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Emergency Responder Health Monitoring and Surveillance “ERHMS”

Date post: 13-Jan-2016
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Emergency Responder Health Monitoring and Surveillance “ERHMS”. John Halpin, M.D., MPH and Renee Funk DVM, MPH [email protected] [email protected] Emergency Preparedness and Response Office National Institute for Occupational Safety and Health. Overview. 1)  Background - PowerPoint PPT Presentation
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Emergency Responder Health Emergency Responder Health Monitoring and Monitoring and Surveillance Surveillance “ERHMS” “ERHMS” John Halpin, M.D., MPH and Renee Funk DVM, MPH [email protected] [email protected] Emergency Preparedness and Response Office National Institute for Occupational Safety and Health
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Page 1: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Emergency Responder Emergency Responder Health Monitoring and Health Monitoring and

Surveillance Surveillance “ERHMS”“ERHMS”

John Halpin, M.D., MPH and Renee Funk DVM, [email protected] [email protected]

Emergency Preparedness and Response OfficeNational Institute for Occupational Safety and Health

Page 2: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

OverviewOverview

1)  Background 

2)  Overview of ERHMS concepts

3)  Evaluation  of the ERHMS concept

4)  Past and Recent activities

5)  Future activities planned

Page 3: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

BackgroundWhy this is important…..

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Page 4: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Precursor to ERHMS conceptsPrecursor to ERHMS concepts

Page 5: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

• “To effectively characterize the consequences to responders’ long-term health, it is clear that an accurate registry of involved responders, preferably compiled as the response is under way, is a prerequisite to any eventual surveillance or treatment effort.”

Page 6: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

• “Understanding where people were and what they were doing during the event is key for post-event intervention, and it is very difficult to reconstruct after the fact if the data were not originally collected.”

Page 7: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

• “Tracking of post-disaster health problems is also complicated by lack of baseline data and accountability information for responder activities during the response.”

Page 8: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

GAO Report on WTC Health Monitoring

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Page 9: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

GAO Report on WTC Health GAO Report on WTC Health MonitoringMonitoring

• Recommendations include the need to:

– Quickly identify and contact people affected by a disaster

– Monitor for mental health effects, as well as physical injuries and illnesses

– Anticipate when designing disaster-related monitoring efforts that there will likely be many people who require referrals for follow-up care.

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Page 10: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Overview of ERHMS

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Page 11: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Goals of ERHMSGoals of ERHMS

• Pre- Event: Ensure only qualified, trained, and properly equipped personnel are selected for deployment

• During Event: Ensure all receive sufficient on site training, monitoring, and risk assessment.

• Post: Ensure responders receive long-term tracking of health where appropriate and recommended

Page 12: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Schematic of ERHMSSchematic of ERHMS

Post-event tracking decision

Page 13: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

EHRMS Tracking Decision Process EHRMS Tracking Decision Process

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Page 14: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

ERHMS Workgroup membersERHMS Workgroup members• NIOSH (coordinating)• National Response

Team• American Red Cross• Army• Center to Protect

Workers’ Rights• Coast Guard• Dept of Homeland

Security• Env Protection

Agency• Fed Emerg Mngt

Agency

• HHS, Asst Sec for Prep and Response

• InterAgency Board• International Assoc of

Firefighters• Natl Inst for Env Health

Sciences (NIEHS)• Occupational Safety and

Health Administration• US Army Corps of

Engineers• State Health Depts: OR,

CA 14

Page 15: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Evaluation

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Page 16: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

NIOSH Docket 223

Page 17: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Internal and External Peer Internal and External Peer ReviewReview

• Internal Review

– NIOSH (DSHEFS, EID)

– NCEH

• External Review

– Civilian Contractor (Phillips and Jordan)

– PRIMA (Public Risk Management Assoc)

– ACOEM (American College of Occ and Env Medicine)

– AIHA (American Industrial Hygiene Assoc)

– IAB  (Inter-Agency Board)

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Page 18: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

www.ERHMS.nrt.orgwww.ERHMS.nrt.org

Page 19: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Applications of ERHMSDeepwater Horizon Response

Federal Bio-Terror Response Exercise

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Page 20: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Deepwater Horizon Response

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Page 21: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Deepwater Horizon Response

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Page 22: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Deepwater Horizon ResponseDeepwater Horizon ResponsePre-Placement EvaluationPre-Placement Evaluation

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Page 23: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Roster efforts at Staging Roster efforts at Staging AreasAreas

Page 24: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Roster efforts at Staging Roster efforts at Staging AreasAreas

Page 25: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

NIOSH Report of UC/BP Injury and NIOSH Report of UC/BP Injury and Illness DataIllness Data

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Page 26: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

NIOSH Report of UC/BP Injury and NIOSH Report of UC/BP Injury and Illness DataIllness Data

Page 27: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Federal Bio-Terror ResponseBOTE

(Bio-Response Operations and Training Exercise)

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Page 28: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

BOTE ExerciseBOTE Exercise

• Designed to conduct and evaluate improved anthrax sampling strategies and decontamination technologies

• Exercised the cooperation and coordination of officials from law enforcement, public health, and environmental agencies

– Dept of Justice

– Dept of Homeland Security

– Dept of Energy

– Environmental Protection Agency

– Centers for Disease Control and Prevention

– Idaho National Labs

Page 29: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Goals for the BOTE ExerciseGoals for the BOTE Exercise

• Data collection and analysis of the following issues:

– Responder credentialing and training

– Responder baseline medical status (medical conditions, medications, immunizations)

– PPE requirements and use

– Health Surveillance (injuries, illnesses, pre-entry vitals)

– Exposure assessment and safety data (PPE breaches, etc)

– Self-reported documentation of health and safety over course of event (physical and mental health, use of PPE, hazardous exposures)

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Page 30: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Electronic Data Collection

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Page 31: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Future Activities

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Page 32: Emergency Responder Health Monitoring and Surveillance  “ERHMS”

Future plans for ERHMS Future plans for ERHMS projectproject

• “Implementation” phase of development– Electronic database– Field Tools– Training materials– Field-testing of ERHMS

concepts


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