Public Health Emergency Preparedness 2010

1. Public Health Emergency
Preparedness
Jody Erwin
Emergency Response
Coordinator

2. Where it Started
The need for a Public Health response in
Emergency Preparedness was highlighted:
• Following 9/11
• After anthrax scares in Washington and
Florida

3. Planning - Colorado
Involves a regional approach to
emergency response for all hazards
Planners, Epi’s, Trainers,
Coordinators

5. Regional Approach
• A large scale emergency would
likely cross jurisdictional
borders
• Mutual Aid
• Building relationships is
imperative for response

6. Public Health Response
• No level A / B PPE
• No emergency vehicles
• Environmental sampling in
coordination with local hazmat
• No guns, no badges, no sirens
• Evolves slowly/geographically
dispersed
• Decision by committee

8. Public Health Roles
Prevention
Not Sick Care
Surveillance
Intervention

9. Prevention
• Education
• Inspections
• Monitoring
• Vaccinations

10. Surveillance
• Reportable Diseases
• Bio-Terror Agents
• CEDRS
• Trends
• Air and Water

11. Intervention
• Disease Control Investigation
• Food Inspections
• Case Interviews
• Data/Statistics/Epidemiology
• Education/Public Information
• Prophylaxis

12. Response
• We would do all of these same things
except on a larger scale.

13. Grants
• Cooperative Agreement/Base Funding
• Cities Readiness Initiative (CRI)
• Pandemic Flu

14. Plans
• PHEOP  Overall plan
– Strategic National Stockpile/Point of
Dispensing Annex
– Risk Communications Annex
– Chempack Annex
– Pandemic Influenza Annex
– Mass Fatality Annex
– Continuity of Operations (COOP)

15. Strategic National Stockpile
• Federally Controlled
• Cache of medical
supplies/pharmaceuticals
• 12-Hour push package
• Managed Inventory (MI)
• Supplement local inventories
• Coordinated by public health
• Access via Governors request
(GEEERC)

16. How The SNS works
• Local airport
• Receipt Storage and Staging (RSS)
• Regional Transfer Points
• Hospitals
• Clinics/Dispensing

17. Dispensing Clinics
• Known as POD’s (Points of Dispensing)
• Location familiar to community
• Easy access
• Secure /Security
• Size considerations
• First responders through local inventories

18. Regional Coordination
• Clinic operations
• Public information
• Communications
• Integration with first responders
• Mutual aid/surge capacity
• Alternative delivery methods

19. Incident Command System (ICS)
• Developed in response to wildfires
• Established Command and Control for
multi-agency response

20. ICS
• Proven on-scene, all-hazard concept
Interdisciplinary and organizationally
flexible
• Appropriate for all types of incidents
• Based on organizational best practices

21. ICS Features
• Common terminology
• Organizational resources
• Manageable span of control
• Organizational facilities
• Use of position titles
• Reliance on an Incident Action Plan
• Integrated communications
• Accountability

22. Common Terminology
ICS requires:
Common terminology.
• “Clear” text.
• Reduces confusion between ICS role and
day-to-day role.

23. Span of Control
• From 3 to 7 reporting elements per
supervisor
• 5 reporting elements per supervisor is
optimum

24. IC
PIO
Safety
Officer
Liaison
Officer
Planning
Section
Chief
Operations
Section
Chief
Logistics
Section
Chief
Finance
Section
Chief
Command and General Staff

25. Incident Command: 2009 H1N1
Emergency Operations
Incident Commander
Joint Information Center
Safety
IMT Division
Supervisor
Public Health
Supervisor
VNA Clinical
Supervisor
Public Safety
Supervisor
PIO
Communication
s
Logistics
Spokesperson
Patient Intake
Behavioral
Health
VNA Clinical
Lead
Law
Enforcement
EMS
R1 Staff

26. JCDHE Teams
• Incident management Team (IMT)
• Epidemiology Response Team

27. Response Partners
• Public Health
• Hospitals
• Law Enforcement
• Fire
• EMS
• Schools
• CERT
• Community Corrections
• Emergency Managers
• Medical Examiner
• State Health Department
• CDC
• RETAC
• DOT
• Mental Health
• Volunteer Organizations
• Other Agencies

28. COTRAIN
• Colorado Training Database
• Tracking
• Registration

29. COHAN
• Document Sharing
• Dialogics

30. Project Public Health Ready
PPHR
• Standardizes our department
• Requires top to bottom support of EP
• Should increase funding opportunities

31. Contacts
• Jody Erwin 303-271-8391
• Jesse Weaver 303-271-8394
• Christine Billings 303-271-5742