Arizona Schools Emergency Preparedness Web Cast

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Arizona SchoolsEmergency PreparednessWeb Cast

• Web cast provided by Elluminate Inc.

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Overview and Objectives

• The Planning Process
• Multi agency collaboration
• Minimum requirements
• Pandemic planning
• Terrorism planning

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The Emergency Planning Process

• Layton Dickerson
• School Safety Specialist
• Arizona Department of Education
• Layton.Dickerson_at_azed.gov
• 602-542-8717

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Emergency Planning
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Planning Steps

• 1. Identify the planning team
• 2. Identify the hazards
• 3. Analyze the hazards to determine
  vulnerabilities
• 4.  Develop the plan
• 5.  Develop a resource base
• 6.  Train and exercise the plan

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Who Should Be Involved?

• County emergency management
• Public safety agencies (fire, law enforcement,
  EMS etc)
• County public health agencies
• School superintendent
• School principals and staff
• School transportation coordinator
• Required

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Minimum Requirements

• Required Emergency Drills reduced from 5 to 3
• Incident Command System required (Incident
  Commander, Command Staff, Operations Section)
• NIMS Compliance
• ICS 100, ICS 200 and IS 700
• Required agency collaboration
• Examples/guidance column added
• Emergency Response Plan Template

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Benefits of Planning

• Actions taken are worthwhile.
• Benefits extend to home and community.
• Response to emergencies is improved.
• Parents/communities are more confident.
• Planning prevents injuries and saves lives.
• Schools are responsible for ensuring safety.
• State laws require planning.

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AZ 2-1-1

• Laura Douglas
• Public Information Officer
• Arizona Division of Emergency Management

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What is Arizona 2-1-1?

• The State of Arizonas official source

• Health and human services (over 18,000)
• Current emergency events preparedness
  information
• Accessible via phone or Internet

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Phased Implementation of 2-1-1

• Phase I
• www.az211.gov
• Launched June 2005
• Phase II
• 3-digit dialing (2-1-1) during
  state-declared disasters
• Launched June 2006
• Local 2-1-1 call centers
• day-to day
• In planning stages
• Phase III
• Enhancements

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2-1-1 is a one stop shop for information

• When an event occurs, many emergency response
  agencies (law enforcement, transportation,
  health, volunteer) have critical information to
  share
• What has happened?
• Where is the emergency/disaster?
• Who is affected?
• When will the event be over?
• What should you do to protect your family,
  property and business?
• How I do help?

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How is information posted?

• Multiple agencies submit information to 2-1-1
• Press release by phone or fax
• Information source is validated
• 2-1-1 Team compiles information into a bulletin
  and posts it on the 2-1-1 Web site
• When an emergency requires IMMEDIATE action by
  the public, the headline is posted in the center
  of the 2-1-1 homepage in red

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Why post information on 2-1-1?

• 2-1-1 is a single entry point for information
  about emergencies and preparedness
• Multiple agencies are referring citizens to 2-1-1
• Prior to a disaster
• During a disaster
• Press releases
• Media interviews
• Current statewide advertising campaign directing
  citizens to the Web site
• Additional tool in your communication plan

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2-1-1 during non-emergency times

• Current threat information
• Flu prevention
• Monsoon Safety
• School Violence Prevention Resources for
  Students, Parents and Schools
• Preparedness information
• Learn about hazards that threaten your family,
  business
• How to make a family preparedness plan
• Pandemic preparedness
• Public awareness campaigns
• Fire Prevention Week
• Arizona Preparedness Month
• Severe Weather Awareness Week

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What can 2-1-1 do for schools?

• Post unfolding emergency information
• Additional resource for officials or PIOs to
  disseminate school evacuations notices and
  alternate pickup locations, lockdown status, etc.
• School safety resources
• Links for children, parents and educators
• School safety plans, violence prevention, talking
  to children about fear and violence, crisis
  hotline numbers
• Games to help children learn about disasters and
  how to prepare a family communications plan

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Posting Emergency Information 24/7
To find out how to submit informationto
www.az211.gov, contact the2-1-1 Emergency
Bulletin System Team Judy KioskiLaura
DouglasGregory Roybal az211_at_azdema.gov (602)
689-6512
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Pandemic Influenza Surveillance
FluNet

• Jennifer Wyatt, MPH
• Arizona Department of Health Services
• October 25, 2006

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Influenza

• Respiratory infection
• Transmission contact with respiratory secretions
  from an infected person who is coughing or
  sneezing
• Incubation period 1 to 4 days from exposure to
  onset of symptoms
• Infectious Period 1-2 days before symptoms
  through one week after onset
• Timing Peak usually occurs December through
  March in North America

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Signs and Symptoms

• Fever
• Chills
• Body aches
• Non-productive cough
• Sore throat
• Runny nose
• Headache
• Conjunctivitis

• Complications
• Pneumonia
• Acute Respiratory Distress

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Pandemic Influenza

• Pandemic
• Wide or global geographic spread
• Crosses international boundaries
• Involves a large number of people
• What must occur
• Starts with a novel virus subtype
• Has increased virulence
• Efficiently transmits from human to human

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Influenza Surveillance

• Purposes of surveillance
• Determine where when flu is circulating
• Determine predominant types/subtypes
• Assess intensity and impact of activity
• Detect emergence of novel flu viruses or unusual
  events
• Detecting and counting all influenza cases is NOT
  an objective of surveillance

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Influenza Surveillance
Courtesy CDC
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Surveillance Global

• Detect emergence spread of new antigenic
  variants
• Update formulation of influenza vaccines
• Provide early warning of next pandemic

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Surveillance Global
Influenza --gt Isolates obtained, By Country,
Total, week n 50-2003Source FluNet
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Surveillance National

• Four measures used in U.S. to describe an
  influenza season
• Influenza-like illness (ILI) sentinel
  surveillance
• Laboratory data
• Submissions positive results
• Pneumonia influenza mortality (PI)
• Weekly state reports of level of activity

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Influenza-Like Illness (ILI) Sentinel Surveillance

• ILI case definition fever (100F or more) AND
  cough and/or sore throat
• Physicians, hospitals, clinics, college student
  health (outpatient primary care)
• Weekly summary data of total ILI visits
• Purpose Determine impact of influenza-like
  illnesses on outpatient morbidity
• of patient visits that were for an ILI
• National data is weighted by state population

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Laboratory Surveillance

• WHO / National Respiratory Enteric Virus
  Surveillance System (NREVSS) collaborating labs
• Arizona has 3 sites Arizona State Lab, Phoenix
  Childrens Hospital, University Medical Center
• Weekly report
• of isolates, positive by type/subtype
• Purpose Determine when, where, and which
  influenza viruses are circulating

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Surveillance Arizona

• ILI sentinel surveillance
• Laboratory data
• Lab-reportable starting 2004-2005 season
• State lab subtyping data
• Pediatric influenza-associated mortality
• Local health surveillance
• Hospital emergency room admissions, school
  absenteeism

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Arizona Sentinel Sites

• 69 sites as of Oct 19, 2006

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The Big Picture

• Influenza surveillance
• is done on a global, national, state, and
• local basis
• is useful on local level for assessing impact,
  activity, and appropriate responses
• is necessary for helping us detect and prepare
  for unusual events

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Influenza Pandemic Planning

• Joseph Urrea
• Planning Coordinator
• Bureau of Emergency Preparedness and Response
• Arizona Department of Health Services

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Influenza 101

• Avian Influenza (Bird Flu)
• Seasonal Influenza
• Pandemic Influenza

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Avian Influenza

• An infection caused by influenza viruses that
  occur naturally in birds
• Wild birds can carry the viruses, but usually do
  not get sick from them
• Some domesticated birds, can become infected,
  often fatally
• One strain of avian influenza, the H5N1 virus, is
  endemic in much of Asia and has recently spread
  into Europe
• Strains of avian H5N1 influenza may infect
  various types of animals, including wild birds,
  pigs, and tigers.

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Seasonal Influenza

• Seasonal influenza occurs annually and causes
  mild to severe illness, but can lead to death
• A flu vaccination each fall can prevent illness
• Every year in the U.S., on average
• over 200,000 people are hospitalized from flu
  complications
• 36,000 people die
• Older people, young children, and people with
  certain health conditions are at high risk for
  serious flu complications

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Pandemic Influenza

• Pandemic global disease outbreak
• Wide or global geographic spread
• Crosses international boundaries
• Involves a large number of people
• Pandemic Influenza occurs when
• a new influenza virus emerges for which there is
  little or no immunity in the human population
• causes serious illness
• spreads easily person-to-person worldwide

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What are we doing to get ready for the next
pandemic?
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Plan Elements

• Surveillance and Epidemiology
• Laboratory Diagnostics
• Health Care Coordination and Surge Capacity
• Infection Control
• Clinical Guidelines
• Vaccine and Antiviral Distribution and Use
• Community and Travel-Related Disease Control
• Public Health Communications
• Guidance for County and Tribal Health Departments

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Plan Elements

• Surveillance and Epidemiology
• Laboratory Diagnostics
• Health Care Coordination and Surge Capacity
• Infection Control
• Clinical Guidelines
• Vaccine and Antiviral Distribution and Use
• Community and Travel-Related Disease Control
• Public Health Communications
• Guidance for County and Tribal Health Departments

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Infection Control Education

• Signs/Symptoms of Influenza
• Fever/Chills
• Body Aches
• Non-productive cough
• Sore throat
• Runny nose
• Headache
• Conjunctivitis
• Hygiene Etiquette
• Annual Flu Vaccine

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Public Health Communications

• Establish Information Hotlines/Websites
• Provide Information on Resources
• Medical
• Behavioral Health (EAP)
• Social Services
• Address Rumors

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Influenza Pandemic Plans

• WHO Pandemic Influenza Plan
• HHS National Influenza Plan
• New revision with new state guidelines was
  released in November 2005
• Arizona Influenza Pandemic Response Plan
• Regularly updated
• Latest revision January 2006

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Community Coordination

• Collaborate with
• Local Health Department
• Local Emergency Responders
• Local Emergency Response Coordinators

• Share/Review Best Practices
• Other Schools
• Other School Districts
• Education Associations
• Civic Groups

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Personal Preparedness

• Maintain a supply of items in the classroom that
  you can use
• Teach students good hygiene etiquette

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School District (K-12) Checklist
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Threats to Educational Facilities
Detective CJ Wren Phoenix Police Department
Arizona Counter Terrorism Information Center
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Questions to Ponder

• Do school administrators have to be concerned
  with Terrorism Plots directed at schools?
• What potentially could happen if a terrorist/
  terrorist group attacked a school here in the
  United States?
• Attendance
• Economy

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We at the ACTIC are concerned about Arizona
schools.
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What is the ACTIC?

• First of its kind Fusion Center in the Country
  to merge the assets and resources of 25 State,
  County and Local Public Safety Agencies with 24
  Federal Agencies to include the FBI and the Joint
  Terrorism Task Force.
• Something that EVERY Arizonian can be proud of!

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Why does it work here?

• PARTNERSHIPS
• LEADERSHIP

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Has it always been like this?

• No.
• The FBI took a lot of heat for 9-11, however,
  State and local agencies didnt share information
  really any better than the Feds did.
• 9-11 Commission Report mentions the State of
  Arizona 59 times throughout the report.
• Not something to be proud of AZ for.

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Changing Times Dropping Egos

• Governors 2004 AZ Homeland Security Strategy
• 17 Point Plan
• AcTIC
• Opened October 2004
• Partnership building with all Sectors
• Including Schools
• WE ARE ALL IN THIS TOGETHER!

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Central Point
FBICTC
ATCC
JTTF
DHS HSOC
ACTIC
Governor
AZ HS Director
Private Stakeholders
Law Enforcement
Public Stakeholders
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What can the AcTIC do for my school?

• Communicate potential threats before they become
  an issue.
• Act as a focal point for all Intelligence that
  comes into the State of Arizona.
• Assist local agencies in helping schools to
  better prepare for emergencies.
• The AcTIC is a RESOURCE for the State of Arizona
  and its citizens.

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Changing Threat Stream

• Threat to Grades Pre-K to 5
• Child Predators
• Domestic Issues
• Terrorism
• Threats to Grades 6-8
• Child Predators
• Domestic Issues
• Gang Violence
• Social/Personal Issues
• Violent Political Activism
• Terrorism
• Threats to Grades 9-12
• Gang Violence
• Social/Personal Issues
• Violent Political Activism
• Terrorism

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Child Predators

• Target Grades
• Pre-K to 8th Grade
• Threat on and off campus
• Children most vulnerable when transiting to and
  from school
• Most on campus child predator threats end in
  violence
• Child Selection
• Random selection done by target of opportunity
• Specific selection is often done with prior
  planning sometimes by people who the child is
  familiar with
• Some things to watch out for
• Suspicious photography of the campus
• Intruders on the campus
• Suspicious individuals observing children
  traveling to and from school

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Domestic Violence/Issues

• Target Grades
• Pre-K to 8th Grade (Targeting of Students)
• All Grades (Targeting of Faculty/Administration)
• Threat to faculty and students
• Students often abducted
• Faculty Confronted
• Extremely high potential for violence
• Historical Incidents
• May 10, 2000 A gunman kills his estranged wife
  while she works at a pre-school adjacent to an
  elementary school.
• Some things to watch out for
• Students reporting violent separation/divorce
• Faculty reporting ongoing separation/divorce
• Faculty/ students exhibiting signs of domestic
  violence

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Gang Violence

• Target Grades
• 6TH-12TH
• Threat to Students and Faculty
• Incidents involving Students
• Rival gangs
• For reporting activity on campus
• Random acts of violence (initiation)
• Incident involving Faculty
• Retribution
• Random acts of violence (initiation)
• Some things to look out for
• Gang colors/apparel
• Gang tattoos
• Threats (Often appear idle but can be very real)

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Social/Personal Issues

• Target Grades
• 6th-12th
• Threats FROM Student and Faculty
• Students
• Social Outcasts
• Copy cat incidents
• Faculty
• Personal Failure
• Retribution
• Some things to look out for
• Any potential threats
• Prior planning
• Attempts to obtain weapons and/or explosives

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Violent Political Activism

• Target Grades
• 6th-12th
• Student and Faculty Activism
• Students
• Riots
• Walk outs
• Faculty
• Introduction of volatile political issues not
  within the context of the studies
• Promotion of civil disobedience
• Some thing to look out for
• Discussion of volatile political issues
• Distribution of leaflets concerning potential
  political activity/activism

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Terrorism

• Target Grades
• All
• Threat to Students and Faculty
• Intent is to murder as many people as possible
• Do not confuse with active shooter incidents,
  terrorist contemplate their death and welcome
  their death
• Targeting Schools Administrative Buildings
• Suicide bombers
• Hostage Situation/Beslan type attack
• VBIED (Car Bomb)
• Targeting Busses
• Suicide Bombers
• VBIED
• Some things to watch out for
• Videotaping of schools/school busses
• Suspicious inquiries about the schools population
  or bus capacities

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Historical Perspective

• Active shooter attacks
• Stockton, CA
• Columbine, CO
• Red Lake, MN
• Baily, CO Sept. 27th , 2006
• Cazenovia, WI Sept. 30th, 2006
• Paradise, PA Oct. 3rd, 2006
• Explosive Devices
• Bath, MI
• Beslan, Russia

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Arizona Incidents

• April 10, 2000 A teacher shoots themselves in
  the shoulder and attempts to blame it on another
  individual.
• May 10, 2000 A gunman kills his estranged wife
  while she works at a pre-school adjacent to an
  elementary school.
• 2001 Pima County Sheriffs Office arrests over
  500 students for making threats over the course
  of the school year.
• March 29, 2001 A 14 year old student is
  apprehended by a school resource officer after it
  is found they were carrying an un-loaded 9mm
  pistol.
• October 24, 2000 A former student was
  apprehended after holding a class room full of
  elementary school kids and a teacher hostage
• October 29, 2001 An elementary school was placed
  on lock down after an explosive device was
  located in a park adjacent to the school
• March 11, 2003 Six students were caught
  attempting to plan an attack similar to Columbine
  against a school

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Arizona Incidents cont.

• September 30, 2003 A 16 year old student was
  apprehended after it was believed they were
  planning on conducting a massacre at a local high
  school.
• November 20, 2003 An individual fired shots
  after a student refused to enter the vehicle the
  individual was driving.
• April 28, 2003 A student was apprehended after
  it was discovered they were planning on conducing
  an attack against school administrators and
  students.

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What do we do Now?

• Constantly review, update and improve school
  emergency plans.
• The time for looking at the Emergency plan for
  your school is not when the Emergency is already
  taking place.
• PRACTICE DRILL PRACTICEsome more
• Invite your local first responders to practice
  and drill with you.
• Fire Drills v. Emergency Drills

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What else?

• Contact your local First Responders for
  assistance and advice in building emergency plans
  BUT your first responders will NEVER be as
  knowledgeable about your schools as you are. They
  are there to assist you in the plan.
• Consider and utilize the School Resource Officer
  Program.
• Include AcTIC in Emergency Notification Plans.

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During an event

• Ensure you and others around you are SAFE!
• 1st call should always be to your local law
  enforcement. / 9-1-1
• If able, report incident to AcTIC so we can offer
  assistance to the jurisdiction covering the
  incident.

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How to Contact the AcTIC

• 602-644-5805
• 1-877-2-SAVE-AZ
• (1-877-272-8329)
• 602-644-8718 (Fax)
• ACTIC_at_azdps.gov

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How To Get Involved

• CJ Wren
• Detective
• Community Liaison Program
• 602-644-5856 (Desk)
• cwren_at_azdps.gov

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Emergency Planning Resources

• Arizona Department of Education
• http//www.ade.az.gov/schooleffectiveness/health/s
  choolsafety/plansresources.asp
• Arizona Division of Emergency Management
• http//www.dem.state.az.us/preparedness/training20
  04/training.htm
• FEMA Independent Study
• http//www.training.fema.gov/EMIWeb/IS/US
• Department of Homeland Security
• http//www.ready.gov/

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Pandemic Planning Resources

• AZ Influenza Education Toolkit
• http//www.azdhs.gov/flu/flu_toolkit.htm
• AZ Influenza Pandemic Response Plan
• http//www.azdhs.gov/pandemicflu/
• National Pandemic Influenza Website
• http//www.pandemicflu.gov/
• Preparedness Checklist - Schools
• http//www.pandemicflu.gov/plan/school/schoolcheck
  list.html