海角社区

In the very  to look at impacts of the ongoing pandemic on hurricane preparedness and resilience in Louisiana, researchers at 海角社区 Health New Orleans partnered with more than two dozen community leaders in New Orleans, Baton Rouge, and two predominantly rural parishes, St. Bernard and St. John the Baptist, to help validate facts on the ground and turn observations into actionable data. Most of the community leaders represent groups that routinely help residents prepare for, and recover from, severe weather events and flooding鈥攁 mission made more difficult by the need for social distancing imposed by COVID-19.

鈥淚n South Louisiana, we鈥檙e used to living with a baseline existential threat because of our perennial experience with hurricanes,鈥� said Dr. Benjamin Springgate, chief of community and population medicine at 海角社区 Health New Orleans School of Medicine and one of the lead authors of the study. 鈥淪o, in some ways, we鈥檙e resilient and quick to act. We鈥檝e built relationships both personal and organizational to help support one another. But many of the solutions that have worked for us in the past simply do not work in the context of the pandemic, including how we evacuate.鈥�

鈥淚f people don鈥檛 have cars and need help getting out, we鈥檇 have them ride a bus with a lot of other people to a shelter with even more people from outside their own household,鈥� Dr. Springgate continued. 鈥淣ow, and in the foreseeable future, is that an appropriate solution?鈥�

Risk of infection also blends with fear of infection. Arthur Johnson, head of the  in New Orleans, knows this well. He wanted to be part of the 海角社区 study to help validate many of the concerns he has and hears on a daily basis in his own community, which predominantly consists of Black homeowners, many of whom live below the poverty level as well as below sea level, surrounded by water鈥攚etlands, canals, and the Mississippi River.

鈥淭he reason this study is so important is because it adds documentation to things we already knew,鈥� Johnson said. 鈥淐OVID-19 has lifted to the forefront just how vulnerable we are in our communities. But 鈥榟elp鈥� has to be helpful to matter. You have to know what people are thinking, because they鈥檒l base their responses and actions on those thoughts. Just because you offer 鈥榟elp鈥� doesn鈥檛 mean people will take it. That鈥檚 why it鈥檚 so important to talk to people on the ground, as this study is doing. If you鈥檙e trying to evacuate hundreds of people, for example, you can鈥檛 just ask, 鈥業s it safe?鈥� You have to ask, 鈥楧o people feel that it鈥檚 safe?鈥欌��

鈥淚f you鈥檙e trying to evacuate hundreds of people, for example, you can鈥檛 just ask, 鈥業s it safe?鈥� You have to ask, 鈥楧o people feel that it鈥檚 safe?鈥欌��

Arthur Johnson, head of the Lower 9th Ward Center for Sustainable Engagement and Development in New Orleans

On the back porch of his organization鈥檚 headquarters is a large red canoe, to serve as an emergency vehicle. In the yard are stacks of empty pots, maybe a thousand, which staff and volunteers fill with tiny trees from their nursery and bring out to the coast to plant to help fight erosion and land loss. While the non-profit鈥檚 main focus is on improving the natural and built environment, community health and nutrition, and supporting neighborhood businesses, it serves and coordinates with similar communities along the Gulf Coast, all the way from Texas to Florida, where a changing coastline and climate are imposing new priorities.

鈥淲e鈥檙e dealing with tornadoes now; that鈥檚 new,鈥� Johnson said. 鈥淭here are layers of challenges, and more and more, our organization is becoming a disaster hub. People turn to us for help. In this neighborhood, we serve as first responders before the first responders come.鈥�

Over the past year, Johnson and his team have been heavily involved in helping the Lower 9th Ward community survive COVID-19. They鈥檝e distributed food, including from their own garden, and partnered to host mass vaccination events in a local community center, serving thousands.

鈥淲e now have evidence for what works and what doesn鈥檛 when we鈥檙e dealing with compound disasters.鈥�

Dr. Benjamin Springgate, chief of community and population medicine at 海角社区 Health New Orleans School of Medicine and one of the lead authors of the study

Trust built over time is giving many community organizations the ability to not just offer the resources residents need, but resources residents are willing to take.

鈥淭here鈥檚 been so much learning that has occurred over the last year,鈥� Dr. Springgate said. 鈥淏y understanding the confluence of these threats鈥攈urricanes and the pandemic鈥攚e can work with our partners, government and community organizations, to help residents in Louisiana make it through this hurricane season, the next hurricane season, and potentially the next pandemic. We now have evidence for what works and what doesn鈥檛 when we鈥檙e dealing with compound disasters.鈥�

鈥淵ou have plans and always think your plan is the best in the worst-case scenario you鈥檝e imagined, but there鈥檚 always a worse-case scenario, and the pandemic has proven this,鈥� Meyers said. 鈥淗urricane Katrina was terrible, but it was a one-and-done kind of thing. The disaster happened, but then it was over, and we could move on and figure out what needed to be done and how to get back on our feet. People could make decisions. With COVID-19, you can鈥檛 do that because you can鈥檛 figure out what tomorrow is going to be like. This disaster is lingering.鈥�

Basic changes in routine hurricane preparedness might be adding masks and hand sanitizer to emergency supply kits that previously contained water, batteries, and first aid supplies, all for distribution to the community. Meyers has also learned that one of the most effective ways to distribute information and share resources is to work with and through the youth who participate in St. Anna鈥檚 largest community program.

鈥淲hether it鈥檚 using new technology or connecting people with healthcare, the kids are often our biggest asset in getting information to people in the community who might not have access to a smartphone or the internet,鈥� Meyers said. 鈥淲orking with our youth has been great for us and the things we鈥檝e learned can now benefit other community groups as their lessons benefit us in turn through the 海角社区 study.鈥�

In a recent project report, one community respondent defined the term resilience 鈥渘ot as bouncing back, but rather bouncing forward.鈥�

In 2020, Louisiana saw the strongest hurricane (Laura) to make landfall in the state in over 160 years and a record number of named storms. Meanwhile, the pandemic took almost 8,000 lives.

Long-term sustainability of Louisiana communities is the primary focus of the 海角社区 study, which is part of a larger project called  (C-LEARN), supported by the National Academies of Sciences Gulf Research Program. In a recent project report, one community respondent defined the term resilience 鈥渘ot as bouncing back, but rather bouncing forward.鈥�

鈥淲e work with community health workers across the state and C-LEARN has been an important piece in getting them the information, resources, and tools they need to move forward,鈥� said Catherine Haywood, chair of the  and a founding member of the non-profit organization Women with a Vision. 鈥淏eyond the communities they serve, we鈥檝e also been concerned about the safety of our community health workers.鈥�

C-LEARN has helped document many of the inequities brought to the forefront by COVID-19 as well as something now often described as 鈥渋ntersectionality,鈥� when people experience discrimination or privilege because of belonging to different groups, such as being Black and female, or white and male. It鈥檚 not exactly news to Arthur Johnson that his community suffered some of the worst outcomes from COVID-19, lost the most in Hurricane Katrina, and stand to lose a lot again in the event of a major storm or flooding event. This is why it was important to him to join Governor John Bel Edwards鈥� Climate Initiatives Task Force. His perhaps biggest takeaway from the past year is how much climate and health, at least in his own community, seem interlinked, along with so many other issues, including jobs and education, even recreation.

鈥淲hile hurricanes are geographically confined and you can get out of the way, there is no 鈥榦ther place鈥� that鈥檚 safe in a global pandemic.鈥�

Arthur Johnson

鈥淥ur community struggles with a host of issues and is even more at risk when the rest of the world is at risk, there are less resources and volunteers to go around, and there is no safer place to go,鈥� Johnson said. 鈥淲hile hurricanes are geographically confined and you can get out of the way, there is no 鈥榦ther place鈥� that鈥檚 safe in a global pandemic. Maybe you can evacuate, but evacuate and go where? Hopefully, public officials and decision-makers will be able to look at this study and find new ways to help.鈥�

Meyers agreed:

鈥淲e know what we鈥檝e done and what could have been done better鈥攚e鈥檝e learned. Now we just have to figure out the next step before we get there.鈥�

鈥淚f we want to be able to manage these types of double threats in the future, we have to hear from people who are on the ground, dealing with these challenges on a day-to-day basis and try to use what they are living through as evidence for what works and what doesn鈥檛,鈥� Dr. Springgate added. 鈥淔rom there, we can develop additional tools and resources to also help fight the kind of compound inequity that often is the result of dealing with more than one disaster at a time.鈥�

Classified as Community Partnered Participatory Research (CPPR), the study was concerned with equitable power and resource sharing between 海角社区 Health New Orleans and its community partners. All entities collaborated on the design and implementation of the study, participated in data collection and analysis, and helped disseminate its results.

This news story was featured in 海角社区鈥檚 free, quarterly research publication, Working for Louisiana, where you can learn more about how work on every 海角社区 campus impacts residents and industry in the state, and beyond.