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Rochester Guardian Angels Presentation International Guardian Angels Conference 2005 Homeland Security and Disaster Preparedness by Denise Eggert National Homeland Security Conference Rochester, New York July 13, 2005 ● Law Enforcement Concerns ● Biological Preparedness ● Emergency Response/Medicine ● National Preparedness ● Patriot Act and Law Law Enforcement Concerns James McMahon, Director of N.Y.S. D.H.S. Stresses: ● ● ● False identification is often offered for driver's license – easy access to schools, businesses, employment, etc. Maryland, Arizona, Florida, Mass. - easy to obtain driver's license with minimal identification – resident states of many9/11 terrorists Need to educate prosecutors that false identification is not a minor offense. ● N.Y.S. - 6 points of identification needed for driver's license ● 2008 Real Identification Act Specific to N.Y.S. ● Sept. N.Y.S. Terrorism 1 Act ● 16 Region Specific counter terrorism zones in N.Y.S. ● C.T.N. Advisory – London Attacks to U.N.Y. R.I.C. Upstate New York Regional Intelligence Center – Albany ● State Tips Line 1-866-SAFE-NY ● NYC Tips Line 1-888-NYC-SAFE Funding ● ● ● N.Y.S. Receives direct funding from N.H.S. - $2 million – threat based formula Fiscal year Oct. to Oct. $250 - $500 thousand goes to higher risk cities Funding given for decontamination trailers, protective equipment, and training ● Grant Hotline 1-866-837-9133 ● Grant Clearing house www.securitystateny.us/grants.html Northeast Homeland Security ● ● ● ● ● ● Includes 10 states, Delaware to Maine Canada – Ontario, New Brunswick, and Quebec joined N.E. Homeland Security Concern regarding multiple borders – northern parts of states, bridges, and ports Canada has one of the most liberal immigration laws in the world – need to close entry to terrorists. P.O.E. Operation Safeguard – 125 business members Pinpoints businesses which sell materials which terrorists could use – i.e. fertilizer in use of bombs Western N.Y.S. ● P.O.E. Niagara Falls ● Niagara Falls Power Plant assessed as high risk target ● ● P.O.E. Fast Ferry terminals Charlotte-Rochester and Toronto, Ontario, Canada Ginna Nuclear Power Plant Ontario-Rochester area assessed as high risk target Biological Preparedness Dr. Donald A. Henderson notes: ● Conquest of world infectious diseases 1860 – 1960 ● Then – 1981 AIDS diagnosed, 1984 HIV identified ● 2005 AIDS pandemic 4th leading cause of death ● 1989 conference on Emerging Infections ● Multiple new infections and manufacturing of old infectious agents Emerging Infections ● SARS – China ● Money Pox – Africa ● T.S.E. - Mad Cow Disease – U.K. ● West Nile Encephalitis – Eurasia ● H5N1 Influenza among poultry workers – 50% mortality ● Increase in hemorrhagic illness worldwide – e.g. Ebola Why Increase in Widespread Infection Now? ● Growth in urban populations ● International travel ● Growth in hospitals in endemic areas ● Low staff and low resources in hospitals actually help to transmit disease C.D.C. Class A Bioterrorism Agents/Diseases ● Anthrax (Bacillus Anthracis) ● Botulism (Clostridum Botulinum Toxin) ● Plague (Yersinia Pestis) ● Small Pox (Variola Major) ● Tularemia (Francisella Tularensis) ● Viral Hemorrhagic Fevers (Ebola, Marburg, Lassa, and Machupo) Class A Agents ● ● Pose risk to national security Can be easily disseminated or transmitted from person to person ● Result in high mortality rates ● Cause public panic and social disruption ● Require special action for public health preparedness Noteworthy Class B Agents/Diseases ● ● ● Salmonella species, Escherichia Coli, Shingella are associated with food safety threats Vibrio Cholerae, Cryptosporidium Parvum are associated with water safety threats Food supplies are internationalized and industrialized Biological Agents ● ● Watershed event 1995 Shirinkyo – religious cult leader – Tokyo subway Japan Intelligence reports regarding 46 laboratories worldwide offer anthrax ● Increase in aerosolization devices ● Increase in information access – internet Specific Threats ● ● ● ● 1973 – Secret Bioweapons Program began in U.S.S.R. And over 50 laboratories involved Soviet Deputy Director defected to U.S. and full scope of program disclosed in 1995 Fall of U.S.S.R. Closed labs and scientists went to other countries to continue their work Plant exists above Moscow which makes small pox with a stabilizer Recent Events ● ● ● ● ● Speaker George W. Bush voices concern of risk of biological agents to White House Staff in 1999 Notes increase in biotechnology Dark Winter exercise June 2001 at Andrew's Air Force Base re smallpox scenario October 2001 anthrax attacks 22 cases – 5 People died – but panic much larger Covert disaster drills for anthrax done across America. Recently, disaster drill done in Rochester area on August 9, 2005 Response to Exposure ● ● ● ● ● Early detection is critical but difficult Incubation time can allow infection to spread rapidly before detected (with some diseases) First responders should include emergency room personnel, doctor's offices, and Health Department Alert emergency room providers should be trained in infectious disease epidemiology and 24 hour reporting system with D.O.H. is a must There needs to be isolation suites and decontamination areas set up in emergency departments Impact on Society ● ● There is a financial burden/cost to supply health services and widespread medicines during a potential/actual exposure Widespread panic causes increased use of mental health and medical facilities. Slow down of services and businesses may occur e.g. anthrax alert at U.S.P.S. to sensor area and decontaminate as needed. Quarantine may occur. Emergency Response/Medicine Dr. Tener Goodwin Veenema Associate Professor of Nursing and Emergency Medicine University of Rochester School of Nursing and School of Medicine and Dentistry Program director for Disaster Nursing and Strategic Initiative Center for Disaster Medicine and Emergency Preparedness University of Rochester Health Sciences Center Current Status Hospital Preparedness ● Hospitals have invested millions in preparing for catastrophic public health emergencies ● Communication systems ● Disease surveillance and reporting using tracking systems ● Protective equipment for medical and nursing staff ● Drug and Pharmaceuticals supplies ● Training and drills ● Vaccination efforts Transformation of Public Health and Hospitals ● ● ● ● Hospitals historically specialized in trauma and medical diseases Public health (D.O.H.) historically specialized in communicable diseases They must now engage in internal and external community level planning with the threat of terrorism/mass causality incidents Planning at the regional level has become imperative Finger Lakes Regional Resource Center ● ● ● ● Rochester is part of nine county region F.L.R.R.C. Center is University of Rochester – Strong Memorial Hospital Centralized effort to develop bioterrorism preparedness and response plans among hospitals in an identified region and receives funding from the C.D.C. Work together to improve the “bed surge capacity” of the health care system, including hospitals, home care, and long term care facilities. Advanced Disaster Life Support at U of R ● ● ● ● First in nation to develop 2 courses in A.D.L.S. Certificate program for Master's and Post-Master's Degree Programs Curriculum for stand alone 15 hour chemical, biological, radiological, nuclear, and explosive course for nurses, other medical personnel, and paramedics. Use of U of R Regional Trauma and Burn Center at Strong Memorial Hospital in training medical, nursing, and E.M.S. Personnel. National Preparedness Michael S. Beeman, Director of the National Preparedness Division and Acting Chief of External Affairs for the Department of Homeland Security's Federal Emergency Management Agency Region II Changes ● ● ● Recent restructuring of Department of Homeland Security Development of new National Response Plan which was 1 week old as of 7/13/05 New strategies and concerns in counter-terrorism National Incident Management System ● ● ● ● Started 9/1/01 to standardize training, equipment, and communication NIMS Integration Center sets up national standard curriculum and national credentialing Courses are called ICS – incident command structure – 200, 300, and 700 considered prerequisites to be considered NIMS compliant to qualify for federal and urban initiative funds for first responders Check FEMA website and EMI website NIMS Disaster Response ● ● Incident management team comprised of federal officer (deputy) and 30 people are sent out. Use NIMS CAST (Capability Assessment Support Tool) in assessing extent of loss, need, and resources needed. Check NIMS website. National Response Plan ● ● ● Developed 7/7/05 and covers command and management operations Crosses jurisdictions and functional agencies Emergency Alert System – especially for Nuclear Power Plants – developing chips to turn on TVs and cellphones and give instructions in event of emergency ● Credentialing emergency management personnel ● Mutual Aid Agreement ● Contact [email protected] New Concerns in Homeland Security ● Over concern with security of air travel ● Not enough concern with other possible targets ● ● Soft targets are hospitals, schools, colleges, and shopping malls. Unprotected and could cripple an area and disrupt an entire population Little or no security in transportation of goods, especially international shipping of goods at harbors/ports. Need for corporate/industry protocols. Patriot Act ● ● ● ● Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001 – October 26, 2001 Increased surveillance and investigate powers of law enforcement agencies in U.S. E.P.I.C. submitting request to F.B.I. to ask how agency has used expanded investigative powers under sunsetting provisions – provisions are due to expire at the end of the year unless renewed Legislation introduced to permit F.B.I. to demand health, library, and tax records in intelligence investigations without judicial approval. Operational Realities Professor Laurence W. Feason stresses that: ● ● ● ● Terrorists have to succeed once. We need to succeed every time. Terrorists challenge values (nothing is sacred). They are a force of anarchy Our transparency and openness becomes a source of vulnerability Terrorism is borderless – defense has borders. Community of Monroe Citizen Corps for Homeland Security ● ● ● ● Comprised of official and volunteer agencies Primary partners are the American Red Cross, Monroe County Office of Emergency Preparedness, and the Rochester Business Alliance Council plans coordination of readiness (disaster) groups and support groups Major groups are C.E.R.T. - Community Emergency Response Teams, Medical Reserve Corps, Volunteers in Police Service (VIPS), and V.O. Monroe County C.E.R.T. Program ● ● ● ● Funded by Monroe County O.E.P. and training done on site at Public Safety Training Facility, utilizing the Fire Grounds 8 week course providing training in the following areas: Disaster Preparedness, Disaster Fire Suppression, Disaster Medical Operations, Light Search and Rescue, C.P.R. and A.E.D., Disaster Psychology, and Team Organization. Final Exam, Disaster Simulation, and Graduation C.E.R.T. Volunteers provide emergency support to first responders following a catastrophic natural disaster or terrorist attack Websites ● ● ● Citizen Corps (N.Y.S.) http://www.nysemo.state.ny.us/nyscitizencorps.htm Citizen Corps (National) - http://www.citizencorps.gov Community Emergency Response Teams http://training.fema.gov/emiweb/CERT