G8 SUMMIT PLANNING: A Health Region Perspective

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G8 SUMMIT PLANNINGA Health Region Perspective

• alPHa Annual Conference
• Timmins, Ontario
• June 15th, 2009

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Outline

• G8 Summit 2002 Context
• Public Health Planning / Preparedness
• Event Response
• Lessons learned
• G8 Summit legacy

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G8 Summit 2002

• Scheduled June 26 to June 28
• Eight (8) developed democracies
• Canada United Kingdom
• Italy United States
• Japan Russia
• France Germany
• Participation from European Council
• Guests African Nations Heads of State

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Anticipated numbers

• IPPs - 10 plus spouses and African Heads of State
• Delegates - 7,500
• Media - 3,500
• Security - 4,000
• Armed Forces 3,000 - 4,000
• Demonstrators - unpredictable numbers

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Alberta Context

• What was different about this Summit ?
• Multiple municipalities involved
• Incursion into Provincial / National Parks
• Involvement of First Nations
• Planning implications for two Health Regions
• Regionalized provincial health system
• Health system / municipal linkages

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G8 Summit Mandate - Health Canada

• Develop a Medical Contingency Plan for
  International Protected Persons and their
  families without affecting the services offered
  to the general public

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G8 Summit Mandate Calgary Health Region

• Develop contingency plans for Calgary Health
  Region citizens
• Support health service planning for IPPs
• Link with Headwaters Health Authority to
  co-ordinate health service planning
• Support health service planning for RCMP

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Priorities for health planning

• Security / health of general population
• Security and health of IPPs / visitors
• Maintenance of essential services
• Respect for the democratic rights of all
• Showcase the City and Health Region

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IPP Planning Components

• Medical Director (local appointment)
• Health Services
• Airport
• Accommodation Sites
• Conference Site
• All official activities
• Travel between sites
• Dedicated hospital
• Food / water surveillance
• Service contracts

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Public Health Working Group

• Syndrome Surveillance Program
• Food / Water Inspection
• Temporary Shelters
• Environment / Air Quality
• Level 3 / 4 Laboratories

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CBRN Working Group

• Permanent / temporary decontamination units
• PPE / testing equipment purchases
• Decontamination protocols
• Clinical protocols
• Staff training
• Pharmaceutical stockpiles

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PPE Personal Protective Equipment
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Portable Decontamination Tents
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Decontamination Supplies
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Permanent Decontamination Unit
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Clinical Services / Trauma Working Group

• IPP medical needs
• Capacity management
• Trauma Services
• Canadian Blood Services / Lab Services
• Community Health Centre Management
• Home Care Services

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Other Working Groups

• Security
• Human Resources
• Communications

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G8 Event Response - Structures

• The Regional Administrative Control Centre was
  linked to City of Calgary EOC and the Summit
  Management Office
• Site Control Centres were
• set up but not staffed
• The City of Calgary EOC
• included Region
• representatives

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Event Response Health Services

• Syndrome Surveillance
• Food / Water inspections
• - increased surveillance at some hotels
• Increasing front line staffing
• - select areas
• Increased Security

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Event Response Syndrome Surveillance
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What we didnt anticipate

• The complexities of inter-jurisdictional
  planning
• GI outbreak among the RCMP
• The all for some approach to IPP health
  supports
• difficulty obtaining supplies except for
  dignitaries
• Differing perspectives across stakeholders
• Attitude toward protesters

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Key Success Factors

• Regionalized health system
• Committed planning resources
• High level sponsorship
• Well articulated assumptions
• Linking planning structure to existing
  structures building on existing relationships
• Simple five-phase project plan
• Strong foundation of emergency preparedness

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Lessons learned - we could have

• Started planning earlier
• Involved legal resources from the outset
• Established a physician working group
• Involved First Nations more effectively
• Utilized financial project management tools

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The legacy of the G8 Summit 2002

• Greater front line awareness of emergency
  preparedness
• Heightened level of organizational preparedness
• Enhanced security of lab facilities
• Strengthened partnerships

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Acknowledgements

• Dr. Kabir Jivraj
• Bob Holmes
• Dr. Brian D. Stewart
• Cheryl Bourassa
• Dr. Judy MacDonald
• Dr. Brent Friesen
• Dr. Greg Powell
• Dr. John Kortbeek
• Dr. Bruce McLeod

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Thank you!