Transcript Pandemic Preparedness

Pandemic Influenza Incident
Response Coordination
March 17, 2006
1
Today’s Agenda
• Brief update of incident command work
group activities to date
• Discussion/Input/Suggestions
Workgroup Participants
PEMA
Health
Agriculture
Aging
Administration
Environmental Protection
Public Utility Commission
State Police
Red Cross
Education
County Health Department
Corrections
Public Welfare
Progress to Date
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Reviewed other state plans
Developed concept of operations
Identified operating assumptions
Identified state agency roles
Reviewed NIMS/ICS structure
Reviewed communications flow
Identified additional work needed
Key Planning Principles
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Coordination……….
Communication……
Cooperation………
At all levels and jurisdictions are essential
to successful management of a public
health emergency
World Health Organization Phases
of a Pandemic
• Inter-pandemic period
– Phase 1 – No new virus subtypes in humans
– Phase 2 – No new virus subtypes, animal subtype poses a risk
of human disease
• Pandemic Alert Phase
– Phase 3 – Human infection, no human to human spread
– Phase 4 – Small localized clusters of human to human spread
– Phase 5 – Larger clusters, still localized, virus adapting to
humans
• Pandemic Period
– Phase 6 – Increased and sustained transmission in the general
population. Waves of 8-12 weeks.
• Post Pandemic Period
Concept of Operations
• Build on the response structure already in place in
Pennsylvania.
• PEMA coordinates the overall statewide response
• DOH lead agency to coordinate the public health
response (ESF 8)
• An influenza pandemic will impact every aspect of our
community.
• Timely and accurate communications is critical
• Leads may shift as the event unfolds
• Unified command structure critical at all levels of
government
Assumptions
• Pandemic likely to occur in waves of 8-12 weeks
followed by a brief interval before the next wave.
• Staffing for critical services (fire, police, EMS, public
utilities, jails, health workers) will be reduced.
• “Back up” resources will also be affected
• Each state and county agency will have an emergency
management plan which is consistent with NIMS.
• Communications systems are in place at all levels to
assure the rapid sharing of accurate information
• All levels of government will be involved in responding to
a pandemic influenza emergency.
National Incident Management
System
• A consistent, nationwide approach for
Federal, State, Tribal, and local
governments; the private sector; and
nongovernmental organizations to work
effectively and efficiently together to
respond to, and recover from domestic
incidents
PA Emergency Support Function
Assignments
FUNCTION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Transportation
Communications
Public Works/Engineering
Firefighting
Emergency Management
Mass Housing/Human Svcs
Resource Support
Public Health/Medical
Search and Rescue
Oil & Hazardous Materials
LEAD AGENCY
PA DOT
Office of Administration
Department of General Services
State Fire Commissioner
PEMA
Department of Public Welfare
Department of General Services
Department of Health
PEMA
Department of Environmental
Protection
PA Emergency Support Function
Assignments
FUNCTION
11.
12.
13.
14.
15.
Agriculture/Natural Resource
Energy
Public Safety/Security
Long Term Recovery
External Affairs
Note: Other agencies such as Corrections
or Education may have support roles
in various aspects of pandemic
emergency management.
LEAD AGENCY
Department of Agriculture
Environmental Protection
State Police
PEMA
Governor’s Office
PEMA Incident Command Structure
INCIDENT MANAGER
Joint Information
Center
LIAISON
PIO
LEGAL
OPERATIONS CHIEF
EOC/LOG
Documentation Group
PLANS & INFORMATION CHIEF
ESF-EPLOS
Support Branch
INCIDENT ACTION PLAN
GROUP
Clerical Unit
Checklist Unit
Notification Unit
SITUATION GROUP
LOGISTICS
CHIEF
SUPPORT SERVICES
GROUP
RESOURCE GROUP
RESPONSE/
RECOVERY
Branch
DOCUMENTATION AND
DEMOBILIZATION GROUP
PEMA Area Liaison Unit
GIS Unit
SCIENCE/INFORMATION
TECHNOLOGY GROUP
FINANCE & ADMIN.CHIEF
FISCAL GROUP
SECURITY GROUP
EMPLOYEE
SERVICES GROUP
DOH Incident Command Structure
Senior Management Group
DOH/PEMA Liaison
Incident Manager
Legal
Public Information
Safety Officer
Planning
Operations
Logistics
Admin & Finance
Comm. Disease
Hospitals SNS
Procurement
Human Resources
Immunization
VA
Information Tech
Budget Office
EPI/Env Health
Mental Health
Physician
EMS
Labs
QA
County Incident Command Structure
County Commission
Coroner
County EMC
County Health Department
Public Information
Operations
Planning
Logistics
Finance/Admin
Law Enforcement
Situation Analysis
Fire Service
Incident Planning
Resources
Procurement
Emergency Med
Resource Status
Facilities
Fiscal/Budget
Documentation
Communications
Medical Centers
Doctors Offices
Support
Services
EMS
Food
Hospitals
Medical
Points of Distribution
Personnel/Time
Pandemic Event Initial Information Flow
DHHS /
CDC
State Senior Leadership
PA
DOH
Local Community Health
FRED
RODS
Health Hotline
HAN
Hospitals
Ag Labs
Penn State Extension Offices
Farming Community
County
EMA & 911
PEMA
STATE EOC
USDA
PA
Agriculture
DHS /
FEMA
PA – OHS
State Agencies,
Departments
and
Commissions
State
Regional
Offices &
Departments
Local
Municipal
EMA
Contiguous
States
Community
Outreach
Pandemic Event Initial Information Flow
County
Elected
Officials
Twp.
Association
Township
Elected
Managers
& Officials
State
Legislators
Boro
Association
Boro
Elected
Managers
& Officials
SEOC
State
Agency
EPLOs
Dept of
Education
Agency
Secretaries
School
Districts
Gaps
• Need a consistent, clear understanding of
state and local government roles
• Need to communicate shifts in pandemic
phases promptly
• Need to create a flow chart specifying how
communications will flow during a
pandemic emergency
Gaps
• Checklist to guide preparedness activities
for state agencies, county government for
each pandemic phase.
• Communicating plan elements and roles to
local government agencies.
• Assure hospitals are connected to county
emergency management plans.
Next Steps
• Regional Summits
• Assure that shifts in pandemic phases are
promptly reported to emergency management
agencies at all levels.
• Identify Pandemic Flu action items for key state
agencies and include them in the incident
command plan.
• Incorporate suggestions into Incident Command
Section of Plan
• State agency checklists by March 31,2006
Next Steps
• Obtain local input about readiness checklists for
County Planning based on Pandemic Phases
• Information/Training Sessions for County
Emergency Management Agencies
• Refine Communications Flow Chart to and from
State EOC
• Pandemic Flu Table Top and Full-Scale
Exercises
For More Information
• PA Pandemic Influenza Plan
www.health.state.pa.us
• NIMS/ICS www.dhs.gov
• Pandemic Influenza www.cdc.gov
Questions for Discussion
• What more information do you need?
• What other incident command/management
issues are there that we should address?
• What other information should we present at the
6 regional summits?
• What should county emergency management
agencies be doing now to prepare?
• What county services pose unique challenges
(prisons, other) during a flu pandemic?