S1E30 - Parks on Disaster Relief

Episode Notes

Margaret talks to Parks from Appalachian Medical Solidarity about disaster relief, what kinds of medical interventions are often needed after a disaster, and how to both respond to and prepare for them.

Guest info and links

The host Margaret Killjoy can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. You can support her and this show on Patreon at patreon.com/margaretkilljoy.

Transcript

49:54

SPEAKERS Margaret, Parks

Margaret Hello, and welcome to Live Like the World is Dying, your podcast for what feels like the End Times. I'm your host, Margaret Killjoy. I use she or they pronouns. This week I'm talking to Parks, who is a medical professional who works with Appalachian Medical Solidarity. And when I say this week I mean I recorded this interview at the very beginning of starting this podcast, which was just before the pandemic. I started this podcast in early 2020 when I had no real reason to think that COVID was going to become COVID in the way that it did. So this episode about, you know, medical things and disaster situations didn't really seem like it made a lot of sense. It's not what a lot of people were thinking about when it came to disaster and medical issues throughout all of 2020. But I actually, I still think this information is really important. And there are so many other crises that are happening now and will continue to happen. And so we talk a lot about, well, just what it means to be a responder to disaster, especially from a medical point of view, and I hope you get a lot out of it. I know I did. This podcast is a proud member of the Channel Zero Network of Anarchist Podcasts and here's a jingle from another show on the network.

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Margaret So, welcome to the podcast.

Parks Thank you.

Margaret Do you want to introduce yourself with whatever name, pronoun, and affiliations that you would like to be known for for this podcast?

Parks Sure. So my name is Parks, I use he/him pronouns, and I'm affiliated with Appalachian Medical Solidarity.

Margaret Could you maybe start by talking about what Appalachian Medical Solidarity is, like what you all do?

Parks Sure. Appalachian Medical Solidarity is a group that is centered in Asheville and the southern Appalachian area. And we provide disaster medical interventions, particularly after hurricanes and things of that nature. And we're working on other projects around the area, we do a lot of education in the area. For example, we taught a CPR certification class this weekend, and a Naloxone class.

Margaret So one of the reasons I wanted to talk to you is that you told me once—you went through the list of how people design die and natural disasters and how it's not what people think it is. And clearly preparing or understanding how natural disasters work is, like, comparable to understanding how larger disasters work and things like that. So I was wondering if you wanted to talk a little bit about disaster and what the actual, like, kind of threat models are?

Parks Sure. So there are several kinds of disasters and natural disasters, as you and your audience are likely aware. One that my group deals with specifically based on our geographic location is hurricanes. In developed countries, or countries with well-built infrastructure such as buildings and roads, deaths from hurricanes tend to come after the event itself. So the hurricane may kill less than 10 people—I'm not, I'm making up numbers there—but a small number of people will be killed by things like wind and falling trees and powerlines coming down and, you know, maybe a tree falling through their house and hitting them, that type of thing. More people die in flooding during the event than anything else. So most people don't die from being hit by a tree or blown away. They die from drowning and flooding, particularly when trapped in houses or when trapped in their cars, situations like that. So in places like the United States, those fatalities tend to be low. More people die in the few days after the hurricane. So as the power is out and infrastructure is down and people start to do things to cope with the infrastructure being down, part of the issue in developed countries is people are not accustomed to the infrastructure being down, so they're not necessarily aware of safety precautions to use when using things like grills or propane heaters or other non-conventional items, or in non-conventional areas. So people tend to die of carbon monoxide poisoning when they're using devices that need to be used in a ventilated area indoors, such as propane heaters, gas grills, things of that nature. They also tend to die after those events from chainsaw injuries, that's pretty common one, or from improper use of chainsaw, so trying to cut down trees and people being untrained to do so and having the tree fall on them. In that scenario, that type of thing. That's a much more common way to die in developed or over developed countries after disasters. People also die from food poisoning after disasters as they eat things out of their refrigerators and freezers that are going down. That's not as common, but it does happen. Sometimes people have issues with the spread of contagious illnesses inside of shelters. But here again, that's not usually causing a lot of people to die, it's causing a lot of people to have colds.

Margaret So would you say that one of the better ways to prepare is more about, like, knowing how to use your emergency equipment—like knowing, like, chainsaws and propane and all that or?

Parks I would—yeah, absolutely, absolutely. Knowing how to use equipment without, you know—knowing how to properly use a chainsaw, knowing when and where to properly use a propane heater. The other thing I would suggest is simply not using those items if you're not trained or unsure. You know, after a hurricane event, if you're a little cold, you know, put on extra layers if that's an option. If you can eat crackers and peanut butter instead of trying to, you know, make some kind of makeshift stove inside your house, then do that. You know, wait till it stops raining and you can move your grill outside. So use a little bit of common sense and forego small what are, you know, small luxuries essentially like cooking your food indoors or heat if you can, if you can live without it.

Margaret I want to ask you about Appalachian Medical Solidarity and your experiences with it and like what you've seen, or what people who are part of AMS have seen or like, I know, for example, when we had the conversation before we did this interview that you talked about while you're a medical professional, and you're often not using your, you know, surgery skills or something like that on