Download All-Hazards in Healthcare - Alabama Department of Public Health

All-Hazards in Healthcare:
How is Alabama Working
on Surge Capacity and
Other Health Issues?
Alabama Department of
Public Health
March 2011
Take Home Points
What are all-hazards?
 What are the all-hazards issues
facing healthcare?
 What can I do in my
organization to help with
planning efforts?

Why do we need to plan in
Alabama?
Public
Health
Areas
(PHA)
Each area has
an Emergency
Preparedness
(EP) team
What are all-hazards?

Natural & Weather Events –
Hurricanes, Tropical storms,
Tornados, Floods, Heat Waves, Ice
Storms, Earthquakes

Could lead to difficulties in:
Power
 IT systems
 Telecommunication Systems
 Utilities
 Transportation systems

What are all-hazards?
Hurricane
September 16, 2004

Hurricane Ivan
Fatalities in the United States



Orange Beach, AL
Direct - 17
Indirect - 32
Thousands of homes in Baldwin
(PHA 9), Escambia (PHA 9 and
FL) and Santa Rosa (FL)
counties were damaged or
destroyed
http://www.gulf-shores-alabama.net/hurricane-ivan-before-after-photos.html
What are all-hazards?
Hurricane
August 29, 2005
Hurricane Katrina

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Death total 1833 in Louisiana,
Mississippi, Florida, Georgia,
Alabama
Two indirect fatalities in
Alabama
Significant damage in Mobile
county (PHA 11)
Thousands of evacuees in
Alabama (PHA’s 3, 4, 6, 7, 8, 9,
10, 11)
Bayou La Batre, Alabama
Hurricane Katrina
Univ. of Alabama Recreational Center
Tuscaloosa, AL (PHA 3)
What are all-hazards?
Hurricane
What are all-hazards?
Flooding
April 1979
Rooster Bridge on the Tombigbee River (PHA 7)
http://www.maxumowners.org/towboat.html
What are all-hazards?
Tornado
March 1, 2007

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Enterprise, AL - Coffee
County (PHA 10)
Path Length was
seven miles
9 deaths
50 injuries
8 fatalities in school
EF 4 Tornado near Enterprise, AL
Photo courtesy of J. Barry Mott
http://www.weather.gov/os/assessments/pdfs/AL-GA_tornadoes07.pdf
What are all-hazards?
Tornado
April 8, 1998


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

31 mile long path of destruction
in Jefferson (PHA 4) and St. Clair
(PHA 5) Counties
32 people lost their lives in
Jefferson and 2 in St. Clair
273 people were injured
One of the worst in AL history
Destroyed more than 1,100
homes and damaged almost
1,000 more
Oak Grove School
What are all-hazards?
Ice Storms and Snow
March 12-13, 1993

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
U.S. Death total approx. 270
with 48 reported missing at
sea
14 deaths in Alabama
Thousands isolated in
homes
17 inches of snow near
Birmingham, AL (PHA 4)
with 6 foot drifts
Every square inch of the
state received measurable
snowfall
Near Centre,
AL (PHA 5)
West Oxmoor Road, in
Homewood (PHA 4)
What are all-hazards?
Cold Weather
and Water System Failure
January 2010



Water Crisis in Clarke (PHA 9)
and Wilcox (PHA 7) Counties
ADPH Responded by sending
two Water Filtration Units
CDC Assisted
Article regarding the response in Alabama Health at:
http://www.adph.org/publications/assets/AHnew_
may2010.pdf
Article regarding the response in MMWR at:
http://www.cdc.gov/mmwr/pdf/wk/mm6006.pdf
What are all-hazards?
Drought, Wildfire, & Heat
Emergencies
2007


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
ADPH implemented the heat-related
illness/fatality module in the Alabama
Incident Management System (AIMS)
beginning August 15, 2007 for
hospital ICP reporting
55 of Alabama’s 67 counties reported
heat-related illness (All PHAs) during
the two month reporting period
Reports of 528 Alabamians treated
for heat-related illness
164 admitted to the hospital
17 heat-related deaths reported
What are all-hazards?
Heat Wave
and Mechanical System Failure
August 2010


Air Conditioning Failure at
USA Medical Center (PHA 11)
During Summer Heat Wave
(100 degree temperatures)
ADPH Supported with
Emergency Cooling
Equipment
Article in Mobile Press Register:
http://blog.al.com/live/2010
/08/air_conditioning_breaks_
down_a.html
What are all-hazards?
Earthquake
RECENT SIGNIFICANT ALABAMA
EARTHQUAKES

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
Escambia County (PHA 9) October
24, 1997
Fort Payne (PHA 5) Earthquake
April 29, 2003
Gulf of Mexico (PHA’s 9 & 11)
Earthquake April 29, 2003
Walker County (PHA 1) Earthquake,
January 30 2007
Choctaw County (PHA 7), Friday,
May 16, 2008
Etowah County (PHA 5)
Earthquake, Thursday, May 06,
2010
Magnitude 2.6 Earthquake Walker County
What are all-hazards?
Radiological
Radiological Events


Nuclear Power Plant Event,
Terrorism: Improvised
Nuclear Device, Radiological
Dispersal Device/Dirty Bomb
Each PHA has an Expanded
Radiological Emergency
Response Team
Browns Ferry Nuclear Plant (PHA 2)
http://www.tva.gov/sites/brownsferry.htm
Joseph M. Farley Nuclear Plant (PHA 10)
http://www.nrc.gov/reactors/operating/licensing/renewal/applications/farley.html
What are all-hazards?
Chemical
CSEPP Emergency management
planning zones for the Anniston Army
Depot (PHA 4, 5, & 6)
http://gis.esri.com/library/userconf/proc00/professional/papers/PA
P490/p4904.htm
Chemical Events
Industrial Chemical
Releases, Chemical
Plant Explosions,
Hazardous Materials
Spill or Release,
Terrorism
Train Derailment (All PHA’s)
http://www.epa.gov/region4/brooks_ky/index.html
Potential Leakers or …
Targets of Opportunity?
See the bullet hole
in this sign. How
long would it take
for a driver to
realize their
train/truck was
compromised?
What are all-hazards?
Chemical
Mississauga – November 10, 1979



Mississauga, Ontario,
Canada
229,000 people
evacuated
106 car freight train
carrying explosive and
poisonous chemicals
What are all-hazards?
Could this happen in Alabama?
Gulf of Mexico
Oil Spill 2010
(PHA 9 & 11)
What are all-hazards?
Could this happen in Alabama?
Train Derailment

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
September 22, 1993
14 miles north of Mobile,
Alabama (PHA 11)
Amtrak train
Tugboat bumped into the Big
Bayou Canot Bridge knocking
the track out of alignment
42 passengers and 5 crew
members lost their lives
http://www.trainweb.org/vangab/bigbayou.htm
What are all-hazards?
Could this happen in Alabama?
Train Derailment

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
Wednesday, May 2, 2007
Pennington, Alabama (Near
Demopolis, PHA 7)
Carrying segments of the space
shuttle’s solid rocket boosters
Derailed after a bridge collapsed
Six people were reported injured
http://www.ksl.com/?nid=148&sid=1172564
Chemical: International Terrorism
Sarin Gas

Matsumoto



Approximately
280 injured
7 dead
Tokyo

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

12 dead
Approximately 1,000
hospitalized
5,500 sought medical care
10% of first responders
injured
What are all-hazards?
Biological: What is a Pandemic?



No one has
immunity to virus
Virus transmits
easily person-toperson
Virus causes large
increases in illness
and deaths
Emergency hospital during 1918
influenza epidemic, Camp Funston,
Kansas.
Image: National Museum of Health and
Medicine, USA
What are all-hazards?
Biological: 1918 Pandemic in
Alabama
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9/28/1918 – 1st AL case was in Huntsville (PHA 2)
10/05/1918 – > 1100 cases in Huntsville
10/07/1918 – Governor called for “closing of schools, churches,
theatres and picture shows….”
10/13/1918 – 2367 cases at Camp Sheridan (outside Montgomery)
(PHA 8)
10/13/1918 - All physicians, druggists and prescription clerks in
Huntsville, except one, ill with influenza
10/15/1918 - Huntsville: Business demoralized; Postal Service
crippled; Alabama Power having difficulty finding employees;
Business ordered to curtail hours of operation
10/22/1918 - 12,000 cases reported in Montgomery
The Montgomery Advertiser, 1918
What are all-hazards?
H1N1 in Alabama
2009 - 2010
Influenza Like-Illness (ILI) Reported as of
04/11 – 04/17/2010

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3.1% of doctor’s office visits, data from ADPH ILI Surveillance
Network. High was 11.7% the week of 10/10/09
4.9% of emergency rooms visits, data from AL Incident
Management System (AIMS). High was 20.3% the week of
9/12/09
1.6% of hospital admissions, data from AIMS. High was 4.5%
the week of 9/05/09
52 Influenza-associated deaths
What are all-hazards?
Biological: Category A

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Bacillus anthracis (anthrax)
Clostridium botulinum toxin
(Botulism)
Yersinia pestis (plague)
Variola major (smallpox)
Francisella tularensis (tularemia)
Viral hemmorrhagic fevers
(filoviruses [e.g., Ebola, Marburg]
and arenaviruses [e.g., Lassa,
Machupo])
Plague
Tularemia
Smallpox
What are all-hazards?
Biological: Anthrax 2001

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

22 confirmed cases
11 cutaneous (skin)
11 inhalation (5 fatalities)
Approximately 3.75 million antibiotic
tablets in 10 different states and the
District of Columbia
What are all-hazards?
Biological: Anthrax 2001



Laboratory Response Network
tested over 120,000 samples
in the U.S.
Laboratories across the
nation were overwhelmed
As a result - Threat has to be
deemed credible before the
state lab will test
http://www.defensetech.org/archives/2006_09.html
What are all-hazards?
Biological: Category B
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Coxiella burnetti (Q fever)
Brucella species (brucellosis)
Burkholderia mallei (glanders)
Alphaviruses (e.g. equine encephalomyelitis)
Ricin toxin
Staph. Eneterotoxin B
Salmonella sp.
Shigella sp.
E. coli 0 157:H7
Vibrio cholerae (Cholera)
Cryptosporidium parvum
Ricin assassination
delivery system
Castor bean
plant
What are all-hazards?
Biological: Terrorism in America
Salmonella in Oregon 1984


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
Cultured Salmonella by cult
members
Contaminated salad bars
To keep voters from polls
751 cases of Salmonella (no
deaths)
Most of the contaminated
restaurants never recovered
Bhagwan Shree Rajneesh
What are all-hazards?
Biological: Category C
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Emerging pathogens
Could be engineered for mass
dissemination in the future
Nipah virus
Hantaviruses
Tickborne viruses
Yellow fever
Multi-drug resistant TB
West Nile Virus
Multi-drug resistant TB
What are all-hazards?
Biological: Outbreak
Hepatitis A – September 2005

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39 cases, Aug-Sep 2005
17 cases at 5 restaurants in Alabama
(Areas 3, 8, & 11)
Over 40 contacts given IG for Hepatitis A
15 cases at 4 restaurants in Florida
2 cases at 1 restaurant in South Carolina
4 cases at 1 restaurant in Tennessee
All cases consumed oysters sold by the
same shipper
CDC invited to assist in multi-state
investigation
What are all-hazards?
Special Events
Talladega (PHA 6)
http://www.talladegasuperspeedway.c
om/fan_info/
Bryant Denny
Stadium (PHA 3)
http://www.rolltide.com/facilitie
s/bryant-denny.html
Jordan-Hare Stadium
(PHA 8)
http://www.aurx.net/jordanhare.html
What are all-hazards?
Terrorism
January 29, 1998



Killed an off-duty
police officer
Critically injured
a nurse
Students at UAB
both felt and
heard the blast
Abortion clinic after the bomb,
Birmingham, AL (PHA 4)
Eric Rudolph
What are all-hazards?
We can never forget!
Terrorism: September 11, 2001
So we need to plan in
Alabama, but what are the
specific issues to
healthcare?
What are the all-hazards issues
facing healthcare?
Develop specific measures and
programs for training hospital
staff in regard to National
Incident Management System
(NIMS) and Incident Command
Systems (ICS)
[TJC Standard EM.01.01.01, EP 7]
What are the all-hazards issues
facing healthcare?

Develop procedures and plans
for coordination of exercises
between all emergency
response and healthcare
entities
[TJC -Standard EM.03.01.03, EP 117]

Develop plans and programs
to educate healthcare
providers
[TJC -Standard EM.02.02.07, EP 7]
What are the all-hazards issues
facing healthcare?

Develop altered hospital
triage template protocols that
will decompress the
emergency departments (ED)
[TJC -Standard EM.02.02.11, EP 2]

Develop altered standards of
care
[TJC -Standard EM.02.02.11, EP 2]

Develop ventilator and
oxygen protocols
[TJC -Standard EM.01.01.01, EP 6 &
8; EM.02.01.01, EP 2 & 3;
EM.02.02.01, EP10; EM.02.02.03, EP
1-6]
What are the all-hazards issues
facing healthcare?

Identify and address
interdependencies of
healthcare facilities
[TJC -Standards EM.01.01.01, EP 3,
4 & 7; EM.02.02.03, EP 4;
EM.02.02.09]

Develop templates for
Continuity of Operations
Plans (COOP) in healthcare
facilities (96 hours)
[TJC -Standard EM.02.01.01, EP 3]
What are the all-hazards issues
facing healthcare?

Develop an inventory of
medical supplies for potential
use during emergencies on
local and statewide levels
[TJC -Standard EM.01.01.01, EP 8;
EM.02.01.01, EP 3]

Address surge supply issues
and develop alternative plans
to minimize impact
[TJC -Standard EM.01.01.01, EP 8;
EM.02.01.01, EP 3]
What are the all-hazards issues
facing healthcare?
ADPH Mobile Medical Assets

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Seven Mobile Medical Stations
(MMS)
ADPH granted funds for the Poarch
Band of Creek Indians to purchase
three MMS
Each supports 50 patients for seven
days
Total capability – 500 patients for
seven days
700 Portable Medical Cots with
disposable linens for use in Medical
Needs or Comfort Care Centers
What are the all-hazards issues
facing healthcare?
ADPH Pandemic Resources Stockpiled

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1,000,000 surgical masks
400,000 N95 masks
500,000 antiviral treatment courses
200,000 syringes
100,000 biological hazard kits
7,000 body bags
80 ventilators
General clinic supplies
Medical Stations
EP team “go-kits”
Lab specimen collection kits
SNS and PI federal assets
Comfort Care Center supplies for 2,600 adults
and 520 children
Most resources will be distributed to the counties based on population
What are the all-hazards issues
facing healthcare?
ADPH Mass Fatality Management Planning
Efforts
What are the all-hazards issues
facing healthcare?

Develop alternative/alternate
care site protocol templates
including pairing hospitals with
pre-identified sites
[TJC –Standard EM.02.01.01, EP 7]
In 1918, patients suffering from a highly
contagious flu were sent to camps like this
one in Lawrence, Mass.
Photo by Hulton Archive/Getty Images
http://virus.stanford.edu/uda/, An Emergency
Hospital for Influenza Patients
What are the all-hazards issues
facing healthcare?
Potential Care Sites
Mass Care Shelter (MCS)



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Lead Agencies - Department of
Human Resources (DHR) &
American Red Cross (ARC)
Short Term Housing
Frequently in churches or schools
Eat, sleep, receive Health Services
Considerations for persons with
disabilities (PWD)
Health Department provides a
supportive role for medical issues
Tuscaloosa MCS, 2005 (PHA 3)
What are the all-hazards issues
facing healthcare?
Potential Care Sites (Cont.)
Medical Needs Shelter (MNS)




Formally referred to as a Special
Needs Shelter
Mild to moderate care for people
with certain medical conditions
when hospitals are
overwhelmed
Usually opened for hurricanes
ADPH is the lead agency in the
MNS
Fairhope MNS 2005, (PHA 9)
What are the all-hazards issues
facing healthcare?
Potential Care Sites (Cont.)
Comfort Care Centers (CCC)

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
Community supported
Comfort measures to people who
have no one to care for them and
hospital care is not appropriate
ADPH will provide start-up
supplies
Developed for pandemic influenza
Could be utilized in other disasters
U.S. Army Camp Hospital No. 45, Aix-LesBains, France, Influenza Ward No. 1, 1918
What are the all-hazards issues
facing healthcare?
Potential Care Sites (Cont.)
Alternative/Alternate
Care
[TJC -Standard EM.02.01.01, EP 7]
“The Emergency Operations Plan
identifies alternative sites for
care, treatment, and services
that meet the needs of its
patients during emergencies.”
Looking down on the floor of the Peter
Maravich Assembly Center on the LSU
campus in Baton Rouge where acute
care patients were treated.
Photo courtesy of LSU
What are the all-hazards issues
facing healthcare?

Plan for assistance to support
healthcare facilities
[Emergency System for Advance
Registration of Volunteer Health
Professions (ESAR-VHP) & TJC –
Standards EM.02.02.01, EP 10;
EM.02.02.03, EP 4 & 5]

Link medical volunteer resources
[ESAR-VHP. TJC EM.02.02.13 &
EM.02.02.15]

Enhance recruiting efforts
[ESAR-VHP. TJC EM.02.02.13 &
EM.02.02.15]
What are the all-hazards issues
facing healthcare?

Standardization of required training
for volunteers
[ESAR-VHP, TJC EM.02.02.13 & EM.02.02.15]

Expand communications between
volunteers, volunteer agencies,
emergency management, public
health, and healthcare facilities
[ESAR-VHP & TJC – EM.02.02.01, EP 1-17]

Develop and offer volunteer training
programs
[ESAR-VHP , TJC EM.02.02.13 & EM.02.02.15]
What are the all-hazards issues
facing healthcare?


Work with licensure boards to
ensure staffing issues are in place
prior to a disaster
[ESAR-VHP, ADPH, & TJC EM.02.02.13
and EM.02.02.15]
Develop procedures and protocols
for cross training of non-licensed
staff to be utilized in disaster
conditions (i.e. non-pharmacy
personnel to dispense, students,
etc.)
[ESAR-VHP, ADPH, & TJC
EM.02.02.13 and EM.02.02.15]
What are the all-hazards issues
facing healthcare?

Written pharmaceutical
proclamation to activate in an
emergency
[Alabama Board of Pharmacy
and ADPH]

Develop an alternative
formulary for replacement of
essential medications
[TJC –EM.01.01.01, EP 8;
EM.02.02.03, EP 1, 9, & 10]

Develop educational protocols
for public to stockpile their own
medication
What are the all-hazards issues
facing healthcare?

A template for antiviral
treatment distribution plans
for healthcare facility staff was
developed in conjunction with
AlaHA
[TJC – EM.01.01.01, EP 8;
EM.02.02.03, EP 1, 9, & 10]

Discuss options for potential
antiviral shelf-life extension
planning
What are the all-hazards issues
facing healthcare?

Healthcare planning for Chempack and
Strategic National Stockpile deployment
[TJC –Standard EM.02.02.03, EP 1]
What are the all-hazards issues
facing healthcare?

Develop template
infection control
guidelines and plans
[TJC - 2009 National Patient Safety
Goals]

Develop N95 protocol
including identification of
methods to increase life
span of N95 masks
[TJC –EM.01.01.01, EP 8;
EM.02.02.03, EP 2, 4 & 5]
What are the all-hazards
issues facing healthcare?

Assistance in reimbursement of
ED/Hospital care in disaster or
PI event for economic impact

Some hospitals never recovered
financially after Hurricane Katrina
[TJC -Standard EM.02.01.01, EP 4]

Encourage participation of
healthcare business staff in
planning efforts
[TJC –Standard EM.02.01.01, EP 1]
There are so many issues, what
can I do in my organization to
help with planning efforts?
How do we start?
BE READY FOR AN EMERGENCY
What can I do in my organization
to help with planning efforts?
1.
2.
3.
4.
5.
Stay informed on All-Hazards
Learn about basic injury and disease
prevention
Look for current information on
emergency preparedness
Become familiar with emergency plans
Create a family preparedness kit
What can I do in my organization to
help with planning efforts?
1. Stay informed. Knowing
about the hazards that may
strike your community and
the risks you face could be
lifesaving. Learn about
emergency alert systems
and weather alerts.
What can I do in my organization to
help with planning efforts?


Participate in your
Local Emergency
Planning
Committee (LEPC)
or PI committee
Plan and exercise
with your PHA EP
Team
Emergency Operations Center
Tuscaloosa (PHA 3)
What can I do in my organization to
help with planning efforts?
Alabama Healthcare Disaster
Planning Guide

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

Developed by ADPH
Planning Issues Presented by Healthcare
Organizations
Includes ADPH Resources
Contrasts Requirements from TJC, FEMA, &
ASPR
Table of Contents
Links to Resources and Information
Kept Updated on the ADPH Website
What can I do in my organization to help
with planning efforts?
County ESF 8 All-Hazards Assessment


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
Assessment of the County ESF 8/
Medical Emergency Response
Provides Mechanism to Address
Best Practices & Gaps in County
Medical Response
Table of Contents
Links to Best Practices
Data Monitored Quarterly
What can I do in my organization to help
with planning efforts?
Area ESF 8 All-Hazards Assessment

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Assessment of the Area ESF 8/
Medical Emergency Response
11 ADPH Areas
Provides Mechanism to Address
Best Practices & Gaps in Regional
Medical Response
Data Monitored Quarterly
What can I do in my organization to help
with planning efforts?
Utilize AIMS in your facility during emergencies

Data Modules Include:
 Hospitals
 Emergency Medical Services
(EMS)
 Medical Needs Shelters
 Nursing Homes
 Community Health Centers

Patient
Transfers
Data Modules In
Progress:




Resource/Patient
Routing
Blood Centers
Alternate Care Sites
Dialysis Centers
Evacuee Shelters (Mass Care)
Tool for Public Health and
Emergency Management
What can I do in my organization
to help with planning efforts?
ALERT

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
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Internet-based emergency alert notification
system
Secure System
Will replace the Health Alert Network (HAN) for
Alabama
Notifies first responders and EP team when
emergencies occur
What can I do in my organization to
help with planning efforts?
SHARE
Stakeholder Help, Advice and Recommendation Exchange

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Group email system
Currently over 450 subscribers
Subject line key
Ask the group planning questions
Everyone sees the discussion
Unsubscribe at anytime
Email [email protected] to subscribe
What can I do in my organization to
help with planning efforts?
2. Learn about basic injury
and disease prevention.
You can find information
on the Internet, from
your health care provider,
ADPH and in a variety of
other places.
What can I do in my organization to help
with planning efforts?
Year Round Infection Control Measures

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
Wash hands
Cover cough and sneeze
Stay home when sick
Stay away from sick people
Practice social distancing
Clean and sterilize
contaminated surfaces
What can I do in my organization to help
with planning efforts?
Infection Control Facts



Sneeze and cough droplets
travel at 120 miles per hour
Influenza virus lives on
hard surfaces for 48 hours
Average person touches
their face 400 x per day
www.adph.org/pandemicflu, Watch the Spots, Cover Your Cough
Terri Rebmann, Infectious Disease Specialist, St Louis University,
Institute for Bio-Security
What can I do in my organization to help
with planning efforts?
Interim Mask Guidance for
Healthcare Settings



Surgical masks and respirators with
other forms of PPE
Always use Standard and Droplet
Precautions
Use N-95 or higher if:



Procedure generates infectious aerosols
Resuscitation of a flu patient
Direct care for flu patients
What can I do in my organization to help with planning
efforts?
Do 10 Fight the Flu Campaign
1.
2.
3.
4.
5.
6.
7.
Get Vaccinated
Wash Your Hands
Cover Your Cough
Stay Home with Fever
Stockpile Supplies
Clean and Disinfect
Know Your Office’s
Emergency Plan
8. Learn Home Care
9. Call Your Doctor When
Symptoms Get Worse
10. Stay Informed
What can I do in my organization to help
with planning efforts?
Employer and Employee Safety
What can I do in my organization to
help with planning efforts?
3. Look for the most
current
information on
emergency
preparedness.
What can I do in my organization to
help with planning efforts?
CEP Website



EP Teams Map - for county contact information
Community Preparedness - includes resources to
help communities, families, and individuals develop
a plan
Healthcare Planning - includes resources to help
healthcare organizations plan
What can I do in my organization to
help with planning efforts?
CEP Website (cont.)



Preparedness A-Z - includes a list of preparedness
topics
Risk Communication's Preparedness Links includes a list of local and national health and
emergency links
Risk Communication's Preparation and Safety includes preparation tools;
What can I do in my organization to
help with planning efforts?
CEP Website (cont.)



Download the Alabama Department of Public
Health's Family Readiness Guide
Free Printed Material
To order free Emergency Preparedness education
materials, please print, complete, and mail or fax
back the following form: Faxback Order Form
What can I do in my organization to
help with planning efforts?
Other Websites
Centers for Disease Control
cdc.gov
Federal Emergency Management Agency
fema.gov
U.S. Department of Homeland Security
ready.gov
Health and Human Services
pandemicflu.gov
What can I do in my organization to
help with planning efforts?





Schedule all-hazards training in your facility
Utilize the Learning Content Management System (LCMS)
Web-based
Central database managing volunteers
24/7 access to training opportunities
LCMS – Log in Screen
What can I do in my organization to
help with planning efforts?
4. Become familiar with
the emergency plans
of your community,
school, caregivers and
workplace.
What can I do in my organization to
help with planning efforts?


Exercise your
emergency plan
Coordinate healthcare
exercises and planning
with your community
partners
New York SNS POD Exercise 2004
What can I do in my organization to help
with planning efforts?
Organization COOP
(It’s not just for chickens)









Continuity of Operations Plan
Essential services
Essential staff
Primary and alternate facilities
Communication
Delegation of authority
Order of succession
Vital records and databases
Health and safety of employees
COOP 10 Process





Leadership
Teamwork
Research
Complete
Submit





Educate
Communicate
Identify
Improve
Maintain
What can I do in my organization to
help with planning efforts?
Complete the HHS State and Local Checklist for
pandemic


Healthcare
 EMS and Non-Emergent (Medical) Transport
Organizations
 Hospitals
 Medical Offices and Clinics
 Long-Term Care and Other Residential
Facilities
Located at:
www.pandemicflu.gov
What can I do in my organization to
help with planning efforts?
5. Create a family
preparedness plan and
emergency supply kit.
Make sure everyone
knows or carries
emergency contact
names and numbers to
help find each other if
separated.
What can I do in my organization to
help with planning efforts?

Incorporate
personal
preparedness with
your staff
development
http://www.safetystore.com/Safetystore-Deluxe-Preparedness-Kit-Ss98080.htm
get ready for emergencies
Summary
Take Home Points
What are all-hazards?
 What are the all-hazards issues
facing healthcare?
 What can I do in my
organization to help with
planning efforts?

Questions?
To get involved in your community contact
your local county health department
To find out more information go to
www.adph.org/CEP
Alabama Department of Public Health
Center for Emergency Preparedness
(334) 206-3394