Preparedness and Experiences of Evacuees from the 2016 Fort McMurray Horse River Wildfire

The 2016 Fort McMurray Horse River Wildfire that caused the evacuation of more than 88,000 residents from the Regional Municipality of Wood Buffalo (RMWB), Alberta is the largest wildfire evacuation in Canadian history. This paper presents results of an online survey of 447 evacuees in June when some residents had returned to RMWB, and others were still living elsewhere. Results of this online survey show that many survey respondents were not aware of the high wildfire risk leading up to May 3rd and social cues indicated they should carry on as usual. Many respondents received little if any warning time to enable them to prepare. Most respondents had a vehicle, but traffic impediments caused some to run out of gas, food and water on the drive away from Fort McMurray. Most respondents stayed in more than one location, with most staying with friends and family for at least part of the evacuation. Some respondents faced challenges including financial difficulties, finding suitable accommodation, and dealing with insurance, and some received insufficient information. Help was offered to evacuees by a vast array of sources including organizations, businesses, communities, and residents. The results of this study show that most survey respondents were not prepared before they had to leave, which increased reliance on help provided by others.


Introduction
Evacuations are used in Canada and elsewhere to protect public safety in the event of a wildfire and other hazards. Mandatory evacuations require residents to leave, while voluntary evacuations enable residents to choose whether or not to leave. Researchers in several countries have examined residents' wildfire evacuation intentions during a potential future wildfire [1][2][3][4], and decision-making and actions during an actual wildfire [5][6][7][8][9]. These studies provide important insights into whether or not residents will take recommended protective action and factors that influence their intentions and actions.
Researchers have also examined the impacts of wildfire evacuations on the health and well-being of evacuees. Existing research clearly shows that wildfire evacuees experience stress and anxiety during the evacuation process due to disruptions in daily routines, loss of control, uncertainty about personal safety and the safety of their homes, and proximity of danger [1,10,11]. Social support has been found to reduce negative impacts of wildfire evacuations for evacuees [12]. Scharbach and Waldram [13] examined the impacts of the wildfire evacuation of Hatchet Lake Denesuline First Nation and found that splitting up families during the evacuation negatively affected their wellbeing. Kent and colleagues [11] found that evacuations may have positive impacts when people have an opportunity Fort McMurray. The average age in RMWB was 33.1 compared to 37.8 for the province of Alberta. The population of RMWB is multicultural, with more than one quarter of the population (26.7%) in 2016 a visible minority, slightly higher than the provincial average of 23.5%. 9.2% of the population in RMWB declared Aboriginal identity, compared to 6.5% for the province. Formal education levels were higher than the provincial average, with 59.6% of the population 15+ in RMWB having a postsecondary or trades certificate or diploma (55.2% for Alberta); 29.3% having a high school diploma (compared to 27.9% for Alberta); and 11% having no certificate, degree, or diploma (compared to 16.9% for Alberta). Employment rates and incomes are high, with a 72.6% employment rate in RMWB compared to 65.4% for Alberta as a whole. Household incomes are also high, with the median total income of RMWB households $195,570 in 2015, compared to $93,835 for the Province of Alberta; and at the individual level, the average total income of residents was $77,481 compared to a provincial average of $42,717. However there is considerable disparity, with 77% of the Fort McMurray population 15+ earning more than $100,000/annum, and 18% earning less than $20,000 per year. House values are also high, with the average value of dwellings $619,344 compared to $449,790 for the province of Alberta. In 2016, 67.6% of the 25,660 private households were owned, while 32.1% were rented, and 0.4% were First Nation band housing. The Regional Municipality of Wood Buffalo is home to oil sands development and related industries, with 30% of the labour force working in this industry. Two other major industries that employ local residents are construction (10%) and retail trade (8%). The Horse River fire started on May 1st, 2016, and quickly grew in size due to extremely hot and dry conditions. At 8pm on May 1st, residents in Centennial trailer park were warned to leave their homes, with residents in Beacon Hill and Gregoire neighbourhoods on evacuation alert (see Figure 2). Two hours later, a state of local emergency was declared and a mandatory evacuation was ordered for residents of Centennial RV Park Campground, Prairie Creek and Gregoire. The next morning, the mandatory evacuation for Gregoire and Prairie Creek were rescinded. The wildfire continued to grow throughout the day on May 2nd, and at 8pm the fire reached the Athabasca River. Overnight, the fire jumped the Athabasca River (approximately 1 km distance).
The Horse River fire started on May 1st, 2016, and quickly grew in size due to extremely hot and dry conditions. At 8pm on May 1st, residents in Centennial trailer park were warned to leave their homes, with residents in Beacon Hill and Gregoire neighbourhoods on evacuation alert (see Figure  2). Two hours later, a state of local emergency was declared and a mandatory evacuation was ordered for residents of Centennial RV Park Campground, Prairie Creek and Gregoire. The next morning, the mandatory evacuation for Gregoire and Prairie Creek were rescinded. The wildfire continued to grow throughout the day on May 2nd, and at 8pm the fire reached the Athabasca River. Overnight, the fire jumped the Athabasca River (approximately 1 km distance).  For residents in Fort McMurray, the skies appeared sunny and clear the morning of May 3rd, with the smoke staying close to the ground due to a thermic inversion. At 11:00 am, representatives from the RMWB and the Provincial government held a media briefing. The media and residents were told that fire conditions were extreme and were expected to worsen throughout the day. Residents were told by the Fire Chief that they should be prepared to act on short notice by having "a little plan in mind if you were told you had to leave your house, what would you take with you and where do you think you might go." However residents were also told to carry on as usual, with the Fire Chief saying "people need to get on with their lives, people need to go to work, Mom needs to take the kids to school, and Dad takes the guys to the ball game afterwards" (https://www.youtube.com/watch?v= 55O3jp8thKM).
At 1:15pm, the wildfire crested the hills along the west side of Fort McMurray, becoming visible to many residents [22]. At 2:31 pm, the wildfire entered the Beacon Hill neighbourhood. Three minutes later, at 2:34, an evacuation was ordered for Abasand, Grayling Terrace, and Beacon Hill neighbourhoods. The Thickwood neighbourhood was on a voluntary evacuation. At 2:52, the wildfire was sighted south of Thickwood, and at 3:31, an evacuation was ordered for the Thickwood, Gregoire, Waterways neighbourhoods, and Centennial Trailer Park. In total, more than 88,000 residents of urban Fort McMurray and surrounding communities in RMWB evacuated their homes and communities due to the Horse River fire. By the time the fire was deemed to be under control on 4 July 2016, the fire had destroyed 2579 structures in Fort McMurray, and burned 589,552 hectares. Two young women died in a car crash on highway 63 during the evacuation. Government responses to this wildfire, including the evacuation, have been examined in studies completed by consulting companies following the wildfire [22][23][24]. These studies provide important insights into the government response to the wildfire, however further study is needed to examine the experiences of residents who fled from their homes and neighbourhoods in Fort McMurray.

Materials and Methods
This project started in May 2016 while residents of RMWB were still away from their homes and communities. Before data collection commenced, this study received ethics clearance from the University of Alberta's Human Research Ethics Board 1. An online survey was selected as the data collection tool because it provided a way to contact evacuees who were staying in a variety of locations after fleeing from their home and communities. A short online survey was also appropriate for people who were very busy during and after the evacuation. It also provided a way to obtain information quickly from evacuees so that the details of their experiences would be fresh in their minds. An online survey also provided a way to obtain input from many evacuees [25].
The survey was developed by the author and a research assistant in May and early June. Closed-ended and open-ended questions were included, and the survey was designed to be completed within 10 min. Careful consideration was given to the questions included in the survey and wording of questions, given the sensitivity of the topic. Once the survey was prepared, it was emailed to two RMWB evacuees for feedback. Slight changes were made in response to feedback, and the survey was finalized in mid-June. The survey included questions about evacuees' initial evacuation experiences, including learning about the wildfire, leaving, and staying elsewhere. Purposive sampling was used to try to recruit as many wildfire evacuees as possible. Once the survey was finalized, evacuees were recruited through the Facebook 'Fort McMurray Evac Relocation Group' and Twitter. Two First Nations and one First Nation organization in RMWB were also invited to post the survey on social media. At the time of this online survey, this was the first collection of data from evacuees from the Horse River fire. A total of 447 respondents completed the online survey, with most completing the survey within the first 24 h that it was posted online on June 21, 2016. Descriptive statistical data analysis was completed using Survey Monkey.
The 447 respondents included 94% who normally lived in the Fort McMurray urban centre, while the other 6% lived in other communities in RMWB. Survey respondents included adults in a range of age groups from 18-25 to 75+ (Table 1). The survey was mainly completed by women (Table 1). Most respondents were employed, with 63.5% in full-time paid employment, 8.0% self-employed, 8.0% in part time/casual employment. 8.5% full time domestic/parenting duties, 7.7% unemployed (The unemployment rate in RMWB at the time of the survey was 6.8% (Statistics Canada 2017)), 4.9% retired, 1.8% and 2.6% did not provide their employment status. 8.1% of respondents were born in RMWB, 16.4% were born elsewhere in Alberta, with most respondents (66.9%) born elsewhere in Canada, and 8.6% were born outside of Canada. At the time of the wildfire, respondents had lived in their community in RMWB for varied lengths of time, with a median of 6-10 years (Table 1). Survey participants were asked how their home was affected by the wildfire. While most survey respondents reported that their home either had no (36%) or minor (41%) damage, 18% of respondents stated that their home was destroyed in the fire, and 3.6% of respondents said their home had suffered major damage.

Preparedness
Fort McMurray is located in the fire prone boreal forest [26], and wildfires have occurred near Fort McMurray every few years in the past two decades, including significant wildfires in 2015, 2011 (3 fires), 2009 (2 fires), 2007, and 2003 [27]. Five large wildfires came within 20km of Fort McMurray between 1990 and 2012 [28]. The weather leading up to the 2016 wildfire season included a very dry and mild winter, followed by an unusually hot and dry spring [29]. In the last week of April, the Fort McMurray area experienced daily high temperatures in the 30s, low relative humidity of 15 percent, and winds approaching 25 km/hour [24]. Despite the location of the community in the boreal forest, past wildfires in the area, and weather leading up to the beginning of May 2016, when survey participants were asked to think back a few days before the evacuation and recall how they rated the wildfire risk, 44.8% perceived the threat to their community as being low or very low, with 28.7% recalling the risk as being moderate, and 25.5% perceiving the risk as high or very high ( Table 2). Most survey participants also perceived the wildfire risk to their property and family as low to very low. As expressed by one respondent: "Right up until my friends said they could see flames in our neighbourhood I felt like things weren't too bad, I was in denial about the severity of the threat." (Respondent #267)  Beliefs that the wildfire risk was low or moderate despite environmental cues to the contrary were likely influenced by social cues which indicated that people should carry on as usual. Information received from trusted individuals downplayed the risk, for example the Fire Chief's advice to residents that the risk was high but they should carry on with their normal activities. One respondent explained: "Had I known how close the fire was to the city, I would have left that morning. I asked a fire captain the day before and he told me it was far away and not to worry." Children went to school on May 2nd and 3rd, and businesses were also open. This meant that parents had to return to school to pick up their children before they evacuated, and in some cases teachers took children out of the city in their own vehicle when parents were unable to pick them up at the school. People who were at work until the mandatory evacuation was ordered had little if any time to prepare to leave. As two respondents explained: Most survey respondents (96.7%) also indicated that this was the first time they had evacuated due to wildfire, with only 3.3% (13 respondents) having prior evacuation experience. Only two of these respondents had experience evacuating from RMWB due to wildfires before 2016, while other wildfire evacuation experiences were elsewhere in Canada.
Mandatory evacuations were ordered for Fort McMurray neighbourhoods throughout the day on May 3rd. However by the time the official evacuations were ordered, the wildfire was already clearly visible to Fort McMurray residents and homes had already started to burn in some neighbourhoods. As three survey respondents explained: "Unacceptable that the people in Beacon Hill and Abasand basically had the fire at their back door before making their own decision to leave." (Respondent #169) "The city gave the residents of Beacon Hill no warning. When the warning came in at 2pm on May 3rd, it was already too late as homes were already on fire and I was unable to get to my house to collect anything." (Respondent #132) When asked how they learned they would have to evacuate, the largest group of respondents (19.9%) did not receive any warning but decided to leave because of the environmental cues that they could see outside (Table 3). However many respondents received some form of notification from official sources or others. Many respondents left after hearing information provided on the radio (19.4%), and others were notified by a family member (15.3%). 9.8% learned that they would have to leave after seeing information posted on social media, 9.1% were told by their employer, and 7.9% were told by a friend or neighbour that they would have to leave. A few respondents received this information from an RCMP officer, TV or from the RMWB website [30]. Most survey respondents recalled that they were either at work or home when they learned they had to evacuate. Many survey respondents had little or no time to prepare before they had to leave [30]. Importantly, 11.7% (48 respondents) said that they spent 0 min getting ready to leave (Table 4). 16.9% said that they spent less than 15 min to get ready, while another 39.1% said that they spent between 15 min and 1 h getting ready. 16.6% spent between 1 and 2 h to get ready to leave, and only 8.6% said that they spent more than 2 h getting ready. Survey respondents also described the lack of preparation time: "I wish the order of evacuation was made early as I left to pick up kids and I couldn't go back home. I left with no cloth[e]s or anything."  The amount of time survey participants had to prepare before they left affected what they could take with them. 409 survey respondents described what they brought with them when they evacuated. 66.5% stated that they brought clothing, with most taking one change of clothes or enough clothes for two to three days. As two participants explained: "Pets, food for pets, medications, and clothes for 2 days. Believed they would have it under control within a few hours, and we would get back home." (Respondent #415) "The dog, personal financial documents, change of clothes, passport, laptop, cellphone charger, water." (Respondent #285) However, some respondents were able to take enough clothing for an extended period. As one participant stated: "Our sleeping bags, pillows, lots of water, clothing for a month in a suitcase, emergency travel kit, fruit, granola bars, family photo album, block of Balderson cheese and a bottle of Chardonnay." (Respondent #401) 42.8% stated that they brought documents such as a passport and other important documents. 38.9% brought pets and pet-related items with them. 25.67% stated that they brought food with them, with some who brought snacks for a short trip, while others brought enough food for a few days; and 22% brought water. Other items brought by many respondents include photos (19.8%), a computer(s) or hard drive (14.7%), and sentimental items (13.9%). A few participants mentioned that it was difficult to decide what to take. As one participant explained, "I was in a daze as to what to take . . . nothing seemed important to me at the time, just getting out safely." (Respondent #31) 9.3% of respondents said they did not take anything with them. Only four respondents stated that they brought an emergency kit/bag with them.

Leaving Their Home and Community
Most survey participants (86.1%) left their community in their household vehicle. However 7.4% left in a vehicle of a neighbour or friend, a family member who lives elsewhere, or someone who they did not know before the evacuation. A few respondents left in a company vehicle or with a co-worker, a few left by bus, one left in their RV. Three respondents were told by the RCMP to leave on foot, as one explained: "Even though we left in our household vehicle, [we] had to leave the vehicle and run and the fire was so close and the traffic was so bad. RCMP ordered us to ditch our vehicle and run." (Respondent #347) 52.7% of respondents reported that they had problems leaving their community [30]. Traffic delays were common as residents were leaving their neighbourhood and then once they were on Highway 63. Many residents' vehicles ran out of gas, and some were not sure whether they should go north or south on Highway 63. Some survey respondents were separated from family members and friends, and others did not have enough food or water during the drive away from Wood Buffalo. Many survey respondents had to leave while the fire was burning around them. In the words of two survey respondents: "Everyone was very calm while we evacuated Abasand. Everyone took their turns merging. The fire was all around us as we left, but we kept our cool so we wouldn't scare our daughter." (Respondent #362)

Staying in a Safe Place
Evacuees stayed in a variety of locations during the evacuation (Table 5). While 39.0% of respondents stayed in one place for the whole evacuation, 61.0% stayed in more than one town/city/community [30]. Residents who had to travel north out of Fort McMurray stayed in Fort McKay First Nation or a work camp, then went south and stayed in a second community. For example, Respondent #442 drove north and stayed in Fort McKay for one night, then stayed in Edmonton for the rest of the time; while Respondent #270 stayed in a work camp for two days then flew to the province of Ontario. Some evacuees travelled south but stayed near Fort McMurray the first night, and then continued their journey south the next day. As one respondent explained, "We first ran to Gregoire Lake, then next morning we again had to run for our life. When we ran again we went to Spruce Grove (in the Edmonton Metropolitan Area)" (Respondent # 338). Nearly half of survey respondents (218) stayed in the City of Edmonton, the closest city south of Fort McMurray, or its surrounding metropolitan area. Some survey respondents travelled further south to Red Deer (13 respondents) or Calgary (56 respondents). 180 respondents stayed in other towns and communities around Alberta. 138 respondents left Alberta and stayed in another province during their evacuation, and nine respondents left Canada to stay in another country.
In these locations, survey respondents stayed in various types of accommodation (Table 6), with some respondents staying in more than one type. Most people (72.6%) stayed with friends and family, and half (50%) stayed in a hotel room. About 20% of respondents stayed in a camper or rented apartment/house. Interestingly, 5% of respondents (21) stayed with someone they had not met before the evacuation, and nine survey respondents reported that they slept in their vehicle. My car/truck 9 A cot in an arena 9 A rented room in a house or apartment 9 A room in a university/college dormitory 8 Other 14 Once they were staying elsewhere, most (81.8%) survey respondents stated that they did not have any problems, while the remaining respondents experienced problems including financial challenges, and trouble finding accommodation being the two most frequently mentioned concerns. Challenges with insurance and finding accommodation that accepted pets were also mentioned by several respondents. During the evacuation, survey respondents obtained information in a variety of ways, with the main sources being social media (88.3%) and news (70.2%), followed by friends and family (54.2%) and RMWB (46.8%) or Government of Alberta (46.3%). However 46.1% of survey respondents stated that they did not receive enough information during the evacuation [30].
74.4% of survey respondents stated that they received help during the evacuation from a vast array of sources including friends, family, strangers, aid organizations, the government of Alberta, and businesses, to name a few. In the words of a few survey respondents: "People were handing out food and water on the highway where traffic was backed up." (Respondent #416) "In every town we stopped in people were amazingly kind and helpful, going out of their way to do whatever they could to help and accommodate us." (Respondent #294) "So many people gave donations of food! Restaurants gave us free food, hotels have discounted rates, and stores gave us discounts to buy new clothes. The help we received was astounding." (Respondent #238) When asked what help they had received during the evacuation, one survey respondent simply stated "Too many to list. It was unbelievable . . . the kindness was so humbling." (Respondent #440) People in communities near Fort McMurray provided shelter, food, and water. Residents in Edmonton and elsewhere in Alberta invited evacuees to stay with them in their homes, volunteered, and donated. Financial support from the Government of Alberta and the Red Cross, and donations from other organizations were appreciated by survey respondents. However some survey respondents experienced challenges accessing funds from the Red Cross.
69.82% of respondents stated that they had positive experiences during the evacuation, including being thankful for the help they received, and experiencing the strength and resilience of Fort McMurray residents. In the words of a few participants: "Made some wonderful new friends and experienced the kindness of friends and strangers alike along the way." (Respondent #434) "Many, many positive experiences in Edmonton of the generosity and compassion of the community, the province, and the country at large, ranging from a free cup of coffee to the hugs of strangers to the government debit card." Once the Government of Alberta allowed evacuees to start returning on June 1st, survey respondents began to return to RMWB, with most returning within 4 weeks of June 1st (Table 7).
However some survey respondents stayed away until July or for longer. At the time of the survey in late June 217 respondents reported that they had returned to RMWB, 154 stated that they planned to return, 20 were planning to or had moved away from RMWB, and 17 were unsure of their plans. Therefore most respondents either had or planned to return to RMWB, with less than 5% who were not planning to return.

Discussion
The results of this study show that most survey respondents were not prepared to evacuate when they had to leave their homes and communities. Many respondents were not aware of the very high wildfire risk to their community, home or family preceding May 3rd, and social cues told them to carry on as usual leading up to and on May 3rd, with schools and businesses open. For most respondents, this was their first evacuation experience. Many respondents received little if any official warning before they had to leave and instead left due to the environmental cues which made it clear that the threat was immediate. However some received warnings from official sources, friends and family, and other sources. Most respondents were able to take clothing and many took important documents, however only 1 4 of respondents mentioned bringing food and water. Fortunately, most respondents had a vehicle that they used to evacuate, but some respondents relied on others to enable them to leave. Some of those who had a vehicle experienced situational impediments due to road access problems and traffic congestion. Some respondents ran out of gas, food, and water on the long drive away from Fort McMurray. For many survey respondents, the evacuation was a multi-stage process involving staying in more than one location. Most survey respondents stayed with friends and family during at least one part of the evacuation. Although most respondents were looked after once they arrived in a safe place, some respondents experienced financial difficulties, challenges finding suitable accommodation, and problems dealing with insurance. Although media coverage of this wildfire and evacuation was extensive, some respondents did not receive enough information. Most survey respondents received help during this evacuation from a variety of sources throughout the evacuation, which helped them to leave their home and community, reach a safe place, and meet their essential needs (food, water, clothing, and accommodation) during the evacuation. The help provided to survey respondents was remembered as a positive part of their evacuation experience.
The results that many respondents rated the wildfire risk to their community, property, or family as low to moderate before May 3rd is surprising due to the conditions leading up to the start of this wildfire, and studies which indicate that residents living in high wildfire risk areas are usually aware of the risk [31][32][33]. Whittaker and colleagues [9] found a high level of awareness preceding the 2009 Black Saturday fires in Victoria, Australia, however this is likely partly due to extensive media coverage to warn residents of the extreme fire risk [34]. In Fort McMurray, social cues indicated that survey respondents should carry on as usual. The importance of early warnings for protecting lives and reducing injuries is well established in the broader hazards [35][36][37] and in the wildfire literature [38,39]. Very limited if any warning time provided to residents due to a wildfire also occurred five years earlier in northern Alberta when residents of the Town of Slave Lake received little if any warning when a wildfire entered their town in 2011 [40]. McLennan and colleagues [18] also found that residents in Australia who planned to evacuate had a low level of preparedness. The results of this study show that evacuees' low levels of preparedness combined with long traffic delays [30] made it difficult for people to evacuate, and increased residents' distress as they were leaving and once they arrived in a safe place. Despite leaving late and traffic delays, survey respondents reported courteous driving on the way out of Fort McMurray, in line with research which shows that panic behaviour is very unlikely to occur, particularly if people are evacuating with people who are familiar to them including family, friends, and neighbours [41][42][43]. The findings that almost 40% of survey respondents brought pets with them when they evacuated, and some respondents had difficulty finding accommodation that would enable their pets to stay with them confirms the need to identify ways to look after pets during evacuations [44].
Those survey respondents who were not prepared fortunately received support from others to meet their basic needs, including transportation out of Fort McMurray, food, water, clothing, and accommodation. Existing studies clearly show that residents and organizations within an area affected by a wildfire [45,46] and other hazard events [47] provide important sources of help to those directly affected. For example, Carroll and colleagues [45] found that after the Rodeo-Chediski fire in the U.S., residents helped neighbours by providing shelter and support. In this case, the substantial amount of help provided to evacuees from residents in other communities within RMWB, elsewhere in Alberta, and beyond may be due to the number of people who evacuated, the extensive use of social media and media coverage of this wildfire [48].

Conclusions
The Horse River (Fort McMurray) wildfire caused the largest wildfire evacuation in Canadian history. The results of this study show that many survey respondents received little if any warning, and were not aware of the wildfire risk and potential need to evacuate, which meant that most were not prepared to leave and instead needed to rely on residents, communities, and service providers to meet their essential needs. The non-random sampling approach in this study means that the results presented in this paper cannot be generalized to the whole population of RMWB that evacuated due to the May 2016 Horse River wildfire. The use of an online survey distributed through social media meant that some people who do not use social media would not have been able to participate. However, the results provide important insights into whether residents were prepared before they had to evacuate due to this wildfire, and the experiences of evacuees leaving their home, travelling to a safe place, and staying elsewhere during the evacuation that lasted one month or longer. Additional research would be useful in several areas. Further examination of the helping behaviours that occurred during the Horse River wildfire would be a valuable contribution. Research on the experiences of evacuation host communities-those communities where residents stay during evacuation-would also be very valuable.
Despite the limitation of the sampling approach used for this study, there are important implications for authorities. The results of this study clearly show the need to increase the wildfire risk awareness of residents living in Fort McMurray, the surrounding Regional Municipality of Wood Buffalo, and in other communities at high risk from wildfires. Increased awareness will help to encourage residents to prepare [20]. The results of this study also reinforce the importance of providing timely warnings. The Government of Canada recommends that residents are prepared for 72 h after an emergency. Although a few survey respondents had an evacuation kit and many took enough clothing for 3 days and important documents, many survey respondents were not adequately prepared. Further efforts should be made to increase preparedness of residents living in high risk communities.
Funding: This research received no external funding.