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  1. 1. Public Health Preparedness and Response in Crisis ___________________________ JD Givens Office of Research and Methodology Centers for Disease Control National Center for Health Statistics Interface 2003 Conference, March 14, 2003
  2. 2. WHAT IS THE PUBLIC HEALTH PROBLEM? <ul><li>Bioterrorism proved to be a significant public health </li></ul><ul><li>threat during the Fall of 2001 when Anthrax </li></ul><ul><li>outbreaks occurred in the United States using the </li></ul><ul><li>mail as a source of exposure. </li></ul><ul><li>Response to a bioterrorism event requires rapid </li></ul><ul><li>deployment of limited public health resources in order to </li></ul><ul><li>save lives and prevent others from becoming ill. </li></ul><ul><li>The nation's public health infrastructure currently is not </li></ul><ul><li>adequate to detect and respond to a large scale bioterrorist </li></ul><ul><li>event. </li></ul>
  3. 3. Managing the BT Preparedness Initiative is complex at CDC… Source: Kane Hall, Univ. of Washington –11/2001 PPT Laboratories (Rapid Testing and Triage), Research, Surveillance, Hospital Preparedness, Quarantine National Center for Infectious Diseases (NCID) Medical Management Guidelines for Chemical exposures Agency for Toxic Substances and Disease Registry (ATSDR) Vaccine Development and Vaccine Safety National Immunization Program (NIP) Worker Safety, Personal Protection Devices National Institute for Occupational Safety and Health (NIOSH) Administers Select Agent Rule, Lab Safety Consultations and Guidelines Office of Health and Safety (OHS) Epi/Surveillance, Detection, Investigation, Communications, Epi-X Epidemiology Program Office (EPO) Health Alert Network, Training, Centers for Public Health Preparedness Public Health Practice Program Office (PHPPO) Environmental and Chemical Laboratory Capability, Planning, Stockpile National Center for Environmental Health (NCEH) Areas of Responsibility Lead Center at CDC
  4. 5. Purpose: advises the Secretary and the department on appropriate actions to prepare for and respond to public health emergencies, including acts of bioterrorism. Secretary's Council on Public Health Preparedness DA Henderson -Chairman
  5. 6. Mission: The Office of Public Health Preparedness (OPHP) shall direct the Department of Health and Human Services' efforts to prepare for, protect against, respond to, and recover from all acts of bioterrorism and other public health emergencies that affect the civilian population; and shall serve as the focal point within HHS for these activities. Office of the Assistant Secretary for Public Health Emergency Preparedness Jerome Hauer -Director
  6. 7. Office of Global Health Affairs Mission : To promote the health of the world's population by Advancing the Department of Health and Human Services' global strategies and partnerships, thus serving the health of the people of the United States.
  7. 9. PH Emergency Preparedness and Response URL:
  8. 10. PH Emergency Preparation and Planning
  9. 11. Smallpox Preparedness and Response
  10. 12. Bioterrorism Preparedness and Response Program (Centers for Disease Control) Mission : ensure the rapid development of federal, state, and local capacity to address potential bioterrorism events. The program integrates planning and training to facilitate the development of core capacities in the primary elements of public health preparedness, including surveillance, epidemiology, rapid laboratory diagnosis, emergency response, and communications systems.
  11. 13. Centers for Public Health Preparedness URL:
  12. 14. Centers for Public Health Preparedness Centers for Disease Control and Prevention (CDC ) <ul><li>develop competency-based public health practice curricula; </li></ul><ul><li>technology-mediated learning (e-learning); </li></ul><ul><li>certification and credentialing; </li></ul><ul><li>applied research and evaluation. </li></ul>A national system of Centers for Public Health Preparedness (CPHP) implemented to ensure frontline public health workers have the requisite skills and competencies to effectively respond to current and emerging health threats. The CPHPs are involved in four key areas:
  13. 15. Millions of clinical workers to get smallpox information packets Mar 4, 2003 (CIDRAP News) – CDC announced its plan as part of an ongoing education effort program, information packets about smallpox is being mailed to 3.5M physicians and other healthcare workers.
  14. 16. Mission To ensure public health preparedness and the preparedness, security, safety, and quality of the health care delivery system . <ul><li>Objectives </li></ul><ul><li>Provide the private sector with a single DHHS point </li></ul><ul><li>of contact for innovative ideas that cut across agencies </li></ul><ul><li>and departments. </li></ul><ul><li>2. Coordinate requests from individuals and firms seeking HHS </li></ul><ul><li>review of their ideas. </li></ul><ul><li>Ensure that HHS responds systematically and consistently to </li></ul><ul><li>these requests. </li></ul><ul><li>Report to the Secretary on the Council’s activities and actions </li></ul><ul><li>resulting from them. </li></ul>Council on Private Sector Initiatives (CPSI)
  15. 17. Local Centers for Public Health Preparedness NACCHO, in collaboration with CDC, has been tasked with analyzing the lessons learned from the local Centers during the project period, and disseminating these lessons and best practices to the broader public health community. The Local Centers for Public Health Preparedness project was developed to create models for implementing information technology and training in support of bioterrorism preparedness and emergency response.
  16. 18. Mission The Center for Civilian Biodefense Strategies is an independent, non-profit organization of the Johns Hopkins Bloomberg School of Public Health and the School of Medicine. The Center works to prevent the development and use of biological weapons, to catalyze advances in science and governance that diminish the power of biological weapons as agents of mass lethality, and to lessen the human suffering that would result if prevention fails. URL:
  17. 19. Mission The mission of the Consortium is to advance the research, development, knowledge, and application of information technology for crisis management and emergency response among government agencies, academia and the private sector. Multi-Sector Crisis Management Consortium (MSCMC) The work of the Consortium is supported by the National Center for Supercomputing Applications at the University of Illinois at Urbana-Champaign Priority is given to support communication and collaboration among people from all sectors of society on the applications of information technology to meet the critical needs of crisis management.
  18. 20. The National Technology Grid
  19. 21. Crisis What is a crisis? Extreme events that cause significant disruption and put lives and property at risk - situations distinct from ‘business as usual.” These include civilian and judicial crises management, e.g., natural and man-made disasters including such threats as the use of weapons of mass destruction by terrorists (nuclear and biomedical and chemical attacks). Source: National Research Council’s 1999 Workshop on Information Technology Research for Crisis Management
  20. 22. Contact Information Centers for Disease Control and Prevention National Center for Health Statistics (NCHS) Office of Research and Methodology 3311 Toledo Rd., Rm 3218 Hyattsville, Maryland 20782 JDG#@CDC.GOV 301.458.4236