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Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicine
1
Preparing for and Responding to Preparing for and Responding to Bioterrorism: Bioterrorism:
Information for the Public Health Information for the Public Health WorkforceWorkforce
UW Northwest Center for Public Health Practice2
Acknowledgements Acknowledgements Acknowledgements Acknowledgements
This presentation, and the accompanying instructor’s manual, were prepared by Jennifer Brennan Braden, MD, MPH, at the Northwest Center for Public Health Practice in Seattle, WA, for thepurpose of educating public health employees in the general aspects of bioterrorism preparedness and response. Instructors are encouragedto freely use all or portions of the material for its intended purpose.
The following people and organizations provided information and/or support in the development of this curriculum. A complete list of resources can be found in the accompanying instructor’s guide.
Patrick O’Carroll, MD, MPH Project Coordinator Centers for Disease Control and Prevention
Judith YarrowDesign and Editing Health Policy and Analysis; University of WA
Washington State Department of Health
Jeff Duchin, MD Jane Koehler, DVM, MPHCommunicable Disease Control, Epidemiology and Immunization Section
Public Health - Seattle and King County
Ed Walker, MD; University of WADepartment of Psychiatry
UW Northwest Center for Public Health Practice3
Emergency Response Planning Emergency Response Planning Emergency Response Planning Emergency Response Planning
UW Northwest Center for Public Health Practice4
Emergency Response Planning Emergency Response Planning Learning ObjectivesLearning Objectives
Emergency Response Planning Emergency Response Planning Learning ObjectivesLearning Objectives
Identify the different agencies involved in Identify the different agencies involved in response to a bioterrorism event response to a bioterrorism event
Describe the Incident Command System and Describe the Incident Command System and how this system may be integrated into an how this system may be integrated into an agency’s bioterrorism response plan agency’s bioterrorism response plan
Identify factors to consider and include in the Identify factors to consider and include in the development of a local emergency response development of a local emergency response planplan
Identify the different agencies involved in Identify the different agencies involved in response to a bioterrorism event response to a bioterrorism event
Describe the Incident Command System and Describe the Incident Command System and how this system may be integrated into an how this system may be integrated into an agency’s bioterrorism response plan agency’s bioterrorism response plan
Identify factors to consider and include in the Identify factors to consider and include in the development of a local emergency response development of a local emergency response planplan
UW Northwest Center for Public Health Practice5
Emergency Response Planning Emergency Response Planning Learning Objectives Learning Objectives
Emergency Response Planning Emergency Response Planning Learning Objectives Learning Objectives
Describe national and local efforts in the area of Describe national and local efforts in the area of BT preparedness and response BT preparedness and response
Describe the roles of public health in Describe the roles of public health in bioterrorism preparedness and responsebioterrorism preparedness and response
Describe national and local efforts in the area of Describe national and local efforts in the area of BT preparedness and response BT preparedness and response
Describe the roles of public health in Describe the roles of public health in bioterrorism preparedness and responsebioterrorism preparedness and response
UW Northwest Center for Public Health Practice6
Bioterrorism Preparedness and ResponseBioterrorism Preparedness and ResponseCrisis and Consequence ManagementCrisis and Consequence Management
Bioterrorism Preparedness and ResponseBioterrorism Preparedness and ResponseCrisis and Consequence ManagementCrisis and Consequence Management
Crisis management: law enforcement response Crisis management: law enforcement response to terrorist acts to terrorist acts Local, state, and federal law-enforcement agenciesLocal, state, and federal law-enforcement agencies
Consequence management: response to the Consequence management: response to the disaster focusing on the alleviation of damage, disaster focusing on the alleviation of damage, loss, hardship, or sufferingloss, hardship, or suffering Public health, medical, and emergency mgt Public health, medical, and emergency mgt
personnelpersonnel Falls under ESF-8 (Health & Medical Services) of Falls under ESF-8 (Health & Medical Services) of
Federal and State Disaster Response PlanFederal and State Disaster Response Plan
Crisis management: law enforcement response Crisis management: law enforcement response to terrorist acts to terrorist acts Local, state, and federal law-enforcement agenciesLocal, state, and federal law-enforcement agencies
Consequence management: response to the Consequence management: response to the disaster focusing on the alleviation of damage, disaster focusing on the alleviation of damage, loss, hardship, or sufferingloss, hardship, or suffering Public health, medical, and emergency mgt Public health, medical, and emergency mgt
personnelpersonnel Falls under ESF-8 (Health & Medical Services) of Falls under ESF-8 (Health & Medical Services) of
Federal and State Disaster Response PlanFederal and State Disaster Response Plan PDD-39
Community PreparednessCommunity PreparednessA Coordination of EffortsA Coordination of Efforts
Community PreparednessCommunity PreparednessA Coordination of EffortsA Coordination of Efforts
Partnerships between public health and:Partnerships between public health and: Clinicians and health care facilities Clinicians and health care facilities Law enforcementLaw enforcement Public safety: fire, HAZMAT Public safety: fire, HAZMAT Emergency management Emergency management
Coordinate response across agencies at the Coordinate response across agencies at the local, state, and federal levels local, state, and federal levels
Partnerships between public health and:Partnerships between public health and: Clinicians and health care facilities Clinicians and health care facilities Law enforcementLaw enforcement Public safety: fire, HAZMAT Public safety: fire, HAZMAT Emergency management Emergency management
Coordinate response across agencies at the Coordinate response across agencies at the local, state, and federal levels local, state, and federal levels
UW Northwest Center for Public Health Practice8
Local Emergency Response Planning Local Emergency Response Planning Committees (LEPCs) Committees (LEPCs)
Local Emergency Response Planning Local Emergency Response Planning Committees (LEPCs) Committees (LEPCs)
Established under the Emergency Planning and Established under the Emergency Planning and Community Right-to-Know ActCommunity Right-to-Know Act
Membership includes a wide variety of Membership includes a wide variety of stakeholders in the community stakeholders in the community
Develop comprehensive plans to prepare for Develop comprehensive plans to prepare for and respond to hazardous substance and respond to hazardous substance emergencies emergencies
Established under the Emergency Planning and Established under the Emergency Planning and Community Right-to-Know ActCommunity Right-to-Know Act
Membership includes a wide variety of Membership includes a wide variety of stakeholders in the community stakeholders in the community
Develop comprehensive plans to prepare for Develop comprehensive plans to prepare for and respond to hazardous substance and respond to hazardous substance emergencies emergencies
National RespondersNational RespondersNational RespondersNational Responders
Health and Human Health and Human Services (HHS)Services (HHS)
Centers for Disease Centers for Disease Control and Prevention Control and Prevention (CDC)(CDC)
Federal Emergency Federal Emergency Management Agency Management Agency (FEMA)(FEMA)
FBIFBI Environmental Environmental
Protection Agency Protection Agency (EPA)(EPA)
Department of Department of AgricultureAgriculture
Department of DefenseDepartment of Defense
Health and Human Health and Human Services (HHS)Services (HHS)
Centers for Disease Centers for Disease Control and Prevention Control and Prevention (CDC)(CDC)
Federal Emergency Federal Emergency Management Agency Management Agency (FEMA)(FEMA)
FBIFBI Environmental Environmental
Protection Agency Protection Agency (EPA)(EPA)
Department of Department of AgricultureAgriculture
Department of DefenseDepartment of Defense
State and Local RespondersState and Local RespondersState and Local RespondersState and Local Responders
Health care providers Health care providers and facilities and facilities
Local and state health Local and state health departments departments
Emergency Emergency management agencies management agencies
Search and Rescue, Search and Rescue, EMS, and HAZMAT EMS, and HAZMAT teamsteams
Volunteers Volunteers
Health care providers Health care providers and facilities and facilities
Local and state health Local and state health departments departments
Emergency Emergency management agencies management agencies
Search and Rescue, Search and Rescue, EMS, and HAZMAT EMS, and HAZMAT teamsteams
Volunteers Volunteers
Law enforcement, Law enforcement, National GuardNational Guard
State emergency State emergency management agencymanagement agency
Political leadersPolitical leaders Community service Community service
organizationsorganizations
Law enforcement, Law enforcement, National GuardNational Guard
State emergency State emergency management agencymanagement agency
Political leadersPolitical leaders Community service Community service
organizationsorganizations
UW Northwest Center for Public Health Practice11
The Emergency Response System The Emergency Response System The Emergency Response System The Emergency Response System
Emergency occurs and is detected by…
Local citizen Health surveillance system Clinician/hospital
Local health jurisdiction
Local emergency management office
Calls 911
Local law enforcement Fire EMSHAZMAT
FBI
State health dept
State Emergency Mgt Dept
UW Northwest Center for Public Health Practice12
Incident Command System Incident Command System DefinitionDefinition
Incident Command System Incident Command System DefinitionDefinition
A model for how to conduct and coordinate efforts A model for how to conduct and coordinate efforts in response to an emergencyin response to an emergency
Required to be used in HAZMAT incidents; also Required to be used in HAZMAT incidents; also used in other types of emergenciesused in other types of emergencies
Five major components Five major components Command Command Planning Planning Operations Operations LogisticsLogistics Finance/administration Finance/administration
A model for how to conduct and coordinate efforts A model for how to conduct and coordinate efforts in response to an emergencyin response to an emergency
Required to be used in HAZMAT incidents; also Required to be used in HAZMAT incidents; also used in other types of emergenciesused in other types of emergencies
Five major components Five major components Command Command Planning Planning Operations Operations LogisticsLogistics Finance/administration Finance/administration
UW Northwest Center for Public Health Practice13
Incident Command SystemIncident Command System Some Basic PrinciplesSome Basic Principles
Incident Command SystemIncident Command System Some Basic PrinciplesSome Basic Principles
Unity of commandUnity of command
Each person in an organization reports to Each person in an organization reports to only one designated persononly one designated person
Unified command structureUnified command structure
Used when more than one agency responds Used when more than one agency responds
All agencies involved in response establish a All agencies involved in response establish a common set of objectives and strategiescommon set of objectives and strategies
Unity of commandUnity of command
Each person in an organization reports to Each person in an organization reports to only one designated persononly one designated person
Unified command structureUnified command structure
Used when more than one agency responds Used when more than one agency responds
All agencies involved in response establish a All agencies involved in response establish a common set of objectives and strategiescommon set of objectives and strategies
UW Northwest Center for Public Health Practice14
Incident Command SystemIncident Command System Some Basic PrinciplesSome Basic Principles
Incident Command SystemIncident Command System Some Basic PrinciplesSome Basic Principles
Modular organization (expands or contracts as Modular organization (expands or contracts as required)required)
Common terminology Common terminology
Common names/titles used for all personnel Common names/titles used for all personnel and equipment and equipment
Modular organization (expands or contracts as Modular organization (expands or contracts as required)required)
Common terminology Common terminology
Common names/titles used for all personnel Common names/titles used for all personnel and equipment and equipment
UW Northwest Center for Public Health Practice15
Differences in Public Health and Law Differences in Public Health and Law Enforcement Investigations Enforcement Investigations
Differences in Public Health and Law Differences in Public Health and Law Enforcement Investigations Enforcement Investigations
Public HealthPublic Health Law EnforcementLaw Enforcement
Event Event RecognitionRecognition
Surveillance or calls Surveillance or calls from clinicians from clinicians
Announced by Announced by attacker or otherwise attacker or otherwise evident evident
Initial Data Initial Data CollectionCollection
Hypothesis Hypothesis generationgeneration
Questioning Questioning witnesses and witnesses and suspects, follow-up suspects, follow-up on tips on tips
Goal of Goal of InvestigationInvestigation
Effective disease Effective disease prevention and prevention and control measurescontrol measures
Prevention and Prevention and deterrence of future deterrence of future attacks, arrest of attacks, arrest of perpetrators perpetrators
Adapted from: Butler et al. EID, 2002
UW Northwest Center for Public Health Practice16
Emergency Operations PlanEmergency Operations PlanEmergency Operations PlanEmergency Operations Plan
A document that A document that
Assigns responsibility to organizations and Assigns responsibility to organizations and
individuals for carrying out specific actions individuals for carrying out specific actions
at projected times and places in an at projected times and places in an
emergency that exceeds the capability or emergency that exceeds the capability or
routine responsibility of any one agency routine responsibility of any one agency
A document that A document that
Assigns responsibility to organizations and Assigns responsibility to organizations and
individuals for carrying out specific actions individuals for carrying out specific actions
at projected times and places in an at projected times and places in an
emergency that exceeds the capability or emergency that exceeds the capability or
routine responsibility of any one agency routine responsibility of any one agency
BT and Emergency Response Plan Clearinghouse
bt.naccho.org
UW Northwest Center for Public Health Practice17
Emergency Operations PlanEmergency Operations PlanTypes of PlansTypes of Plans
Emergency Operations PlanEmergency Operations PlanTypes of PlansTypes of Plans
Describes the response to any emergency Describes the response to any emergency affecting the agency, county, or state affecting the agency, county, or state
Health-related emergency response plan a Health-related emergency response plan a subset of overall EOP subset of overall EOP
Lead and supporting agencies in an emergency Lead and supporting agencies in an emergency depend on the type of emergency depend on the type of emergency Roles designated by emergency support function Roles designated by emergency support function
(ESF) (ESF) ESF 8 = health and medical services; public health ESF 8 = health and medical services; public health
agency has lead role in response activities agency has lead role in response activities
Describes the response to any emergency Describes the response to any emergency affecting the agency, county, or state affecting the agency, county, or state
Health-related emergency response plan a Health-related emergency response plan a subset of overall EOP subset of overall EOP
Lead and supporting agencies in an emergency Lead and supporting agencies in an emergency depend on the type of emergency depend on the type of emergency Roles designated by emergency support function Roles designated by emergency support function
(ESF) (ESF) ESF 8 = health and medical services; public health ESF 8 = health and medical services; public health
agency has lead role in response activities agency has lead role in response activities
UW Northwest Center for Public Health Practice18
Emergency Operations PlanEmergency Operations PlanState and Local Roles State and Local Roles
Emergency Operations PlanEmergency Operations PlanState and Local Roles State and Local Roles
Public health terrorism plan integrated into or Public health terrorism plan integrated into or annexed to overall state/county EOP annexed to overall state/county EOP
Local government responds first Local government responds first State government State government
Assists local when capabilities overwhelmedAssists local when capabilities overwhelmed Responds first in certain emergenciesResponds first in certain emergencies Works with federal government when federal Works with federal government when federal
assistance necessary assistance necessary
Public health terrorism plan integrated into or Public health terrorism plan integrated into or annexed to overall state/county EOP annexed to overall state/county EOP
Local government responds first Local government responds first State government State government
Assists local when capabilities overwhelmedAssists local when capabilities overwhelmed Responds first in certain emergenciesResponds first in certain emergencies Works with federal government when federal Works with federal government when federal
assistance necessary assistance necessary WA's Emergency Management Plan
UW Northwest Center for Public Health Practice19
Developing a Local Public Health Developing a Local Public Health Emergency Operations PlanEmergency Operations Plan
Developing a Local Public Health Developing a Local Public Health Emergency Operations PlanEmergency Operations Plan
Establish a planning teamEstablish a planning team Analyze capabilities and hazardsAnalyze capabilities and hazards
Current resource baseCurrent resource base Geographic factors affecting responseGeographic factors affecting response Special needs populationsSpecial needs populations
Develop and implement the planDevelop and implement the plan ““Work” the planWork” the plan
Regular drills to: Regular drills to: Ensure understanding of procedures/rolesEnsure understanding of procedures/roles Test and update proceduresTest and update procedures
Establish a planning teamEstablish a planning team Analyze capabilities and hazardsAnalyze capabilities and hazards
Current resource baseCurrent resource base Geographic factors affecting responseGeographic factors affecting response Special needs populationsSpecial needs populations
Develop and implement the planDevelop and implement the plan ““Work” the planWork” the plan
Regular drills to: Regular drills to: Ensure understanding of procedures/rolesEnsure understanding of procedures/roles Test and update proceduresTest and update procedures Emergency Mgt Guide for
Business and Industry
UW Northwest Center for Public Health Practice20
Legal Issues to Consider in Legal Issues to Consider in Planning for a Health Emergency Planning for a Health Emergency
Legal Issues to Consider in Legal Issues to Consider in Planning for a Health Emergency Planning for a Health Emergency
What is the legal authority for: What is the legal authority for: Undertaking actions to protect public health Undertaking actions to protect public health
and safety?and safety? Enforcing quarantine of infected individuals? Enforcing quarantine of infected individuals? Waiving legal liability to emergency workers?Waiving legal liability to emergency workers? Provision of disaster services by coroners, Provision of disaster services by coroners,
medical examiners, or mortuary workers?medical examiners, or mortuary workers? Access to, use of, and reimbursement for Access to, use of, and reimbursement for
private sector resources in an emergency?private sector resources in an emergency?
What is the legal authority for: What is the legal authority for: Undertaking actions to protect public health Undertaking actions to protect public health
and safety?and safety? Enforcing quarantine of infected individuals? Enforcing quarantine of infected individuals? Waiving legal liability to emergency workers?Waiving legal liability to emergency workers? Provision of disaster services by coroners, Provision of disaster services by coroners,
medical examiners, or mortuary workers?medical examiners, or mortuary workers? Access to, use of, and reimbursement for Access to, use of, and reimbursement for
private sector resources in an emergency?private sector resources in an emergency?
UW Northwest Center for Public Health Practice21
Legal Issues to Consider in Legal Issues to Consider in Planning for a Health Emergency Planning for a Health Emergency
Legal Issues to Consider in Legal Issues to Consider in Planning for a Health Emergency Planning for a Health Emergency
What are the legal responsibilities of different What are the legal responsibilities of different agencies/officials in emergency response?agencies/officials in emergency response?
What is the scope of authority of different What is the scope of authority of different agencies/officials in emergency response agencies/officials in emergency response efforts? efforts?
How do local laws compare with state and How do local laws compare with state and federal laws? What circumstances warrant early federal laws? What circumstances warrant early state or federal involvement? state or federal involvement?
What are the legal responsibilities of different What are the legal responsibilities of different agencies/officials in emergency response?agencies/officials in emergency response?
What is the scope of authority of different What is the scope of authority of different agencies/officials in emergency response agencies/officials in emergency response efforts? efforts?
How do local laws compare with state and How do local laws compare with state and federal laws? What circumstances warrant early federal laws? What circumstances warrant early state or federal involvement? state or federal involvement?
UW Northwest Center for Public Health Practice22
Workplace Emergency Response PlansWorkplace Emergency Response PlansWorkplace Emergency Response PlansWorkplace Emergency Response Plans
Workplace-specific emergency operations plan Workplace-specific emergency operations plan Plan should include a bioterrorism componentPlan should include a bioterrorism component Be familiar with your agency’s plan Be familiar with your agency’s plan
Who activates it and when it might be Who activates it and when it might be activatedactivated
Your responsibilitiesYour responsibilities Evacuation plansEvacuation plans Communication procedures (i.e., phone Communication procedures (i.e., phone
tree/call-down roster)tree/call-down roster)
Workplace-specific emergency operations plan Workplace-specific emergency operations plan Plan should include a bioterrorism componentPlan should include a bioterrorism component Be familiar with your agency’s plan Be familiar with your agency’s plan
Who activates it and when it might be Who activates it and when it might be activatedactivated
Your responsibilitiesYour responsibilities Evacuation plansEvacuation plans Communication procedures (i.e., phone Communication procedures (i.e., phone
tree/call-down roster)tree/call-down roster)
UW Northwest Center for Public Health Practice23
National PreparednessNational Preparedness1999 Initiative 1999 Initiative
National PreparednessNational Preparedness1999 Initiative 1999 Initiative
National Bioterrorism Preparedness and National Bioterrorism Preparedness and Response Initiative Response Initiative 1999 DHHS Initiative to prepare the nation to 1999 DHHS Initiative to prepare the nation to
respond to potential BT activityrespond to potential BT activity CDC designated lead in upgrading nation’s CDC designated lead in upgrading nation’s
public health capacity and in developing a BT public health capacity and in developing a BT preparedness and response planpreparedness and response plan
National Bioterrorism Preparedness and National Bioterrorism Preparedness and Response Initiative Response Initiative 1999 DHHS Initiative to prepare the nation to 1999 DHHS Initiative to prepare the nation to
respond to potential BT activityrespond to potential BT activity CDC designated lead in upgrading nation’s CDC designated lead in upgrading nation’s
public health capacity and in developing a BT public health capacity and in developing a BT preparedness and response planpreparedness and response plan
More on 1999 Initiative...
UW Northwest Center for Public Health Practice24
National PreparednessNational PreparednessCDC Activities CDC Activities
National PreparednessNational PreparednessCDC Activities CDC Activities
CDC bioterrorism preparedness and CDC bioterrorism preparedness and response activities response activities Preparedness and preventionPreparedness and prevention Detection and surveillanceDetection and surveillance Diagnosis and characterization of biological Diagnosis and characterization of biological
and chemical agentsand chemical agents ResponseResponse
CDC bioterrorism preparedness and CDC bioterrorism preparedness and response activities response activities Preparedness and preventionPreparedness and prevention Detection and surveillanceDetection and surveillance Diagnosis and characterization of biological Diagnosis and characterization of biological
and chemical agentsand chemical agents ResponseResponse
More on CDC program...
UW Northwest Center for Public Health Practice25
National PreparednessNational PreparednessCDC Activities, cont. CDC Activities, cont.
National PreparednessNational PreparednessCDC Activities, cont. CDC Activities, cont.
CDC bioterrorism preparedness and CDC bioterrorism preparedness and response activities response activities Education and trainingEducation and training Improved communication systemsImproved communication systems
Health Alert Network Health Alert Network Laboratory Response Network Laboratory Response Network
National Pharmaceutical StockpileNational Pharmaceutical Stockpile
CDC bioterrorism preparedness and CDC bioterrorism preparedness and response activities response activities Education and trainingEducation and training Improved communication systemsImproved communication systems
Health Alert Network Health Alert Network Laboratory Response Network Laboratory Response Network
National Pharmaceutical StockpileNational Pharmaceutical Stockpile
More on CDC program...
UW Northwest Center for Public Health Practice26
National PreparednessNational PreparednessOther DHHS activitiesOther DHHS activities
National PreparednessNational PreparednessOther DHHS activitiesOther DHHS activities
Medical Consequence ManagementMedical Consequence Management: HHS : HHS
Office of Emergency Preparedness (OEP), Office of Emergency Preparedness (OEP),
expanding efforts to develop medical response expanding efforts to develop medical response
capabilities at local and national levelscapabilities at local and national levels
Medical Consequence ManagementMedical Consequence Management: HHS : HHS
Office of Emergency Preparedness (OEP), Office of Emergency Preparedness (OEP),
expanding efforts to develop medical response expanding efforts to develop medical response
capabilities at local and national levelscapabilities at local and national levels
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Coordinate preparedness and response Coordinate preparedness and response activities activities
Requires collaboration with medical Requires collaboration with medical professionals, first responders, and other professionals, first responders, and other partners partners
Provide information to health professionals, Provide information to health professionals, government leaders, and the publicgovernment leaders, and the public
Coordinate preparedness and response Coordinate preparedness and response activities activities
Requires collaboration with medical Requires collaboration with medical professionals, first responders, and other professionals, first responders, and other partners partners
Provide information to health professionals, Provide information to health professionals, government leaders, and the publicgovernment leaders, and the public
27
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Detection and evaluation of biological disasterDetection and evaluation of biological disaster Requires robust surveillance, epidemiology, and Requires robust surveillance, epidemiology, and
disease investigation infrastructure, disease investigation infrastructure, plusplus new new detection methodsdetection methods
Facilitate medical management of exposed Facilitate medical management of exposed personspersons Provide information on diagnosis, treatment, Provide information on diagnosis, treatment,
prophylaxis, and infection control issuesprophylaxis, and infection control issues
Detection and evaluation of biological disasterDetection and evaluation of biological disaster Requires robust surveillance, epidemiology, and Requires robust surveillance, epidemiology, and
disease investigation infrastructure, disease investigation infrastructure, plusplus new new detection methodsdetection methods
Facilitate medical management of exposed Facilitate medical management of exposed personspersons Provide information on diagnosis, treatment, Provide information on diagnosis, treatment,
prophylaxis, and infection control issuesprophylaxis, and infection control issues
28
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Coordinate and engage state and federal Coordinate and engage state and federal resourcesresources
Education, training, and informationEducation, training, and information
Surveillance, disease case and outbreak Surveillance, disease case and outbreak investigationinvestigation
Coordinate and engage state and federal Coordinate and engage state and federal resourcesresources
Education, training, and informationEducation, training, and information
Surveillance, disease case and outbreak Surveillance, disease case and outbreak investigationinvestigation
Public Health Preparedness and Response Capacity Inventory
http://www.phppo.cdc.gov/od/inventory 29
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Community PreparednessCommunity Preparedness Role of Public Health Role of Public Health
Inventory and address deficiencies in regional Inventory and address deficiencies in regional resourcesresources Hospital response capacity/preparednessHospital response capacity/preparedness EMS/first responder capacity/preparednessEMS/first responder capacity/preparedness Mass treatment and prophylaxisMass treatment and prophylaxis Mortuary capacity/preparednessMortuary capacity/preparedness Law enforcement/securityLaw enforcement/security
Inventory and address deficiencies in regional Inventory and address deficiencies in regional resourcesresources Hospital response capacity/preparednessHospital response capacity/preparedness EMS/first responder capacity/preparednessEMS/first responder capacity/preparedness Mass treatment and prophylaxisMass treatment and prophylaxis Mortuary capacity/preparednessMortuary capacity/preparedness Law enforcement/securityLaw enforcement/security
30
UW Northwest Center for Public Health Practice31
Summary of Key PointsSummary of Key PointsSummary of Key PointsSummary of Key Points
BT preparedness and response requires BT preparedness and response requires coordination between public health, clinicians, coordination between public health, clinicians, emergency management, first responders, and emergency management, first responders, and law enforcement officials.law enforcement officials.
The Incident Command System is a hierarchical The Incident Command System is a hierarchical and unified system of managing an emergency and unified system of managing an emergency response involving single or multiple agencies. response involving single or multiple agencies.
All agencies should include a bioterrorism All agencies should include a bioterrorism component in their overall emergency response component in their overall emergency response plan.plan.
BT preparedness and response requires BT preparedness and response requires coordination between public health, clinicians, coordination between public health, clinicians, emergency management, first responders, and emergency management, first responders, and law enforcement officials.law enforcement officials.
The Incident Command System is a hierarchical The Incident Command System is a hierarchical and unified system of managing an emergency and unified system of managing an emergency response involving single or multiple agencies. response involving single or multiple agencies.
All agencies should include a bioterrorism All agencies should include a bioterrorism component in their overall emergency response component in their overall emergency response plan.plan.
UW Northwest Center for Public Health Practice32
Summary of Key PointsSummary of Key PointsSummary of Key PointsSummary of Key Points
Emergency response planning in public health Emergency response planning in public health includes: includes: Development and evaluation of detection Development and evaluation of detection
systemssystems Development and evaluation of policies and Development and evaluation of policies and
response proceduresresponse procedures Awareness of relevant laws Awareness of relevant laws Evaluation and coordination of resourcesEvaluation and coordination of resources Education and training Education and training
Emergency response planning in public health Emergency response planning in public health includes: includes: Development and evaluation of detection Development and evaluation of detection
systemssystems Development and evaluation of policies and Development and evaluation of policies and
response proceduresresponse procedures Awareness of relevant laws Awareness of relevant laws Evaluation and coordination of resourcesEvaluation and coordination of resources Education and training Education and training
UW Northwest Center for Public Health Practice33
ResourcesResourcesNationalNational
ResourcesResourcesNationalNational
Centers for Disease Control and PreventionCenters for Disease Control and Prevention
Emergency Preparedness and Response Emergency Preparedness and Response
branch 24-hour notification telephone number branch 24-hour notification telephone number [(770) 488-7100] [(770) 488-7100] CDC Public Inquiry Hotlines: CDC Public Inquiry Hotlines:
English(888) 246-2675English(888) 246-2675 Español (888) 246-2857 Español (888) 246-2857
National Domestic Preparedness Office: National Domestic Preparedness Office:
1-202-324-9026 M-F 8am-5pm EST1-202-324-9026 M-F 8am-5pm EST
Centers for Disease Control and PreventionCenters for Disease Control and Prevention
Emergency Preparedness and Response Emergency Preparedness and Response
branch 24-hour notification telephone number branch 24-hour notification telephone number [(770) 488-7100] [(770) 488-7100] CDC Public Inquiry Hotlines: CDC Public Inquiry Hotlines:
English(888) 246-2675English(888) 246-2675 Español (888) 246-2857 Español (888) 246-2857
National Domestic Preparedness Office: National Domestic Preparedness Office:
1-202-324-9026 M-F 8am-5pm EST1-202-324-9026 M-F 8am-5pm EST
Bioterrorism Web site: Bioterrorism Web site: http://www.bt.cdc.gov
UW Northwest Center for Public Health Practice34
Resources Resources Washington StateWashington State Resources Resources Washington StateWashington State
Washington State Department of HealthWashington State Department of Health
Communicable Disease EpidemiologyCommunicable Disease Epidemiology 1-877-539-4344 - 24-hour emergency number1-877-539-4344 - 24-hour emergency number (206)-361-2914 (206)-361-2914
Julie Wicklund, BT Surveillance Epidemiologist Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881(206) 361-2881
Washington State Emergency Management Division
Washington State Department of HealthWashington State Department of Health
Communicable Disease EpidemiologyCommunicable Disease Epidemiology 1-877-539-4344 - 24-hour emergency number1-877-539-4344 - 24-hour emergency number (206)-361-2914 (206)-361-2914
Julie Wicklund, BT Surveillance Epidemiologist Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881(206) 361-2881
Washington State Emergency Management Division http://www.wa.gov/wsem/
http://www.doh.wa.gov
UW Northwest Center for Public Health Practice35
Resources Resources Emergency ManagementEmergency Management
Resources Resources Emergency ManagementEmergency Management
State Emergency Management duty officer State Emergency Management duty officer 1-800-258-5990 1-800-258-5990
Regional Emergency Coordinator,Region X Regional Emergency Coordinator,Region X 206-615-2266206-615-2266
FBIFBI Western WA and after hrs, Statewide: Western WA and after hrs, Statewide: (206) 622-0460 (206) 622-0460 Eastern WA: (509) 747-5195Eastern WA: (509) 747-5195
Federal Emergency Management Agency Federal Emergency Management Agency (FEMA)(FEMA) Incident Command System Self-study CourseIncident Command System Self-study Course
State Emergency Management duty officer State Emergency Management duty officer 1-800-258-5990 1-800-258-5990
Regional Emergency Coordinator,Region X Regional Emergency Coordinator,Region X 206-615-2266206-615-2266
FBIFBI Western WA and after hrs, Statewide: Western WA and after hrs, Statewide: (206) 622-0460 (206) 622-0460 Eastern WA: (509) 747-5195Eastern WA: (509) 747-5195
Federal Emergency Management Agency Federal Emergency Management Agency (FEMA)(FEMA) Incident Command System Self-study CourseIncident Command System Self-study Course
http://www.fema.gov
http://training.fema.gov/EMIWeb/crslist.htm
UW Northwest Center for Public Health Practice36
Resources Resources Emergency Response PlanningEmergency Response Planning
Resources Resources Emergency Response PlanningEmergency Response Planning
Bioterrorism and Emergency Response Plan Bioterrorism and Emergency Response Plan Clearinghouse Clearinghouse
Washington State Comprehensive Emergency Washington State Comprehensive Emergency Management Plan Management Plan
Emergency Management Guide for Business Emergency Management Guide for Business and Industry (FEMA)and Industry (FEMA)
Bioterrorism and Emergency Response Plan Bioterrorism and Emergency Response Plan Clearinghouse Clearinghouse
Washington State Comprehensive Emergency Washington State Comprehensive Emergency Management Plan Management Plan
Emergency Management Guide for Business Emergency Management Guide for Business and Industry (FEMA)and Industry (FEMA)http://www.fema.gov/library/bizindex.shtm
http://bt.naccho.org/
http://www.wa.gov/wsem/3-map/a-p/cemp/cemp-idx.htm