APPENDIX 2

RAINBOW FAMILY

SAFETY and HEALTH ISSUES

Travel Concerns

* Vehicle

1. Congestion of Roadways
2. Dust/visibility
3. Narrow roads, loose gravel
4 Walking, children playing
5. Rough/wash boards roads

Environmental Issues

* Dogs

1. Bites, diseases and sanitation.

* Camp Sanitation

1. Disposal of gray water
2. Hand washing facilities
3. Potable Water Sources
4. Preparation and storage of food

* Garbage/Solid Waste

1. Proper disposal garbage
2. Insect, rodents and animal problems

* Human Waste/Hygiene

1. Failure to develop adequate number of toilet facilities and treatment methods.
2. Failure to use developed toilet facilities.
3. Disposal of feminine hygiene products and condoms.

* Camp Sites

1. Snags, broken limbs.

Health Issues

1. Exposure to all Classes of Communicable Diseases


APPENDEX 3

Off Site Impacts
Safety Issues

Travel

1. Congestion of Roadways
2. Restricted use of road access through the incident site.
3. Use of roadway for walking or play areas.
4. Abandoned vehicles on or along roadways.
5. Oversize vehicles travel on narrow roads.
6. Narrow roads and loose gravel

Environmental Issues
- Dogs

1. Stray and abandonment of animals
2. Lack of proper vaccinations
3. Introduction of disease into the wildlife population.

- Garbage /Refuse
1. Large volume of garbage / refuse requiring disposal

Health Issues
- Water

1. Pollution of stream/lakes on site and downstream.
2. Improper disposal of gray water.
3. Possible depletion of water supply sources for downstream users.

- Emergency Medical Services

1. Impact on local medical facilities/services

- Health Services

1. Impact on local mental health, social services and welfare agencies.

- Communicable diseases

1. Possible increase in childhood diseases through exposure by unvaccinated children.


APPENDIX 4

Safety Incident Personnel

Travel
- Vehicle

1. County and State Roads
2. Forest Roads
3. Use of Seat Belts
4. Dust/Visibility
5. Wildlife/Livestock on and crossing roadway.
6. Watch for walkers & children playing on roadways.
7. Abandoned vehicles on or along roadways.
8. Oversize vehicles travel on narrow roads.

- Horse

1. Use of horses around large crowds
2. Care and maintenance of horses and equipment.

- ATV's

1. Training and experience
2. PPE
3. Off road use

-Air

1. Rotary vs. Fixed wing operations
2. Carded vs. non-carded
3. identification of LZ's

- Foot

1. Proper foot wear
2. Night Travel
3. Hazardous Areas
a. Dense Brush
b. Twigs and Branch Stakes
c. Steep Slopes
d. Rock Slides

Emergency Medical Services (EMS)

1. On and Off Site
2. Availability of local EMS services
3. Distance to critical care facility

Health Issues
- Bloodborne Pathogens

1. Aids
2. Hepatitis "B"

- Respiratory Diseases

1. Pneumonia
2. Tuberculosis

- Bacterial Diseases

1. Shigellosis
2. Salmonellas

- Parasitic

1. Hantavirus
2. Head and Body Lice
3. Lymes Disease
4. Rocky Mtn. Tick Fever

- Viral

1. Hepatitus (fecal-oral)

Environmental
- Weather

1. Heat vs. Cold
2. Rain and Wind
3. Lightning

- Poisonous

1. Plants
2. Insects (Scorpions, Ticks)
3. Snakes

- Firearms

1. Security
2. Storage
3. Retention

- Dogs

1. Failure to control & restrain
2. Large amount of feces

Infectious Hazards

1. Disposal of needles


APPENDIX 5

Patients Seen By White Mountain Regional Medical Center

TYPE OF ACTIVITY
NUMBER OF PATIENTS
Motor Vehicle Accident1
Dehydration2
Ear Aches4
Pharyngitis5
Rash/Scabies4
Gastroenteritis5
Overdose1
Chest Pain1
Sprain1
Morning After Pill1
Bullous Impetigo1
Fractures2
Wound Infection1
Corneal Abrasion1
Dysfunctional Uterine Bleeding1
Svalvira1
Prescription Refill1
Lacerations2
TOTAL35


APPENDIX 6

Safety and Health Alerts

1. Driving
2. Do's
3. Plague in Arizona
4. Some Standards for Personal Safety
5. Bloodborne Precautiouns
6. Proper Vehicle Maintenance

a. ICP Office Safety
7. Making Routine Traffic Stops
8. Heat Stress
9. Night Driving Tips
10. Safety Attitudes
11. Coping with Stress
12. Animal Bites/Human Bites
13. Helicopter Operation Safety Tips
14. Think Safely
15. Hantavirus
16. Taking Precautions to Prevent Tick Bites
17. Safety Tips About Lightning
18. Treat Your Minor Cuts or Scrapes
19. Daily Vehicle Maintenance Checks
20. Disease Prevention
21. Foul Weather Driving Tips
22. Start and Finish Safely
23. Office Safety Reminders

Appendix 7