Selim Suner MD, MS, FACEP Director of Disaster Medicine Professor of Emergency Medicine, Surgery and Engineering Brown University Eric Noji MD MPH: Cutler Lecture.
Download ReportTranscript Selim Suner MD, MS, FACEP Director of Disaster Medicine Professor of Emergency Medicine, Surgery and Engineering Brown University Eric Noji MD MPH: Cutler Lecture.
Selim Suner MD, MS, FACEP Director of Disaster Medicine Professor of Emergency Medicine, Surgery and Engineering Brown University Eric Noji MD MPH: Cutler Lecture Disaster Rate Factors Effecting Disaster Impact Urban dwellers: 1920: 100 million 1980: 1 billion 2004: 2 billion 2004: 20 cities with >10 million people Sources: CDC & EK Noji, The Public Health Consequences of Disaster Federal Response Plan Activation Disaster Occurs Local County First Alert Executive Responders Requests Governor Aid From Informs FEMA Regional Director Field Operations THE FEDERAL RESPONSE PLAN Emergency Support Functions Provides (ESFs) Emergency Response Team Declares Disaster Advises Requests Assistance FEMA Director Contacts President Sets Up Declares Disaster Federal Disaster CoordinatingAppoints Field Officer Office Joins State Coordinating Officer Coordination of all assets in a disaster may be like herding cats ESF Lead Agencies 12 Support Agencies USDA AID DOJ ARC DVA EPA DOD FEMA DOT GSA DOE NCS USPS USDA 1 DOE DOT NCS EPA 9 Urban Search FEMA and Rescue ESF Public Works 2 DOD 8 USDA & FS Mass Care GSA 7 FEMA ARC 6 4 3 Coordination of Federal Response National Disaster Medical System (NDMS) DHHS Agencies, US PHS CCRF Other Federal Agencies FEMA Response Branch Military Resources History Year 1803 1964 Event Description 1st Congressional Disaster Portsmouth NH Fire Relief Great Alaska Earthquake 131 killed, 8.1 rs 1974 Disaster Relief Act Authorizes state governors to request federal assistance 1977 Natural Earthquake Hazard Reduction Program Funded research in earthquake prediction & mitigation Federal Emergency Management Agency Consolidates many agencies; emphasizes preparedness; mitigation and recovery 1979 History Year Event Description 1980 Mt. St. Helen's volcanic eruption 1984 4 federal agencies led by PHS (DHHS); continues National Disaster Medical hospital bed contingency System program, but also includes medical response 1985 DMATs 58 killed Medical response limb of NDMS History Year Event Description 1989 Hurricane Hugo 51 killed, 25K homeless (Caribbean, Eastern US) 1989 Loma Prieta Earthquake (Bay Area CA) 1990 Stafford Act 1992 Federal Response Plan 62 killed, 2500 injured, 6K homeless Authorizes President to direct federal agencies to provide emergency assistance to state/local jursidictions Improves federal disaster response time; predeploys resources to predictable events and staging areas in disaster-prone communities Disaster Medical Assistance Teams (DMATs) • Nationwide network of disaster medical response teams affiliated with NDMS • Medical care to disasterimpacted communities – External medical disaster assistance – Capable of processing 200-250 patients/24 hrs DMAT Roles • • • • • • Triage Medical care Casualty clearing Patient staging Patient reception Standby operations Types of DMAT Medical Care • Supplement staff in local facilities • Primary care • Inpatient care in free-standing field hospitals • Public health care Year 1989 1992 1992 1993 1994 1995 1996 1997 1998 1999 1999 2000 Disaster Hurricane Hugo Hurricane Andrew Hurricane Iniki Hurricane Emily Northridge Earthquake Hurricane Marilyn Centennial Olympics North Dakota floods Ice storm Kosavar refugees WTO riots State of the Union Location East Coast Florida Kauai East Coast Los Angeles USVI Atlanta North Dakota New York Ft. Dix, NJ Seattle Washington, DC Year Disaster 2001 WTC 2001 Anthrax 2005 Hurricanes Location NYC NYC Southern USA