The Association of State and Territorial Health Officers (ASTHO) has summarized the federal government's Hurricane Katrina reports, emphasizing the public health implications. ASTHO lists the points of commonality found in the reports:
* Command and control was impaired at all levels of government.
* Communications operability was severely weakened because of a damaged infrastructure. In addition, interoperability between responders from separate agencies was weak.
* There was a failure to heed past lessons learned (Hurricane Pam, Hurricane Andrew, and TOPOFF 3 are all mentioned).
* The evacuation, especially of special-needs populations, was very poor.
* Leaders were not well versed in protocol and...