Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series...

Office of Risk and Emergency Management:Emergency Preparedness Professional Development Series

Bridging the Gap: Utilizing Community Partnerships in Developing Community Threat and Hazard Identification and Risk Assessment (THIRA)

Conference Track: Interoperable Communications/Information/Intelligence Sharing and Preparedness Partner


IntroductionsGeorge DeTella Chief, Office of Risk and Emergency ManagementDuPage County Health DepartmentPhone: (630) 221-7121Email: [email protected] David BungeEmergency Management CoordinatorDuPage County Office of Homeland Security and Emergency ManagementPhone: (630) 407-2937Email: [email protected]

mailto:[email protected]

mailto:[email protected]


Presentation Overview1. Introductions2. Presentation Overview3. DuPage County THIRA Overview4. Recommended First Steps to THIRA 5. THIRA Step One: Identify the Threats and Hazards of Concern6. THIRA Step Two: Give the Threats and Hazards Context7. THIRA Step Three: Examine the Core Capabilities Using the

Threats and Hazards8. THIRA Step Four: Set Capability Targets9. THIRA Step Five: Apply the Results10. THIRA Challenges11. Question And Answer Period


DuPage County THIRA Overview1. We have yet to receive UASI and/or State guidance

concerning our role and responsibilities with THIRA but we are expecting guidance and requirements in July 2012.

2. Based on our need to update Public Health Emergency Preparedness (PHEP) guidance and the need to expand our current hazard mitigation planning in detailing technological and human caused hazards we have begun to conceptualize a THIRA process.

3. We have come to understand that multiple organizations in the county are gathering information on hazards and community profile information; we realize the need to consolidate and focus this information in a centralized and focused structure and method; THIRA seems like a good focal point.


DuPage County THIRA Overview4. As a health department working within the PHEP

guidance we wanted to develop a collaborative working relationship to develop a better common operational picture; THIRA provides a framework to understand the process.

5. The challenge and starting point is available funding and personnel to complete this process with significant research and development; we anticipate starting with readily available information.

6. Even working through the information and its sources will be a tremendous benefit as it will hopefully lead to a more streamlined process.


Recommended First Steps to THIRABasic Elements of the THIRA Process


Recommended First Steps to THIRACPG 101: Steps in the Planning Process


Recommended First Steps to THIRA1. Organize Resources and Form a Collaborative Project (Program) Team. Based

on FEMA 386-1 State and Local Mitigation Planning and CPG 101 form a project and long-term program team of appropriate organizations.

2. Assess Organization Roles and Responsibilities. There are very likely multiple agencies and organizations involved in the THIRA process; identify the right organizations to ensure threat, hazard, capabilities, and capability information and intelligence are developed and maintained as appropriate.

3. Review Existing Jurisdictional Inputs and Information. The organizations may not be universally aware of the information being collected currently that can be part of or increase the capacity of the THIRA process.

4. Determine THIRA Project/Program Goals and Objectives. Emergency management and public health have existing preparedness activities - e.g. Hazard Mitigation and Public Health Emergency Preparedness (PHEP) – with existing planning cycle requirements; THIRA goals and objectives are likely to be long-term and require careful integration with operational and program requirements.

5. Initiate THIRA Process.


Identify Threats and Hazards of Concern1. Develop and standardized hazards/threat profiles throughout the county

(potentially state/region) that can be easily understood by all partners in the THIRA process.

2. Develop and standardized hazard impacts (all-hazard impacts) connecting hazards and impacts that can again be easily understood by all partners in the THIRA process.

3. Expand the threat analysis to threats outside “current” mitigation planning requirements (primarily focusing on natural hazards) to a natural, technological, and human-caused hazard (all-hazard) analysis.

4. Include emergency management, public health, and additional THIRA partners in identifying hazards and threats.

5. As a Chicago Metropolitan Statistical Area (MSA) county we have decided to analyze regional and Chicago based threats as our working population is split 50/50 in commuting to and from Chicago.

6. We are carefully considering hazard frequency as non-frequent hazards may be extremely severe if they were to occur, while conversely frequent hazards cumulative impact may be overlooked.


Identify Threats and Hazards of ConcernTHIRA Guide: Table 2 Types of Threats/Hazards and Examples

Natural Technological Human-causedResulting from acts of nature

Involves accidents or the failures of systems and structures

Caused by the intentional actions of an adversary

Disease Outbreak CBRNE – Anthrax


Give the Threats and Hazards Context1. Develop hazard context. For example: influenza is considered by severity

and type of outbreak with when (time and season) or where (location) being priorities.a. 1918 Flu Pandemic b. 2009 H1N1 Flu Pandemicc. 2002 SARS Outbreak

2. Develop hazard context. For example: with CBRNE – Anthrax is considered by method of attack (time or “awareness” of impact) with a location outside of DuPage County:a. Attack with no warning (covert) and “awareness ” by regional

patients/deaths with no awareness of attack location or scopeb. Attack with warning by sensors c. Attack with warning or notice by advisory – hours after the attack with

no known locationd. Attack discovered and disrupted during execution


Give the Threats and Hazards ContextTHIRA Guide: Table 3 Example Descriptions

Threat/Hazard Group Threat/Hazard TypeNatural Disease Outbreak

a. 1918 Flu Pandemic b. 2002 SARS Outbreakc. 2009 H1N1 Flu Pandemic

Human Caused CBRNE – Anthraxa. Attack with no warning (covert) and “awareness ” by regional

patients/deaths with no awareness attack locationb. Attack with warning provided by sensor elementsc. Attack with warning or notice by adversary – hours after the attack

with no known location d. Attack discovered and disrupted during execution


Examine the Core Capabilities Using the Threats and Hazards1. Develop core capabilities (table 4 CPG 201) desired

outcomes based on current (actual) capability levels and on measurable (quantifiable by time, percentages, numbers, etc.) results.

2. Develop estimated impacts for core capabilities (table 5 CPG 201) based on current (actual) capability levels and on measurable (quantifiable by time, percentages, numbers, etc.) results.


Examine the Core Capabilities Using the Threats and HazardsTHIRA Guide: Table 4 Example Desired Outcomes (Anthrax)Core Capability Desired Outcome

Planning Complete planning in strategic, operational, and tactical elements as appropriate based on applicability (make planning operational)

Public Information and Warning

Have JIC/JIS operationally ready with teams, facilities, equipment, systems, and materials ready for operations in the first 12 hour operational period

Operational Coordination Have EOC(s) and as appropriate incident and area command teams, SOP/SOGs, developed and understood and fully functioning in the first 12 hour operational period

Responder Safety and Health*

Ensure all first responders have the appropriate level of medical countermeasures in the first 12 hour operational period

Medical Materiel Management & Distribution*

Have all medical countermeasures delivered from RDS to distribution sites within 6 hours of receiving the shipment from Federal/State

Medical Countermeasure Dispensing*

Organize and implement as many PODs as possible that can operated effectively and maintained for six (6) consecutive 12 hour operational periods


Examine Estimated Impacts for Core Capabilities THIRA Guide: Table 5 Example Estimated Impacts for Core Capabilities (Anthrax)

Hazard

Common Core Capabilities

Planning Public Information and Warning

Operational Coordination

Attack with no warning (covert) and “awareness ” by regional patients/deaths with no awareness attack location

Time and public/political pressure to implement the entire Strategic National Stockpile (SNS) to DuPage will be immense. Time to implement operations is so critical planning must be operational

Anthrax, as a weapon or terror, would cause a significant level of public distress and confusion regardless of the location, scale, and actual impact of the attack.

Time is uncompromising and JIT training for leadership and command and management personnel is an unlikely outcome for the first operational period.


Examine Estimated Impacts for Core Capabilities THIRA Guide: Table 5 Example Estimated Impacts for Core Capabilities (Anthrax)

Response Capabilities

Public Health and Medical Services

Responder Health and Safety



Medical surge impact due to fear and public perception . Small number of fatalities and causalities in DuPage County. Regional causalities and fatalities expected.

Provide 5,000 regimens of medication to county first responders within the first 12 hour operational period.

Provide 1,000,000 regimens of medication to county Point of Distribution (POD) sites.

Using PODs provide 1,000,000 regimens of medication to the entire population of DuPage County within two (2) 12 hour operational periods from receiving medication from Federal/State agencies.


Set Capability Targets1. Develop capability targets (table 6 CPG 201) based on

the nexus of:1. Core capability desired outcomes (table 4) measurable

(quantifiable by time, percentages, numbers, etc.) results.2. Core capability estimated impacts (table 5) based on

appropriate impacts through the common capabilities and mission areas: prevention, protection, mitigation, response, and recovery.

3. Setting capability targets (table 6) based on desired outcomes and highest potential impact and through analysis setting the capability target.


Set Capability TargetsTHIRA Guide: Table 6 Set Capability Targets (Anthrax)Core Capability Desired Outcome

Public Health and Medical Services

Capability Target:

Responder Health and Safety

Capability Target:


Capability Target:


Capability Target:


Apply the Results1. Validate preparedness efforts and develop strategic planning in order

to justify ever tightening funding for mitigation activities, equipment, and resources.

2. DCHD Five Year Strategic Plan Integration3. DuPage County Office of Homeland Security and Emergency

Management (OHSEM) All-Hazard Mitigation Plan Review and Update4. DuPage County Hybrid Planning Approach: Pandemic Influenza

1. Scenario-based: 1918 Pandemic Influenza2. Scenario-based: Anthrax Attack3. Function-based: County EOP Functional Annexes4. Capability-based: THIRA Based – identified core capabilities,

desired outcomes, estimated impacts, capability targets, and application of results


Potential Challenges1. THIRA process and the CPG 101 planning process should be integrated as

needed.2. Integrating THIRA into current mitigation planning doctrine; e.g. the focus

of impacts on capabilities versus community profile; is challenging.3. Apply the results when it comes to acquiring additional funding regardless

of source (municipal bonds, federal grant funding, etc.) during these tough fiscal times seems a daunting prospect. Capability targets are more rationally what we can accomplish within existing county resources first; looking for assistance regionally second; and third within the state; this is including public, private, and non-profit partnerships.

4. Recommend a focus on the common core capabilities as a priority – planning, public information and warning, and operational coordination – prior to applying the results to the remaining core capabilities.


Question and Answer Period

Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series...

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