The Occupational Health Sub-council Want to be a member? Username: Password : Subscribe Presented by...

The Occupational Health Sub-council

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Presented by the OH-SC(Occupational Health Sub-council) Click here!

Nonmembers can learn all about the OH-SC and about

the involvement of DHS and HHS

Emergency Informationfor non-members

CDCPoison Control CentersPublic Health Departments

...

OH-SC offers:

• Disaster-response assistance• Alerts on potential terrorist activity• Current hot topics• Real-time Q&A with experts• Secure means for reporting incidents• Secure discussion forum (web and/or voice)• Emergency preparedness: checklists, plans • Emergency preparedness/response training• Research, reports, and abstracts• Links to secondary sources• FAQs• Best practices

Welcome to theOccupational Health Disaster Expert Network (OHDEN) !


About the OH-SG

About the OH-SG:

Public Health and Healthcare services were designated by President Clinton’s Presidential Decision Directive PDD-63, now superseded in the Bush Administration by Homeland Security Presidential Directive 7(HSPD-7). This sector is one of several critical infrastructures and key resources identified as needing protection from terrorist attacks.

Under the auspices of the DHS and coordinated through Health and Human Services, the Occupational Health Sub-council (OH-SG) was createdto develop resources to establish a communityand to develop necessary resources.

The OH-SC is an advisory group consisting ofOH physicians, nurses, industrial hygienists,and other workplace health providers.


About OHDEN

• The Occupational Health Disaster Expert Network

• OHDEN is how OH-SC will achieve its mandate.

• OHDEN is a community that providescommunication for OH professionals.

• OHDEN is a web-based resource anda community of occupational-healthprofessionals.

• Odin is the Norse god ofdeath, poetry, and wisdom.


The OHDEN Entry Point

http://www.ohden.orghttp://www.ohden.net


For Members

Modify your personal profile

Two types of data: Category 1: Emergency data, which is interactive Category 2: Reference information

Category 1

Category 2

Urgent or Life-threatening If immediate assistance or information is needed

Emergency Preparedness and Response Reference Information

Welcome, Dr. Doe!


Category 1

If you need to speak to an expert right now:

Read latest CDC AlertsRead latest OH-CG web alerts

ReceiveAlerts

Read latest HC-ISAC alertsRead latest DHS alerts

Send Alerts Send alert to all members Send alert to selected members

ConferencingReview schedule of emergency conferences (e-mail or phone)

Review archive of conferences

Click here

Dirty bomb threatsRicin

If you need to report an incident right now:

Emergency links and numbers. Enter zip code: 27708

Entering a zip codewill provide access to emergency links and phone numbers

in that area.

Click here


27708Emergency contacts for zip code:

Category 1

Emergency number for your area…………………………………….911 Local health department…………………......................(555) 123-4567; [email protected]; http:// . . . Fire department………………………………………..…..(555) 123-4567; [email protected]; http:// . . . Police department……………….……...............………..(555) 123-4567; [email protected]; http:// . . . Ambulance………………………………….......................(555) 123-4567; [email protected]; http:// . . . Poison control center…………………...................…….(555) 123-4567; [email protected]; http:// . . . Local emergency management office……...................(555) 123-4567; [email protected]; http:// . . .

Local hospital facilities…………………………………...(555) 123-4567; [email protected]; http:// . . . Local American Red Cross chapter………...................(555) 123-4567; [email protected]; http:// . . . State or regional emergency management offices…..(555) 123-4567; [email protected]; http:// . . . State or regional FEMA offices………….………………(555) 123-4567; [email protected]; http:// . . . State or regional public-health offices…………………(555) 123-4567; [email protected]; http:// . . .

[Regional OSHA (or state OSH) offices…………………(555) 123-4567; [email protected]; http:// . . .] [Local occupational-health resources…………….…….(555) 123-4567; [email protected]; http:// . . .]

[Other pertinent local offices, agencies, or groups…..(555) 123-4567; [email protected]; http:// . . .]

Link to emergency-assistance sites on the Internet(e.g., DHS, HHS, FEMA, OSHA, EPA, others)…………………………………….http:// . . .

Phone E-mail Internet Other (e.g., IM, radio)

Mandatory numbers to call can be so indicated.

Workplace-specific emergency resources


For Members

Modify your personal profile

Two types of data: Category 1: Emergency data, which is interactive Category 2: Reference information

Category 1

Category 2

Urgent or Life-threatening If immediate assistance or information is needed

Emergency Preparedness and Response Reference Information

Welcome, Dr. Doe!


Members can search forOH-CG-reviewed websites and

OH-CG-authored articles.

Disaster Preventionand Preparedness

Disaster Response:Acute Phase

Disaster Recoveryand Mitigation

Learn all about:

Search on a topic (Enter keyword(s) and click link below):

View articles contributed by OH-CG members

View information from other selected websites

Category 2

Would you like to learn at your own pace about disaster preparation?


Three main categoriesare available to assist members in learning.


Disaster Preventionand PreparednessA. What is a disaster? (definitions, scope, applicability)

B. How are disasters managed in the U.S. and abroad?

C. Risk assessment for my workplace

D. Risk communication for the public and the media (before the disaster)

E. Risk communication for workforce and family members (before the disaster)

F. Establishing communications channels before a disaster

G. Planning for immediate medical response to a disaster

H. Planning for data collection (clinical and epidemiological medical surveillance)

I. Planning for security

J. Legal and ethical issues

K. Training and education (before the disaster)



B. How are disasters managed in the U.S. and abroad? 1. Local, state, regional, and national (federal) response plans in effect in the U.S.

a. Phases of response (planning, crisis management, consequence management, recovery, etc.)

b. Our own explanation and summary of these plans c. Hyperlinks to the appropriate information sources

2. Response plans applicable to U.S. workers abroad 3. How do these systems interface with my workplace? 4. Why (and in what specific ways) should my workplace prepare? 5. Establishing a workplace-specific disaster-response plan: Critical steps,

including setting up an organization, funding, wiring diagrams, communication pathways, accountability, personnel, equipment, immediate medical care, agreements with local or regional medical facilities, antidote distribution, evacuation, etc., etc.)

C. Risk assessment for my workplace 1. Hazard identification (including worker populations affected)

a. How will I know that there’s a disaster? b. Specific hazards that I should look for 2. Dose-response assessment 3. Exposure assessment 4. Risk characterization

E. Risk communication for workforce and family members 1. To workers 2. To management 3. To worker families 4. To relevant local, state, and federal agencies



F. Establishing communications channels before a disaster 1. Whom to call a. For information / consultation / help b. For reporting / data collection 2. When to call (under what circumstances) 3. What to communicate 4. Security /confidentiality of data being communicated 5. How to organize communications channels in the planning stage

G. Planning for immediate medical response to a disaster 1. The roles of medical personnel in the workplace (and their relationship to management and

workers) 2. Medical resources (personnel, equipment, antidotes, transport) available in the workplace 3. Self-aid and buddy aid (and training for self-aid and buddy aid) 4. Emergency-medical-treatment resources in the workplace 5. Agent detection, identification, confirmation, and risk assessment 6. Decontamination a. Personnel b. Equipment c. Buildings and worksites d. Environment 7. First-responder issues 8. Transport off site 9. Medical treatment off site 10. The role of medical resources



H. Planning for data collection (medical surveillance) 1. Data collection and preservation from individual workers for individual diagnosis and medical

management 2. Epidemiological medical surveillance (from living workers and from dead victims) a. Exposure monitoring (IH), with protocols for collection of environmental specimens b. Biological monitoring, including protocols for collection of medical specimens c. Health-effects monitoring (medical monitoring) 3. Confidentiality of data (e.g., HIPAA considerations, IRB protocols, etc.) 4. Specific sampling protocols (lists, where to find them, how to develop them, etc.)

I. Planning for Security 1. Worker security (protection, evacuation plans and assembly points) 2. Physical security 3. Information security

K. Training and Education (before the disaster) 1. What’s available? (and from whom, for whom?) 2. What’s needed for your particular workplace (and how do you find out)? 3. Contact and application procedures? 4. CME modules available addressing disaster readiness 5. CME module: OH ISAC website for on-line training sponsored by ACOEM







Learn all about:




Category 2



Do you need online assistance?Search (type in keyword):


+disaster +“mental health”


Do you need online assistance?Search (type in keyword):


+disaster +”mental health”

URL: http://www.psych.org/disasterpsych/links/11sept02guide.cfm

Title: American Psychiatric Association Disaster Psychiatry: Plan of Action

Abstract:

This web page is sponsored by the American Psychiatry Association (APA). This particular page is a news release dated 20 August, 2002. It concerns a brochure released by the National Partnership for Workplace Mental Health to enable employers, employees, and families of employees deal the mental-health impact of terrorism and other disasters. The title of the brochure is, “When Disaster Strikes: Managing Mental Health in the Workplace.”

The brochure exists as a PDF file accessible from a link on this page. The brochure is nontechnical and in color and can be viewed and printed as a foldable brochure from any system that has Adobe Acrobat Reader. It would be useful before, during, and after a disaster and would be useful to distribute to employees—or to make available for them at employee health clinics—well before the disaster occurs. It is not copyrighted, and the APA approves and encourages its wide dissemination in the workplace.

Relevance and usefulness to workplace disaster prevention and preparedness: High; recommended

This review last updated 30 April, 2004 by OH AC (James M. Madsen, MD, MPH)

Click on the URL to go directly to the site.


Capabilities for Secure Intranet Searches

OHDEN

OHDEN Intranet Experts Web Emergency

• Intranet Search Capability for OHDEN• Licensed search product

• Internal (firewall-protected) or global options

• Criteria-based searching• Based on underlying specific taxonomy (keyword / MESH concept)• Searchable with Boolean logic

• Category-specific resources


OHDEN Taxonomic Categories


OHDEN Taxonomy:Comprehensive Subsets


Tagged Keywords for Unstructured Searching


○ Resource Type(s) {resource type}– ○ Biographical (OHDEN member) {biographical}– ○ Available for consulting {consultant}– ○ U.S. Federal Government: DHS [NOS] {Federal}– ○ U.S. Federal Government: DHS: FEMA (disaster response) {FEMA}– ○ U.S. Federal Government: HHS and healthcare issues (including ESF #8) [NOS] {HHS}– ○ U.S. Federal Government: HHS: CDC [NOS] {CDC}– ○ U.S. Federal Government: HHS: CDC: NIOSH {NIOSH}– ○ U.S. Federal Government: DOL and labor issues [NOS] {labor}– ○ U.S. Federal Government: DOL: OSHA and workplace issues {OSHA}– ○ U.S. Federal Government: Other {Federal}– ○ Regional Resources {regional}– ○ State Resources {state}– ○ Local Resources {local}– ○ Professional Organizations {professional}– ○ Nonprofit Organizations {nonprofit}– ○ University Resources [NOS] {university}– ○ University Resources: Public {public university}– ○ University Resources: Private {private university}– ○ Poison-control Centers {poison-control centers}– ○ Medical Resources: Medical Search Engines [NOS] {medical search engines}– ○ Medical Resources: Occupational-and-environmental-medicine Sources {OEM search engines}– ○ Medical Resources: Evidence-based-medicine (EBM) Sources {EBM}– ○ Databases: Query-engine-based {search-engine databases}– ○ Databases: Other {databases}– ○ Military Resources {military}– ○ Private Resources: Occupational {occupational}– ○ Private Resources: Other {private}– ○ Free Resources {free}– ○ Subscription or Fee-based Resources {not free}– ○ Resources Owned or Produced by OHDEN {OHDEN}– ○ Websites (external to OHDEN) {external websites}

Comprehensive Systematic Taxonomy:Example

So far,264 bottom-level catalog elements

(not counting headings and subheading)


Revealed Keywords


Origin of disaster?1) Natural2) Intentional (informs law enforcements)3) Unknown

Type of emergency (multiple selections allowed)Please fill out the following questions to help refine and expedite searches and then submit:

Route (multiple selections allowed)AirSoilWaterFoodTransportation

ChemicalBiologicalRadiation Natural Unknown

SolidLiquidGasN/A

Disaster location

Inside facilityOff siteN/A

Select proximity to disaster (off site)1 - 100 ft101 – 500 ft501-1,000 ft1,001 – 5,279 ft1 - 5 milesGreater than 5 miles

Volume amount (select one and enter amount):

This is just one example of the type of query information on which

searches could be based.



Scenario: Anthrax

• A Fortune 500 high-tech employer, Apex Industries, with approximately 3000 workers in a single multistory building shared with another 1500 individuals from another global employer, receives an envelope addressed to one of its employees. The envelope contains a fine powder.

• The employee opens the letter in a common area, notices the powder, brushes it off his forearm, reads an enclosed offer for a low mortgage rate, and discards the envelope.

• At lunch, he realizes that he should report his having noticed the powder in the envelope; but when he tries to retrieve the envelope, he learns that the trash has been taken out.

• There is no envelope or powder to test, but the FBI reports that numerous calls have been received in the past hour about similar envelopes delivered to over three dozen cities in the area. Of 200 identical letters, 152 contained harmless powder but 48 tested positive for spores of Bacillus anthracis.


Scenario: Anthrax

• As the medical director for Apex International, you learn (while you are preparing to board a flight early the following morning) that your employees have been potentially exposed to anthrax, as have thousands of others in 14 cities across four states. You dash back to your offices.

• By 6 a.m., supplies from the Strategic National Stockpile are being deployed, and Dr. Gerberding from the CDC is holding a press conference. President Bush has expressed grave concern and outrage.

• Your company crisis team is called into action by 6:15 a.m.

• A special HazMat team scours the landfill where the trash from your company had been taken and confirms that the letter delivered to your employee did in fact contain anthrax spores.

• You elect to begin prophylactic antibiotic treatment, but many questions are coming to you:


Employee Issues

• Should I go to the point of distribution (POD) that I heard of from the news?

• Should I come to work? When? Is the building closed? For how long?

• Am I being paid for time off? FMLA? Worker’s comp?

• Will worker’s comp pay my private doctor to give me antibiotics?

• I was in the area where my coworker opened the letter but then took a flight to our plant in Bangalore, India. I don’t want to fly back to the POD. Can the company doctor here just give me the ciprofloxacin that I need?

• I’m freaked out and so is my family. I called the EAP, but no one there could help us.

• I work in the mail room at the building where the mail was opened. Am I going to get sick? What tests can you do to let me know that I’m okay?


Vendor Issues

• Our security personnel who work at Apex (but are actually contractors from a private-security company) were in the area, too. Our contract with Apex doesn’t include anything about this kind of contingency. What is Apex going to do for us?

• Do we continue to deliver FedEx packages? Also, one of our delivery persons was on the same floor as the envelope yesterday and needs to talk to you.

• A food-service worker (not employed by Apex) in the cafeteria was handed a badge to scan and cash by the exposed Apex employee. Does she need prophylaxis?

• Corporate Express, a company that delivers office supplies, calls to report that one of their employees delivered to Apex and is now hospitalized and thought to have anthrax. You are requested to call Corporate Express.


Customer Issues

• Will your service contracts be honored? Will delivery be on time? What about customer-service response times?

• Do not make any more deliveries to us until we hear from official health experts that you products are safe.

• What about the item that we just received from you? Is it safe?

• We noticed some powdery residue in the packing material for the training materials that you sent us. Can you test the powder for us?

• A group of our employees was training at your site on the day of the incident. They are now back in Hong Kong and want to know what to do.


Safety and Industrial-hygiene Issues

• What kind of respirators will we need? What about skin protection?

• How should we address the issue of environmental containment?– What about the ventilation system?

– What about surfaces?

• How do we decontaminate the building and its contents without damagingvital documents and other materiel?

• Does exhaust ventilation require special monitoring?

• How do we manage waste disposal?

• How does the particulate size of the powder affect respirator recommendations?


Management Issues

• How long do we close the building? Who decides? How long will it take to clean this problem up and get back to business as usual?

• How do we assure our employees, vendors, and other partners that our work environment is safe? Who makes this call?

• What do we do if the health department forces us to relocate temporarily? We have a business-continuity plan but will still need to send workers into the building during the transition period.

• Are our products safe? How will you know? When will you know?

• For consistency of communication, everything that you say will now have to be okayed in advance by the senior vice president of marketing. We want to minimize panic, liability, and loss of market share.


Issues for the OH Professional

• How are you going to answer these questions and deal with these issues?

• There’s plenty of general information on the news and on the Internet,but much of it is too general to apply to your specific problems at work.Where can you go to get more specific information?

• How can you minimize the risks that confidential data about conditionsin your business will reach the media or the general public?

• You are responsible for the health and safety of employees at all levels of the organization. Who ya gonna call? Where can you go for help?


(to go directly to the website)


(to go directly to an introduction)


(to go to the website)


(go directly to the introduction)


Anthrax Scenario

• How are you going to answer these questions and deal with these issues?

• There’s plenty of general information on the news and on the Internet,but much of it is too general to apply to your specific problems at work.Where can you go to get more specific information?

• How can you minimize the risks that confidential data about conditionsin your business will reach the media or the general public?

• You are responsible for the health and safety of employees at all levels of the organization. Who ya gonnna call? Where can you go for help?







Request current information on a CDCollaboration CenterNews CenterCourses, tutorials, and training

Other options:

Learn all about:




Category 2

Would you like to discuss this topic with fellow occupational-medicine healthcare providers?


View list of professional experts on content source

Members can consult a list of professionals who provide

expertise on a specific topic(on a volunteer basis).


Collaboration and News Center

Read latest news from CDC

Read messages from members

Find out topics and schedules for conference calls

Access archived recordings of conference calls (2 week max)

Make request to editor

News of the week:

Other Topics:

External Links:

HANACOEMAIHAWHOAAOHNLink to list of other links

Click Here for Discussion Forums

SARS resurfaces in China

New anthrax prophylaxis


Notification Options

Alerts E-mail: No Yes Click here to enter E-mail address IM: No Yes Click here to enter IM user name Office phone: No Yes Click here to enter phone number(s) Fax: No Yes Click here to enter fax number(s) Home phone: No Yes Click here to enter phone number(s) Mobile phone: No Yes Click here to enter phone number(s) Pager: No Yes Click here to enter E-mail address

Preference (1 is highest) for routine notifications: E-mail: 1 2 3 4 5IM: 1 2 3 4 5Office: 1 2 3 4 5Fax: 1 2 3 4 5Home: 1 2 3 4 5Mobile: 1 2 3 4 5 Pager: 1 2 3 4 5

Preference (1 is highest) for emergency notifications: E-mail: 1 2 3 4 5

IM: 1 2 3 4 5Office: 1 2 3 4 5Fax: 1 2 3 4 5Home: 1 2 3 4 5Mobile: 1 2 3 4 5 Pager: 1 2 3 4 5


Forum Participation

E-mail Forum: Delivery Options Click here to learn about delivery options Each message (immediate) Daily summary (delayed) Web mail at OHDEN.org Web archives only

E-mail Forum: Content Options Click here to learn about flags Subject flag (OHDEN) Specialty flag (e.g., health, safety, security, hygiene, administration) Topic flag (e.g., chemical, biological, psychological, combinations, unknown)

http://www.ohden.orghttp://www.ohden.net


Conferencing

Recorded CallsOHDEN Administration 5 April 05Chemical Hazard Prep. 22 April 05Drill Planning for Radiological Event 29 April 05

Upcoming Scheduled Calls (Bridge for conference calls: (202) 555-1234 code 3390)

OHDEN Administration 5 May 05Credentialing for Chemical Hazard Management 9 May 05Ventilation System Security / Terrorism 15 May 05


• Limits of SharePoint

• Desired elements not available in SharePoint– FTP monitoring of web resources– Robust and innovative listserve capability– Active alerting

• Potential of HSIN

Current Issues


Occupational Health Disaster Expert Network

OHDEN is:• A repository of selected and targeted references

• A library of reviewed web content

• An active community of credentialed experts

• A professional forum for planning, training, and response

• A communication network for urgent alerts

• An essential resource to enable occupational healthto fulfill its potential as a parallel public-health networkto preserve the critical infrastructure of the nation’s workforce and productivity

The Occupational Health Sub-council Want to be a member? Username: Password : Subscribe Presented by...

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Transcript of The Occupational Health Sub-council Want to be a member? Username: Password : Subscribe Presented by...