Envisioning Tsunamis

While I was learning about massive tsunamis this past week, for stories on KPLU and a show called The World, there were some memorable tidbits:

– Waves 90-feet high on the Cascadia Subduction Zone!  Not sure where that is?  It’s basically the Pacific coast from Humboldt, California through Oregon and Washington, to southern British Columbia.  If you’ve been paying attention, you already know it’s not only an earthquake zone, but a major tsunami zone.  The fault is very similar to the one that ruptured near Sumatra on December 26, 2004.  And since then, geologists in the Pacific Northwest are adjusting their hazard maps to allow for the possibility of 60-90 foot waves in some coastal towns.

When will the next catastrophic wave come?  Ahh, that’s what everyone wants to know.  This week’s news is that it’s been about 600 years between big tsunamis in Sumatra and Thailand.  As Sandy Doughton put it in The Seattle Times, that dates it back to the era of Joan of Arc.  It’s long enough for the rise and fall of a civilization.  You can see the evidence, as it’s beautifully preserved north of Phuket, Thailand.  This photo shows the layers of light colored sand from tsunamis, and dark colored soil that builds up in the centuries in between.  The woman is a Thai scientist, Kruawun Jankaew,  who worked with Brian Atwater of the USGS and University of Washington.

phohto by Brian Atwater, USGS/UW

photo by Brian Atwater, USGS/UW

Along the Pacific coast, we also measure in centuries.  The last one hit in January of 1700 (the subject of fantastic sleuthing and science by Atwater and recounted in his book, The Orphan Tsunami of 1700).  Going further back is less precise, and it may be anywhere in the range of 300-1,000 years between big tsunamis.  We could be due now — or it could be beyond our great-great-grandchildren.  The fault-lines don’t follow much of a schedule.

– There was no epicenter in 2004.  The 2004 Sumatran disaster was huge in many ways.  At magnitude 9.2, it’s one of the biggest earthquakes ever recorded.  And the fault rupture was nearly 1,000 miles long (as if a single earthquake stretched from Seattle to San Francisco).  As Atwater put it, we normally use an image of the quake and tsunami that’s like a pebble dropped into a pond, rippling out in circles.  Here’s an example used by the United Nations and the US Agency for International Development

from USAID website "Tsunami Reconstruction"

from USAID website, Tsunami Reconstruction

But this is wrong.  It’s more like someone threw a long log into the pond — and the tsunami waves rippled out primarily in two directions.  Instead of a red dot and circles, imagine a long red line, with waves emanating to the left (Sri Lanka) and right (Thailand).   And, if you’re still following this, along Washington and Oregon, we should expect something similar, with a long section of the fault rupturing.

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Will health solutions equal healthy profits?

If you happen to live in a Presidential battleground state, such as Ohio, Pennsylvania or Florida, you might have heard Sen. McCain talking effusively on the stump about how to revolutionize health-care — using information technology. Sen. Obama has sounded pretty similar.

It’s not an obvious campaign pitch, at least at first. Those of us here in the Pacific Northwest have missed most of this discussion. I got interested when I saw how lucrative it might be.

Electronic health records have been a priority within the health care industry for a while. Getting rid of all those paper files is supposed to lead to fewer medical mistakes and a more efficient system. If you walk into an emergency room (or a clinic you’ve never visited), the doctor or nurse could call-up your medical history, including medications and allergies, and not rely on anyone’s memory.

Reformers who love electronic records envision a day when patients are “empowered” by having access to all their records. Personally, I like the idea of having access to and control of my records. And it definitely sounds more efficient. But once you’ve got a long medical rap sheet, couldn’t it still be too much information for the doctor to scroll through? Especially for your 10-minute appointment?

You can run a full-day seminar on all the lingering privacy issues.

It’s also a big expense on the horizon. I stopped by a conference in Seattle, of health information specialists (a group called AHIMA), and I learned that only about 15-17% of hospitals and medical practices have invested in the computer technology upgrades. Wow – more than 80% still have to buy new computers and servers and a bunch of software, to make the conversion. No wonder software and computer companies are excited. Even Microsoft is getting into the act, with a new division called the Health Services Group.