Public Health 101: What Every Emergency Manager Needs to Know

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The 2009 novel H1N1 epidemic identified the critical need for the emergency managers‟ knowledge of
the US public health infrastructure and core concepts. The core concepts of public health -
epidemiology, environmental health, health policy/administration, health behavior and biostatistics - that
comprise most health departments and influence emergency planning assumptions and response
mechanisms will be discussed. With over $1.35 billion in CDC administered PHER grant funding to
date, the 2009 National Health Security Strategy‟s perspective that preparedness programs are not
coordinated or efficient and significant disparities in breadth and quality of preparedness programming
exist highlights a huge area for emergency management improvement and involvement. The current US
public health preparedness infrastructure and grant programs will be outlined to identify areas for local
and State EM coordination and interaction. The health reform bill‟s impact on emergency planning
assumptions, including shifts in insurance structure and health paradigms, will also be presented. Public Health 101: What Every Emergency Manager Needs to Know
Level: Intermediate
 Brian Spendley, Associate, Hagerty Consulting
 Nicole Errett, Emergency Management Planner, City of Baltimore Mayor's Office of
Emergency Management

Published in: Health & Medicine, Education
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Public Health 101: What Every Emergency Manager Needs to Know

  1. 1. Public Health 101  What Every  Public Health 101 ‐ What Every Emergency Manager Needs to Know Partners in Emergency Preparedness Conference April 27, 2011 p , Nicole Errett Baltimore City Mayor s Office of Emergency Management Baltimore City Mayor’s Office of Emergency Management Brian Spendley Hagerty Consulting1 PIEP 2011
  2. 2.  Define Public Health and its core concepts  Describe the U.S. Public Health Preparedness  Infrastructure  Video and Discussion  H1N1  Identify implications of PPACA (Health Reform) on  emergency planning assumptions l i i2 PIEP 2011
  3. 3. Public Health Definition Public Health Definition Public health definition and  Public health definition and prevention3 PIEP 2011
  4. 4. Definition: Is there one? Is there one?4 PIEP 2011
  5. 5.  Definition: “Public health emergency preparedness (PHEP) is the capability of the public health and health h lth care systems, communities, and individuals, t t iti d i di id l to prevent, protect against, quickly respond to, and recover from health emergencies, particularly those whose scale, timing or unpredictability threatens to overwhelm routine capabilities. Preparedness involved a coordinated and continuous process of planning and implementation that relies on measuring performance and taking corrective action.”  Source: Nelson, C., Lurie, N., Wasserman, J., and Zakowski, S. (2007) Conceptualizing and Defining Public Health Emergency Preparedness. American Journal of Public Health, 97(S1), S9-S11.5 PIEP 2011
  6. 6. 6 PIEP 2011
  7. 7.  3 Core Functions  Assessment  Policy Development  Assurance7 PIEP 2011
  8. 8.  Primary Prevention  Secondary Prevention  Tertiary Prevention8 PIEP 2011
  9. 9.  Primary Prevention  Prevent the outcome before it occurs (e.g. planning,  hazard mitigation, gap analysis, training and exercises) h d iti ti l i t i i d i )  Secondary Prevention Secondary Prevention  Early detection (e.g. surveillance)  Tertiary Prevention  Prevent the outcome from getting worse (e.g.  emergency management operations) i )9 PIEP 2011
  10. 10. 10 PIEP 2011 Picture: http://mickmaurer.com/DrillsAndExercises.html
  11. 11. …. Saving lives, millions at a time.  …. Saving lives, millions at a time.11 PIEP 2011 Picture: http://www.iaem.org and http://www.jhsph.edu
  12. 12.  Undergraduate Degree Programs   Master Degree Programs   Doctoral Degree Programs 12 PIEP 2011
  13. 13.  You’re not alone!13 PIEP 2011 Picture: http://www.accessrx.com/blog/current‐health‐news/hand‐washing‐and‐hand‐sanitizer‐study‐a914/
  14. 14. Core Concepts p What are the major  components of a public health  t f bli h lth education?14 PIEP 2011
  15. 15.  Biostatistics  Epidemiology  Health Policy and Management  Environmental Health  Health Policy and Management  Social/Behavior Health Sciences15 PIEP 2011
  16. 16. 16 PIEP 2011 Picture: http://www.njit.edu/features/images/sceneandheard/ms‐biostatistics.jpg
  17. 17. 17 PIEP 2011 Picture: http://scienceblogs.com/effectmeasure/2009/10/why_the_epidemiology_of_swine.php
  18. 18. 18 PIEP 2011 Picture: http://www.moldremovalcincinnati.com/flood.htm
  19. 19. HAZARD AND VULNERABILITY ASSESSMENT TOOL NATURALLY OCCURRING EVENTS SEVERITY = (MAGNITUDE - MITIGATION) PROBABILITY RISK HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPARED-NESS INTERNAL RESPONSE EXTERNAL RESPONSE EVENT Community/ Mutual Aid staff Likelihood this will occur Possibility of death or injury Physical losses and damages Interuption of services Preplanning Time, effectivness, resouces Relative threat* and supplies 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = High 0 = N/A 1 = High 0 = N/A 1 = High SCORE 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = Low or none 2 = Moderate 3 = Low or none 2 = Moderate 3 = Low or none 0 - 100% Hurricane 0% Tornado 0% Severe Thunderstorm 0% Snow Fall 0% Blizzard 0% Ice Storm 0% Earthquake 0% Tidal Wave 0% Temperature Extremes 0% Drought 0% Flood, External 0% Wild Fire 0% Landslide 0% Dam Inundation Volcano 0% Epidemic E id i 0% AVERAGE SCORE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0%*Threat increases with percentage.0 RISK = PROBABILITY * SEVERITY IAEM 2010 19 0.00 0.00 0.000
  20. 20.  Pictures of recent CSXT20 PIEP 2011
  21. 21. 21 PIEP 2011
  22. 22. 22 PIEP 2011
  23. 23. 23 PIEP 2011
  24. 24. Public Health in the United States Research, Practice, and  , , Infrastructure24 PIEP 2011
  25. 25.  Where is public  health researched?  Where is public  health practiced? h lh d?25 PIEP 2011
  26. 26.  What is the foundation?  Pandemic and All Hazards Preparedness Act (PAHPA)  National Health Security Strategy (NHSS)26 PIEP 2011
  27. 27.  Amended the Public Health Service Act to  establish a new Assistant Secretary for  Preparedness an Response (ASPR) P d R (ASPR)  Called for a quadrennial National Health Security  Strategy (NHSS) Strategy (NHSS)27 PIEP 2011
  28. 28.  What is it?  National Health Security is a state in which the nation and its  people are prepared for, protected from, and resilient in the  people are prepared for protected from and resilient in the face of health threats with potentially negative  consequences.   T G l Two Goals  Build community resilience  Strengthen and sustain health and emergency response Strengthen and sustain health and emergency response  systems.   No unfunded mandates. Aligns with the NRF and NSS.28 PIEP 2011
  29. 29. 29 PIEP 2011
  30. 30.  Created under PAHPA  Lead in the nation in  preventing, preparing  for, and responding to  the adverse health  the adverse health effects of public  health emergencies  health emergencies and disasters.30 PIEP 2011
  31. 31.  Mi i Mission: Collaborating  C ll b ti to create the expertise,  information, and tools  that people and  that people and communities need to  protect their health – through health  through health promotion, prevention  of disease, injury and  disability, and  disability and preparedness for new  health threats. 31 PIEP 2011
  32. 32. MA: 6 State  Agencies, 1 County  HD, 4 regional HD,  HD 4 i l HD 351 municipal  board of health MD: 6 State  MD: 6 State Agencies, 24 local  county health  departments32 PIEP 2011
  33. 33. Video H1N1 Flu in Review: The HHS  Response33 PIEP 2011
  34. 34. Discussion H1N1 Novel Influenza H1N1 N l I fl34 PIEP 2011
  35. 35. Health Reform: Patient Protection and  Affordable Care Act (PPACA) Affordable Care Act (PPACA) What is it? How does it affect planning  assumptions?35 IAEM 2010
  36. 36.  Individual Mandate  Employer Mandate Employer Mandate  Health Insurance Exchange Health Insurance Exchange  Medicaid Expansion Medicaid xpansion  Minimum Coverage g36 IAEM 2010 Picture: http://www.deha.org/FedLegislation.html
  37. 37.  Reduces uninsured by  32 million in 2019  (CBO Estimate) (CBO E ti t )  Decreases  vulnerability  May decrease cost IIncreases  transparency37 IAEM 2010

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