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Over the last 12 years, New York City has experienced multiple catastrophic events. The 2001 attack on the World Trade Center, the blackout of 2003, Hurricane Irene, and, most recently, Hurricane Sandy, posed significant challenges to older adults. A common denominator of these incidents was the loss of power and the disruption of systems and services upon which older adults rely, including but not limited to transportation, communication, health care, elevators, and social supports. As a result, tens of thousands of older adults were isolated in high-rise buildings and private homes, in need of food, water, warming or cooling, medical attention, and medication.