Transcript DoD Medical Support to Civil Authorities

UNCLASSIFIED
29 Oct 04
DoD Medical Support
to Civil Authorities
Presented to 35th IFPA - Fletcher
Conference
Lloyd E. Dodd, Brig Gen
Command Surgeon
NORAD-USNORTHCOM
Peterson AFB, CO 80914
[[email protected]]
(719) 554-8153 (DSN 692Fax -7227
Overview
• DoD’s role and USNORTHCOM mission
• A bit about the N-NC SG’s office
• Medical concept of operations (CONOPS)
and guiding principles for DoD support
• Way ahead
2
DoD Areas of Responsibility
3
USNORTHCOM’s Mission
• Conduct operations to deter, prevent, and defeat
threats and aggression aimed at the United
States, its territories, and interests within the
assigned area of responsibility; and,
• As directed by the President or Secretary of
Defense, provide military assistance to civil
authorities including consequence management
operations
Deter…Prevent…Defeat…Mitigate
4
Commander’s Intent
• There is no difference between war and
peace in this AOR…we are at war every day
• We must continue to improve the system
every day…lives depend on it
– Failure to advance the ball is not an option
• A key to success is building relationships
USNORTHCOM
IOC: 1 Oct 02
FOC: 11 Sep 03
Gen Eberhart, May 03
5
Role of Medics…Our PD
• Advise NORAD-USNORTHCOM CC and staff on all medical
issues…with broad interpretation of “medical”
• Anticipate, as much as possible, threats of disasters, natural or
otherwise
• Forge plans and relationships before the event
– Understand and provide key support to components
– SG role in the deter, prevent, defeat phase
– Pre-event consequence management planning
• Coordinating DoD medical response during and after event as
requested by local, state, and other federal agencies
– Within DoD and across all agency boundaries
– Full range of consequence management
• Attend to the health and welfare of the people in the commands
• Make the system better every day
6
Vision
Preserve and protect the health of the force,
their families, and the communities we serve.
7
NC Principles (HD/HS)
• Policy from Pentagon; doctrine, CONOPs, planning at NC
• In civil support role: local state PFA DoD…usually
• DoD (NC) only participates when requested…
– And authorized, including Immediate Response, EXORDs, (?) CIRS
– DoD flies wing to the Primary Federal Agency ( formerly LFA)
•
•
•
•
•
Layered, tiered, flexible response
Sometimes we move beds; sometimes we move patients
Regionalizaton approach to multiple/pandemic events
Should emphasize DoD’s natural roles, skills and structures
Cannot purchase resources that do not directly support our
primary warfighting mission
• Pre-event planning and relationship building are required
USNORTHCOM must maintain significant situational awareness, & be
able to mobilize a wide spectrum of rapid responses. 8
Capabilities and Resources
High
Layered Response Concept
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
Minimal
Low
Medium
High
Categories of Escalating Health Threats
Severe
9
How DoD Fits In
Capabilities and Resources
High
“Normal” DoD Response
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
4-6 Days
Time
10
Immediate Response Authorities
Capabilities and Resources
High
How DoD Fits In
“Normal” DoD Response
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
Hours
4-6 Days
Time
11
Capabilities and Resources
High
How DoD Fits In
Immediate Response Authorities
“Normal” DoD Response
Standing EXORD(s)
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
Hours
4-6 Days
Time
12
Capabilities and Resources
High
How DoD Fits In
Immediate Response Authorities
“Normal” DoD Response
Standing EXORD(s)
Catastrophic Incident Response Supplement
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
Hours
Hours-1 Day
4-6 Days
Time
13
Capabilities and Resources
High
How DoD Fits In
Immediate Response Authorities
“Normal” DoD Response
Standing EXORD(s)
Catastrophic Incident Response Supplement
National Response
Regional Response
State Response
Metropolitan Medical Response Systems
Local Response, Municipal and County
SAD, Title 32
Guard
SAD, Title 32
Friendly Forces
SAD, Titles 32, 10
14
Types of DoD Assistance
Subject matter experts
Physicians, nurses, med techs
Lab and lab personnel
Respiratory and other techs
Beds…facilities
Equipment
Blood and pharmaceuticals
Public health teams
Vaccination/med distribution teams
Patient movement
Manpower
Single expert to 10s of thousands of troops and more, but…
15
Limitations to DoD Support
• Resource competitive environment
• Often takes time…maybe days (or worse)
– Today, still evolving internal DoD Cold War
structures and processes
• Public perceptions
–
–
–
–
–
Military “takeover” and mistrust of government
GIs all trigger-happy and default to brute force
“We’re the Pros from Dover” complex
Potential lack of technical sophistication
Lack of common culture, language, systems
• There is a cost
16
National Guard
• Guard has the lead in homeland security and is actively
restructuring to optimize response capabilities
• Every congressional district has a Guard asset
• WMD-Civil Support Teams (CSTs) growing in concept
and capabilities
– 23 person team can diagnose and recommend Rx
– 33 now; soon to have at least one per state
• CBIRF-like Enhanced Response Force Package (CERF-P)
– Up to 120 people
– 12 now; soon to have at least one per state
• Expeditionary Medicine (EMEDs) team per FEMA region
• Regional medical planners being put in place
• At least two major regional exercises per year
17
HURRICANE/TYPHOON
EXPLOSION
VOLCANIC ERUPTION
RADIOLOGICAL EVENT
SNOWSTORM/SEVERE
FREEZE
DROUGHT
TORNADO
POSTAL WORK STOPPAGE
EPIDEMICS
Defense Support of Civilian Agencies
TERRORISM
INSURRECTION
CIVIL DISTURBANCE
EARTHQUAKE
FIRE
FLOOD
COUNTER-NARCOTICS
OIL SPILL
POTUS/VPOTUS/FLOTUS
SUPPORT
SUNAMI/TIDAL WAVE
METEOR IMPACT
LANDSLIDE/MUDSLIDE
CHEMICAL HAZARD
SPACE DEBRIS IMPACT
ANIMAL DISEASE
MASS IMMIGRATION
NSSEs
18
Dodd Sermonizing
• Within DoD, planning must be across components and
functions in open, outcome-oriented manner
– Collaboration must involve Reserve and Guard
– Focus on faster, smarter, better integrated processes
• Improve inter-agency and federal-state mutual
understanding, communication, and collaboration
• Planning at municipal, county, state, and regional levels
must continue…vertically and horizontally
• International public health planning a must
• Exercise at all levels…start with tabletops
• Public-private interactions must improve
• Re-invigorate and support public health infrastructures
• Individual and family planning and volunteering
19
Bottom Line
• Bad guys are actively planning bad things today
• DoD has a potential role (with plusses and minuses)
– DoD resources might range from one SME to multiple
medical TFs
• This will only work well if we all work together
– Progress is being made within DoD and at the IA level
– Progress is being made at the state and community levels
• Our obligations are legal, ethical and moral
• If we do our job right, a lot of people will live that might not
otherwise
• We might not have a lot of time!
20
21
Getting to a PDD
NC’s DWC tracks
DHS tracks and makes recommendations
EMO
Gov formally asks for aid
TAG and NGB tracks
SCO appointed
DoD Entities Respond
Under Immediate
Authorities
Event
POTUS signs PDD
CIRS?
Economy Act
Some Agency Heads
Can Execute per prior
authority and HSPD 5
Stafford Act
PFA, PFO and FCO
appointed
22
OCs…OCs…OCs….
Assembling the Players
FEST
DEST
DOS
WMD-CST
Event
JS
DoD Entities Respond
Under Immediate
Authorities
FIRST
POTUS
DHS
HSOC
Fed IA/IIMG
Gov formally asks for aid
DoD
NC
JFCOM
PFO cell (JFO?)
POTUS signs PDD
CERT
PFA, PFO and FCO
appointed
JRMPO rolls into DFO
DFO established
with FCO, SCO,
DCO (& DCE)
NC designates TSB/CC as DLO or DCO
FORSCOM
HHS
IIMG
CONUSAs
Services
SERT
CDC ERT
S/R/EPLOs
23
Once PDD in Effect
DHS
NC/DoD
Gov formally asks for aid
Event
POTUS signs PDD
DoD Entities Respond
Under Immediate
Authorities
Services
JFCOM
ARF
FCO
NC
DCO
No
Bounds of tasking?
Resources on site?
Mission analysis
NGB
JS
SecDef/ASD (HD)
Approves/Signs EXORD
DHHS
JRMPO, EPLOs, ESF8…
SCO
PFA, PFO and FCO
appointed
Legality
Lethality
Risk Impact
Cost
Appropriateness
Readiness
PFO
JDOMS
Coordinates
NC/JFCOM
Sources as necessary
Yes
MA #
DoD on site
executes
MA #
24
FORSCOM/Services
Suppose It’s Really Big…
Gov formally asks for aid
Event
POTUS signs PDD
DoD Entities Respond
Under Immediate
Authorities
PFO
DHS
JRMPO, EPLOs, ESF8…
Services
SCO
PFA, PFO and FCO
appointed
ARF
FCO
1st Army
TF-East
5th Army
TF-West
FORSCOM
NORTHCOM
JTF-CS
CONUSAs also have significant
C2 role in regional events
DCO
JTF/CC
NC
JDOMS
SecDef/ASD (HD)
NC/JFCOM/NGB
25
In Simplified Summary…
A USNORTHCOM Systems View - Medical Management of a Mass Casualty/Public Health Disaster
<Funct
ion>
Categories of Escalating Health Threats
Victim/Observer
Minimal : Influenza, food borne illnesses, endemic B. Plague
Low: Anthrax,
P. Plague
LOCAL & METROPOLITAN
STATE
Emergency Services Dispatch
EMS Dispatch
EMS Dispatch
Receives Notification
Receives Notification
from Victim/Observer
from Victim/Observer
Victim/Observer
Victim/Observer
Assesses Incident
Assesses Incident
Medical Military/Civilian
Emergency Rooms, EOCs, &
Hospitals
On-Scene Commander/DCG Staff
Civilian Incident Command Center
Military/Civilian First Responders
Medical Military/
Medical Military/
Civilian Emergency
Civilian Emergency
Rooms Receive
Rooms Receive
Notification from EMS
Notification from EMS
Dispatch
Dispatch
First Responders
First Responders
Notified of Incident &
Notified of Incident &
Receive Instructions
Receive Instructions
to Proceed to the
to Proceed to the
Incident Site
Incident Site
Local Government
(Municipal & County Emergency
Operations Centers)
Military OSC & DCG
Military OSC & DCG
Staff/Civilian ICS
Staff/Civilian ICS
Members Notified to
Members Notified to
Assemble at the
Assemble at the
Established
Established
Staging Area
Staging Area
Information Received
Information Received
from Multiple Control
from Multiple Control
Centers and the
Centers and the
On-Scene
On-Scene
Commander
Commander
OSC & DCG Staff
OSC & DCG Staff
Briefed on Situation
Briefed on Situation
En-route to the
En-route Site
to the
Accident
Accident Site
Do Sufficient Resources
Exist to Manage the
Incident?
Medium: Pandemic Influenza
State Government
(Emergency Operations Center)
Severe: Bio-Engineered Agent
FEDERAL
Disaster Field Office
(Emergency Support Function 8)
Federal Government
Office of Emergency
Office of Emergency
Preparedness, DHS
Preparedness, DHS
Validates Request
Validates Request
from State and
from State and
Advises POTUS on
Advises POTUS on
the Situation
the Situation
State EOC Receives
State EOC Receives
Notification from
Notification from
County Requesting
County Requesting
Assistance
Assistance
High: Smallpox
Federal and State
Federal and State
Coordinating
Coordinating
Officers Notified of
Officers Notified of
Activation (FCO &
Activation (FCO &
SCO)
SCO)
DoD (ASD/HD) &
Joint Directorate of Military Support
(JDOMS)
USNORTHCOM
Joint Forces Command
(USJFCOM)
Joint Task Force - Civil Support
(JTF-CS)
Receives Tasking to
Receives Tasking to
Accept Operational
Accept Operational
Control of Forces
Control of Forces
Providing Assistance
Providing Assistance
to the Lead Federal
to the Lead Federal
Agency
Agency
Notified of Disaster
Notified of Disaster
Field Office
Field Office
Activation
Activation
Notified of Disaster
Notified of Disaster
Field Office
Field Office
Activation
Activation
Receives
Receives
Notification from
Notification from
JDOMS Regarding
JDOMS Regarding
Establishment of a
Establishment of a
Disaster Field Office
Disaster Field Office
Tasks USJFCOM to
Tasks USJFCOM to
Provide DCO and DCE
Provide DCO and DCE
JRMPs Deployed to
JRMPs Deployed to
Augment the Defense
Augment the Defense
Coordinating Element
Coordinating Element
Section in Support of the
Section in Support of the
DCO
DCO
Deploys a DCO & DCE
Deploys a DCO & DCE
under command of
under command of
USNORTHCOM in
USNORTHCOM
Support
of FEMA in
Support of FEMA
RTF-East (1 st Army)
RTF-West (5th Army)
Forces Command
(FORSCOM)
Service Components
Receives Direction
Receives Direction
from USJFCOM to
from USJFCOM to
Staff Identified
Staff Identified
Capability
Capability
Requirement
Requirement
Receives Request
Receives
th Request
from 1 st/5
Army for
from 1 st/5 th Army for
Capability
Capability
Fulfillment
Fulfillment
Notified to Prepare
Notified to Prepare
for Mobilization in
for Mobilization in
Support of Relief
Support of Relief
Operations
Operations
NO
Does the Victim
Require a Level of Care
Greater Than What is
Available?
NO
YES
Victim/Observer Notifies
Victim/Observer Notifies
EMS System of Immediate
EMS System of Immediate
Emergency Care Needs
Emergency Care Needs
Is the Request for
Assistance Validated?
NO
ER Determines Initial
ER Determines Initial
Response Capability from
Response Capability from
within ER &
within ER
&
Dispatches
Team
Dispatches Team
Emergency Room
Emergency Room
Notified by First
Notified by First
Responders of
Responders of
Additional
Additional
Requirements
Requirements
EMS Dispatch Notifies
EMS Dispatch Notifies
Control Centers via
Control Centers via
Prescribed Reporting
Prescribed Reporting
Procedures
Procedures
Provide Coordinated
Assistance
to Supplement State
Resources
NO
Triage, Stabilize, and
Prioritize
Patients for Transport
YES
Is a Presidential
Declaration of
Disaster Issued?
Do Sufficient Resources
Exist to Manage the
Incident?
NO
Do First
Responders
Need Additional
Resources
On-Scene?
YES
NO
*
OSC Establishes Incident
OSC Establishes Incident
Boundaries upon Arrival at
Boundaries upon Arrival at
Accident Site and Manages
Accident Site and Manages
Incident Following ICS
Incident Following ICS
Protocols
Protocols
NO
YES
FEMA Establishes the
FEMA Establishes the
Disaster Field Office in
Disaster Field Office in
the Affected Region
the Affected Region
Manage Incident via ICS
While
Keeping State EOC Informed
NO
YES
NO
Is Federal
Assistance Still
Needed?
State EOC Manages
Situation
While Keeping DHS
Informed About the
Situation
Provides Command &
Control
During Relief Operations
ASD/HD Receives
ASD/HD Receives
RFA & Validates
RFA & Validates
NO
Receives Notification
Receives Notification
of Tasking as the
of Tasking as the
Combatant
Combatant
Command for
Command for
Disaster Relief
Disaster Relief
Operations
Operations
Notified of Need to
Notified of Need to
Identify
Identify
Organizations that
Organizations that
Can Fulfill
Can Fulfill
Capabilities
Capabilities
Requirement
Requirement
USNORTHCOM
USNORTHCOM
Exercises Command &
Exercises Command &
Control via Three Tiered
Control via Three Tiered
Options
Options
Tasks Services to
Tasks Services to
Transfer Operational
Transfer Operational
Control of DoD
Control of DoD
Personnel & Equipment
Personnel & Equipment
Providing Support to the
Providing Support to the
Unified Commander
Unified Commander
Does 1 st/5 th Army
Possess the Capability
Required?
Does FORSCOM
Possess the Capability
Required?
YES
YES
Mobilize Capability to
Mobilize Capability to
the JTF-CS Commander
the JTF-CS Commander
NO
NO
Have Relief
Operations
Terminated?
YES
Mobilize Capability to
Mobilize Capability to
the JTF-CS Commander
the JTF-CS Commander
Mobilize Capability to
Capability to
theMobilize
JTF-CS Commander
the JTF-CS Commander
YES
NO
Victim Treated
Victim Treated
On-Site or at
On-Site or at
Home
Home
EMS Involvement
EMS Involvement
Terminated
Terminated
MedicalEmergency
MedicalEmergency
Operations Center (MOC)
Operations Center (MOC)
is Activated
is Activated
YES
Transport to
Transport to
Hospital for
Hospital for
Treatment
Treatment
DetermineEmergency
Care
Needs, Identify Additional
Resources Needed
EOC Determines
EOC Determines
Additional Response
Additional Response
Capabilities & Dispatches
Capabilities & Dispatches
Additional Medical Assets
Medical
Assets
to Additional
the Scene of
the Incident
to the Scene of the Incident
On-Scene Commander
On-Scene Commander
Coordinates Responder
Coordinates Responder
Activities at the Scene &
Activities at the Scene &
Keeps Local EOC
Keeps
Local EOC
Informed
Informed
Is There Evidence of
Known Contamination?
Have Casualties
Been Evacuated to a
Medical Treatment
Facility?
Have Casualties
Been Evacuated to a
Medical Treatment
Facility?
YES
YES
Local EOC Monitors the
Local EOC Monitors the
Situation
Situation
State EOC Monitors the
State EOC Monitors the
Situation
Situation
FEMA Submits Initial
FEMA Submits Initial
RFA for DoD Support
RFA for DoD Support
Thru JDOMS
Thru JDOMS
Is Military
AssistanceNeeded?
SecDef Approves
SecDef Approves
Redeploy &
Redeploy &
Transfer Forces
Transfer Forces
Back to
Back to
Supporting
Supporting
Commanders &
Commanders &
Services
Services
YES
Disaster Field
Disaster Field
Office Stands
Office Stands
Down
Down
Disaster Field Office
Disaster Field Office
Identifies Support
Identifies Support
Requirement for
Requirement for
Consequence
Consequence
Management
Management
JDOMS Translates
JDOMS Translates
Guidance from the
Guidance from the
SecDef into Operational
SecDef into Operational
Orders
Orders
Tier II Response
JFACC
JFLCC
JFMCC
USNORTHCOM
(Standing Joint Force Headquarters)
Service Components
Tier III Response
NO
Coordinate the Activities of
Coordinate the Activities of
Support Teams at the
Support Teams at the
Medical and Alternate
Medical and Alternate
Treatment Facilities
Treatment Facilities
Medical EOCs Notify
Medical EOCs Notify
Chains of Command/
Chains of Command/
County Emergency
County Emergency
Management Center of
Management Center of
Actions Taken in Support
Actions Taken in Support
of Incident Response
of Incident Response
YES
NO
First Responders Notify
First Responders Notify
ER of Additional
ER of Additional
Assistance/Advise &
Assistance/Advise &
Remains On-Site
Remains On-Site
Hospital/Patient
Hospital/Patient
Treatment
Treatment
Response Process for Known CBRNE Contamination
Conduct Hot Zone Triage
Conduct Hot Zone Triage
& Treatment
& Treatment
Gross Decon
Gross Decon
Further Triage/Treatment
Further Triage/Treatment
& Communication to
& Communication to
Medical EOC for More
Medical EOC for More
Support
Support
Intensive Decon
Intensive Decon
Establish Casualty
Establish Casualty
Collection Point(s)
Collection Point(s)
Treat & Observe
Treat & Observe
Casualties
Casualties
Process Casualties thru
Process Casualties thru
Decon Release Site
Decon Release Site
NO
HMO/Doctors’s Office
HMO/Doctors’s Office
Obtains Specimen for
Obtains Specimen for
Analysis
Analysis
Hospital Emergency
Hospital Emergency
Departments Obtain
Departments Obtain
Specimen for Analysis
Specimen for Analysis
Public Clinic Obtains
Public Clinic
Obtains
Specimen
for Analysis
Specimen for Analysis
Tier I Response
Has Situation Been
Mitigated?
YES
YES
Local EOC Stands
Local EOC Stands
Down
Down
State EOC Stands
State EOC Stands
Down
Down
Notifies State
Notifies State
Emergency Operations
Emergency Operations
Center and Issues a
Center and Issues a
Formal Request for
Formal Request for
Assistance
Assistance
Governor Issues a Formal
Governor Issues a Formal
Request for Assistance
Request for Assistance
(RFA) to the President/
(RFA) to the President/
Secretary of Homeland
Secretary of Homeland
Security
Security
Information Received
Information Received
By Epidemiology
By Epidemiology
Department
Department
Regarding Initial
Regarding Initial
Positive Identification
Positive Identification
of CBRNE/WMD
of CBRNE/WMD
Contamination
Contamination
Information Received
Information Received
From County
From County
Regarding Initial
Regarding Initial
Positive Identification
Positive Identification
of CBRNE/WMD
of CBRNE/WMD
Contamination
Contamination
Does Lab Testing
Reveal Evidence of Rare
Disease or Puzzling
Signs & Symptoms?
Notifies State
Notifies State
Emergency Operations
Emergency Operations
Center of Initial Positive
Center of Initial Positive
Identification of
Identification of
CBRNE/WMD
CBRNE/WMD
Contamination
Contamination
Governor Notifies Federal
Governor Notifies Federal
Government of Initial
Government of Initial
Positive Identification of
Positive Identification of
CBRNE/WMD
CBRNE/WMD
Contamination
and Issues
Contamination and Issues
a Formal RFA to FEMA
a Formal RFA to FEMA
Receives Tasking to
Receives Tasking to
Accept Operational
Accept Operational
Control of Forces
Control of Forces
From Supporting
From Supporting
CINCs, Services, &
CINCs, Services, &
DoD Agencies
DoD Agencies
Defense Coordinating Officer &
Defense Coordinating Element
Do Supporting
Combat Commanders
Possess Sufficient
Capabilities?
Provides Command &
Control
During Operations
JRMPs @ DCE Identify
JRMPs @ DCE Identify
Capabilities to Include
Capabilities to Include
Weight, Footprint, &
Weight, Footprint, &
Communications
Communications
Requirements
to the DCO
Requirements to the DCO
Notified to Prepare
Notified to Prepare
for Mobilization in
for Mobilization in
Support of
Support of
Operations
Operations
YES
Mobilize Capability to
Mobilize Capability to
the Their Respective
the Their Respective
Supporting Combat
Supporting Combat
Commander
Commander
YES
NO
Have Operations
Terminated?
Conducts Military
Conducts Military
Operations In Support of
Operations In Support of
the Unified Commander
the Unified Commander
YES
DCO Approves
DCO Approves
Capabilities Identification
Capabilities Identification
& Prepares the Request
& Prepares the Request
for Assistance (RFA) for
for Assistance (RFA) for
FEMA
FEMA
Receives Direction
Receives Direction
from USJFCOM to
from USJFCOM to
Staff Identified
Staff Identified
Capability
Capability
Requirements for
Requirements for
their Respective
their
Respective
Service
Service
NO
DCO & DCE
DCO & DCE
Receive Tasking to
Receive Tasking to
Deploy to Disaster
Deploy to Disaster
Field Office from
Field Office from
USJFCOM
USJFCOM
Transport to Hospital &
Transport to Hospital &
Alternate Treatment
Alternate Treatment
Facilities
Facilities
Proposed Response Process for Suspected Covert CBRNE/WMD Contamination
Victim is a SelfVictim
is a SelfPresenter
Presenter
NO
Has Situation Been
Mitigated?
Legend
1 Jun 04
Redeploy &
Redeploy &
Transfer Forces
Transfer Forces
Back to
Back to
Supporting
Supporting
Combatant
Combatant
Commanders &
Commanders &
Services
Services
Process
Process
Beginning
orBeginning
Ending
orEnding
Action
Action
Pre-Defined
Pre-Defined
Action
Action
Information
Information
Input
Input
Decision
RecurringProcess
References:
DoD Directive 3025.1 DTD 15 Jan 93
DoD Directive 3025.1-M/DTD 2 Jun 94
DoD Directive 3025.15/DTD 18 Feb 97
Deputy Secretaryof Defense ImplementationMemorandum/DTD 25Mar 03
The President’s Federal Response Plan (FRP) Jan 03, interim change
Stafford Act, as amended, 42 USC 5121/Sep 98
Economy Act, 31 USC 1535/Jan 96
Joint Publication 3-26, Second Draft 11 Sep 03
USNORTHCOM SG HLSExecutive Course Presentation
*
Communication: At this level FEMA regional coordinators are informed by
County EOCs about the situation and message traffic flows to JRMPOs
that serve as liaisons within their respective FEMA regions. Additionally
the Office of Emergency Preparedness, Department of Homeland Security
(DHS) will be notified of the incident. This organization operates 24/7 as
the primary national-level hub for operational communications and
information pertaining to any domestic issue. From this point coordination
with the appropriate agency would be established based on the nature of
the domestic incident.
Colors: Use of different colors to indicate various levels of response
involvement
Prepared by the Air Force Institute for Operational Health
Stephen M. Wolfe, Col, USAF, MSC, DBA
Director, Operations Directorate OPR: AFIOH/DO (Capt. David S.
26
Sanchez)
DSN:240-5474