Disaster Response Foundation

1. Disaster Response Foundation Anywhere…. Anytime…. Any magnitude… Mobile Disaster Response Capabilities that work! 1

2. Emergencies: Risk and Cost Natural disasters are happening more often and having an ever more dramatic impact on the world in terms of both their human and economic cost. • In the past decade, the number of people affected by natural disasters tripled to 2 billion. • In the past two decades , direct economic losses from natural disasters multiplied five fold to $629 billion worldwide. Annual direct losses from weather-related events increased from an estimated $3.9 billion in the 1950s to $63 billion in the 1990s. • Other recent statistics show: • In the 1990s, an average of 80,000 people died each year in natural disasters worldwide. • In 2003, there were about 700 natural disasters which killed about 75,000 people and caused about $65 billion damage (source: Munich Re, 2004). Of this insured losses accounted for only $15.8 billion. • Between 1980 and 2003, the World Bank financed 147 post-catastrophe reconstruction projects worth about $12.5 billion. 2

3. Standard Hazard List Destructive Weather Flooding Hazards Seismic/Geological Hazards Fire Hazards Pandemic Influenza Epidemic/Endemic Disease Climate Change Hazardous Materials Spill/Release Transportation Accidents Structural Failure/Collapse Infrastructure or Utility Loss or Interruption Financial System Interruption/ Collapse Environmental Pollution/ Contamination Agricultural Incidents • Terrorism Incidents (Conventional) • Chemical Terrorism • Biological Terrorism • Radiological Terrorism • Nuclear Terrorism • Explosive or Incendiary Terrorism • Electromagnetic or Cyber Terrorism • Civil Disturbance (Riot, Strikes, Protests, or Mass Panic) • School Violence/Disturbance • Refugee & Migrant Operations • Nuclear Reactor Accidents • Nuclear Weapon Accident/Incidents • Special Events • Military Surge/JRSOI

4. Disaster Response Foundation Founded in 2009 to offer full scale integrated disaster response capabilities from a single source Power • Full emergency response capability • 8 hour mobilization • Ruggedized air-drop capable shipping containers • 72 hour to 2 week initial sustainability • Refreshable for long term sustainability (2 weeks to 6 months) Emergency Communications Computing Environment Ready Mobile Emergency Response Clean Water Commissary Power Shelter Heat And Air Conditioning Designed by former US military disaster response experts Mortuary Services 4

5. Problem Space Establishing on-the-ground capabilities within the first 24 to 48 hours is crucial Events Fires Floods Tornados Hurricanes Earthquakes Tsunamis Other man-made or natural emergencies 5

6. Essential Elements of Effective Disaster Response • Rapid access to key response assets • Knowledge base of what resources are available, where they are located and how quickly they could be in place at rearward or forward areas. • Ability of response teams to move quickly to deploy the resources to the correct locations in the needed amounts • Ability of each unit to have near real time communications of voice, video and data with every level of field response • Initial and routine follow-up communications with all other responding parties Essential elements to a rapid response for civil emergencies: 6

7. Characteristics of an Ideal Deployment Operationally independent for at least 72 hours or more Deploy by any available means, such as roads that remain traversable by four-wheel-drive pick-up trucks or military vehicles, available aircraft, including rotorcraft, or boats Deploy worldwide within 24 hours Virtually operational within one hour of hitting the ground Depends entirely on manpower rather than heavy equipment, such as forklifts, to move components and make them operational. A single responder should be able to move up to 750 pounds of equipment using purpose built carts Fits the needs of the emergency, becoming capable of treating dozens to hundreds of patients Delivers basic, optimal patient management from triage through staged resuscitative surgical management Deploys and becomes operational so easily that monthly or quarterly training doesn’t become overly burdensome for involved agencies and their personnel 7

8. The DRF Approach: Infrastructure in Place Mobilization and Deployment Speed Anywhere in the World Strategically located warehouses around the world On-hand inventory of emergency response assets Deployable within hours of notification of an event Containerized mobile assets ruggedized for air drop if response area is inaccessible by land or sea Completely componentized system - scalable to any size of response need Effective communication and distribution infrastructure Initial 72 hour capability “Refreshable” for extended periods of time 8

9. DRF Components • Communications - Standalone, all inclusive wireless communications network (with SmartPhones, video, satellite connectivity, and computing infrastructure) • Clean Water - Water purification and storage capabilities • Power - Generators and fuel (truck or trailer mounted) • Climate Control - Portable heating and air conditioning • Mortuary Services • Shelter - Revolutionary, lightweight, rapidly deployable • Commissary Full Mobile Emergency Response Capability (can be set up in a matter of hours ) 9

10. Ready Mobile Emergency Response Approach Highly functional disaster management and major incident response concept Maximizes results with the resources available at the time they’re needed Arrive at the disaster region in the first critical 72 hours after an incident Deployment involves multiple, rapidly deployed, scalable, highly mobile systems Deployment of multiple systems, distributed strategically throughout an affected area, enables first responders to offer medical and critical services just one hour after an incident occurs Each of the 10 or more of these 10-bed facilities can become operational in less than one hour when an available building or other location is used and in three hours if shelters are required 10

11. Facilities • Capabilities • Medical assessments, triage • Surgery • Recovery • Radiology • ICU capabilities • Isolation capability in any setting • Scalability • Self-contained 10-bed unit modules • Can be consolidated into large bed-count facilities • Can provide long-term health care at the scene of a disaster; consolidated units can remain and function as 100-bed or larger facilities providing continuous surgery, radiology, ICU and post-operative or general medical capabilities 11

12. Portable Clean Room Module • Features • Negative pressure isolation • Positive pressure isolation • Quick setup in either configuration • Resealable staff access • Multiple pass through ports • Compact disassembled storage • Easy cleanup after usage • Self supporting enclosures • Multi-patented capability • Quarantine • Exceeds recommend air change standards 12

13. Communications Infrastructure • Search and Rescue • Photograph survivors and send these to the shelters to help locate relatives of the injured • Medical Support • Send and receive medical records • Provide real time video feeds of injuries • Confer with specialists around the world Simple to use, quick and easy to deploy Forward Communications Network (FCN) that allows forward deployed personnel to have two-way communication with one another AND with remote personnel in command, operations, or medical centers across the globe.   13

14. Shelters • Has air insulation, windows that work and doors throughout. • Normal inside room size is 20'x30'  and hallways are 10' by 20’ • Includes vents for heating or air conditioning    • Includes floors, ceilings, walls and automatic air make up system Very light weight and small package Inflatable in 20 minutes using a fan Made of same material as is used on airplane and space shuttle escape slides Strong Can be easily zipped into any configuration of main shelters and large hallways (four bed surgery tent, or a 200 bed hospital) 14

15. Sustainment As with all transitions, once the change is made, it is important to keep the momentum going. This takes dynamic leadership, cooperation with other organizations and a sense of purpose. Additionally, recruitment, training and exercises are key to operational readiness and retention. While actions in the Response Phase can take hours to days to complete, the Recovery Phase can take years to decades to complete. DRF can provide direct recovery services from preliminary damage assessments, engineering, temporary construction and energy/utility services, clean-up, demolition, abatement and disposal Restoration services include, mitigation and alternative site location, as well as complete reconstruction and “disaster proofing” Sustainment services include holistic community planning and implementation