Council of State and Territorial Epidemiologists (CSTE) 4th Annual National Disaster Epidemiology Workshop
May 8-9, 2013
Partners in Disaster Response—Crosscutting Collaborations in
Disaster Epidemiology
Director Atlanta-Fulton County
Emergency Management Agency
Incorporated Municipalities of Fulton County AFCEMA Team
1. Alpharetta,2. Atlanta,3. Chattahoochee Hill, 4. College Park,5. East Point,6. Fairburn,7. Hapeville, 8. Johns Creek,9. Milton, 10. Mountain Park,11. Palmetto,12. Roswell, 13. Sandy Springs14. Union City
Daily Population Surge ≈ 459,483 Daily Population Total ≈ 1,216,256
Population ≈ 949,599 (2011 US Census Bureau estimate)
Land Area ≈ 526.64 Square miles
To enhance the preparedness and resiliency of
our communities by coordinating and integrating
the activities necessary to mitigate against,
prepare for, respond to, and recover from natural
or man-made disasters.
Area 71. Fulton, 2. DeKalb, 3. Cobb, 4. Gwinnett, 5. Clayton, 6. Henry, 7. Rockdale, 8. Fayette,
and 9. Douglas
Georgia Counties Behavioral Health Nursing Homes CHCs
RCH Regions Public Health EMS Regions GEMA Regions
Common Denominator in a Disaster
How does the disaster affect 1. PEOPLE2. ENVIRONMENT
Management by Objectives
Priorities : #1: Life Safety
#2: Incident Stabilization
#3: Property/ Environmental Preservation
Incorporating Public Health in Disaster Management
Educate your partners Who are you? What do have to
offer? What is the value
added? Find a champion Someone that
understands the Return on Investment (ROI) regarding your services.
4 Phases of Disaster Management
#1: Mitigation #2: Preparedness #3: Response #4: Recovery
Mitigation Phase
Risk Reduction Key to minimizing loss and improving resilience is the
reduction of underlying risks Data is critical – Helps reduce risks and improve
response
Determining vulnerabilities THIRA (Threat and Hazard Identification and Risk
Assessment)Everyone's “Disaster” is different
Understand historical patterns (Identify causes)
Education Mutual Process – Learn from each other Internal and External partners
http://www.unisdr.org/2011/images/weinform_terminology.jpg
Preparedness Phase
Educate your team Learn the language of Emergency
Management Practice using Common Terminology Don’t have to be a specialists
Get involved in the Preparedness Cycle
Especially Planning, Training and Exercising
Preparedness Phase (cont.)
What resources do you have and how can they be requested?
Typing resources Start with a Tier II definition
(State and Local level) Remove the guessing game
Credentialing Ensure team is qualified and
trained Strike Team or Task Force
Concept?
FEMA - Tier 1 Resource Typing
Response Phase Main Goals Assisting the Incident Commander
with making an informed and educated decision regarding response objectives based upon data.
Help prioritize interventions Establish surveillance systems that
can aid in alleviating the burden of a disaster.
Use surveillance systems to determine adequacy of response. - Is what we are doing getting the results that we intended?
Response Ex. - DM932 OIL SPILL
Lower Mississippi River - New Orleans July 23, 2008, approx. 1:30
AM Barge DM932 collided with a
tanker Barge was carrying 9,983
bbls (419,286 gal) of #6 fuel oil in three compartments.
Two compartments ruptured - 6,733 bbls spilled (282,786 gal)
River was closed for 6 days $275 million impact on the first
day the river was closed
DM932 (cont.)DM932 OIL SPILL - Lower
Mississippi River, New Orleans, LAProtection of human health first concern
Downstream drinking water intakes were closed Air monitoring conducted
Health and Safety Plan was createdActivated SMEs –
Environmental Chemist Toxicologist Epidemiologist Crisis Communicator
DM932 (cont.)SMEs assisted
in: Data
interpretation Response
recommendations Proper PPE for
responders Potential short
and long term affects
Crafting health advisory messages
RecapEducate your partners (sell yourself)Find a Champion (someone to support
your efforts)Be prepared Educate your team Get involved with Planning, Training and
Exercising (Preparedness Cycle) Type your resource capability (standardize)
Response Obtain the data needed for Incident
Commanders to make informed and educated decisions
www.facebook.com/AFCEMA
@AFCEMA
THANK YOU
Matthew Kallmyer, MPH
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