Emergency communication system
161 people were killed and at least 990 injured when an EF5 multiple-vortex tornado hit Joplin, Missouri. Because Joplin is located in a tornado-heavy area of the country, many people considered the tornado sirens routine and ignored them. Instead, many residents waited until they received confirmation from another, non-routine, source, such as seeing the tornado, a radio or TV report, or hearing a second siren. In the aftermath, an assessment team recommended that emergency warnings take risk perception into account to convey a sense of urgency. NOAA Officials are considering ways to change the warning system to distinguish smaller tornadoes from more deadly ones.
Mucormycosis
A cluster of infections occurred in the wake of the 2011 Joplin tornado. As of July 19, a total of 18 suspected cases of cutaneous mucormycosis had been identified, of which 13 were confirmed. A confirmed case was defined as 1) necrotizing soft-tissue infection requiring antifungal treatment or surgical debridement in a person injured in the tornado, 2) with illness onset on or after May 22 and 3) positive fungal culture or histopathology and genetic sequencing consistent with a Mucormycete. No additional cases related to that outbreak have been reported since June 17. Ten patients required admission to an intensive-care unit, and five died.