ashley conley michael heumann · michael heumann heumannhealth consulting portland, or . 1. provide...

Ashley Conley

Division of Public Health

& Community Services

Nashua, NH

Michael Heumann

HeumannHealth Consulting

Portland, OR

1. Provide an overview of key activities related to disaster epidemiology

2. Identify opportunities for involvement and discussion regarding current and planned efforts

3. Discuss ideas about future activities and directions

Use of core public health capabilities to assist leaders and decision-makers with timely information for disaster response & recovery ◦ Tracking and surveillance

◦ Assessments and investigations

◦ Research

Characterize short and long-term health consequences

Integrates into the Incident Command System

Provide situational

awareness

Identify risk factors

Improve prevention,

response, recovery

and mitigation

strategies for future

disasters

◦ Capability 1: Community

Preparedness

◦ Capability 2: Community Recovery

◦ Capability 5: Fatality Management

◦ Capability 7: Mass Care

◦ Capability 10: Medical Surge

◦ Capability 13: PH Surveillance and

Epidemiological Investigations

◦ Capability 14: Responder Safety

and Health

The Disaster-Management Cycle Humanitarian Action ◄▬▬▬► Sustainable development

Disaster Epidemiology Activities

Prevention/

Mitigation

Preparedness

Disaster Impact

Rehabilitation

Recovery

Response

Surveillance - Affected communities - Responders

Rapid needs assessments

Tracking Registries

Epidemiologic studies

Evaluation studies - Relief programs - Other interventions

Studies to compare efficacy of control strategies and interventions

Goals: ◦ Strengthen capacity to respond by integrating DE into

the emergency management cycle

◦ Help public health and emergency management

leadership understand essential role of DE

◦ Identify common set of capabilities to support collection

and use of epidemiologic information during emergency

response situations

Incorporating 15 minute guest lectures on hot

topics in DE

Networking opportunity with colleagues

Ability to share information and resources with

colleagues

Disaster Mental Health Surveillance ◦ National Assessment Report

◦ Outreach to partner organizations

◦ Proposed mini-summit

Toolkit ◦ Gather examples of DE tools

◦ Develop FAQs

◦ Create CSTE DE website – link with DECoP

Capacity-building in CASPER, ERHMS, ACE

Partnership with NCEH & NIOSH (OPHPR funded)

◦ Two-day course in six regions

TX, FL, LA, NY, VA, VT

>350 trained

◦ Future courses in Mid-West

and West Coast states

Disaster Epidemiology 101: Applied partnering with epidemiologists during disasters

Disaster Epidemiology Town Hall

Reached >120 people from ◦ 28 states (State & Local Health Departments)

◦ 8 Federal agencies

◦ 5 universities

◦ 5 organizations

66% PHEP staff, 29% Epids, 5% Med Dirs

What in this session was new? ◦ Learning about CSTE

◦ Learning about epidemiology

◦ Application of DE in PH response

What is one aspect of DE that could improve your PH response? ◦ Build DE into PHEP EOP ◦ Tools and training ◦ Coordination ◦ Planning

What do you want to learn more about? ◦ Training

◦ Tools/forms/survey templates

◦ How to make DE relevant to partners

◦ Collaboration and integration

◦ Information and dissemination

Recommendations for CSTE

“The Role of Applied Epidemiology Methods in

the Disaster Management Cycle”

Accepted for publication

in AJPH

Prevention/

Mitigation

Preparedness

Disaster Impact

Rehabilitation

Recovery

Response

Webinar with CSTE Epi Methods on May 1, 2014

Looking into creating a document that crosswalks

DE tools with the PHEP Capabilities

Over the past couple of years the use of DE is becoming more common in local and state responses

◦ Super Storm Sandy

◦ Ammonia plant explosion in Texas

◦ 2013 Tornados in Oklahoma

◦ Coal ash release in West Virginia

Attendees: ◦ 78% Epidemiologists

◦ 11% PHEP Staff

◦ 6% Nurse

Comments/Suggestions: ◦ Expanding partnerships such as the NWS, ARC, FEMA

◦ More discussion on legal issues and preparedness

◦ More time for discussion and Q&A

◦ More partnering with emergency management

◦ Include social media, climate change and behavioral health in workshop

◦ Include more local health departments and tribal reps

◦ More interaction with webinar participants

NIEHS/NIH pilot program to ◦ Develop a disaster research system consisting of

Coordinated environmental health disaster research data

collection tools

A network of trained “Research Responders”

◦ Mobilize researchers and community engagement teams

at the Core EHS Centers in a prompt and safe manner in

the aftermath of a disaster.

Questionnaires, clinical protocols, EH disaster research

networks to be activated and deployed in declared

emergencies

IOM/NIH/CDC workshop on medical and public

health research in disasters ◦ Interest in enabling and executing research during

disasters

To inform future policies and decisions

Establish a research agenda

Determine how to best implement ideas

◦ CSTE will participate and discuss some of the

methodologies promoted through DE Subcommittee

Sunday Workshop ◦ Environmental Health and Disaster Epidemiology:

Harmony Between Collaborations and Innovations

Sessions ◦ 6/23/14 from 10:30-12:00PM: 911 for Communities:

Disaster Recovery and Response

◦ 6/23/14 from 2:00-3:30PM: Don't Step On My Blue

Suede Shoes ‐ Disaster and Environmental Epidemiology

Surveillance

Roundtable Discussions: ◦ 6/23/14 from 1:00-1:45PM: CSTE Disaster Epidemiology

Subcommittee: Impacting Disaster Preparedness, Response and Recovery Using Epidemiology

◦ 6/24/14 from 5:45-6:30PM: Twitiuational Awareness: Gaining Situational Awareness Via Crowdsourced #Disaster Epidemiology

◦ 6/25/14 from 7:15-8:00AM: Mental Health Surveillance for Public Health Response to Disasters

◦ 6/25/14 from 1:00-1:45PM: Lessons Learned from a Community Assessment for Public Health Emergency Response (CASPER) in a Frontier County — Dawson County, Montana, 2013

What is our vision for DE?

Where do we see DE going in the next 10 years?

Reactions to CSTE DE Subcommittee activities

Ideas and recommendations for additional activity

areas for CSTE

Ashley Conley

City of Nashua

Division of Public Health &

Community Services

Nashua, NH 03060

conleya@nashuanh.gov

Michael Heumann

HeumannHealth Consulting

LLC, Portland, OR 97212

heumannhealth@gmail.com

For the Council of State and Territorial Epidemiologists (CSTE)