Analysis: A National Survey of Environmental Health      Professionals     72nd Annual Educational ConferenceNational Envi...
Presentation Outline• Survey Background and Demographics• Summary of Key Results• Significant Response Differences by Cate...
• Department of Homeland Security       •National Center for Food Protection and Defense            •University of Minneso...
• Current Position   • Years of Experience   • Registered Sanitarian or EH Professional   • Professional Classification   ...
Respondents          Number of Respondents by Group25020015010050 0      City, County, State           Uniformed
Years of Experience                    Years of Experience100 90 80 70 60 50 40 30 20 10 0      < than 5   5 to 9    > tha...
Professional Status        Registered Sanitarian or EH Specialist250200150100 50 0            Yes                         ...
Job Classification              Job Classification 60 50 40 30 20 10  0
Self Rating: Specific Hazards / IncidentExperience                    Self Rating         Hazards Covered/Level of Experie...
Population of Area Served               Population of Geographic Jurisdiction120100 80 60 40 20 0      250,000 and   100,0...
Respondents by Region           Respondents by Region706050403020100
• Hazard Area Importance   • NRP and NIMS   • Preparedness and Response   • Agency Needs   • Challenges Faced   • Collabor...
Hazard Area Importance - Mean              Mean Response6.005.004.003.002.001.000.00                   What do EH professi...
Familiarity with NRP              Familiarity with NRP  80  70  60  50  40  30  20  10   0                                ...
Familiarity with NIMS             Familiarity with NIMS 140 120 100  80  60  40  20   0                                   ...
Our Agency’s All Hazards Plan has…                      Agreement with Statements About Plan       Strongly Disagree      ...
We Must Communicate Better With…               Need Improved Communication…   Strongly Disagree        Strongly Agree     ...
• Hazard Area Importance   • NRP and NIMS   • Preparedness and Response   • Agency Needs   • Challenges Faced   • Collabor...
Knowledge and Skills Needed for AllHazards Preparedness and ResponseRank   Need                                           ...
Greatest Challenges Faced by Our Agencyfor PreparednessRank   Challenge                                                   ...
Greatest Challenges Faced by Our Agencyfor ResponseRank   Challenge                                                       ...
Agreement that a written All Hazards planexists… by job classificationRank   Professional Classification            Respon...
Agreement the All Hazards plan clearlydefines the EH role… by job classificationRank        Professional Classification   ...
Agreement that the All Hazards plan isformally evaluated… by job classificationRank        Professional Classification   R...
Need to communicate EH role outside ofpublic health… by job classificationRank        Professional Classification   Respon...
Differences for increased human resourcestaffing/funding… by job classificationRank   Professional Classification         ...
Differences in ranking most important hazardareas… by size of jurisdictionWater SupplyRank           Population           ...
Differences in belief that EH roles areclearly defined… by size of jurisdictionRank   Population                        Re...
Improved documented procedures &guidelines needed… by size of jurisdictionRank             Population       Response Mean ...
Need greater understanding of NIMS forpreparedness… by years of experience    Rank     Years of Experience   Response Mean...
•What else should we be doing?•Where are our greatest opportunities to improve preparedness?OPEN-ENDED RESPONSES
Express views and opinions…• Are there other areas in which you feel your  EH agency should be involved?• Where are the gr...
Other areas for EH agency involvement1. 42% of respondents indicated the need to focus   on specific threats (e.g., CBRNE,...
Greatest opportunities to improvepreparedness in the next 2 years?1. 30% of respondents indicated that collaboration   pro...
5 KEY TAKEAWAYS
5 Key takeaways1. Leadership must work to clarify the role of the   EHP2. Must collaborate with other EHP’s and other   pu...
RECOMMENDATIONS
Formally Define the Roleof Environmental HealthAgencies in respondingto All Hazards
Develop a Plan to Leadefforts to coordinate theprovision of food,shelter, medicine andother needs of the public
Recommended for Consideration  Implement a program to  communicate the EH role  Initiate a plan to increase  collaboration...
Recommended for Consideration  • Develop Standards for Critical Needs for All Hazards EH Response Plan Initiate program to...
CONTACT INFORMATION
Contacts•   Omar Keith Helferich, Ph.D.     – Supply Chain Sustainability LLC     – e-mail: helfe1k@cmich.edu•   M. Dougla...
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NEHA Survey Presentation 2008

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In 2008 we conducted the 1st US-wide survey of Environmental Health Professionals. Our purpose was to probe how EH professionals viewed their role in incident management. The authors believed that EH should logically be considered part of the extended food supply chain from an incident mitigation perspective. We thought sharing this older presentation might be of some value – particularly with the recent focus on food supply chains incidents.

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NEHA Survey Presentation 2008

  1. 1. Analysis: A National Survey of Environmental Health Professionals 72nd Annual Educational ConferenceNational Environmental Health Association June 2008 Tucson, Arizona Omar Keith Helferich, Ph.D. M. Douglas Voss, Ph.D. John E Griggs, Ph.D.
  2. 2. Presentation Outline• Survey Background and Demographics• Summary of Key Results• Significant Response Differences by Categories• Understanding Open-Ended Responses• 5 Key Takeaways• Recommendations
  3. 3. • Department of Homeland Security •National Center for Food Protection and Defense •University of Minnesota • Michigan State University •Griggs and Associates • National Environmental Health AssociationSURVEY FUNDING ANDPARTICIPATION
  4. 4. • Current Position • Years of Experience • Registered Sanitarian or EH Professional • Professional Classification • Emergency Experience • Population of Geographic Jurisdiction • NEHA RegionDEMOGRAPHICS
  5. 5. Respondents Number of Respondents by Group25020015010050 0 City, County, State Uniformed
  6. 6. Years of Experience Years of Experience100 90 80 70 60 50 40 30 20 10 0 < than 5 5 to 9 > than 20 15 to 19 10 to 14
  7. 7. Professional Status Registered Sanitarian or EH Specialist250200150100 50 0 Yes No
  8. 8. Job Classification Job Classification 60 50 40 30 20 10 0
  9. 9. Self Rating: Specific Hazards / IncidentExperience Self Rating Hazards Covered/Level of Experience8070605040302010 0
  10. 10. Population of Area Served Population of Geographic Jurisdiction120100 80 60 40 20 0 250,000 and 100,001 to 50,001 to 25,001 to Under 25,000 above 250,000 100,000 50,000
  11. 11. Respondents by Region Respondents by Region706050403020100
  12. 12. • Hazard Area Importance • NRP and NIMS • Preparedness and Response • Agency Needs • Challenges Faced • Collaboration NeedsSUMMARY OF KEY FINDINGS
  13. 13. Hazard Area Importance - Mean Mean Response6.005.004.003.002.001.000.00 What do EH professionals feel is the most important hazard area in which they should expend limited resources? Rank 1 to 7.
  14. 14. Familiarity with NRP Familiarity with NRP 80 70 60 50 40 30 20 10 0 (My) familiarity with NRP.
  15. 15. Familiarity with NIMS Familiarity with NIMS 140 120 100 80 60 40 20 0 (My) familiarity with NIMS
  16. 16. Our Agency’s All Hazards Plan has… Agreement with Statements About Plan Strongly Disagree Strongly Agree Neutral Disagree Agree 126 107 107 103 90 83 63 52 49 52 52 47 44 41 40 36 34 35 21 12 14 11 5 7 9 Written Clear Roles Tested Evaluated Technology to Support
  17. 17. We Must Communicate Better With… Need Improved Communication… Strongly Disagree Strongly Agree Neutral Disagree Agree 130 98 93 92 46 22 10 1 2 2 With PH Organizations With Non-PH Organizations
  18. 18. • Hazard Area Importance • NRP and NIMS • Preparedness and Response • Agency Needs • Challenges Faced • Collaboration NeedsSUMMARY OF KEY FINDINGS
  19. 19. Knowledge and Skills Needed for AllHazards Preparedness and ResponseRank Need Mean Response 1 Additional formal training and drills across EH jurisdictions 1.633 Formal training and drills with other government incident response 1 agencies 1.643 Additional formal training and drills with other agencies in my 1 jurisdiction 1.677 2 Increased human resource staffing and funding 1.762 2 Formal training and drills with private organizations 1.807 Improved use of technology for infield inspections and sharing of 2 results 1.862 Formal written definitions of EH inspection and assessment 3 methods 1.895 3 Improved documented procedures and guidelines 1.914 Greater understanding of the National Incident Management System 3 (NIMS) 1.995 4 Greater understanding of the National Response Plan (NRP) 2.068 What is most needed to ensure preparedness for All-Hazard Incidents?
  20. 20. Greatest Challenges Faced by Our Agencyfor PreparednessRank Challenge Mean Response 1 Acquiring additional funding for EH staffing 1.682 2 Achieving adequate funding for tools and technology 1.889 Identification of required competencies and delivering training at 3 the local level 2.056 The lack of coordinated efforts among the many response agencies 3 (e.g. law enforcement, fire, health, and other non-profit) 2.134 3 The lack of appropriate tools and assessment methods 2.247 3 The lack of registered sanitarians 2.336 Acceptance and integration of EH roles within the Federal Incident 3 Command System (ICS) infrastructure 2.336 What are the greatest challenges to EH agencies in All Hazards incident preparedness?
  21. 21. Greatest Challenges Faced by Our Agencyfor ResponseRank Challenge Mean Response 1 A lack of inspection results shared in a timely manner 2.862 2 A lack of accurate inspection results 3.209 What are the greatest challenges to EH agencies in All Hazards incident response?
  22. 22. Agreement that a written All Hazards planexists… by job classificationRank Professional Classification Response Mean 1 Supervisor 1.594 1 Technician 1.667 1 Director 1.667 1 Other 1.813 2 Manager 2.043 2 Senior Sanitarian 2.057 5 Sanitarian 2.096
  23. 23. Agreement the All Hazards plan clearlydefines the EH role… by job classificationRank Professional Classification Response Mean 1 Director 1.979 1 Technician 2.000 1 Supervisor 2.219 1 Manager 2.457 5 Other 2.500 5 Sanitarian 2.558 5 Senior Sanitarian 2.651
  24. 24. Agreement that the All Hazards plan isformally evaluated… by job classificationRank Professional Classification Response Mean 1 Supervisor 2.031 1 Director 2.125 1 Technician 2.333 2 Manager 2.600 2 Other 2.688 5 Sanitarian 2.742 5 Senior Sanitarian 2.766
  25. 25. Need to communicate EH role outside ofpublic health… by job classificationRank Professional Classification Response Mean 1 Senior Sanitarian 1.390 1 Other 1.500 1 Director 1.583 1 Supervisor 1.656 1 Manager 1.667 2 Sanitarian 1.731 5 Technician 2.667
  26. 26. Differences for increased human resourcestaffing/funding… by job classificationRank Professional Classification Response Mean 1 Other 1.438 1 Director 1.521 1 Supervisor 1.524 1 Technician 1.667 1 Manager 1.826 5 Senior Sanitarian 1.943 5 Sanitarian 1.995
  27. 27. Differences in ranking most important hazardareas… by size of jurisdictionWater SupplyRank Population Response Mean 1 Under 25,000 1.538 1 100,001 to 250,000 1.882 1 50,001 to 100,000 2.264 5 250,000 and above 2.572 5 25,001 to 50,000 2.677Waste WaterRank Population Response Mean 1 100,001 to 250,000 3.906 1 Under 25,000 3.950 1 250,000 and above 4.228 1 50,001 to 100,000 4.423 5 25,001 to 50,000 4.798
  28. 28. Differences in belief that EH roles areclearly defined… by size of jurisdictionRank Population Response Mean 1 Under 25,000 1.769 1 100,001 to 250,000 2.224 1 50,001 to 100,000 2.300 5 250,000 and above 2.482 5 25,001 to 50,000 2.933
  29. 29. Improved documented procedures &guidelines needed… by size of jurisdictionRank Population Response Mean 1 50,001 to 100,000 1.767 1 250,000 and above 1.778 2 25,001 to 50,000 2.033 2 100,001 to 250,000 2.054 5 Under 25,000 2.308
  30. 30. Need greater understanding of NIMS forpreparedness… by years of experience Rank Years of Experience Response Mean 1 > 20 1.82 1 15 to 19 1.85 1 10 to 14 1/93 5 5 to 9 2.12 5 <5 2.22
  31. 31. •What else should we be doing?•Where are our greatest opportunities to improve preparedness?OPEN-ENDED RESPONSES
  32. 32. Express views and opinions…• Are there other areas in which you feel your EH agency should be involved?• Where are the greatest opportunities to improve public health all-hazards preparedness within the next two years?
  33. 33. Other areas for EH agency involvement1. 42% of respondents indicated the need to focus on specific threats (e.g., CBRNE, HAZMAT, Disease)2. 32% indicated a need to assist in response to any disaster; with focus on post-disaster housing, shelter, clinical services, sanitation, and animal related issues3. Others cited EHP role clarification and the need for collaboration and public education, planning, and training
  34. 34. Greatest opportunities to improvepreparedness in the next 2 years?1. 30% of respondents indicated that collaboration provides the greatest opportunity... coordination, joint-planning/training, and public-private partnerships2. 24% believed training is a significant opportunity3. 20% cited the need to clarify EHP’s role4. Others cited the need for funding, planning and process improvements, better tools, and better use of volunteers
  35. 35. 5 KEY TAKEAWAYS
  36. 36. 5 Key takeaways1. Leadership must work to clarify the role of the EHP2. Must collaborate with other EHP’s and other public/private parties3. Must focus on specific threats in planning and training4. In the event of an incident, EHPs should lead in efforts to coordinate provision of food, shelter, medicine5. Incident preparedness and response are key EHP activities… tools, funding, staff, and training are needed to efficiently and effectively perform these activities in addition to primary activities.
  37. 37. RECOMMENDATIONS
  38. 38. Formally Define the Roleof Environmental HealthAgencies in respondingto All Hazards
  39. 39. Develop a Plan to Leadefforts to coordinate theprovision of food,shelter, medicine andother needs of the public
  40. 40. Recommended for Consideration Implement a program to communicate the EH role Initiate a plan to increase collaboration and training across public and private agencies Define the role of Environmental Health in more rapidly identifying contamination sources and at-risk food purchase and consumption sites.
  41. 41. Recommended for Consideration • Develop Standards for Critical Needs for All Hazards EH Response Plan Initiate program to increase access to funding for staffing and agency toolstechnology Expand program for collaboration, training and drills across agencies and industry Resurvey EH Professionals to track changing opinions
  42. 42. CONTACT INFORMATION
  43. 43. Contacts• Omar Keith Helferich, Ph.D. – Supply Chain Sustainability LLC – e-mail: helfe1k@cmich.edu• M. Douglas Voss, Ph.D. – University of Central Arkansas – E-mail: voss@uca.edu• John E Griggs, Ph.D. – Supply Chain Sustainability LLC – e-mail: johng@supplychainsustainability.com
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