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Writing an Environmental Health Emergency
Response Plan
Advanced Practice Center Roadshow
August 11-12, 2009Albuquerque, New Mexico
Brian R. Golob, CHMM,REHSTwin Cities Metro Advanced Practice Center
Agenda Introduction/Welcome/Pre-Test
Lesson 1: Setting the Stage
Lesson 2: Potential EH Roles & Responsibilities
Lesson 3: Developing Your EH Emergency Response Plan
Group Activities
Break
Post-Test and Overall Evaluation
Disaster Strikes – Do you have an Environmental
Health Emergency Response Plan?
Lesson 1- Setting the Stage
Disaster Denial Paradigm
It isn’t going to happen.
If it happens, it will not be as bad as they said it would be.
If it happens, and it is as bad as they said, it will not happen to me.
If it happens and it is as bad as they said, and it happens to me, then someone has planned for it and is coming to help.
In the Beginning…
Very Little Information Linking EH and EP in May 2004
Environmental Health in Emergencies and Disasters, WHO, 2002
Public Health Management of Disasters The Practice Guide, 2001, APHA
In the Beginning…(Cont.)
Journal of Environmental Health Article, Sept. 2004
Disaster Field Manual for Environmental Health Specialists, 1994, 1998 & 2004 CA Assoc. of EH Administrators
Environmental Health Officer Deployment Resource Guide CD June 2006
Many NACCHO APC Products
Initial Goal:Write an EH Emergency Response Plan
Tracked down many interesting web sites
Never found an EH Emergency Response Plan
Realized that roles & responsibilities for EHP were not defined
Changed Direction
Decided not to write an EH emergency response plan
Started thinking about roles & responsibilities for EHP during a disaster/emergency
Tremendous need to spell out and document roles & responsibilities for EHP
Why Are We Concerned
Natural & man-made emergencies/ disasters can occur anywhere and frequently do
Incidents can affect human health, lives and the infrastructure that supports society
List of Hazards-Natural
Hurricane Earthquake Tsunami Avalanche Volcanic Eruption Landslide Fires
Tornado Flood Severe Wind Storm Severe Winter Storm Hail Storm Drought Extreme heat
List of Hazards-Man-made or Technological
Dam or Bridge Failure Power Outage/Failure Infectious Disease Transportation
Accidents Terrorist Conventional
Bomb Chemical Terrorism
Contaminated Water Supply Contaminated Food Supply Hazardous Material Incident Radiological Incident Biological Terrorism Nuclear Detonation Cyber Terrorism
Defining Key Terms Hazard is any phenomenon that has the
potential to cause damage to humans and their environment
Emergency is not a disaster in itself, but an event requiring immediate response
Disaster overwhelms the affected community and requires outside assistance
Types of Disasters
Speed of onset (sudden or slow)
Scale (minor, moderate or major)
Cause (natural or man-made)
Principles of Environmental Health
Promote health and quality of life
Protect the public from health hazards
Protect the environment from contamination
General Environmental Health Emergency Response Actions
Primary responsibility for the “health” of a community
Includes basic services such as food safety, water supply, shelter, sanitation & waste management
Immediate Environmental HealthEmergency Response Actions
A rapid initial qualitative assessment to collect information needed to begin an appropriate and timely response
Purpose ofQualitative Assessment
Decide whether local capacity is adequate or external assistance is required
Identify/recognize potential threats and hazards
Assess health risks
Determine priorities and recommend intervention strategies
Perform intervention strategies and identify resources to address the situation
Specific EH Functional or Topic Areas
Food/waterborne outbreak investigation
Water safety & supply Food safety Sanitation Mass care Vector control Solid waste Worker Safety/PPE
Hazardous waste Household hazardous
waste Medical/infectious
waste Chemical incident Radiological incident Flood Tornado/wind
damage
Contact Information
Brian R. Golob, CHMM, REHSHennepin County HSPHD
1011 First Street South, Suite 215Hopkins, MN 55343
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