies of medication
(no vaccine for 6-9 mos.)
Hospital & public pharmacies must
increase security for medications
Investments Fall
(Anything that can be Monetized)
Redistribution of family assets –
reduced investing
Companies need cash for
operations vs. reduced investments
Investors seek “safe havens” for
investing – no 3rd world investments
Reduced capacity to process
investment activity – up to 40% of staff sick
Stock and Bond Markets behave
erratically leading to less and less investment in publicly traded stocks,
bonds
Private equity investments in
companies drops for all the above reasons cited previously and all the
subsequent points yet to come
Commodity Markets
Demand becomes erratic leading to
reduced trading
Open pit operations are limited
due to physical concerns – exposure to others in the trading pit
Electronic trading (heavier now
than ever) becomes erratic as power supply systems and Internet are less
consistent
Commodity delivery erratic
Investors seek “safe havens” for
investing – no 3rd world investments
Reduced capacity to process
investment activity – 30% of staff sick
Business Assets Depleted
Lack of investing
Redistribution of company assets
to current expense issues
Growth is replaced with survival
strategies
Revenue continues to slip
Unemployment grows
National disposable income
declines
Human capital (talent – an
overlooked asset) not easily replaceable, long lead times to train, less
loyalty, more dependent on technology
Business Failures
Increase
More Unemployment
Loss of personal disposable
income
Increased demand for government
services (at all levels)
Government Impact
Substantial drop in revenues (tax
base drops)
Quarantine and Isolation
requirements will us most of government assets
Limited ability to provide of
traditional support services
Increased demand for services
Social unrest ferments – “someone
has to help us” mentality
Bankruptcies
Business failures increase to
unprecedented levels
Increase in personal and
commercial bankruptcies
Backlog in court processing of
bankruptcies
Creditors wait longer for assets
from courts
Creditors see drop in assets from
bankruptcies
Creditors become more restrictive
in loaning money and extending credit
Credit and loan availability
drops
More companies fail due to lack
of loans & credit
Creditors Fail
Delays in bankruptcy processing &
asset distribution results in lender failures
Bankrupt company assets are not
redistributed into the market
Business market contracts because
of operational asset decline
Lender failures compounds
bankruptcy backlog and asset distribution
Opportunities
Large numbers of qualified,
trained individuals available for employment
Companies prepared to identify
these people will grow stronger & faster
Substantial number of opportunities
will exist as a result of company failures
Let’s take a look at one sector, transportation. Within that sector take
the slice dealing with passengers and cargo. Just on the basis of moving
people and stuff you can already project the complexity. Below are the
world’s thirty busiest airports in 2005 ranked by passengers and by cargo.
What was your estimate that a person, who knew that they had a highly
infectious form of Tuberculosis, would be capable of flying internationally
on several flights? Now, take that projection and add the variability
factor and random character of the event and think about the consequences in
the context of flying from any one of these airports with a case of
influenza.
|
|
World’s 30 busiest Airports |
Total passengers |
World’s 30 busiest Airports |
Total cargo |
|
1.
|
Atlanta, Hartsfield (ATL) |
85,907,423 |
Memphis (MEM) |
3,598,500 |
|
2.
|
Chicago, O'Hare (ORD) |
76,510,003 |
Hong Kong (HKG) |
3,433,349 |
|
3.
|
London, Heathrow (LHR) |
67,915,403 |
Anchorage (ANC) |
2,553,937 |
|
4. |
Tokyo, Haneda (HND) |
63,282,219 |
Tokyo, Narita (NRT) |
2,291,073 |
|
5.
|
Los Angeles (LAX) |
61,489,398 |
Seoul (ICN) |
2,150,140 |
|
6.
|
Dallas/Ft. Worth (DFW) |
59,176,265 |
Paris, Charles de Gaulle (CDG) |
2,010,361 |
|
7.
|
Paris, Charles de Gaulle (CDG) |
53,798,308 |
Frankfurt-Main (FRA) |
1,962,927 |
|
8.
|
Frankfurt-Main (FRA) |
52,219,412 |
Los Angeles (LAX) |
1,938,430 |
|
9.
|
Amsterdam, Schiphol (AMS) |
44,163,098 |
Shanghai (PVG) |
1,856,655 |
|
10.
|
Las Vegas (LAS) |
43,989,982 |
Singapore (SIN) |
1,854,510 |
|
11.
|
Denver (DEN) |
43,387,513 |
Louisville (SDF) |
1,815,155 |
|
12.
|
Madrid (MAD) |
41,940,059 |
Miami (MIA) |
1,754,633 |
|
13. |
New York (JFK) |
41,885,104 |
Taipei (TPE) |
1,705,318 |
|
14.
|
Phoenix, Sky Harbor (PHX) |
41,213,754 |
New York (JFK) |
1,660,717 |
|
15.
|
Beijing (PEK) |
41,004,008 |
Chicago, O'Hare (ORD) |
1,546,153 |
|
16.
|
Hong Kong (HKG) |
40,269,847 |
Amsterdam, Schiphol (AMS) |
1,495,918 |
|
17.
|
Houston (IAH) |
39,684,640 |
London, Heathrow (LHR) |
1,389,589 |
|
18.
|
Bangkok (BKK) |
38,985,043 |
Dubai (DXB) |
1,314,906 |
|
19.
|
Minneapolis/St. Paul (MSP) |
37,604,373 |
Bangkok (BKK) |
1,140,836 |
|
20.
|
Detroit (DTW) |
36,389,294 |
Indianapolis (IND) |
985,456 |
|
21.
|
Orlando (MCO) |
34,128,048 |
Newark (EWR) |
949,933 |
|
22. |
Newark (EWR) |
33,999,940 |
Osaka (KIX) |
869,474 |
|
23.
|
San Francisco (SFO) |
32,802,363 |
Tokyo, Haneda (HND) |
799,073 |
|
24.
|
London, Gatwick (LGW) |
32,784,330 |
Beijing (PEK) |
782,066 |
|
25.
|
Singapore (SIN) |
32,430,856 |
Atlanta, Hartsfield (ATL) |
767,897 |
|
26. |
Philadelphia (PHL) |
31,495,385 |
Guangzhou (CN) |
750,555 |
|
27. |
Tokyo, Narita (NRT) |
31,451,274 |
Luxembourg (LUX) |
742,766 |
|
28. |
Miami (MIA) |
31,008,453 |
Dallas/Ft. Worth (DFW) |
741,805 |
|
29 |
Toronto (YYZ) |
29,914,750 |
Oakland (OAK) |
672,844 |
|
30. |
Seattle/Tacoma (SEA) |
29,289,026 |
Brussels (BRU) |
660,854 |
NOTES: Total passengers enplaned and deplaned, passengers in transit counted
once. Total cargo loaded and unloaded, freight and mail (in metric tons).
Source:
Airports Council International World Headquarters, Geneva, Switzerland. Web:
www.airports.org.
There were almost two
billion passengers traveling in 2006; that is roughly three million people
every day flying from one city or one country or one continent to another.
The potential is obvious for someone with an infectious disease unwittingly
perhaps carrying it from one part of the world to another.
Air New Zealand had an
unexpected downturn in revenue of 11% while cities with SARS were
transformed by the SARS outbreak. Sherry Cooper from Toronto explains:
During its four-month run in Toronto, ending in June, SARS killed fewer than
50 people. Even China and Hong Kong, the two places hardest hit by the
virus, suffered ‘only’ 648 deaths in total. On April 23, the WHO sent out a
warning against all unnecessary travel to Toronto, Beijing, and China’s
Shanxi province. Travel to and from Toronto plummeted overnight. Overall
SARS cost the city’s hotel industry more than $125 million Canadian; more
generally, the tourism industry in the province of Ontario lost more than $2
billion Canadian in income and jobs.
In another example, an article titled, “Just plane
gross” published on August 14 2007 in the Wall Street Journal (WSJ):
This
summer, rampant flight cancellations and delays are forcing many travelers
to languish, sometimes for hours, before they can board their flight.
Unfortunately, that's nothing compared with what may await them on the
plane.
Airplanes may be some of the
best breeding grounds for illness. The WSJ article further cited the
following incident:
Indeed, delays can affect cleanliness and comfort, particularly with planes
now flying fuller. The percentage of on-time flights fell to 74.5 percent
in July from 76.4 percent a year earlier, according to flightstats.com.
Summer thunderstorms have been to blame, as have technical glitches like the
Federal Aviation Administration computer snafu on June 8.
On Saturday, more than 20,000 international passengers were stranded for
hours at Los Angeles International Airport, waiting on airplanes and in
packed customs halls while a malfunctioning computer system prevented U.S.
officials from processing the travelers' entry into the country. The U.S.
Customs and Border Protection system went down around 2 p.m., forcing some
planes to sit on the tarmac for so long that workers had to refuel them to
keep their power units and air conditioning running. Maintenance workers
ran trucks around the airport hooking up tubes to service lavatories.
So what does this mean from a
pandemic and post-pandemic perspective? Just take a look at what the
article reveals regarding the cleaning schedule for airplanes:
JetBlue says its planes undergo a "maximum deep clean" once a month, same as
before, a process that includes a thorough cleaning of the lavatories and
galleys, vacuuming of carpets and cleaning of seats, seat trays and side
walls. Southwest Airlines says its deep-cleaning cycle is 30 days too.
American Airlines says it also keeps a 30-day average. Continental
Airlines, like many airlines, says its planes also undergo an overnight
cleaning, which includes replacement of soiled pillows and blankets,
vacuuming of cabin floors and cleaning of lavatories and passenger seating
areas.
Between flights, though, the cleaning tends to be cursory. American says it
picks up trash and cleans seat-back pouches between flights, but it doesn't
wipe down tray tables or vacuum while at the gate unless there's an obvious
mess that must be addressed. ATA Airlines also says it doesn't wipe down
tray tables between flights unless there's a clear need because of the
limited ground time.
I am sure that after reading
this, you are probably thinking about carrying disinfectant wipes with you
on your future travels! If the above examples are common practice, the
spread of viral illness could extend the post-pandemic meltdown for the
transportation industry, or the industry could be required to employ more
stringent cleaning standards to their fleets of aircraft. And this is only
one example of only one segment of one industry sector!
Business Impacts – How
Long Can You Survive?
Impacts can be immediate
and expensive. It is therefore prudent that your pandemic planning efforts
consider the dynamic nature of the world’s markets as part of your overall
strategy. This makes good business sense. It can be readily applied to
situations other than a pandemic. With this broader perspective in mind
your pandemic preparations can be leveraged into greater management
awareness and perhaps, more of a competitive edge for your enterprise. This
is true, for public sector entities too. Government can be more competitive
and forward thinking and gain leverage with the constituents (taxpayers)
whether they are individuals or businesses.
One key issue that businesses face with a pandemic that
is different from other disasters is that multiple locations could be
affected simultaneously. This is complicated by loss of personnel that
could occur for several reasons – sickness, caring for sick individuals,
school closures, fear of contamination at the workplace, etc. Most of the
current business continuity models are based on the recovery of technology
and facilities (“brick and mortar” type structures). Few are addressing the
human component and if they do they are not doing it very well. First and
foremost a basis for ensuring that communication and information flows
seamlessly vertically and horizontally throughout the enterprise is
essential. This means that you have to have common terminology within and
with all the external touchpoints (customers to vendors) that is clearly
understood by all. Most organizations come up short when an analysis of the
communication and information flow is undertaken. The general finding is
that fragmentation and a lack of seamlessness exists.
Decision making regarding
governance issues can only be addressed by senior executives. Senior
executives will establish and manage voluntary compliance mandates as well
as ensure compliance with regulatory driven requirements.
Strategy requires
management engagement in order to achieve 3600 coverage. This
coverage consists of: 1) forward looking capabilities “active analysis” and
situational awareness; 2) awareness of challenges; 3) executable goals and
objectives and 4) ability to capitalize on experience and past successes.
Operating in a pandemic will require that your organization have a flexible
and responsive strategy. Incorporating business strategy elements into the
management decision making process at all levels of contingency planning can
facilitate greater flexibility.
A tactical focus
on processes rather than a strategic focus that is broader based – business
goals, objectives and response to market demands can equal less than
effective business continuity.
Pandemic – Business
Continuity Planners what are you doing?
We, as business
continuity planners seem to be wary of addressing the issue of a pandemic as
a viable scenario for planning. I recently did a tabletop simulation for a
client and a presentation on pandemics at a business continuity summit for
another client. The tabletop participants reflected on the experience and
uniformly expressed to me that the tabletop was one of the most stressful
and frustrating experiences that they had participated in. The business
continuity summit attendees and many of the speakers who followed me,
continued to comment on the material presented, stressing that they needed
to rethink their plans. Participants in both events expressed the hope that
a pandemic would not materialize.
Pandemics cause major
economic losses due to absenteeism. Experts predict that during a pandemic
up to 30% of the global workforce could either be off work due to sickness
or stay away due to fear. Absence levels at the expected rates would cause
severe problems.
The economic impact of H5N1 will be felt around the
world. The impact will initially appear in two primary aspects of
business. The first will be the availability of the workforce, the second
and more unique impact will be in the market place.
Helen Branswell of the Canadian Press wrote on August
17, 2005 in her article entitled, “ Flu
pandemic could trigger second Great Depression, brokerage warns clients”:
A major Canadian brokerage
firm has added its voice to those warning of the potential global impact of
an influenza pandemic, suggesting it could trigger a crisis similar to that
of the Great Depression.
Real estate values would
be slashed, bankruptcies would soar and the insurance industry would be
decimated, a newly released investor guide on avian influenza warns clients
of BMO Nesbitt Burns.
"It's quite analogous to
the Great Depression in many ways, although obviously caused by very
different reasons," co-author Sherry Cooper, chief economist of the firm and
executive vice-president of the BMO Financial Group, said in an interview
Tuesday.
"We won't have 30-per-cent
unemployment because frankly, many people will die. And there will be excess
demand for labour and yet, at the same time, it will absolutely crunch the
economy worldwide."
A leading voice for
pandemic preparedness said the report is evidence the financial and business
sectors - which have been slow to twig to the implications of a flu pandemic
- are finally realizing why public health and infectious disease experts
have been sounding the alarm.
"I think that this
particular report really signifies the first time that anyone from within
the financial world, when looking at this issue, kind of had one of those
'Oh my God' moments," said Michael Osterholm, director of the Center for
Infectious Disease Research and Policy at the University of Minnesota.
"The financial world is
finally waking up to the fact that this could be the boulder in the gear of
the global economy," he said, suggesting a pandemic could trigger an
implosion of international trade unlike anything seen in modern history.
"All the other
catastrophes we've had in the world in recent years at the very most put
screen doors on our borders. This would seal shut a six-inch steel door,"
Osterholm said.
Cooper, a highly
influential figure in the Canadian financial sector, wrote the report with
Donald Coxe, a global portfolio strategist for BMO Financial Group.
They warn investors the
economic fallout out of a pandemic would inflict pain across sectors and
around the globe.
Airlines would be
grounded, transport of goods would cease, the tourism and hospitality
sectors would evaporate and the impact on exports would be devastating,
Cooper wrote.
"This would trigger
foreclosures and bankruptcies, credit restrictions and financial panic," she
warned, suggesting investors reduce debt and risk in their portfolios to be
on the safe side.
Absence of purchases due to illness and psychological
reactions to a pandemic will present a new form of business impact that is
currently not assessed as part of the traditional business impact
assessment; and as such, it is not addressed in any business continuity,
disaster, crisis management or recovery plans. Another area that has not
been addressed in impact assessment or plans is the loss or restriction of a
company’s revenue. Traditional plans start with an assumption that the
marketplace is still viable; a potentially false assumption. Traditional
plans are designed to get an organization back into their market as quickly
as possible – RTO, RPO and MTO come to mind (RTO
= Recovery Time Objective, RPO = Recovery Point Objective, MTO = Maximum
Tolerable Outage). In the
case of a pandemic markets may no longer be viable. If your market is
materially impaired, a consequence is that the revenue that is derived from
that market may be restricted and/or completely gone.
In another article, published on October 7, 2005 (NewsTarget.com)
entitled, “Economic Shock Waves
From Avian Influenza Spreading Faster than the Disease”
the following is pointed out:
The Avian
influenza
crisis in Asia has already caused more than $10 billion dollars in damage in
the economies of the most-seriously affected countries, but this is just the
tip of the iceberg compared with the possible global economic consequences
of a human
influenza pandemic
according to a study, Thinking Ahead: The Business Significance of an Avian
Influenza Pandemic, released today by Bio Economic Research Associates
(bio-era™).
“According to the quantitative measures
we developed for assigning relative economic risk exposure to
infectious disease
outbreaks for countries in Asia,
Hong Kong
and Singapore are especially vulnerable to the initial economic shock waves
that would ensue from a pandemic,” said James Newcomb, Managing Director and
principal author of the bio-era report. “However, the secondary impacts on
other countries, especially China, could have far-reaching impacts for
economies around the world, including the US,” he added.
Other key findings in the
report include:
Avian influenza is the
latest in a series of major livestock disease outbreaks that have caused
more than $60 billion in economic damages worldwide over the past 15 years.
Concerns about a possible
influenza pandemic are already providing stimulus for increased spending and
accelerated research and development efforts in some parts of the economy,
ranging from custom microarray chips for rapid diagnostic testing to
antiviral drugs.
Governments around the
world have recently made commitments totaling an estimated $1.4 billion to
stockpile oseltamivir (Tamiflu)—an antiviral drug produced by pharmaceutical
giant Roche.
Manufacturers of flu
vaccines
are gearing up for what may be an unprecedented global demand for a vaccine
effective against
H5N1
variants, but it is not known whether the vaccines being developed now would
be effective against the influenza strains that might emerge.
New “DNA vaccines” offer
an alternative to conventional production technologies and could speed the
vaccine industry’s ability to respond, but these technologies are not yet
approved by FDA.
“We’ve been looking at how things might
unfold under six very different but highly plausible scenarios for the
evolution
of the outbreak,” said Stephen Aldrich, President of bio-era. “In the
process, we’ve made assessments of potential outbreak risk by country, the
relative economic exposure by country — and how selected industries and
companies are likely to be affected.”
We have not experienced this type of business problem
in our lifetimes. The last generation to have to address such a widespread
issue was that of our grandparents and parents during the Great Depression.
During the Great Depression the revenue component of
the free enterprise system was significantly impaired. Just as important,
today on a worldwide basis we do not have any leadership in business or
government who has lived through the 1918 Spanish Flu Pandemic or the Great
Depression and so that experience base is lost to us. Our best option,
therefore, is to start to think about the possible problems we may have to
confront and take steps to avoid or deal with them in our businesses. If we
wait until the pandemic starts, it will be too late.
Even if a pandemic
were mild, it is estimated that about a third of the world's population
would fall sick over a period of months and millions would die. If the
strain is virulent, the death toll could mount to several million, over a
relatively short period. If we look at previous pandemics (Spanish Flu 1918
– 1919, Asian Flu 1957 – 1958, Hong Kong Flu 1968 – 1969) they generally run
their course in 18 to 24 months. As an example, the economic consequences
could be staggering; SARS wreaked economic devastation on affected cities
and countries in a relatively short period.
The Health and Human Services Department plan outlines
a worst-case scenario where more than 1.9 million Americans would die and
8.5 million would be hospitalized with costs exceeding $450 billion.
Current Forecasts – Business Continuity Planners
where can you add value?
We often use the phrase “value added” when we promote
business continuity planning. We say that we “add value” to an organization
by preparing it to respond and recover from incidents. At this time I think
that we can earn our keep, so to speak, by providing that “value added”
service that we speak of. Current forecasts predict that the H5N1 pandemic
will spread around the world in a historically short period of time. One
expert stated that if this pandemic is identified on the west coast of the
United States it will spread across the country in a week. When SARS spread
from China just a couple of years ago, it was in 5 countries in 3 days and
in 24 countries in 3 months. Time to react will be virtually non-existent.
And if we are to earn our merit as business continuity planners, we need to
react now! The companies that survive this extraordinary disaster when it
occurs will have heeded the words of Sun Tzu centuries ago, “Victorious
warriors win first and then go to war, while defeated warriors go to war
first and then seek to win.” Planning today will prove to be the only
viable strategy to ensure a company’s “victory”.
What If…?
What if the pandemic does not materialize? Do we have
the proverbial “egg on our face”? In the event that this pandemic does not
materialize, your planning will not be lost. Most of it will be
transferable. There will be future pandemics (and they occur approximately
every 30 – 40 years) and to the ever present threat of terrorist attacks
using chemical/biological/nerve agents. Business survivability in the face
disasters is imperative to the economic strength of the world community.
We as continuity planners have an obligation to be
forward thinking and to see what others choose not to recognize until it is
upon them.
Steps to take…Now
The ability to effectively respond to and manage the
consequences of an event in a timely manner is essential to ensure an
organization's survivability in today’s fast paced business environment.
With the emergence of new threats, such as cyber-terrorism and
bio-terrorism; and the increasing exposure of companies to traditional
threats such as, fraud, systems failure, fire, explosions, spills, natural
disasters, etc. an “integrated” approach to Business Continuity
Planning is essential. The “integrated” approach, as presented in
this article, is based on the concept of graceful degradation and agile
restoration. “Graceful degradation” refers to the ability of an
organization to identify the event, classify it into a level of severity,
determine its consequences, establish minimal stable functionality, devolve to the most robust less functional
configuration available and to begin to direct initial efforts for
rapid restoration of services in a timely fashion.
Several steps can be taken to prepare your
organization. First, put in place an effective surveillance program;
meaning, expand your business impact assessment activities. In my article,
“"Futureproofing" - the Process of Active Analysis” written in 2003,
I recommended that we rethink the business impact assessment process:
Traditional analysis such as that performed at the initiation of the
business continuity plan development is recognized as necessary to develop a
baseline of information. However, it should also be recognized as having
certain limitations:
·
Pre-Event - Best guess as to what could occur
·
Static - Best guess based on available facts and models
Traditional analysis creates undecidability due to the inability to predict
all behavior in a dynamic environment. Therefore one should adopt an
Active Analysis methodology, such as that developed by Logical
Management Systems, Corp. (LMS). LMS' methodology is based on the U.S.
Military's "Joint Special Operations Targeting and Mission Planning
Procedures" (JP 3-05.5 10 august 1993). It is detailed herein.
The advantages that can be realized by adopting this methodology and
maintaining an active analysis process are:
·
Uses Static Analysis as a basis
·
Touchpoint complexity factors
·
Dynamic - based on creating a mosaic
·
Time Factors (Time Critical, Time Sensitive and Time
Dependent) act as drivers
Termed "Futureproofing" by LMS the active analysis process is
designed to create a mosaic that enhances decision making by identifying
behavior patterns in a dynamic environment.
Active analysis can be subdivided into three categories of possible
threats/occurrences that could befall an organization. Dr. Ian Mitroff
refers to the three categories as Natural Accidents, Normal Accidents and
Abnormal Accidents. I have renamed them and to differentiate the three
aspects of each. That is, the threat, the actual occurrence and the
consequence of the occurrence.
·
Natural Threats/Occurrences/Consequences
consisting of such things as drought, floods, tornadoes, earthquakes, fires
and other naturally occurring phenomena.
·
Normal Threats/Occurrences/Consequences
consisting of such things as Economic Disasters, such as:
·
Recessions
·
Stock Market Downturns
·
Rating Agency Downgrade, etc.
Personnel Disasters,
such as:
·
Strikes
·
Workplace Violence
·
Vandalism
·
Employee Fraud, etc.
Physical Disasters,
such as:
·
Industrial Accidents
·
Supply Chain
·
Value Chain
·
Product Failure
·
Fires
·
Environmental
·
Health & Safety
·
Abnormal Threats/Occurrences/Consequences
consisting of Criminal Disasters, such as:
·
Product Tampering
·
Terrorism
·
Kidnapping & Hostages, etc.
Information Disasters,
such as:
·
Theft of Proprietary Information
·
Hacking, Data Tampering
·
Cyber Attacks, etc.
Reputation Disasters,
such as:
·
Rumors
·
Regulatory Issues
·
Litigation
·
Product Liability
·
Media Investigations
·
Internet Reputation, etc.
Please note Abnormal Threats/Occurrences/Consequences are becoming more of
the norm than abnormal as we see the normalization of threats such as
hacking and data tampering.
Five key assumptions were used as a basis to for the developmental framework
of the "Futureproofing" methodology. These are:
· Assumption
# 1:
The modern business organization represents a complex system operating
within multiple networks
· Assumption
# 2:
There are many layers of complexity within an organization and its "Value
Chain"
· Assumption
# 3:
Due to complexity, active analysis of the potential consequences of
disruptive events is critical
· Assumption
# 4:
Actions in response to disruptive events needs to be coordinated
Based on the above assumptions and the results of the baseline analysis
(static analysis) one realizes that the timely identification,
classification, communication and response, management and recovery from a
disruptive event are critical. As depicted in the graphic on the next page
over time uncertainty will decrease, as will available options for response
and recovery.
This is contrasted with increasing numbers of issues and higher and higher
costs associated with response and recovery efforts. As such, an
organization should seek to continually analyze situations so as to develop
a clear picture of the current state of the business system network.
Referred to as "Data Fusion - Constructing a Mosaic" by LMS; this is
a process of getting enough bits and pieces of information in place in order
to transform seeming chaos into recognizable patterns upon which decisions
can be made.
Second, recognize that
you cannot depend on public authorities (read this as government at all
levels) to be there for your organization. They will have too many issues
to deal with and they will also be impacted by the pandemic – remember that
30% of the population could be affected; that means that civil authorities
are just as susceptible to contracting the disease. Your organization and
its “value chain” must its own comprehensive plan for dealing with the
business consequences of a pandemic. Rethink the basis on which you
developed your plan – talk to the risk management and strategic planning
personnel in your organization and find out what they are looking at with
regard to business expansion, contraction, risk mitigation, etc. They
should be very conversant as a result of the recent hurricanes, earthquakes,
tsunami and general competitive forces in the economy. Revise your business
continuity plan. Develop the ability, as an organization, to sequence back
your operations while ensuring that your business system and its network
(“value chain”) can maintain level of
functionality while operating at reduced capability. When your business
system and its network reaches the state of minimum functionality, the
organization can begin to conduct a campaign of "agile restoration" until it
achieves a state of full functionality and a return to normal operations.
If you do the first
step, putting in place an effective surveillance system, you will develop
"detectors and indicators of change" metrics that can be employed to
facilitate the constant analysis of the state of the business system and its
complex "value chain" network. The "detectors and indicators of change"
provide the early warning basis for event classification at the lowest
(least severe) levels.
Third, train, drill, exercise. All the planning in the
world is never going to be effective unless it can be implemented. One key
to implementation is having a trained organization. That means that we have
to train not only the primary position holders in our organization, but we
have to train the secondary and even a third level within the organization.
If Only We Had Known…A New Paradigm for Planning
Strategists
In my latest book,
“Integrated Business Continuity
Planning: Maintaining Resilience in Uncertain Times”
I asked:
"Is Business Continuity integrated into
your business operations as a way of doing business; or is Business
Continuity an adjunct to the business that you are involved in?"
As you ponder this question, you need to reconsider the
value proposition offered by having an integrated approach to business
continuity.
I offer the following definitions for the purpose of
this article and as a basis for developing an “integrated” approach
to continuity:
Crisis:
"A disruptive event that is amplified, elevated and magnified."
Business Continuity:
"All initiatives taken to assure the survival, growth and resilience of
the enterprise."
Executives have an
obligation to their stakeholders to assure that everything that can
reasonably be done to protect the business and ensure its competitiveness in
the marketplace is done. Unless executives rethink the relationship between
how they do business (strategy, competitive intelligence, etc.) and the way
they currently address business continuity (managing disruptive events,
security, etc.), the imbalance between "security" and competitiveness will
not be resolved.
Therefore, businesses must rethink their recovery strategies to be able to
deal with and survive pandemics. This is a whole new paradigm for planning
strategists.
The table below is a
look into the proverbial “crystal ball” at what could be some of the
possible outcomes when the pandemic strikes.
|
Economic Effect of a Pandemic –
Business Continuity Planning Analysis |
|
Segment |
Short-term Effect |
Long-term Effect |
Analysis |
|
Commercial Real
Estate
|
Demands for
office space will potentially decline in affected areas. Suburban
areas may see an increase in demand due to businesses relocating
from areas that have been quarantined. |
Fixed costs for
businesses holding leases will remain the same, even in the face of
declining occupancy and declining revenue. |
Presidential
Executive Order: Amendment to E.O. 13295 Relating to Certain
Influenza Viruses and Quarantinable Communicable Diseases
Subsection C added:
"(c) Influenza
caused by novel or reemergent influenza viruses that are causing, or
have the potential to cause, a pandemic.".
|
|
Utilities
(Electric, Gas
and other infrastructure power supplies) |
Potential loss
of worldwide workforce could see system degradation due to lessened
ability to respond to normal maintenance and emergency situations. |
Loss of
expertise within the workforce could result in a permanent
destabilization of the energy sector, leaving it more susceptible to
disruption than at present. |
Utilities in
general, need greater business continuity assistance due to the lack
infrastructure being replaced. Integrated grid systems are
susceptible to disruptions that can cascade throughout a system
quickly. |
|
Energy Industry
(Oil & Gas)
|
Potential loss
of employees worldwide due to pandemic could cause inability to meet
demands resulting in higher prices for energy and related products. |
Potential
long-term demands may not reach current levels as a result of loss
of life worldwide. Fixed costs for businesses would remain the same
regardless of utilization or demand. |
Worldwide
refining capacity is currently under pressure. A pandemic could see
facilities forced to shutdown either by quarantine or due to lack of
workforce.
Dependence on
information systems to operate facilities, pipelines, etc. creates
security vulnerabilities for this industry.
|
|
Communications
Industry (Voice, Data and other information systems, etc.)
|
Potential
increase in demand due to pandemic causing more people to work
remotely, greater need for information, greater need to communicate
with others. Potential loss of worldwide workforce due to pandemic. |
Fixed costs
remain unchanged regardless of demand. Due to potential loss of
workforce, system reliability may be impaired. |
Heavy
dependence on information systems for operations creates security
vulnerabilities for this industry. Loss of skilled workforce
creates potential system vulnerabilities. |
|
Banking &
Finance
|
Potential
demands for cash can outstrip the amount of cash in circulation.
Credit and Debit systems (cards) use could decline as a result of
pandemic. Volume based businesses could see a decline in revenue
(i.e., SARS created decline in volume for many car companies).
Potential for
significant short term disruption to economies worldwide. |
Potentially
having to live in a cash society (i.e., earthquake aftermath) could
create continued high levels of demand for cash. Potential for
inflation remains high. Businesses impacted due to loss of
workforce and falling revenue. Markets worldwide could see
significant declines that will last for long periods. Potential for
long term disruption to economies worldwide. |
Heavy
concentration in large metropolitan areas, dependence on information
systems for operations, low reserves of cash could create
vulnerabilities. Loss of workforce due to pandemic could create
inabilities to function effectively. |
|
Transportation
|
Pandemic could
be the single most devastating event for this sector ever.
Quarantine, flight restrictions, lack of workforce, inability to
ship goods to markets, lack of security of Intermodal systems could
create havoc with businesses and consumers. Shortages would occur
immediately (i.e., hurricane effects) |
Air, land, sea
transport potentially effected in such a way that they never
recover. Cargo security will be a high profile area. Port,
distribution and staging areas will receive heightened scrutiny due
to the high potential for transmission of virus tainted produce at
these touchpoints. |
Quarantine
could have devastating effects. Difficult to ensure security,
information systems are vulnerable. Human resource issues will be
ongoing concern. |
|
Economic
Effect of a Pandemic – Business Continuity Planning Analysis (continued) |
Segment |
Short-term
Effect |
Long-term
Effect |
Analysis |
|
Water Supply
Systems
|
Potential loss
of worldwide workforce could see system degradation due to lessened
ability to respond to normal maintenance and emergency situations. |
Loss of
expertise within the workforce could result in a permanent
destabilization of the energy sector, leaving it more susceptible to
disruption than at present. Water systems would remain highly
vulnerable due to a lack of security resources. |
Water systems
need greater business continuity assistance due to the lack
infrastructure being replaced. Potential loss of workforce has long
term impact on water systems resulting in degradation to service. |
|
Emergency
Services
|
Potential loss
of worldwide workforce could see system degradation as demand for
service would escalate to unprecedented levels. Hospitals worldwide
could not manage the amount of patients. Possible collapse of
medical systems worldwide. Lack of antiviral drugs would have
immediate impact. Police, fire and other services could be severely
impacted due to loss of workforce at a time when demand escalates. |
Potential loss
of worldwide workforce could see system degraded for a long period
even in the aftermath of the pandemic. Demand for general services
would be impacted. Hospitals worldwide would take long periods to
recover. Possible long term collapse of medical systems and
healthcare worldwide. Lack of antiviral drugs would have long term
impact. Police, fire and other services would be short of
employees for long period. |
Degradation of
Emergency Services combined with degradation Transportation could
present significant infrastructure concerns for continuity planning
efforts. Possible return to late 19th century medical
services capabilities due to loss of skilled workforce. Significant
regional and local impacts for continuity planning. |
|
Continuity of
Government
|
Potential
collapse of governmental control worldwide. Use of military by
governments worldwide to maintain order could result in negative
effects. Loss of workforce could create inability to implement
current pandemic plans. Possible inability to protect population
and infrastructure. |
Demands for
action will grow; lack of antiviral medication could have major
negative impact. Potential chaos with targeting of government
facilities for disruption. Worldwide tensions as scarce resources
are in demand and loss of population leave governments vulnerable. |
Disruption of
government could happen, although it is difficult to foresee a total
collapse. Governments worldwide would be under tremendous stress.
From a continuity planning perspective, the need for collaboration
would never be greater. Government could invoke orders to force
business cooperation (i.e., U.S. Presidential Executive Orders)
|
Conclusion: Seize the
Initiative - It Makes Sense
A Chinese proverb states that "Opportunity is always
present in the midst of crisis." Every crisis carries two elements,
danger and opportunity. No matter the difficulty of the circumstances, no
matter how dangerous the situation… at the heart of each crisis lays a
tremendous opportunity. Great blessings lie ahead for the one who knows the
secret of finding the opportunity within each crisis.
Today business leaders have the responsibility to
protect their organizations by facilitating continuity planning and
preparedness efforts. Using their status as “leaders,” senior management
and board members can and must deliver the message that survivability
depends on being able to find the opportunity within the crisis.
Market research indicates
that only a small portion (5%) of businesses today have a viable plan, but
virtually 100% now realize they are at risk. Seizing the initiative and
getting involved in all the phases of crisis management can mitigate or
prevent major losses. Just being able to identify the legal pitfalls for
the organization of conducting a crisis management audit: can have positive
results.
We
cannot
merely think about the plannable or plan for the unthinkable, but we must
learn to think about the unplannable. Business continuity planning must be
overlapping
in time, corrective in purpose complimentary in effect.
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Editor's note: Big
Medicine is very proud to present a sneak preview of the first chapter of W.
David Stephenson's upcoming book 'Democratizing
data to transform government, business & daily life'. I
had the privilege of hearing/seeing David in action over the past several
days at the Ogma gathering at NPS in Monterey, California. His thoughts on
social media provide a compass heading for many of us as we consider where
we need to go and how we're going to get there. - HN [July 4 2009]
1
Access to data
triggers transformation
by W. David Stephenson
When
many of us go to Washington D.C., we like to visit historic landmarks.
We
don’t necessarily like carrying maps and guidebooks, especially since
most try to be comprehensive, while you might be particularly interested in
one aspect, such as Lincoln, so the other material would be irrelevant to
you. Now you can use the D.C. Historic Tours application on your
iPhone[i].
Just type in “Lincoln,” and it instantly creates a walking tour only of
Lincoln-related places, then guides your actual path block-by-block. As for
the content of that tour? Your author and other willing volunteers located
the places to include in the tour and uploaded the data and photos about
them to the Web for use in the application!
In New
Zealand, Aukland drivers use an application that uses real-time data from
the government’s InfoConnect program[ii]
to show where there are traffic jams & then zero in on a local traffic cam.
They can change their routes to steer around the jams.
In the
Netherlands, companies have the option of filing a single set of numbers
instead of the multiple reports to multiple agencies that they formerly had
to file. Participating companies can save up to 25% on their reporting
costs, and the agencies can actually do a better job regulating the
companies.[iii]
What
makes these innovation work?
Free,
real-time access to unfiltered, valuable data.
Data pervades our
lives.[iv]
Government agencies and companies collect data around the clock about our
births, deaths, education, jobs (or lack thereof), our race and gender, our
spending and saving, our health. Then they use that data to make decisions
affecting our incomes, our buying options, even whether we qualify for
special benefits.
Data
determines how much governmental assistance our communities receive.
Data
determines which services companies will market to us, and where they’ll
build stores to deliver them, as well as which they will scuttle because
data says there’s not enough demand.
Data
determines where roads will be built, then our GPS devices process data from
government satellites to guide us down those roads and help us find
services.
Yet,
for all of data’s influence on our lives, you and I have surprisingly little
direct access to it ourselves to use as we might like. That’s
particularly true with the most valuable type, real-time data. Because it is
made available as it is gathered, this data can be used to automate
equipment and services and/or help us make decisions, rather than simply
analyze the past, as can be done with historical data.
Despite
those benefits, this data is more likely to remain buried in data warehouses
and be costly and/or difficult to obtain. When we do get it, it’s often in a
form that is difficult to use.
That’s
outrageous.
As you
will see, if you did have access to that data we could do our work
more efficiently and cheaply, engage in more productive political debates,
and even contribute directly to new ways to deal with some of our era’s most
pressing problems, such as global warming or health care cost containment.
Yet,
there’s little sense of public concern, and even less outrage, about our
relative lack of unfettered access to critical information.
Frank DiGiammarino, former
vice-president of strategic initiatives at the National Academy for Public
Administration and now the Obama Administration’s
deputy
coordinator for Recovery Implementation,
says that’s a major problem in the United States (and worldwide, for that
matter):
“We as
a country need to treat data as a national asset and resource. It is a
valuable commodity but we don't treat it that way. We don't think in terms
of where it is. In current structures, it is stovepiped but, needs to be
moved fluidly …. The default question has to be why can't we
share it? Data has to
become a core component of how government works and how leaders think of
dealing with issues.”[v]
We’ve
been in this situation regarding critical information before: in the 16th
century when it was the written word that was inaccessible to all but a
few. How that situation changed – in less than a decade – may provide us
some valuable insights into how direct access to data could come about in
far less time, and the revolutionary change it would bring.
Luther
provided a roadmap
In
1517, Martin Luther’s theology, especially his 95 Theses attacking
the practice of selling indulgences and other forms of corruption in the
Roman Catholic Church, created controversy. It also mobilized the church
establishment to defend the status quo.
In
hindsight, the means Luther used to spread his Reformation message had as
much lasting global impact as the message itself.
Gutenberg invented the
printing press in 1439. In 1502, a printer opened shop in Wittenberg, where
Luther wrote and taught,[vi]
but printed materials were still relatively rare in 1517.
In
1514-5, Luther began to lecture on the Psalms. He had psalters printed for
his students, with wide margins so they could write notes. He removed
medieval priests’ commentary, forcing the students to interpret the Bible
themselves.
[vii]
Thus began Luther’s efforts, crowned by
his translation of the New Testament into German during 1521-2[viii]
(and eventually all of the Old Testament as well) to make the Bible
directly accessible to the lay public, through printed copies they could
own and interpret themselves, instead of having to rely on the priesthood as
intermediaries.[ix]
Printing and distribution of his
revolutionary message was immediately effective, at least as measured by the
amount of printed matter. In Germany alone, 390 editions of Luther’s works
were published just in the year of 1523. By 1525, about 3 million copies of
pamphlets relating to Luther were printed.[x]
Making the Bible changed
the very nature of scholarship. As Diarmaid MacCulloch observed in
The Reformation: a history:
"Now that printed copies
of texts were increasingly available, there was less copying to do, and so
there was more time to devote for oneself … Copying had been such a
significant activity that in previous centuries of Christian culture, it had
been given a privileged place against original thought. Now the order was
reversed, and original thought became more important.[xi]
In a tangential result of the impact of
the newly-empowered congregations, some of the early seeds of democracy were
planed that were to flourish in the New World. Zwingli, another of the early
Reformation leaders, won the right of each parish in a village to decide by
majority vote of the male members which religion they would adopt.[xii]
Management consultant Wendy Jameson pointed out to the author the parallel
between Luther’s impact and what might happen if we liberate data:
"Martin
Luther was effective because he both translated the Bible into language that
the general public could understand and made it widely available
through printed versions. The confluence of translation and availability
enabled the transformation. A literate person in a home or community could
now read it to the other community members, the genesis of the empowered
layperson.
“The Internet today
serves as the analogous means for widespread distribution of data, combined
with new tools that make data understandable to everyone. For the first
time, data will become a valuable tool for many to whom it was an
impenetrable mystery in the past."[xiii]
However, we tolerate a mind set regarding data not all that different from
what was commonplace with the written word before Luther. Sara Wood, a
leader in the nascent movement to make data both available and
understandable to the general public, says that:
“It may not be obvious to everyone, but
there exists an important problem of data apathy. No one cares about data.
And by no one, we mean in the democratic sense…. “Good data should affect
policy - but politicians don't care because they know their voters don't
care. People who vote don't care because data is not engaging, not to
mention accessible, usable, and relevant to their lives.”[xiv]
Data
apathy is no longer tolerable. Data is so important to our lives that we
must all care about data and demand access to it.
The
transformation from democratizing data
The
time has come to emulate Luther’s example and make data as freely available
as he made the printed word ubiquitous
The
results, as demonstrated by the limited examples from around the world where
democratizing data has taken hold, are astonishing.
Take
some simple steps to transform your organization’s raw data into a more
versatile and usable form, place that data at the center of your
organization’s operations, make it accessible to everyone who really needs
it, and everything changes.
Data that has been
“processed, organized, structured or presented in a given context so as to
make [it] useful” is elevated to the status of information.[xv]
It is this more elevated, valuable sense of data as information that will be
used throughout this book.
A handful of tools that you will learn about in this book,
none of them radically innovative by themselves but revolutionary when
combined, make it simple for organizations to make valuable information
available to those who need it, when and where they need it, to improve
their decision-making and actions. Since that was never possible before, the
potential for change in every aspect of how we work and live is profound and
pervasive.
Let us call this transformation democratizing data:
"Democratizing
data makes it automatically available to those who need it (based on their
roles and responsibilities), when and where they need it, in forms they can
use, and with freedom to use as they choose -- while simultaneously
protecting security and privacy."
It
seems audacious to claim that an act as modest as modifying the way you
treat your organization’s raw data can lead to sweeping economic,
governmental, and social change.
That is
precisely what Democratizing Data will demonstrate.
For far
too long, we have been more concerned with creating data warehouses in which
to store data than we have been with actually using that data to its full
potential. In fact, it’s rather astonishing that organizations have
prospered to the extent they have, considering how limited access to
real-time, actionable information has been.
This
remained true even recently, when we have had powerful computers to gather,
accumulate, and disseminate data. It still remained costly and difficult to
deal with data, so access to it was typically limited to management,
analysts, and other elites. Even these power users rarely had access to the
most important data, in
real-time,
non-aggregated form, which allows
the user the most freedom and makes its ability to affect current actions
most powerful.
Putting
data squarely at the center of everything we do, and making it usable – and
shareable -- by everyone, not just those with statistical skills, is a
dramatically different approach from how we’ve regarded data in the past.
Democratizing data sparks wide range of change
Making
data automatically available when and where it is needed triggers widespread
and fundamental changes.
To
begin with, with easy access to real-time data, we can make better
decisions. As we will explore in Chapter 3, for the first time groups can
easily analyze data collaboratively. The result is fundamentally different
from when an individual analyzes it in isolation. Different perspectives
come into play, assumptions are challenged, and the chances of uncovering
problems in advance that might otherwise only be discovered after a decision
is reached are increased.
Because
this data is machine-readable, i.e. encoded in a way that a computer or
machine can automatically scan or process,
it can provide the real-time information necessary to operate a wide range
of devices, which has both economic and quality-of-life benefits.
Perhaps the most common
example today of real-time data spawning an entirely new industry would be
global positioning systems (GPS). Location-based services (LBS), just one
components of the range of businesses made possible by GPS, are expected to
grow by 104% through 2011.[xvi]
Can you imagine the potential economic development and quality-of-life
opportunities if all of the non-confidential geospatial data compiled by
government agencies was routinely released on a real-time basis?
In the political realm,
debate and disagreement will always be with us, so one should not
over-estimate the benefits of access to data. However, beginning debate on
proposed legislation from a pool of data that was accessible to all on a
simultaneous basis might increase the chances of reaching consensus
or at least isolating the most extreme positions that were clearly not
supported by data. The more data is analyzed and debated before passage of
legislation, the less likely it will be that critical data that only comes
to light after passage would undermine the law itself, or significantly
alter public opinion.
Similarly, when data on
government operations, campaign finance and “earmarks” are made public, it
is much harder to conceal corruption or unjustified disbursements. For
example, making campaign contributions public allows watchdog groups and the
media to create visualizations that explore possible correlations between
contributions and votes that might favor a particular contributor.
Equally
important, although few organizations have tried it so far, making
real-time, actionable data available to your entire workforce (with the
exact amount and type available filtered depending on your role: this is not
a one-size-fits-all approach) can elevate all workers to the status of
“knowledge workers.” That will help workers increase their efficiency and
reduce costs. They will be able to see which other employees have access to
the same data and therefore are likely to share tasks, responsibilities and
oversight and interests, engage in the kind of “collaborative data analysis”
mentioned above. They can see potential synergies, overlaps, and gaps
between programs that must be addressed.
Democratizing data essential today
The
lack of broad public access to real-time data was regrettable in the past.
Given the unprecedented worldwide organizational and social changes facing
government, the global economy, and our personal lives today as a result of
the global crisis that began in 2008, it is intolerable.
We need
every potential tool and piece of information at our disposal to deal
with these conditions.
For
business people, given the massive layoffs over the past few years, it is
essential that your remaining workers be able to be as efficient and
effective as possible. As mentioned above, democratizing data will make it
possible for the first time to give your entire workforce the raw,
real-time information needed for them to work more efficiently, new
tools to help them better analyze that information, and to collaborate as
never before.
Businesses will also be able to significantly reduce their non-labor costs
when data is democratized. They will be able to improve business process
management (BPM) and supply-chain management because all of those needing to
coordinate procedures, procurement, and logistics will be able to
communicate more readily.
In addition, embedded-devices[xvii]
activated by real-time data will have access to it at the same time,
automating previously manual processes. Data will give us usable information
on everything from traffic to our personal carbon footprints to our health
conditions in applications and devices that will allow us to act on that
data and improve our lives.
The regulatory system,
in shambles after revelations of lax enforcement in the past decade, was at
least in part to blame for the sub-prime mortgage scandal and its cascading
effects on the overall economy. Regulation can be reinvigorated through a
shift to “smart” regulation, which substitutes a single data file for
countless traditional forms. All of the agencies responsible for reviewing a
company’s operations will be able to share data simultaneously, allowing
coordinated review and enforcement for the first time. This should improve
the quality of regulatory review and uncover suspicious activities sooner.
The same single-business reporting approach will allow companies to reduce
their regulatory compliance costs, perhaps as much as 25%.[xviii]
In the
past, effective regulation would inevitably have driven up corporate
reporting costs, because the only way to have increased scrutiny would have
been to require filing more forms. Now a radically simplified, but more
informative and integrated, system can benefit government, the public, and
corporations.
Equally
important, government agencies and corporations alike must rebuild public
confidence after widespread revelations of shoddy management, lack of
oversight, and imprudent investments that brought the global economy to the
brink of disaster in 2008-9. They will be able to do so through
democratizing data.
Demeaning, “trust us” platitudes are no longer enough in the face of
consumer and voter outrage. Instead, by releasing large amounts of unedited
data directly to stockholders, voters and watchdogs, they can take a “don’t
trust us, track us” approach, inviting unfettered scrutiny by watchdogs, the
media, and the public.
The
soaring federal budget and deficit have united the political spectrum in
demands to cut out waste and inefficiency, and to open up the legislative
process so that the public can be heard.
Vivek
Kundra, the former District of Columbia chief technology officer, named by
President Obama as the first chief information officer of the United States,
refers to this approach as the “digital public square.”[xix]
“… technological advances now allow
people from around the world unfettered access to their government. Through
these advances, constituents can hold their government accountable from the
privacy of their own homes. The District of Columbia is bringing people
closer to government through collaborative technologies like wikis, data
feeds, videos and dashboards. We’re throwing open DC’s warehouse of public
data so that everyone—constituents, policymakers, and businesses—can meet in
a new digital public square. “[xx]
Kundra,
incidentally, was originally to Democratizing Data’s co-author. His
new responsibilities required that he recuse himself, so he didn’t actually
write or edit any of the book. However, because of several long Saturday
discussions of the democratizing data philosophy during the fall of 2008 ---
long before he assumed his new job -- and a small project on the future of
transparency that the author did for him in his prior job, Kundra’s
thinking is a powerful influence throughout the book.
Finally, and perhaps most exciting, democratizing data can lead to
innovation.
It is
now possible, by allowing free access to real-time data streams, to unleash
“crowdsourcing” of new services for government and industry alike, better
serving diverse groups’ needs at low or no cost.
Crowdsourcing, as explained in the book by the same name by Jeff Howe,[xxi]
is the phenomenon in which communities, whether intentional or ad hoc
ones, come together using Internet resources, especially open-source
software, to accomplish a task collaboratively, by each providing a small
portion of the overall solution.[xxii]
Even
better, the more organizations embrace this revolution, the more the
benefits will multiply, because democratized data inherently fosters
linkages and synergies between programs and services that share the same
data, and open source solutions that all can share and improve upon. Because
these programs use global standards, free to everyone, the revolution can
and must be global in nature, benefitting nations of all sizes and
development status.
stumblesafely: the revolution in microcosm
Democratizing Data
will introduce you to some revolutionary examples of the democratizing data
transformation. One, for instance, integrates all data to help a state
handle natural disasters or terrorist attacks. Another provides emergency
room doctors with critical information in life-or-death situations. A third
gives soldiers dealing with the unprecedented challenges of asymmetrical
warfare all of the data they need to both fight battles and wage “soft
peace.”
But to
get a basic introduction to the approach and its power, let’s begin with a
far more modest example.
A group
of young Washington D.C. application developers developed “stumblesafely”
to help them and their friends navigate home on foot safely after a
convivial evening in bars in the city’s Northwest section. While stumblesafely
wasn’t intended to change the world, it turns out to tell us a lot about
democratized data’s power to transform every aspect of our lives.

Illustration 1.1 Stumblesafely
“stumblesafely” was an after-hours product of DevelopmentSEED, a
leading D.C. web development firm that does ambitious online projects for
clients such as the World Bank, the UN Millennium Campaign, and the American
Institute of Architects.
In fall
2008, Kundra announced a first-of-its-kind contest that caught the company’s
attention.
The Apps for Democracy
Contest (“Apps” being developer-shorthand for computer applications) offered
nominal prizes for developers who took one or more of the real-time data
feeds that the city issues as part of its “Citywide Data Warehouse,[xxiii]”
and developed an “open-source” application that others are free to use or
improve upon that, in some way served the public interest. How the entries
served the public interest was intentionally left vague to encourage
creativity.
Oh, and
the teams had only a month to prepare their entries.
The
DevelopmentSEED team jokingly called Apps for Democracy “Iron Chef for
developers,” referring to the TV show in which chefs are given a limited
number of ingredients and length of time to create dishes. Their
“ingredients” were the 270+ data feeds the city issues through the Citywide
Data Warehouse, and the time frame the one-month deadline to submit
applications. Given those limits, the team decided to have some fun, and do
an “Apps for Democracy” entry that they’d like to use themselves.
According to firm
strategist Eric Gundersen, stumblesafely, which they call a “guide to
bars and avoiding crime in NW [Washington]”[xxiv]:
“.. was one of those
ideas that happened when we were working late one night. We figured it would
be cool to show off some of our favorite drinking spots in DC. We like to
joke that it doesn't matter when or where you start drinking for stumblesafely
to help you, since you can see crime data based on daytime, evening or
night.”[xxv]
As you
can see from the screengrab, stumblesafely is attractive, resembling
an aerial view of the neighborhood at night, with large squares that
represent popular bars (“stumblesafely” is very popular with
bartenders!), gray circles that show the location of recent robberies, red
x’s that show assaults. Following the map are phone numbers to call a cab
(for those who really had too much of a good time), and the right
sidebar lists real-time Twitter “Tweets” referring to nightlife in the area,
re-enforcing the message that this isn’t just a canned, static map, but a
real-time tool.
Cute,
and probably fun for pub-crawlers, but a closer analysis of stumblesafely
shows that it combines most of the important elements regarding free access
to valuable data that this book will explore, and which underlie much more
serious work:
·
Creatively use data formerly inaccessible to the public.
The District of Columbia issues more than 270 “structured” data feeds from
their massive city databases (Structuring data, as we will explore in the
next chapter, means bracketing the data with “tags” that describe it and
give it context,” such as <description> or <phone>. DevelopmentSEED used 6
of the feeds, most of which are delivered automatically as new data is
entered, so they are always current.
The names illustrate the wide range of data, especially geo-spatial data,
that agencies compile and could be valuable to the public or within agencies
as well (since, as we will see, most workers also didn’t have real-time
access to it in the past):
·
DC Crime Data
·
DC Road Polygons
·
DC Liquor Licenses
·
DC Water Polygons
·
DC Parks
·
DC Metro Stations
·
Use universal standards.
The DC data is valuable because it is identified by a standardized “tag”
system that attached additional information to the data so it can be
recognized and processed by any program or any device that is programmed to
draw in that data. Those tags are based on global standards that are free
and accessible to all, which increases their versatility, and makes it
easier for others to copy and improve upon pioneering applications.
·
Visualize data & evaluate it collaboratively, which makes it
valuable.
Most of this data would be incomprehensible to non-statisticians in its
traditional tabular form. However, when presented graphically, the data
instantly becomes understandable to the general public.
Also, the fact that the DevelopmentSEED staff examined the DC data feeds
collaboratively rather than individually improved the quality of results.
When many perspectives examine the same information, the interpretation will
be richer and more nuanced than what even the most brilliant individual
could do in isolation.
·
Use open-source software.
Open-source software
(i.e., software whose source code is freely available to use and improve) is
usually cheaper than proprietary alternatives, and built on open standards,
just as the structured data feeds are. DevelopmentSEED only used open-source
applications to create stumblesafely, increasing this versatility and
ease of adapting the program to other cities. Gundersen said, “A couple of
years ago we could not have done this kind of stuff with government data
because the tools were not there. Now open-source tools are more powerful
and more secure than proprietary applications. We were able to build this in
a couple of days with the only cost being our time.”[xxvi]
·
Create 0pen-source solutions to encourage constant
improvement.
One of the contest rules required that the solutions
themselves be open source, so that others could copy and/or improve on them.
This will significantly speed adoption of democratized data solutions
worldwide, because other governmental entities that begin to offer the
necessary structured data feeds can easily examine then share or improve on
the work of the pioneers.
·
Create mashups.
Each data stream by itself would only provide a small part of the
information needed to create interesting and informative maps. However, when
all 6 of them were combined – “mashed up” (in developers’ lingo) -- the
picture was comprehensive and valuable.
·
Don’t prejudge what data to not release. Someone may
find it valuable.
Management may be
tempted to decide that certain data doesn’t need to be released because it
would be of little interest to others. However, it was combining 6 of the
data feeds that DevelopmentSEED used that made stumblesafely
possible. Some data feeds may be appealing only to a relatively small number
of people, but may be invaluable to them (the long-tail phenomenon at work[xxvii]),
so access shouldn’t be arbitrarily limited.
·
Partner for innovation.
DevelopmentSEED’s Eric Gunderson learned after the Apps for Democracy that
stumblesafely had some unexpected users: the DC Police. The city
administrator told him that the police “… were using our map to better
visualize crime hot spots near bars to improve their coverage during the key
times of the day when it mattered. This is a great example of a positive
externality coming from open data… open data will have many benefits for
taxpayers that we can’t even imagine now. It is not like the government
would have ever paid us to build a drinking site!”[xxviii]
When government agencies – or private companies, for that matter – release
data, others will use them in creative ways that may create new revenue
streams for the company or help a government agency better serve the public
interest.
As an
added bonus, Gundersen says that the project for fun directly benefited some
of their prestigious regular clients: “the same mapping tools powering the
bar site are also being used to help USAID map [food security operations in
Africa] and by non-profits like New America to map public health data in the
U.S. In fact it was New America that helped pay for a lot of the mapping
work with Drupal that gave us the tools to do this. Everything we do ends
up getting reinvested back in. It feels great.”
On
further examination, stumblesafely looks like much more than a group
of friends’ fun little project for themselves and their buddies.
It’s a
harbinger of a new era in which free access to data leads to innovation in
every aspect of our lives.
Democratizing data happening now
stumblesafely
isn’t the only example of democratizing data in practice today. This is not
just a vision of possible transformation in the future. True, the amount of
innovation is severely limited by the lack of freely-available structured
data that is the underpinning of democratizing data.
Despite
those limits, pioneers in government and industry worldwide are already
realizing tangible results with innovative data-centric strategies that
would have been impossible only a few years ago.
In the
Netherlands, companies now have the option of filing a single data file with
the government instead of the traditional 30-40 quarterly and annual reports
to a wide variety of agencies. The change is possible because all of the
agencies have reprogrammed their mandated reports so that they can
automatically access relevant data from the unified file.
Multiple agencies can examine the company’s filing simultaneously,
improving the quality of regulatory scrutiny. Participating companies can
cut 25% off of their compliance costs. Australia will follow the Dutch
government’s lead with a similar program in 2010.[xxix]
Wacoal,
the Japanese apparel firm, had 32 different legacy IT systems in place,
which it had added over a number of years. The company went to a new system
based on universal access to the same data. As a result, they consolidated
their financial reporting, shortened the closing of accounts by two days,
and added real-time cash management.[xxx]
In the
District of Columbia, Aki Damme, director of the District of Columbia’s IT
ServUs team, had to manage a project to buy and install 6,000 computers in
city classrooms for a high-visibility new program. The original estimate was
that the project would take an entire year to complete. However, an
expedited purchasing program and his ability to plan the installations using
a Google Maps mashup cut the total length to only 7 weeks, and saved
thousands of dollars in costs.[xxxi]
Agencies responsible for disaster preparedness and response in Alabama can
now access “Virtual Alabama,” a comprehensive, integrated array of real-time
geospatial information – right down to the layout of individual classrooms –
that helps them change emergency evacuation routes, know instantly where
response vehicles are located, and monitor real-time sensors locating
chemical releases and their plumes.[xxxii]
The US
Patent Office now allows individuals outside its staff to participate in the
review of patent applications under the trial “Peer to Patent system”
designed in part by NYU Law Professor Beth Noveck, now an Obama
Administration official. The project promises to reduce the “patent thicket”
that slows innovation.[xxxiii]
Although these examples
are impressive, the organization that perhaps epitomizes the use of
democratized data better than any other at the time of this book’s
publication is the District of Columbia’s Office of the Chief Technology
Officer (OCTO).
Under former CTO Vivek
Kundra, OCTO pioneered numerous innovations, including:
·
publishing a wide
range of real-time data streams to invite public scrutiny and allow mashups[xxxiv]
·
introducing rigor and
accountability to project management by treating each project as a “stock”[xxxv]
·
treating every worker
as a knowledge worker, and giving them real-time data to do their jobs more
effectively[xxxvi]
·
running the precedent-setting “Apps for Democracy” contest,
which resulted in an astonishing array of crowd-sourced open source
applications—and reaped a return on investment of 4,000%
[xxxvii]
Now that Kundra has become
the first CIO of the U.S. government, his innovations at OCTO will provide
valuable clues to the kinds of changes he has already begun spreading
throughout the US government. Those in turn will likely stimulate similar
initiatives in the private sector and other governments worldwide.
Accordingly, an entire chapter of the book will be devoted to a case study
of his accomplishments there.
All of
these examples, and more, will be discussed throughout the book. Since, as
mentioned above, these pioneering examples are made possible by
international, open-source standards for handling data, it becomes very easy
for other companies and agencies to launch their own programs of these
sorts, building on the experience of the pioneers and adding to the
“library” of data-based solutions to complex problems.
That
will mean that those who begin democratizing data now can directly benefit
from the case studies detailed in the book. The benefits, should other
government agencies and companies move quickly to take the basic steps
required, should increase exponentially because of the synergies between
initiatives worldwide.
Keys to
the strategic shift
Effective democratizing data initiatives require a paradigm shift from past
ways of regarding data. The book will explain in depth these key goals:’
·
Make your organization data-centric.
In the past, because the tools to distribute and use data
were primitive, it was understandable that access to data was primarily
second-hand. It was usually warehoused, embedded in proprietary software,
and/or interpreted by an elite group of analysts and executives. Today, open
source software, metadata and other tools that we will examine allow the
data to remain independent, accessible to all whose jobs require access to
it. Truly, data must be thought of as at the heart of everything the
organization does.
·
Treat all workers as knowledge workers.
When data was hard to access and the software to interpret it costly,
limiting access to real-time data to a relative few was justifiable. Now it
isn’t. Every worker’s job performance and satisfaction can be increased by
direct access to data (the exact mix of data delivered to individual workers
will be determined on the basis of his or her role.)
·
When appropriate, release real-time data for outside use and
scrutiny.
Government agencies and businesses accumulate vast amounts of data that
could be used externally, not only to earn public trust through
transparency, but also (especially with real-time and geo-spatial
information) to create valuable new services that can complement what the
agencies and companies do themselves, or, in its machine-readable form, to
drive embedded devices in a wide range of products. That data is also more
valuable when it is released in the original, granular form in which it was
collected, rather than as interpreted and aggregated by others. Today the
default must be to release data. Exceptions to that rule must be
justified.
·
In no way does a democratizing data strategy justify breaches
in personal privacy and/or security standards.
In fact, as we will see, establishing the right access standards can mean
people ranging from those with no security clearance at all to top-secret
clearance may all access portions of the same data set based on the
situation and their roles, but with widely-differing specific levels of
access. A comprehensive democratizing data strategy should in fact help
uncover security and privacy breaches rather than encourage them.
·
Above all, adopt a new collaborative attitude toward data.
In the past, if data was shared at all, it was usually sequentially, because
data was effectively captured and altered by various proprietary programs.
Now, with open-source, open-access programs and structured data, data can be
more effectively analyzed and used if it is shared on a real-time basis.
Collaborative data analysis is fundamentally different than analysis by
individuals, harnessing different perspectives and expertise to yield a
richer, more comprehensive picture that benefits from all of these
perspectives and is more nuanced and balanced.
Democratizing Data’s
overall goal is to introduce you to the benefits of democratizing data and
to the simple tools you can use to structure and automatically distribute
data, the fundamental building blocks of the democratizing data approach.
Along
the way, you’ll learn that democratizing data is both a process and an
attitude. The more people who can access data and use it, the more valuable
the data will become, the more workers will be able to improve their
performance, government and corporations will become more accountable and
transparent, and average people will become both better consumers of data
and be able to use it to become active participants in creation of goods and
services.
Let us
begin to explore this profound transformation and its implications for our
government, our workplaces, and our daily lives.
Given
the monumental challenges facing us today, we don’t have a moment to spare,
and data, used in innovative ways, can provide many of the solutions.
[iv]
Strict
grammarians remind us that data is the plural of datum in
Latin. However, has become common practice to use a singular verb
with data, so that will be the practice observed in this book.
In case you’re interested, here’s the argument:
“The word data is the plural of Latin datum, “something given,” but
does that mean you should treat it as a plural noun in English? Not
always. The plural usage is still common enough Sometimes scientists
think of data as plural, as in These data do not support the
conclusions. But more often scientists and researchers think of data
as a singular mass entity like information, and most people now
follow this in general usage.” The American Heritage® Book of
English Usage.A Practical and Authoritative Guide to Contemporary
English. New York: Random, 1996..
[v]
DiGiammarino, Frank. Interview with author, December 05, 2008.
[vi]MacCullogh,
Diarmaid. The Reformation, a history. New York: Viking,
2004., 113.
[xiii]
Wendy M. Jameson, CEO, Potentiate, email to author, March 30, 2009.
[xvii]Embedded
systems are
special-purpose computer systems designed to perform a single or a
few dedicated functions on a real-time basis, which increasingly
drive equipment and processes.
[xx]
Kundra, Vivek. “Building the Digital Public Square,” unpublished
essay.
Chief
Technology Officer, District of Columbia Government
[xxi]
Howe, Jeff. Crowdsourcing: why the power of the crowd is driving
the future of business.” New York: Crown Business, 2008 310 pps.
[xxv]
Eric Gundersen, email to the author, March 17, 2009
[xxvii]
As detailed by Chris Anderson in his book The Long Tail: Why the
Future of Business is Selling Less of More, the long-tail
refers to a strategy in which you serve a large aggregate number of
customers with products (in this case, data streams) that each
serves a small niche.
[xxxi]
“OCTO Delivers Computers to Every DCPS Classroom,” News Release,
District of Columbia Office of the Chief Technology Officer, Jan.
31, 2008.
http://tinyurl.com/5wkarl
Editor's Note: June 2009 - Hurricane Season is upon us and many of the
lessons learned post-Katrina still ring true today. This should be required
reading for emergency managers and community leaders. - HN
Post-Katrina
Emergency Messaging for the Disability Community
Brenda Phillips,
PhD
Jennifer Mincin,
MPA
[December 2005]
National Emergency
Management Resource Center
NEMRC 2.0
www.nemrc.net
Overview
The purpose of this document is to provide a general
overview of ideas, principles, research and basic strategies to assist
emergency managers and public health planners to better communicate with the
disability community during disasters.
Accurate information and aggressive outreach prior to,
during and after emergencies improves the ability of individuals and
communities to prepare for, mitigate, and cope with the impact of a
disaster. People with special needs may have a variety of limitations that
prevent information from getting to them, which could be a matter of life
and death. Additionally, people with special needs may be particularly
vulnerable if their service providers, home health services, outpatient
clinics, etc. are impacted by the disaster and they are unaware of
alternatives.
The development of the information itself, what is addressed
and what is not addressed is very important. Sometimes what is adequate for
the general public does not address the specific concerns of many
individuals with special needs. The information that is critical will change
from stage to stage of an emergency. Disability communication planning
should address dissemination of information among special needs communities
and professionals. This must include:
• Preparedness messages prior to disasters
• Notification and warning just prior to and during
emergencies
• Critical information resulting from an emergency
• Recovery and re-entry information.
Challenges
The following is a list of challenges most emergency
management and public health agencies face when planning for and considering
communicating with the disability community during disasters:
• Providing accurate and timely information to
professionals and to the public;
• Utilizing alternative formats (Braille, large
font, plain language) and multiple modes (TV, radio, call-down
systems, etc.) to disseminate information to the most people
possible;
• Determining when special needs sheltering or other
information should be shared with the public;
• Involving communities at risk to help themselves;
• Involving agencies and organizations that work
with those at risk;
• Coordinating the dissemination of information with
different healthcare, long term care agencies and other
organizations providing daily or regular services;
• Ensuring that agency/organizations press officers
are attuned to special needs issues and can present accurate
information that is helpful and clear.
Limitations of the Research
A small body of scientific, empirical research exists on
disasters and persons with special needs. Use of that body of knowledge,
though helpful, is nonetheless limited in several ways (Tierney and Petak
1983; Parr 1987; Jones 1987; Mansour 1993; Ragsdale and Simpson 1996).
First, because the research is relatively small, verification of research
findings by repeated studies is a concern. Second, the body of research
tends to be generic rather than specific to certain populations of interest.
Third, the size of the samples (numbers of persons or organizations studied)
tends to be relatively small; a related concern is that the much of the
research is not generated from randomly selected, representative samples,
which raises questions about its broader application to all persons with
special needs. Fourth, the research is scattered across the phases of
emergency management although most does address preparedness and response.
Fifth, the research rarely addresses the intersection of such issues as
disability, age, income, gender and culture. For example, research about the
deaf may not acknowledge that deafness may originate in birth or later life.
Each situation carries different challenges and different solutions. Sixth,
research is produced by a variety of scholars across a range of disciplines.
To illustrate, warning messages may be addressed by social
scientists, meteorologists, communication specialists and disability
researchers, all of whom present research from different perspectives.
Finally, limited research exists on specific channels for communicating
messages. For example, is text messaging more effective than closed
captioning? What circumstances, such as type of disaster, target population
characteristics (income, literacy levels) and cellular service ranges might
affect a choice to use text messaging versus closed-captioning?
The good news is that general research findings tend to
overlap with those from studies on other vulnerable populations (the poor,
women, the elderly, children). Further, research has tended to support
recommendations from governmental reports, including those generated
recently on Hurricane Katrina. Consequently, it is possible to use the body
of research, including well-done governmental studies, to generate
principles for this report.
Conceptual Model for Warning Messages
The conceptual model most frequently acknowledged in
scholarly research is the "Source-Channel-Message-Receiver-Effect-Feedback"
model (Lasswell 1948 as cited in Tierney, Lindell and Perry 2001). This
multi-stage model should be viewed as a process that may be experienced
differently, at any stage, by various populations. To illustrate, the source
(emergency manager, media) may be seen as credible or not; the channel (text
message, phone call-down) may be accessible or not; the message may be
understood in varying degrees; the receiver may not receive the message; the
message may generate desired behavior (as possible) within the target
population; receivers may then seek additional information to onfirm the
message content (Tierney, Lindell and Perry 2001). What is key to understand
is that emergency messaging takes time to deliver, interpret, and act upon.
Research Derived Principles for
Disability-Related Emergency Messaging
This section employs the conceptual model described above to
organize research-generated principles for disability-related emergency
messaging.
SOURCE (media, emergency manager, groups,
organizations, friends/family/neighbors): the vehicles through which
communications are transmitted vary from formal to informal sources. Those
sources vary in terms of their credibility to the public, their abilities to
transmit information accurately, and their experience in reaching out to the
target populations. A number of principles can be derived from the existing
research to enhance the source’s abilities to transmit messages.
Build trust and credibility.
Direct connections between the source and the recipient can enhance
credibility and build trust. Emergency managers, media personnel, advocates
and social service providers can all reach out to target populations through
direct media campaigns, presentations at public meetings, targeted
brochures, service on each other’s boards, and working with community
groups. The more frequent the contact, the more likely it is that trust and
credibility can develop. However, it is crucial that the person(s) involved
in the direct connection be able to connect with the target population in a
sincere fashion. Doing so may take considerable time with some populations
reticent to shed decades of mistrust.
Educate the media.
The media can serve as an important and crucial point of dissemination for
warning messages. However, media personnel rarely have enjoyed the benefit
of training or education in such information dissemination. Further, in the
urgency of the moment, crucial details can be glossed over or reported
inaccurately. To address these concerns, it is important to develop prior
relationships with the media, to engage in mutual training workshops with
authorities and the target population, and to practice warning transmission.
Mutual aid agreements with the media, though unusual, may serve as a useful
public service activity between all parties.
Link with advocates
and service providers. Typically not involved in warning dissemination,
preparedness, and response initiatives, researchers concur that local
community organizations and service providers should be more fully involved.
Local providers and advocates know their populations well and can serve as
resources for preparing and assisting target populations. Their expertise as
important linking organizations to the target populations cannot be
overlooked.
Use social networks
(family, friends, neighbors). Warning research consistently demonstrates
that receivers confirm the warning message with those they trust: their
family members, friends and neighbors. Such social networks can be used to
help with buddy systems, delivery of prophylactics, information
dissemination, transportation, evacuation to emergency shelters and more.
Authorities an motivate connections to social sources too, such as asking
the media to have neighbors check on each other. Disaster research also
shows that gender matters, in that women tend to want to respond to warning
messages at higher levels than men. Women also tend to be more likely to
shoulder responsibility for the target populations. Thus, engaging in
outreach to women’s organizations (faith-based, civic, neighborhood,
workplace) is a potential way to increase awareness and enhance the
usefulness of social networks.
Transmitters should be similar to the target population.
Receivers tend to listen more closely—and to trust—persons that are similar
to them. This principle of homogeneity can be used when selecting a source.
Consider, for example, using a person with a disability in a public service
announcement and in a warning message. As another example, a local emergency
manager could involve the elderly in direct outreach to each other, such as
through building a Community Emergency Response Team at a local senior
center.
CHANNEL (audio, print, technologies,
authorities in uniform): a variety of media can be used to transmit
information including radio, television, e-mail, text messaging, call-down
systems, electronic billboards, communication boards, newspapers and even
individuals going door-to-door. No one single channel is the perfect
solution for an audience diverse in how it may access, interpret and respond
to information.
Employ diverse means to reach populations. Multiple
and redundant systems tend to reach more persons over a broader stretch of
time. Thus, using a combination of channels to reach persons is key.
Pre-established messages can be activated expeditiously as a strategy to
reduce effort during a response time frame.
Recognize that technologies are not necessarily
available, affordable or used by populations at risk. To illustrate,
consider that text message served as a popular communication strategy for
persons that are deaf during Hurricane Katrina. However, text messaging
requires that an individual be able to afford, read and understand that
text. Elderly persons who are hard of hearing are less likely to use text
messaging, e-mail or web sites. Thus, in order to truly reach the deaf and
hard-of-hearing community, it is necessary to use not only technologies but
traditional vehicles as well. Post Katrina, persons that are deaf used
newspapers and web sites as a major source as well.
Understand that federal
policies do not guarantee that emergency messaging will be delivered.
Although FCC policies expect that closed-captioning will occur during
emergencies, a number of exemptions have been granted to cable and satellite
channels. Further, research suggests that even local networks experience
difficulty in affording or providing caption during emergencies, especially
rapid-onset events.
Involve well-trained first responders. Firefighters,
police, EMS and other uniformed personnel tend to carry higher levels of
credibility especially when direct, face-to-face communication is the medium
of communication. Involving such first responders can increase warning
compliance. However, Hurricane Katrina revealed a number of gaps in how
first responders understand and interact with the targeted populations
including communication, evacuation strategies, assistive devices and
service animals. Thus, involving first responders as a channel through which
to transmit information requires training, preferably in concert with the
organization sending the message and representatives from the receiver
population.
MESSAGE. The content of a warning
message is crucial. It must carry certain components: (1) identify the
hazard (2) locate the warning area (3) specify actions to be taken (4) be
understandable to the target population (5) apply to the target population.
In writing and transmitting a message, it is important to follow certain
principles:
Develop and test message
content for specific scenarios and populations with those populations.
Research indicates that those at risk represent a useful source of
information for message content. Accordingly, messages should be written,
tested, assessed and revised in concert with those at risk.
Be specific, giving actions
to be taken appropriate to the population. Audiences require that the
source give specific information on actions that need to be taken. It is not
enough, for example, to direct receivers to a location. Rather, specific
information on the route and the resources that can be used to reach the
location must be included. Or, if shelter-in-place is the recommended
action, instructions on the best location or strategy to SIP is required.
For a population that is unable to take the preferred action, alternatives
must be given including the activation of social networks, linking
organizations, and other viable, pre-established connections to the target
population.
Repeat a consistent message
through multiple sources and channels. All sources and channels used
must give consistent, correct information. Variations from the official
warning message cause confusion, increase confirmation behavior, and delay
compliance. Pre-event training of sources should be undertaken to increase
compliance with this principle.
Rehearse, exercise and
assess message relays. Drills and exercises can include test messages
coupled with an assessment or research component. Use opportunities to test
content, for example, testing a message with a representative group during a
severe but non-life threatening weather event.
RECEIVER. Reaching those at risk and
motivating the desired behavioral compliance is the goal. Although a fair
amount of research exists on behavioral response in general, only a limited
amount exists on persons with disabilities.
Acknowledge and address diversity. Assume that any
given population is considerably diverse. Persons with mobility, cognitive
and sensory limitations may vary from low functioning to high functioning
levels. Persons from varying backgrounds will filter their understanding of
the message through their cultural frameworks.
It’s just another challenge. Disasters, for persons
with disabilities, may represent just another of life’s many challenges.
Preparedness consequently may take a back seat to other requirements of
daily survival. For those with a limited income, preparedness and mitigation
may be simply impossible. Response to warnings may occur only after the
person at risk becomes convinced that the message applies directly to them
and that the risk is imminent.
Expand efforts to reach
those at risk. People do not simply live with one life circumstance,
such as using a wheelchair. For a low-income elderly paraplegic, for
example, a warning device or television access may be financially
impossible. If that person is also hard-of-hearing or socially isolated
(more common with elderly men), expanded efforts may be necessary to reach
the individual. Community and civic groups may be a source to raise funds
and deliver assistive devices such as pillows attached to vibrating devices,
visual smoke alarms, text messaging devices, protective kits, emergency
bags, etc.
Develop multiple means to communicate beyond English
and Spanish, including Braille, audio, and visual (i.e. for non-literate or
non-English/Spanish speakers). Materials should be developed for use by the
source and receiver. Understand that Spanish sign language differs from
English sign language and that persons capable in those languages must be
involved in message development.
Empower those at risk and build their capacity to respond.
Vulnerability researchers concur that the least used and most effective
strategy is to work with those at risk to design, test, and refine warning
messages, to develop preparedness materials, and to motivate self-initiated
response. In the aftermath of Katrina, for example, schools for the deaf
organized student volunteer crews. In Pittsylvania County, Virginia, a deaf
CERT has been formed. Assuming that persons with disabilities cannot be an
active part of preparedness and response efforts further disables that
population.
Develop educational and
outreach programs. Those who understand their risk are more likely to
take action. People who know what to do and who have undergone frequent
training are more likely to take action. Empowering those able to respond
may also reduce unwillingness to register as having special needs out of
fear of privacy invasion or loss of independence.
EFFECT. This section addresses how persons
with disabilities might respond to warning messages. Although it is
anticipated that many persons will be motivated to comply with warning
messages, it is also true that delays can and will occur in behavioral
compliance.
Anticipate disbelief.
Research indicates that most people, regardless of disability status, tend
to not believe a warning message. Typically, most persons delay compliance
until they have confirmed the message content with another source, usually a
trusted social contact. To motivate compliance, those at risk must
understand that the message applies directly to them and that their life is
in immediate danger. Sources must connect to their target population.
Anticipate reluctance or inability to respond.
Persons with disabilities may be tied to the locations, persons and routines
that sustain their lives. It is therefore understandable that they may be
reluctant or unable to respond as desired. Providing alternatives to the
recommended action may be necessary. Providing resources to those able to
alter the living arrangements, social networks and routines may increase
compliance. Multiple interactions from trusted social contacts may be
necessary before the desired behavioral response is reached. Consider, for
example, persons that were deaf in New Orleans who never received or
understood the hurricane message. Buddy systems could have made a
difference. Working through schools or religious organizations for the deaf
and blind could have made a difference as well.
Anticipate that the target population will question
whether message pertains to them. Research indicates that receivers in
general delay response while determining if the warning applies to them.
Specifying areas by zip code as well as specifying populations can clarify
this. For example, after the Three Mile Island nuclear incident, messages
that targeted pregnant women motivated higher levels of evacuation.
Anticipate delays in appropriate response. Motivating
the most rapid and appropriate response is the desired goal. Yet, many
warning recipients delay response. Delays occur for varying reasons. During
Hurricane Floyd, some persons with disabilities did not evacuate because
their one "buddy" was absent or because they did not believe that shelters
could provide appropriate accommodations. Elderly may respond more slowly
due to "Delayed Response Syndrome" or because of hyperthermia or
hypothermia. The effects of the evacuation for Hurricanes Katrina and Rita
for future events remain unknown. It is likely that the horrific scenes may
motivate higher compliance but it is also possible that non-governmental
linking organizations may need to be increasingly involved to overcome
issues of trust and credibility.
Anticipate that the target population may not be able to
respond as desired, including shelter-in-place or travel restrictions
due to their circumstances (dialysis, inappropriate shelter location).
Inabilities to travel to a given location for prophylactics or shelter may
be due to a lack of transportation resources, mobility limitations,
connections to life-sustaining devices, fear of the unknown or not knowing
if a location is accessible, or even fear of urban areas or highway driving.
Rehearse the desired behavior. Linking organizations,
civic and community organizations can work with local authorities to train
those at risk in the desired behavior. Persons that rehearse desired
behaviors tend to respond more appropriately and more quickly. Such
activities have the potential to build and/or strengthen social ties useful
during an emergency.
Anticipate altruism. Research clearly indicates that
in a disaster situation, people help each other. In the 9/11 attacks,
co-workers stayed behind to help colleagues with disabilities. In the
aftermath of Katrina, deaf students mobilized to help those left homeless.
In most disasters, the first person most likely to reach you will be a
neighbor. Emergency managers and authorities can assume that, in most cases
and most circumstances, people can and will help each other. Planning,
preparedness and response activities can be based on this principle.
FEEDBACK. The final part of the conceptual
communication model addresses feedback. There are several dimensions to this
including the need to solicit feedback from target populations prior to an
event and the behavioral reality that people will solicit feedback from
socially significant others prior to taking action.
Solicit feedback prior to
actual implementation from target populations. The audiences they seek
to reach should review warning messages for content. Focus groups can be
used for this effort. Assessment of the focus group conversations and
refinement of messages should follow.
Anticipate confirmation behavior and time messages
accordingly. Do not delay messaging. Because confirmation behavior
routinely occurs, emergency managers and local authorities should not delay
warning messages. A number of research studies document deaths and injuries
when officials have chosen not to act expeditiously.
Encourage interaction among family, friends and
neighbors to activate and spur confirmation behavior. Activating social
networks spurs feedback behavior. Messages should include requests for
people to contact friends, family and neighbors.
Existing Practices and Strategies in
Use
In general, and as expressed above, there is not much data
supporting various and existing practices. In addition, it is also clear
that in the area of special needs planning, there is a serious deficit on
the local, state and federal planning and response levels. However, there
are generally accepted strategies that are employed in certain
jurisdictions. Plans should be designed to address accessibility and
accommodations so that special needs issues are incorporated into all
aspects of disaster planning. In addition, emergency management offices
should provide, when feasible, emergency information to the special needs
population through the following methods:
• Public information materials, which may be
provided in alternate formats including audiotape, electronic, and
written materials in large type.
• Public Service Announcement (PSA) should be Closed
Captioned for the hearing impaired.
• Coordination with the disability community in
establishing trainings and alternate format of materials should be
considered.
• OEMs and other government agencies should have
functioning Telecommunications Device for the Deaf (TDD) as well as
a public email address. These numbers and addresses should be
published in all public information materials and websites.
According to a National Organization on Disability (NOD) and
Harris Poll Interactive1, incorporation of special needs issues
on local and state levels have increased.
However, these plans are not comprehensive and lack adequate
planning for children with disabilities, do not utilize experts with
disabilities, and have limited training and funding (NOD, 2004). In
addition, the survey found that vital information was not in accessible
formats (NOD, 2004). In many regards, special needs issues are more
complicated than general population issues. However, special needs issues
are equally important and cannot be disregarded simply because they are more
challenging. A 2004 NOD survey revealed that 66% of people with disabilities
do not know whom to contact regarding emergency plans, 61% have not made
plans to evacuate their homes, and 32% say no plans have been made to
evacuate the work place (NOD, 2004). This survey points to the need to
better educate, provide more information, and establish outreach methods to
the disability community. In addition, the disability community must become
more prepared themselves. This level of preparedness within the disability
community must be considered within planning and exercise initiatives.
Risk communication and outreach initiatives must always be
ability focused and inclusive in terms of disability type and
criteria with planning efforts that assist special needs populations. The
following issues may directly affect the special needs population during
various types of emergencies and disasters and should be anticipated:
•
Hesitancy/refusal to evacuate especially if the home is retrofitted
(made accessible)
• Emotional trauma and physical discomfort because
of an evacuation
• Loss of possessions and/or homes (again, an issue
for homes that have been retrofitted or other accommodations were
made)
• Disorientation and confusion caused by disaster
conditions resulting in a temporary loss of memory or the triggering
of other cognitive issues
• Increased need for assistance services to
residents at home (meals, at home nursing, chore services)
• Increased demand for placement in residential care
facilities
• Increased mortality rate following a catastrophic
disaster
• If feasible and appropriate, efforts should be
made for local municipalities to consider voluntary special needs
registry focused on assisting the most medically vulnerable
populations (i.e., those medically dependant and bed bound with
little support). This is where a special needs task force will play
a crucial role in assisting emergency managers on whether to pursue
a registry and if so, how.
Below are some questions and items to consider when
initially developing a disability communication component to an emergency
plan:
• Are all public information materials accessible
and available in alternate formats?
• Are interpreters readily available for meetings
and counseling sessions?
• Do outreach workers (disaster staff), first
responders and planners fully understanding issues concerning the
disability population affected by the disasters?
• Are people aware of sensitivities regarding people
with disabilities and terminology? What kind of education are you
providing to first responders, disaster staff, and planners
regarding disability issues?
• Are disability issues being incorporated and
integrated into the whole program?
• How are you ensuring accessibility and "reasonable
accommodations?"
• Are you
incorporating the disability community in the actual development
plans and exercise design?
• Needs of each target group (i.e. MRDD, Hearing
Impaired, etc).
• Existence of internal service agency disaster
plans.
• Communication of member agency disaster plans.
• Existence of inter-agency and community
partnerships.
• Information relayed during a disaster from
governmental agencies and during the following recovery period as
well as having the availability of local, state and federal
resources.
• Ongoing identification of service gaps and
failures as well as recommended improvements for the overall
response and human services disaster system.
• Communication and planning for the needs of people
with disabilities during disaster and recovery periods.
• Identify the specific needs of each special needs
target group.
• Ensure that member agencies and others develop
their own internal disaster plans, and provide assistance with
development of individual plans for member agencies and others.
• Establish communication with local emergency
management and other VOAD affiliate agencies and planning groups.
• Development of inter-agency and community
partnerships.
• Development of a system for making referrals in
coordination with other available resources.
• Provide emergency preparedness workshops and
presentations for the disability community and train those in the
community to provide presentations.
• Identify the specific challenges of each special
needs target group.
• Identify ongoing service gaps and failures based
on disaster experiences and make formal recommendations on
improvements for the system.
• Establish an advocacy group or special needs task
force that will identify and support individuals with disabilities
and retain the required services from local, state, and federal
government entities as well as other social service agencies.
Working with the Disability Community
It is imperative to recognize the importance of reaching out
to and incorporating all agencies that provide traditional services (mental
health, employment and job training, home health aids, etc.) to the
disability community as well as disability advocacy agencies (independent
living centers). Coupling advocates with professionals allows for better
outreach and delivery of services during a disaster as well as better
informing during the planning and exercise design phase. Outreach to the
disability community includes holding a special needs meeting with key
agency representation and perhaps establishing it as a special needs task
force. Disability leaders, experts, and people with disabilities themselves
can help emergency managers tailor the planning initiatives and drills to
meet the needs of the community as well as instruct how to best reach out to
the community to increase awareness on emergency preparedness. The planning
and exercise process should include not only disability experts, but people
with disabilities to allow for a deeper understanding of the issues and ways
to build awareness and resiliency.
It is also important to work with advocacy organizations to
discuss ways to conduct meaningful outreach, problems or concerns with the
development of emergency plans and exercise design. For example, in New York
City during the 2001 terrorist attacks, some independent living centers
located in predominantly low-income, minority communities had several
different and complex issues to address in addition to disability. Issues of
disability, race, economics, and inequity of services around the terrorist
attacks became prominent during mental health service delivery. Engaging the
independent living centers and similar advocacy agencies was one way to
address these types of concerns as well as enhancing outreach, awareness and
services to the disability population. A communication plan that
specifically considers the needs of people with disabilities during an
emergency or disaster should include close working relationships to
community and advocacy-based organizations. They have resources and ways in
which to communicate and reach out to the disability population that may
otherwise be missing.
Lessons Learned from Hurricane Katrina
A number of reports have been issued in the aftermath of
Hurricane Katrina, including the White House, the U.S. Congress, the G.A.O.,
and various researchers and think tanks. It is clear that, even where
warning messages succeeded in reaching the populations at risk, the desired
response did not always occur. Problems in effecting the desired response
include:
• Medical models were used to manage the target
populations rather than models that would have retained independence
and useful social connections.
• Messaging was not accessible for large numbers of
persons.
• Affected states and localities continue to
struggle to find sufficient numbers of transportation vehicles with
appropriate lifts. Linking with community organizations may be one
route to access such vehicles.
• Shelters were overrun in all locations; many were
not prepared to admit or work with persons with disabilities.
• Shelters did not have sufficient capacity to
communicate with persons with cognitive disorders.
• Shelters did not have sufficient capacity to
communicate with persons who were blind, deaf, hard-of-hearing or a
combination.
• Shelters did not have appropriate types of food
for specific conditions including diabetics, persons with stomach
disorders, etc.
• Medications were not available in the types and
quantities needed at first aid stations, at evacuation centers or at
shelters.
• The target populations died in numbers
disproportionate to their percentages in the general population.
• Injuries and deprivation (medications, food,
shelter, first aid) were higher among the target populations.
• Many persons with disabilities, who could have
remained independent in shelters, were forced to go to special needs
facilities.
• Persons with disabilities were separated from
their families, friends, neighbors and social networks.
• Hundreds of evacuees were separated from durable
medical equipment, assistive devices and service animals.
• Local jurisdictions had not planned sufficiently
for both service and companion animals; many residents refused to
leave their animals behind or to be separated thus delaying their
evacuation.
• Nursing home administrators have the power to
decide whether to evacuate their facilities, even under mandatory
evacuation orders.
• The transportation-disadvantaged (frequently
persons with special needs, individuals with disabilities, the
elderly, the poor) were left behind and died in disproportionate
numbers.
• Local and state governments exhibited "mixed
efforts" at assisting the transportation disadvantaged during the
evacuation. Two locations, for example "did not yet have a good
understanding of the size, location and composition of the
transportation disadvantaged in their communities" (GAO-06-790T, p.
4).
• The National
Disaster Medical System does not have agreements with nursing homes
that could evacuate residents.
• Nursing homes, and presumably other residential
settings, are more likely to respond appropriately if they are part
of a larger network. Single-owner settings are those most at risk.
• Assisting those without transportation "requires
additional planning, time and resources" including "additional
planning of pick-up routes; extra time to load and unload evacuation
vehicles; and special resources, such as buses equipped with
wheelchair lifts.
• Voluntary registries though promising, are
expensive and time-consuming to maintain.
• Effective plans involved social service providers.
• Social service providers were underused.
• Katrina financially injured social service
providers within the disability community.
• Effective plans tested coordination between
evacuating agencies and social service providers through regular
drills and exercises.
• The disaster generated new codes and ordinances
that are disabling formerly independent persons. Elevation
requirements along the coastline mean that those with mobility
limitations must relocate or enter a residential care facility.
Ongoing Initiatives that Merit Continued Attention
Some important work that merits continued attention is now
being done on emergency communication. Examples include:
National Center for Accessible Media (NCAM)
The CPB/WGBH National Center for Accessible Media (NCAM) is
a research and development facility dedicated to the issues of media and
information technology for people with disabilities in their homes, schools,
workplaces, and communities. NCAM's mission is: to expand access to present
and future media for people with disabilities; to explore how existing
access technologies may benefit other populations; to represent its
constituents in industry, policy and legislative circles; and to provide
access to educational and media technologies for special needs students. For
more information, please click on the following website:
http://ncam.wgbh.org/
Access to Emergency Alerts for People with Disabilities
Program
(October 2004 - September 2008). The Access to Emergency
Alerts project unites emergency alert providers, local information
resources, telecommunications industry and public broadcasting
representatives, and consumers in a collaborative effort to research and
disseminate replicable approaches to make emergency warnings accessible. For
more information, please click on the following website:
http://ncam.wgbh.org/alerts/.
General Recommendations for Planners to
Consider
In order to provide equal access to emergency prophylactic
medications, equal information to all population groups, meet the highest
level of comprehension that each group can receive, and enhance public trust
and compliance, the following recommendations are given:
General Preparedness
Preparedness efforts occur at the institutional planning
level and the individual planning levels. The goal is to ensure that
individuals with special needs are afforded the same safety opportunities as
individuals without special needs in the face of disasters or emergencies.
Institutional Planning Level
Special needs issues should be included in all emergency
planning for the jurisdiction, workplaces, residential buildings, and other
commercial buildings. These plans must be communicated to the public.
Individual Planning Level
Awareness and preparedness messages and material should be
customized for groups of people to address specific special needs, and also
be available in alternate formats. This includes information about plans
that are in place within the community such as evacuation or sheltering
plans. Often, when provided adequate resources, individuals with special
needs (or their friends/family members) can put plans in place that suit
their needs best.
Outreach to Individuals with Special Needs
There are several strategies that can be used to get
information to individuals with special needs that may include:
• Coordinating teams in the community to
go door-to-door, senior centers or other community
meeting places to provide information;
• Implementing a Reverse 9-1-1
• Utilize peer counselors (professionals
or paraprofessionals) who have special needs themselves
• Meeting with service providers to plan
outreach strategies including a call-tree program (see
below Industry call-downs and phone trees).
• Establishing sites with accessible
accommodations where information can be provided
• Providing information on websites
• Working with individuals that are
deaf, deaf-blind, or hard of hearing to develop
communication/outreach plans
• Identify areas in the community such
as NORCs where there is a high concentration of people
with special needs. Work with leaders in the community
(both formal and informal) to address strategies for
sharing information with individuals within the area.
• Involve schools, residential care
facilities, senior centers and other similar
organizations to relay information.
• Send information out through utility
bills or with governmental mailings.
• Involve civic and community
organizations in door-to-door campaigns.
• Hold events at schools, residential
care facilities, senior centers, county fairs, public
malls, special Olympics, para-olympics and other events.
• Promote disaster preparedness during
Disability Awareness Week events.
• Promote disability awareness during
Disaster Day and Emergency Management Month events.
• Invite representatives from disability
organizations and the disability community onto LEPC’s,
CERT’s and other local committees.
• Serve on boards of disability
organizations.
Partners for Preparedness Efforts
Media
The media can be a very important partner in getting
emergency massages out to the public at large. Emergency professionals are
encouraged to remind these partners that there are things they can do to
further ensure members of the community with special needs receive the
message.
• Ensure captioning/crawlers/text on
television.
• Include sign language interpreters on
television.
• Do not block mapping and messaging
with crawlers or on-air personnel.
• Include TTY/TDD and fax information
when hotlines or other phone numbers are given.
• Ensure website information is in an
accessible format.
• Provide information in alternate
formats (e.g. Braille, large font, audio cassette, etc.)
• Use Plain Language.
• Be aware of new technological options.
• Providing information that is relevant
to special needs populations which includes
consideration of a full range of varying circumstances
and needs.
• Encourage audience to check on family,
friends, neighbors, co-workers, patients—especially
those home alone.
Industry (i.e. home health care agencies, dialysis
centers)
A phone tree patterned after existing internal notification
and call-down systems is a particularly effective way to reach people with
special needs. In addition, through a "reverse tree" members of the
disability community can alert emergency professionals to issues of which
they may not be aware. Emergency mangers should be responsible for
initiating communication to the top-level contact persons on each branch of
a phone tree. With a well-designed phone tree system in place, a consistent
message is communicated, and people with special needs have the opportunity
to identify any emergency service gaps that may exist. This must be updated
and tested regularly.
Social Networks
During a disaster, friends, family and neighbors will be
among the first to engage in search and rescue. Co-workers will often go to
great lengths to assist each other, including persons with disabilities.
Those at risk can also be involved in helping other persons including those
with disabilities. In short, those at risk and their social networks can be
employed during all phases of disaster. Because social networks are so
important to warning dissemination and confirmation behavior, activating
those networks becomes a crucial component of any warning messaging system.
Working with and through these social connections (using some of the ideas
expressed in these and forthcoming documents) is highly recommended.
Centralized Information and Referral Systems
After an emergency, most jurisdictions will establish
centralized information and referral services, such as a hotline or service
centers, where residents can call to request assistance and/or information,
which is extremely beneficial. These services should be made available in
multiple forms to ensure that they are accessible to PSN. Also, hotlines and
centers should be staffed with individuals that are knowledgeable about SN
issues, and familiar with using alternate communication methods such as TTY,
or relay messaging, or interpreters.
References
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http://www.gwu.edu/~icdrm/publications/67-74_fernandez.pdf.
G.A.O. 2006. Disaster Preparedness: preliminary observations
on the evacuation of vulnerable populations due to hurricanes and other
disasters. AO-06-790T.
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maintenance as a major component of a community-centered preventive effort:
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Heinz Center. 2002. Human Links to Coastal Disasters,
available at http://www.heinzctr.org.
Imperiale, Paul. 1991. "Special needs in emergency planning
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Jones, Brian K. 1987. "Fire safety for disabled persons."
Emergency Preparedness Digest 14/4: 14-18.
Kuba, Michelle et al. 20004. "Elderly populations in
disasters: recounting evacuation processes from two skilled care facilities
in Central Florida, August 2004." Quick Response Research Report #172.
Natural Hazard Center, University of Colorado. www.colorado.edu/hazards
Lasswell, H.D. 1948. "The structure and function of
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Loy, Beth and Linda Carter Batiste. 2004. "Evacuation
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Australian Journal of Emergency Management: 2-4.
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Phillips, Brenda et al. 2006/Forthcoming. "Disaster threat:
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Environmental Hazards (forthcoming).
Proulx, Guylene. 2002. Evacuation Planning for Occupants
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Research Council Canada.
Ragsdale, Kate and Janice Simpson. 1996. "Being on the safe
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Rahimi, Mansour. 1993. "An examination of behavior and
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Rahimi, Mansour. 1994. "Behavior of mobility-disabled people
in earthquakes." Earthquake Spectra 10/2: 381-401.
Snyder, Janice. 1982. "Special emergency circumstances:
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October-December: 21-22.
Tierney, Kathleen, Michael Lindell and Ron Perry. 2001.
Facing the Unexpected. Washington D.C.: Joseph Henry Press.
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Evacuation and Disaster Preparedness. www.acess-board.gov/evac.htm
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Initiative. Washington D.C.: U.S. Government Printing Office.
United States Fire Administration. 1999. Removing the
Barriers: a fire safety factsheet for people with disabilities and their
caregivers." Emmittsburg, MD: Office of Fire Management Programs.
Van Willigen, Marieke et al.. 2002. "Riding out the storm:
experiences of the physically disabled during Hurricanes Bonnie, Dennis and
Floyd." Natural Hazards Review 3/3: 98-106.
Wagner, Cynthia G. 2006. "Disaster planning for the
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Lessons Learned.
Wisner, Ben. 1993. "Disaster vulnerability: scale, power and
daily life." GeoJournal 30/2: 127-140.
Wood, Vincent T. and Robert A. Weisman. 2002. "A hole in the
weather warning system: improving access to hazardous weather information
for deaf and hard of hearing people." American Meteorological Society,
187-194.
Working Group on Natural Disaster Information Systems,
Subcommittee on Natural Disaster Reduction. 2000. Effective Disaster
Warnings. National Science and Technology Council, Committee on Environment
and Natural Resources.
Practical Resources Consulted
EAD & Associates, LLC, "Resources for Emergency Planning
Regarding Persons with Special Needs": This is a short list of suggested
resources at the institutional planning level and the individual planning
level.
IAEM March 2005 Bulletin "A New Perspective: Focus on
Limitations that Interfere with Receipt of Information" by Cecily Westermann
(p.1,4) "Communicating with Deaf, Deaf-Blind, Hard of Hearing" by Donna
Platt (p.10
IAEM April 2005 Bulletin "Community Emergency Response Teams
for the Elderly" by Brian Bovyn (p. 5) National Organization on Disability’s
"Emergency Preparedness Guide on the Special Needs of People with
Disabilities." This guide can also be found at www.nod.org/emergency.
University of New Mexico’s "Tips for First Responders Cards"
Tips on making printed material more legible at http://www.lighthouse.org/print_leg.htm


Foreword by Donald W. Walsh, Ph.D., EMT-P
International Emergency Medicine & Disaster
Specialists
FIRE SMOKE!
We need to re-think our course of action in
treatment & safety
I am happy to introduce three cutting edge educational supplements to Big
Medicine. As the Founder and Past President of the Cyanide Poisoning
Treatment Coalition (CPTC), a non-for-profit 501(c)(3) organization
comprised of fire service organizations, fire fighters, EMS professionals,
and physicians; CPTC provides educational and research information through
joint strategic initiatives to focus on the awareness and risk of fire smoke
cyanide exposure and early recognition and appropriate treatment.
The first publication is “SMOKE – Perceptions, Myths, and
Misunderstandings” and addresses the unrecognized threat of cyanide to
the American fire fighter, air management critical issues, respiratory
protection, the importance of prompt recognition and treatment for
pre-hospital care EMS operations. This supplement was first published
in 2005 and discusses acute cyanide poisoning of fire fighters in the United
States and Republic of France where new treatments are being used to treat
fire smoke inhalation cyanide poisoning.

The second publication published in March of 2009 is "SMOKE – Cyanide and
Carbon Monoxide: The Toxic Twins of Smoke Inhalation” goes even deeper
into the fire smoke inhalation issues and new drug treatments now available
in the United States. The supplement covers smoke chemistry complications,
fire fighter air management needs, mandates, and solutions; in addition to
fire fighter rehabilitation, cyanide exposure and recognizing the signs and
symptoms and the new available treatment treatments in the United States.
The third publication, “SMOKE – The Toxic Twins: An Advanced Perspective
on Cyanide and Carbon Monoxide Poisoning” is a new publication written
by Dr. David G. Penney, Professor, retired, and special consultant in
toxicology from the School of Medicine at Wayne State University in Detroit
Michigan. Dr, Penney addresses the physical properties, sources, and
physiological effects of cyanide and carbon monoxide poisoning. The
supplement also addresses signs and symptoms, cardiac effects, long term CNS
effects, and treatments for cyanide and carbon monoxide poisonings.
Together, the three supplements give a cutting edge perspective on this
growing issue in America and new solutions to reduce morbidity and mortality
through research, science, and education.
Note from Big Med: Please download these documents and
share them with your colleagues, coworkers, professional organizations,
organized labor, and your families. Know the risks. It's in your hands.
For more information, please go to
www.FireSmoke.org.
SMOKE – Perceptions, Myths, and
Misunderstandings
2MB
SMOKE – Cyanide and Carbon Monoxide:
The Toxic Twins of Smoke Inhalation
4 MB
SMOKE – The Toxic Twins: An Advanced
Perspective on Cyanide and Carbon Monoxide Poisoning
1 MB
Cyanide Poisoning Treatment Coalition
P.O. Box 301123
Indianapolis, IN
46230-1123
888-517-5554
For more information, please visit
www.FireSmoke.org
Copyright® 2009
All supplement photos courtesy of
FirefighterSafety.net or FireGroundImages.com
Please share these publications with your colleagues, coworkers, and
professional organizations
Dr. Donald W. Walsh
International Emergency Medicine & Disaster Specialists
A Service of Walsh & Walsh Associates, Inc.
Chicago, Illinois, USA

About the Author
Dr. Donald W. Walsh has a vast array of experience from his 30-year Chicago
Fire Department career, and continues his involvement at all levels in
public safety. Dr. Walsh began his career with the Chicago Fire Department’s
Bureau of Operations in 1976 where he has served as a Chief Officer and an
Assistant Deputy Fire Commissioner until his retirement 2007. His public
safety background includes being an Adjunct Faculty Member of the National
Fire Academy under the U.S. Department of Homeland Security, and elected
Fellow of the Institute of Medicine of Chicago. Dr. Walsh’s extensive
background in public safety and private industry has fostered new
technologies and programs in the area of antiterrorism training, incident
command, rescue equipment development, and disaster management response
programs. His most recent research on fire smoke and cyanide treatments has
been published in peer review and professional publications. In 2004, Dr.
Walsh served as a subject matter expert for the United States Army and NASA
on Fire Fighter safety issues in coordination with the US Fire
Administration. Dr. Walsh’s most recent publication, "The National Incident
Management System Principles and Practices" was a collaboration with six
national experts and authors in emergency management and public safety to
produce the nation’s first resource education supplement instruction manual
to meet the United States Department of Homeland Security NIMS mandated
under Homeland Security Presidential Directive Five. Dr. Walsh is currently
working on new fire safety technologies and research on the dangers of fire
smoke, cyanide identification and treatments protocols, and antiterrorism
preparedness programs related to cyanide weapons and disasters.
Dr. Walsh can be reached via email at
drdonwalsh@aol.com
Tracking Human Factors in the Financial
Crisis:
Lessons for Pandemic Planning
A Special Report from
Extreme Behavioral Risk Management
A Division of ALLSector Technology Group Inc.
by Steven M. Crimando,
MA, BCETS
and Cynthia L. Simeone, CBCP, PMP
[Feb 14 2009]
Abstract:
There are significant similarities between the current
global financial crisis and a pandemic disease outbreak. These similarities
are particularly pronounced in the area of human factors, specifically in
the psychosocial response to adverse events that involve elements of
uncontrollability, unfairness and loss. The sudden and dramatic onset of the
economic crisis resulted in many organizations suspending their pandemic
preparedness efforts in order to focus on the dire threat at hand. As the
economic situation transitions from a "sudden crisis" to "smoldering
crisis", business continuity planners and others charged with an
organization’s pandemic influenza preparedness may benefit from identifying,
understanding and benchmarking these dynamics to inform policies, plans and
preparedness efforts for a pandemic.
Effective pandemic planning must be predicated on
accurate assumptions about the individual and collective response to the
threat. The global economic crisis, viewed as "pandemic-light",
offers a unique opportunity to practice and prepare for the actual event. It
may turn out to be the best test of pandemic preparedness possible, if
approached in a thoughtful and structured manner.
Pandemic Defined:
Pandemic: From Greek "pan" (all) and "demos" (people):
Occurring over a wide geographic area and
affecting an exceptionally high proportion of the population.1
While the current financial crisis
may have diverted the attention of business leaders, continuity planners and
emergency managers away from pandemic influenza planning, the risk of a
possible pandemic has not diminished. In recent weeks, avian and human
influenza activity in the United Kingdom, China and India have thrust the
flu back into the spotlight. As of January 27, 2009, the World Health
Organization (WHO) has updated its statistics and now reports 403 human
cases of the avian influenza, resulting in 254 deaths worldwide. The H5N1
virus responsible for these deaths is particularly powerful, proving lethal
in more than 50% of the known cases. Each new human case heightens the
possibility for the virus to make the critical leap in mutating to a deadly
pandemic strain.
The H5N1 virus has several
significant similarities with the influenza virus that swept the globe
during the Great Pandemic of 1918. Not only has the pandemic influenza
threat not abated, but communities, organizations and nations may be at even
greater risk if the pandemic were to emerge during such vulnerable economic
times.
The current economic crisis may in
fact have a potentiating affect on the pandemic risk. A standard pandemic
planning assumption is that possibly 30-40% of the nation’s workforce may be
offline at any one time, due to illness or death, or remaining home out of
fear or to care for the ill. If an organization is forced to layoff a
substantial number of employees and is already operating with a depleted
workforce in a down economy, further diminishing the remaining workforce by
another 30-40% during the pandemic may have a paralytic - if not fatal -
affect on the organization.
The current economic downturn has resulted in a continued reduction in
the Gross Domestic Product (GDP) in the United States and in other
industrialized countries. The arrival of a pandemic influenza in the midst
of the global financial crisis would represent a "perfect storm" scenario
resulting in potentially unimaginable consequences for the global economy,
as well as individuals and families, communities and organizations.
Sudden and Smoldering Crises
Sudden crises tend to produce acute stress reactions in individuals,
families, communities and organizations. These events can be said to have
"bookends", in that it is clear when the event began, when it ended and
whether one was directly impacted. A smoldering crisis often lacks
these clear markers by beginning slowly, with many of the early warning
signs remaining below the radar. Once the crisis begins, it is difficult to
know exactly when it will end. It can also be difficult to determine exactly
how badly one is affected since they are dynamic and shifting in degrees of
severity over time. Smoldering crises tend to result in chronic stress
reactions. They exhaust individual, organizational and possibly national
resources. A pandemic that circles the globe in two or three "waves" of
illness over the course of 12 months or longer may begin with a sudden
realization that the outbreak has begun, that it is real and it is bad, but
would generally be considered a smoldering crisis. Likewise, the economic
crisis, though beginning with the initial "subprime" calamity, reached the
sudden crisis phase on one specific weekend in September 2008, but will most
likely be remembered as a long, complex and smoldering crisis.
Pandemic-Light
The global economic crisis may be viewed as
"pandemic-light", while there is pain and psychosocial disruption, but
without the body count.
The national strategy for surviving a pandemic and an
economic crisis hinges on three key actions:
□ Stop, slow, limit spread of crisis
□ Mitigate impact, suffering and permanent
damage (or death)
□ Sustain infrastructure/economy and
functioning of society
Comparing the economic crisis to a pandemic can surface many interesting
similarities that may inform pandemic preparedness efforts in both the
public and private sectors. These similarities can be found in the areas of
event dynamics, impact, response, planning and recovery. To demonstrate the
similarities between the economic crisis and influenza pandemic useful to
planners and decision-makers, the overlapping elements have been delineated
in several categories.
Event Dynamics
Both the economic crisis and a potential influenza
pandemic share many features, including the twenty identified below:
□ Global reach
□ Few, if any, are immune
□ Contributing factors identified long in
advance of the onset of crisis
□ Small pool of experts warned of
impending doom
□ Threat not fully recognized until
reaching dramatic, irreversible levels
□ General public had little awareness of
the risk
□ Highly technical/exotic factors
triggered onset
□ Slow-moving but unstoppable once in
motion
□ Long, complex crises
□ Progress in waves or cascading sequence
□ Disagreement among experts about best
way to handle the situation
□ Remedy or vaccine not readily available,
must be developed quickly
□ Initial attempts to "treat" the problem
prove to be insufficient
□ Intensity and duration of crisis
exhausts resources
□ Distinct social, economic and emotional
consequences
□ Raise many ethical dilemmas
□ Characterized by loss
□ Contain aspects of both "sudden" and
"smoldering" crises
□ Increases distrust of authorities
□ Create a sense of helplessness or
powerlessness
Impact
The impact and response to "sudden" and "smoldering"
crises differ. A sudden crisis has a definitive beginning and end and while
shocking, the human impact is more easily compartmentalized because of the
definitive timeline. With smoldering crises, the effects are usually more
insidious and difficult to overcome because the emotional and behavioral
cycles associated with the crises repeat over a sustained period of time.
Recovery from a smoldering crises is often more complicated.
However, both events are characterized by loss and
dread. While a loss of life is more likely in a catastrophic disease
outbreak, other losses associated with the financial crisis may result in
similar emotional and behavioral reactions, possibly further complicating
response and recovery.
These losses include, but are not limited to the loss of:
□ Identity
□ Sense of community; belonging
□ Status and role
□ Control
□ Security
□ Trust
□ Confidence
□ Beliefs or faith (i.e., patriotism,
religious beliefs, etc.)
□ Future and purpose
In Time Magazine reporter Amanda Ripley’s latest book, "The
Unthinkable: Who Survives When Disaster Strikes-and Why", she isolates
"dread" as a significant factor influencing the human response to
threatening events. She has gone as far as developing a "dread formula"
to explain these dynamics. Some, if not all, of the elements in
this formula are equally present in both the economic crisis and most
pandemic scenarios. Ripley’s dread equation is:
Uncontrollability
+ Unfamiliarity
+ Unimaginability
+ Suffering
+ Scale of Destruction
+ Unfairness
______________________
Dread
One can assign each of the elements of the dread formula
to some aspect of both the economic crisis and a pandemic. Many commentators
have been liberal in their use of the terms
"unimaginable" and
"unthinkable" in
their descriptions of the financial meltdown. It is likely that those same
labels would be recycled and applied to a devastating public health crisis
as well.
The impact of both events can potentially reach all corners of the globe
and all spheres of our personal and professional lives. Both in the home and
in the workplace, there is a foreseeable range of affects, including:
In the workplace
A great deal of time, effort and money has been spent in
the U.S. and abroad over the past several years developing plans and
procedures to mitigate the effects of a pandemic on the workplace. While a
pandemic strain of influenza has yet to emerge, the current financial crisis
has triggered many of the same workplace dynamics anticipated by pandemic
planners, including:
□ High levels of stress and fear
□ Diminished or depleted workforce
□ Significant reduction in productivity
□ Loss of capital and/or access to capital
□ Supply chain disruption (i.e., cargo
stacked up or waiting off shore at sea ports)
□ Drastic decline in retail, travel,
entertainment, construction and many other economic sectors
□ Escalating unemployment
□ Consolidation among businesses within
certain industries
□ Disruption or closure of financial markets and
institutions
In the household
The 2008 American Psychological Association (APA)
"Stress in America" survey revealed that 8 of 10 Americans identify
money matters as a leading source of daily stress (APA, 2008). Since that
study was released in mid-2008, the economic climate has darkened
substantially. The Conference Board’s January 27, 2009 Consumer Confidence
Index documented a steady slide into despair, with the consumer confidence
level reported at an all-time low. People are feeling stressed and anxious
about their financial future. Many are unsure how they will handle a
recession or more economic bad news.
Both the economic crisis and a pandemic will result in
the closures of many businesses, lost earnings and many other hardships. In
both instances, individuals and households may suffer great financial
difficulties, such as:
□ Little or no household income
□ Depletion of savings
□ Increased dependence on credit cards to replace
income
□ Risk of default on loans or mortgages
□ Potential for crisis-related financial scams
□ Increase of a overall financial stress/distress
Response
Emotional responses can range from simple distress to
diagnosable mental health conditions, including:
□ Extreme fear and anxiety
□ Sadness and depression
□ Anger, blame
□ Helplessness, hopelessness
□ Increased rates of suicide
□ Traumatic stress reactions
□ Complicated grief and bereavement
Trauma and Grief
Grief has been described as our reaction to something
(or someone) "good" leaving our lives, while trauma is our response
to something "bad" coming into our lives. In the instance of a worker losing
a job, baby boomers losing 40% or more of their retirement savings or a
family losing their home, loss is loss and our minds and bodies do not
necessarily distinguish between loss related to a health crisis or an
economic disaster.
Behavioral reactions tied to our appraisal of the
situation can lead to:
□ Increased alcohol and drug use
□ Increased irritability
□ Difficulty concentrating, problem solving and/or
decision-making
□ Increased risk-taking
□ Increased emotional-eating (esp. sweet, salty and
high-fat foods)
□ Social isolation, withdrawal
□ Change in sleep patterns
Many behavioral reactions affect interpersonal
relationships in the home and workplace. These can be manifested as:
□ Increased conflict
□ Diminished communications
□ Difficulty parenting or supervising
workplace subordinates
□ Poor spousal/partner and/or peer relations
Planning
Much can be done to reduce and/or mitigate many of the negative
consequences identified above through conscientious planning in the home,
workplace and community.
Planning in the Workplace
Guidance in pandemic influenza planning has focused on
several areas of concern that are equally relevant in the financial crisis.
These include ensuring critical processes, communications, physical and
mental health issues, ability to travel to or attend work and, finally,
developing organizational resilience. Successful consequence management
through the economic pandemic will require attention to many of the same
concerns.
In planning for a pandemic, it is important to ensure critical processes
can continue with a reduction of workforce. If, during the economic crisis
workforce reduction is necessary, insure the remaining workforce still
retains the core skills and knowledge (corporate memory) to assure essential
business functions can be accomplished, or make sure critical processes are
documented so unskilled laborers can perform the required function.
"Crisis-sizing" the Workforce
"Crisis-sizing" or temporarily adjusting the size and
configuration of an organization’s workforce due to economic pressures
rather than illness may be a necessary part of a survival strategy in the
face of this new threat. Pandemic planning guides have suggested that
leaders should explore creative workforce restructuring for survival.
Several businesses have recently received applause for implementing creative
alternatives to layoffs, including reduced hours for all rather than lost
jobs for some. Other cost-saving alternatives have included shifting some
employees to working from home and job sharing to reduce their office space
requirements and other fixed overhead costs. These strategies have been
discussed in the context of pandemic flu planning as ways to cope with a
workforce downsized by disease.
Changes in the workforce and financial health of critical vendors must
also be assessed. If the organization is reliant on external resources or
services, leaders should conduct business risk and impact assessments to
identify critical suppliers, identify alternative sources and negotiate
contract terms in advance of any potential disruption.
Communications
Immediately, organizations can provide the most value to their employees
by communicating their priorities and survival strategies. In the workplace,
survival is a shared responsibility. Clarity regarding roles and
responsibilities during a crisis is crucial. To reduce anxiety, leaders
should provide employees with two-way communication vehicles. During the
financial crisis, as in pandemic preparedness, leaders should let employees
know what the business is doing to mitigate risk. If there are serious
concerns, it is not only much better from an ethical standpoint to openly
communicate these challenges, there is a legal obligation documented in the
Worker Adjustment and Retraining Notification (WARN) Act that indicates
companies must provide 90 days’ notice prior to plant closure or
mass layoffs, so affected employees can be as prepared as
possible for negative outcomes.
Employees may better prepare financially and emotionally
for a reduction or loss of income with some degree of advanced notice rather
than following a surprise or sudden reduction of work force. Warning
enhances a sense of controllability and whenever possible proactive
communications are recommended.
Proactive communications may also involve the development of draft
"shelf-kits" by creating internal and external communication templates and
having them pre-approved by corporate communications officers to help speed
the delivery of timely communications for different contingencies.
Establishing a "hot-line" can empower employees to ask questions and/or make
suggestions to help stabilize their workplace environment.
Training
Many organizations active in pandemic planning had initiated training
programs for executives and supervisors, as well as internal crisis
management and first responder teams, to raise awareness of the unique
physical and mental health challenges associated with an influenza outbreak.
Such programs were designed to help decision-makers predict and prepare for
a pandemic using accurate information about the disease and its likely
impact on society, as well as the organization. Specialized training focused
on the unique challenges associated with the financial crisis may be equally
important. Understanding the human factor in both a pandemic and financial
crisis can give planners an advantage in recalibrating business contingency
plans appropriately for the current threat environment.
Sources of Emotional Support
We have previously discussed the concepts of trauma and grief as they
relate to both a pandemic and the financial crisis. It is foreseeable that
there may be an increased need for psychological support programs for
workers and their families. Establishing or enhancing Employee Assistance
Programs (EAPs) or community outreach programs can aid and educate employees
with financial planning or other related services. A lesson learned is that
natural support systems, in the home, community and workplace tend to be the
most helpful in other smoldering crises. Promoting peer support programs and
other mechanisms for employees to both give and get emotional support may
prove invaluable in a long-haul scenario.
At home
Just as it is important for leaders to communicate in the
workplace, providing family members with information goes a long way toward
an effective response and recovery. The emotional demands of both a pandemic
and the financial crisis can erode relationships in the home during a time
when the support of loved ones is most needed. Sharing information about the
affects of smoldering crises on homes and families can be beneficial and may
help those affected anticipate the likely emotional traps that characterize
long-term stress situations.
Employers can also provide additional assistance in financial planning
and household money management. Those not yet seriously impacted by the
financial crisis can modify the home budget and identify ways to curtail
unnecessary spending. It is helpful to enlist all family members to watch
spending. Even young children can understand the concept of saving for
future benefit. Planning ahead will be necessary to ensure that basic needs
will be met. Prudence and pragmatism will be of equal importance in both the
current financial crisis and a possible pandemic in the future.
Tracking and Benchmarking Through a Smoldering Crisis
There is very little, if any, empirical research from the "Great
Influenza Pandemic" or the "Great Depression" that can be applied to
predicting human behavior in a smoldering health crisis or financial crisis.
So what else can be done by organizations to utilize the lessons learned
from the past to address the financial pandemic at hand?
Some organizations have begun to track the impact that employee benefit
or wellness programs, such as weight reduction, smoking cessation and
exercise programs, have on an organization’s bottom line. It would be
beneficial to also document other human factors issues (absenteeism,
performance, morale, conflict, others) in the home, business and community
as we move through the various phases of the financial crisis. Such tracking
can help leaders gain a better understanding how prolonged adversity impacts
the "worried well" (those who are still employed or not otherwise derailed
by the financial crisis) to inform pandemic flu policies, plans and
exercises. Organizational benchmarking of human factor issues can be
invaluable in developing the type of accurate behavioral assumptions that
will be necessary to sustain productivity and the bottom line during a
pandemic or other smoldering crisis.
Recovery
As with event, impact and response factors, the likely
psychosocial challenges in the long-term recovery from both pandemic flu and
the economic crisis are similar. In a typical disaster, the behavioral
response cycle can quickly shift from neighbor-helps-neighbor to
neighbor-fears-neighbor to neighbor-compete-with-neighbor as fear
escalates. During the recovery period, the cycle gradually returns from
self-preservation back toward community cohesion and support. In fact one of
the lessons learned in other smoldering crises is that the natural support
systems within the home, business or community become the most important and
dominant source of help. Knowing this, families, businesses and communities
should take every opportunity to bolster and promote cohesion in the early
phases of a crisis, since it will become increasingly important as time goes
on.
Resilience
Personal and organizational resilience is essential to
the recovery from a smoldering crisis. Resilience is often defined as the
"human capacity and ability to face, overcome, be strengthened by, and even
be transformed by experiences of adversity."
The potential for resilience can be and should be nurtured. Smoldering
crises are best approached by applying the discipline and strategy of the
marathon runner, not the sprinter. Everyone wants out of a tough situation
sooner, rather than later, but both the financial crisis and a pandemic are
challenges of endurance. Those who have survived and thrived through
smoldering crises in the past identify three common tactics:
□ Face the sources of their stress
directly
□ Learn from past experiences
□ Reach out for and use resources
There will be numerous challenges in the wake of the
financial crisis, as there certainly will be in a pandemic. These include,
but are not limited to:
□ Overcoming loss or guilt from having
survived through the storm
□ Taking inventory and examining the
current state of one’s personal and professional affairs
□ Addressing both the physical and
psychological consequences of the crisis
□ Developing a reconstruction plans to
rebuild or recoup losses
□ Reaching out to friends and the
community to give and get support
In Conclusion
Pandemic planning should remain a priority during the
financial crisis. It can be particularly useful to revisit pandemic plans to
see what elements can be recalibrated or repurposed for the current
financial crisis.
The authors suggest that the current financial crisis may be one of the
most realistic and productive pandemic influenza planning exercises business
and community leaders may have in that both events are smoldering crises
with many similar human factors and economic consequences. While recognizing
that a catastrophic disease outbreak could result in a tremendous loss of
life, therefore becoming a disaster of a whole different magnitude, there
are enough similarities to allow business continuity and emergency
management planners to track, benchmark and use their observations of the
financial crisis to inform pandemic planning efforts. Likewise, prior
pandemic planning efforts may also inform strategy and decision-making in
the current financial crisis.
Lastly, it is important to reiterate that the pandemic
risk is not diminished. This threat is still lurking in the shadows while
the world turns its attention to the urgent financial situation. A weakened
global economy may in fact leave nations, businesses, communities and
families that much more at risk to a public health disaster.
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