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  Health Considerations for Katrina relief workers
Pam Evans, RN MSN
 
             
 

Pam Evans, is a Parish Nurse at 1st Presbyterian in Derby, Kansas.

Much help is still needed in the areas of the country hard hit by Hurricane Katrina last year. Many churches are sending volunteer work teams composed of adults and youth. However, volunteers who do not adequately prepare may find their ability help decreased and if they become ill while volunteering could add to the strain on the existing systems. The following considerations should be important aspects of your planning if you are intending to go and work.

Please be certain to take a well stocked first aid kit with your group, as well.

 
Volunteer health information form

Health emergencies among volunteers can be minimized by forethought and planning. If your congregation is not already using one, a sample health form designed to collect information may be necessary or helpful in an emergency. [Download sample] PDF icon

 
             
  Medications
If you are currently taking medication to control or treat any health condition, it is advisable to check with your health care provider before you go. When you go, be certain to take and adequate supplies of your medication as medication may not be readily available in the relief area.

Immunizations
Tetanus/diphtheria vaccine or booster, if most recent was 5 years ago or more. Measles vaccines are needed for those not immune from having had the disease. Hepatitis B., ideally vaccine series should begin at least 6 months before travel.

 
             
  Katrina volunteer
A Katrina volunteer helps to restore a home. Photo by Nan Adams.
  Insect Bites
Prevention is the major issue here. Take with you sufficient insect repellent and clothing for prevention through barrier methods, such as long-sleeved shirts and long pants. Repellent should contain DEET; picaridin can also be used. Be certain to wash clothing treated with insect repellent before wearing it again and never apply repellent to skin that is covered by clothing. [There are some natural repellants as well for those reluctant to use chemicals.] Individuals who have severe reactions to insect stings and carry an "epi-pen" should be certain to have one or more with them.
 
             
 

Spider Bites
If a person is bitten, and the bite is suspicious for a black widow or brown recluse spider bite, have the person go to an urgent care center as they may need antibiotic care (especially if the size affected is large). Be suspicious if the person complains of numbness or tingling near the bite. There is often a central spot which may be white surrounded by a red, edematous area (an area of excess fluid or dropsy).

Fire Ant Bites
If someone is bitten by fire ants, the bite should first be cleansed with alcohol or vinegar before washing with soap and water. Using soap and water first seems to make the “sting” much worse. Again, prevention is better than treatment. Encourage those sleeping in tents or other outside locations to inspect the area for the presence of fire ants and to treat the ground around the tent to discourage ant infestations. Also be sure to completely clean up any spilled food around tents and sleeping areas.

Injury Prevention
Injuries are one of the most common hazards. Individuals should wear sturdy footwear to protect their feet; closed toed shoes, running shoes or work boots are recommended. Use leather gloves for work or latex or nitrile (double glove if the work is particularly hazardous) disposable gloves for clean-up. Tetanus is a threat for any wounds or cut. Any cut should be cleaned immediately with soap and clean water.

Heat
This will be more of a problem as we move into warmer weather. Heat-related illness can include heat stroke and sunburn, and skin cancer and eye cataracts are linked to overexposure to UV rays of the sun. Use a sun block with at least a 15 SPF or higher rating. Drink plenty of water, about 1 cup every 15 minutes; wear light-colored, loose-fitting clothing. Avoid caffeinated drinks, heavy meals and alcohol. Athletic drinks that are designed to keep electrolytes balanced are helpful in cases where a great deal of one’s body liquid has been lost through sweating.

Fungi and Mold
Be aware of your allergies. Molds can cause mild to severe health problems in sensitive individuals when airborne spores are inhaled. Individuals with allergies or existing respiratory conditions, persons recovering from surgery or long-term steroid treatment, infants, children and the elderly are more susceptible.

Fungi cans cause respiratory and other disorders when inhaled or from skin contact. Fungi can cause allergic responses and asthma attacks. Repeated or prolonged contact with the skin can lead to fungal skin infections. Washing with warm, soapy water and keeping the skin as dry as possible can minimize these.

Wear OSHA approved respirators when cleaning mold and fungi. Consider an N-95 NIOSH-approved disposable respirator as a minimum. CAUTION: Do not mix bleach with cleaning products that contain ammonia.

Hazardous Exposure
The list of household hazardous waste that might be encountered includes: cleaning products, pesticides, automotive products, workshop/painting supplies, lawn and garden products, flammable products and a variety of miscellaneous items. These need to be handled with care and disposed of properly. Do not mix chemicals.

Hand hygiene
Wash hands with soap and clean water before preparing or eating food, after using the toilet, participating in decontamination and other clean-up activities.

Alcohol-based hand sanitizers are helpful and cleansers may be used if clean water is not available.

Volunteer health information form
This form is provided as a sample and can be used to collect information for both youth and adult volunteers. Please feel free to use or modify as needed. A copy of this record should accompany the group to the volunteer site. The information collected on this form should be treated as confidential and shared only in the case of an emergency and then, on a “need to know” basis.

Precautions concerning medication - particularly those requiring refrigeration should also be taken. Volunteers should be reminded that they may want to be certain to take their own OTC pain relief medication, insect bite preparations and antihistamines, AND, to take only medications that they have taken previously. A volunteer work trip is not the time to experiment with "new" remedies.

The following form may be used or adapted as needed.

Download a sample health information form PDF icon

 
             
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Additional Useful Resources

CDC (12/2005) Travelers’ Health – Health Recommendations for Relief Workers Responding to Disasters - accessed 3/20/06

Mennonite Disaster Service (2005) Gulf Coast Hurricanes 2005 - accessed 3/21/06

Presbyterian Disaster Assistance (1/2006) Hurricanes Katrina/Rita – Damaged Churches - accessed 3/21/06

Slidell LA (11/2005) Notification to the Public on the Identification and Handling of Common Household Waste (HHW) Products - accessed 3/20/06 PDF icon

U.S. Department of Labor (11/2005) Keeping Workers Safe During Clean Up and Recovery Operations Following Hurricanes - accessed 3/21/06

 
             
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