As Boy Sank in Pool, a Number of Calls to 911 Went Unanswered

By Ben Hubbard
Washington Post Staff Writer

Sunday, July 27, 2008; C07

http://www.washingtonpost.com/wp-dyn/content/article/2008/07/26/AR2008072601744_pf.html


A 14-year-old boy had passed out in a Prince William County swimming pool 
and was sinking to the bottom of the deep end. A nearby swimmer yelled for 
help, and a lifeguard dived in to save him. Two people grabbed phones and 
called 911. Then called again. And again.

The boy was still breathing when lifeguards pulled him out of the pool, but 
he appeared dazed and couldn't speak, witnesses said. Several minutes had 
passed, but there was still no answer at the county's public safety 
communications center.

"If 911 doesn't pick up, you're hung out to dry," said Cindy Watson, 41, 
who was at the Woodbridge pool with her children during the incident. An 
ambulance eventually came and the boy was fine, she said, but what if he 
had needed immediate medical help? "It could have been a tragedy," Watson 
said. "It was so close to a tragedy."

The county's 911 system experienced an emergency of its own, fire officials 
told county leaders last week. In the past two months, they said, the 911 
system had four periods when service was disrupted and callers were unable 
to get through. The number has now grown to five with the July 11 pool 
incident, which fire officials said they were not aware of until it was 
brought to their attention.

Having so many disruptions in a 911 system is rare, and delays in emergency 
response can be fatal, officials say.

"I have never heard of that happening," said Roger Hixson, technical issues 
director at the National Emergency Number Association. "There are some 
systems that go on with no disruptions for years."

The disruptions in service, between May 28 and July 12, occurred after 
Verizon, which maintains the county's 911 equipment, upgraded the system 
May 28, Fire Chief Kevin J. McGee told the Board of County Supervisors on 
Tuesday. Each disruption sprang from a different technical issue, he said. 
McGee could not say how long each disruption lasted, saying the problems 
are still being investigated.

On May 28, a software glitch caused calls from people reporting a house 
fire to become "trapped in the equipment," McGee said. Neighbors, unable to 
get through, watched helplessly as flames engulfed the home. One caller 
gave up, jumped in his pickup and drove to the closest fire station, about 
a mile away.

Then on July 4, a Gainesville man needing an ambulance called 911 from his 
cellphone and his home phone before giving up and driving himself to a 
hospital in a neighboring county, McGee said. That same day, a number of 
callers trying to report illegal fireworks could not get through because a 
newly-installed server rebooted itself, logging off operators without their 
knowledge, he said. A supervisor noticed that no calls were coming in and 
contacted Verizon.

"It seems a little curious that you could log anyone off with no indication 
of that fact," Hixson said. "It doesn't seem like a very fail-safe approach."

Verizon promptly fixed both problems, McGee said.

During McGee's briefing to the board, he said the 911 system had not 
received calls from people reporting a car crash on the evening of July 11. 
But the county was not aware that there were problems earlier in the day, 
when the incident at the pool occurred, until contacted by The Washington 
Post, said John Maddox, technical programs manager for the Prince William 
County Office of Public Safety Communications. A subsequent review of call 
records reflected the missed calls.

"A lot of times, we don't realize that anything happened until someone 
comes forward and says, 'I had a problem,' " Maddox said. "We have no way 
to proactively detect these things."

Maddox said the 911 problems in the afternoon and evening were separate 
instances, although both were connected to work being done on the server. 
That problem was fixed within a week, he said.

Peter Lucht, a Verizon spokesman, said the disturbances in Prince William 
"stemmed from an unusual combination of factors" and were "not something 
that we usually see." The company has worked closely with the county "to 
stabilize the system and ensure that [problems] won't be repeated," he said.

The county purchased its 911 system from Verizon in 2002, and it was 
installed in 2003, and fire officials said there were no problems until the 
May 28 upgrade. There have been no problems since July 12, they said.

County supervisors said they will look more closely at the yearly 
maintenance contract with Verizon, which will be up for renewal in May.

"When these kinds of matters come up, there is a lot more scrutiny -- a lot 
more eyes, if you will -- looking at that relationship," said Supervisor 
Frank J. Principi (D-Woodbridge). "I can guarantee that this contractual 
relationship is under the microscope and will continue to be."


================================
George Antunes, Political Science Dept
University of Houston; Houston, TX 77204
Voice: 713-743-3923  Fax: 713-743-3927
antunes at uh dot edu

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