Emergency Preparedness Update October 3, 2005 C. Richard Packer, MS Public Health Preparedness...
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Transcript of Emergency Preparedness Update October 3, 2005 C. Richard Packer, MS Public Health Preparedness...
Emergency Preparedness UpdateEmergency Preparedness UpdateOctober 3, 2005October 3, 2005
C. Richard Packer, MSC. Richard Packer, MS
Public Health Preparedness CoordinatorPublic Health Preparedness Coordinator
Pennsylvania Department of HealthPennsylvania Department of Health
PurposePurpose
Review the preparedness role of the Review the preparedness role of the Department of HealthDepartment of Health
Discuss opportunities for school nurses to Discuss opportunities for school nurses to provide leadership in school preparedness provide leadership in school preparedness planningplanning
Explain POD’s (Points of Dispensing) and Explain POD’s (Points of Dispensing) and how they may impact your schoolhow they may impact your school
Review individual preparedness activities to Review individual preparedness activities to keep your family safekeep your family safe
Erie
C ra wfo rd
M e rc e rVe na ng o
Wa rre n M c Ke a n
Elk
C le a rfie ldJ e ffe rso nC la rio n
Fo re st
La wre nc e
Butle r
Arm stro ng
Ind ia na
C a m b ria
We stm o re la nd
Fa ye tte
So m e rse tG re e ne
Wa shing to n
Alle g he ny
Bla ir
Be d fo rd
Fu lto n
Hunting d o n
M ifflinJ unia ta
Pe rry
Fra nklin
Ad a m sYo rk
Da up hin
Le b a no n
La nc a ste r
D e l a w a r e
Be rks
Sc huylkill
M o ntg o m e ry
C he ste r
Le hig h
N o rtha m p to nC a rb o n
M o nro e
Wa yne
La c ka wa nna
Susq ue ha nna
Wyo m ing
Luze rne
Po tte r
Tio g a Bra d fo rd
C lin to nLyc o m ing
Su lliva n
C e ntre
Snyd e r
Unio nM o nto ur
N o rthum b e rla nd
C o lum b ia
C o unty He a lth De p a rtm e nts
M unic ip a l He a lth De p a rtm e nts Sta te He a lth C e nte rs
Be thle he m
Alle n to wn
Yo rk
Distric t O ffic e s
C a m e ro n
C um b e rla nd
No rthwe st No rthc e ntra l No rthe a st
So uthe a stSo uthc e ntra lSo uthwe st
Willia m sp o rt Wilke s-Ba rre
We st Re a d ingHa rrisb urg
Pittsb urg h
Pe nnsylva nia De p a rtm e nt o f He a lthC o m m unity He a lth Distric ts
Be a ve r
Buc ks
Phila d e lp hia
PikeWilke s-Ba rreJ a c kso n C e nte r
Department of Health Role:Department of Health Role: Provide strategic directionProvide strategic direction Support preparedness & response Support preparedness & response Access resources to support activities = $Access resources to support activities = $ Monitor performance & accountabilityMonitor performance & accountability
Public Health Preparedness in PAPublic Health Preparedness in PA
Pyramid of Public Health Pyramid of Public Health PreparednessPreparedness
PublicHealth
Response
• Bioterrorism Emerging Infections Other Public Health Programs
SurveillanceLaboratory
PracticeEpidemic
Investigations
WorkforceInformation
SystemsOrganizational
Capacity
Essential Scientific
Capabilities
Basic Infrastructure
Strengthening Public Health Strengthening Public Health PreparednessPreparedness
Enhancing laboratory capacity Enhancing laboratory capacity Enhancing local public health capacityEnhancing local public health capacity Statewide disease surveillance: Statewide disease surveillance:
o PA NEDSS PA NEDSS o Syndromic SurveillanceSyndromic Surveillance
Public Health Preparedness in PAPublic Health Preparedness in PA
Preparedness PlanningPreparedness Planning
And Readiness AssessmentAnd Readiness Assessment
Statewide Advisory Committee Statewide Advisory Committee CHEMPACKCHEMPACK Strategic National Stockpile (SNS)Strategic National Stockpile (SNS) Cities Readiness Initiative (CRI)Cities Readiness Initiative (CRI)
PA DOH Involvement in Disaster PA DOH Involvement in Disaster Planning Planning
SNS – State and regional plans and SNS – State and regional plans and exercisesexercises
State Wide Credentialing SystemState Wide Credentialing System Beaver Nuclear Power plant exercisesBeaver Nuclear Power plant exercises PNC Park TTXPNC Park TTX Pandemic Influenza Response PlanPandemic Influenza Response Plan WMD, ICS, Bioterrorism training for PH WMD, ICS, Bioterrorism training for PH
PA DOH Response ActivitiesPA DOH Response Activities
KI DistributionKI DistributionHepatitis A OutbreakHepatitis A OutbreakSalmonella Outbreak Salmonella Outbreak Mass Flu Immunization ClinicsMass Flu Immunization ClinicsKatrina response and supportKatrina response and support
CollaborationsCollaborations
• County, Regional and State Emergency County, Regional and State Emergency ManagementManagement
• AgrAgriculture iculture • Public WelfarePublic Welfare• DEPDEP• HospitalsHospitals• Community Health Centers Community Health Centers • RCTTF’sRCTTF’s
Wa shing to n
So m e rse t
Be a ve r
Butle rArm stro ng
Ind ia na
We stm o re la nd
Fa ye tteG re e ne
Alle g he ny
La nc a ste r
D e la w a re
Be rks
Sc huylkill
Buc ks
M o ntg o m e ry
Phila d e lp hia
C he ste r
Le hig h
No rtha m p to n
C a rb o n
M o nro e
Pike
Wa yne
La c ka wa nna
Susq ue ha nna
Wyo m ing
Luze rne
Po tte r Tio g a Bra d fo rd
C lin to n
Lyc o m ingSu lliva n
C e ntre
Snyd e r
Unio n
M o nto ur
No rthum b e rla nd
C o lum b ia
Erie
C ra wfo rd
M e rc e rVe na ng o
Wa rre n
Elk
C le a rfie ld
J e ffe rso nC la rio n
Fo re st
La wre nc e
C a m e ro n
Bla ir
Be d fo rd Fu lto n
Hunting d o n
M ifflin J unia ta
Pe rry
Fra nklinAd a m s
Yo rk
Da up hin
Le b a no n
C um b e rla nd
Re g io na l C o unte r-Te rro rism Ta sk Fo rc e s
N o r th w e s te rn PA E m e rg en c y R e s p o n s e
G ro u p
S o u th w e s te rn PAE m e rg en c y R e s p o n s e
G ro u p
S o u th C e n tr a lM o u n ta in T T F
N o r th w e s t C e n tra lPA E m e rg e n c y
R e s p o n s e G ro u p
S o u th C e n tr a l PAR e g io n a l C o u n te r-
Te r ro ris m Ta s k F o rc e
N o r th C e n tra lC o u n te r-Te rro ri sm
Tas k F o rc e N o r th e a s tPA E R G
E a st C e n tr a lPA C T E
S o u th e a s tPA R T F
C a m b ria
B-NICEB-NICE
There are five categories of possible There are five categories of possible terrorist weapons:terrorist weapons:
Biological
Nuclear
Incendiary
Chemical
Explosive
What is the Risk?What is the Risk?Im
pac
t
Probability/Likelihood
NuclearWeapons
ImprovisedNuclearDevice Chemical
Biological
ExplosiveIncendiary
BIOTERRORISMBIOTERRORISM
Many experts say that it is no longer a question of whether a major bioterrorist attack will occur, but when, where, and with what weapon.
People must recognize that the threat of bioterrorism is not a curiosity, but a grim reality. “Bioterrorism Special Report”: by Robert Taylor
HoursHours
DaysDays
DELAYDELAYin Detectionin Detection
Lives LostMore
Fewer
Time is CriticalTime is Critical
Shorter Shorter (1-2 Days)(1-2 Days)
Longer Longer (4+ Days)(4+ Days)
DURATIONDURATION of Campaign of Campaign
Strategic National Strategic National
Stockpile ConceptStockpile Concept
Biological or chemical agent releasedBiological or chemical agent released Civilians may require large quantities of Civilians may require large quantities of
pharmaceuticals or medical suppliespharmaceuticals or medical supplies State/local governments have limited State/local governments have limited
funding to create maintain stockpiles funding to create maintain stockpiles HHS Bioterrorism Initiative in 1999HHS Bioterrorism Initiative in 1999
Region-13 Dispensing PlanRegion-13 Dispensing Plan
County EMA Directors identified locations of County EMA Directors identified locations of POD’s in their countiesPOD’s in their counties
Population of Region-13 = 2.9 millionPopulation of Region-13 = 2.9 million One POD per ~20,000 populationOne POD per ~20,000 population Total of 113 POD’s identifiedTotal of 113 POD’s identified Locations include:Locations include:
– UniversitiesUniversities– Public facilitiesPublic facilities– Majority in high schoolsMajority in high schools
Role of the School NurseRole of the School Nurse Educate administrators and staff of the Educate administrators and staff of the
rationale and ramifications of rationale and ramifications of conducting POD operations at your conducting POD operations at your school school
Lead/participate in the planning Lead/participate in the planning processprocess
Emphasize the importance of Emphasize the importance of developing partnerships and being developing partnerships and being involved with the emergency response involved with the emergency response systemsystem
POD StaffingPOD Staffing
Health ProfessionalsHealth Professionals– NursesNurses– PharmacistsPharmacists– Allied Health (EMS, Mental Health)Allied Health (EMS, Mental Health)
Security, Technical, Clerical, LogisticsSecurity, Technical, Clerical, Logistics ~50/shift x 2 = 100 ~50/shift x 2 = 100 100 x 113 POD’s = 11,300 staff100 x 113 POD’s = 11,300 staff
Incident Command SystemIncident Command System
Incident Commander
OperationsOperations PlanningPlanning LogisticsLogistics Finance / Finance / AdministrationAdministration
There is not one agency that can handle all of There is not one agency that can handle all of the aspects of a major terrorist attack.the aspects of a major terrorist attack.
In Pennsylvania we are taking a “Team of In Pennsylvania we are taking a “Team of Teams” approach to meet this challenge.Teams” approach to meet this challenge.
Jonathan Duecker, DirectorJonathan Duecker, Director
Pennsylvania Office of Homeland SecurityPennsylvania Office of Homeland Security(derived from an address to the PA Private Sector Security Seminar on March 3, 2005)(derived from an address to the PA Private Sector Security Seminar on March 3, 2005)
Participating Local Participating Local AgenciesAgencies
County Emergency Management Agency County Emergency Management Agency (EMA)(EMA)Local Emergency Planning Committees (LEPC)Local Emergency Planning Committees (LEPC)
Emergency Medical Services (EMS) Councils Emergency Medical Services (EMS) Councils HospitalsHospitalsFire Depts. & HazMat TeamsFire Depts. & HazMat TeamsPolice DepartmentsPolice DepartmentsField Representatives (from DOH, DEP, & Field Representatives (from DOH, DEP, & PEMA)PEMA)
THE FEDERALTHE FEDERAL
RESPONSERESPONSEPLANPLAN
THE FEDERALTHE FEDERAL
RESPONSERESPONSEPLANPLAN
DisasterOccurs
LocalFirst
Responders
LocalFirst
RespondersCounty
Executive
CountyExecutiveAlert
RequestsAid From
GovernorGovernor
FEMARegionalDirector
FEMARegionalDirector
Informs
FEMADirector
FEMADirector
Advises
PresidentPresident
Contacts
DeclaresDisaster
DeclaresDisaster
RequestsAssistance
EmergencyResponse
Team
EmergencyResponse
Team
12Emergency
SupportFunctions
(ESFs)
12Emergency
SupportFunctions
(ESFs)Provides
FederalCoordinating
Officer
FederalCoordinating
Officer
StateCoordinating
Officer
StateCoordinating
Officer
Appoints
Sets Up
Joins
Field Operations
Disaster
Field Office
Personal PreparednessPersonal Preparedness
Keep informedKeep informed Have a planHave a plan Make a kitMake a kit Practice your planPractice your plan
Keep InformedKeep Informed
Department of Homeland Security threat Department of Homeland Security threat level: level: – What response required at work, at home?What response required at work, at home?
NOAA Emergency Alert System (EAS)NOAA Emergency Alert System (EAS)– Weather alerts: watch vs. warningWeather alerts: watch vs. warning– Newer models: restrict to geographical location Newer models: restrict to geographical location
by zip codeby zip code Local risks: Industrial, nuclear, chemical, Local risks: Industrial, nuclear, chemical,
terrorismterrorism
Have a PlanHave a Plan
Family/Employee meeting to discuss why you Family/Employee meeting to discuss why you need to prepare, establish buy in and need to prepare, establish buy in and ownership as a teamownership as a team
Common disastersCommon disasters– Fire – requires evacuation; rally point?Fire – requires evacuation; rally point?
Outside home & outside neighborhood (relative’s home)Outside home & outside neighborhood (relative’s home)
– Severe weather – shelter in place (basement)Severe weather – shelter in place (basement)– Chemical release – shelter in place (upstairs bath)?Chemical release – shelter in place (upstairs bath)?
Have a Plan (more)Have a Plan (more)
Designate out of state contact – report Designate out of state contact – report location, status, action planlocation, status, action plan– Cell phones may not function Cell phones may not function – Long distance calls may be possibleLong distance calls may be possible– Pay phones restored firstPay phones restored first– Record your out of state contact number on Record your out of state contact number on
emergency card emergency card
Make a Plan – a bit moreMake a Plan – a bit more
Utilities: how to shut off; restoreUtilities: how to shut off; restore– Gas, water, electricGas, water, electric
Family records: mortgage, vehicle titles, Family records: mortgage, vehicle titles, passports, birth certificates, insurance passports, birth certificates, insurance policiespolicies– Store in fireproof, waterproof safe that is Store in fireproof, waterproof safe that is
portable!portable!– Copies in your emergency kitCopies in your emergency kit
Evacuation or Evacuation or Shelter-in-PlaceShelter-in-Place
Airborne hazardous materials spread Airborne hazardous materials spread quickly.quickly.
Evacuation is not always the best way to Evacuation is not always the best way to stay safe.stay safe.
Staying inside your home, workplace, or Staying inside your home, workplace, or other building can be a viable alternative.other building can be a viable alternative.
If not in immediate danger, listen to the If not in immediate danger, listen to the Emergency Alert System for directions.Emergency Alert System for directions.
Home Emergency KitHome Emergency Kit(shelter in place)(shelter in place)
WaterWater FoodFood First aid kitFirst aid kit Clothing/BeddingClothing/Bedding Special items/medicationsSpecial items/medications ToolsTools Spare keysSpare keys
Employer PlanningEmployer Planning
Practice emergency plans and proceduresPractice emergency plans and procedures– Shelter in place – lockdown, secure HVACShelter in place – lockdown, secure HVAC– EvacuationEvacuation
Assist staff in developing family plans and Assist staff in developing family plans and emergency home kitsemergency home kits
Shelter in place:Shelter in place:Living at workLiving at work
Overnight accommodationsOvernight accommodations Water – extra bottled waterWater – extra bottled water Food – energy bars, granola barsFood – energy bars, granola bars
– store food in airtight containersstore food in airtight containers
Emergency blanketsEmergency blankets
How you can helpHow you can help
Personal preparednessPersonal preparedness Encourage preparedness planning at your Encourage preparedness planning at your
schoolschool Support community preparedness planningSupport community preparedness planning Get to know your county EMA CoordinatorGet to know your county EMA Coordinator
Public Health Preparedness in PAPublic Health Preparedness in PA
www.health.state.pa.uswww.health.state.pa.us
Additional InformationAdditional Information www.ready.govwww.ready.gov www.health.state.pa.uswww.health.state.pa.us www.cdc.govwww.cdc.gov www.pema.state.pa.uswww.pema.state.pa.us
– County Emergency Management CoordinatorsCounty Emergency Management Coordinators
C. Richard PackerC. Richard PackerPennsylvania Department of HealthPennsylvania Department of Health412.565.5107 x5106412.565.5107 [email protected]@state.pa.us