This topic is about how people with ostomies can manage their needs during disaster situations when regular supply chains are disrupted. It explores strategies for obtaining necessary supplies and offers advice on how to prepare for such emergencies. Here are some helpful insights and suggestions:

1. Donation Routes for Haiti:
- Catholic Medical Missionaries Board (CMMB) in New York can help with donations. You can contact Kathy Tebbitt at 1-212-242-7757 for shipping addresses in the U.S. or the Dominican Republic.
- Friends of Ostomates Worldwide (FOW-USA) is already sending pallets of ostomy supplies. You can check with them about their next shipment.

2. Personal Emergency Stockpiles:
- It's wise to keep at least a week's worth of disaster supplies, including water, non-perishable food, a battery-powered torch and radio, toilet paper, plastic bags, a bucket, a first-aid kit, extra medicines, and spare ostomy supplies. Remember to rotate these items to keep them fresh.
- If possible, try to maintain a three-month supply of ostomy products at home and an additional month's supply in each vehicle.

3. Improvised Appliances When Commercial Pouches Run Out:
- You can cut a hole in heavy-duty zipper freezer bags and tape them on as a temporary solution.
- Reusable pouches can be crafted from shower-curtain material using scissors, hot glue, and/or elastic belts or tape.
- For Coloplast two-piece systems, you can remove the white snap ring from a used pouch and snap it over any plastic bag to create a substitute pouch.
- A used Coloplast adhesive barrier can be reused even when it’s no longer sticky by attaching a retaining strap through the two side notches and tightening it. Retaining straps are also useful for active living under normal conditions.

4. General Preparedness Mindset:
- Every household should have an emergency plan and be ready for events like earthquakes, storms, or terrorism.
- Ostomy needs should be considered as part of overall disaster readiness, with a focus on skin protection and hygiene being as important as containment.