Long-Term Care (LTC) Community Based Org. (CBO) Faith Community Psychological First Aid Decontamination Isolation and Quarantine Distribution of Medical Materials (EDS) Debris and Management Burial Management Personal Protective Equipment (PPE) and Workforce Protection MOU/ MAA with CBO who can assist in maintaining health services Function 1: Determine to the health of the jurisdiction Work with Planning Partners Task 1: Identify Essential Public Health, Health and Mental Health Services Environmental Health (Local Health Departments) Disease Investigation (Local Health Department, Public Health Nurses) Medical Surge (Hospitals) Medical Care (Medical Providers, Clinics) Medications (Pharmacies, SNS) Behavioral Health (Mental Health Providers) Medical Transport (EMS) Fatality Management (ME, Hospitals, Funeral Homes, Cemeteries) Include community stakeholders in assessing and prioritizing risks and hazards. Task 2: Identify services that support mitigation of disaster health risks. Social Services Agencies Mental Health Services Substance Services Faith Community Services (Food Pantries, Kitchens, Shelters) Elder Services Hospitals Clinics and Medical Providers Cultural Organizations Service Organizations (Kiwanis, Rotary, Shriners, etc.) Voluntary Organizations Active in Disasters (VOAD): Salvation Army, American Red Cross, Religious Organizations, Community Health Assessment (CHA) Community Health Improvement Plans (CHIP) IRAA/Functional and Access Planning Hazard Vulnerability Assessment (HVA) Fatality Management Plans Continuity of Operations Plan (COOP) VOAD/COAD Plans EMS Area Function 2: Build community partnerships to support health preparedness Task 1: Community sectors to engage include: Business Community Leadership Cultural and Faith-Based Groups Emergency Management Healthcare Social Services Housing and Sheltering Media Mental/Behavioral Health State Office of Aging/Elder Services Education and Childcare Encourage medical professionals to join MRC Task 2: Engagement strategies for priority community groups Participate in existing partnerships/groups such as REPC/LEPC Create new partnership groups Engage and document community input on priorities, policies, plans Provide and document outreach to support Agency Emergency
Definition: Emergency public information and warning is the ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management responders. Risk Communications and Public Information Plan Pre-Planning document Planning, Training, Activation and Reporting Protocols PIO SOG Identify PIO, Support Staff and Spokesperson JAS/SOG for PIO and Support Staff Identify Information Center location and alternate site Train PIO and Staff Reporting triggers and protocols Pre-Event messages Redundant communications strategies Pre-E vent “hot line” capability Redundant power supplies EDS Tool Kit Crisis Emergency Risk Communications (CERC) Plan Created during the Incident Information Gathering Information Sources Responders Subject Matter Experts (SME) State/local Agencies (DPH, DEP, BOH, CDC, MEMA/FEMA) Direct Observation Partner Agencies Public/Social Media Media Internet Quality Assurance Process to assess Public Information strategies/effectiveness Control Fact Checking – Fact Sheets and FAQ sheets Subject Matter Experts (SME) Social Media (Use/not use; but always monitor) Information Dissemination Information Tracking System or electronic log) Inquiries Declarations Releases Messages: Message approval process – of command Coordination with partner jurisdictions/agencies Target audiences/Stakeholder identification Language, interpretation and cultural barriers/needs Common underlying concerns Key messages/talking points Process for verifying Restricted or delayed information, if any Distribution: Target audiences/Stakeholder identification Universal Access Language, interpretation and cultural barriers/needs Methods of information distribution Media Messages for all Stakeholders Messages for FN/IRAA
Function 5: Issue public information, alerts, warnings, and notifications M1: Time to a public Risk Communication message Task 1: Protect restricted information Task 2: Disseminate accessible/ culturally competent messages Task 3: Transmit health messages to Responders Risk Communications: Public Information and Warning Resources/Notes How to stay safe. How to Volunteer. How to donate. 1.5 Fatality Management Resources/Notes Definition: Fatality management is the ability to coordinate with other organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/ behavioral health services to the family members, responders, and survivors of an incident. Written Fatality Management Plan Medical Examiner and Hospitals are the lead agencies Resources MOU/MAA State and Federal Resources such as DMORT (Disaster Mortuary Operational Response Teams) ESF 8 Assess Incident and Potential of LPH Type of incident: natural, criminal, terrorist, or accidental Manifest: closed population with an existing manifest available, closed population with no manifest available, or open population Condition of human remains: visually identifiable, whole bodies, fragmented bodies, comingled, decomposed, charred, or mutilated Rate of recovery: rapid, moderate, slow Recovery complexity: highly complex requiring anthropological consult, shifting, extensive gridding, or unknown recovery area boundaries Presence of contamination or transmissible infection: decedents contaminated with chemical, biological, or radiological agents or materials Disaster site location characteristics: or distributive location; presence of building materials, water/tides, fire/smoldering; need to conduct excavation or debris removal Environmental conditions: weather conditions (e.g., heat, cold, humidity, or rain) Institution of public health/law enforcement community constraints: limitations placed on public gatherings or establishment of curfews Inherent limitation of assets or technology: present or not Requirement to establish formal Health and Safety Plans: required for all fixed and/or ad hoc facilities, and/or tasks involving hazardous work (e.g., recovery operations) of asset integration: requirement for a simple functional or highly matrixed response command structure occurrence: single event at one location, single event at multiple locations, reoccurring event at multiple locations
How to Volunteer. How to donate. Training and Exercises 2.1 Incident Command System (ICS) Resources/Notes ICS 100, 200, 300, 400 NIMS 700/00 Incident Management Team (IMT) 2.2 Emergency Support and Response Resources/Notes Public Information Officer (PIO) FEMA, MEMA, DPH, on-line Legal Nuts and Bolts DPH Isolation and Quarantine Boil and do not use orders Embargoes and Disposal Orders Closures and restrictions Behavioral Health First Aid DMH, DPH, MRC Disease Surveillance DPH Coordinate with the Public Health Nurse (or VNA) MAVEN Contact/coordinate with Hospitals (Infection Control); DPH, EMS Waterborne: Typhoid, cholera, dysentery, infectious hepatitis, giardia, cryptosporidium, E. coli Foodborne: hepatitis A, salmonella, listeria, campylobacter, staphylococcus toxin, botulism toxin (Clostridium) section 3 and 4 of related disease chapter 2.3 Public Health Capacity Building Environmental Health Food Water Housing Leadership and Strategic Planning 2.4 Networks and Partnerships Resources/Notes 2.5 Exercises and Improvement Homeland Security; REPC, LE, DPH, MEMA, IMT Risk Communications Resources/Notes