Emergency Support Function (ESF) 8 Update files/Chris Reid...Mississippi State Department of Health - Office of Emergency Planning and Response Strategic National Stockpile (SNS) •

Mississippi State Department of Health - Office of Emergency Planning and Response

Emergency Support

Function (ESF) 8 Update

Roles and Responsibilities of

Health and Medical Services


The National Response Framework

(NRF)

Establishes a comprehensive,

national, all-hazards approach to

domestic incident response.

Presents an overview of key

response principles, roles, and

structures that guide the national

response.

Includes Core Document, Annexes,

and Partner Guides.


The State Comprehensive

Emergency Management Plan

(CEMP)

All-hazards approach to domestic incident response.

Overview of key response principles, roles, and structures that guide the state’s response.

Includes Core Document, ESF Annexes, Support Annexes, and Incident Annexes


County Comprehensive

Emergency Management Plan

• Based off the State CEMP

• Utilizes local agencies and

organizations to fill ESFs

• Remember all disasters begin and end

locally


Local Emergency Planning

Committee (LEPC)

• Group of emergency responders, local

organizations and private businesses that

meet to prepare for disasters within their

community

• Assist with training and exercise needs for

those within the LEPC

• Collaborative effort to better prepare and

respond to emergencies in their community


Emergency Support Functions

(ESFs)

ESFs:

Primary operational-level

mechanism to provide assistance

Organized around functional capabilities (e.g., emergency management, transportation, search and rescue, etc.)

Facilitate the matching of requirements with resources


Emergency Support Functions

ESF #1 – Transportation

ESF #2 – Communications

ESF #3 - Public Works and Engineering

ESF#4 – Firefighting

ESF #5 – Emergency Management

ESF #6 – Mass Care, Housing, and Human Services

ESF #7 – Resource Support

ESF #8 – Public Health and Medical Services

ESF #9 – Urban Search and Rescue

ESF #10 – Oil and Hazardous Materials Response

ESF #11 – Animal, Agriculture , & Natural Resources

ESF #12 – Energy

ESF #13 – Public Safety and Security

ESF #14 – Long Tern Community Recovery

ESF #15 – External Affairs

ESF #16 – Military Support to Civilian Authorities


ESF Structure

ESF Coordinator

Primary Agencies

Support Agencies


Primary and Support

Agencies

Primary Agency:

State agency with significant authorities, resources, or capabilities for a particular function within an ESF

Support Agency:

Assists the primary agency by providing resources and capabilities in a given functional area


ESF Duties & Responsibilities

Commit agency assets

Approve and implement mission assignments

Maintain situational awareness and report on ESF operations

Represent agency on task forces and ad hoc groups

Serve as technical experts


Activation of ESFs

Not every incident requires the

activation of ESFs

ESFs may be selectively activated for:

• Stafford Act Emergency and Major

Disaster Declarations

• Non-Stafford Act incidents as

specified in Homeland Security

Presidential Directive 5 (HSPD-5)

ESF deployment must be coordinated, even if under

the agency’s own authority!


ESF #8- Public Health

& Medical

Services


Public Health and Medical Services

Following an

incident, what

health concerns do

communities face?


What is a Public Health Emergency?

A public health emergency can range from a

disease outbreak to natural disasters such as

tornadoes, hurricanes, wildfires, and ice

storms. It could also include man-made

disasters such as a biological incident

involving anthrax, plague, tularemia, or small

pox; or a weapon of mass destruction event

such as a bomb, chemical, or nuclear attack.

Ultimately, there is not a disaster that occurs

that does not affect the health of the

community.


ESF #8: Purpose

ESF #8 provides mechanism for

coordinated State assistance in

response to:

Public health and medical

disaster or emergency

(e.g., pandemic flu outbreak,

bioterrorism attack)

Natural disaster (e.g., flood,

hurricane, earthquake)


ESF #8: Purpose

Emergency medical treatment and prevention

Inspection of food and potable water

Sewage and wastewater disposal

Emergency mortuary service

Mass fatality management

Patient rehabilitation

Vector and disease control

Disease surveillance

Restoration of health and medical infrastructure


ESF #8: Scope

ESF #8 addresses disaster

medical needs associated

with:

Mental health

Behavioral health

Substance abuse

considerations

At-risk and medically fragile

populations

Veterinary and/or animal health

issues


ESF #8 Coordinator and Primary

Agency

As the State ESF #8 lead, MSDH:

Requests activation and deployment of appropriate resources

Assists and supports State, tribal, and local officials

Coordinates public health and medical support, patient evacuation, and movement requirements

Assures food safety/security with the Food and Drug Administration


Responsibilities

MSDH – Coordinating

UMMC - Primary

All Primary and Support Agencies

Designate primary/alternate ECO, Public

Health Command Ctr. (PHCC) State

Emergency Operations Center (SEOC)

Ensure adequate communications

Support resource pool

Coordinate efforts

Providing information to ESF5 and ESF15


What is MSDH Doing?

• Mississippi ESF-8 planning works toward securing

the capability and resources to respond to any hazard

• Mississippi ESF-8 planning includes developing

capabilities and resources according to the National

Planning Scenarios located in the National Response

Framework. These scenarios depict a diverse set of

high-consequence threats with both natural disasters

and potential terrorist attacks. The scenarios

develop the basis for a coordinated federal planning,

training, and exercise program


State and Regional Medical

Needs Shelter (SMNS) • The MSDH Office of Emergency Planning and

Response is responsible for operating state and

regional shelters for the medically fragile. MSDH has

trained teams ready to respond in any event.

• A SMNS is a shelter of last resort during emergency

conditions for persons requiring limited medical and

nursing oversight who cannot be accommodated in a

general population shelter.

• MSDH has MOU’s with 11 facilities (primarily

community colleges).

• Stone County SMNS shelter is now complete.


Stone County State Medical

Needs Shelter

• First of its kind in the nation

• Capacity 100-150 people based on their

ambulatory status

• Can meet or exceed FEMA 361 standards



MS Mortuary Response Team

(MMRT)

• The MMRT works to manage fatalities

during an emergency

• The MMRT responded to the

Louisville tornado to assist the local

coroner in retrieving and processing the

victims of the tornado

• There were a total of 11 lives lost

during the event


MS Responder Management

System (MRMS)

• By verifying in advance the credentials of

volunteer healthcare professionals , the

Mississippi Responder Management System

(MRMS) improves the efficiency of volunteer

deployment and utilization

• Registration on MRMS does not obligate

volunteers to serve during a disaster. In the

event of an emergency, registrees will be given

the opportunity to accept or decline service as a

volunteer


Health Alert Network (HAN)

• Ensures that each community has rapid and timely

access to emergent health information

• Nationwide project that links public health agencies at

the local, state and federal levels to other organizations

critical for preparedness and response efforts

• MSDH is able to issue public health notices to

hospitals, clinics, and doctors, media and emergency

services using fax, email, voice and other electronic

communication methods 24/7/365

• To register for HAN, visit https://hanms.org and click

Register Now

https://hanms.org/


Strategic National Stockpile

(SNS) • Deliver critical medical assets to the site of a public

health emergency severe enough to cause local supplies

to run out

• Within 12-24 hours, the CDC can deploy a large

shipment known as Push Pack to anywhere in the U.S

• State and local health agencies must have plans in place

to receive shipments from the SNS and distribute the

contents to the community quickly and efficiently

• MS uses Open and Closed PODs to administer

medications

• MS is the only state to request and receive the SNS


Open Point of Dispensing

(OPOD)

• Used to deliver medications to the

general public

• Will be very crowded and highly

stressed

• Staffed by MSDH and volunteers


Closed Point of Dispensing

(CPOD)

• One of the ways to distribute the SNS

to the community

• Way to ensure employees come to

work

• More than 644 facilities enrolled,

covering approximately 1,093,000 of

the 2.9 million people of MS


Chempack

• Part of the CDC’s SNS program.

• Forward placement of nerve agent

antidotes that are rapidly available to

state and local emergency responders

• MS has 13 cache site hospitals


Cities Readiness Initiative

(CRI) • Created in 2004 by the U.S. Dept. of Health and

Human services to help the nation’s largest

metropolitan regions develop the ability to provide

life-saving medications in the event of a large-scale

public health emergency, either man-made or natural

• CRI seeks to help respond to large-scale events by

providing life saving medical supplies to 100 percent

of specific population within a 48 hour time frame

• CRI focuses specifically on urban areas and provides

assistance in the distribution of medications and

medical supplies at POD sites with 48 hours of

activation


Ambus

• Ambus, short for ambulance bus, is a school

bus retrofitted with a steel frame to hold

stretchers and is used for transport of non-

ambulatory individuals

• Approximately 50 kits located throughout the

state

• During a declared state of emergency,

ambulance buses provide evacuation and

transport of medical needs populations, mass

casualties and others who require

transportation


Ambus cont’d

• Each kit contains 2 frames

• Each frame holds 6 stretchers

• Stored in crates until needed or

permanently installed on bus


Installed Ambus Kit


At-Risk Population

Identification

• Address the public health and medical

needs of at risk individuals in the event

of a public health emergency

• MSDH has developed an At-Risk Work

Group of individuals who work with

those who are in the At-Risk Population

• Meets quarterly to determine how to

meet the needs of these individuals


Public Health Laboratory

• Level 2 chemical response laboratory

• State’s only Laboratory Response

Network reference laboratory for

biological threats

• Capable of performing 125 different

types of tests on specimens

• Tests over 600,000 specimens a year


Radiological Health

• Identify sources of radiation exposure, understand

the biological effects of radiation, investigate and

evaluate exposures, and formulate and apply

regulations for the control and reduction of exposure

• Collect and analyze samples to record radiation

levels in the environment

• Maintain emergency response capabilities in the

event of an incident or accident at Grand Gulf

Nuclear Station, transportation accident, or terrorist

act involving radioactive materials


Comments,

Questions, Suggestions?

Mississippi State Department of Health

Office of Emergency Planning and Response

Documents

Emergency Support Function (ESF) 8 Update files/Chris Reid...Mississippi State Department of Health - Office of Emergency Planning and Response Strategic National Stockpile (SNS) •