DEODC Emergency Preparedness Drought DEODC - c.ymcdn.comc.ymcdn.com/sites/ · Tulare County: •Central valley, agricultural •>1,300 dry wells, impacting ... DEODC Emergency Preparedness

DEODCEmergencyPreparednessTeam

CASPER in Response to the California

Drought


Photo attribution: Getty ImagesCSTE Disaster Epidemiology Workshop

May 17, 2016

California Department of Public Health

Photo Attribution: CBS SacramentoPhoto Attribution: CBS Sacramento


Photo Attribution: Franklin D. Roosevelt Library Public Domain Photographs

▼ 24%Source: Goins CR, Goble G, and Anderson DH (2006)

Historical Atlas of Oklahoma. University of Oklahoma Press.


http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjKjeqMtrbKAhVKx2MKHem-AJ0QjRwIBw&url=http://www.winviz.com/california-drought-maps-la-times/&psig=AFQjCNGe-d0vTleAf-nce3OvtAnUiJ2rWg&ust=1453311675406496



May 12, 2015 May 10, 2016




Photo Attribution: Fresno Bee

2,588 dry wells

12,940 residentsSource: Governor’s Drought Task Force,

November 2015

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwji5c-o_tzKAhVT22MKHQamD20QjRwIBw&url=http://www.fresnobee.com/news/state/california/water-and-drought/article19539138.html&psig=AFQjCNGzOTiuMVwiHnLtHOSCeNyC_HTCOA&ust=1454636615518080



Photo attribution: Ann Britton

▲ depression,

suicides,

migration

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjLwM-moNLKAhVU6mMKHa4zCp4QjRwIBw&url=http://www.theaustralian.com.au/news/nation/drought-stalks-the-land-again/story-e6frg6nf-1226634963784&psig=AFQjCNH7qeZU-r5KZ2fB_ewEdZ9jSvr5tA&ust=1454267731828000

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjLwM-moNLKAhVU6mMKHa4zCp4QjRwIBw&url=http://www.theaustralian.com.au/news/nation/drought-stalks-the-land-again/story-e6frg6nf-1226634963784&psig=AFQjCNH7qeZU-r5KZ2fB_ewEdZ9jSvr5tA&ust=1454267731828000


Drought Public Health Knowledge Gaps

Behavioral health

Chronic disease

Migration

Community

cohesion

Water use

practices &

hygiene

Environmental

degradation

Economic

stressors

Access to

water


Community Assessment for Public

Health Emergency Response

(CASPER)

Rapid information

Household-based

Community status and needs

Decision-making

2-stage sampling

210 interviews

Generalized to area of interest


Drought CASPER Partner Jurisdictions

Tulare County:

• Central valley,

agricultural

• >1,300 dry wells,

impacting

>6,000 residents

Mariposa County:

• Sierras, forested

foothills

• Massive tree-deaths,

low reservoirs

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjuiv35jLfKAhUJ32MKHUxcDiQQjRwIBw&url=http://www.nbclosangeles.com/news/local/Drought-Updates-Rain-Water-California-Snowpack-Sierra-Nevada-301052191.html&psig=AFQjCNEMVYNfp_OiZ3envPBRlV4keCPp0Q&ust=1453335004956241

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjuiv35jLfKAhUJ32MKHUxcDiQQjRwIBw&url=http://www.nbclosangeles.com/news/local/Drought-Updates-Rain-Water-California-Snowpack-Sierra-Nevada-301052191.html&psig=AFQjCNEMVYNfp_OiZ3envPBRlV4keCPp0Q&ust=1453335004956241


Questionnaire Design

• Core set of questions (5 pages)

• County-specific questions (1 page)

• Design and selection of questions informed by:

– Discussions with counties

– CDC document “When Every Drop Counts,

Protecting Public Health During Drought

Conditions: A Guide For Public Health

Professionals”

– Published literature on 1990s Australian

drought

– University of California Merced


Tulare CASPER Sampling Frames

South Tulare:

Dry wells for multiple years

North Tulare:

Wells beginning to run dry


Mariposa CASPER Sampling Frame


North Tulare CASPER Census Blocks


Occupied Housing Unit Count




Aggregated “New Regions”


Aggregated “New Regions”


Mariposa Sapling Frame Census Blocks


Mariposa Aggregated “Quilt”


Mariposa CASPER sampling frame

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwi64NHmk7fKAhUK3GMKHYTMApIQjRwIBw&url=http://nostalgia.esmartkid.com/yosemitefolder.html&psig=AFQjCNG5w8QK3PJGHRWuwTErQ1-vAfS7MQ&ust=1453336825019162

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwi64NHmk7fKAhUK3GMKHYTMApIQjRwIBw&url=http://nostalgia.esmartkid.com/yosemitefolder.html&psig=AFQjCNG5w8QK3PJGHRWuwTErQ1-vAfS7MQ&ust=1453336825019162


Success Rates

Completion

(completed/

goal)

Cooperation

(completed/

answered door)

Contact

(completed/

approached)


Success Rates

North Tulare South Tulare Mariposa

% Rate % Rate % Rate

Completion

(completed/

goal)

88185/

21099

207/

21080

179/

224

Cooperation

(completed/

answered door)

76185/

24281

207/

25775

179/

240

Contact

(completed/

approached)

50185/

37263

207/

32847

207/

383


Household Demographics

North

Tulare

South

Tulare Mariposa

At least one member

≤17 years old

63% 50% 26%

At least one member

≥65 years old

26% 28% 46%

English is primary

language spoken at

home:

29% 58% 97%

Own their home: 51% 52% 80%


TV is primary drought

information source

North Tulare: 75%

South Tulare: 52%

Mariposa: 35%


Photo attribution: Los Angeles Times

Believes “there is poor

water management by

the government”

North Tulare: 69%

South Tulare: 64%

Mariposa: 69%


Photo attribution: Los Angeles Times

Would seek assistance

from government during

severe water shortage

North Tulare: 57%

South Tulare: 40%

Mariposa: 60%


PRIVATE WELL OWNERSHIP &

FAILURE

Private well was a water

source before the drought

North Tulare: 29%

South Tulare: 63%

Mariposa: 74%


Do not have running water

North Tulare: 8%

South Tulare: 12%

Mariposa: 3%



Among households without

running tap water: obtaining

bottled water

North Tulare: 50%

South Tulare: 76%

Mariposa: 50%





Among households obtaining

bottled water: purchasing

water

North Tulare: 75%

South Tulare: 39%

Mariposa: 100%





Among households purchasing

water: purchasing has caused

financial difficulties

North Tulare: 50%

South Tulare: 43%

Mariposa: 33%




FOOD ASSISTANCE

Photo attribution: Visalia Times Delta

Sought assistance

North Tulare: 14%

South Tulare: 26%

Mariposa: 8%


FOOD ASSISTANCE

Photo attribution: Visalia Times Delta

Among households

seeking assistance:

sought food assistance

North Tulare: 17%

South Tulare: 6%

Mariposa: 8%


Reduced water for lawns

North Tulare: 83%

South Tulare: 92%

Mariposa: 80%


Photo attribution: CNN

Capture and reuse water

North Tulare: 29%

South Tulare: 42%

Mariposa: 37%


Photo attribution: Home Depot

Replaced appliances/toilets

North Tulare: 38%

South Tulare: 51%

Mariposa: 48%


GREY WATER & RAIN WATER

Has a grey water system: 20%

Installed before drought: 62%

Mariposa County


GREY WATER & RAIN WATER

Barriers to installing a

grey water system

Too expensive: 30%

Don’t know enough about

grey water systems: 25%

Too many regulations: 14%

Think grey water is illegal: 12%

Mariposa County


Photo attribution: CDC

Wash hands less frequently/

shorter duration

North Tulare: 58%

South Tulare: 68%

Mariposa: 52%


Photo attribution: San Jose Mercury News

Property impacts

North Tulare: 39%

South Tulare: 48%

Mariposa: 54%


Photo attribution: San Jose Mercury News

Financial impacts

North Tulare: 39%

South Tulare: 40%

Mariposa: 25%


Health impacts

North Tulare: 10%

South Tulare: 20%

Mariposa: 13%


Anyone in household have a

chronic disease/medically

fragile?

North Tulare: 23%

South Tulare: 29%

Mariposa: 36%

DEODCEmergencyPreparednessTeam Condition has gotten worse

since drought started

North Tulare: 26%

South Tulare: 46%

Mariposa: 36%


PERCEPTIONS OF DUST & RESP DIS

Increase in outdoor dust

North Tulare: 59%

South Tulare: 66%

Photo attribution: ABC30

Tulare County



Health concerns about

increased dust

North Tulare: 68%

South Tulare: 61%


Tulare County



Allergies

North Tulare: 31%

South Tulare: 30%


Tulare County

Asthma

North Tulare: 27%

South Tulare: 23%


Photo attribution: Mother Jones

Impacts on peace of mind

North Tulare: 33%

South Tulare: 49%

Mariposa: 60%



Acutely stressed

North Tulare: 15%

South Tulare: 26%

Mariposa: 8%



Considered moving

North Tulare: 14%

South Tulare: 34%

Mariposa: 17%


Partial List of Recommendations

• Continue to inform residents about water

assistance programs

– Intensify outreach in North Tulare &

Mariposa

• Promote use of adequate water for hygienic

practices (i.e., hand washing)

• Expand behavioral health services

– Provide behavioral health training to

community health workers

– Provide health and behavioral health

services at food assistance locations


Future Directions

• ADDITIONAL CASPERS POSSIBLE

– CASPER training course, Emergency

Preparedness Training Workshop, June

2016

• COMPLEMENTARY APPROACHES

– Key informant interviews (county health

and environmental health)

– Engaging promotores and community based

organizations

– Tribal surveys


Documents

DEODC Emergency Preparedness Drought DEODC - c.ymcdn.comc.ymcdn.com/sites/ · Tulare County: •Central valley, agricultural •>1,300 dry wells, impacting ... DEODC Emergency Preparedness