Transcript HRSA BTCDP Site Visit 2/25/04

New Jersey Preparedness
Training Consortium
Continuing Education for Health Care Professionals
SPH 13th Annual Summer Institute for Teachers
Preparing for Bioterrorism and Other Health Threats
August 11, 2006
Patricia L. Fleming, PhD, MS
Professor, NJ Medical School &
School of Public Health, UMDNJ
Objectives
• Describe components of NJ’s system for
recognizing and responding to health
threats
• Identify NJ’s hazards and vulnerabilities
• Identify steps to preparedness
– Personal
– Workplace/School
– Other
The Health Emergency
Preparedness and Response Triad
Public Health
Emergency
Management
capacity
Healthcare Delivery
System
Emergency Management
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New NJ Dept. of Homeland Security
Office of Emergency Management
State of emergency
Local police, fire, rescue
Incident Command System in disasters
Unified Command
Unified Command
(Representatives From Local Jurisdictions)
Operations
Planning
Logistics
Finance/
Administration
EOC Organization
EOC Manager
Coordination
Communications
Resource
Management
Information
Management
Key Public Health Components
• New Jersey Department of Health and
Senior Services
• Laboratory response network
• Local health departments
• Local Information Network & Communications
System (LINCS)
NJ Local Information Network &
Communications System: LINCS
• 22 local (county/city) public health agencies
• Secure, encrypted web portal access and email
messaging
• Health Alert Network (HAN)
• Role of LINCS
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Staff: epi, nurse, planner, coordinator
NJDHSS networks to > 30,000 local personnel
Communications hub
Coordinate/Activate with local health depts., emergency
management, law enforcement, first responders, hospitals, etc.
• http://www.nj.gov/health/lh/lincs/index.html
• http://www.nj.gov/health/lh/directory/lhdselectcounty.htm
Public Health Activities
• Detection - Health surveillance by clinical
providers and laboratories
– Notify Public Health (Local HD/NJDHSS)
• Rapid Laboratory Diagnosis
– Laboratory response network (LRN)
• Epidemiologic Investigation
– Public health workers identify exposure risks
• Implementation of Control Measures
• Pharmaceutical Stockpile
• Medical Reserve Corps
Healthcare Delivery System
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>250,000 health professionals in NJ
Hospitals
Regional Medical Coordination Centers
Professional organizations
NJHA, VA, others
FQHCs
NJDHSS HECC
State EOC
Support NJDHSS
(NJHA, Associations,VA, others)
MCC
MCC
MCC
MCC
New Jersey
Health Emergency
Response Network
MCC
Regional Medical
Coordination Center
Hospital
Local/County
EOC
Incident
Commander
MCC
State Regional Team
FQHC
Other Health Organizations
Strategic National Stockpile &
Strategic State Stockpile
Purpose:
• Determine NJ’s need for pharmaceutical and medical
supplies in case of CBRNE event
Activities:
• Planning for mass medication and/or mass vaccination
acquisition and distribution
• Preparing to meet needs of pediatric and geriatric
communities
• State owned caches are stored strategically in NJ for
deployment prior to the receipt of federal assets
• Request federal assistance if need exceeds capacity
Readiness/Response
How SNS Assets are Deployed
Need for Drugs and
Medical Supplies Exceeds
Local & State Resources
Augments
Local/State
Medical
Materiel
Resources
SNS
State Requests
Federal Assistance
CDC
Director
Deploys
SNS Assets
In Consultation with the Surgeon General,
Secretary HHS, HHS Office of Emergency
Preparedness (OEP), FEMA and the FBI
Oral Antibiotics
IV Supplies
Nerve Agent Antidotes
Airway supplies
Med/Surg Supplies (Clear)
RSS Site
Hospitals
22 Local Agencies
(LINCS Agency Health Departments )
POD
POD
POD
N.J.A.C. 8:57
• New Jersey Administrative Code Title 8,
Chapter 57
• Purpose: to expedite reporting of certain
diseases or outbreaks of disease for
appropriate public health action
Communicable Diseases
(infectious diseases, bioterrorism agents)
• Reporting of listed diseases is required by NJ
state law and vital to protecting public health
• See list of reportable diseases in handouts
• Contact local/county health department
• Emergency notification to the state health
department:
• 1-609-588-7500
• 1-609-392-2020 (after hours)
• Visit http://www.nj.gov/health/cd/izdphome.htm
Chemical Exposure
(Poisons, Nerve Agents, Vesicants, Bio-toxins,
Hazardous Chemicals)
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Contact your City/county LINCS
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NJ Poison Information & Education System
• 24/7 hotline
• Emergency treatment advice about exposure to poisons, medications, etc.
• 1-800-222-1222
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NJ Department of Environmental Protection
• 24/7 hotline
• Report environmental incidents, hazardous chemical exposures
• 1-877-WARNDEP (1-877-927-6337)
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NJ Office of Emergency Management (NJ State Police)
• Coordinates all disaster mitigation and response statewide
• Hazardous Materials Emergency Response Planning Unit
• 1-609-882-2000
Radiation/Nuclear Exposure
(dirty bomb, nuclear facility accident, sabotage,
radioactive materials, nuclear weapons)
• Medical Consultation:
• Radiation Emergency Assistance Center/Training Site
(REAC/TS)
» 1-865-576-1005
• Notification:
• City/County LINCS
• Local law enforcement
• NJ Office of Emergency Management
» (Radiological Emergency Response Planning and
Technical Unit)
» 1-609-882-2000
Important phone numbers:
• Your city/county LINCS contact (see handout)
• NJ Dept. of Health & Sr. Services
• 1-609-588-7500 or -3121
• 1-609-392-2020 (after hours)
• NJ Poison Information and Education System
• 1-800-222-1222
• NJ Office of Emergency Management
• 1- 609-882-2000
• NJ Dept. of Environmental Protection
• 1-877-WARNDEP (1-877-927-6337)
Hazard Vulnerability Assessment
• Previously “all hazards”
• Post-Katrina, shift to state/local HVA,
state/local responsibility to focus
resources on priority hazards
• Federal lead limited to “societal
transforming events”
• What are NJ’s hazards and vulnerabilities?
NJ’s Hazards & Vulnerabilities
Why should teachers and students
be prepared?
• Natural events: risk of emerging/re-emerging/unusual
infections
• SARS, West Nile, HIV and TB, monkeypox, pandemic flu
• Natural catastrophic weather-related and geophysical
events
• Flooding, hurricanes, earthquakes
• Global political instability: risk of bio, chem, rad/nuclear
terrorism
• Anthrax, Sarin gas
• “Conventional” terrorism climate of mass casualties from
explosions/incendiary events
• WTC, OK City
• Failures of technology
• Bhopal, Chernobyl, Three Mile Island, flu vaccine shortage
If disaster strikes, where are you
likely to be?
sleep 56 hrs
home 47 hrs
school 40 hrs
car 13 hrs
shop/recreation 12
hrs
N=168
hrs/week
Ready Together (hand out)
• Personal preparedness
– Teachers
– Students
• School emergency plan
– Shelter-in-place
– Evacuate
• Car
What can you do in your
classroom?
• Have your own preparedness plan in place,
reassure students that if disaster strikes while at
school, you will be ready to respond
• Know your workplace emergency plan, chain of
command, and your role and responsibilities
• Stimulate students to discuss their family
preparedness plans at home, report back,
identify gaps
• Familiarize students with the school’s
emergency plan
• Assign students topics for research, report back,
critique
Other Classroom Activities
Are we
Prepared?
• Thank you
• Please complete the evaluation form