NACCHO Metro Forum Preparedness Meeting

1
Milwaukee BioWatch ProgramBrief Overview and
Lessons Learned

• NACCHO Metro Forum Preparedness Meeting
• May 10-11, 2005
• Terri Linder, BS
• Paul Biedrzycki, MPH, MBA
• Division of Disease Control Prevention

2
Milwaukee BioWatch Advisory Workgroup

• Milwaukee Health Department
• Milwaukee Fire Department (Hazmat and EMS)
• Milwaukee Police Department
• Milwaukee FBI
• Wisconsin Department of Natural Resources (WDNR)
• Wisconsin Department of Health and Family
  Services
• Milwaukee County Emergency Management
• EPA- Region V
• United States Coast Guard
• Other Local Public Health Agencies

3
Role of the WDNR

• WDNR retrieves samples daily and coordinates
  transport to laboratory
• WDNR coordinated development of Phase I sampling
  procedures with the USEPA an environmental
  contractor
• WDNR collects meteorological data at each
  location to be used for event reconstruction
  modeling

4
Phase 1 Sampling

• A Phase I Sampling Plan contains detailed
  protocols for environmental sampling in the event
  of a positive detect
• EPA has contracted Tetratech Inc. to perform
  Phase I sample collection

5
On The Plus Side

• Pre-established relationships with most workgroup
  participants
• Clinical post-detect planning consistent with BDS
  and other regional BT plans
• Agency PIOs connected, Joint Risk Communication
  Agreement
• COMMUNICATION- routine and frequent

6
Downside - Barriers

• Multi-jurisdictional setting
• Laboratory in another state
• COMMUNICATION

7
Table Top ExerciseDecember 2004

• Objectives
• Test Alert and Notification Procedure
• Test Public Information Coordination
• Test Command and Control Process

8
Table Top Exercise

• Observers and Participants
• Milwaukee BioWatch Advisory Workgroup
• Los Alamos National Laboratory
• EPA Region V
• DOJ

9
Table Top Lessons Learned

• Notification process is dynamic and requires
  constant review
• Scope of agencies in initial notification will
  vary by scenario
• Multiple jurisdictions complicate process
• Who responds and when
• MOUs and MAAs

10
Contact Us City of Milwaukee Health
Department841 N. Broadway, Room 304Milwaukee,
WI 53202414-286-3521

• Terri Linder, Env. and Disease Control Specialist
• tlinde_at_milwaukee.gov
• P 414-286-5789
• F 414-286-5164
• Paul Biedrzycki, Manager, Disease Control and
  Prevention
• pbiedr_at_milwaukee.gov
• P 414-286-3606
• F 414-286-6044