National Public Health Strategy for Terrorism Preparedness and
Response
National Public Health Strategy for Terrorism Preparedness and
Response
Joan P. Cioffi, Ph.D.Senior Service FellowPublic Health Practice Program OfficeCenters for Disease Control and Prevention U.S. Department of Health and Human ServicesAtlanta, GA
Joan P. Cioffi, Ph.D.Senior Service FellowPublic Health Practice Program OfficeCenters for Disease Control and Prevention U.S. Department of Health and Human ServicesAtlanta, GA
CDC: National Public Health Strategy for Terrorism Preparedness and Response
CDC: National Public Health Strategy for Terrorism Preparedness and Response Strategic Imperative: “a competent and
sustainable workforce” Implementation:
State and local grant program CDC-directed education/training Partnerships
Strategic Imperative: “a competent and sustainable workforce”
Implementation: State and local grant program CDC-directed education/training Partnerships
State and Local GranteeEducation and TrainingState and Local GranteeEducation and Training
Grantees include: 50 states, D.C., NYC, LA, Chicago and 8 territories
Education/training part of all 7 focus areas 52% grantees completed needs assessments in FY
2003 FY 2004 – most grantees planned distinct training
interventions to address needs ( Range: 10 - 67) Next steps
Disseminate best practices Use performance indicators; exercises/drills to refine
training plans
Grantees include: 50 states, D.C., NYC, LA, Chicago and 8 territories
Education/training part of all 7 focus areas 52% grantees completed needs assessments in FY
2003 FY 2004 – most grantees planned distinct training
interventions to address needs ( Range: 10 - 67) Next steps
Disseminate best practices Use performance indicators; exercises/drills to refine
training plans
Leveraging PartnershipsLeveraging Partnerships
Centers for Public Health Preparedness 23 academic centers (Schools of Public
Health) 13 specialty centers ( School of Medicine,
Nursing, Veterinary Medicine, Law) Clinician Outreach
Association of American Medical Colleges (AAMC) and 8 specialty societies
Centers for Public Health Preparedness 23 academic centers (Schools of Public
Health) 13 specialty centers ( School of Medicine,
Nursing, Veterinary Medicine, Law) Clinician Outreach
Association of American Medical Colleges (AAMC) and 8 specialty societies
CDC Terrorism Preparedness and Emergency ResponseNeed for coordination of all CDC programs with roles in the science and/or service of terrorism preparedness and emergency response; all have education activities
NCEH
NCID
NCIPC
NIP
PHPPO
NIOSH
EPO
ATSDR
OC
OTPEROTPER
OC CDC Director’s Office of Communication
ATSDR Agency for Toxic Substances & Disease Registry
NIOSH National Center for Occupational Safety & Health
NCIPC National Center for Injury Prevention & Control
NCID National Center for Infectious Diseases
NCEH National Center for Environmental Health
EPO Epidemiology Program Office
NIP National Immunization Program
PHPPO Public Health Program Practice Office
CDC Information Development and Dissemination
Critical Health Information
Communication Professional Education
Identification, development, and dissemination of critical information to support terrorism preparedness and emergency response activities at CDC requires planning and close coordination across the agency and collaboration with a broad range of partners
PublicMediaOther stakeholders
Public health professionalsCliniciansOthers
CDC Terrorism Preparedness and Emergency Response Information and Education Considerations
CDC Terrorism Preparedness and Emergency Response Information and Education Considerations
“Just in case”: Information that all frontline PH professionals and clinicians will need to recognize illness caused by terrorist agents Delivery: Ongoing rollout;
didactic, interactive, Web-based formats; distance learning
“Just in time”: Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events Delivery Real-time; continuous
updates; quick communication
“Just in case”: Information that all frontline PH professionals and clinicians will need to recognize illness caused by terrorist agents Delivery: Ongoing rollout;
didactic, interactive, Web-based formats; distance learning
“Just in time”: Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events Delivery Real-time; continuous
updates; quick communication
ResourcesResources
www.cdc.gov Lynn Steele, Senior Advisor for Education
and Training, OTPER/CDC [email protected]
www.cdc.gov Lynn Steele, Senior Advisor for Education
and Training, OTPER/CDC [email protected]
Education and Training IncludesAll Hazards Public Health Preparedness
Education and Training IncludesAll Hazards Public Health Preparedness
Biological Terrorism
Chemical Terrorism Choking agents (phosgene/
chlorine) Blood agents (cyanides) Blister agents (mustard gas) Nerve agents (sarin, soman,
tabun, etc.)Radiation Terrorism
Dirty bombs Food/water contamination Power plants
Biological Terrorism
Chemical Terrorism Choking agents (phosgene/
chlorine) Blood agents (cyanides) Blister agents (mustard gas) Nerve agents (sarin, soman,
tabun, etc.)Radiation Terrorism
Dirty bombs Food/water contamination Power plants
In the event of a terrorist act or emergency, CDC needs to provide just-in-time information immediately in at least the following 5 areas
Just-in-time Information Ready and available
Guidance for first responders
Immediate clinical guidance, medical management
Public health response
Clinical and reference laboratory protocols
Basic information for the public
Identifying Information Needs and Gaps
Refining a Terrorism Preparedness Education Strategy
Questions to Consider: What have we learned from the needs assessments? How can we minimize redundancy of materials?
Can we consolidate/standardize? What actions can be taken to ensure consistent,
accurate information? Quality education? What is the impact of education? How do we know that
learning has occurred? What evaluation programs are/should be in place?
Where are the content gaps in training and education materials? In audiences reached?
Can we better coordinate resources for development and delivery of training?
Hospitals
DoD& VA
Vital Records
Environmental(BioWatch) Pharmacy
Data
Veterinary
Laboratory
Cargo/Imports
Immigration
International
SchoolsEmployers
Law Enforcement
Intersection of Information/
AnalysisACTION POINT
Media
Clinicians
Public
First Responders
Quarantine Stations
Border States
Desired State of Connectivity