Instead, confusion reigned at every level of officialdom, according to dozens of interviews with participants in Louisiana, Mississippi and Washington. "No one had access. . . . No one had communication. . . . Nobody knew where the people were," recalled Secretary of Health and Human Services Mike Leavitt, whose department did not declare the Gulf Coast a public health emergency until two days after the storm.

["Pearlie Jacobs" <ladixfj@...>]

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