Transcript KDPH COOP Tabletop Exercise

Severe Weather Event Public Health
Response:
Kentucky’s Experience
CAPT (USPHS) Doug Thoroughman, PhD, MS
CDC Career Epidemiology Field Officer
Kentucky Department for Public Health
Ice Storm Impact on Kentucky
• Jan 26, 2009 Ice storm moves across
state
• Leaves nearly 800,000 without power
• Worst natural disaster in Kentucky’s
history
• 36 Storm Related Deaths
• 101 counties declared state of emergency
Statewide Impact
Tornado Impact on Kentucky
• March 2, 2012 severe weather event moves
across state
• 15 tornados spawned
– 1 tracked 86 miles
– Even affected “hollers”
• 22 Tornado related deaths
• 650 Homes destroyed (1600 more damaged)
• Two communities destroyed
Background
7
West Liberty, KY
8
West Liberty, KY
9
Disaster Data Collection
• Shelter surveillance
– Environmental
– Infectious disease
• CASPER Rapid Needs Assessments
• Carbon Monoxide Poisoning Surveillance
• Tornado Injury Surveillance
• Mortality surveillance
10
CASPER
• Community Assessment for Public Health
Emergency Response
• Epidemiologic technique to provide
household-based information about an
affected community’s needs after a
disaster.
— Identify needs
— Prioritize responses
— Plan for distribution of resources
• Based on WHO-EPI method
When to Conduct a CASPER
• Effect of disaster on population is unknown
• Health status and basic needs are unknown
• Concerns about specific groups or individuals
(e.g. older adults, children, pregnant women)
• Response and recovery efforts evaluation
• Information needed for planning
Multi-stage Cluster Sampling

Define sampling frame (population of concern)
 Political boundaries
 Geographic boundaries
 Subpopulation of affected area

30 clusters/region
 census block
 probability proportional to
estimated number of housing units


7 households/cluster
Data weighted to:
 account for incomplete sampling
 provide population estimates of data collected
CASPER in Kentucky
• 2 Emergency Response Uses
– 2009 Ice Storm
– 2012 Tornado Response
• 1 Health Impact Assessment
• 2 Preparedness/Functional Needs
Assessments
– USPHS Response Team Training Missions
– National Level Exercise: Western KY
– Training Mission in Eastern KY
• Strategic Plan – non-disaster CASPER
use to increase PH Preparedness
CO Poisonings By Day
35
30
Number of Cases
25
Deaths
Confirmed Poisonings
20
Probable Poisonings
15
10
5
0
26 27 28 29 30 31
1
2
3
4
5
6
7
8
9
January 26 – February 14
10 11 12 13 14
Sources of CO Poisoning
Generator
Deaths
(%)
HBOT’s
(%)
KRPC Incidents
(% of incidents)
8 (80%)
16 (57%)
20 (31%)
1 (4%)
29 (45%)
Kerosene
heater
Propane heater
1 (10%)
Propane
cooking device
Indoor charcoal
use
Vehicle running
in garage
11 (17%)
5 (18%)
1 (10%)
5 (18%)
1 (4%)
Tornado Injury Surveillance
• Night of March 2nd
adapted CDC Mortality
Surveillance Form
• Revised, vetted and
distributed before noon
March 3rd
• Tasked regional Epi’s
with data collection
• Hospital ICP’s, LHD
Epi’s submitted reports
daily
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Surveillance Findings
Table 1. Submitted injury surveillance forms
3/2
3/3
3/4
3/5
3/6
3/7
3/8
F
Sa
Su
M
T
W
Th
Long-Term Care Facilities
0
30
1
41
24
2
22
120 (59)
Hospitals
3
13
3
29
9
12
3
72 (35)
Shelters/Other Facilities
0
0
1
7
2
1
0
11 (6)
3 (1)
43 (21)
5 (2)
77 (38)
35 (17)
15 (7)
25 (12)
203
Total
Type of Facility
Total
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Surveillance Findings
Table 2. Frequencies of storm-related injuries by severity
3/2
3/3
3/4
3/5
3/6
3/7
3/8
Total
F
Sa
Su
M
T
W
Th
Minor
26
56
12
11
0
0
2
107
Serious
2
27
3
2
0
0
0
34
Life Threatening
1
10
1
0
0
0
0
12
31
92
18
13
0
2
2
158
Injury Severity
Total
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