Healthcare Ready Hurricane Ian Situation Report #12

Hurricane Ian Situation Report #12

This report provides an assessment of the impacts to healthcare and public health due to Hurricane Ian. After today’s situation report, the cadence for releasing the reports will be every other day. 

Note: Green text indicates new or updated content in this report compared to the previous report.

Healthcare Ready's Posture

Healthcare Ready is ENGAGED for the response to Hurricane Ian. We are tracking potential impacts to healthcare infrastructure and supply chain, sharing information via situation reports, TwitterFacebook, and LinkedIn. Our pharmacy operating status map Rx Open is updated every other day for pharmacies and dialysis centers in Florida, Georgia, South Carolina, North Carolina, and Puerto Rico

High-Level Situation Summary

As of 10/9, areas hit hardest by Hurricane Ian, such as Pine Island and Fort Meyers Beach, are starting to be cleared for residents to return. Power restoration has improved drastically, however about 20,000 residents remain without power as of 10/9 (with over 17,000 located in Lee County), signaling a greater need for equity considerations to restore critically needed infrastructure in Lee County. In parts of Naples and Ft. Meyers, residents of historically African American neighborhoods such as Dunbar and River Park remain without access to necessary resources (water, power, and transportation) to treat medical conditions and access healthcare or other social services. Further, delays to restoring public transportation and long distances to shelters (the nearest shelter to River Park is 11 miles awayor disaster recovery centers (approximately a 10-25 minute drive) compound the impacts of Ian, placing the lives and health of individuals at greater risk.

These areas are a part of southwest Florida counties that were among the hardest hit by Ian (including Lee, Charlotte, and Sarasota Counties) where restoration efforts have prioritized bringing essential infrastructure and large-scale healthcare operations back online. Restoring access to healthcare and other critically needed services for historically underserved communities will require additional support and the assurance of resources for FQHCs, clinics, and other essential institutions that are necessary for long-term recovery.


  • In Florida, there are 17 pharmacy closures reported on as of 2:00pm EDT on 10/9.
  • Since 10/7, there have been three dialysis centers closed all in Florida (Cape Coral (2), Fort Myers (1)).
  • Lee County, Florida, still has about 17k customers out of power as of 10/9. Power restoration continues to improve across other Ian-affected areas.
  • Since 10/6, parts of 21 counties still remain under boil water advisories.
  • Free telehealth services continue to be available for patients in impacted areas. See the “Healthcare Response Updates and Needs” section for more details.  
  • Public transportation in certain areas are still taking longer to return to normal operations, which may impact residents’ abilities to get access to food, or regular medications.
    • As of 10/9, fares for all Collier Area Transit (CAT) services will be waived until further notice.
    • As of 10/9 bus fares for LeeTran servicing Dunbar in Fort Myers will be waived until further notice (limited bus service began on 10/7). 
  • Disaster Recovery Centers, staffed by state, federal, and volunteer organizations are open and accessible for individuals seeking recovery information. An additional location in Collier County was opened on 10/8. 
  • For the latest local updates, including detailed information on fuel, water, and other resource sites, visit the governor’s website and for more information.
  • Location of POD sites distributing food, water, and ice are updated daily at FLGOV.COM.
  • UPS, FedEx, and USPS are still experiencing service impacts, for communities on Pine and Sanibel Island which were cut off to road access.
  • Federal, state, and local agencies are urging citizens to be aware of the possibility of fraud, scams, and cybersecurity threats following Hurricane Ian.

Assessment of Healthcare and Logistics Impacts

Emergency Declarations and Measures

Critical Infrastructure Impacts

Access and Reentry

  • No updates since 9/30.
  • Florida
    • Florida’s access and re-entry plans and policies are managed by local officials, working closely with Florida’s Division of Emergency Management. During a disaster, private sector companies should coordinate with the Division of Emergency Management, in addition to local health departments and local emergency managers to assess whether they are authorized to enter an impacted area, only after it has been deemed safe enough to do so.
    • Individuals who wish to enter the disaster area must have the following on hand:
      • Valid government-issued ID (driver’s license, passport)Proof of employment (employer credentials, document on company letterhead)
      • Demonstrated need to enter the area (work order, inventory list, employer authorization)
      • Note, DHS CISA’s Access Coordination Letter is not an acceptable document to enter any disaster areas in Florida.
  • North Carolina
    • North Carolina requires pre-registration of vendors who provide critical services and goods before they attempt to enter disaster areas. These vendors must apply for a Certificate of Post Disaster Re-entry to be able to enter areas impacted by disasters. Information on applying for this certificate can be found at this North Carolina Business Emergency Operations Center site. Final decisions about entry/re-entry are still under the authority of local governments.
  • South Carolina
    • South Carolina requires business to register for post-disaster reentry certification before they attempt to enter impacted areas. Business can register for the program with the SC Emergency Management Division and SC Department of Commerce. Final decisions about entry/re-entry are still under the authority of local governments.

Healthcare Response Updates and Needs

Public Health Impacts

  • Infectious illnesses
    • With people entering and/or remaining in shelters due to the hurricane, there is an increased risk of transmission of COVID-19 and other infectious diseases.
      • As of 10/9, CDC reports 10,793 total COVID-19 cases (higher than 10/6), an average of 218 new hospital admissions (lower than 10/6), and 49 deaths over the past seven days in Florida.
      • As of 10/9, there are 2,672 confirmed Monkeypox cases in Florida (higher than reported on 10/6).
  • Chemicals/Flood Water
    • Gas and diesel can generate carbon monoxide when generators are not properly used. This can cause dizziness, headaches, and other negative health effects. Breathing can also be impacted by mold and pollutants in the air. Practice safe generator usage to decrease risk of health implications.
  • Mosquito-borne illnesses
  • Waterborne hazards
    • Waterborne hazards are common after a hurricane because of the high amounts of water that buildup post storm and flood. Experts recommend avoiding drinking tap water, using water filters when possible, and to refrain from walking through flood waters when possible.
      • According to the Governor’s office, Florida Department of Health’s Division of Medical Quality Assurance has been informing health care providers about the increase in vibrio vulnificus infections due to exposure to flood and standing waters caused by Hurricane Ian.
      • Leptospirosis – Leptospirosis is a bacterial disease caused by animal urine contaminating water sources. Avoiding exposure to contaminated is the best way to prevent the bacterial disease.
      • Waterborne diseases, like Cholera, are not expected to threaten impacted areas due to low prevalence prior to Ian.
  • Mental health
    • Mental health resources for individuals and communities are available at The state has compiled a list of mental health resources at
    • The Crisis Center of Tampa Bay offers a free mental health helpline for first responders and their loved ones. The program focuses on Charlotte, Collier, DeSoto, Glades, Hendry, Hillsborough, Lee, Manatee, Pasco, Pinellas and Sarasota counties. Firefighters, police officers, emergency care providers and other first responders can reach the program by filling out a web form at and can receive confidential support by calling 1-866-435-4376 (1-866-4FL-HERO).
    • Florida Blue is offering free virtual doctors’ visits and a bilingual emotional support helpline for Floridians impacted by Ian at 855-225-5032 for visits, and the helpline at 833-848-1764 for emotional support. Both lines are available 24/7.
    • The Florida Behavioral Health Association provides a list of helplines offered to Floridians in various counties, including an Aspire Health Partners helpline that residents of Orange, Osceola, Lake and Seminole counties can call at 407-875-3700, ext. 2.
    • The Veterans Crisis Line is a free, confidential resource that is available to veterans 24/7. The service is available to all veterans, even if you are not registered with the VA or enrolled in VA healthcare. You can call 800-273-8255 ext. 1, text 838255, contact the veterans crisis chat, or dial 988 ext.1
    • The Hurricane Ian disaster recovery hotline is available for mental health needs, disability services, military and veteran assistance, and other needs.
    • Individuals may call or text 211 to be connected with help for physical and mental health needs and assistance in the aftermath of Hurricane Ian.
    • The SAMSHA Disaster Distress Helpline 1-800-985-5990 is open 24/7 to provide immediate crisis counseling for people who are experiencing emotional distress. The Helpline is toll-free, multilingual, and confidential and is available to all residents in US and its territories via phone or text. Deaf or hard of hearing callers can utilize a videophone or ASL Now.
  • Other
    • Persons found and reported safe can be reported at
    • This website is for reporting missing persons related to Hurricane Ian.
    • US government agencies have shared that routine non-criminal immigration enforcement operations will not be conducted at evacuation sites or assistance centers.
    • Disaster Unemployment Assistance (DUA) is available to Florida businesses and residents in FEMA disaster-declared counties whose employment or self-employment was lost or interrupted as a direct result of Hurricane Ian.

Supply Chain

  • Manufacturing
    • No updates as of 10/7.
    • Manufacturers in Florida have not reported any major impacts. There are no expected impacts to Georgia, South Carolina, and North Carolina supply chain.
  • Distribution
    • As of 10/9, UPS is continuing to report that most UPS facilities are operational as conditions permit. There will still be no pickups or deliveries today in zip codes listed below . Disruptions in service to Pine Island may decrease soon as a temporary bridge restoring road access to the island has been established as of 10/6.
      • 33924 – Captiva
      • 33957 – Sanibel
      • 33931 – Fort Myers
      • 33956 – St. James
      • 33922 – Bokeelia
    • As of 10/9, FedEx is still reporting delays and disruptions for inbound and outbound shipments across impacted areas. FedEx Express, Ground, and Freight have temporarily suspended service in a number of cities in Florida.
      • Service is temporarily suspended in Bokeelia, Captiva, Fort Myers Beach, Saint James City, Sanibel, and Cape Coral.
    • As of 10/7, US Postal Service reports that 12 facilities remain temporarily closed until further notice. Each of the 12 facilities have an alternate location provided.

Resource Staging

  • Florida Department of Emergency Management (FDEM) is identifying locations and resource needs for Points of Distribution (POD).
  • On 10/8 Governor DeSantis announced a new Disaster Recovery Center opened in Collier County. These centers are operated by the Department of Economic Opportunity, in conjunction with more than 10 agencies, to provide a one-stop shop for individuals or businesses that need help recovering from Ian. Locations are listed below:
    • Charlotte County
      • Home Deport (Mobile DRC): 12621 S. McCall Road, Port Charlotte, FL 33981
    • Collier County
      • Veterans Community Park: 1895 Veterans Drive, Naples, FL 34109
    • Sarasota County
      • Shannon Staub Library: 4675 Career Lane; North Port, FL 34289
    • Lee County
      • Joseph P.D Alessandro Office Complex: 2295 Victoria Ave.; Ft. Myers, FL 33901
      • Lakes Regional Library: 15290 Bass Road; Fort Myers, FL 33919
  • The USACE has activated Operation Blue Roof to provide temporary tarp-like covering to help reduce further damage to property until permanent repairs can be made. This service is free to homeowners, and the initial sign-up period is set for 21 days, ending on October 23. Five counties are currently eligible: Lee, Charlotte, Sarasota, Collier, DeSoto.
  • As of 10/6, President Biden granted an additional 30 days of federal funding for debris removal and emergency protective actions, ensuring the first 60 days of response and recovery are all federally funded.
  • mobile, public fueling station opened on 10/4 in Lee County at the Stars Complex to provide fuel for vehicles and gas cans for generators to impacted residents.

Emergency Prescription Refills

Evacuations and Curfews

  • Evacuations:
  • Curfews:
    • As of 10/9 in Lee county, a curfew remains in place from 9pm to 6am daily on Pine Island and Captiva. The countywide curfew has been lifted.
    • Beginning the evening of 10/6, the City of Sanibel transitions to a 7:00pm-7:00am mandatory curfew. During curfew hours, residents should not be on the island, even in their homes.
    • As of 10/9, the City of Kissimmee in Osceola County has issued a mandatory curfew from 9pm to 6am.
    • From local news sources:
      • Cape Coral’s curfew remains in effect from 9pm-6am.
      • The City of Bonita Spring has rescinded the citywide curfew. The Bonita Beach area curfew, including the areas in Big Hickory Island and Little Hickory Island, is still in place from 7pm-7am.
      • A mandatory curfew is in place for all unincorporated Collier County from 12am-6am. City of Naples curfew begins at 10pm-6am. for residential neighborhoods until further notice.
      • The curfew for Charlotte County has been amended to 10pm-6am, effective immediately.




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