Emergency Preparedness Forum Central CT Health District

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Emergency Preparedness Forum Central CT
Health District
December 2006
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State of Connecticut Mass Dispensing Areas and
Department of Emergency Management and
Homeland Security Planning Regions
MDA Lead Health
Number Department/ District
01 Greenwich HD
02 Stamford HD
03 Norwalk HD
04 Westport HD
05 Danbury HD
06 Bethel HD
34
07 Newtown HD
08 New Milford HD
31
09 Torrington Area HD
40
29
10 Fairfield HD
11 Bridgeport HD
32
12 Stratford HD
30
13 Naugatuck Valley HD
33
25
14 Pomperaug HD
34
27
15 Waterbury HD
16 Chesprocott HD
40
28
17 Milford HD
18 West Haven HD
08
26
19 New Haven HD
20 Quinnipiack Valley HD
21 Guilford HD
36
15
22 Meriden HD
22
23 Wallingford HD
24 Farmington Valley HD
35
14
25 Bristol/ Burlington HD
16
26 Southington HD
23
27 New Britain HD
28 Central Connecticut HD
05
07
29 WH/ Bloomfield HD
21
30 Hartford HD
31 Windsor HD
20
32 East Hartford HD
37
39
06
19
33 Manchester HD
13
34 North Central HD
35 Chatham HD
12
36 Middletown HD
17
37 Ledge Light HD
18
38 Uncas HD
10
11
39 CT River Area HD
04
40 Eastern Highlands HD
DEMHS Region
41 Northeast HD
1
03
CCHD MDA 28
2
01
02
3
4

5
August 2006
3
Municipal Emergency Operation Plans

• Annex G Local Public Health
• Emergency Response Plan
• Addressing
• PREPAREDNESS
• RESPONSE
• RECOVERY

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PREPAREDNESS ACTIVITIES

• Planning
• CCHD - Public Health Emergency Response Plan
• CREPC - Regional Planning
• DPH STATE FEDERAL - CDC
• Volunteer Recruitment Management
• Major effort to meet clinic needs (400/-)
• Supplies
• Major supply purchase storage for 1st 48hrs.

PHERP
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PREPAREDNESS ACTIVITIEScontinued

• Health Alert Network (HAN)
• Expanding and refining groupings
• Testing accuracy response of groupings
• Risk Communication
• Initiating pre-scripted messages
• Household Preparedness Families/Children
• UofH Graduate Student - preliminary work
• Pamphlets Web Site Presentations

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PREPAREDNESS ACTIVITIES continued

• Building Geographic Information System using
  GIS-mapping
• Special Needs groups
• Group Homes
• Nursing Homes
• Assisted Living Facilities
• Schools
• Senior Handicapped Housing
• Wethersfield to date

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Plan for Mass Dispensing Clinics

• 2 Point of Dispensing Clinics (PODs)
• (Newington Wethersfield High Schools)
• Mass Vaccination Prophylactic
• Medication Dispensing
• Field Operations Guide
• Security of Vaccine/Medication
• Job-Action Sheets
• Traffic Flow options
• Organization of clinics based on ICS

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Management Issues and the ICS Solution
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POD GO BOXES

• Incident Command Resources
• Maps Floor Plans
• Resources FACT SHEETS re
• Biological, Chemical, Radiological Threats
• Logistics supplies
• Risk Communication Guides
• Forms
• Job Action Sheets

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SUPPORT OF REGIONAL PLANNING

• All-Hazards Approach
• Mass Immunizations Medications
• Strategic National Stockpile
• Worker Health Safety Training
• Volunteer Recruitment Management
• Special Needs Populations
• Quarantine Isolation

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CCHD STAFF TRAINING
WWW.CT.TRAIN.ORG

• Public Health Emergency 101
• Incident Command System (100, 200 700)
• Strategic National Stockpile
• Risk Communication
• Public Health Epidemiology
• Ethics
• Weapons of Mass Destruction
• Disease Issues

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CCHD STAFF TRAINING - continued

• Quarantine Isolation
• Surge Capacity
• Mass Dispensing
• Volunteer Recruiting Management
• Worker Safety
• Decontamination
• Mass Fatality Management
• Smallpox Vaccine Administration
• Pre-Event Vaccination System (PVS)
• Mass Care

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Pandemic Influenza 20th Century
1918 Spanish Flu
1957 Asian Flu
1968 Hong Kong Flu
A(H1N1)
A(H2N2)
A(H3N2)
20-40 m deaths 675,000 US deaths
1-4 m deaths 70,000 US deaths
1-4 m deaths 34,000 US deaths
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Pandemic Influenza A Comparison

• 1918 2000
• World Population 1.8 Billion 5.9 Billion
• Primary Mode of Troopships, Jet Aircraft,
• Transportation Railroad automobile
• Time for Virus to 4 months 4 days
• Circle the Globe
• Estimated Dead 20Million 60 Million?
• Worldwide

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WHY A MAJOR CONCERN

• Different than other events
• Rapidity of impact
• Psychology disbelief, fear, anger etc.
• Resources will be impacted severely
• Intervention will be delayed/staggered
• Mass Care vs. Routine Care
• Mass Fatality potential rate

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Major Issues in Pandemic Influenza Planning
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COMPETING VALUES

• PUBLIC GOOD -versus- INDIVIDUAL
• RIGHTS
• OPINIONS
• DEMANDS

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LEGAL

• Public health law and available statutes
• Appellate courts with jurisdiction to hear
  appeals re quarantine isolation
• Confidentiality and HIPAA

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Essential Services

• Greatest for persons lacking support systems
  and/or preparation
• Food groceries or prepared meals
• Threat of job loss, lack of cash to pay bills
• Basic utilities, bill paying
• Child care
• Prescription medications
• Need for health care during confinement

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Essential Services - continued

• Need for daily monitoring by local health
• Religious rituals and faith-based needs
• Psychosocial counseling
• Education of public (infection control and PPE)
• Risk communication for families and the public
• Law enforcement involvement
• Care and feeding of pets

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AREAS OF RISK

• Hazardous Duty Protection
• First Responders
• Health Care Responders
• Responders Household
• Resource Allocation
• Vaccinations
• Medications
• Personal Protection
• Equipment
• Education
• Safety Security

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CIVIL CONFINEMENT

• Quarantine
• Isolation
• Social Distancing
• Community Shielding
• Travel Controls

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Quarantine Isolation

• Isolation is the separation and restriction of
  movement of ill people to stop the spread of a
  disease. May be cared for in their homes,
  hospitals, or designated facilities.
• Quarantine applies to people who have been
  exposed to a person with a contagious disease and
  may be infected, but are not (yet) ill.
  Separating and restricting their movements can be
  highly effective in protecting the public.

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Social Distancing

• 1. Close businesses, schools, recreational
  facilities, public transportation and cancel
  major public events
• 2. Restrict access to buildings/businesses

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Community Shielding

• Snow days
• Primary/essential services only
• Reverse Quarantine
• Voluntary Self Shielding

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CIVIL CONFINEMENT ISSUES

• CARE OF
• Persons confined in their homes, hospitals and
  institutions
• LOGISTICS
• Food, shelter, medicine other supplies
  delivered by public private services
• Medications, equipment supplies for chronic
  acute conditions also needed

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CIVIL CONFINEMENT ISSUES- continued

• Psychosocial issues
• Economic issues
• Corporate civic cooperation
• Special regard for cultural and religious
  diversity and practices
• Infection control practices and personal
  protection equipment and training

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RISK COMMUNICATION

• Who controls one voice i.e. DPH, CDC
• Pre-planned messages handwashing
• Best spokesperson
• Worried well management
• Media management
• Public Call Center

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COMMAND AND CONTROL

• Outline roles, command structure, and
  decision-making process
• Ensure incorporation of pandemic plan with
  community emergency response plan
• Ensure legal issues are identified and addressed
• Ensure key stakeholders are informed about
  necessary infrastructure and resources needed to
  respond

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