Tuesday, November 6, 2012

New Post at Science and Sensibility!

image from Wikimedia Commons

Just wanted to let you know about my latest publishing venture.

I have 2 new articles up on the childbirth blog, Science and Sensibility.

Part One is about helping birth professionals make their offerings more size-friendly. It can be found here.

Part Two is about helping women of size optimize their outcomes.  It can be found here.

Thank you to all the women who took time to comment here or by email when I asked for input for the articles.

Leave a comment on the Science and Sensibility blog if you are so inclined.  This is your chance to reach out to the greater healthcare community that is not very familiar with size acceptance or Health At Every Size®.  Help them understand what it's like to navigate healthcare (and especially maternity care) as a woman of size.  Tell them how you feel about current public health campaigns about obesity.  Share some of your experiences, suggest hints for improving care of women of size, or just make your voice heard as a woman of size.

Rarely do care providers hear the voices of "obese" women raised in advocacy for themselves; too often they talk about us instead of engaging in dialogue with us.  Many doctors, midwives, nurses, doulas, and childbirth educators read Science and Sensibility, so here's a prime chance to open up dialogue on improving care for people of size, and to raise some awareness about Health At Every Size®.

Check it out.  Then feel free to "like" it, "tweet" it, or "share" it elsewhere on social media.

*edited to add links to both Part One and Part Two

Tuesday, October 30, 2012

Ample Women in Artwork: Breastfeeding, Part 1

Renoir

Recently, we did a post sharing breastfeeding pictures of contemporary women of size.

We did it because most of the breastfeeding images published in the media today are of thin white women.  This is one of my personal pet peeves.

We need more diversity in breastfeeding images in so many ways, but particularly in more images of women of size, more women of color, and women who are both. 

We also posted images of breastfeeding in fat women to counteract the common misperception that "obese" women can't or won't breastfeed.

Yes, research does indicate lower breastfeeding rates in obese women, but the reasons for that are complex, and rarely take into account the influence of PolyCystic Ovarian Syndrome (PCOS), hypothyroidism, or anemia.  It certainly doesn't mean that breastfeeding is rare or impossible in this group, just lower than in other groups.

Unfortunately, the media message around this has become distorted enough so that some folks have mentally transformed it into fat women "can't" or "won't" or "shouldn't" breastfeed, even though research shows that breastfeeding support in this group can increase breastfeeding rates.

Supporting physiological (natural) birth practices and preventing more cesareans in obese women would likely increase breastfeeding rates in this group. So would more effective treatment for possible co-factors like PCOS, hypothyroidism, and anemia.  So would less body shame towards larger bodies from society. And so would actual images of women of size breastfeeding!

So in addition to posting breastfeeding pictures of contemporary women of size, I've added some scenes of classic and modern art featuring plump women breastfeeding their children too.

[I anticipate that some folks might say that these women aren't truly fat.  I would counter that it's hard to guess someone's BMI from a picture.  Many women who don't really "look overweight" actually fall into the government's "overweight" and even "obese" BMI category. I'd say that most of these women would at least fall into the "overweight" category as defined by the government today, and some into the "obese" category too.]

The point is to counter the idea that being "overweight" or "obese" automatically prevents breastfeeding, or is unusual in fat women.  Yes, progress needs to be made in increasing breastfeeding rates in high-BMI women, but it's not true that fat women can't or don't breastfeed.

I take this misperception personally. I breastfed four children for more than ten years cumulatively, even with PCOS, and I know many other fat women who have successfully breastfed long-term.  We need to counter this idea that "all" or "most" fat women have trouble breastfeeding. Some do, and we need to offer those women understanding and support, learn from their stories, and investigate those issues further. But we also need to stop transforming this into the message that fat women can't and don't breastfeed for long.

Many fat women somehow manage to breastfeed in modern society, and they somehow managed to breastfeed in the past too, as these paintings and pictures demonstrate.  It's time for more diversity of breastfeeding images in the media, and these are a start.

Enjoy!

Macierzynstow, 1902

Pieter de Hooch, 1658

Giorgione

Mary Cassatt

Gentileschi, 1628

Edouard Deban-Posat

Albrecht Duerer

Vincente Lopez

unknown

Francisco Zuñiga

Paula Modersohn Becker

unknown

Baron Leon Henri Frederic

Chodowiecki 1764

Alfred Roll, 19th Century

Mary Cassatt

Tihanyi, 1908

I have more images, but that's enough for one post.  Part 2 of Ample Women in Artwork: Breastfeeding will be coming soon.

Sunday, October 21, 2012

Plus-Sized Breastfeeding Photo Gallery

If you read research and media articles about breastfeeding and obesity, you'd believe that very few "obese" women ever breastfeed (or breastfeed for long).

Although it's true that high-BMI women have lower breastfeeding rates overall (and you can read more about the problems with that here), it's not true that most women of size can't or won't breastfeed.

Many women of size can and do breastfeed, although sometimes it's in spite of care providers, not because of them.

To counteract this perception that fat women can't/don't breastfeed, here are some lovely photos of plus-sized women nursing their children.

I've tried to put together a variety of pictures; women breastfeeding after a hospital birth, women breastfeeding after a homebirth, women breastfeeding in the NICU, women breastfeeding older children, women breastfeeding while pregnant with another baby, women tandem nursing two children, women using various nursing holds, etc.  The truth is that women of size breastfeed under many different circumstances and conditions, and these pictures represent that diversity of experience.

Thank you to the women who have so generously sent their breastfeeding pictures with me so that I may share them as needed.  Thank you for being patient while I gathered together enough entries to make a diverse gallery of photos.

[Readers, remember that the copyright for these pictures remains with the mothers, and no one may reproduce these elsewhere without express permission.]







































You can see more lovely nursing portraits here, at my friend's blog.

As an addendum, here is a video promoting breastfeeding for native peoples.  It's long, and it has some of the usual misleading talk about breastfeeding "preventing" obesity (it may lower the chances for obesity modestly but it certainly doesn't prevent it unilaterally), but it does use images of all sizes of women breastfeeding. That's very rare in breastfeeding promotion materials.



(You can find more support for breastfeeding for native mothers at http://nativemothering.com/.)

I'm always looking for more photos of plus-sized pregnancy, birth, and breastfeeding. I am especially interested in having more pictures of women of color who are also women of size, but I am happy to receive any photos.

If you have some photos you want to share, you can email them to kmom AT plus-size-pregnancy DOT org.  Be sure to give explicit permission to share your photos, and remember that they do get shared with the world permanently if you decide to do this!

Thanks again to those who have generously shared their photos.  Enjoy!

Thursday, October 18, 2012

Thanks a Million!

Image from Wikimedia Commons

Just wanted to take a time-out from my normal posts to note that we just passed a MILLION page-views to the blog!  Wooo-hooo!!

I know, a pittance compared to some sites, and many hits are no doubt spam or quick searches with no real interest in the site. But even so, a million page views is pretty amazing to me.  Not bad for four years!

In the beginning, of course, I had very few visitors.  Slowly I built readership up to around 20,000 per month.  Then, two years ago, things really expanded.  Now I average around 1500 page views per day, and between 45,000 to 50,000 per month.  Unbelievable.  And I rarely even promote the site on other blogs or in social media!  The power of the internet, I guess.

I've taken a little break recently from pregnancy-related stuff, focusing more on some parenting-related issues and fun stuff.  However, don't worry, I have many pregnancy-related items and weight-related things in the works, plus a return to the PCOS series soon.  These are the things closest to my heart, but they do take a lot of research and time to complete, so I fit in some easier stuff now and then. Plus, sometimes I just like to vary my focus anyhow! Keeps things fresh.

But now's your chance to give a little feedback to the blog.  What do you like best, and what do you hope to see more of?  In your opinion, what's the most important stuff to cover?  I can't promise I'll change my posting habits too much, but it is helpful to hear what folks need/want most.  Helps me prioritize my time.

Thank you, readers, for all your pageviews, recommendations, links to the blog and links my other website, www.plus-size-pregnancy.org.  I appreciate you all.  I don't get to reply to all my emails anymore (one of the downsides of a well-read blog is having too many emails to answer each one personally), but I absolutely read every single email.  I try to fit in what I can, but as a working mom with four children, I can't always get to every one.  My apologies.

Still, I hope the blog has been useful to you.  It's certainly been a pleasure and an honor for me to write this blog and interact with my readers.

Thanks a MILLION, y'all!  See you after the next million!

The Well-Rounded Mama

Tuesday, October 9, 2012

Emergency Preparedness: Lighting During Power Outages

Image from Wikimedia Commons

We've been talking about Emergency Preparedness, with special attention to the needs of families.

Previously we discussed preparing for the most common serious family emergency, which is a house fire.  Then we talked about having enough water in an emergency.

Now let's discuss the most common emergency most people will encounter, the power outage.

Power Outages

Just about every location in the world is going to experience a power outage sooner or later.  Most will be short and not very dangerous, so people don't always take them seriously.

However, sometimes power outages go on for days.  Sometimes, they last for weeks, especially when related to natural disasters.  What then?

Do you have a safe way to provide light in an emergency? To cook without power? To get important news and updates? To stay warm or cool as needed?

Each of these presents unique challenges in a power outage, but are easily planned for with a little forethought.  Let's start with planning how to provide light without electricity.

Lighting Without Power

Many people already have some emergency lighting prep for power outages.  Most keep at least a couple of flashlights and candles on hand, enough to get by for a few hours.  But it's good to take a look at what you do have, examine the pros and cons of each choice, then see how you can supplement these if a power outage were to go on for a while.

Although lovely, candles are a poor choice in disasters due to fire and explosion hazards. The Red Cross recommends against the use of candles during blackouts because they are a major source of fires during outages. It's better to rely on alternative forms of lighting than to risk creating an  emergency on top of another emergency.

However, some people will use candles because it's all they have, or because they run out of batteries for flashlights.  If you do use candles, use ones in a sturdy jar with a lid because they are less prone to being knocked over.  Be sure they are carefully supervised and never leave the room if a candle is burning! Don't put them close to anything burnable (like blowing curtains), and place them on a non-burnable surface just in case they get bumped.  Don't forget the need for a dependable way to light them (matches or lighters, stored out of the reach of children), and have a fire extinguisher nearby, just in case something does catch.

Kerosene and oil lamps are another option prone to accidents.  The flame is contained within the lantern so it's a little safer than a candle's open flame, and the amount of light provided is better than a single candle.  On the other hand, kerosene and lamp oil are highly poisonous, must be stored out of the reach of children, tend to get very hot, and need to be stored away from accidental ignition sources.  [We store ours in an insulated and latched picnic cooler, which helps protect them from ignition sources and contains any mess if they are broken in an earthquake.]

Propane lamps are another option, but like other liquid fuel lamps, are not recommended for indoor use because of the risk of carbon monoxide build-up.  They also need a good reserve of fuel if they are your choice for an emergency.

On the whole, LED battery-operated lanterns or flashlights are the safest choices for emergencies. Flashlights are better for finding your way around in the dark, while battery-operated lanterns are best for ambient room light.   The best models have both options built into one light.  There are expensive models, but there are also very reasonable models if budget is an issue.

Many stores also offer battery-operated candles that look like a regular candle but are safer.  These can be a great way to provide ambient low-level lighting for eating, family games, or a trip to the loo.  A mirror, aluminum foil, or a jug of water near a candle or lantern can amplify the light source without extra fuel consumption.

Headlamps are a great way to be able to provide focused, hands-free task lighting.  Most people don't have these, but this is probably the best bed-side emergency lighting you can have.  That way, if a fire, earthquake or tornado happens, you have two free hands to crawl, move debris, administer first aid, or pick up your child as needed.

However, if flashlights, headlamps or lanterns are your plan for lighting without power, don't forget to have plenty of extra batteries (of the right type!) on hand. You probably have enough for the short-term, but would you have enough for a longer outage?  Stores run out of batteries quickly in an emergency, so it's best to have a decent stock at home beforehand, just in case.

Another great product is a nightlight/emergency light that is constantly charged by plugging into your hall's electrical outlet.  These provide a nice low nightlight for everyday use, but automatically light up brightly if the power goes out.  Many models also have a flashlight option, making it even more useful in an emergency.  Think how hard it would be to escape the house in pitch black darkness after a disaster and how valuable automatic emergency lighting would be!

In a similar vein, there are lanterns and flashlights that you plug into the wall to keep charged.  Like the nightlight/emergency light, they are then are ready for use if the power goes out.

You can also purchase lights that are operated by crank or by shaking; they work by kinetic energy so you are not dependent on batteries.  These are great.

It's good to have a combination of both battery-operated and hand-crank lights for maximum versatility.

Portable solar panels and their battery packs can also be helpful if they fit in your budget. Solar garden lights can also provide temporary light if brought inside for the night.  They don't last year-to-year very well but would provide some emergency back-up lighting for a while.

You can also find many hybrid products.  For example, GoalZero has a cool flashlight whose battery can be recharged via wall plug, a crank, or solar power.  That's a very versatile and useful option.

Or there are products that serve multiple functions, such as a hand-crank emergency radio that also can serve as a flashlight or cell phone charger.  At least one emergency radio/flashlight should be a part of everyone's emergency stash.

Light sticks are a great cheap source of safe light that's great for kids. You can buy these very cheaply at Dollar-type stores.  These are the safest form of light after an event like an earthquake, when natural gas leaks might be an issue.  Even flashlights can cause a spark that might start a fire. (If you only have a flashlight, go outside to a well-ventilated area to turn on the flashlight and then go back in the building.)

The main disadvantage of light sticks is that once on, they don't turn off, they have a limited burn time, and they are not re-usable.  However, for the money, they are one of the best sources of emergency lighting around.  Keep some in both your house and car.  They can serve as emergency flares if needed, or you can duct tape one to your clothing or to the wall for hands-free lighting as well.

Obviously, there are many choices when it comes to providing light during a power outage. It's best to have several different options on hand.  Also store plenty of batteries, in case of an extended power outage, and have non-battery choices available too, in case your batteries run out.

Finally, have a couple of standardized places around the house where you always store your emergency lighting/flashlights.  Keep them there consistently.  That way, even in the dark, you will know exactly where to go to find emergency lighting.

Electrical Appliances

Another thing to consider about electrical outages is protecting your appliances and computers.

Turn off and unplug electrical equipment in the house during the outage so that if the power comes back with a surge or spike, your appliances will not be destroyed.  Surge protectors may be a good investment for really valuable equipment.

However, keep one light switch on during the outage so that you will know when the power is restored.  If everything is turned off, how will you know when power comes back?

Remember to back up the data on your computer frequently.  It's a good idea to have both a hard disk back-up as well as a "cloud" back-up.  Periodically back up a hard disk and store it off-site too.

Know how to manually open your garage door.  You want to be able to access your car as needed during a power outage.  You can recharge your cell phone and other portable items in the car (with the right cables), but the exhaust must be vented properly in order to do this safely.

A home generator can be useful for powering select appliances in an outage, but many are expensive, noisy and most need gasoline. Because of the risk of carbon monoxide build-up, do NOT run a generator inside a home or garage. Run them outside (in a dry protected area) and use an outdoor-approved extension cord. Know how to operate generators safely.

Or invest in a outlet-charged mega battery, which charges a power reserve that can be tapped to keep your freezer, fridge, or other major appliances running.  (Smaller, less-powerful versions are also available.)  A solar-powered generator is another viable option, which can be continuously re-charged with enough sunlight. There are several different versions available, so check your options carefully.

These alternative generators are pretty expensive but they run silently, don't put off carbon monoxide, and won't depend on a supply of gasoline (which will run out all too quickly in an extended outage). They may be worth saving up for, especially in areas prone to extended outages.

Summary

Power outages are probably the most frequent potential emergency that people will encounter in their lives.  Sooner or later, everyone copes with a power outage.

For a few hours, a power outage is no big deal, certainly not an emergency, and many people have pretty reasonable preparations already in place.  However, if an outage goes on for days (or occurs during an extreme weather event), it can present a much bigger challenge.  It's good to have some extra preparation in place for that.

Give some significant thought to having several different back-up methods to provide light if a power outage were to continue for more than a few hours.
Our StoryWe live in an area vulnerable to power outages, especially in the winter. Therefore, we have headlamps beside each bed, Blackout Buddy emergency lights in the halls, and battery- and crank-operated LED lanterns, and flashlights in storage.  We have regular candles and oil lamps from our impressionable youth, but use battery-operated candles and lanterns in an outage. In our car emergency kits, we have crank/battery hybrid lights, headlamps, and lightsticks. We do not have a solar generator but we'd like to!  Maybe someday.

Resources

Tuesday, October 2, 2012

Emergency Preparedness: Water

Image from Wikimedia Commons
We are running an occasional series on improving your emergency preparedness, with special attention to preparedness for families.

We already talked about fire safety for families. Now, let's talk about one of the most neglected things in emergency preparedness ─ extra drinking water, or what the experts call "potable" water.

Do you have enough potable water on hand?  How do you store it?  How would you get more in an emergency if water access was cut off?  How can you avoid water-borne diseases that are so common after emergencies?

Storing Extra Potable Water

The number one emergency preparedness thing that people fail to do is to store enough water.

This is especially true for families. People often have some extra food and a little stored water on hand, but very few families have enough water stored up for emergencies.  You can go without food for a long period of time, but you can only go a few days without water before your health is affected.

Basically, the rule of thumb is to store a gallon of water per day per person.  You need to drink at least 2 quarts of water per day, plus you need extra water for sanitation and preparing food.  Thus, experts recommend storing about a gallon per day per person.

Even in just a 3-day kit (which is the bare-bones minimum for preparing for an emergency), this can really add up for a family! Especially if you have multiple children, extended family, or pets living with you.  Thus, most people have inadequate back-up stores of water.

So how do you build up a supply of water?  There are a number of options.

The most recommended method is to buy bottled water (the big bottles); professionally bottled water lasts the longest because it has been bottled under strict conditions. Or you can get boxes of regular-sized bottled waters when on sale. (I'm not a fan of these because of the waste, but having some can be useful in an emergency.)

Of course, you can always store your own instead.  Water doesn't rot, but it can start growing bacteria, so you do have to take some precautions.

Get durable food-grade plastic 5-gallon water containers (many stores have them), then wash them with soap and water, sterilize them with a bleach solution, rinse them, and fill them with water. If you use city tap water, no extra measures are needed.  If you have well water, you should pre-treat the water with some bleach or other treatments before storing it.  Some experts recommend rotating your stored water every 6-12 months.

If you have room and a lot of people to store water for, you can consider a water barrel specially designed for long-term potable water storage.

If space or money is an issue, wash out old pop bottles, sterilize and rinse them, then fill with water and tuck them into various corners around your house. Don't use fruit juice or milk jugs, as milk proteins and fruit sugars can't be adequately removed from them and will provide a strong medium for bacterial growth.

Store water in dark, cool places to slow the growth of bacteria.  If you don't have a dark place to store the water, put it in a box or under a dark cover to minimize light exposure. Don't store it directly on concrete floors; have something underneath preventing direct contact.

Sometimes water access is available right after an emergency but may go away in a few hours. After a disaster (of if you know a disaster is coming), try to fill up the bathtubs and sinks in the house for more stored water.  There are special containers (called a "Water Bob") that you can use to store water in bathtubs more cleanly and efficiently; these are an especially good idea for those in areas prone to hurricanes.

Don't forget that you can access the water in your hot water heater if you really need it. That's an extra 30 or so gallons that many people forget about.

If you have extra freezer space, consider freezing some containers of water (leave a few inches at the top for expansion with freezing).  This will help keep your freezer food cold longer in a power outage, and can be used for extra drinking water if there is an extended emergency.

Also have paper plates and cups on hand so you won't have to waste water on washing dishes.  You want to keep as much of your water for drinking as possible, especially when you don't know how long an emergency will last.

Outside, you can harvest rainwater into barrels for non-drinking use, or learn how to convert it into drinkable water.

Replenishing Water Supplies

Stored drinking water is very important, but you can only store so much, and it only lasts so long.  Preparing for emergencies also means knowing how to convert water from the environment (creeks, lakes, rivers, rainwater barrels, puddles, ditches, etc.) into safe drinkable water.

Trust me, you do not want to drink water straight from these sources, even if it looks clean. (Read about the bad things that can be caught from untreated water here.)  Remember, a death toll is often not just from the disaster itself, but also from the diseases people catch from untreated water afterwards.  Just because the water looks clean doesn't mean that it is!

The bottom line is that you need to learn how to take non-potable water and make it safe for drinking.  Always pre-treat water you intend to drink.

You do this by:
  • filtering the water to get rid of sediments, particulates, and other nasty bits
  • purifying the water to get rid of viruses, bacteria, and other micro-organisms.
The first thing you do is strain or filter the water.  You can use coffee filters, paper towels, clean cloth (like a bandanna), clean t-shirts, or a layer of sand to strain the water. A ceramic or carbon filter does an even better job at getting rid of sediments and other particulates.

It is very important to filter water as your first step, as purifying cloudy/dirty water is much more difficult (and less effective) than purifying clear water.

Once the water is filtered, you need to purify it.  There are several ways to do this.

Boiling water is one of the best ways to purify it.  FEMA recommends boiling clear water at least one full minute at a complete rolling boil. (Some sources recommend 3-10 minutes, especially if the water is cloudy.)  If you live at a higher altitude, you need to boil the water longer, at least 3 minutes, because the altitude makes water boil at a lower temperature and thus is not as efficient at killing organisms quickly.

Boiling is the best way to purify water, but it has some disadvantages.  Boiling will make the water taste flat; you can fix this by pouring it back and forth between two containers to aerate it, or you can add a pinch of salt to it.  In addition, it takes a fair amount of fuel to boil large amounts of water.  In an emergency, you may not always have enough fuel or the right equipment to boil water. Therefore, it's important to have other ways to purify water.

Bleach (sodium hypochlorite) with no additives or fragrances can also be used to purify water.  Recommendations differ, but the most common guideline is 8 or 16 drops of bleach per gallon of water.  However, remember that liquid bleach degrades in a fairly short period of time, and older bleach may not do the job effectively.  Also remember that you need twice as much bleach if you are purifying cloudy water.

Some preppers use the powdered chlorine of pool shock treatments instead.  This form is calcium hypochlorite. The advantage of the powdered form is that it doesn't degrade nearly as fast as liquid bleach, is more powerful, and doesn't take up as much storage room.  However, remember that this is dangerous stuff, highly corrosive and under the right conditions, explosive too. It must be stored and used with extreme care.  Research this thoroughly if you plan to use this method!

Many people like Steri-Pens. They use ultra-violet light to purify the water.  They are very non-toxic, quick, portable, and easy to use.  However, it's more expensive, and most models need AA lithium batteries, which are expensive and eventually need to be replaced. You can buy the crank model (although users report this version is hard to use), store lots of extra batteries, or buy the model that comes with a solar charger for batteries.  Still, for quick emergency use or for traveling, a Steri-pen is a great option.

Solar water disinfection (also called SODIS) is a water purification option that doesn't take many resources.  You simply fill a small transparent PET plastic bottle or plastic bag with clear, pre-filtered water and leave it in the sun for 6 hours.  The UV rays in the sunlight will kill any micro-organisms, given enough time. The advantage of this method is that it's extremely cheap and works well in resource-poor areas where cooking fuel is unavailable or very expensive. The disadvantage of this method is that it takes a lot of time and good strong sunlight, which may not always be available. It doesn't work well on cloudy water, so good pre-filtering is vital.

There are also water purification tablets or drops.  These use chemicals like iodine or chlorine dioxide (a different form of chlorine than household bleach or pool shock) to treat the water.  Sample brands include Katadyn MicroPur tablets, Aquamira tablets or water treatment drops, and Potable Aqua tablets.  The main advantage of these is that they are extremely small, portable, and have a relatively long shelf life.  Another important advantage is that they are "residually effective" ─ once the water is treated, it will stay safe even if exposed to new pathogens, unlike boiling, UV light, or solar disinfection. The disadvantage is that they take a long time to fully treat the water, chemically-treated water doesn't taste great, and iodine tablets are contraindicated for people with thyroid issues.

Obviously, there are many ways to purify water, and every method has its pros and cons. The best method for your situation depends on the exact conditions you are facing. (You can read more about filtering and purifying water in the links at the end of this post.)

Water Safety Considerations

However you decide to filter and purify your water, don't forget that a vital part of water safety is making sure the water stays purified.  Many people do a lot of work to make their water safe, only to then contaminate it afterwards with poor handling techniques and unsafe practices.

Make sure your carrying receptacle, your storage receptacle, and your hands are clean so you don't contaminate the water you have worked so hard to make safe.

Have a way to extract and serve the clean drinking water that will not spread germs.  Don't have people sip from a common ladle, and don't let people dip their individual cups into the clean water.  Think about ways to serve the water to individuals while still keeping it pure.

Don't forget to wash/sterilize the outside of your water receptacles.  This includes the threads of any water bottles and lids.  Re-sterilize your water receptacles frequently.

Also make sure that you use only clean, treated water for cooking meals, preparing drinks, and brushing teeth. It doesn't matter if your drinking water is safe if you brush your teeth with untreated water!  Think about all your water usage, not just what you drink.

These practices cannot guarantee you 100% safe water, of course, but they go a long way towards keeping your water as safe as possible.  People often want to take hygiene short-cuts, especially in emergencies, but being scrupulous in your practices can save you a lot of illness later.

Summary

In conclusion, have sufficient emergency water storage on hand to use if your water supply is contaminated or cut off during a disaster.  Store about one gallon per person per day, and keep it in a dark, cool place.

Second, be ready to filter and purify other sources of water to make them potable if your emergency is prolonged.  Know different methods for filtering and purifying water so that you can use the method most suitable to the challenges of your situation.  Have back-up methods ready, just in case.

Third, be consistent and vigilant about safe water practices in an emergency.  Doing so may help you avoid or minimize the disease aftermath that often follows major disasters.

A safe emergency water supply is the most pressing, yet most neglected area of emergency preparedness. Other preps can wait.  If you do nothing else, do this.


Resources

Water Storage and Purification Articles
Places to Buy Water Storage Supplies

Wednesday, September 26, 2012

National Preparedness Month: Fire Safety for Families

"Preparation through education is less costly than learning through tragedy" 

- Max Mayfield, Former Director National Hurricane Center

September is National Preparedness Month, or as some groups call it, Preptember™.  This means doing whatever you can ahead of time to be prepared for an emergency.

So let's start an occasional series on improving your emergency preparedness.  This will not be a continuous series, but rather a series of occasional posts about various preparedness topics.

No, I'm not a hardcore prepper.  However, I've lived all over the country and have lived through or near several emergencies.  I know that challenging things do happen sometimes, and I've seen that being even minimally prepared can make a lot of difference in survival and/or quality of life during an emergency. Now that I have a family to look after, I'm even more motivated to consider preparedness so that I can protect them as much as possible.

Sometimes preparedness can be intimidating or overwhelming. So, let's do a series of posts focusing on getting started with preparedness, with special attention to preparedness for families.

Remember, emergencies come in all shapes and sizes, just like people.  Some people think that Emergency Preparedness means getting ready for a nuclear bomb or the end of the world, but really, it's far more about being ready for the emergencies you are most likely to encounter.

So let's concentrate first on the most common everyday emergencies, things like house fires and power outages and such. Although it's important to prepare for the bigger disasters, it's often best to start with the things you are most likely to encounter, and then let those preps naturally springboard you into readiness for other things.

Today, let's talk about fire safety preparedness.

Fire Safety

The most common emergency people encounter is a house fire.  According to the Red Cross, "Fires kill more Americans each year than all natural disasters combined." Yet fire is one disaster that many people don't prepare for very thoroughly.

Do you know how to extinguish various types of fires? Do you have several fire extinguishers around your house, including one in your kitchen?  Do you and your older children know where they are and how to use them correctly? (Think "PASS" - Pull the pin, Aim low at the base of the fire, Squeeze the trigger, Sweep the extinguisher from side to side.) 

Do you have a fire escape plan?  Have you talked about what to do and practiced it?  The Red Cross reports that about three-fourths of Americans don't have a fire plan or don't practice one.  But training is important for helping people overcome the panic and chaos that can accompany emergencies; that's why schools have regular fire drills. Families benefit from this too.

Do your children know two ways to escape from every room?  Do they know never to hide in a closet or under a bed in response to a fire, but to exit the building?  Do little ones understand not to hide from firefighters, even though the uniform and mask may look and sound scary?  They need to know that firefighters are there to rescue them, and that the equipment is part of that.

Do they know to crawl on the floor as they exit so they can stay low, under the deadly smoke and fumes?  Do they know to close the bedroom door behind them as they leave to help slow the spread of the fire? Do they know to cover their mouths and noses as much as possible to help reduce smoke inhalation as they exit?

Do your children know to feel the door and doorknob with the back of their hand before opening it to make sure there is not a roaring fire on the other side?  To open the door slowly, with their shoulder behind the door, just in case it needs to be shut quickly again?  Do they know not to use the door if heavy smoke is coming from underneath it?

Do they know how to open the window in their room and exit there if the door is not viable? Have all windows been checked to see that they open easily and that screens/bars can be removed quickly?  If the bedrooms are on an upper floor, do you have emergency rope ladders for getting out of the windows safely?

Do children know to run to the neighbors' house and call 911?  Do they know their address to tell a 911 operator in an emergency? Do they know not to run back in the house for pets or family members, but to let firefighters take care of that?

If fire prevents children from escaping, is there a flashlight or whistle in every child's room so they can alert rescuers to where they are?  Do they know to stuff a towel or clothes under the door and cover air vents to reduce smoke getting into the room? Do they know to wave a flashlight or hang something bright-colored at the window, or to blow their whistle so firefighters can find them and rescue them more quickly?

Do you have an established plan to help family members who may need special assistance, like babies, pre-schoolers, the elderly, or those with special needs? Deaths in house fires occur disproportionately in these vulnerable groups, so it's important to have a plan in place to assist them.

Does your family have a pre-arranged meeting spot once everyone is out?  That way, you will know whether everyone is safe, and if not, you can alert firefighters more quickly to who needs rescuing and where they might be.

All these things are important for children to know if a fire emergency occurs. Remember to practice your family escape plan twice a year, both in the daytime and at night.  Heavy smoke makes it very hard to see and many fires occur at night, so children need to practice escaping in the dark too, not just in the daytime.

Smoke Alarms

Do you have working smoke detectors?  Do you test and change the batteries regularly (if needed)? Do you have enough smoke detectors for your home's needs?  Are they installed correctly?

Having a working smoke alarm cuts the risk of fire-related death in half.  Yet FEMA reports that about 12% of homes still do not have smoke alarms.  Even in those homes which do have smoke alarms, about a third of the alarms don't work properly, the batteries are dead or disconnected, or there are not enough smoke alarms in the house.  That's a lot of vulnerable people.

You need a smoke alarm for every level of your house, because a fire on the lower level can grow to dangerous levels before its smoke is bad enough to set off an alarm upstairs. In addition, it's best to have a smoke alarm right outside every sleeping area of the house.  Many authorities are now recommending having one in every bedroom in the house.

Sleeping with the doors closed can really help lower your chances of dying of smoke/poisonous gas from fires, and it can delay the spread of fire, giving firefighters valuable extra time to rescue your little ones. However, if you sleep with doors closed, you might want to have a smoke alarm inside the bedroom too, in case a fire started inside the room first.

Test buttons on smoke alarms should be pressed monthly to be sure the alarms are still working. If your alarm starts "chirping", replace the battery in it immediately. You should also vacuum around smoke detectors periodically to keep cobwebs and bugs from interfering with them.

Batteries should be replaced about once or twice a year; many authorities suggest the Daylight Savings change day for this ("change your clocks, change your batteries!").  If you don't want to be bothered with changing the batteries regularly, buy the type of smoke alarm that has long-lasting lithium batteries (which should last 10 years).  They are more expensive, but it might be worth it to you.

The smoke alarm itself should be replaced about every 10 years, even if it seems to work, because it can get less sensitive to smoke with time. [I did not know that!]

You can read more about smoke alarms here and here.  If cost is a factor, remember that many areas have programs for getting free or low-cost smoke alarms.  Call your local fire department for more information.

Fire Prevention

Of course, the best thing to do is to avoid a fire altogether.  Prevention is the first step to fire safety preparedness.

The kitchen is the source of most home fires.  Good safety practices for preventing fires in the kitchen include never leaving anything on the stove unattended, turning the handles of pots away from the edge of the stove, keeping combustibles like kitchen towels away from the range, and not wearing loose sleeves when cooking.  In addition, have a kitchen fire extinguisher nearby, within easy reach.

Grease fires are particularly dangerous.  Keep pot lids close at hand for quick smothering of grease fires, sliding it on sideways so you don't get burned.  If you can't find a pot lid that fits, put a cookie sheet on top in order to deprive the flames of oxygen.  Next, turn off the heat source and wait for everything to cool completely before removing the lid.

NEVER pour water on a grease fire or transport it anywhere, or you will likely make the grease fire spread! And while baking soda can help smother a small grease fire, flour can actually ignite and make it worse. Covering a grease fire is really the best option for putting it out quickly, because you deprive it of the oxygen it needs to function, and you don't take the chance of using the wrong substance or not having enough to do the job.  (Of course, if in doubt, get out and call 911.)

Things you can do to prevent fires elsewhere in the house include:
  • having a good sturdy screen on your fireplace
  • not overloading electrical plugs
  • watching for frayed or worn cords
  • not running electrical cords under rugs or across doorways
  • not putting combustible materials near a heat source like baseboard or space heaters
  • having your chimney inspected and cleaned each year
  • disposing of fireplace ashes safely
  • cleaning lint from the dryer each load, and having the hose/vent cleaned regularly
  • being particularly cautious with portable heaters 
  • never leaving candles unsupervised, and using them in tip-proof containers
  • never smoking inside the house and making sure cigarettes are disposed of safely
  • keeping clothes and other combustibles away from water heaters
In addition, many fires are started by children experimenting with flames, so spend time educating children about fire safety.  Keep matches and fire materials stored high, out of the reach of young children.  Make sure they know about "Stop, Drop and Roll," which can save lives if clothes catch on fire. If they find a match or lighter, make sure they know that it's not a toy, and that they need to alert a trusted adult about it.

You can read more about fire prevention here and here.

Summary

Fire (and its associated smoke and poison gases) is the second most common cause of accidental death in U.S. homes.

Sadly, small children are twice as likely to die in a fire as the rest of us.  If you have a family, it's especially important to lower your chances for a devastating fire and to know how to respond if one does occur.

The best way to survive a fire emergency is by preventing one in the first place.  Pay attention to general fire safety around the house. Do a fire hazard hunt, and talk to your children about preventing fires.

If a fire occurs despite precautions, a good early-alert smoke alarm greatly improves your chances of survival. The majority of fire fatalities occur in homes without smoke alarms or where the smoke alarms were not working, so check the batteries in your smoke detectors regularly or buy the kind that don't need replacement often.  Update your alarm every 10 years.

In addition, have a fire safety plan in place.  Teach your children how to get out safely, how to alert rescuers to their presence if trapped, and establish a family meeting spot. Make sure your family is ready by running home fire drills about twice a year. These are critical for safety if a fire does occur.

Adapt your precautions as needed for your own situation.  People in high-rise apartments or manufactured homes may have different needs than those in single-family homes, and those who have family members with special needs (hearing impairments, mobility challenges etc.) may need special adaptations in their plans. Be flexible and make adjustments as needed.

Hopefully you will never experience a fire emergency, but if you do, having a plan in place could help save your lives.

Our Experience: How does my family measure up to all this? Well, even the most prepared family has things they can improve on, which is part of the lesson of preparedness.  We are no exception.

At our house, we've done a decent job with fire prevention and family escape plans.  However, we need to practice our fire drills in the dark, test our smoke alarm batteries more regularly, vacuum around our smoke detectors periodically, have our chimney inspected, and have our dryer vent hose cleaned.  And my husband needs to stop leaving the kitchen when he's cooking something on the stove!

After much thought, we recently decided to add more smoke detectors.  We felt our existing ones might not be placed optimally to get an early alert while asleep so we are adding ones in each bedroom.  We also added carbon monoxide detectors, because this is another deadly emergency that can be escaped from with good alarms.

How's YOUR fire safety preparedness at your house?  Any other hints to add to the ones here?


Fire Safety Resources