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1 The Use Of Environmental Public Health Strike Teams During The 2009 Kentucky Ice Storm Vonia L. Grabeel, REHS/RS, MPH Environmental Health Section Supervisor Kentucky Department for Public Health Today we will discuss Background Kentucky Ice Storm Environmental Public Health Strike Teams (EPH Strike Teams) EPH Strike Team Results Lessons Learned Next Steps 1
2 2
3 Background: 2009 KY Ice Storm Kentucky was declared a major disaster area by the President 102/120 counties & 87 cities declared states of emergency Emergency Responses Activated Commonwealth s Emergency Operations Center (EOC) Kentucky Department for Public Health (KDPH)- Department Operations Center (DOC) Background: 2009 KY Ice Storm KDPH-DOC Major Concerns Loss of communication with local health departments Public health needs not being met Emergency shelters Reports of make shift shelters Operational capacity of healthcare facilities, local health departments (LHD), and emergency management 3
4 EPH Strike Teams Division for Public Health Protection & Safety decided to deploy environmental public health strike teams Thirteen teams Volunteers from various LHD Comprised of three people Environmentalist/ Registered Sanitarian (Team Lead) Nurse Local person with working knowledge of the area North Carolina CASPER Standard Operation Guidelines Office of Public Health Preparedness & Response Public Health Regional Surveillance Teams 4
5 EPH Strike Teams Mission Re-establish communications with LHD Conduct surveillance Shelters Modified CDC Environmental Shelter Surveillance form Previously identified & Unknown/ make shift facilities Initiate morbidity reporting Modified CDC Aggregate Natural Disaster Morbidity Report form Support healthcare facilities via Emergency Support Function-8 Dialysis Centers Hospitals Nursing homes 5
6 EPH Strike Team-Results 711 environmental health inspections were conducted during the ice storm Immediate needs were identified during 53 inspections at 34 shelters conducted by the EPH Strike Teams Immediate needs observed in the emergency shelters Inadequate drinking water supply (2) No medical services (14) No electricity (5) Inadequate number of sleeping cots (12) Unsafe food handling, preparation, or supply (15) No major delays in the re-opening of permitted retail food establishments Lessons Learned Support intra- and interstate emergency preparedness collaborations Develop EPH Strike Teams guidelines before an emergency Roles & Responsibilities Resources (i.e. vehicles, gas, forms, office supplies, health education materials) Overtime Approval Cash advances process Lodging 6
7 No battle plan survives contact with the enemy Colin Powell Next Steps Emergency Readiness training Barren River State Park- July 15, 2009 Twin Cities Advance Practice Centers EPH Strike Team working group Development of the environmental health emergency response skills assessment Determine staff knowledge & skills Identify trainings gaps Develop training curriculum Tailor skills assessment to fit other KDPH divisions Steps we have taken: Pre-identified two strike teams Go kits Inventory identified Funding to purchase identified LHD to be identified to purchase items Centralized reporting system for shelter reports 7
8 Acknowledgements Kentucky Department for Public Health Division of Public Health Protection & Safety Dr. Margo Riggs Kathy Fowler Chris Smith Colleen Kaelin Justin Carey Public Health Prevention Service staff CDC staff Office of Workforce & Career Development Associate Director of Science & staff 8
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