Each year, hundreds of health care facilities across the nation respond to tornado emergencies with limited warning of potentially catastrophic events. According to the National Oceanic and Atmospheric Administration (NOAA), there were nearly 1,200 confirmed tornado reports in 2023. While much of this activity occurs in the South and Midwest, often referred to as Tornado Alley, numerous tornadoes also impacted other locations across the country where tornadic activity is generally considered rare. Locations in California, New York, New Jersey, Delaware, Massachusetts, Pennsylvania, and Virginia were all affected by tornadoes in 2023. In one case, an EF-3 tornado caused significant damage along a 16-mile path in Lewis County, New York, the county’s strongest tornado on record.
