Combined Incident Action Plan # 10 TIME/DATE FROM: 1200 10/15/2014 TIME/DATE TO: 1200 10/16/2014
STATE MEDICAL OPERATIONS CENTER (SMOC) DSHS SMOC INCIDENT ACTION PLAN # 10 TIME/DATE FROM: 1200 10/15/2014 TIME/DATE TO: 1200 10/16/2014 TEAM ON DUTY SMOC DIRECTOR ASSIGNMENT LOCATION Response and Recovery Unit Michael McElwain SMOC INCIDENT SUMMARY There have been three (3) confirmed cases of Ebola in Dallas, Texas. One case was the index case, who expired on the morning of 10/8/14. Two secondary cases are healthcare workers who were caring for the index case. The 1st secondary case was confirmed to have Ebola on 10/11/14 and the 2nd secondary case was confirmed on 10/15/14. Both are currently being hospitalized at Texas Health Presbyterian Hospital. The 1st secondary case has one (1) confirmed contact and a dog. Confirmed contact is currently being monitored. The dog has been removed from the apartment and is being monitored. One (1) control order remains in effect for the vehicle. All other secondary contacts involved in caring for the index patient are being contacted and monitored. Additional epidemiologists have been deployed to re-asses these healthcare workers and recategorize the assigned risk (no risk, low risk, moderate risk, high risk). Dallas County, DSHS Health Service Region 2/3 and other LHD epidemiology staff continue to monitor the original 48 contacts of the index case. These contacts are under symptom watch, twice daily, one self-reported fever check and one fever-check observed by Dallas County, HSR 2/3 or other LHD staff. No symptoms have been reported at this time. 1-2- 3-4- 5-6- ESF-8 OPERATIONAL OBJECTIVES Gain and maintain situational awareness Coordinate and share operational information at all levels of response and between all partners/stakeholders Coordinate state and local epidemiological response and surveillance Coordinate and provide resources to support incident response Coordinate public information messages between DSHS, Dallas County local health department, HSR 2/3, and emergency management partners Assist in the development of contingency planning for EMS, public health and fatality management. DOCUMENTS ATTACHED Organization Assignment List (ICS 203) SMOC Organization Chart (ICS 207) SMOC Assignment List (ICS 204) Health and Medical Branch Org Chart (ICS 207) HSR 2/3 Assignment List (ICS 204) Dallas EOC Org Chart (ICS 207) Dallas EOC Assignment List (ICS 204) PREPARED BY/TIME & DATE PREPARED: Lisa Amaya 10:00am 10/15/2014 APPROVED BY/TIME & DATE APPROVED: Michael McElwain 11:10 pm 10/15/2014
Time/Date From: Time/Date To: STATE MEDICAL OPERATIONS CENTER (SMOC) ICS 203 DSHS SMOC ORGANIZATIONAL ASSIGNMENT LIST TEAM ON DUTY Response and Recovery Unit POSITION NAME(S) SMOC EMAIL COMMAND STAFF SMOC MAIN PHONE LINE: 512-776-4950 SMOC Director Legal Officer Medical Officer Michael McElwain Monty Waters Dr. Lisa Cornelius dshsincidentcmd@dshs.state.tx.us Public Information Officer (PIO) Chris Van Deusen dshspio@dshs.state.tx.us FINANCE AND ADMINISTRATION Finance Section Chief Finance Section Deputy Chief Lisa Schultz Hil Lassberg dshsfinance@dshs.state.tx.us OPERATIONS SECTION Operations Section Chief Keri Cain dshsoperations@dshs.state.tx.us DSHS Laboratory Liaison Rahsaan Drumgoole PLANNING & INTELLIGENCE SECTION Planning Section Chief Planning Section Deputy Chief Reports Unit Leader Reports Unit Staff SME -Infectious Disease SME -Infectious Disease SME- Infectious Disease SME- Infectious Disease SME- Zoonosis SME- Infectious Disease SME- State Epidemiologist LOGISTICS SECTION Logistics Chief Logistics Section Deputy Chief TACCOM Support Branch Director TACCOM Support Branch APPROVED BY/TIME & DATE APPROVED: Danielle Hesse Lisa Amaya Michelle Simanek Loraine Lafler Lisa Abate Janna Zumbrun Monica Gamez Marilyn Felkner Michael Fischer Tom Sidwa Imelda Garcia Linda Gaul Linda Powers Cliff Lindell Juliana Johansson Jared Hoffman dshsplanning@dshs.state.tx.us dshslogistics@dshs.state.tx.us rrutaccom@dshs.state.tx.us PREPARED BY/TIME & DATE PREPARED: Lisa Amaya 10:00am 10/15/2014 Michael McElwain 11:10 pm 10/15/2014
SMOC ICS 207 DSHS SMOC ORGANIZATION CHART SMOC Director Michael McElwain Time/Date From: Time/Date To: Public Information Officer (PIO) Chris Van Deusen Legal Officer Medical Officer Monty Waters Dr. Lisa Cornelius Planning Section Chief Danielle Hesse Logistics Chief Linda Powers Finance Section Chief Lisa Schultz Operations Section Chief Keri Cain Finance Section Deputy Chief Planning Section Deputy Chief Lisa Amaya Reports Unit Leader Logistics Section Deputy Chief Cliff Lindell Hil Lassberg Reports Unit Staff DSHS Laboratory Liaison TACCOM Support Branch Director Juliana Johansson SME -
STATE MEDICAL OPERATIONS CENTER- ICS 207 DALLAS COUNTY EOC ORGANIZATIONAL CHART Time/Date From: Time/Date To:
STATE MEDICAL OPERATIONS CENTER (SMOC) ICS 204 DSHS SMOC SMOC ASSIGNMENT LIST TIME/DATE FROM: TIME/DATE TO: WORK ASSIGNMENTS Combine IAP and SitReps from HSR 2/3, Dallas EOC, and Dallas County Health and Human Services Disseminate relevant information to coordination group Continue to coordinate finalization and approval of Ebola Response Plan Continue to analyze results of the Healthcare Facility Preparedness Survey Finalize frequently asked questions and resource materials to share with TDEM and on DSHS website Support Dallas EOC as needed Host state-wide EMS conference call Continue to compile financial reports Finalize specimen transport protocols Continue to update event timeline Support transport activities SPECIAL INSTRUCTIONS PREPARED BY/TIME & DATE APPROVED BY/TIME & DATE Lisa Amaya 10:00am 10/15/2014 Michael McElwain 11:10 pm 10/15/2014
STATE MEDICAL OPERATIONS CENTER (SMOC) ICS 204 DSHS SMOC HSR 2/3 ASSIGNMENT LIST TIME/DATE FROM: TIME/DATE TO: WORK ASSIGNMENTS Gain and maintain situational awareness Field phone calls and answer any questions from the general public or other stakeholders Continue development of plans for EMS transport, fatality management, public health response, and contact monitoring checklist for public health. Continue to coordinate with the local heath department on epidemiological response and surveillance, compiling and reporting symptom checks Coordinate fiscal accounting system for tracking and projection of time, effort, and resources Develop a plan for demobilization of the DSHS Commissioner and staff to return to Austin, TX Finish re-interviewing all healthcare workers who cared for index case and continue surveillance SPECIAL INSTRUCTIONS PREPARED BY/TIME & DATE Lisa Amaya 10:00am 10/15/2014 APPROVED BY/TIME & DATE Michael McElwain 11:10 pm 10/15/2014
STATE MEDICAL OPERATIONS CENTER (SMOC) ICS 204 DSHS SMOC DALLAS EOC ASSIGNMENT LIST TIME/DATE FROM: TIME/DATE TO: WORK ASSIGNMENTS Continue to gain and maintain situational awareness Continue to conduct contact monitoring Continue to coordinate the development and distribution of public education materials for public schools Continue to ensure that proper infection control procedures are being followed. Gather expended and projected costs into a spreadsheet Contact all healthcare workers involved in caring for index patient and coordinate active surveillance for monitoring of signs and symptoms Identify points of contact for local minor emergency and urgent care centers to allow for sharing of Ebola information and guidance Finish decontamination of 1st secondary case's apartment Coordinating with TCEQ to clean 2nd secondary case's apartment. No ETA on clean up yet. Continue to work on a guidance form for emergency managers before 12PM call on how much information can be given out on the contacts under surveillance. SPECIAL INSTRUCTIONS PREPARED BY/TIME & DATE Lisa Amaya 10:00am 10/15/2014 APPROVED BY/TIME & DATE Michael McElwain 11:10 pm 10/15/2014