Capitol Region Planning Council ESF-8 Public Health and Medical Ebola Virus Disease Incident Action Plan National Incident Management System Incident Command System September 2010 Operational Period: November 14, 2014 to November 21, 2014 ICS Forms
1. Incident Name: Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 3. Objective(s): 1- During this operational period provide information to maintain a safe working environment for responders and the public. 2- During this operational period provide pathways for Inter & intra-regional information collection and sharing. 3- During this operational period provide assistance for surveillance, monitoring and shelter in place support. 4- During this operational period seek out technical assistance for best practice development. 5. Identify and assign Key personnel to ICS positions as needed. 6. During this operational period assess the capability of implementing a regional approach to EMS transportation for Ebola. 7. During this operational period finalize Ebola protocol template for local health departments 4. Operational Period Command Emphasis: The operational period (24 hour) 0800 to 0759 for a 1 week period unless events require a review prior. Command emphasis - the lead organization for this plan will be RESF- 8 and the POC will be the RESF-8 Duty Officer. RESF-8 will coordinate with RESF-5 for the activation of the Region 3 RESP. General Situational Awareness The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. One imported case from Liberia and associated locally acquired cases in healthcare workers have been reported in the United States (CDC). Region 3 ESF-8 Healthcare system partners are taking precautions to prepare for and respond to both suspect and confirmed cases of Ebola within the region. The planning taking place across all ESF8 disciplines is significant at this time. 5. Site Safety Plan Required? Yes No Approved Site Safety Plan(s) Located at: 6. Incident Action Plan (the items checked below are included in this Incident Action Plan): ICS 203 ICS 207 Other Attachments: ICS 204 ICS 208 Situational update #4 ICS 205 MapChart ICS 205A Weather ForecastTidesCurrents ICS 206 7. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins 8. Approved by Incident Commander: Name: Dave Koscuk Signature: Dave Koscuk ICS 202 IAP Page 1 DateTime: 111425014 @ 1200
1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 3. Incident Commander(s) and Command Staff: 7. Operations Section: ICUCs RESF-8 Chair (Dave Koscuk) Chief RESF-8 Officer Duty RESF -8 Duty Officer Staging Area Safety Officer Branch Emergency Management RESF-5 Public Info. Officer Steve Huleatt Branch Director Bill Austin 860-995-2281 Liaison Officer Bill Perkins Bill Perkins 860-250-3364 4. AgencyOrganization Representatives: DivisionGroup RESF-5DutyOfficers RICS AgencyOrganization Name DivisionGroup See IC Form 205A DivisionGroup DivisionGroup DivisionGroup Branch Hospitals Branch Director Robert Falaguerra 860) 805-8311 5. Planning Section: DivisionGroup Chief Art Groux DivisionGroup Resources Unit Situation Unit DivisionGroup DivisionGroup DivisionGroup Documentation Unit Branch Public Health Demobilization Unit Branch Director S t e v e H u l e a t t 860.561.7905 Technical Specialists DPH Maryann Cherniak Lexius 860.647.3173 Lead Tech. Spec. Steve Huleatt 860.561.7905 DivisionGroup Jennifer Kertanis 860-352-2333 DivisionGroup DivisionGroup 6. Logistics Section: DivisionGroup Chief Carmine Centrella DivisionGroup Support Branch Director Supply Unit Facilities Unit Ground Support Unit Service Branch Director Communications Unit Medical Unit Food Unit Air Operations Branch Air Ops Branch Dir. 8. FinanceAdministration Section: Chief Time Unit Procurement Unit CompClaims Unit Cost Unit 9. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 203 IAP Page 2 DateTime: 11142014 @1200
# of Persons 1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 4. Operations Personnel: Name Contact Number(s) Operations Section Chief: RESF-8 Duty Officer Branch Director: Robert Falaguerra (rfalague@stfranciscare.org) (860) 805-8311 DivisionGroup Supervisor: 5. Resources Assigned: Contact (e.g., phone, pager, radio frequency, etc.) 3. Branch: Hospital 1 Division: 1 Group: 1 Staging Area: 1 Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader Bristol Hospital Richard Lehmert NA rlehmert@bristolhospital.org 860.585.3405 CT Children's Med. Center ECHN - ManchRockville Mike Tortora NA mtortor@ccmckids.org 860.545.9902 Linda Lemire NA llemire@echn.org 860.268.9411 Hartford Hospital Ed Kramer NA Edward.kramer@hhchealth.org 860.972.1216 Hosp Central CT NBBDL Hospital for Special Care Johnson Memorial Hospital John DempseyUCONN Thomas Vaccarelli NA thomas.vaccarelli@hhchealth.org 860.224.5336 Vicki Golab NA vgolab@hfsc.org 860.827.1958 x2161 Paul Wentworth NA paul.wentworth@jmhosp.org 860.748.6302 Debra Abromatis NA abromaitis@uchc.edu 860.679.7015 Middlesex Hospital Jim Hite NA jim.hite@midhosp.org 860.679.7015 St. Francis Hosp Med Cntr 6. Work Assignments: Robert Falaguerra NA rfalague@stfranciscare.org 860.805.8311 7. Special Instructions: 1) The operational period (24 hour) 0800 to 0759 for a 1 week period unless events require a review prior. 2) Command emphasis - the lead organization for this plan will be RESF- 8 and the POC will be the RESF-8 Duty Officer. 3) RESF-8 will coordinate with RESF-5 for the activation of the Region 3 RESP. 8. Communications (radio andor phone contact numbers needed for this assignment): NameFunction Primary Contact: indicate cell, pager, or radio (frequencysystemchannel) 9. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 204 IAP Page 3 DateTime: 11142014 @ 1200
# of Persons 1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 4. Operations Personnel: Name Contact Number(s) Operations Section Chief: RESF-8 Duty Officer Branch Director: Steve Huleatt 860.561.7905, steveh@westhartford.org DivisionGroup Supervisor: 5. Resources Assigned: Resource Identifier Dir. PH Branch Dir. PH Branch Leader Maryann Cherniak Lexius Contact (e.g., phone, pager, radio frequency, etc.) 3. Branch: Public Health1 Division: 1 Group: 1 Staging Area: 1 Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information mlexius@manchesterct.gov 860.647.3173 Jennifer Kertanis jkertanis@fvhd.org 860-352-2333 6. Work Assignments: 1) Provide information to local health departments (LHDs) to inform their situational awareness 2) Poll LHDs and other public health partners to determine their local inventories of PPE 3) Obtain sitrep from LHDs as requested 4) Provide assistance as available and based on request 5) Discuss and implement if desired a regional Ebola protocol for local health departments in the region 7. Special Instructions: 1) The operational period (24 hour) 0800 to 0759 for a 1 week period unless events require a review prior. 2) Command emphasis - the lead organization for this plan will be RESF- 8 and the POC will be the RESF-8 Duty Officer. 3) RESF-8 will coordinate with RESF-5 for the activation of the Region 3 RESP. 8. Communications (radio andor phone contact numbers needed for this assignment): NameFunction Primary Contact: indicate cell, pager, or radio (frequencysystemchannel) See IC 205A 9. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 204 IAP Page 4 DateTime: 1172014 @ 1200
# of Persons 1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 4. Operations Personnel: Name Contact Number(s) Operations Section Chief: RESF-8 Duty Officer Branch Director: DivisionGroup Supervisor: Bill Austin RESF- 5 Duty Officers 5. Resources Assigned: Resource Identifier RESF-5 Emergency Mgmt. Leader Bill Austin 13 860-995-2281 Contact (e.g., phone, pager, radio frequency, etc.) 3. Branch: 1 Division: 1 Group: RESF-5 1 Staging Area: 1 Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information If you cannot reach Bill Austin contact Bill Perkins@860-250-3364 6. Work Assignments: 1- Provide assistance to RESF-8 as requested 2- Provide Liaison at the SEOC when activated 3- Determine the need to activate the Regional Coordination Center to manage incident. 4- Once activated maintain a virtual Regional Coordination capability 7. Special Instructions: 1) The operational period (24 hour) 0800 to 0759 for a 1 week period unless events require a review prior. 2) Command emphasis - the lead organization for this plan will be RESF- 8 and the POC will be the RESF-8 Duty Officer. 3) RESF-8 will coordinate with RESF-5 for the activation of the Region 3 RESP. 4) Public Health and RESF-8 are the lead agencies in the event of an Ebola virus determination. 5) 8. Communications Any RESF-5 unitspersonnel (radio andor that phone would contact require numbers field deployment needed for into this a potentialsuspected assignment): infected area are NameFunction Primary Contact: indicate cell, pager, or radio (frequencysystemchannel) See IC 205A 9. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 204 IAP Page 5 DateTime: 11142014 @ 1200
# of Persons 1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 4. Operations Personnel: Name Contact Number(s) Operations Section Chief: RESF-8 Duty Officer Branch Director: DivisionGroup Supervisor: RESF-8 Duty Officer 5. Resources Assigned: Contact (e.g., phone, pager, radio frequency, etc.) 3. Branch: 1 Division: 1 Group: RESF-8 DO 1 Staging Area: 1 Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader Duty Officer Steve Huleatt NA steveh@westhartford.org 860.561.7905 Duty Officer Carmine Centrella NA ccentrella@preparednessplanners.com 860.982.9326 Duty Officer Art Groux NA agroux@suffieldems.org 860.668.3881 6. Work Assignments: Coordinate RESF-8 related information and requests for resources. 7. Special Instructions: 1) The operational period (24 hour) 0800 to 0759 for a 1 week period unless events require a review prior. 2) Command emphasis - the lead organization for this plan will be RESF- 8 and the POC will be the RESF-8 Duty Officer. 3) RESF-8 will coordinate with RESF-5 for the activation of the Region 3 RESP. 8. Communications (radio andor phone contact numbers needed for this assignment): NameFunction Primary Contact: indicate cell, pager, or radio (frequencysystemchannel) See IC 205A 9. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 204 IAP Page 6 DateTime: 11142014 @ 1200
1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 3. Basic Local Communications Information: Incident Assigned Position COMMUNICATIONS LIST (ICS 205A) Name (Alphabetized) 2. Operational Period: Date From: 11142014 Date To: 11212014 Method(s) of Contact (phone, pager, cell, etc.) ICUC David Koscuk 860.770.3979, david.koscuk@nbems.org IC Steve Huleatt 860.561.7905, steveh@westhartford.org Public Information Officer Art Groux Carmine Centrella Steve Huleatt 860.668.3881, agroux@suffieldems.org 860.982.9326, ccentrella@preparednessplanners.com 860.561.7905, steveh@westhartford.org Liaison Officer Bill Perkins 860.250.3364, wperkins@crcog.org Branch Director: Public Health Branch Director: Hospitals Planning Section Chief Logistics Section Chief Steve Huleatt Robert Falaguerra Art Groux Carmine Centrella 860.561.7905, steveh@westhartford.org 860.805.8311, rfalague@stfranciscare.org 860.668.3881, agroux@suffieldems.org 860.982.9326, ccentrella@preparednessplanners.com 4. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 205A IAP Page 7 DateTime: 11142014 @ 1200
1. Incident Name: : Region 3 Ebola Virus Disease ( R-3 EVD) 2. Operational Period: Date From: 11142014 Date To: 11212014 3. Safety MessageExpanded Safety Message, Safety Plan, Site Safety Plan: Ebola, previously known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus strains. Ebola can cause disease in humans and nonhuman primates (monkeys, gorillas, and chimpanzees). The natural reservoir host of Ebola virus remains unknown. However, on the basis of evidence and the nature of similar viruses, researchers believe that the virus is animal-borne and that bats are the most likely reservoir. When an infection does occur in humans, the virus can be spread in several ways to others. Ebola is spread through direct contact (through broken skin or mucous membranes in, for example, the eyes, nose, or mouth) with: blood or body fluids (including but not limited to urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with Ebola objects (like needles and syringes) that have been contaminated with the virus infected animals Ebola is not spread through the air or by water, or in general, by food. However, in Africa, Ebola may be spread as a result of handling bushmeat (wild animals hunted for food) and contact with infected bats. There is no evidence that mosquito's or other insects can transmit Ebola virus. Only mammals (for example, humans, bats, monkeys, and apes) have shown the ability to become infected with and spread Ebola virus. Healthcare providers caring for Ebola patients and the family and friends in close contact with Ebola patients are at the highest risk of getting sick because they may come in contact with infected blood or body fluids of sick patients. There is no FDA-approved vaccine available for Ebola. If you travel to or are in an area affected by an Ebola outbreak, make sure to do the following: Practice careful hygiene. For example, wash your hands with soap and water or an alcohol-based hand sanitizer and avoid contact with blood and body fluids. Do not handle items that may have come in contact with an infected person s blood or body fluids (such as clothes, bedding, needles, and medical equipment). Avoid funeral or burial rituals that require handling the body of someone who has died from Ebola. Avoid contact with bats and nonhuman primates or blood, fluids, and raw meat prepared from these animals. Avoid hospitals in West Africa where Ebola patients are being treated. The U.S. embassy or consulate is often able to provide advice on facilities. After you return, monitor your health for 21 days and seek medical care immediately if you develop symptoms. Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing) http:www.ct.govdphcwpview.asp?a=3115&q=554408&pm=1#121343 OSHA Fact Sheet: Cleaning and Decontamination of Ebola on Surfaces. Guidance for Workers and Employers in Non-Healthcare Non-Laboratory Settings. https:www.osha.govpublicationsosha_fs-3756.pdf 4. Site Safety Plan Required? Yes No Approved Site Safety Plan(s) Located At: 5. Prepared by: Name: William D. Perkins PositionTitle: CREPC Liaison Signature: William D. Perkins ICS 208 IAP Page 8 DateTime: 11142014 @ 1200
Capitol Region Emergency Planning Council (DEMHS Region 3) (UASI Region 3) Emergency Support Function #8 Public Health & Medical David Koscuk, Chair Region 3 ESF-8 Carmine J. Centrella, MMRS Program Director Steve Huleatt Public Health Kathy Dean - Behavioral Health Art GrouxBetty Morris - CMEDEMS Robert Falaguera - Hospitals Vincent DiSanti - Long Term Care Katherine McCormack - Medical Reserve Corps SITUATION REPORT #4: EBOLA INCIDENT November 14, 2014 The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. One imported case from Liberia and associated locally acquired cases in healthcare workers have been reported in the United States (CDC). Region 3 ESF-8 Healthcare system partners are taking precautions to prepare for and respond to both suspect and confirmed cases of Ebola within the Region. The planning taking place across all ESF8 disciplines is significant at this time. Priority #1: Information Sharing Significant amounts of information have been shared with Regional partners since 10714. Methods of distribution include Region 3 ESF8 Distribution List, CREPC Everbridge Platform and the Get Ready Capitol Region Website. Individuals interested in being added to the ESF8 Distribution List should email a request to david.koscuk@nbems.org There has been a request from CT DPH that we submit documents and information to them for review prior to sharing with our regional partners. We thank them for this request. Under the information sharing principals identified within the Regional PHERP and RESP, information that does not require prior authorization from outside organizations will continue to be shared amongst our planning partners to enhance the operational readiness of our member governments (Region 3 RESP p.4). During this operational period, Region 3 ESF-8 continued work on a regional point of entry plan for hospitals in regards to Ebola patients. At this time, there is not one hospital in the region that is in a position to formally commit to being a designated receiver of Ebola patients from other acute care hospitals. The situations would need to be managed on a case by case basis. During this operational period, Region 3 ESF-8 continued work on a regional approach for EMS transport for Ebola patients. At this time, there does not appear to be one (or more) agencies in the region that is (are) in a position to formally commit to being a designated unit to transport suspect Ebola cases from towns not within their designated catchment area(s) or hospitals with whom they don t have a contract with.
A request to open a WebEOC incident was not fulfilled by DEMHS. Russell Phillips and Associates have agreed to use the www.mutualaidplan.orgct website to host regional documents and communications. All Region 3 ESF8 partners will have access to this information. This capability is live at this time. Priority #2: Surveillance, Monitoring & Shelter in Place Support Nothing New To Report Priority #3: Provide Technical Assistance and Share Best Practices Where Appropriate The Capitol Region Emergency Planning Council (CREPC) ESF#8 is providing access to participate in a comprehensive Webinar covering the critical things that EMS agencies need to know about this epidemic from the provider and employer perspective. All CREPC partners are invited to join us at the Capitol Region Council of Governments (CRCOG) located at 241 Main Street in Hartford on December 10, 2014 from 2:00pm - 3:30pm. This webinar is being produced by the National EMS Industry Law Firm: Page, Wolfberg and Wirth. CREPC partners interested in joining us for this webinar should RSVP to david.koscuk@nbems.org. Please note, this is a single location license, so we cannot provide you individual access to the webinar. We may only participate in the webinar from one physical location. PWW has indicated they will specifically address these key questions (and many more): Question 1: What can we ask our employees? The Americans with Disabilities Act (ADA) limits employers' disability-related inquiries of employees. To what extent can employers ask their employees to report any potential exposure to Ebola at the workplace or elsewhere? We'll cover how far you can go with an "Ebola inquiry." Question 2: What can we do if an employee might have been exposed to Ebola? If an employee may have been exposed to Ebola, to what extent can an employer require the employee to stay home until he or she is medically cleared to return to work? We'll discuss whether or not the employee must be compensated during this time and what your policies should say about leave. Question 3: What are my obligations if an employee, or a family member of an employee, has Ebola (or might have it)? Does an employee with Ebola - or an employee with a family member with Ebola - qualify for ADA leave? Does an employee with Ebola qualify for leave under the Family and Medical Leave Act (FMLA)? We'll talk about ADA and FMLA leave, and time off for Ebola testing. Question 4: What if employees refuse to work with an employee who might have been exposed? Are employees permitted under the Occupational Safety and Health Act (OSHA) andor the National Labor Relations Act (NLRA) to refuse to work with an employee who responded to a call for a suspected Ebola patient? PWW will cover when employees might have protection under the law, and when they may not. Question 5: Are expenses associated with Ebola testing and treatment covered by Workers' Comp? If an employee is exposed to or contracts Ebola through workplace exposure, subsequent testing and treatment may be covered by Workers' Comp. In our Webinar, we'll discuss when workers' compensation laws are implicated and what