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Public Health Emergency Preparedness- A CT Perspective. Charles Brown, MPH CADH. Overview of Learning Objectives. - PowerPoint PPT Presentation
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1. Review the development of public health preparedness planning in CT to include reaction to Anthrax attacks, planning for Category A agents and development of regional planning models.2. Discuss the concept of Emergency Support Functions and how diverse disciplines within Health and Medical Services support each other during an incident.3. Discuss the functional role of regional support for health and medical service agencies and how the 3 C's (Communication, Collaboration and Coordination of Resources) enable regional response structures.
Local Public Health in Connecticut Full-time Municipal Health Districts Part-time Departments
Differences in Capabilities Differences in Capacity
Before 9/11/01 Agencies did not have preparedness focus Lack of relationships with traditional first
responders Relationships between LHDs spotty
9/11 and Anthrax Attacks Changed how PH was viewed Oxford Anthrax Death
LHDs responded
PHERPs Overarching plan for response Annex to LEOPs
PHERP Annexes Smallpox Pan Flu Mass Dispensing Mass Vaccination
No county government structure No statutory authority
Evolved from 42 to 10 to 5 42 Smallpox Planning Areas
Since consolidated to 41 Mass Dispensing Areas 10 Bioterrorism Planning Areas 5 PH Preparedness Regions
Align with DESPP (DEMHS) regions
Health and Medical Services Hospitals EMS Public Health Behavioral Health CHC LTC Other Health Agencies
Depends upon the emergency Mass Casualty PH Emergency
Situational Awareness Affects operational posture Provides opportunity to contribute
Region is more than the sum of the parts Function of the region is support
Local Incident Command stays in charge Regional resources support local responses No regional role without a local request to
activate the regional plan
Protocols Defined message types and associated
responses Methods
Blast Email Blast Fax Phone message
Coordinate Resources Primarily personnel PH Specific material Resource Management is Key
Closest not always best Ring Theory of Deployment
Multiple methods will be used to communicate information throughout ESF-8: Phone, fax, and email WebEOC, Everbridge and Maven are not written in the
plan yet, but we are looking into how to integrate them. This is forthcoming.
RICS and the Duty Officer will still be notified of an event, then communication will go to the ESF-8 Chair or Section head.
Information will be disseminated down through the discipline specific channels as needed.
For Public Health- there are specific types of messages that may be sent out with a required action in a given timeframe.
Local agency determines that there is the potential need for regional resources
Contact Duty officer
Duty officer determines actions necessary to assist LHD. Send communication to the public health
section chair (PHSC)
Regional Public Health Advisory Regional Public Health Stand-by Notice
PHSC notifies Region LHDs with alert type via phone, fax, email
Upon receipt of the Regional Public Health Stand-by Notice, LHDs should perform an inventory of their available resources, both material and human, by completing an Individual LHD Response Resource Inventory Sheet
The PHSC will follow-up with non-
responding agencies via phone or voice
communication
The Regional Coordination Center will ensure that all regional partners have responded to the
Regional Public Health Stand-by Notice
The Regional Coordination Center will compile the data on available regional public health resources
The Regional Coordination Center will report the data on available public health resources to the Liaison Officer (or equivalent) at the incident site
LHDs acknowledge receipt of message
Incident Related Communication Matrix
Region 3 ESF-8 Public Health & Medical Services
RESF 8 –Regional Emergency Support Function 8 (Health & Medical)
RCC = Regional Coordination Center (Region 3 or ESF-8)
Local ESF-8 stakeholder
communicates with:
Local ESF-8 stakeholder
communicates with:
RESF-8 Communication Network / intra-
discipline / section communication
RESF-8 Communication Network / intra-
discipline / section communication
CT-DPH – for regulatory reporting
requirements
RESF 8 Section / Duty Officer-
notification & initial coordination as
needed
RESF 8 Section / Duty Officer-
notification & initial coordination as
needed
RESF-5 Duty Officer (via RICS) – Duty
Officer / plan (RESP) activation
RESF-5 Duty Officer (via RICS) – Duty
Officer / plan (RESP) activation
Ever-Bridge NotificationEvent Alert
Ever-Bridge NotificationEvent Alert
Escalating Mutual Aid
Incident Related Communication Matrix
Region 3 ESF-8 Public Health & Medical Services
Local ESF-8 stakeholder
communicates with:
Local ESF-8 stakeholder
communicates with:
CT-DPH – for regulatory reporting
requirements / resource coordination
CT-DPH – for regulatory reporting
requirements / resource coordination
RESF-5 Duty Officer (via RICS) – Duty Officer / plan (RESP) activation
RESF-5 Duty Officer (via RICS) – Duty Officer / plan (RESP) activation
EverBridge Notification/Event Alert
EverBridge Notification/Event Alert
RCC Activation: MonitorPartial Full
RCC Activation: MonitorPartial Full
Establish communication w/requesting authority -situational awareness and Coordinate requested resources w/through local organizations / jurisdictions & State (DPH ECC/DEMHS EOC) situation / status report.
Establish communication w/requesting authority -situational awareness and Coordinate requested resources w/through local organizations / jurisdictions & State (DPH ECC/DEMHS EOC) situation / status report.
Local ESF-8 communicates with RCC / ESF-8 to Stand Down
Local ESF-8 communicates with RCC / ESF-8 to Stand Down
RESF-8 Communication Network / intra-
discipline / section communication
RESF-8 Communication Network / intra-
discipline / section communication
Regional Public Health / Medical Services
Emergency