Transcript CDC Population Monitoring Guide for Public Health Planners

Practical Considerations for setting up a
COMMUNITY RECEPTION CENTER
(CRC)
Part 1
Armin Ansari, PhD. CHP
Radiation Studies Branch
Division of Environmental Hazards & Health Effects
National Center for Environmental Health
Centers for Disease Control & Prevention
Atlanta, Georgia
The New York Times, October 2, 2005
Community Reception Center
(CRC)
What?
When?
Who?
Where?
How?
Examples
Typical Reception Center for
NPP EPZ
Consider:
– Communities
outside EPZ
– Terrorism
(no warning)
– Large urban
populations
POD Design
Community Reception Center (CRC)
• Basic services include:
–
–
–
–
external contamination screening
external decontamination
registration
prioritizing people for further care
• Benefits include:
– reducing burden on hospitals
– managing scarce medical resources
– supporting shelters
• CRC may be co-located with shelters (congregate Care Center)
Community Reception Center
Additional Services
•
•
•
•
•
•
Monitoring for internal contamination
Collection of Bioassays
Medical intervention for decorporation
Counseling
Relocation services
Pet monitoring
Add modules as resources become
available.
Community Reception Center
• 6 Main Process
Areas
– Initial Sorting
– First Aid
– Survey and
Monitoring
– Wash Station
– Registration and
Dose/Medical
Assessment
– Discharge
Clean Zone Contamination Control Zone
Process Flow
Resources
• Population Monitoring Guide
• Virtual CRC, an interactive webbased training (downloadable)
• RealOpt–CRC optimization
software
• CRC-STEP, Simulation Tool for
Evaluation and Planning
• All are customizable
Community Reception Center (CRC)
Planning and Implementation
Whose responsibility is it?
National Response Framework
Nuclear/Radiological Incident
Annex
Decontamination/Population Monitoring
are:
“the responsibility of State, local, and
tribal governments.”
Population Monitoring at
CRCs
• Multi-agency effort, public health lead
• Staffed by government employees and
organized volunteers
• Opened 24-48 hours post event
• Located outside of hot zone
• Comparable to PODs, NEHCs
• Need radiation protection professionals!
Need for Radiation Professionals
in a large scale radiation emergency
• Monitoring environment and workplace
• Monitoring people
• Supporting operations at:
– Hospitals
– Public and special needs shelters
– Emergency operations centers
– Community reception centers
– Etc.
• Communications
Where Does Radiation
Expertise Come From?
•
•
•
•
State?
Federal?
Mutual Aid?
Local community?
Medical Reserve Corps – rad volunteer model
State
Volunteer
Registry
MRC 2
MRC 3
MRC 1
State boundary
MRC Jurisdiction
Radiation Volunteers
General/Public Health/Medical Volunteers
MRC 4
Current Status
• CRCPD / CDC collaboration on radiation
professional volunteers
• Program being implemented in six states
and one metro area.
“Planners should identify
radiation protection
professionals in their
community and
encourage them to
volunteer and register in
any one of the Citizen
Corps or similar
programs in their
community.”
Chapter 5
Example
• CRC exercise in metro Atlanta community
• Scenario:
– 3 days after an IND 600 miles away
– Displaced population seeking assistance in
our community
• Used a pre-designated POD location (high
school)
• Players were primarily MRC volunteers,
assisted by county HAZMAT, public
health, and radiation control
High School Floor Plan
Consistent with POD planning
MRC GEM – July 2009
Community Reception Center at
Peachtree Ridge High School, Suwanee, GA
Thank You
Armin Ansari
770-488-3654
[email protected]
Radiation Studies Branch
Division of Environmental Hazards & Health Effects
National Center for Environmental Health
Centers for Disease Control & Prevention
Atlanta, Georgia