Florida deaths in sweltering nursing home
show post-disaster perils
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[September 14, 2017]
By Andrew Innerarity
HOLLYWOOD, Fla. (Reuters) - Inside a
sweltering nursing home, a crisis unfolded on Wednesday as 150 centers
across Florida still lacked power days after Hurricane Irma ravaged the
state.
Firefighters and medics responding to an emergency call in Hollywood
north of Miami found three people dead inside a building whose second
floor the police chief later described as "extremely hot."
Altogether, city officials said eight people between the ages of 71 and
99 had died, but the causes were not yet determined. An investigation of
possible criminal negligence has begun, Hollywood Police Chief Tomas
Sanchez told reporters.
Attempts by Reuters to reach an official of the for-profit
Rehabilitation Center at Hollywood Hills home by phone and email were
unsuccessful.
While Sanchez declined to say what the temperatures were on the second
floor of the building, the deaths illustrate the perils that can persist
and even increase in the aftermath of a major disaster for the elderly
and medically fragile.

Heat is a top killer after hurricanes and disasters cause power outages,
said Dr. Thomas Kirsch, director of the National Center for Disaster
Medicine and Public Health. Kirsch noted that hundreds of elderly people
died in the 1995 Chicago heat wave and when Hurricane Katrina devastated
New Orleans in 2005.
The temperatures in Broward County north of Miami have reached 90
degrees Fahrenheit (32 degrees Celsius) in the three days since Irma
smashed into Florida on Sunday.
"We often see that injuries and deaths after disaster in the United
States are more common than those actually caused by the disaster
itself," Kirsch said.
After losing its full air conditioning on Sunday, the facility placed
eight portable air coolers throughout the building and fans in the
halls, state officials said in an emergency order late on Wednesday.
Officials also contacted the power provider, the state said.
NEW MEASURES
Efforts to prevent such disasters in nursing facilities have improved in
recent years, public health experts said, and that new federal
regulations require facilities to have sufficient backup power to
maintain reasonable temperatures.
Such capacity is now being tested in Florida, home to among the highest
concentrations of senior citizens in the United States with more than
1.6 million people ages 75 years or older, according to the 2015 U.S.
Census. The U.S. Senate Aging Committee, citing the Florida deaths, on
Wednesday said it would have a hearing next week on disaster planning
for the elderly.

At a housing community for senior citizens in Immokalee, Florida, some
residents told a Reuters reporter on Tuesday they had nothing to eat in
their small apartments that were without power. An office assistant was
hunting for bottled water and ice for residents without running water.
Among the state's nearly 700 nursing facilities, about 150 lacked power
as of Wednesday morning, said the Florida Health Care Association, which
represents most of the homes.

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Guillermo Nunez speaks to the media regarding the condition of
Rehabilitation Center at Hollywood Hills patient, Saga Garcia, the
mother of his sister in law in front of the Center in Hollywood,
north of Miami, Florida, U.S., September 13, 2017. REUTERS/Andrew
Innerarity

Early on Wednesday, several calls were placed to emergency services
from the Hollywood nursing home. More than 150 people were
evacuated, many suffering from respiratory issues, dehydration and
heat-related problems, according to Memorial Regional Hospital
spokesman Randy Katz.
As recently as Tuesday afternoon, the home had told state health
officials it had power and access to fans and spot coolers, Florida
Governor Rick Scott noted in a statement.
An assisted living center that went without power for nearly three
days said that its efforts to run fans and keep breezes flowing
between open windows could only go so far. Inside temperatures
climbed to 88 degrees Fahrenheit (31 Celsius), nearing a critical
point.
"A day you can survive, two days ok," said Dan Nelson, chief
operating officer for Cape Coral Shores assisted living, adding that
after that "things like what happened over in Hollywood
unfortunately could happen somewhere else."
The Hollywood center where the deaths occurred had earned a "below
average" mark of two out of five stars from the nursing home rating
system for Medicare, the U.S. health insurance program for the
elderly and disabled, Medicare records showed.

Elder care in disaster poses challenges even in the best
circumstances, said Kathryn Hyer, a professor in the School of Aging
Studies at the University of South Florida in Tampa, whose research
shows that evacuations can be deadly for the medically frail who are
dependant on equipment and medications.
While sheltering in place can be preferable at times, she said,
doing so requires planning to survive the aftermath.
"It's just hard," Hyer said, noting at least nursing centers offered
some protections. "I really worry about the people who are in the
community alone and how they are doing."
(Additional reporting by Gina Cherelus and Joseph Ax in New York,
Bryan Woolston in Immokalee, Florida and Colleen Jenkins in
Winston-Salem, North Carolina; additional reporting, writing by
Letitia Stein in Detroit; editing by Grant McCool)
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