Transcript Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to

Enhancing Public Health, Health
Care System, and Clinician
Preparedness: Strategies to
Promote Coordination and
Communication
Patrick J. Meehan, M.D.
Director
Division of Emergency and Environmental
Health Services
National Center for Environmental Health
Centers for Disease Control and Prevention
What is a Disaster?
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A disaster is the result of a vast ecological breakdown in
the relation between humans and their environment, a
serious and sudden event (or slow, as in a drought) on
such a scale that the stricken community needs
extraordinary efforts to cope with it, often with outside
help or international aid
(From Noji, Gunn and Lechat)
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Disasters, terrorism and other public health emergencies
all require rapid mobilization of resources and experts
across agencies and across jurisdictional lines
To be Prepared, What Does Public
Health Need
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Incident command and support structure
Preparedness and response plans
Communications
Epidemiology and surveillance
Laboratory
Environmental/occupational health
Federal Level Response Plans
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National Oil and Hazardous Substances
Pollution Contingency Plan (NCP)
Federal Radiologic Emergency Response
Plan
Federal Response Plan
Federal Response Plan
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Supports the Robert T. Stafford Disaster Relief and
Emergency Assistance Act (P.L. 99-288)
Signed by 27 Federal agencies and the Red Cross
Incident command system approach
Primary means for coordinating Federal response
to presidentially declared disaster
State/local government overwhelmed
Terrorism
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Presidential Decision
Directives (PDD) 39 and
63
FBI Lead
HHS Support
Emergency Support Function #8
(ESF – 8): Health and Medical
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HHS is lead agency
Assessment of health/medical needs
Surveillance
Medical care personnel
Health and medical supplies
Patient evacuation
Hospital care
Food/drug/medical device safety
Worker health and safety
Goal of the Bioterrorism Cooperative
Agreement Program
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To upgrade State and local public health
jurisdictions’ preparedness for and response to
bioterrorism, other outbreaks of infectious
disease, and other public health threats and
emergencies
Bioterrorism Cooperative Agreement Program
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7 Focus areas:
State and local preparedness
Epidemiology and surveillance
Biologic lab
Chemical lab
Health alert network
Communication
Training
Response happens at the local level
National Pharmaceutical Stockpile (NPS)
Components: a Two-Tiered Response
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Eight 12-Hour Push Packages:
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To reach designated airfield within 12 hours of Federal activation
Pre-positioned in environmentally controlled and secured facilities
Pre-configured for rapid identification and ease of distribution
Vendor Managed Inventory (VMI) Packages:
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Are held at several sites
Will be shipped to arrive within 24 and 36-hour periods
Pharmaceuticals and supplies delivered from one or more VMI
sources
“Tailored" to provide specific materiel depending upon suspected
or confirmed agent
NPS Contents
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Pharmaceuticals:
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Antibiotics
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Mark I kits, diazepam, atropine, pralidoxime
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IV Supplies
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Airway Management Supplies
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Other Emergency Medications
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Bandages and Dressings
Some Lessons Learned
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Communication: media, public information, health
care community
Operations Issues: how to manage a large event
Lack of science
Components of response teams
Worker health and safety
Capacity to deal with environmental health issues
Each NPS 12-hour Push Package:
Weighs over 50 tons
Fills a wide-body aircraft
Occupies over 100 cargo
containers
Requires 5000 square feet
ground/floor space for
proper staging
Public Health Role in Nuclear,
Radiologic and Chemical Emergencies
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Health and medical evaluation and
recommendations
Worker health and safety
Risk assessment and communication
Population monitoring and follow up
Exposure assessment
CDC Cooperative Agreement Program
Requirements
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Enhanced Capacities:
Defined as: the additional expertise and
infrastructure (i.e., over and above the Critical
Capacities) to enable public health systems to
have optimal capacities to respond to bioterrorism,
other infectious disease outbreaks, and other
public health threats and emergencies.
 If selected, these must also be addressed in the
work plan similar to the Critical Capacities.
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Presentations from HHS Preapplication Workshops
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Review of CDC’s Supplemental Program Announcement
Slide set by CDC
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Public Health Preparedness State and Local Component - Technical Assistance Workshops for
Fiscal Year 2002 Funding: February–March 2002
Slide set by Department of Health and Human Services (HHS)
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Metropolitan Medical Response System (MMRS)
Slide set by Department of Health and Human Services (HHS)/Office of Emergency Preparedness (OEP)
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HRSA Bioterrorism Hospital Preparedness Program
Slide set by Department of Health and Human Services (HHS)/Health Resources and Services
Administration (HRSA)
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Working Towards a Coordinated National Preparedness Effort
Slide set by Federal Emergency Management Agency (FEMA)/Office of National Preparedness (ONP)
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Program Overview of the Office for Domestic Preparedness (ODP)
Slide set by U.S. Department of Justice (DOJ)/Office of Justice Programs (OJP)/Office for Domestic
Preparedness (ODP)