Public health emergency preparedness

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Public Health Emergency Preparedness
2010

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Public health emergency preparedness

  1. 1. Public Health Emergency Preparedness Jody Erwin Emergency Response Coordinator
  2. 2. Where it Started The need for a Public Health response in Emergency Preparedness was highlighted: • Following 9/11 • After anthrax scares in Washington and Florida
  3. 3. Planning - Colorado Involves a regional approach to emergency response for all hazards Planners, Epi’s, Trainers, Coordinators
  4. 4. Regional Approach • A large scale emergency would likely cross jurisdictional borders • Mutual Aid • Building relationships is imperative for response
  5. 5. Public Health Response • No level A / B PPE • No emergency vehicles • Environmental sampling in coordination with local hazmat • No guns, no badges, no sirens • Evolves slowly/geographically dispersed • Decision by committee
  6. 6. Public Health Roles Prevention Not Sick Care Surveillance Intervention
  7. 7. Prevention • Education • Inspections • Monitoring • Vaccinations
  8. 8. Surveillance • Reportable Diseases • Bio-Terror Agents • CEDRS • Trends • Air and Water
  9. 9. Intervention • Disease Control Investigation • Food Inspections • Case Interviews • Data/Statistics/Epidemiology • Education/Public Information • Prophylaxis
  10. 10. Response • We would do all of these same things except on a larger scale.
  11. 11. Grants • Cooperative Agreement/Base Funding • Cities Readiness Initiative (CRI) • Pandemic Flu
  12. 12. Plans • PHEOP  Overall plan – Strategic National Stockpile/Point of Dispensing Annex – Risk Communications Annex – Chempack Annex – Pandemic Influenza Annex – Mass Fatality Annex – Continuity of Operations (COOP)
  13. 13. Strategic National Stockpile • Federally Controlled • Cache of medical supplies/pharmaceuticals • 12-Hour push package • Managed Inventory (MI) • Supplement local inventories • Coordinated by public health • Access via Governors request (GEEERC)
  14. 14. How The SNS works • Local airport • Receipt Storage and Staging (RSS) • Regional Transfer Points • Hospitals • Clinics/Dispensing
  15. 15. Dispensing Clinics • Known as POD’s (Points of Dispensing) • Location familiar to community • Easy access • Secure /Security • Size considerations • First responders through local inventories
  16. 16. Regional Coordination • Clinic operations • Public information • Communications • Integration with first responders • Mutual aid/surge capacity • Alternative delivery methods
  17. 17. Incident Command System (ICS) • Developed in response to wildfires • Established Command and Control for multi-agency response
  18. 18. ICS • Proven on-scene, all-hazard concept Interdisciplinary and organizationally flexible • Appropriate for all types of incidents • Based on organizational best practices
  19. 19. ICS Features • Common terminology • Organizational resources • Manageable span of control • Organizational facilities • Use of position titles • Reliance on an Incident Action Plan • Integrated communications • Accountability
  20. 20. Common Terminology ICS requires: Common terminology. • “Clear” text. • Reduces confusion between ICS role and day-to-day role.
  21. 21. Span of Control • From 3 to 7 reporting elements per supervisor • 5 reporting elements per supervisor is optimum
  22. 22. IC PIO Safety Officer Liaison Officer Planning Section Chief Operations Section Chief Logistics Section Chief Finance Section Chief Command and General Staff
  23. 23. Incident Command: 2009 H1N1 Emergency Operations Incident Commander Joint Information Center Safety IMT Division Supervisor Public Health Supervisor VNA Clinical Supervisor Public Safety Supervisor PIO Communication s Logistics Spokesperson Patient Intake Behavioral Health VNA Clinical Lead Law Enforcement EMS R1 Staff
  24. 24. JCDHE Teams • Incident management Team (IMT) • Epidemiology Response Team
  25. 25. Response Partners • Public Health • Hospitals • Law Enforcement • Fire • EMS • Schools • CERT • Community Corrections • Emergency Managers • Medical Examiner • State Health Department • CDC • RETAC • DOT • Mental Health • Volunteer Organizations • Other Agencies
  26. 26. COTRAIN • Colorado Training Database • Tracking • Registration
  27. 27. COHAN • Document Sharing • Dialogics
  28. 28. Project Public Health Ready PPHR • Standardizes our department • Requires top to bottom support of EP • Should increase funding opportunities
  29. 29. Contacts • Jody Erwin 303-271-8391 • Jesse Weaver 303-271-8394 • Christine Billings 303-271-5742

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