new jersey preparedness training consortium continuing education for health care professionals sph...
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New Jersey Preparedness Training Consortium
Continuing Education for Health Care Professionals
SPH 13th Annual Summer Institute for TeachersPreparing for Bioterrorism and Other Health Threats
August 11, 2006
Patricia L. Fleming, PhD, MSProfessor, NJ Medical School &School of Public Health, UMDNJ
Objectives
• Describe components of NJ’s system for recognizing and responding to health threats
• Identify NJ’s hazards and vulnerabilities
• Identify steps to preparedness– Personal– Workplace/School– Other
Public HealthPublic Health
EmergencyEmergencyManagementManagement
Healthcare DeliveryHealthcare DeliverySystemSystem
com
pete
ncy
capability
capacity
The Health Emergency The Health Emergency Preparedness and Response TriadPreparedness and Response Triad
Emergency Management
• New NJ Dept. of Homeland Security
• Office of Emergency Management
• State of emergency
• Local police, fire, rescue
• Incident Command System in disasters
Unified Command
Unified Command(Representatives From Local
Jurisdictions)
Finance/ Administratio
n
LogisticsPlanningOperations
Key Public Health Components
• New Jersey Department of Health and Senior Services
• Laboratory response network
• Local health departments• Local Information Network & Communications
System (LINCS)
NJ Local Information Network & Communications System: LINCS
• 22 local (county/city) public health agencies• Secure, encrypted web portal access and email
messaging • Health Alert Network (HAN)
• Role of LINCS• Staff: epi, nurse, planner, coordinator• NJDHSS networks to > 30,000 local personnel• Communications hub• Coordinate/Activate with local health depts., emergency
management, law enforcement, first responders, hospitals, etc.
• http://www.nj.gov/health/lh/lincs/index.html• http://www.nj.gov/health/lh/directory/lhdselectcounty.htm
Public Health Activities
• Detection - Health surveillance by clinical providers and laboratories– Notify Public Health (Local HD/NJDHSS)
• Rapid Laboratory Diagnosis– Laboratory response network (LRN)
• Epidemiologic Investigation– Public health workers identify exposure risks
• Implementation of Control Measures• Pharmaceutical Stockpile• Medical Reserve Corps
Healthcare Delivery System
• >250,000 health professionals in NJ
• Hospitals
• Regional Medical Coordination Centers
• Professional organizations
• NJHA, VA, others
• FQHCs
NJDHSS HECCSupport NJDHSS
(NJHA, Associations,VA, others)
Local/CountyEOC
State EOC
New JerseyNew JerseyHealth EmergencyHealth EmergencyResponse NetworkResponse Network
State Regional Team
Hospital
FQHC
Other Health OrganizationsIncident
Commander
MCCRegional Medical Coordination Center
MCC
MCC MCC
MCC
MCC
Strategic National Stockpile & Strategic State Stockpile
Purpose:• Determine NJ’s need for pharmaceutical and medical
supplies in case of CBRNE eventActivities:• Planning for mass medication and/or mass vaccination
acquisition and distribution • Preparing to meet needs of pediatric and geriatric
communities• State owned caches are stored strategically in NJ for
deployment prior to the receipt of federal assets• Request federal assistance if need exceeds capacity
Readiness/ResponseHow SNS Assets are Deployed
Readiness/ResponseHow SNS Assets are Deployed
State Requests Federal Assistance
Need for Drugs and Medical Supplies Exceeds Local & State Resources
In Consultation with the Surgeon General, Secretary HHS, HHS Office of Emergency Preparedness (OEP), FEMA and the FBI
Augments Local/State
MedicalMateriel
Resources
SNS
CDC Director Deploys
SNS Assets
N.J.A.C. 8:57
• New Jersey Administrative Code Title 8, Chapter 57
• Purpose: to expedite reporting of certain diseases or outbreaks of disease for appropriate public health action
Communicable Diseases(infectious diseases, bioterrorism agents)
• Reporting of listed diseases is required by NJ state law and vital to protecting public health
• See list of reportable diseases in handouts
• Contact local/county health department
• Emergency notification to the state health department:
• 1-609-588-7500• 1-609-392-2020 (after hours)
• Visit http://www.nj.gov/health/cd/izdphome.htm
Chemical Exposure(Poisons, Nerve Agents, Vesicants, Bio-toxins,
Hazardous Chemicals)• Contact your City/county LINCS
• NJ Poison Information & Education System• 24/7 hotline • Emergency treatment advice about exposure to poisons, medications, etc.
• 1-800-222-1222
• NJ Department of Environmental Protection• 24/7 hotline• Report environmental incidents, hazardous chemical exposures
• 1-877-WARNDEP (1-877-927-6337)
• NJ Office of Emergency Management (NJ State Police)• Coordinates all disaster mitigation and response statewide • Hazardous Materials Emergency Response Planning Unit
• 1-609-882-2000
Radiation/Nuclear Exposure(dirty bomb, nuclear facility accident, sabotage,
radioactive materials, nuclear weapons)
• Medical Consultation:• Radiation Emergency Assistance Center/Training Site
(REAC/TS)» 1-865-576-1005
• Notification:• City/County LINCS • Local law enforcement • NJ Office of Emergency Management
» (Radiological Emergency Response Planning and Technical Unit)
» 1-609-882-2000
Important phone numbers:
• Your city/county LINCS contact (see handout)• NJ Dept. of Health & Sr. Services
• 1-609-588-7500 or -3121• 1-609-392-2020 (after hours)
• NJ Poison Information and Education System• 1-800-222-1222
• NJ Office of Emergency Management• 1- 609-882-2000
• NJ Dept. of Environmental Protection• 1-877-WARNDEP (1-877-927-6337)
Hazard Vulnerability Assessment
• Previously “all hazards”
• Post-Katrina, shift to state/local HVA, state/local responsibility to focus resources on priority hazards
• Federal lead limited to “societal transforming events”
• What are NJ’s hazards and vulnerabilities?
Why should teachers and students be prepared?
• Natural events: risk of emerging/re-emerging/unusual infections
• SARS, West Nile, HIV and TB, monkeypox, pandemic flu
• Natural catastrophic weather-related and geophysical events
• Flooding, hurricanes, earthquakes
• Global political instability: risk of bio, chem, rad/nuclear terrorism
• Anthrax, Sarin gas • “Conventional” terrorism climate of mass casualties from
explosions/incendiary events• WTC, OK City
• Failures of technology• Bhopal, Chernobyl, Three Mile Island, flu vaccine shortage
If disaster strikes, where are you likely to be?
sleep 56 hrs
home 47 hrs
school 40 hrs
car 13 hrs
shop/recreation 12hrs
N=168 hrs/week
Ready Together (hand out)
• Personal preparedness– Teachers– Students
• School emergency plan– Shelter-in-place– Evacuate
• Car
What can you do in your classroom?
• Have your own preparedness plan in place, reassure students that if disaster strikes while at school, you will be ready to respond
• Know your workplace emergency plan, chain of command, and your role and responsibilities
• Stimulate students to discuss their family preparedness plans at home, report back, identify gaps
• Familiarize students with the school’s emergency plan
• Assign students topics for research, report back, critique
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