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Extreme Weather and Society
Extreme Weather,
Health, and
Communities
Interdisciplinary Engagement Strategies
Extreme Weather and Society
Series editors
William A. Sprigg, Tucson, AZ, USA
Sheila Lakshmi Steinberg, Irvine, CA, USA
Extreme Weather and Society examines people, place and extreme weather, from an
emerging trans-disciplinary field of study. The series explores how abrupt and
trending changes in weather alter physical environments and force community
responses challenged by cultural practices/interpretations, politics, policy, respon-
sibilities of education and communication, community health and safety, and
environmental sustainability for future generations. The series highlights extreme
weather alterations to different physical and social environments to better explore
how people react and respond to extreme weather. The hallmark of this series is the
innovative combined inclusion of social and physical science expertise. Extreme
Weather and Society contains single and multi-authored books as well as edited
volumes. Series Editors are currently accepting proposals, forms for which can be
obtained from the publisher, Ron Doering (ron.doering@springer.com).
Editors
123
Editors
Sheila Lakshmi Steinberg William A. Sprigg
School of Arts and Sciences Department of Atmospheric Sciences
Brandman University-Chapman University The University of Arizona
System Tucson, AZ
Irvine, CA USA
USA
Everyone remembers his or her first experience with extreme weather. I grew up in
northern New Jersey and the early 1950s brought an especially active series of
tropical storms. In 1955, Hurricane Diane roared through the Northeastern United
States. I vividly recall the street where I lived crisscrossed with downed oak and
elm trees and the city impassable for miles around. As a child, the storm was the
most exciting show I had ever witnessed. Downed electrical wires sparked at the
curbsides and neighbors scrambled to check on their homes and each other. I soon
saw my neighbors pulling large branches from the roofs of their homes and cov-
ering the damage with tarps. I heard the fearful whine of chainsaws and the grunting
and chugging of heavy equipment, backhoes, and grapple-skidders. The roadways
were slowly cleared. For some reason we had not lost water supplies, though
electricity was out for about 10 days. I felt like quite the little frontiersman as I went
out to collect scrap twigs and dried branches that could be burned in the fireplace to
keep our home warm during the 10 days (although I don’t think we really needed
the warmth, the adults probably needed some task to keep us boys busy).
My experiences were tame compared to those of the children in New Orleans in
2005 or those in Coney Island 2012. When bad outcomes ensue, such as the inun-
dation of New Orleans with Hurricane Katrina, we initially blame them on an “Act of
God,” but before long we realize that this act of nature has been amplified by
shortsighted design and inadequate building codes. The disaster of Katrina was
magnified by bad levees, slapdash building, and residential siting in inundation
zones. All made worse by a dysfunctional system of local governance, especially the
police department. The New York region is overall wealthier than New Orleans and
was better prepared for Superstorm Sandy, but the populations at risk were far larger.
Similarly, though, in the case of Sandy, many of the bad outcomes were predictable
and could have been prevented, such as the inundation of NYU Medical Center and
of the city of Hoboken, or the loss of $100 million worth of new railroad rolling
stock because it had been thoughtlessly sidelined parked in a known flooding zone.
Extreme weather events allow us to see our communities at their best, and sadly
at their most unseemly. The communities that are the most resilient—the ones that
v
vi Foreword
function well and recover most quickly—bring to their recovery an important mix
of financial and infrastructure assets that are perhaps the most critical element in
resilience and recovery. In “Tornado Alley” people living in brick homes with
basements and with steel tiedowns for the foundations and roofs survive violent
windstorms better than do the low income persons living in trailer parks. People
with financial assets, such as a remote vacation home or a large SUV to help
evacuate them in order to stay with unimpacted relatives, managed Hurricane
Katrina far better than those with few resources. Those with adequate homeowners’
insurance policies rebuilt far sooner, and they rebuilt homes that were “up to code”
and more resilient than the ones damaged or destroyed. And in the same way, those
living in countries where national assets can be rapidly deployed to assist also
manage more effectively than those with more limited assets.
Protecting health and being resilient in the face of extreme weather requires
more, however, than solid financial resources. It requires a narrative of survival and
of recovery. And that narrative must be personal and connected not just to the
family, but also to the community, municipality, and jurisdiction. Studies of
recovery after disasters demonstrate that families and neighborhoods where there
was strong pre-existing social capital, namely community organizations, churches,
and a strong volunteer culture, as well as competent and effective local governance,
recovered from calamities more quickly than those without this. Communities that
lack financial and social capital are more likely to fail to recover from disasters and
end up in a diaspora; with persons and families scattered thousands of miles in
every direction. This is what happened to many of the poor in New Orleans after
Hurricane Katrina. At times a diaspora is exactly what is needed—not all locations
are suitable for human habitation or redevelopment. For example, swampy areas
subject to regular flooding may be good farmland but they are unlikely to be ideal
for residential building. Desert areas can be turned into agricultural land, or even
cattle feedlots, but only with enormous inputs of energy, water, and agricultural
chemicals, including fertilizers and pesticides. Creating habitation on unsuitable
land is rarely a good long-term investment.
In my role in public health I have had substantial experience in health leadership
roles following various crises and disasters. When I was with the California
Department of Public Health, we had to address droughts, immense wildfires,
floods, earthquakes, mudslides, as well as civil insurrections. When I was head
of the National Center for Environmental Health at CDC we had to address hur-
ricanes in Florida, massive floods along the Mississippi Valley, and inundations in
the low country, and even the Piedmont on the East Coast, particularly the
Carolinas. My Center developed and administered the National Pharmaceutical
Stockpile, which was directed and funded by Congress to be mobilized in the event
of terrorism and pandemic threats; it was first deployed on September 11, 2001.
In addition, CDC’s Refugee and International Health group was located in NCEH;
it was frequently called on to respond to refugee crises in many parts of Africa, the
Middle East, Asia, and elsewhere. Each of these crises brought its own set of needs
and different demands for response. And each of the various assistance groups
tended to bring its own set of skills and supplies, ranging from drinking water and
Foreword vii
meals-ready-to-eat, all the way to temporary shelters and portable surgical hospitals.
But in my own experience, the assets and help most often needed more than any
other were: good intelligence (what is going on with whom, where, when, and for
how long), solid management, and robust communication.
While these needs seem self-evident, they are rarely concurrently present, and
I assert, the most commonly neglected need following these crises is effective
communication. Many times I have been in the room with elected officials, physi-
cians and health leaders, public safety personnel including police and fire, and
emergency management experts, where each one narrowly focused on his or her own
expertise. And then each looked to a third-party “expert” to confront a critical and
urgent element of the response—that essential element is: communication. Yet, each
of these leaders would delegate the task of communications to someone else: a public
relations expert, or to a writer, or to a telegenic junior staff member. These “experts”
frequently persisted in the belief that providing distressed disaster victims a list of
facts once a day is adequate communication. But they fail to realize that effective
community engagement is a two-way process. This near-predictable behavior
reflects a fundamental misunderstanding of communication. Communication is not
merely talking to or at people. Communication is—not just talking—but listening.
Communication only occurs as a two-way activity. Just as every child is told “you
have two ears and one mouth because you’re supposed to listen twice as much as you
speak,” so those responding to extreme weather events and disasters need to hear and
behave in the same way. Those in leadership roles must be listening clearly and
synthesizing information, planning ahead; not merely directing traffic or offering
dictates. Members of the community who are suffering must be conversed with, not
just in their own language, but also in their own dialect and educational level. It is
important to understand the cultural aspects and norms of the communities as you
plan to communicate and take action around extreme weather events.
When I was in North Carolina following Hurricane Floyd, I visited many of the
shelters that had been set up in the school gymnasia and armories. I repeatedly
heard the community members express anxiety about epidemics of typhoid. After
listening to distraught members of the public express fears about a typhoid epi-
demic, we would patiently explain that there were no typhoid bacilli in the area and
that the likelihood that this would occur was negligible. Our reassurances were
dismissed. People who were frightened, isolated, and distraught repeatedly insisted
that they wanted “typhoid shots,” an activity I considered worthless, especially
compared to all the other more urgent needs that people had. Then I hit on it—the
most common health threats in these situations resulted from drinking contaminated
water and food; these needs were being well taken care of. But after major disasters
such as earthquakes and tornadoes, the most common injury people sustained was
puncture wounds to the feet. The landscape was covered with pieces of lumber,
broken boards, and other debris with wood shards and exposed nails sticking
up. After the wearing of personal safety equipment such as heavy-duty work shoes,
the most important health protective contribution we could make to these folks was
viii Foreword
to raise their immunity to tetanus, or lockjaw. Yet puncture wounds were seen as a
personal threat and liability, perhaps the result of carelessness, rather than a com-
munity or public health threat. To respond to an actual public health danger to the
community, we then set up clinics to administer a tetanus toxoid vaccine in the form
of TDap shots. The immunity to tetanus would be far more useful and last ten years,
and also to the good, they received boosters against diphtheria and pertussis
(whooping cough). The act of waiting in line with one’s neighbors and receiving
this useful injection carried far more benefit, both medically and in terms of anxiety
reduction, than almost any other action we could have taken. Listening is what
created this community benefit. This kind of clinical management at a community
level is somewhat similar to actions taken in clinical medicine, where what the
patient is saying they are worried about, and what the doctor knows they should be
concerned about, are not in agreement. In these situations the patient needs to feel
listened to and well cared for, and the doctor must with good conscience do what is
best for that person.
Climate experts say that extreme weather will be on the increase because of
planetary warming and our ignoring the community health signs and symptoms of
global, unchecked dependence on fossil fuels. Sea levels have been rising at the rate
of about a centimeter per decade, which means that oceans are about a third of a
foot higher than they were during Hurricane Diane. Storm surge and saltwater
intrusion into freshwater resources create greater threats to safety, health, and
infrastructure. Warmer atmospheres hold not just more energy but hold more water
vapor, and the combination of more heat and more humidity can be deadly in our
densely populated cities.
Experts say these weather extremes will become not just more frequent but more
violent. And weather will not impact merely little neighborhoods but will lead to
impacts on large populations. Where droughts prevail and arid lands expand, wind
storms will carry even more dust around the world to downgrade air quality and
exacerbate respiratory consequences.
Diminution of the Himalayan glaciers and the relative drying up of the Ganges
River and the Brahmaputra River, combined with sea-level rise in the Bay of
Bengal, will lead in this case to large population migrations. Increasing numbers of
drought events worldwide would combine with sea-level rise, and the inevitable
salination of aquifers used for drinking water, livestock, and irrigation will drive
ever larger population migrations. Population migrations always come with major
health impacts, and too many start with war and terrorism. And as with everyone’s
early life experiences with violent weather, the impacts will be unforgettable. Sadly,
the children of tomorrow will have many more weather stories to tell; stories with
little charm and a great deal of preventable terror.
The following chapters are a sample of how society has dealt with extreme
weather events, concerns for human health using interdisciplinary approaches to
community engagement. They tell of life-threatening moments of terror and of
chronic, life-restricting consequences of extreme weather. They take us through the
Foreword ix
painstaking cycle of research, education, and payoff, with fewer lives at stake,
healthier communities, and a higher regard for climate and weather. Significantly,
they remind us of the need for interdisciplinary and cross-cultural participation in
coping with weather extremes.
xi
xii Contents
xiii
xiv Editors and Contributors
Contributors
Peter Berry Ph.D. is a Senior Policy Analyst with the Climate Change and Health
Office at Health Canada (Government of Canada) where he has worked since 2001.
While at Health Canada Peter has conducted research in several areas related to
climate change including health risks to Canadians, adaptive capacity of health
systems, health vulnerability assessment, and communicating climate change risks
to the public. As part of Health Canada’s initiative to help Canadians protect
themselves from extreme heat he co-authored a number of guidance documents for
public health officials. Peter actively collaborates with researchers within and
outside of Canada to facilitate public health adaptation. He is a contributing author
for climate change and health vulnerability and adaptation assessment guidelines
that were released by the World Health Organization in 2012 and to the
Intergovernmental Panel on Climate Change Special Report on the Management of
Extreme Weather Events. He was a lead author for the Health Chapter of the
Government of Canada climate change and impacts assessment update that was
released in July 2014 and is currently on an expert advisory committee for a
vulnerability assessment for the island state of Dominica.
Olivia Burchett Porter M.A. grew up in Trinity and Wilmington, North Carolina.
She obtained her Bachelor’s degree in Political Science and International Studies
from the University of North Carolina at Chapel Hill in 2005. She served as a
United States Peace Corps volunteer in Busia, Uganda, from 2007 to 2009. Olivia
joined the University of New Orleans urban and regional planning program in 2012,
and worked as a Graduate Research Assistant for the UNO Center for Hazards
Assessment, Response and Technology (UNO-CHART). She received her Master’s
degree in urban and regional planning in 2014. She currently attends Loyola
University of New Orleans College of Law, and is pursuing a J.D. with a Certificate
in Environmental Law. Loyola University of New Orleans, New Orleans,
Louisiana.
David Driscoll Ph.D. is the Director of the Institute for Circumpolar Health
Studies and Associate Professor in the College of Health at the University of
Alaska, Anchorage. He is a medical anthropologist and epidemiologist with a
specialization in the application of interdisciplinary and mixed method health
research designs to assess the social and physical determinants of community
health. Dr. Driscoll conducts research to develop and evaluate evidence-based risk
communication, health promotion, and disease prevention interventions for rural,
isolated, and culturally-distinct communities. He has published widely on his
research, including in the Journal of Rural Health, Health Promotion Practice, the
International Journal of Circumpolar Health, and the Journal of Health
Communication.
Mary Hayden Ph.D. (NCAR) is a behavioral scientist with over 15 years of
experience working on weather, climate, and health-related linkages. Dr. Hayden
received her Ph.D. in Health and Behavioral Sciences from the University of
Editors and Contributors xv
of traditional cultural and heritage practices and a grassroots activist. Her work is
focused on partnering with leaders from other communities, and various
organizations/groups, to work for environmental sustainability of coastal, tradi-
tional, and historied communities. These alliances are forged to address issues of:
Climate Change, Economic Instability, Environmental Justice, Gentrification, and
Coastal Restoration/Preservation; issues that are familiar to most of our commu-
nities and have plagued its peoples for generations. As a guest lecturer, she speaks
on recognizing accountability, and identifying contributing factors and entities in
relation to these issues. Ms. Philippe is a firm believer that people facing similar
problems, through informed education and information sharing, have the power to
affect positive long-term changes; and through collaboration, take charge of their
own destinies, building toward a more resilient and sustainable life.
Mary M. Prunicki M.D., Ph.D. joined the Sean N. Parker Center for Allergy
Research at Stanford University in July 2014. Her current research focuses on the
Fresno, CA pediatric population. She investigates the effects of ambient air pol-
lution on the immune system, especially in children with asthma. Dr. Prunicki
studies T cell immunology, with an emphasis on Tr1 and Th17 cells.
She received her Ph.D. from Northwestern University and her M.D. from
Southern Illinois University. After a career hiatus to raise her small children, Dr.
Prunicki resumed her research career by becoming a National Institutes of Health
re-entry scientist.
Gregory R.A. Richardson MCIP, RPP is a Policy Analyst in the Climate Change
and Health Office at Health Canada (Government of Canada) where he works with
Canadian communities to reduce the urban heat island effect and improve indoor
and outdoor thermal comfort. He has supported six pilot communities across
Canada with developing plans, actions, and decision-support tools to help reduce
the urban heat island effect. Gregory is a Registered Professional Planner in Ontario
and a Member of the Canadian Institute of Planners. In addition to his efforts
working directly with communities, he has authored various articles and reports
describing how cities can adapt to climate change, including a Government of
Canada publication that introduces climate change adaptation to municipal
decision-makers.
David A. Robinson Ph.D. is Professor in the Department of Geography at Rutgers
University. Since 1991 Dr. Robinson has also served as New Jersey’s State
Climatologist. He earned a bachelor’s degree in Geology at Dickinson College in
Carlisle, PA and a doctorate in Earth Sciences at Columbia University. He spent
several years as associate research scientist at Columbia’s Lamont-Doherty Earth
Observatory prior to arriving at Rutgers in 1988. Dr. Robinson’s research interests
are in applied climate, especially related to New Jersey, and in climate dynamics
and change, particularly focused on global snow cover. He is a contributor to the
Intergovernmental Panel on Climate Change and to the National Climate
Assessment, and sits on the National Academy of Sciences’ Board on Atmospheric
xx Editors and Contributors
Weather extremes have been a challenge since life on earth began. Whether caught
in sudden storms or subjected to long stretches of extreme drought, heat or cold,
people must either cope or suffer the consequences of changing weather and
environments. The world continues to face extreme weather in the form of
excessive heat, mega-storms, tornados, flooding and drought. These events often
pose major health threats to communities around the world. Effects of such envi-
ronmental health challenges are especially significant for vulnerable populations
that lack the economic wealth and social power to prepare or move away from
extreme weather threats. Poorer populations are often relegated to living in envi-
ronmentally marginalized areas, and as a result, experience greater suffering.
This book focuses on radical weather and the problems left in its wake: the people
harmed, the places affected and the lasting health issues. It explores the connections
among them. Detailed case studies are presented of how people from various
geographies cope with different types of severe weather. This volume adopts a
unique interdisciplinary approach drawing upon expertise in both natural and social
sciences. It contributes a socio-scientific integrated perspective on interdisciplinary
community engagement to combat extreme weather and to preserve health.
Extreme weather around the world is having a major impact. Hurricanes tend to
leave scars on communities and the landscape for decades, and Katrina’s path
through Gulf of Mexico coastal marshes in 2005 is no exception. In 2015,
Hurricane Patricia “became the strongest hurricane on record in the Western
Hemisphere” (NOAA 2015). It was the most intense Western Hemisphere hurricane
on record—with 879 mb/25.96″ and 200 mph sustained windspeed at it’s peak
intensity measured on October 23, 2015. Patricia broke records previously set by
Hurricanes Linda and Wilma. A week later, on November 2, 2015, in a very rare
event for the Arabian Sea and Gulf of Aden, Cyclone Chapala hit the coast of
Yemen with torrential rains causing large scale flooding and landslides. According
to NOAA and NASA satellite estimates, Yemen received several times its average
annual rainfall in less than two days!
In December of 2015, India experienced unprecedented flooding and monsoons
(Lesiter 2015) after following an October where extreme temperatures climbed
above 122 °F (Burke 2015). In 2012, the United States experienced the most
extreme weather since 1910, when record keeping began. This includes Hurricane
Sandy (discussed in Chaps. 2 and 3 of this volume), a storm that will be remem-
bered for a long time. On 30 August 2015, Hurricane Fred had the distinction of
forming further east in the tropical Atlantic Ocean than any previous hurricane since
satellites began their storm surveillance, and possibly the first hurricane since 1892
to strike Cape Verde islands (Carlowicz 2015), less than 600 km west of Dakar,
Senegal.
Since January 2012, the United States alone experienced 2188 days of record
heat, 1094 days of record rainfall and 245 days of record snowfall (Natural
Resources Defense Council 2015). These major environmental changes come at
significant cost in social and health consequences. Places need to be armed with a
spatial understanding of their resources, risks, strengths, weaknesses, community
capabilities, and social networks before severe weather strikes. Understanding the
relationships between health, community strengths and social patterns permits
governments and communities to prepare for action before extreme weather strikes.
Knowing the people and communities involved, and understanding their interaction
with their environment, is good preparation for extreme weather and the associated
risks.
The aims of this book are to:
• Provide case studies of extreme weather events that illustrate health conse-
quences for places (urban and rural), for socioeconomic status (rich and poor),
and for a variety of geographies around the globe.
Introduction: Extreme Weather, Health and Communities … 3
Our book highlights the strength that comes from maintaining interdisciplinary
approaches to participant engagement and problem solving. Innovation occurs
through interdisciplinary engagement. In other words, “when you bring together
people to interpret and understand the data from different backgrounds, they may
naturally generate synergistic thoughts or suggestions” (Steinberg and Steinberg
2016, p. 373). Developing best practices for how to face and respond to severe
storms and extreme, long-lasting meteorological events are derived through inter-
disciplinary study and planning. Each chapter in our book reflects the diverse
experiences and perspectives of experts from different areas of expertise including
meteorology, public health, anthropology, sociology, community development,
spatial analysis, medicine, engineering and history. They are true case studies that
contain lessons to be applied for the next severe weather challenge—perhaps at
another time, another place, and possibly under threat of a different type of extreme
weather event. In this regard, participating authors have had to become, at least to
some degree, interdisciplinary.
The volume begins in Chap. 2 with climatologist Dr. David Robinson’s exami-
nation of whether the 2012 “super storm” hurricane Sandy and the aftermath will
have changed the status quo of preparations, warnings and responses to severe storms
in the American coastal states of New York and New Jersey. Dr. Michael Moodian
follows in Chap. 3 with a discussion on the politics of severe storms, including
Hurricane Sandy, and whether elected officials have, or should have, a grasp of
extreme weather issues. Just how do our elected leaders fare when put to the test?
The full range of actions to reduce urban health consequences of extreme heat
waves, from the research that reveals the problem, to the citizens who approve the
resources to counter the consequences, is told by this volume’s co-editor, Dr. Sprigg,
in an end-to-end story (Chap. 4) on how global health problems of windblown desert
dust may be reduced significantly in a proposed Dust-Health Early Warning System,
the concepts of which depend on interdisciplinary collaboration, rapid and effective
communication, and state-of-the-science environmental observations and weather
models to forecast dust storms and their downwind dust concentrations.
Drs. Peter Berry and Gregory Richardson (Chap. 15) capture the important
lessons of all the previous case studies in one comprehensive, end-to-end example
focused on community health resilience to extreme heat.
All effective preparations or responses to severe storms include interdisciplinary
engagement of people and a sense of time and place. The chapters within this volume
are case study testimonials. Co-editor Dr. Sheila Lakshmi Steinberg’s Chap. 5 pre-
sents a theoretical model for extreme weather, environmental change, place and
community health followed by a community-based strategy for establishing inter-
disciplinary engagement for effective communication and trust among all parties
across different geographies. These points emerge again in Chap. 6, written by Drs.
David Driscoll and George Luber, who focus on community engagement and health
effects of extreme weather in the Artic. This is followed in Chap. 7 by a collection of
Introduction: Extreme Weather, Health and Communities … 5
co-authors led by Drs. Kristina Peterson and Shirley Laska, with co-authors Rosina
Phillippe, Olivia Burchett Porter, Rev. Richard Krajeski, and Drs. Sheila
Lakshmi Steinberg and William A. Sprigg—Chaps. 6 and 7 provide completely
independent studies of indigenous populations and extreme weather in the very
different environments of Alaska and the Gulf of Mexico coastal states. Both chapters
highlight similar challenges that indigenous, Native American communities face with
changing environments and having to adjust community patterns of environmental
interaction. Indigenous populations in both the Coastal Southern U.S. and Arctic
Alaska are challenged to cope with changing weather extremes and environments to
maintain robust health and sustainable living.
In general, people develop patterns of settlement, commerce and industry around
particular places, local climate and resources. Cities and towns were built along
coastlines or rivers to facilitate transportation and energy, which were, and still are,
susceptible to storm surges and floods. Extreme weather has threatened patterns of
life in most places around the globe. Chapter 12 by Barbara Mayes Bousted
examines the literary narrative of Laura Ingalls Wilder, and presents an historical
account of American settlers’ struggles with extreme weather in the U.S.
Midwestern prairie in the late 1800s. Coping with extreme weather at that time
depended more on the will, knowledge and skill of the individual, and less on
central government and formal community structures. Still, lessons learned from the
successful experiences of those who did cope with extreme unpredictable winter
weather, for example, helps lay the foundation for future community and regional
planning in other times and places.
This book also explores the health challenges of extreme heat brought about
when stagnating or persistent weather patterns bring extended periods of above
normal temperatures, especially into urban communities. Drs. Olga Wilhelmi and
Mary Hayden (Chap. 8) and Austin Stanforth and Dr. Daniel Johnson (Chap. 9) lay
out applied spatial research strategies, scientific data and the substance behind the
issue. Their work is revealing background for Chap. 15 by Drs. Berry and
Richardson, who describe Health Canada’s “Heat Alert and Response Systems” and
case studies for Ontario, Winnipeg and Windsor, Canada.
Drought, another longer-term, persistent weather extreme that puts community
health and wellbeing at risk is addressed in Chap. 10, by Drs. Michael Hayes and
Nicolle Wall, who focus their attention on drought and public engagement in the
United States, and in Chap. 11, by Dr. Jyotsana Shukla, who bases her research in
India and raises the little known and even less discussed mental health accompa-
niments to weather extremes, in this case torrential periods of rain and flood. The
bane of all who try to implement measures of risk prevention—gaining support for
a “what if” extreme weather and health risk scenario when there are many current
demands on existing community resources—is addressed in Dr. Shukla’s Chap. 11.
Chronic Obstructive Pulmonary Disease (COPD), asthma, cardio-vascular ill-
ness and Valley fever are among the health risks triggered by extreme weather
conditions in Fresno, California. Drs. Mary Prunicki and Kari Nadeau discuss best
practices in Chap. 13 for both ends of a weather spectrum. On the one hand,
health-hazardous pollutants from normal daily activities are trapped in stagnant air
6 W.A. Sprigg and S.L. Steinberg
References
Burke J (2015) “India Heatwave Kills more than 500 people.” The Guardian. http://www.
theguardian.com/world/2015/may/25/india-heatwave-deaths-heatstroke-temperatures on Dec.
10 2015
Carlowitz M (2015) NASA earth observatory rapid response team. http://earthobservatory.nasa.
gov/NaturalHazards/view.php?id=86517&src=nha
IPCC (2014) Climate change 2014: impacts, adaptation, and vulnerability. Cambridge University
Press, UK. http://ipcc-wg2.gov/AR5/
Lesiter (2015) Accessed on 18 December 2015. http://www.accuweather.com/en/weather-news/
tropical-threat-heightens-risk/53016886
Natural Resources Defense Council (2015) Natural Resource Defense Council 2012 Extreme
Weather (January–December 2012) http://www.nrdc.org/health/climate/extreme-weather-
ticker-2012.asp Accessed on 11/1/15
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Superstorm Sandy: A Game Changer?
David A. Robinson
Abstract Superstorm Sandy was a late season hurricane that transformed into a
monster post tropical storm, making a New Jersey landfall on October 29, 2012.
Sandy was a transformative event with respect to its impacts on the natural envi-
ronment, to changes in forecast and emergency management procedures, and, even
more so, to the psyche of those living in coastal states. Seen through a New Jersey
focused lens, this chapter will delve into physical and social science aspects of
Sandy. Lessons learned and important continuing dialogs will be addressed. For
example, the National Hurricane Center has revised watch and warning criteria.
Zoning changes that would move homes and businesses away from the shoreline
are being discussed and in some cases implemented. Improved means of commu-
nication between the forecast community and decision makers, and subsequently in
getting the message out to the greater population, are being studied and imple-
mented. Sandy has led to a greater appreciation of the power of Mother Nature and
the ever-growing vulnerability of individuals and their communities to storms.
However questions remain as to whether New Jersey and other coastal states are
better prepared for the next major storm. Was Sandy truly a game changer?
Keywords Superstorm Nor’easter Tropical cyclone Hurricane Storm surge
Westerlies Warm/cold core storms Evacuation Storm category Storm track
1 Introduction
Those of us living along the United States East Coast are generally well aware of
the threat of a major storm at any time of the year. With such events, there are the
attendant threats and consequences to life and property within coastal and inland
communities. In middle latitude coastal regions, it can be a strong winter-type
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