Transcript The Occupational Health Coordinating Group (OH-CG)

The Occupational Health Sub-council
Welcome to the
Occupational Health Disaster Expert Network (OHDEN) !
Presented by the OH-SC
(Occupational Health
Sub-council)
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The Occupational Health Sub-council
About the OH-SG
About the OH-SG:
Public Health and Healthcare services were designated by President
Clinton’s Presidential Decision Directive PDD-63, now superseded in the
Bush Administration by Homeland Security Presidential Directive 7
(HSPD-7). This sector is one of several critical infrastructures and key
resources identified as needing protection from terrorist attacks.
Under the auspices of the DHS and coordinated through Health and Human
Services, the Occupational Health Sub-council (OH-SG) was created
to develop resources to establish a community
and to develop necessary resources.
The OH-SC is an advisory group consisting of
OH physicians, nurses, industrial hygienists,
and other workplace health providers.
The Occupational Health Sub-council
About OHDEN
• The Occupational Health Disaster Expert Network
• OHDEN is how OH-SC will achieve its mandate.
• OHDEN is a community that provides
communication for OH professionals.
• OHDEN is a web-based resource and
a community of occupational-health
professionals.
• Odin is the Norse god of
death, poetry, and wisdom.
The Occupational Health Sub-council
The Occupational Health Sub-council
The OHDEN Entry Point
http://www.ohden.org
http://www.ohden.net
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The Occupational Health Sub-council
The Occupational Health Sub-council
For Members
Welcome, Dr. Doe!
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Two types of data:
Category 1: Emergency data, which is interactive
Category 2: Reference information
Category 1
Category 2
Urgent or Life-threatening
If immediate assistance or information
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Emergency Preparedness and
Response Reference Information
The Occupational Health Sub-council
Category 1
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Emergency links and numbers. Enter zip code:
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Category 1
Emergency contacts for zip code:
27708
Phone
Mandatory numbers to call
can be so indicated.
E-mail
Internet
Emergency number for your area…………………………………….911
Local health department…………………......................(555) 123-4567;
Fire department………………………………………..…..(555) 123-4567;
Police department……………….……...............………..(555) 123-4567;
Ambulance………………………………….......................(555) 123-4567;
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Local hospital facilities…………………………………...(555) 123-4567;
Local American Red Cross chapter………...................(555) 123-4567;
State or regional emergency management offices…..(555) 123-4567;
State or regional FEMA offices………….………………(555) 123-4567;
State or regional public-health offices…………………(555) 123-4567;
[email protected];
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[Regional OSHA (or state OSH) offices…………………(555) 123-4567; [email protected]; http:// . . .]
[Local occupational-health resources…………….…….(555) 123-4567; [email protected]; http:// . . .]
Workplace-specific
emergency resources
[Other pertinent local offices, agencies, or groups…..(555) 123-4567; [email protected]; http:// . . .]
Link to emergency-assistance sites on the Internet
(e.g., DHS, HHS, FEMA, OSHA, EPA, others)…………………………………….http:// . . .
Other (e.g., IM, radio)
The Occupational Health Sub-council
For Members
Welcome, Dr. Doe!
Modify your personal profile
Two types of data:
Category 1: Emergency data, which is interactive
Category 2: Reference information
Category 1
Category 2
Urgent or Life-threatening
If immediate assistance or information
is needed
Emergency Preparedness and
Response Reference Information
The Occupational Health Sub-council
Category 2
Learn all about:
Disaster Prevention
and Preparedness
Disaster Response:
Acute Phase
Disaster Recovery
and Mitigation
Would you like to learn at your own pace about disaster preparation?
Search on a topic (Enter keyword(s) and click link below):
View articles contributed by OH-CG members
View information from other selected websites
Members can search for
OH-CG-reviewed websites and
OH-CG-authored articles.
The Occupational Health Sub-council
The Occupational Health Sub-council
The Occupational Health Sub-council
Three main categories
are available to assist
members in learning.
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The Occupational Health Sub-council
Disaster Prevention
and Preparedness
A. What is a disaster? (definitions, scope, applicability)
B. How are disasters managed in the U.S. and abroad?
C. Risk assessment for my workplace
D. Risk communication for the public and the media (before the disaster)
E. Risk communication for workforce and family members (before the disaster)
F. Establishing communications channels before a disaster
G. Planning for immediate medical response to a disaster
H. Planning for data collection (clinical and epidemiological medical surveillance)
I. Planning for security
J. Legal and ethical issues
K. Training and education (before the disaster)
The Occupational Health Sub-council
Disaster Prevention
and Preparedness
B. How are disasters managed in the U.S. and abroad?
1. Local, state, regional, and national (federal) response plans in effect in the U.S.
a. Phases of response (planning, crisis management, consequence management, recovery, etc.)
b. Our own explanation and summary of these plans
c. Hyperlinks to the appropriate information sources
2.
3.
4.
5.
Response plans applicable to U.S. workers abroad
How do these systems interface with my workplace?
Why (and in what specific ways) should my workplace prepare?
Establishing a workplace-specific disaster-response plan: Critical steps, including
setting up an organization, funding, wiring diagrams, communication pathways,
accountability, personnel, equipment, immediate medical care, agreements with
local or regional medical facilities, antidote distribution, evacuation, etc., etc.)
C. Risk assessment for my workplace
1. Hazard identification (including worker populations affected)
a. How will I know that there’s a disaster?
b. Specific hazards that I should look for
2. Dose-response assessment
3. Exposure assessment
4. Risk characterization
E. Risk communication for workforce and family members
1.
2.
3.
4.
To workers
To management
To worker families
To relevant local, state, and federal agencies
The Occupational Health Sub-council
Disaster Prevention
and Preparedness
F. Establishing communications channels before a disaster
1. Whom to call
a. For information / consultation / help
b. For reporting / data collection
2. When to call (under what circumstances)
3. What to communicate
4. Security /confidentiality of data being communicated
5. How to organize communications channels in the planning stage
G. Planning for immediate medical response to a disaster
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
The roles of medical personnel in the workplace (and their relationship to management and workers)
Medical resources (personnel, equipment, antidotes, transport) available in the workplace
Self-aid and buddy aid (and training for self-aid and buddy aid)
Emergency-medical-treatment resources in the workplace
Agent detection, identification, confirmation, and risk assessment
Decontamination
a. Personnel
b. Equipment
c. Buildings and worksites
d. Environment
First-responder issues
Transport off site
Medical treatment off site
The role of medical resources
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Disaster Prevention
and Preparedness
H. Planning for data collection (medical surveillance)
1. Data collection and preservation from individual workers for individual diagnosis and medical management
2. Epidemiological medical surveillance (from living workers and from dead victims)
a. Exposure monitoring (IH), with protocols for collection of environmental specimens
b. Biological monitoring, including protocols for collection of medical specimens
c. Health-effects monitoring (medical monitoring)
3. Confidentiality of data (e.g., HIPAA considerations, IRB protocols, etc.)
4. Specific sampling protocols (lists, where to find them, how to develop them, etc.)
I. Planning for Security
1. Worker security (protection, evacuation plans and assembly points)
2. Physical security
3. Information security
K. Training and Education (before the disaster)
1.
2.
3.
4.
5.
What’s available? (and from whom, for whom?)
What’s needed for your particular workplace (and how do you find out)?
Contact and application procedures?
CME modules available addressing disaster readiness
CME module: OH ISAC website for on-line training sponsored by ACOEM
The Occupational Health Sub-council
Category 2
Learn all about:
Disaster Prevention
and Preparedness
Disaster Response:
Acute Phase
Disaster Recovery
and Mitigation
Would you like to learn at your own pace about disaster preparation?
Search on a topic (Enter keyword(s) and click link below):
View articles contributed by OH-CG members
View information from other selected websites
Members can search for
OH-CG-reviewed websites and
OH-CG-authored articles.
The Occupational Health Sub-council
Disaster Prevention
and Preparedness
Search (type in keyword):
+disaster +“mental health”
Do you need online assistance?
The Occupational Health Sub-council
Disaster Prevention
and Preparedness
Search (type in keyword):
+disaster +”mental health”
Do you need online assistance?
URL: http://www.psych.org/disasterpsych/links/11sept02guide.cfm
Title: American Psychiatric Association Disaster Psychiatry: Plan of Action
Abstract:
This web page is sponsored by the American Psychiatry Association (APA). This particular page is a news release
dated 20 August, 2002. It concerns a brochure released by the National Partnership for Workplace Mental Health to
enable employers, employees, and families of employees deal the mental-health impact of terrorism and other disasters.
The title of the brochure is, “When Disaster Strikes: Managing Mental Health in the Workplace.”
The brochure exists as a PDF file accessible from a link on this page. The brochure is nontechnical and in color and can
be viewed and printed as a foldable brochure from any system that has Adobe Acrobat Reader. It would be useful
before, during, and after a disaster and would be useful to distribute to employees—or to make available for them at
employee health clinics—well before the disaster occurs. It is not copyrighted, and the APA approves and encourages
its wide dissemination in the workplace.
Relevance and usefulness to workplace disaster prevention and preparedness: High; recommended
This review last updated 30 April, 2004 by OH AC (James M. Madsen, MD, MPH)
Click on the URL to go directly to the site.
The Occupational Health Sub-council
Disaster Prevention
and Preparedness
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Disaster Prevention
and Preparedness
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Capabilities for Secure Intranet Searches
OHDEN Intranet Experts Web Emergency
OHDEN
• Intranet Search Capability for OHDEN
• Licensed search product
• Internal (firewall-protected) or global options
• Criteria-based searching
• Based on underlying specific taxonomy (keyword / MESH concept)
• Searchable with Boolean logic
• Category-specific resources
The Occupational Health Sub-council
OHDEN Taxonomic Categories
The Occupational Health Sub-council
OHDEN Taxonomy:
Comprehensive Subsets
The Occupational Health Sub-council
OHDEN Taxonomy:
Comprehensive Subsets
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The Occupational Health Sub-council
Tagged Keywords for Unstructured Searching
The Occupational Health Sub-council
Comprehensive Systematic Taxonomy:
Example
○ Resource Type(s) {resource type}
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○ Biographical (OHDEN member) {biographical}
○ Available for consulting {consultant}
○ U.S. Federal Government: DHS [NOS] {Federal}
○ U.S. Federal Government: DHS: FEMA (disaster response) {FEMA}
○ U.S. Federal Government: HHS and healthcare issues (including ESF #8) [NOS] {HHS}
○ U.S. Federal Government: HHS: CDC [NOS] {CDC}
○ U.S. Federal Government: HHS: CDC: NIOSH {NIOSH}
○ U.S. Federal Government: DOL and labor issues [NOS] {labor}
○ U.S. Federal Government: DOL: OSHA and workplace issues {OSHA}
○ U.S. Federal Government: Other {Federal}
○ Regional Resources {regional}
○ State Resources {state}
○ Local Resources {local}
○ Professional Organizations {professional}
○ Nonprofit Organizations {nonprofit}
○ University Resources [NOS] {university}
○ University Resources: Public {public university}
○ University Resources: Private {private university}
○ Poison-control Centers {poison-control centers}
○ Medical Resources: Medical Search Engines [NOS] {medical search engines}
○ Medical Resources: Occupational-and-environmental-medicine Sources {OEM search engines}
○ Medical Resources: Evidence-based-medicine (EBM) Sources {EBM}
○ Databases: Query-engine-based {search-engine databases}
○ Databases: Other {databases}
○ Military Resources {military}
○ Private Resources: Occupational {occupational}
○ Private Resources: Other {private}
So far,
○ Free Resources {free}
264 bottom-level catalog elements
○ Subscription or Fee-based Resources {not free}
(not counting headings and subheading)
○ Resources Owned or Produced by OHDEN {OHDEN}
○ Websites (external to OHDEN) {external websites}
The Occupational Health Sub-council
Revealed Keywords
The Occupational Health Sub-council
Disaster Response:
Acute Phase
Please fill out the following questions to help refine and expedite searches and then submit:
Select proximity to disaster (off site)
Type of emergency (multiple selections allowed)
1 - 100 ft
Chemical
101 – 500 ft
Biological
501-1,000 ft
Radiation
1,001 – 5,279 ft
Natural
1 - 5 miles
Unknown
Greater than 5 miles
Origin of disaster?
1) Natural
2) Intentional (informs law enforcements)
Volume amount (select one and enter amount):
Solid
3) Unknown
Liquid
Gas
Route (multiple selections allowed)
N/A
Air
Soil
Water
Food
Transportation
Disaster location
Inside facility
Off site
N/A
This is just one example of the type
of query information on which
searches could be based.
The Occupational Health Sub-council
Scenario: Anthrax
•
A Fortune 500 high-tech employer, Apex Industries, with approximately 3000
workers in a single multistory building shared with another 1500 individuals
from another global employer, receives an envelope addressed to one of its
employees. The envelope contains a fine powder.
•
The employee opens the letter in a common area, notices the powder, brushes
it off his forearm, reads an enclosed offer for a low mortgage rate, and discards
the envelope.
•
At lunch, he realizes that he should report his having noticed the powder in the
envelope; but when he tries to retrieve the envelope, he learns that the trash
has been taken out.
•
There is no envelope or powder to test, but the FBI reports that numerous calls
have been received in the past hour about similar envelopes delivered to over
three dozen cities in the area. Of 200 identical letters, 152 contained harmless
powder but 48 tested positive for spores of Bacillus anthracis.
The Occupational Health Sub-council
Scenario: Anthrax
•
As the medical director for Apex International, you learn (while you are
preparing to board a flight early the following morning) that your employees
have been potentially exposed to anthrax, as have thousands of others in 14
cities across four states. You dash back to your offices.
•
By 6 a.m., supplies from the Strategic National Stockpile are being deployed,
and Dr. Gerberding from the CDC is holding a press conference. President
Bush has expressed grave concern and outrage.
•
Your company crisis team is called into action by 6:15 a.m.
•
A special HazMat team scours the landfill where the trash from your company
had been taken and confirms that the letter delivered to your employee did in
fact contain anthrax spores.
•
You elect to begin prophylactic antibiotic treatment, but many questions are
coming to you:
The Occupational Health Sub-council
Employee Issues
•
Should I go to the point of distribution (POD) that I heard of from the news?
•
Should I come to work? When? Is the building closed? For how long?
•
Am I being paid for time off? FMLA? Worker’s comp?
•
Will worker’s comp pay my private doctor to give me antibiotics?
•
I was in the area where my coworker opened the letter but then took a flight to
our plant in Bangalore, India. I don’t want to fly back to the POD. Can the
company doctor here just give me the ciprofloxacin that I need?
•
I’m freaked out and so is my family. I called the EAP, but no one there could
help us.
•
I work in the mail room at the building where the mail was opened. Am I going
to get sick? What tests can you do to let me know that I’m okay?
The Occupational Health Sub-council
Vendor Issues
•
Our security personnel who work at Apex (but are actually contractors from a
private-security company) were in the area, too. Our contract with Apex
doesn’t include anything about this kind of contingency. What is Apex going to
do for us?
•
Do we continue to deliver FedEx packages? Also, one of our delivery persons
was on the same floor as the envelope yesterday and needs to talk to you.
•
A food-service worker (not employed by Apex) in the cafeteria was handed a
badge to scan and cash by the exposed Apex employee. Does she need
prophylaxis?
•
Corporate Express, a company that delivers office supplies, calls to report that
one of their employees delivered to Apex and is now hospitalized and thought
to have anthrax. You are requested to call Corporate Express.
The Occupational Health Sub-council
Customer Issues
•
Will your service contracts be honored? Will delivery be on time? What about
customer-service response times?
•
Do not make any more deliveries to us until we hear from official health experts
that you products are safe.
•
What about the item that we just received from you? Is it safe?
•
We noticed some powdery residue in the packing material for the training
materials that you sent us. Can you test the powder for us?
•
A group of our employees was training at your site on the day of the incident.
They are now back in Hong Kong and want to know what to do.
The Occupational Health Sub-council
Safety and Industrial-hygiene Issues
•
What kind of respirators will we need? What about skin protection?
•
How should we address the issue of environmental containment?
–
–
What about the ventilation system?
What about surfaces?
•
How do we decontaminate the building and its contents without damaging
vital documents and other materiel?
•
Does exhaust ventilation require special monitoring?
•
How do we manage waste disposal?
•
How does the particulate size of the powder affect respirator recommendations?
The Occupational Health Sub-council
Management Issues
•
How long do we close the building? Who decides? How long will it take to
clean this problem up and get back to business as usual?
•
How do we assure our employees, vendors, and other partners that our work
environment is safe? Who makes this call?
•
What do we do if the health department forces us to relocate temporarily? We
have a business-continuity plan but will still need to send workers into the
building during the transition period.
•
Are our products safe? How will you know? When will you know?
•
For consistency of communication, everything that you say will now have to be
okayed in advance by the senior vice president of marketing. We want to
minimize panic, liability, and loss of market share.
The Occupational Health Sub-council
Issues for the OH Professional
•
How are you going to answer these questions and deal with these issues?
•
There’s plenty of general information on the news and on the Internet,
but much of it is too general to apply to your specific problems at work.
Where can you go to get more specific information?
•
How can you minimize the risks that confidential data about conditions
in your business will reach the media or the general public?
•
You are responsible for the health and safety of employees at all levels of the
organization. Who ya gonna call? Where can you go for help?
The Occupational Health Sub-council
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(to go directly to the website)
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(to go directly to an introduction)
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(to go to the website)
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(to go to the website)
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(go directly to the introduction)
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Anthrax Scenario
•
How are you going to answer these questions and deal with these issues?
•
There’s plenty of general information on the news and on the Internet,
but much of it is too general to apply to your specific problems at work.
Where can you go to get more specific information?
•
How can you minimize the risks that confidential data about conditions
in your business will reach the media or the general public?
•
You are responsible for the health and safety of employees at all levels of the
organization. Who ya gonnna call? Where can you go for help?
The Occupational Health Sub-council
Category 2
Learn all about:
Disaster Prevention
and Preparedness
Disaster Response:
Acute Phase
Disaster Recovery
and Mitigation
Would you like to learn at your own pace about disaster preparation?
Search on a topic (Enter keyword(s) and click link below):
View information from other selected websites
View articles contributed by OH-CG members
Members can search for
OH-CG-reviewed websites and
OH-CG-authored articles.
Would you like to discuss this topic with fellow occupational-medicine healthcare providers?
View list of professional experts on content source
Other options:
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Members can consult a list of
professionals who provide expertise
on a specific topic
(on a volunteer basis).
The Occupational Health Sub-council
Collaboration and News Center
News of the week:
SARS resurfaces in China
New anthrax prophylaxis
Click Here for Discussion Forums
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Read messages from members
Find out topics and schedules for
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Access archived recordings of
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Make request to editor
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Link to list of other links
The Occupational Health Sub-council
Notification Options
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IM:
Office phone:
Fax:
Home phone:
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Preference (1 is highest) for routine notifications:
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IM:
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Fax:
12345
Home: 1 2 3 4 5
Mobile: 1 2 3 4 5
Pager: 1 2 3 4 5
Preference (1 is highest) for emergency notifications:
E-mail: 1 2 3 4 5
IM:
12345
Office: 1 2 3 4 5
Fax:
12345
Home: 1 2 3 4 5
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Pager: 1 2 3 4 5
The Occupational Health Sub-council
Forum Participation
http://www.ohden.org
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E-mail Forum: Delivery Options
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E-mail Forum: Content Options
Click here to learn about flags
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•Topic flag (e.g., chemical, biological, psychological, combinations, unknown)
The Occupational Health Sub-council
Conferencing
Recorded Calls
OHDEN Administration 5 April 05
Chemical Hazard Prep. 22 April 05
Drill Planning for Radiological Event 29 April 05
Upcoming Scheduled Calls
(Bridge for conference calls: (202) 555-1234 code 3390)
OHDEN Administration 5 May 05
Credentialing for Chemical Hazard Management 9 May 05
Ventilation System Security / Terrorism 15 May 05
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Current Issues
• Limits of SharePoint
• Desired elements not available in SharePoint
– FTP monitoring of web resources
– Robust and innovative listserve capability
– Active alerting
• Potential of HSIN
The Occupational Health Sub-council
Occupational Health Disaster Expert Network
OHDEN is:
• A repository of selected and targeted references
• A library of reviewed web content
• An active community of credentialed experts
• A professional forum for planning, training, and response
• A communication network for urgent alerts
• An essential resource to enable occupational health
to fulfill its potential as a parallel public-health network
to preserve the critical infrastructure of the nation’s
workforce and productivity