National Public Health Strategy for Terrorism Preparedness and

Response

National Public Health Strategy for Terrorism Preparedness and

Response

Joan P. Cioffi, Ph.D.Senior Service FellowPublic Health Practice Program OfficeCenters for Disease Control and Prevention U.S. Department of Health and Human ServicesAtlanta, GA

Joan P. Cioffi, Ph.D.Senior Service FellowPublic Health Practice Program OfficeCenters for Disease Control and Prevention U.S. Department of Health and Human ServicesAtlanta, GA

CDC: National Public Health Strategy for Terrorism Preparedness and Response

CDC: National Public Health Strategy for Terrorism Preparedness and Response Strategic Imperative: “a competent and

sustainable workforce” Implementation:

State and local grant program CDC-directed education/training Partnerships

Strategic Imperative: “a competent and sustainable workforce”

Implementation: State and local grant program CDC-directed education/training Partnerships

State and Local GranteeEducation and TrainingState and Local GranteeEducation and Training

Grantees include: 50 states, D.C., NYC, LA, Chicago and 8 territories

Education/training part of all 7 focus areas 52% grantees completed needs assessments in FY

2003 FY 2004 – most grantees planned distinct training

interventions to address needs ( Range: 10 - 67) Next steps

Disseminate best practices Use performance indicators; exercises/drills to refine

training plans

Grantees include: 50 states, D.C., NYC, LA, Chicago and 8 territories

Education/training part of all 7 focus areas 52% grantees completed needs assessments in FY

2003 FY 2004 – most grantees planned distinct training

interventions to address needs ( Range: 10 - 67) Next steps

Disseminate best practices Use performance indicators; exercises/drills to refine

training plans

Leveraging PartnershipsLeveraging Partnerships

Centers for Public Health Preparedness 23 academic centers (Schools of Public

Health) 13 specialty centers ( School of Medicine,

Nursing, Veterinary Medicine, Law) Clinician Outreach

Association of American Medical Colleges (AAMC) and 8 specialty societies

Centers for Public Health Preparedness 23 academic centers (Schools of Public

Health) 13 specialty centers ( School of Medicine,

Nursing, Veterinary Medicine, Law) Clinician Outreach

Association of American Medical Colleges (AAMC) and 8 specialty societies

CDC Terrorism Preparedness and Emergency ResponseNeed for coordination of all CDC programs with roles in the science and/or service of terrorism preparedness and emergency response; all have education activities

NCEH

NCID

NCIPC

NIP

PHPPO

NIOSH

EPO

ATSDR

OC

OTPEROTPER

OC CDC Director’s Office of Communication

ATSDR Agency for Toxic Substances & Disease Registry

NIOSH National Center for Occupational Safety & Health

NCIPC National Center for Injury Prevention & Control

NCID National Center for Infectious Diseases

NCEH National Center for Environmental Health

EPO Epidemiology Program Office

NIP National Immunization Program

PHPPO Public Health Program Practice Office

CDC Information Development and Dissemination

Critical Health Information

Communication Professional Education

Identification, development, and dissemination of critical information to support terrorism preparedness and emergency response activities at CDC requires planning and close coordination across the agency and collaboration with a broad range of partners

PublicMediaOther stakeholders

Public health professionalsCliniciansOthers

CDC Terrorism Preparedness and Emergency Response Information and Education Considerations

CDC Terrorism Preparedness and Emergency Response Information and Education Considerations

“Just in case”: Information that all frontline PH professionals and clinicians will need to recognize illness caused by terrorist agents Delivery: Ongoing rollout;

didactic, interactive, Web-based formats; distance learning

“Just in time”: Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events Delivery Real-time; continuous

updates; quick communication

“Just in case”: Information that all frontline PH professionals and clinicians will need to recognize illness caused by terrorist agents Delivery: Ongoing rollout;

didactic, interactive, Web-based formats; distance learning

“Just in time”: Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events Delivery Real-time; continuous

updates; quick communication

ResourcesResources

www.cdc.gov Lynn Steele, Senior Advisor for Education

and Training, OTPER/CDC LSteele@cdc.gov

www.cdc.gov Lynn Steele, Senior Advisor for Education

and Training, OTPER/CDC LSteele@cdc.gov

Education and Training IncludesAll Hazards Public Health Preparedness

Education and Training IncludesAll Hazards Public Health Preparedness

Biological Terrorism

Chemical Terrorism Choking agents (phosgene/

chlorine) Blood agents (cyanides) Blister agents (mustard gas) Nerve agents (sarin, soman,

tabun, etc.)Radiation Terrorism

Dirty bombs Food/water contamination Power plants

Biological Terrorism

Chemical Terrorism Choking agents (phosgene/

chlorine) Blood agents (cyanides) Blister agents (mustard gas) Nerve agents (sarin, soman,

tabun, etc.)Radiation Terrorism

Dirty bombs Food/water contamination Power plants

In the event of a terrorist act or emergency, CDC needs to provide just-in-time information immediately in at least the following 5 areas

Just-in-time Information Ready and available

Guidance for first responders

Immediate clinical guidance, medical management

Public health response

Clinical and reference laboratory protocols

Basic information for the public

Identifying Information Needs and Gaps

Refining a Terrorism Preparedness Education Strategy

Questions to Consider: What have we learned from the needs assessments? How can we minimize redundancy of materials?

Can we consolidate/standardize? What actions can be taken to ensure consistent,

accurate information? Quality education? What is the impact of education? How do we know that

learning has occurred? What evaluation programs are/should be in place?

Where are the content gaps in training and education materials? In audiences reached?

Can we better coordinate resources for development and delivery of training?

Hospitals

DoD& VA

Vital Records

Environmental(BioWatch) Pharmacy

Data

Veterinary

Laboratory

Cargo/Imports

Immigration

International

SchoolsEmployers

Law Enforcement

Intersection of Information/

AnalysisACTION POINT

Media

Clinicians

Public

First Responders

Quarantine Stations

Border States

Desired State of Connectivity