Emergency Support Function (ESF) 8 Update Roles and Responsibilities of Health and Medical Services

Emergency Support Function (ESF) 8 Update Roles and Responsibilities of Health and Medical Services

The National Response Framework (NRF) Establishes a comprehensive, national, all-hazards approach to domestic incident response. Presents an overview of key response principles, roles, and structures that guide the national response. Includes Core Document, Annexes, and Partner Guides.

The State Comprehensive Emergency Management Plan (CEMP) All-hazards approach to domestic incident response. Overview of key response principles, roles, and structures that guide the state s response. Includes Core Document, ESF Annexes, Support Annexes, and Incident Annexes

County Comprehensive Emergency Management Plan Based off the State CEMP Utilizes local agencies and organizations to fill ESFs Remember all disasters begin and end locally

Local Emergency Planning Committee (LEPC) Group of emergency responders, local organizations and private businesses that meet to prepare for disasters within their community Assist with training and exercise needs for those within the LEPC Collaborative effort to better prepare and respond to emergencies in their community

Emergency Support Functions (ESFs) ESFs: Primary operational-level mechanism to provide assistance Organized around functional capabilities (e.g., emergency management, transportation, search and rescue, etc.) Facilitate the matching of requirements with resources

Emergency Support Functions ESF #1 Transportation ESF #2 Communications ESF #3 - Public Works and Engineering ESF#4 Firefighting ESF #5 Emergency Management ESF #6 Mass Care, Housing, and Human Services ESF #7 Resource Support ESF #8 Public Health and Medical Services ESF #9 Urban Search and Rescue ESF #10 Oil and Hazardous Materials Response ESF #11 Animal, Agriculture, & Natural Resources ESF #12 Energy ESF #13 Public Safety and Security ESF #14 Long Tern Community Recovery ESF #15 External Affairs ESF #16 Military Support to Civilian Authorities

ESF Structure Primary Agencies ESF Coordinator Support Agencies

Primary and Support Agencies Primary Agency: State agency with significant authorities, resources, or capabilities for a particular function within an ESF Support Agency: Assists the primary agency by providing resources and capabilities in a given functional area

ESF Duties & Responsibilities Commit agency assets Approve and implement mission assignments Maintain situational awareness and report on ESF operations Represent agency on task forces and ad hoc groups Serve as technical experts

Activation of ESFs Not every incident requires the activation of ESFs ESFs may be selectively activated for: Stafford Act Emergency and Major Disaster Declarations Non-Stafford Act incidents as specified in Homeland Security Presidential Directive 5 (HSPD-5) ESF deployment must be coordinated, even if under the agency s own authority!

ESF #8- Public Health & Medical Services

Public Health and Medical Services Following an incident, what health concerns do communities face?

What is a Public Health Emergency? A public health emergency can range from a disease outbreak to natural disasters such as tornadoes, hurricanes, wildfires, and ice storms. It could also include man-made disasters such as a biological incident involving anthrax, plague, tularemia, or small pox; or a weapon of mass destruction event such as a bomb, chemical, or nuclear attack. Ultimately, there is not a disaster that occurs that does not affect the health of the community.

ESF #8: Purpose ESF #8 provides mechanism for coordinated State assistance in response to: Public health and medical disaster or emergency (e.g., pandemic flu outbreak, bioterrorism attack) Natural disaster (e.g., flood, hurricane, earthquake)

ESF #8: Purpose Emergency medical treatment and prevention Inspection of food and potable water Sewage and wastewater disposal Emergency mortuary service Mass fatality management Patient rehabilitation Vector and disease control Disease surveillance Restoration of health and medical infrastructure

ESF #8: Scope ESF #8 addresses disaster medical needs associated with: Mental health Behavioral health Substance abuse considerations At-risk and medically fragile populations Veterinary and/or animal health issues

ESF #8 Coordinator and Primary Agency As the State ESF #8 lead, MSDH: Requests activation and deployment of appropriate resources Assists and supports State, tribal, and local officials Coordinates public health and medical support, patient evacuation, and movement requirements Assures food safety/security with the Food and Drug Administration

Responsibilities MSDH Coordinating UMMC - Primary All Primary and Support Agencies Designate primary/alternate ECO, Public Health Command Ctr. (PHCC) State Emergency Operations Center (SEOC) Ensure adequate communications Support resource pool Coordinate efforts Providing information to ESF5 and ESF15

What is MSDH Doing? Mississippi ESF-8 planning works toward securing the capability and resources to respond to any hazard Mississippi ESF-8 planning includes developing capabilities and resources according to the National Planning Scenarios located in the National Response Framework. These scenarios depict a diverse set of high-consequence threats with both natural disasters and potential terrorist attacks. The scenarios develop the basis for a coordinated federal planning, training, and exercise program

State and Regional Medical Needs Shelter (SMNS) The MSDH Office of Emergency Planning and Response is responsible for operating state and regional shelters for the medically fragile. MSDH has trained teams ready to respond in any event. A SMNS is a shelter of last resort during emergency conditions for persons requiring limited medical and nursing oversight who cannot be accommodated in a general population shelter. MSDH has MOU s with 11 facilities (primarily community colleges). Stone County SMNS shelter is now complete.

Stone County State Medical Needs Shelter First of its kind in the nation Capacity 100-150 people based on their ambulatory status Can meet or exceed FEMA 361 standards

MS Mortuary Response Team (MMRT) The MMRT works to manage fatalities during an emergency The MMRT responded to the Louisville tornado to assist the local coroner in retrieving and processing the victims of the tornado There were a total of 11 lives lost during the event

MS Responder Management System (MRMS) By verifying in advance the credentials of volunteer healthcare professionals, the Mississippi Responder Management System (MRMS) improves the efficiency of volunteer deployment and utilization Registration on MRMS does not obligate volunteers to serve during a disaster. In the event of an emergency, registrees will be given the opportunity to accept or decline service as a volunteer

Health Alert Network (HAN) Ensures that each community has rapid and timely access to emergent health information Nationwide project that links public health agencies at the local, state and federal levels to other organizations critical for preparedness and response efforts MSDH is able to issue public health notices to hospitals, clinics, and doctors, media and emergency services using fax, email, voice and other electronic communication methods 24/7/365 To register for HAN, visit https://hanms.org and click Register Now

Strategic National Stockpile (SNS) Deliver critical medical assets to the site of a public health emergency severe enough to cause local supplies to run out Within 12-24 hours, the CDC can deploy a large shipment known as Push Pack to anywhere in the U.S State and local health agencies must have plans in place to receive shipments from the SNS and distribute the contents to the community quickly and efficiently MS uses Open and Closed PODs to administer medications MS is the only state to request and receive the SNS

Open Point of Dispensing (OPOD) Used to deliver medications to the general public Will be very crowded and highly stressed Staffed by MSDH and volunteers

Closed Point of Dispensing (CPOD) One of the ways to distribute the SNS to the community Way to ensure employees come to work More than 644 facilities enrolled, covering approximately 1,093,000 of the 2.9 million people of MS

Chempack Part of the CDC s SNS program. Forward placement of nerve agent antidotes that are rapidly available to state and local emergency responders MS has 13 cache site hospitals

Cities Readiness Initiative (CRI) Created in 2004 by the U.S. Dept. of Health and Human services to help the nation s largest metropolitan regions develop the ability to provide life-saving medications in the event of a large-scale public health emergency, either man-made or natural CRI seeks to help respond to large-scale events by providing life saving medical supplies to 100 percent of specific population within a 48 hour time frame CRI focuses specifically on urban areas and provides assistance in the distribution of medications and medical supplies at POD sites with 48 hours of activation

Ambus Ambus, short for ambulance bus, is a school bus retrofitted with a steel frame to hold stretchers and is used for transport of nonambulatory individuals Approximately 50 kits located throughout the state During a declared state of emergency, ambulance buses provide evacuation and transport of medical needs populations, mass casualties and others who require transportation

Ambus cont d Each kit contains 2 frames Each frame holds 6 stretchers Stored in crates until needed or permanently installed on bus

Installed Ambus Kit

At-Risk Population Identification Address the public health and medical needs of at risk individuals in the event of a public health emergency MSDH has developed an At-Risk Work Group of individuals who work with those who are in the At-Risk Population Meets quarterly to determine how to meet the needs of these individuals

Public Health Laboratory Level 2 chemical response laboratory State s only Laboratory Response Network reference laboratory for biological threats Capable of performing 125 different types of tests on specimens Tests over 600,000 specimens a year

Radiological Health Identify sources of radiation exposure, understand the biological effects of radiation, investigate and evaluate exposures, and formulate and apply regulations for the control and reduction of exposure Collect and analyze samples to record radiation levels in the environment Maintain emergency response capabilities in the event of an incident or accident at Grand Gulf Nuclear Station, transportation accident, or terrorist act involving radioactive materials

Comments, Questions, Suggestions? Mississippi State Department of Health Office of Emergency Planning and Response