Cathy ONeill, RN, BS

1
Public Health Response to the Repatriation
Efforts from Lebanon July 2006

• Cathy ONeill, RN, BS
• Marsha Davenport, MD, MPH
• Isaac Ajit, MD, MPH
• Albert Romanosky, MD, PhD

2
OMB Disclaimer

• The findings and conclusions in this
  presentation are those of the author(s) and do
  not necessarily represent the views of the
  Centers for Disease Control and Prevention

3
Overview

• Background
• Coordination of Emergency Support Functions
• Public Health Response
• Lessons Learned
• Summary

4
Background
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Lebanon
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Situation

• July 18, 2006 through July 28, 2006
• Approximately 20 flights
• Over 4,500 evacuees

8
Coordination of Emergency Support Functions

• Emergency Support Function 6 (ESF 6) Mass
  Care
• Emergency Support Function 8 (ESF 8)
  Health and Medical
• ESF 6 and ESF 8 worked together on this effort

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Emergency Support Function 6 Mass Care

• ESF 6 for Maryland is the Department of Human
  Resources (DHR)
• ESF 6 was the lead agency for the Repatriation
  efforts

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Emergency Support Function 8 Health and
Medical

• ESF 8 for Maryland is the Department of Health
  and Mental Hygiene (DHMH) Office of Preparedness
  and Response (OPR)
• ESF 8 played a supportive role for the
  repatriation efforts

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Summary of Emergency Support Functions

• ESF 1 Transportation
• ESF 2 Communications
• ESF 3 Public Works and Engineering
• ESF 4 Firefighting
• ESF 5 Emergency Management
• ESF 6 Mass Care
• ESF 7 Resource Support
• ESF 8 Public Health and Medical Services

• ESF 9 Urban Search and Rescue
• ESF 10 Oil and Hazardous Materials Response
• ESF 11 Agriculture and Natural Resources
• ESF 12 Energy
• ESF 13 Public Safety and Security
• ESF 14 Long-term Community Recovery
• ESF 15 External Affairs

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Public Health Response

• Pre-Planning
• Scheduling
• Flights Arrive
• Mental Health

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Pre-Planning

• Identifying Appropriate Staff Volunteers
• Airport Walk-Through
• Initial Floor Plan
• Final Floor Plan

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Initial Floor Plan
Lower Level International Pier
Parking Validation
MEDIA
To USO
Psych eval
Chairs
Steps
Daycare
DHMH
Phone Banks
MEDIA
Red Cross
Financial Travel
USO
DHR
Assistance needed
No assistance needed
Black curtain dividers
From Customs
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Final Floor Plan
Lower Level International Pier
Parking Validation
MEDIA
To USO
Chairs
Daycare
Steps
Phone Banks
Red Cross
Psych eval
DHMH
Financial Travel
EMS
Psych eval
Red Cross Nurses
USO
DHR
Assistance needed
No assistance needed
Black curtain dividers
From Customs
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Scheduling

• Staff Scheduling
• OPR lead
• Mental Health lead
• OPR lead person
• Communicate with the airport
• Communicate with Mental Health lead
• Mental Health lead
• Communicate with clinicians
• Schedule clinicians

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Flights Arrive

• Initial flight had 83 passengers
• Based on the first flight
• Revised staffing levels
• Identified needs of children
• Age appropriate books
• Stuffed animals

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Lessons Learned Challenges

• Floor plan
• Media
• Reliable information on flight arrival times
• Behavioral health and medical issues
• Security/ Safety issues
• Cultural specific information for volunteers

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Lessons Learned Outcomes

• Proactive guidelines for DHMH role in
  repatriation
• Job action sheets for
• DHMH
• Mental Health
• DHMH on site point person
• Key contact numbers at BWI

21
Summary
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Acknowledgements

• DHMH OPR wishes to acknowledge the many public
  and private partners who assisted us during the
  repatriation efforts.
• Thank you!