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  • 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)

    mailto:conleya@nashuanh.govmailto:heumannhealth@gmail.com