Transcript Title Page

Exposure Rostering:
Population Tracking Following a Disaster
Melissa E. Powell, MPH
Michelle F. Barber, MS
Preparedness, Surveillance & Epidemiology
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
The Public Health Approach
to Disaster Response
• Population-based information is critical to public health action
–
–
–
–
Rapidly assess the needs of affected populations
Conduct studies and surveys (e.g., injury rates)
Conduct surveillance and investigate outbreaks
Implement, monitor and evaluate public health programs and
disease/injury control efforts
• Data collection/analysis are linked to decision-making processes
• Evaluation can improve future planning efforts
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
Post-Disaster Surveillance
•
•
•
•
•
•
•
•
When, how, and why to surveil?
Who should be included?
Recruitment?
Which data are important?
Who will gather the data?
Who will maintain data?
When to switch to a registry?
Who will do long-term follow-up?
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
3
Public Health Emergency Preparedness
in Oregon
• Public Health Emergency Preparedness Program (PHEP)
–
–
–
–
Improved state and local capacity to respond to health emergencies
Anticipate, detect, assess, and understand health risks
Develop and test plans
Train and collaborate between communities
• Preparedness, Surveillance and
Epidemiology Team (PSET)
– Collaborate with PHEP, Communicable
Disease and Environmental Health
– Practice routine epidemiology
– Maintain systems to provide timely and
accurate information to decision makers
– Train, consult and provide tools
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
4
Chemical Stockpile Emergency
Preparedness Program (CSEPP)
• Annual exercise for
accidental release of
chemical warfare agents
– 2008: Post-Disaster
Surveillance Registry
tools (modified ATSDR
Rapid Registry, PostDisaster Registry System)
– 2010: The Exposure
Rostering and Laboratory
Sampling Plan
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
Background Assumptions
•
•
•
•
•
A hazardous material event may occur
HazMat teams are in place to provide support
Responders are trained to decontaminate
Local hospitals/providers have limited resources
Local Public Health Departments (LPHD)
maintains a vulnerable populations self-registry
of persons within 15 mile radius
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
6
Exposure Roster Plan
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
7
Roster vs. Registry
• Quickly gather info about
many individuals
• Early assessment tool
• Identify health problems
• Can populate future registries
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
8
• Limited utility in the
immediate aftermath
• Long-term follow-up of
affected populations
• Study health problems
Roles and Responsibilities – Planning
• LPHD/Tribes
– Identify personnel for Exposure Roster Task Force
– Create job-action sheets and maintain “go-kits”
– Exercise/train staff
• State
– Consult on plan development
– Draft and exercise tools (i.e., forms, database)
• Feds (CDC/ATSDR/NIOSH)
– Consult on plan development
• Partners (Red Cross, Private Sector)
– Consult on plan development
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
9
Roles and Responsibilities – Response
• LPHD/Tribes
– Activate mutual aid agreement with state to implement plan
– Organize Exposure Roster Task Force
– Activate data and specimen collection sites
• State
–
–
–
–
Provide guidance on collecting exposure data and specimens
Provide tools for data collection; assist when appropriate
Conduct outreach to self-evacuees
Provide guidance on data management
• Feds
– Provide guidance on specimen collection
• Partners
– Cooperate/Facilitate rostering at shelter sites
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
10
Exposure Roster Task Force
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
11
Who is Rostered?
•
•
•
•
•
First responders
Decontaminated persons
Evacuees at Assistance Centers
Symptomatic hospitalized locally
Those who sought treatment
from their health care provider
• Those exposed at the site (or
through secondary exposure)
and do not seek medical care
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
12
Roles and Responsibilities – Recovery
• LPHD/Tribes
– Assist state/federal partners with tracking rostered persons if
determined that registry is warranted
• State/Feds
– Determine need for registry
– Collaborate to compile a registry that links exposure roster and longterm data with clinical lab results
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
13
Conclusions
• The Exposure Roster and Laboatory Sampling Plan has been
included in State All Hazard Response Plan
• Next Steps
–
–
–
–
–
–
CSEPP National Annual Conference in PDX in June
Exercise the Exposure Rostering Plan at frequent intervals
Pilot Exposure Rostering Form
Identify effective means to notify local jurisdictions about rostering
Develop means to track affected individuals in transit
Refine public information messages
PUBLIC HEALTH DIVISION
Office of Disease Prevention & Epidemiology
14
Questions?
[email protected]
971-673-1111