identifying the Needs of Medical First Responders in Disasters
Responsibilities in a Disaster Dr. Bill Thomas. ALL Disasters START LOCAL...
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Transcript of Responsibilities in a Disaster Dr. Bill Thomas. ALL Disasters START LOCAL...
Responsibilities in a Disaster
Dr. Bill Thomas
ALL Disasters
• START LOCAL– Farmers/Agribusiness/Owners– First Responders– Supporting Agencies
• STATE RESPONDERS– Georgia Emergency Management Agency– Primary Agency– Supporting Agencies
• FEDERAL– Federal Emergency Management Agency– USDA/FDA
Emergency Management System
Local Event
individual
local
state
federal
Individual Responsibilities
• Essential participants in emergencies– Prevention– Quick response
• Effective response– Awareness of diseases– Ability to interact within an emergency
management framework
Local Agencies
• County Emergency Management Agencies
• First RespondersActions
– Damage assessment, response plans activation
– Facilities, resources, supplies and equipment provision
– Warning systems establishment– Recovery
State Agencies
• Initiate a response plan.• Supply money, personnel, or other
resources• Assist communities, and coordinate
Emergency Management activities• May assist in law enforcement, including
quarantines and interstate travel
Tying together State and county-based response: SARTs and CARTs
• SART – State Agriculture Response Team
• CART - County Agriculture Response Team
Federal agencies
• FEMA coordinates Federal agencies to help states
• Provide resources and financial assistance
• Help citizens recover and return to normal life as soon as possible
Example of previous slide
USDA - APHIS
• The Animal and Plant Health Inspection Service:– USDA
agrosecurity services
– Ensure the nation’s safe and affordable food supply
USDA APHIS & FDA overarching lines of defense (alternate to previous slide)
• Plants, Animals and Food are protected from:– Agricultural Bio-terrorism– Food contamination– Animal and agricultural health events– Zoonotic diseases– Wildlife diseases
Supporting agencies
• Department of Health and Human Services:– FDA Food and Drug Administration– CDC Centers for Disease Control
• Environmental Protection Agency
EXAMPLE: Georgia Foot & Mouth Disease (FMD) Emergency Response Plan
ESF 11 Agriculture and Natural Resources– Nutrition assistance– Animal/Plant disease response– Safety of food supply– Natural disaster impact on Ag &
wildlife– Protect natural resources
EXAMPLE: Georgia Foot & Mouth Disease (FMD) Emergency Response Plan
Georgia FMD Emergency Response Plan is first Incident Annex
Georgia FMD Emergency Response Plan
Presumptive Positive:• Consider Governor’s Declaration of
Emergency and activation of GEOP• Statewide quarantine on all livestock• Activate appropriate SARTs• Establish ICP and ICS• “Intensive Quarantine Zone” >/= 10km
around presumptive positive– Daily inspections and epidemiology of
each herd within zone• Depopulation and disposal of affected herd
Georgia FMD Emergency Response Plan
Presumptive Positive:• Consider Governor’s Declaration of
Emergency and activation of GEOP– GEMA and all state resources available
• Statewide quarantine on all livestock– State and local law enforcement, DOT
• Activate appropriate SARTs– Local, state and federal members
• Establish ICP and ICS– GDA, USDA, SART, local EMA
Georgia FMD Emergency Response Plan
• “Intensive Quarantine Zone” >/= 10km around presumptive positive– Daily inspections and epidemiology of each
herd within zone•SART, Ag Extension, local law
enforcement, state and federal vets and AHTs, etc.
• Depopulation and disposal of affected herd– SART, GDA, USDA, local EMA, local public
works, DNR-EPD, state DOT, etc.• C and D of infected premises
– SART, local EMA, hazmat/fire team, etc.
Georgia FMD Emergency Response Plan
Confirmed Positive:• Joint Command will designate control
areas and zones – Enforcement of movement restrictions– Surveillance activities within zones
• Implement “Stamping Out” or “Modified Stamping Out” policy
• Determine risk to and from wildlife• Consider appropriate use of vaccination
Georgia FMD Emergency Response Plan
Confirmed Positive:•NRP likely activated bringing in all federal resources
• Joint Command will designate control areas and zones – Enforcement of movement restrictions– Surveillance and response activities
within zones•Same players as above to include many more local, state, federal (possibly DOD), and likely contracted individuals
Georgia FMD Emergency Response Plan
• Implement “Stamping Out” or “Modified Stamping Out” policy– SART, GDA, USDA, local EMA, local
public works, DNR-EPD, state DOT, EPA, DOD etc.
• Determine risk to and from wildlife– UGA CVM SCWDS, DNR WRD, USDA WS,
FWS• Consider appropriate use of vaccination
– UGA Ext Ser, local practitioners, GDA, USDA, etc.
NATIONAL DISASTER MEDICAL SYSTEM
• Disaster Mortuary Team (DMORT)
• Disaster Medical Assistance Team (DMAT)
• Disaster Veterinary Assistance Team (VMAT)
• Deployed under the Catastrophic Incident Annex Coordinated by FEMA
VMAT
• Veterinary Medical Assistance Teams:– Established by the AVMA, in 1993– National Special Security Events– Veterinary support during disasters– Response to any CBRNE incidents
affecting animals– Goals: to help limit the damage caused
by FADs, and to help protect the public from zoonotic diseases
The Terrorist ThreatIn addition to the “Group of Eight” leaders, 20-30 additional heads of state may attend.
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
G8 LIFE SAFETY
What do you feed 20000 cops?
• 300,000Donuts• Who protectsThe cops?
G8 FOOD SAFETY
• 20 Congregate feeding stations• 3 Under the authority of the USSS• 17 Under State Authority State Food Safety Task Force
State Department of AG USDA, FSIS FDA State Public Health EPA
G8 FOOD SAFETY
• Limit the number of vendors to one or two if possible
• Large National Vendors that move huge amounts of food and have had good inspection records
• Provide LE security for warehouses, shipping and handling areas one month before the event
• Move in sealed trucks with security escort to the venues
• Provide routine food safety inspections at all stages of food movement and handling
Companion animals in disasters
• 65 million owned dogs• 77 million owned cats• 70% considered members of the family• 60% of GA households own companion animals• People that own companion animals behave
differently in disasters than people that do not
• Organizations involved in animal relief:– American Veterinary Medical Association– American Humane Association– Humane Society of the United States– Volunteer Organizations Active in Disasters
WHY COMPANION ANIMALS? Life Safety?
• Owners refuse to evacuate if animals cannot go with them
• Owners will try to re-enter before all clear• Owners will not stay in shelters if animals
cannot stay nearby• Animal friendly shelters• Have a disaster plan for family and animals
(where to go, how to get there)• In mandatory evacuation animals usually
requiring interstate health certificates etc. may pass. 3 days to get back after all clear.
VOAD and NVOAD
• (National) Volunteer Organizations Active in Disaster:– VOAD groups include:
•The American Red Cross•The Salvation Army, Catholic Charities,
Mennonite Disaster Services, and other local church and civic organizations
•Humane societies, veterinarian organizations, rescue groups and individuals
– Goals: to help to sustain life, reduce physical and emotional distress, rescue animals, and promote recovery of disaster victims
Online brochures
• AVMA’s guide“Saving the Whole Family” http://www.avma.org
• HAGA’s brochure“Preparing You and Your Companion Animal for Disaster”
http://www.HumaneAssociationofGeorgia.org/resource_materials.htm
EMAC
• Emergency Management Assistance Compact– Mutual aid partnership– 48 states + 2 territories + DC
Questions?