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Charles Brown, MPH CADH

Public Health Emergency Preparedness- A CT Perspective

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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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Charles Brown, MPHCADH

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

Communication Collaboration Coordination

Protocols Defined message types and associated

responses Methods

Blast Email Blast Fax Phone message

If you can help, you do Intrastate Mutual Aid

Coordinate Resources Primarily personnel PH Specific material Resource Management is Key

Closest not always best Ring Theory of Deployment

Provide nexus of information and coordination in an emergency

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