Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program
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Transcript of Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program
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Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program
Iowa Department of Public HealthDivision of Epidemiology, EMS
and Disaster Operations
Sharon Cook, BS, RDH
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A Look BackOctober 2001 - New Office created - Division of Epidemiology, EMS, and Disaster Operations (2003 Legislature)
April 2002 - Department of Health and Human Services Funding 12.8M- CDC public health = 11.5M- HRSA healthcare/EMS = 1.3M
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A Look BackJune 2002 – Iowa’s First Public Health Congress99 counties (BOH)Allocation of Local Public Health fundsBuild planning regions & governance
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A Look Back
Disaster/Terrorism Committees
6 Bio-terrorism Planning Regions
August 2003 – 18M funding for public health and healthcare- CDC public health = 12.6M- HRSA healthcare/EMS = 5.4M
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Mission
To provide a statewide, effective and sustainable program of public health and healthcare disaster/terrorism services across organizational boundaries of all stakeholders that is fully integrated into Iowa’s Homeland Security and Emergency Plan.
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PartnershipsHealthcareEmergency Medical ServicesPublic HealthLaboratoriesFire ServiceHazmatLaw EnforcementHomeland Security and Emergency ManagementState AgenciesFederal Agencies
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Iowa (Bio)terrorism CommitteesCDC (public health) & HRSA (healthcare)Bioterrorism Regional Steering CommitteesIA-DMAT (disaster medical assistance teams)SNS (strategic national stockpile)HAN (health alert network) and communicationsLaboratory
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Iowa (Bio)terrorism Planning Regions
Structure
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Why Regional Planning?• Required by Grants
• Opportunity to identify and integrate resource capacities and capability
• Bring multiple response partners together
• Build upon existing county emergency response infrastructure
• Develop a regional response plan, ensuring integration into state Homeland Security and Emergency Plan
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(Bio)terrorism Regional Steering Committees
HRSA (healthcare)All Hospitals x2EMS (career & volunteer)Emergency ManagementPublic Health Community Health CentersIndian Health Services
CDC (public health)All county public health HospitalsEMSEmergency ManagementCommunity Health CentersIndian Health Services
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The System = Partnerships
County “All Hazard Plan”
Emergency Management
State Emergency Plan
Iowa Homeland Security and Emergency Management
Regional Public Health and Healthcare Bioterrorism
Preparedness and Response Program
Local Authority
State Authority
Resource
Capacity
Capabilities
Incident
Federal
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State Emergency Response Plan
Follows incident management systemDefines what each department is tasked with doing in the event of a disasterUses a “multi-hazard” approach to planning
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Iowa Homeland Security and Emergency Plan
IDPH Serves as LEAD agency for 4 annexes:
1. Medical Services2. Public Health3. Radiological Health4. Mass Fatalities
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Comprehensive Bio-Emergency Planning
SmallpoxWNVSNS
Bio-Emergency Response Plan TemplateSARS Response Plan
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Iowa Accomplishments99 local public health bioemergency plans24/7 duty officer call system with 800 numberRegional capacity and resource sharing plansComprehensive needs assessmentPublic health disaster legislationSNS plan and full scale exercise
Purchased and equipped all hospitals with portable decontamination showers and PPEUHL connection with sentinel labs 99% high speed internet connection HAN, 24/7 emergency contactsRegional epidemiology program
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Iowa AccomplishmentsRisk communication training in each regionFive volunteer disaster medical assistance teamsEnvironmental sampling teams and kitsComprehensive survey of level a and b laboratoriesLaboratory response planSecurity plan for information systemsPIO go kits
Learning management systemEMS start triage programRegional tabletop scenariosEstablished redundant communication system with all hospitals with 800 mHz radiosIdentified mass dispensing/vaccination sites in all counties
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Iowa Disaster Medical Assistance Teams (IA-DMAT)
Volunteer force of medical, public health and environmental health professionals
No pay, but receive legal protections as state employees while deployed to a disaster site
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IA-DMAT
Five sponsoring hospitalsNot an employee of the hospitalAdministration and equipment role
On-call every five months
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IA-DMAT: Iowans Helping Iowans A state resource, in the event of a disaster that overwhelms local medical capabilities
IA-DMATs do not leave IowaWork in austere conditions or in a hospital
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ChallengesTransforming public health and healthcareBudget deficits and workforce shortagesCommitment to sustain support and funding to build our system of emergency preparedness and responseMaintaining the momentum to continue with preparedness and response activities
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