Public Health Emergency Response Guide

1
Public Health Emergency Response Guide
2
?????????

• ?????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ??????????????????????? ????????????????? ?-?
  ???????????? ???????????????????? ???????????????
  ??????????????? ??????????????????????? ????? ?-?
  ?????????????????????? ???????????????????????????
  ??????????????????????????????????????????????????
  ????????? ??????????????????????????
  ???????????????????????????????????????????????
  ????????????????????????????????
  ??????????????????????????????????????????????????
  ?
• ????????????????????????????????????????????????
  ??

3
????????????

• ??????????????????????????????????????????????????
  ??????????????? ??????????????????????????????????
  ???????????????? ?? ?????????????????????????
• ?????????????????????????????????, ?????????????,
  ?????????????????????, ?????????????????????????
  ???????????????????
• ??????????????????????????????????????????????????
  ?????????????????????????

4
http//emergency.cdc.gov/planning/responseguide.as
p.
5
Scope

• Public Health Emergency Preparedness Assumption
• Public Health Emergency Response Functions and
  Tasks during the Acute Phase
• Ongoing Public Health Emergency Response
  Functions and Tasks

6
Focus on First 24 Hours

• Three response timeframe
• Immediate (Hours 0-2)
• Intermediate (Hours 2-6 and 6-12)
• Extended (Hours 12-24)

7
Public Health Emergency Preparedness Assumption

• Public Health Department must engage in
  preparedness activities
• Completion of the following activities prior to
  an incident is essential to a successful response
  effort

8

• Establish close working relationship and
  mutual-aid agreement with
• Emergency management agency (EMA)
• Emergency Medical Service (EMS)
• Medical/Health/Behavioral care providers
• Fire, Law enforcement, and Other organizations
• Local Emergency Planning Committee
• NGOs, Volunteers, Neighboring, etc.

9

• Participate in hazard vulnerability and risk
  assessment for your area(s).
• Conduct capacity assessment
• Acquire resources and surge capacity
• Develop plans, procedure, guideline that are
  consistent with those used by other response
  agencies and organizations
• Develop operational objectives for PHER
• Develop basic system for surveillances and
  registry with appropriate archiving systems

10

• Develop plans, procedures, guidelines for public
  affairs and risk communication
• Engage in resource typing and credentialing for
  personnel, resources, and assets for emergency
  response
• Ensure that public health personnel are trained
  and certified in safety and health practice (PPE,
  on-scene)

11

• Provide orientation and training to public health
  response personnel
• Participate in planning, design, and conduct
  exercises to evaluate PHEPR
• Participate in after action reviews of exercise
  and actual incidents

12
Immediate Response Hours 0-2

• Assess situation
• Contact key health personnel
• Develop initial health response objectives and
  Establish an action plan
• Public health participation in Emergency
  Operations Center (EOC)
• Ensure that the site health and safety plan
  (HASP) is established, reviewed, and followed

13
Immediate Response Hours 0-2

• Establish communications with key health and
  medical organization
• Assign and deploy resources and assets to
  achieved established initial health response
  objectives
• Address requests for assistance and information
• Initiate risk communication activities

14
Public Messages in Crisis

• STARCC Principle
• S Simple
• T Timely
• A Accurate
• R Relevant
• C Credible
• C Consistent

Source Reynolds, B., Crisis and Emergency Risk
Communication by Leaders for Leaders. Atlanta,
GA Centers for Disease Control and Prevention,
2004
15

• When engaging in risk communication, build trust
  and credibility by expressing . . .
• Empathy Caring
• Competence Expertise
• Honesty Openness
• Commitment Dedication

16
Top Tips.

• Dont over reassure
• Acknowledge uncertainty
• Express wishes (I wish I had answers)
• Explain the process in place to find answers
• Acknowledge peoples fear
• Give people things to do
• Ask more of people (share risk)

17
As a spokesperson

• Know your organization policies
• Stay within the scope of responsibility
• Tell the truth. Be transparent
• Embody your agencys identity
• CONSISTENT MESSAGE ARE VITAL

Source Reynolds, B., Crisis and Emergency Risk
Communication. Atlanta, GA Centers for Disease
Control and Prevention, 2002.
18
Immediate Response Hours 0-2

• Engage legal counsel as part of the emergency
  response effort
• Document all response activities

19
Intermediate Response Hours 2 6

• Verify that health surveillance systems are
  operational
• Ensure that laboratories likely to be used during
  the response are operational and verify their
  analytical capacity
• Ensure that the needs of special populations are
  being addressed

20
Intermediate Response Hours 2 6

• Health-related volunteers and donations
• Update risk communication messages

21
Intermediate ResponseHours 6 12

• Collect and analyze data that are becoming
  available through health surveillance and
  laboratory systems
• Prepare and update information for shift change
  and executive briefings

22
Intermediate ResponseHours 6 12

• Prepare for state and federal on-site assistance
• Assess health resource needs and acquire as
  necessary

23
Extended Response Hours 12 24

• Address mental and behavioral health support
  needs
• Prepare for transition to extended operations or
  response disengagement

24
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Environmental hazard identification
• Hazards consultation
• Epidemiological services
• Health and medical needs assessment
• Identification of affected individuals

25
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Contamination control
• Health surveillance
• Laboratory specimen collection and analysis
• Infectious disease identification, treatment, and
  control

26
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Quarantine/Isolation
• Public health information
• Risk communication
• Responder safety and health
• Health and medical personnel resources

27
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Health and medical equipment safety and
  availability
• Health-related volunteer and donation
• Coordination
• In-hospital care
• Evacuation

28
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Sheltering
• Special populations needs and assistance
• Mass trauma
• Mass fatality
• Mortuary service

29
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Mental/behavioral health care and social
  services
• Potable water
• Food safety
• Vector control and pest management disposal

30
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Wastewater and solid-waste management/ disposal
• Building/facility assessment
• Sanitation/hygiene service
• Continuity of public health programs, services,
  and infrastructure

31
ONGOING PUBLIC HEALTH EMERGENCY RESPONSE
FUNCTIONS AND TASKS

• Veterinary services
• Animal rescue/control/shelters
• Long-term community recovery

32
Template 1 Documentation of contacts actions
33
Template 2 Health department personnel emergency
contact information
34
Template 3 State, local, tribal emergency
contact information
35
Template 4 Leadership assignment
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40
(No Transcript)
41
(No Transcript)
42
Template 5 Incident-specific public health
preparedness