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PREPAREDNESS
Life in the County
Emergency Management Plan
T. R. Belcuore
April 2007
RULES OF THE ROAD• Presently, we operate under a crisis and
consequence scenario
• The National Incident Management System (NIMS or ICS) is for crisis
• The Emergency Support Function System (ESF) is for consequences of the crisis
• And now for the BIG ONE……
COUNTY PREPAREDNESS RESPONSE PLANS ARE LIKE
LONG UNDERWEAR,
ONE SIZE DEFINITELY DOES NOT FIT ALL.
CORE ELEMENTS• Emergency Support Function (ESF 8 or
18)
• Special Needs Shelters
• HazMat Response
• Lab and Sampling
• Laboratory/Chain of Custody
• Rumor Control
CORE ELEMENTS-HURRICANE
• Special Needs Shelters
• Epidemiology
• Environmental Health
• Long Term Care-Discharge Planning
• Hospitals
• Rumor Control
NEW ELEMENTS
• Incident/Unified Command
• Points Of Dispensing/Distribution (PODs)
• Alternate Care Sites
• RDSTF
• Quarantine/Isolation
EMERGENCY SUPPORTFUNCTIONS
• Designed post –Andrew
• 16 core functions that distribute the activities
• CHD’s normally operate in ESF-8; however, a few counties use ESF 18
• ESF-17 is animal control- while not yours you might want to consider it
ESF ORGANIZATION
• 1-Transportation
• 2-Communications
• 3Public Works
• 4-Fire/Rescue
• 5-Planning
• 6-Mass Care
• 7-Resource support
• 8-Health/Medical
• 9-Search/Rescue
• 10-HazMat
• 11-Food and Water
• 12-Energy
• 13-Military Support
• 14-Public Info
• 15-Volunteers
• 16-Law Enforcement
• 17-Animal Care
SHELTER MANAGEMENT
• CHD’S have responsibility by statute for persons with Special Needs
• Done usually in conjunction with ESF-6 (mass care). Red Cross has lead, but…
• All orders placed through Emergency Manager
SOME SHELTER BASICS
• Rotate your shifts on 12 hour segments-this synchs up with regular planning cycles
• However, change your supervisors two hours prior to staff shift- therefore, better flow
• Give each shelter a FIXED time YOU will call them (sitrep). Give them a fixed set of questions you want answered: so, what are the questions?
MORE SHELTER BASICS• Consult with EM to determine level of
acuity shelter will take, but….
• Remember, hospitals won’t take most of them
• Role of CMS?
• SpNS require alternative power to run concentrators and suctioning machines. Arrange this though EM now.
• When things go bad…fires, N. Homes
SHLETER BASICS-2007
• State statute now defines Special Needs clients
• There is no standard form to enroll a Special Needs client
• Attempt to have County EM accept a different form
• Advocate for a standard form
HazMat
• Coordination between you, DEP, local EDP (sometimes)
• Anthrax Sampling Protocol- might be the time to change yours
• Key point is chain of custody
• Get to know the HazMat chief(s)
LAB AND SAMPLING
• Keep copy of what gets sent where from your county
• Arbovirus work to Lillian Starke (Tampa) plus things like cryptosporidium
• The path for results goes through Tally
• Make use of the molecular capability we have in outbreaks
RUMOR CONTROL
• Do not confuse this with risk communication
• Identify who does it in your county
• Any rumor allowed 8 hours without response becomes validated
NEW ELEMENTS
• Added primarily after Sept. 11
• However, response planning commenced in July of 1999 with the creation of the State Working Group (SWG)
• Then, current system created the RDSTF (Regional Domestic Security Task Force)
INCIDENT COMMAND SYSTEM
• Developed by Fire Service
• Adopted as the statewide response mechanism
• Starts with 4-6 basic elements and grows as needed
BASIC STRUCTURE
INCIDENT COMMANDERor
UNIFIED COMMAND
OPERATIONS CHIEF
PLANNING CHIEF
LOGISTICS CHIEF
SAFETY OFFICER
FINANCECHIEF
LIAISONOFFICER
THE STRUCTURE EXPANDS
INCIDENT COMMAND
PLANNING CHIEF
OPERATIONS CHIEF
LOGISTICS CHIEF
SAFETY OFFICER PIO
RESOURCE OFFICER
TECHNICAL SPEC.MEDICALSUPPORT
MEDICAL BRANCH
LIAISON
FINANCE
TIME UNIT
THE STRUCTURE EXPANDSAGAIN
INCIDENT COMMAND
PLANNING CHIEF OPERATIONS CHIEF LOGISTICS CHIEF
SAFETY OFFICER PIO/JIC
RESOURCEOFFICER
TECHNICAL SPEC.
MEDICAL SUPPORTMEDICAL BRANCH
FINANCE/ADMIN
HOSPITAL
POD/VAX
VAX/PROPHY
CISD
BEHAVIORAL
ALT. Tx CENTER
SIT. STAT UNIT
THE STRUCTURE EXPANDS AGAININCIDENT COMMAND
PLANNING CHIEF
OPERATIONS CHIEF
LOGISTICSCHIEF
SAFETY OFFICER
PIO/JIC
RESOURCE OFFICER
TECHNICAL SPEC.
MEDICAL SUPPORT
MEDICAL BRANCH
FINANCE/ADMIN
HOSPITAL VAX/PROPHY
CISDBEHAVIORAL
ALT. TX CENTER
SIT. STAT UNIT
SERVICESSUPPORT
SHELTER BRANCH
COMMUNITYBRANCH
EPI
EVH
PODS
LTC SUPPORT
LIAISON
OF LSA’s,PODS, JICS, JOCS, (AND OTHER STUFF)
• Points of Dispensing
• Look a lot like vaccine clinics- so use your base operational plans
• Critical areas are security, traffic control, and behavioral health
• Need a POD manager and logistics unit- everyone else is providing care
• PODs deal with people, not county lines
• Use of school lunchrooms…..
ALTERNATE CARE SITES(s/k/a CASUALTY COLLECTION POINTS)
• Designed for when hospital ED is overrun
• However, SARS created them as well
• Use in conjunction with hospital diversion plan
• Potential need for full time epi staff
• Plan may use in conjunction with POD locale, but infection issues will occur
The “Q” and “I” WORDS
• Some statutory confusion (TB)
• Quarantine is for well persons, isolation is for ill persons
• Quarantine now in statute
• Quarantine/isolation plan in draft now
• X facilities and their role
RUMOR CONTROL ONSTEROIDS
• Biologicals will create the greatest amount of fear
• “Internet Amplification”
• Restructure of Rumor Control
• Establish rumor controls with LE, Fire, Hospitals, and reporting path
• Use JIC to provide citizens with info dispelling rumor du jour (hour)
HURRICANE-A DRAMAIN THREE PARTS
• THE RUN-UP
• THE EVENT
• THE POST-EVENT
THE RUN-UP
This encompasses the time from today until the wind starts blowing:
SCHOOL/SHELTER SITES−Have they changed your area?−Drawings for placement of cots−Generator in place or brought in−Power cord needs
THE RUN-UP
POPULATION PLANNING−Age distribution and where they live−Birth rate for last three years−Flood area county evacuation−Host vs. Strike shelters
WATER−Calculate 3L/day for drinking
THE RUN-UP
WATER SUPPLY−Public supply certification−# samples needed−# private wells (flood issues)
SANITATION−# Porto-Lets available on demand
HOSPITAL−Fuel type and burn rate (if known)
THE RUN-UP
COMMUNICATION−Establish your ESF-8 call list−Establish a DL for partners−Radio capabilities identified−Test Test Test Test
KNOW THE POPULATION−Homeless and others
THE EVENT
BALANCE YOUR LEAD TEAM−Get them rest prior to the event−Make sure your lead team is safe−Make sure that EVH is resting
Establish Call Times−Set a time for the Shelter Leads to be called by
you−Have an established set of questions
THE EVENT
COMMUNICATION−Stay in touch with the partners
−Prepare situation reports and contingency plans for immediate response
−Keep SEOC notified by objectives and SitStat
GET SOME SLEEP!! It’s not going anywhere for a while……
THE POST EVENT
• Each event has a “signature”
• Each event is time sequenced
• There are phases- i.e. the “chain saw phase”, the “blame phase”
THE POST-EVENT
ASSESSMENTS− If you’ve been tracking, part of it is already in
objective form− If an area is not calling in, check them FIRST−Don’t reinvent the assessment wheel
THE POST EVENTASSESSMENTS
• Air-Water-Medicine-Food
• Hospital and LTC capacity
• Flood issues-know your roads
And Finally….
• Coordinate with the SEOC on who is doing what
THE POST-EVENTDay 0-3
• Establish medical capability and repair
• DMAT may not be the answer
• Establish epi system
• Establish future EVH needs
• Mass Fatality Plan
• Status of the LTC system
THE POST EVENTDay 4-7
• Enter the chain saw phase
• Enter the blame phase
• Environmental Health Issues
• Contingency Planning in effect
• Staff exhaustion
• Discharge Planning
• Consolidation of shelters
AND IN CONCLUSION
USING ICS WILL HELP YOU:
Manage by Objective
Keep It Simple
Focused on O2-H2O-MEDS-FOOD
WE’RE ALL IN THIS TOGETHER!
QUESTIONS??