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A steady stream of elderly patients, infants in incubators and others among the city's most vulnerable ill residents left this weekend via a fleet of ambulances, underscoring the effort by local health officials to avoid the missteps that occurred during Hurricane Katrina three years ago, when some critically sick people were left virtually abandoned in flooded, powerless medical facilities and nursing homes. The ambulances ferried patients to the airport for transport to hospitals farther east, in Florida and North Carolina. The effort is not without risk: Gov. Bobby Jindal (R) said in a news conference Sunday evening that officials have received unconfirmed reports of three patients dying in transport, one from New Orleans and two from Lake Charles.At the same time, hospitals here were trying out new systems put in place to keep out the water, keep the lights on and keep family members in touch with loved ones being dispatched hundreds of miles away."We're getting a dry run," said Robert Lynch, chief executive of Tulane Medical Center downtown, standing in the emergency room's waiting room, where Katrina blew in three feet of water in 2005. 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