Six Months After Katrina: Who Was Left Behind - Then and Now

Published on Tuesday, February 21, 2006 by CommonDreams.org
Six Months After Katrina: Who Was Left Behind - Then and Now
by Bill Quigley

Introduction

Nearly six months ago, my wife Debbie and I boated out of New Orleans. We
left five days after Katrina struck.

Debbie worked as an oncology nurse in a New Orleans hospital. She
volunteered to come in during the hurricane so that other nurses with
children could evacuate.

There were about 2000 people huddled in the hospital - patients, staff and
families of staff and patients. Plate glass windows exploded in the lobby
and on crosswalks and on several floors. Water poured in though broken
windows, ceilings, and down the elevator shafts. Eight feet of brown
floodwater surrounded us.

The entire city immediately lost electricity. Soon the hospital backup
generators located in the basement failed. No lights. No phones. Even the
water system stopped. No drinking water. No flush toilets.

You can imagine a hospital with 2000 people and no electricity, water, food,
or flushing toilets. Breathing machines did not work. Cell phones did not
work. Because the computers stopped working medicines were unavailable.
Elevators in the 8 floor building did not work. We quickly ran out of food
because the cafeteria and food were also in the flooded basement. The gains
of 21st century medicine disappeared. Over 40 people died in the hospital
over the next few days as we waited for help.

Now imagine an entire city with no electricity, water, food or flushing
toilets and tens of thousands of people left behind.

Debbie and I left five days later by way of a small fishing boat, the back
of a garden truck, and the kindness of strangers. We returned 15 weeks
later. Many of those left behind then who evacuated with us have yet to
return.

The Katrina evacuation was totally self-help. If you had the resources, a
car, money and a place to go, you left. Over one million people evacuated -
80 to 90% of the population. No provisions were made for those who could not
evacuate themselves. To this day no one has a reliable estimate of how many
people were left behind in Katrina - that in itself says quite a bit about
what happened.

Who was left behind in the self-help evacuation?

In the hospital, we could not see who was left behind because we did not
have electricity or TV. We certainly knew the 2000 of us were left behind,
and from the hospital we could see others. Some were floating in the street
- face down. Some were paddling down the street - helping older folks get to
high ground. Some were swimming down the streets. We could hear people left
behind screaming for help from rooftops. We routinely heard gunshots as
people trapped on rooftops tried to get the attention of helicopters
crisscrossing the skies above. We could see the people trapped in the
Salvation Army home a block away. We could hear breaking glass as people
scrambled to get away from flooded one story homes and into the higher
ground of several story office buildings. We saw people swimming to the
local drugstore and swimming out with provisions. But we had no idea how
many were actually left behind. The poor, especially those without cars,
were left behind. Twenty-seven percent of the people of New Orleans did not
have access to a car. Government authorities knew in advance that ".100,000
citizens of New Orleans did not have means of personal transportation."
Greyhound and Amtrak stopped service on the Saturday before the hurricane.

These are people who did not have cars because they were poor - over 125,000
people, 27% of the people of New Orleans, lived below the very low federal
poverty level before Katrina.

The sick were left behind. Some government reports estimated 12,000 patients
were evacuated. I estimate at least an additional 24,000 people - staff and
families of patients - were left behind in the twenty-two hospitals which
were open at the time.

The elderly were left behind. The 280 plus local nursing homes remained
mostly full. Only 21% evacuated and as a consequence 215 people died in
nursing homes, at least six people died at a single nursing home while they
waited four days for busses. The aged who lived at home also certainly found
it more difficult than most to evacuate as they were more likely to live
alone, less likely to own a car and nearly half were disabled.

Untold numbers of other disabled people and their caretakers were also left
behind. There were tens of thousands of people with special needs in New
Orleans.

A physician reported hundreds of people in wheelchairs were in front of the
Convention Center. A comprehensive study of evacuees in Houston shelters
found one in seven physically disabled, 22% physically unable to evacuate,
23% stayed behind to care for someone physically disabled, and 25% had a
chronic disease such as heart disease, diabetes or high blood pressure.

There were no provisions made for their evacuations.

Children were left behind. While there are no official estimates breaking
out children left behind, I know from what we saw during our evacuation that
many, many children were among those left behind. About one-fourth of the
people living in the areas damaged were children, about 183,000 kids,
including 47,000 children under the age of 5. Over half of the children
displaced were African-American and 30% of children in the damaged areas
were poor, nearly double the 2000 national census rate for child poverty of
16.6%. These children were almost twice as likely to live in a female-headed
home than children nationally.

Prisoners were left behind. Local prisons held 8300 inmates, most on local
minor charges awaiting trial and too poor to post bond. Thousands were left
behind with no food, water, or medical attention. Jails depend on
electricity as much as hospitals do - doors of cells and halls and pods and
entrances and exits are electronically opened and closed. More than 600
hundred prisoners, one entire building, were left behind once the prisons
were evacuated - left in chest deep water, locked into cells.

Ultimately as many as 40,000 people took refuge in the Superdome which lost
power, lost part of its roof, the water system failed and the toilets backed
up. Another 20-30,000 people were dropped off at the Convention Center.
Conditions at the Convention Center were far worse than at the Superdome
because the Convention Center was never intended to be used for evacuees it
did not have any drinking water, food, or medical care at all. Ten people
died in or around the Superdome, four at the convention center.

Unfounded rumors flew about rapes and murders inside these centers - and the
myth that rescue helicopters were fired upon - have all been found to be
untrue.. But those rumors so upset military and medical responders that many
slowed down demanding protection from the evacuees - only to be greeted by
"a whole lot of people clapping and cheering" when they arrived.

Debbie and I left the hospital after five days. Helicopters finally came and
airlifted out many patients, their families and staff. Others, like us, left
in small fishing boats piloted by volunteers. The Coast Guard reported it
rescued 33,000 people and the National Guard reported rescues of another
25,000 people. Louisiana Department of Homeland Security said 62,000 people
were rescued from rooftops or out of water - not including those already in
shelters. Many, many others, like us, were rescued by volunteers in boats
and trucks.

Some people never made it out of metropolitan New Orleans. February 2006
reports from the Louisiana Department of Health and Hospitals show 1,103
bodies were recovered from the storm and flood, with over 2,000 people still
reported missing. About 215 people died in local hospitals and nursing
homes.

Where did the survivors end up? According to FEMA, evacuees ended up all
over - applications came in from 18,700 zip codes in all 50 states - half of
the nation's residential postal zones. Most evacuee families stayed within
250 miles of New Orleans, but 240,000 households went to Houston and other
cities over 250 miles away and another 60,000 households went over 750 miles
away.

Who ended up in shelters? Over 270,000 evacuees started out in shelters. The
Washington Post, the Henry J. Kaiser Family Foundation and the Harvard
School of Public Health surveyed 680 randomly selected adult evacuees in
Houston shelters on September 10-12, 2005. The results of that survey
illustrate who ended up in shelters:

64% were renters
55% did not have a car or a way to evacuate
22% had to care for someone who was physically unable to leave
72% had no insurance
68% had neither money in the bank nor a useable credit card
57% had total household incomes of less than $20,000 in prior year
76% had children under 18 with them in the shelter
77% had a high school education or less
93% were black
67% were employed full or part-time before the hurricane
52% had no health insurance
54% received their healthcare at the big public Charity Hospital

The people who were left behind in Katrina were the poor, the sick, the
elderly, the disabled, children, and prisoners - mostly African-American.

Who is Being Left Behind Now?

"Hurricane Katrina likely made one of the poorest areas of the country even
poorer..Both those who were poor before the storm and those who have become
poor following the storm, are likely to face a particularly difficult time
in reestablishing their lives, have few if any financial resources upon
which to draw." Congressional Research Service 2005

Debbie and I ultimately ended up spending several months in an apartment in
Houston while New Orleans started its recovery. Loyola Law Clinic, where I
work, moved into the Disaster Relief Center in Houston and our clinic
students interviewed and gave assistance to over a thousand evacuees.

We were able to come back to New Orleans for good in mid-December because
our house was located close to the University and only sustained roof
damage. Very few of the people who were evacuated with us have been able to
return.

It seems clear that most of the same people who were left behind in the
evacuation for Katrina are being left behind again in the reconstruction of
New Orleans. In fact, now there are even more being left behind. Hundreds of
thousands of people have not been able to make it back.
Drive through the city away from the French Quarter, Central Business
District and the St. Charles streetcar line and you will see tens of
thousands of still damaged and unoccupied homes.
Hundreds of thousands of people have not made it back.

There were 469,000 fewer people in the metropolitan New Orleans area in
January 2006 than in August 2005.

Why? Many reasons.

Most of the City was still without power in early 2006. About two-thirds of
the homes in New Orleans did not have electricity in early 2006, even fewer
had gas.

Seventy-three percent of the homes in New Orleans were in areas damaged by
the storm. But, as the Brown University study concluded "storm damage data
shows that the storm's impact was disproportionately borne by the region's
African-American community, by people who rented their homes and by the poor
and unemployed."

Poor people were hardest hit and are having the hardest time returning. "The
population of the damaged areas was nearly half black (45.8% compared to
26.4% black in the rest of the region), living in rental housing (45.7%
compared to 30.9%), and disproportionately below the poverty line (20.9%
compared to 15.3%." Renters are not coming back because there is little
affordable housing. With tens of thousands of homes damaged, the cost of
renting has skyrocketed. An apartment down the block from my house rented
for $600 last summer - it now rents for $1400. Trailers have not arrived
because of federal, state and local political misjudgments. Over 10,000
trailers were still sitting unused on runways in Hope, Arkansas in February
2006. In my interviews with evacuees who were renters, few were protected by
any insurance - most lost everything.

The little reconstruction that has started is aimed at home-owners.
Louisiana is slated to receive $6.2 billion in Community Development Block
Grant money and the Governor says $1 billion "could be used to encourage the
rebuilding of affordable housing." So with 45% of the homes damaged occupied
by renters, affordable housing "could" end up with 16% of the assistance.
Public housing is politically out of the question in early 2006. There is no
national or local commitment to re-opening public housing in the city. U.S.
Congressman Richard Baker, a longtime critic of public housing in New
Orleans, was quoted in the Wall Street Journal after the storm saying "We
finally cleaned up in New Orleans. We couldn't do it, but God did." As the
Brown study politely observed "people who previously lived in public housing
seem to have the least chances to return, given current policy. All public
housing has been closed (and special barriers bolted to the doors).plans for
reopening the projects or for constructing new affordable housing have not
become public."

Debbie lost her nursing job when her hospital failed to reopen. She is not
alone. There are now 200,000 fewer jobs in the area than in August.
When I teach about the working poor, I tell my students to look for the
working poor at the bus stops in the morning and in the evening. The working
poor have not returned. As the Brookings Institution Katrina Index tells us
pre-Katrina public transportation in New Orleans averaged 124,000 riders per
week; in January 2006 there were 11,709 a week, only 9% of the pre-storm
number.

The sick are not likely to return anytime soon. Healthcare in New Orleans is
now difficult even for those with insurance but nearly impossible for the
poor without it. While there were 22 hospitals open in New Orleans in June,
in early 2006 there were 7, a 78% reduction. Before Katrina there were
53,000 hospital beds in the area, in February 2006 there were 15,000 - waits
of more than 8 hours in emergency rooms are not uncommon. With so many
hospitals closed, people needing regular medical care like dialysis or
chemotherapy cannot expect to return. Worse still for the poor, there is no
public hospital in New Orleans any more - the Charity Hospital that over 50%
of the people in shelters went to has not been reopened.

Many of the disabled are still in the areas where they evacuated to, causing
financial and medical concerns in those states. Others of the disabled, who
lived at home prior to the evacuation, fear being institutionalized.

Children have not returned to New Orleans. Most public schools remain closed
or have been converted into charter schools. Before the storm there were 117
public schools with 60,000 students. In January 2006, there were 19 open,
including 8 new charter schools, serving about 13,000 students. Houston
alone has nearly 20,000 evacuated students. The failure to reopen public
schools in New Orleans has prompted litigation to force the charter and
public schools to accept children.

Prisoners have again been left behind. Some of those evacuated were kept in
jail long after their sentences had run. Only 7 of 42 public defenders have
returned to represent the thousands still held in jail.

Even among homeowners, it is much more likely that white homeowners will
have the chance to rebuild than black homeowners because of deep patterns of
racial disparities in income - white median income is $61,000 compared to
black income of $25,000. Black businesses were severely impacted by Katrina.
Rebuilding by homeowners in mostly black low-lying neighborhoods is much
less likely at the time of the writing of this article because of bulldozing
plans by the city and because rebuilding in those areas depends heavily on
planning and homeowners insurance and flood insurance issues, many of which
have yet to be resolved. As a result, because renters, poor people and those
without work are overwhelmingly African-American, "New Orleans is at risk of
losing 80% of its black population."

"New Orleans is not going to be as black as it was for a long time, if ever
again," Alphonso Jackson, the secretary of the U.S. Department of Housing
and Urban Development, told a Houston audience. Recall some of the
characteristics of people who ended up in shelters, then compare to the
situation currently in New Orleans:

- 64% were renters - now rents have skyrocketed and public housing is
mostly closed;

- 22% had to care for someone who was physically unable to leave -
now there are many fewer hospital beds;

- ? 52% had no health insurance - now the main center of public
healthcare is closed;

- 76% had children under 18 with them in the shelter - most public
schools are closed;

- 93% were black - the areas hit hardest were black and poor;

- ? 67% were employed full or part-time before the hurricane - there
are now 200,000 fewer jobs than before the hurricane.

The people left behind in the rebuilding of New Orleans are the poor, the
sick, the elderly, the disabled, children, and prisoners, mostly
African-American. Again left behind. The television showed who was left
behind in the evacuation of New Orleans after Katrina. There is no similar
easy visual for those who are left behind now, but they are the same people.
Conclusion

There is not a sign outside of New Orleans saying "If you are poor, sick,
elderly, disabled, children or African-American, you cannot return."

But there might as well be.

The people left behind in the evacuation of New Orleans after Katrina are
the same people left behind in rebuilding of New Orleans - the poor, the
sick, the elderly, the disabled, and children, mostly African-American.
Now that we are back from Houston, Debbie has just started a new job at
another hospital. I am fortunate enough to work at one of the universities
which was not severely physically damaged by the storm and floods.

We are back. But where are our neighbors, the people we rode out of the city
with? Where are the hundreds of thousands of our neighbors and will they
ever be allowed to return?

Where is New Orleans now, and more important, where is it going to be?
Finally, if all levels of government and corporate power allow this to
happen in New Orleans, do you think it will be any different in your city?
Bill Quigley is a civil and human rights lawyer and Professor of Law at
Loyola University New Orleans School of Law. You can reach Bill at
Quigley@loyno.edu

Bill's suggestions for further reading on this topic include:

- "A Failure of Initiative: Final Report of the Select Bipartisan
Committee to Investigate the Preparation for and Response to Hurricane
Katrina," U.S. House of Representatives. February 15, 2006.
http://www.gpoaccess.gov/congress/index.html

- "Hurricane Katrina: Social-Demographic Characteristics of Impacted
Areas," CRS Report for Congress, November 4, 2005, Summary. Report available
at: http://www.gnocdc.org/reports/crsrept.pdf;

- "Katrina Index," Brookings Institution, updated monthly. Available
at: http://www.brookings.edu/metro/pubs/200512_katrinaindex.htm

- John R. Logan, "The Impact of Katrina: Race and Class in
Storm-Damaged Neighborhoods," http://www.s4.brown.edu/Katrina/report.pdf"

- Survey of Katrina Evacuees," This survey of 680 randomly selected
adult evacuees in Houston shelters was conducted September 10-12, 2005 by
The Washington Post, the Henry J. Kaiser Family Foundation and the Harvard
School of Public Health, questions 11a and 62. The entire survey can be
found at:
http://www.washingtonpost.com/wp-srv/politics/polls/katrina_poll091605.pdf
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