В штате Индиана завершается восстановление электроснабжения, но жителям угрожают риски отравления угарным газом и порчи лекарств

Northwest Indiana's Two Week Outage Nears Its End, and the Food and Medication Decisions Begin Now Restoration Day Arrives with a Different Set of Risks The utility serving Northwest Indiana has set 11:59 p.m. Tuesday as its target for substantially completing restoration in Gary and Portage, the last two communities still dark after the storm that hit on August 11. For some households, that will mean two weeks without electricity. The scale has narrowed sharply. NIPSCO has logged about 374,500 customer outages since the storm, and roughly 3,878 customers remained without power as of Monday morning, Axios Chicago reported. That is down from more than 75,000 the previous Wednesday afternoon. The utility's outage page lists Gary and Portage as the final restoration targets and cautions that some individual outages may persist past the estimate. The health story does not end when the lights return. It changes shape. A refrigerator that has been off for two weeks is a disposal problem, not a storage problem. Insulin and other refrigerated medications that sat warm for that long need a pharmacist's judgment, not a guess in a dim kitchen. And generators, which are a leading cause of post-storm carbon monoxide deaths, tend to stay in use through the tail of a restoration when neighbors have power, and you do not. Who absorbed the damage matters here. Gary is predominantly Black, roughly a third of residents live below the poverty line, and the city waited longest, a disparity drawing scrutiny from state officials and civil rights advocates. The National Weather Service says the derecho intensified as it crossed into Northwest Indiana, with a 99 mph gust recorded at Gary/Chicago International Airport. The households with the least cushion now face a full grocery replacement and prescription refills at once, though federal help is flowing through a FEMA emergency declaration. Two Weeks Is Past Every Food Safety Threshold There is no judgment call left to make about perishable food in a refrigerator that lost power on August 11. Federal guidance sets the refrigerated threshold at four hours above 40 degrees. A full freezer holds a safe temperature for roughly 48 hours if the door stays shut, half that if it is half full. Every one of those windows closed within the first two days of this outage. Meat, poultry, seafood, eggs, dairy, cooked leftovers, cut produce, and soft cheeses all go in the trash without inspection. The single most important rule is the one people most often break: do not taste food to decide whether it is safe. The bacteria that cause foodborne illness do not reliably change how food looks or smells, and a small taste is enough to make someone sick. Food that looks and smells normal after two unrefrigerated weeks is still not safe. Some items survive. Unopened shelf-stable goods, hard cheeses, butter, most condiments, whole fresh produce, and undamaged canned goods are generally fine. Anything touched by floodwater is not, unless it is a sealed metal can that can be sanitized. The FDA maintains a consumer guidance hub for storms and outages. There is a deadline attached. SNAP households may qualify for replacement benefits for food lost due to the outage, but the request generally must be filed within 10 days of the loss. Anyone who has not filed should contact the Indiana Division of Family Resources promptly to ask how that window applies to a loss occurring well after the storm date. Refrigerated Medication Needs a Pharmacist, Not a Guess This is the part of the story most likely to be handled badly, and the guidance is more nuanced than the food rules. Medications requiring refrigeration between 36 and 46 degrees include insulin, many injectable biologics, some eye drops, certain hormone products, and reconstituted liquid antibiotics for children. Prolonged storage outside that range degrades potency. That is not the same as making a drug dangerous, and the distinction determines what a person should actually do. Guidance converges on a two-part answer. Temperature-compromised medication should be replaced as soon as possible. But if a medication is essential to sustain health, insulin being the standard example, it should be continued until a replacement is available rather than stopped. Stopping insulin because a vial sat out at room temperature is more dangerous than using a weakened vial while arranging a refill. Call the pharmacy before doing anything else. Pharmacists can advise on whether a specific product is likely compromised, and many can expedite an early refill after a declared emergency. Insulin kept unrefrigerated also has a shorter usable life than its printed expiration date. Neighbors were already improvising around this, delivering ice and dry ice to elderly residents to keep medications cold. That is a reasonable stopgap, not a substitute for a pharmacist's assessment. The Generator Window Is Not Closed Yet Carbon monoxide risk does not scale down with the outage map. It concentrates in the last households still running equipment. Portable generators produce colorless, odorless carbon monoxide, and federal guidance states they must never be run inside a home, basement, garage, or crawlspace, even with doors or windows open. The safe placement is outdoors, well away from the house, with exhaust directed away from windows, doors, and vents. Early carbon monoxide symptoms are easy to mistake for exhaustion after two hard weeks: headache, dizziness, weakness, nausea, confusion. If several people in a household feel unwell at once, or if pets are affected too, that pattern points toward carbon monoxide rather than a virus. Everyone should get outside into fresh air and call 911. Households using battery power stations for medical equipment have their own consideration. MedicalDaily reported this month on a recall of 46,200 portable power stations due to reports of fire and overheating, with the remedy being a firmware update rather than removal. Several things remain unsettled. NIPSCO described the restoration estimate as substantially complete rather than absolute, meaning scattered outages may persist past Tuesday. Gov. Mike Braun has directed the Indiana Office of Utility Consumer Counselor to petition state regulators to investigate the company's response, and NIPSCO said it would cooperate fully if an investigation opens. And the health consequences of a two-week outage, including emergency visits for heat, carbon monoxide, and medication interruption, will not be visible in surveillance data for weeks. Key Questions Answered What is the current status? NIPSCO targeted 11:59 p.m. Tuesday to substantially complete restoration in Gary and Portage. About 3,878 customers remained out as of Monday morning, out of roughly 374,500 customer outages logged since the storm. What food has to be thrown out? All perishables. Refrigerated food is unsafe after 4 hours above 40 degrees, and a full freezer keeps food safe for about 48 hours. Both windows were closed within days of the storm. Meat, dairy, eggs, leftovers, cut produce, and soft cheeses go. Can food be checked by smell or taste? No. Never taste food to judge safety. Bacteria that cause illness do not reliably change how food looks or smells, and a small taste can make someone sick. What about insulin and other refrigerated medications? Replace temperature-compromised medication as soon as possible, but do not stop an essential medication, such as insulin, while waiting for a refill. Call a pharmacist, who can advise on the specific product and may expedite a replacement. Is there help replacing lost groceries? SNAP households may qualify for replacement benefits, and requests generally must be filed within 10 days of the loss. Anyone who has not filed should contact the Indiana Division of Family Resources promptly. What are the generator rules? Never run one inside a home, basement, garage, or crawlspace, even with windows open. Place it outdoors, well away from the house, with exhaust pointed away from windows, doors, and vents. When does carbon monoxide require emergency care? Headache, dizziness, weakness, nausea, or confusion, especially if several people or pets in a household are affected at once. Get everyone outside into fresh air and call 911. Published by Medicaldaily.com