IntroductionLin et al (2011) indicate that on August 14, 2003, New York was plunged into a series of power generation interruptions which then triggered a shutdown for protection reasons. purposes. Even though the shutdown was intentional, millions of New Yorkers in the northeastern United States experienced more than 31 hours of power outages beginning at 4:11 p.m. on August 14. DeBlasio et al (2004) attest arguments by Lin et al (2011) and add that the actual effect of the blackout was very significant for human safety and health, as revealed by a US Department of Transportation investigation. For example, they report that 11,600 traffic lights went out and around 413 metro trains were stopped, affecting around 400,000 passengers. The United States-Canada Electrical System Failure Task Force (2003) reports that approximately 800 cases of people trapped in elevators and requiring rescue have been recorded. The report also said that New York's high-rise buildings in the affected area were running low on water because they rely on electric pumps to transport water to every floor. Additionally, recycling plants were unable to recycle raw wastewater during the outage period (Lin et al, 2011). As a result, some waste was pumped into rivers and thus became a health risk. Numerous studies have been undertaken to determine and illustrate the health risks posed by the August 2003 power outage in New York. Studies such as Freese et al (2006) and Kile et al (2005) have succinctly explained how the power outage affected the healthcare system in the affected area. For example, the number of calls to emergency services and 9.1.1 has increased significantly. Kile et al (2005) postulate that during the ban period, hospital...... middle of paper... is favored. Nonetheless, the current coordination is not bad since the MTA is the umbrella agency that has coordinated various emergency response organizations in New York City. For example, during the power outage, various stakeholders shared information even though communication systems were weak. The impact of the power outage on New York City's transportation sector and health has been severe, and key lessons can be learned. Lessons learned from past experiences such as the 2003 blackout have been documented by Volpe (2004), who indicates that the experience would help improve future emergency responses. It can also help design effective policies and emergency plans. The personnel had previously become familiar with each other through daily operations and joint terrorist exercises. However, further research is recommended to further explain this issue in detail..