Cascadia Subduction Zone Planning. A Collaborative Approach that is Simple, Works, and Saves Lives

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1 Cascadia Subduction Zone Planning A Collaborative Approach that is Simple, Works, and Saves Lives

2 Intro What is driving this State/Provincial Health Planning British Columbia Oregon Washington Alaska Federal Health Planning Next Steps

3 Discuss what planning has been conducted in preparation for a CSZ event Show the cross border linkages that CSZ response impacts Discuss how to continue CSZ planning

4 Cascadia Subduction Zone

5 US Federal Initiatives Geology Possible exercises

6 Kirsten Brown A/Director, Planning & Programs

7 October 27 th, Magnitude earthquake and tsunami warnings a reminder of significant seismic hazards. Event led to the evacuation of several health facilities to higher ground. The BC Health system is embarking on a comprehensive Health Sector Seismic Preparedness Strategy. Re-framing, updating previous preparedness efforts. Initiating new projects to enhance preparedness.

8 Current Status: Planning for emergencies by the BC health system is a collaborative effort, involving a broad array of agencies and stakeholders. All organizations within the BC health sector develop and maintain emergency plans for a range of situations, compliant with the BC Emergency Response Management System (BCERMS). Several health authorities have undertaken specific initiatives aimed at increasing seismic preparedness, including implementing non-structural seismic upgrades to selected facilities and facilitating various emergency drills and exercises.

9 In addition to health system planning, the 2008 BC Earthquake Response Plan describes the provincial concept of operations for coordination of response and managing the consequences of a damaging earthquake. The plan was developed by Emergency Management BC (EMBC) with input from ministries across the BC Government, including the Ministry of Health.

10 Initiatives completed or underway that enhance seismic preparedness: Non-structural mitigation of selected healthcare facilities in the Lower Mainland Mobile Medical Unit Emergency Credentialing project Enhanced partnerships with provincial, state, federal and non-governmental partners Agreement with the Canadian Red Cross FPT MOU on Mutual Aid Surge Requests for Healthcare Professionals Updating All-Hazards Emergency Response plans and procedures for the health system.

11 Specific Seismic Strategy Components: Consequence Management Planning Reviewing, updating various response plans and arrangements. Mitigation Including risk assessment tools and databases. Reviewing building codes and non-structural mitigation best practices. Recovery Review of Business Continuity plans Debris management Back-to-work strategies and Disaster Psychosocial supports. Training, Education and Exercises

12 Jere High, ND Deputy Director of Emergency Operations & Planning Chief Public Health Division April 2013 Healthy Oregon

13 Central/East: Light Damage Valley: 7.0:Moderate/Severe Coast: 9.0 &Tsunami: Catastrophic Approx 20 cities 2.5K 10K, at 16K, Many smaller cities BECOMES Many more

14

15 FEMA

16 Point of Contact Information Jere High, ND Deputy DEO, Planning Chief P: C: Public Health Duty Officer Duty Officer Nextel Duty officer pager Duty Officer PPT 112*63576*103 Secure HAN: 1

17

18 Dan Banks Plans, Operations, and Exercise Manager Public Health Emergency Preparedness and Response Program

19 6,800 Deaths Fatality Management Issues Transportation Infrastructure Severely Impacted Hospitals not destroyed, but access damaged Everything needs to come from I-5 Corridor

20 Tsunami Biggest Impact Deployment of appropriate teams into affected areas (self contained) Initial concept of deployment to supplement local hospitals - will be refined based on local planning Rotary Wing air evac only

21 ~175 Deaths Transportation Infrastructure Bridges/Roads Airfields Few Hospitals with significant damage Secondary Healthcare Infrastructure (Clinics, etc..)

22 Deployment of up to 10 medical teams in I-5 corridor Ambulance Fixed and Rotary wing patient movement and evacuation

23 Caitlin Harrison Regional Emergency Preparedness & Response Coordinator Public Health Agency of Canada Western Region

24 Public Health Agency of Canada PHAC is responsible for coordinating federal health emergency preparedness and response activities in support of provinces and territories. PHAC and Health Canada s Health Portfolio Emergency Response Plan is designed for a range of events and allows for surge capacity from across the country. PHAC takes an all-hazards approach to health emergency preparedness. An agency-specific HRVA currently in progress, includes BC s seismic risk. Surge capacity to Provincial/Territorial health systems is provided through tools such as PHAC s National Emergency Stockpile System (NESS).

25 Regional Partnerships PHAC s Western Region has actively engaged in recent seismic exercises in the region (Evergreen, Magnitude 2012). PHAC works in close partnership with BC Ministry of Health and has participated in planning sessions for BC s Health Sector Seismic Preparedness Strategy. Regional federal community, led by Public Safety Canada, developed a BC Federal Emergency Response Plan. BC FERP was tested through Magnitude 2012.

26 Andy Stevermer Regional Emergency Coordinator HHS/ASPR/Region X

27 Cascadia Planning Timeline FY Region IX & X Coordination FY 2011 RISC Information Analysis Project Outreach Risk/Impact Analysis State Concept October November December January February March April May June July August September FY 2012 State Concept Development Literature Review Information Analysis Working Groups (Region X) October November December January February March April May June July August September COA Development Plan Review FY 2013 Table Top Final Plan COA Brief Initial Draft OPLAN October November December January February March April May June July August September Review After Actions and update Plan PUBLISH the PLAN

28 Operational Coordination Critical Transportation Infrastructure Systems Mass Search and Rescue Operations Mass Care Services Public Health and Medical Services Operational Communications Situational Assessment Public Information and Warning Fatality Management Services On-scene Security and Protection Environmental Response/Health and Safety

29 Objective: Provide fatality management services, including body recovery and victim identification and temporary mortuary solutions. Challenges: Limited resources to conduct identification and reunification of remains. Limited capacity to provide storage for remains. Preventing disease and biohazard contamination from exposed remains. Capability to recover and account for remains.

30 FAC RX Teams UCG FAC FAC FSA ISB UACG ESF8/ FEMA HQ UCG FSA FAC

31 Objective: Provide lifesaving medical treatment via emergency medical services and avoid additional disease and injury by providing targeted public health and medical support to all people in need within the affected area. Challenges: Transportation limitations will require injured people to be triaged/treated in place. Loss of power/water will limit surviving hospitals ability to provide services. Surviving patients in damaged hospitals, nursing homes, and assisted living centers will need to be relocated.

32 Medical Teams APOE APOE RX UCG Initiate Assessments of Hospitals and Care Facilities FSA MS APOE ISB UACG ESF 8/ FEMA HQ UCG Initiate Assessments of Hospitals and Care Facilities MS FSA APOE

33 Federal Health Planning - US FEMA Resource Allocation Workshops (RAW) May 2013 ESF-8 Deliberate Planning

34 Joint Planning Based on resource availability Who else needs to be involved Exercises Possible 2016 Exercise in discussion Participants Other Exercises What to you think?

35 Consultation Collaboration - Cooperation

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