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Emergency Preparedness Newsletter


  • pg 1
									   Emergency Preparedness Newsletter

H1N1 defines 2009
The Public Health Emergency Preparedness
Program (PHEP) experienced a variety of
opportunities for service and growth in 2009. Our
successful response to pandemic H1N1 influenza
in the spring and Wave 2 in the fall provided
the opportunity to test and implement flu plans
we had developed over the last five years.
Preparation for the Cascadia Peril Earthquake/                                       The Agency Operations Center (AOC)
Tsunami exercise that took place in April allowed
for quick activation of the Emergency Support                               Between the H1N1 waves, we responded to
Function #8 (ESF 8) agency operations center                                Governor Kulongoski’s request to create an
in response to H1N1 circulation in Oregon. We                               H1N1 Summit that brought together more than
initiated and refined our software and hardware                             800 participants to discuss H1N1 influenza. For
resources in Hospital Capacity (HOSCAP),                                    the first time, we utilized webcast technology to
Volunteers in Service to Oregon (SERV-OR) and                               expand the summit audience by streaming live
our Health Alert Network (HAN). Hospitals and                               video of the plenary speakers.
health care systems demonstrated a marked                                   Over the course of our response efforts, we
improvement as evidenced in their preparedness                              redefined roles and responsibilities to strengthen
response to H1N1.                                                           our public and private partnerships with
                                                                            hospitals, tribal nations and regional partners

                                                                                                                  (continues on page 2)

• H1N1 Defines 2009 .......................................... pg. 1        • Environmental Health ........................................ pg. 5
• Liaison and Planning ......................................... pg. 3      • Oregon State Public Health Laboratory............... pg. 5
• Training and Exercise ......................................... pg. 4     • Preparedness, Surveillance and Epidemiology ..... pg. 6
• Medical Reserve Corps/SERV-OR ...................... pg. 4                • Hospital Preparedness ....................................... pg. 6
• Information Technology ..................................... pg. 4        • Strategic National Stockpile ............................... pg. 7

                                                                    Independent. Healthy. Safe.
(H1N1 Defines 2009 — continued)

in Washington, Idaho and                                                         for public health into our
Alaska. Oregon received                                                          planning scenarios. We will
$18.7 million in supplemental                                                    strive to expand capacity
funds to support public and                                                      in community resilience by
private response partners,                                                       focusing on the coordination
which included $9,760,546                                                        of medical services with
distributed to local health                                                      partners like the Oregon
departments, $132,000                                                            Disaster Medical Assistance
to tribes and $327,000 to                                                        Team, creating caches
hospitals and health care                                                        of medical supplies and
systems. Hands-on experience                                                     durable medical equipment
through training and real-life        The Joint Information Center (JIC)         placed throughout the
activation led to improved                                                       state, and formulating
situation status reports, improved communication         strategies to face the challenges of medical
with response partners, reduced cycle time in            surge in emergency events. At the same time, we
creating incident action plans, and efficiency in        must continue professional staff development
public health and medical resource ordering.             and work to stabilize and retain the emergency
Emergency risk communications with internal and          preparedness workforce to improve performance
external partners improved as our Joint Information in our daily roles while expanding our knowledge
Center activities refined processes and roles            and expertise in the incident command system.
while incorporating new and experienced staff to         And we will work with all our partners in learning
carefully craft messaging and outreach. Our hazard more about the recently released National Health
vulnerability assessment and mass fatality training      Security Strategy and how this strategy can help
activities provided opportunities for dialogue and       guide our preparedness and response efforts
collaboration in the expansion of public health and forward.
medical services.
                                                         I hope you take the time to read, in greater
Lessons learned in 2009 clearly identified               detail, the specific accomplishments of the
challenges and opportunities for 2010 as we move         individual units that follow in the newsletter. I
forward into the new decade. PHEP will maintain          know 2010 will be a challenging and dynamic
and foster our relationships with our public and         time for emergency preparedness and I look
private partners while we respond to the needs           forward to working together to meet the
for health and medical services for Oregonians.          challenges on the horizon!
One key focus will be to expand our volunteer
outreach and non-profit activities through our
VISTA outreach and SERV-OR activities. We will
incorporate climate change and its implications                                       Mike Harryman
                                                                                      Preparedness Manager

   Page 2                                           DHS: Public Health Division. Emergency Preparedness Program
Liaison and Planning
The Liaison and Planning units provided
technical assistance, participated in exercises and
conducted outreach activities in 2009. Technical
assistance included leading a multi-discipline
team to develop an emergency preparedness
planning template for licensed health care
facilities; assisting with business continuity
                                planning with
                                other agencies;
                                completing semi-
                                annual and annual
                                reviews with
                                county partners;
                                and assisting in
                                the development
                                of the start-up         Left: Liaisons Justin Schumacher and Elizabeth
                                                      Miglioretto tour the Mobile Lab with Michael Kubler.
     Dr. Jennifer Horney        of the Medical
     from the University       Reserve Corps in
      of North Carolina        Deschutes County.
 provided information on Unit members                 development of a
   innovative techniques       participated in        poster session at the
  for Public Health Rapid exercise design             Oregon Public Health
     Needs Assessment.         for the functional     Association conference;
                               SARS attacks           preparedness
exercise; facilitated a tri-county radiation table    presentations to DHS
top; and provided evaluation support for the          contract nurses and           Shannon O’Fallon
cross border Chempack exercise conducted              DHS Seniors and People     provided an update on
                                                                                  HB 3021 to state and
in Brookings, Ore./Crescent City, Cal. as well        with Disabilities staff;
                                                                                      local partners.
as exercises in Clackamas and Coos counties.          and coordination of a
Outreach activities included liaison participation    statewide preparedness conference for local health
and support in logistics, vulnerable populations,     departments and tribal preparedness coordinators.
mass casualty and school closure workshops;

   February 2010 Winter Newsletter                                                              Page 3
   Training and Exercise
   The Training and Exercise Unit provided training,       HAN and hospital capacity (HOSCAP) elearning
   coordinated exercise design and evaluation,             tutorials. Exercise activities focused on the
   and participated in H1N1 response activities            design and evaluation of regional mass fatalities
   during 2009. The unit training efforts focused          workshops and the Cascadia Peril Earthquake/
   on incident command specific positions; the             Tsunami functional exercise. The Training unit
   Homeland Security Exercise and Evaluation               used the lessons learned in the spring response
   Program; the Health Alert Network (HAN) and             to improve the efficiency of the JIC. This included
   the Joint Information Center (JIC). The staff           significant JIC planning, facility and technological
   provided facilitation of the Northwest Center for       improvements, and training prior to the fall H1N1
   Public Health Preparedness monthly webinars             activation. The result was a substantially higher
   on emerging health topics and developed                 performing JIC for the fall H1N1 response.

Medical Reserve Corps/Serv-Or                              Information Technology
Medical Reserve Corps (MRC) activities in 2009             PHEP’s information technology (IT) activities
centered on the establishment of the AmeriCorps            continued to grow and expand during 2009
VISTA/Medical Reserve Corps Partnership Project,           when HAN was certified by the Centers for
training activities and the expansion of the State         Disease Control and Prevention (CDC) as a
Emergency Registry of Volunteers in Oregon                 Public Health Information Network (PHIN). A
(SERV-OR). In February 2009, the Corporation for           major accomplishment this year has been the
National and Community Service approved PHEP               establishment of two fully equipped alternate
as an intermediary site for the AmeriCorps VISTA/          Emergency Support Function #8 (ESF 8) agency
Medical Reserve Corps Partnership Project for 10           operations centers at the Oregon State Public
VISTA Members. PHEP provided the new VISTA                 Health Lab and the Oregon Department of
team with training and placement in seven MRC              Transportation, plus the installation of satellite
units and the Portland State Office Building for a         phone docking stations, which greatly expanded
one-year term of service. Volunteers in the state-         preparedness capabilities for offsite relocations.
managed volunteer pool increased from 12 to                Two successful communications drills occurred in
286 members in 13 units while SERV-OR now has              February and November testing the HOSCAP, HAN
1,249 registrants (including MRC unit volunteers).         and satellite phone systems.
Exercise activities included two call down exercises
with over a 65 percent response rate and a
collaborative functional exercise in December
2009 with the Civil Support Team and Radiation
Protection Services in Salem involving 20 MRC and
state-managed volunteers.

   Page 4                                              DHS: Public Health Division. Emergency Preparedness Program
Environmental Health
Environmental Health emergency preparedness           drill activities, and are available to assist partner
engaged in a broad range of activities in 2009.       agencies in emergency release incidents as needed.
Industrial hygiene activities focused on plans for    They completed the county analysis of the public
respiratory protection and equipment plans, as well   health hazard vulnerability assessment (PH-HVA)
as providing respirator                                           and development has begun on a state-
fit-testing for state                                             level assessment of capabilities and
and local public                                                  vulnerabilities in support of local health
health staff. Toxicology                                          department response to incidents. The
staff completed the                                               unit worked nationally with CDC and
implementation of                                                 other partners to develop and strengthen
the Public Health                                                 disaster epidemiology efforts at state
Chemical and                                                                     and local levels in addition
Radiation Mobile                                                                 to laying the groundwork
Detection Laboratory.       A view inside and out                                for a national radiation
They represented            of the Mobile Lab                                    alliance to raise awareness
Oregon Public                                                                    of the public health role in
Health in the Chemical Stockpile Emergency                                       radiation emergencies.
Preparedness Program (CSEPP) exercise and

Oregon State Public Health Laboratory
In 2009, the Oregon State Public Health Laboratory    CT specimen submission exercise. An OSPHL
(OSPHL) tested 3,413 specimens for H1N1 and           microbiologist co-taught four classes for CDC on
one white powder sample brought in by the FBI.        LRN biological conventional testing methods in St
OSPHL staff correctly identified all preparedness     Paul, Minn. and Richmond, Va; LRN staff provided
proficiency testing samples. Staff participated       training for over 175 regional laboratorians
in two biosafety and biosecurity exercises in         in biosafety and biosecurity, and infectious
the Biosafety Level 3 laboratory; planned and         substance packaging and shipping. OSPHL-LRN
participated in the submission of simulated           staff presented “Oregon Chemical Terrorism
chemical threat (CT) specimens to the Washington      Preparedness: Outreach Best Practices” at the fifth
State Public Health Laboratory after hours; and       CDC National Laboratory Training Conference in
also received 100 percent in the CDC annual           Orlando, Fla.

   February 2010 Winter Newsletter                                                                Page 5
Preparedness, Surveillance                                Hospital Preparedness
and Epidemiology                                          Hospital Preparedness program activities in 2009
Preparedness, Surveillance and Epidemiology               focused on training and exercise, resources and
Team (PSET) activities in 2009 focused on training,       H1N1 response. Training and exercise efforts
continuity of operations activities and the H1N1          centered on regional, multi-disciplinary table-top
response. They conducted communicable disease             and function exercises on issues of recovery in
trainings, presented Oregon’s work around disaster        an earthquake/tsunami event. Region 7 hosted a
epidemiology at two national conferences and              multi-day American Medical Association-certified
improved their Web presence by developing a               Basic and Advanced Disaster Life Support course
pandemic influenza site that evolved into flu.            and a three-day statewide conference on Disaster
oregon.gov. The team successfully conducted               Preparedness for all their regional partners.
a functional remote connectivity exercise that            Resource sharing included the development of a
demonstrated continuity of operations abilities for       planning template for emergency response in a
the Acute and Communicable Disease Program,               primary care setting; development of a vulnerable
participated with the DHS Continuity of Operations        populations database to identify cohorts within
team, compiled county Public Health Hazard                a county or community; development and
Vulnerability Assessments and developed the               distribution of the “Ready Book” to address
Hazard Vulnerability Assessment GIS tool. H1N1            vulnerable populations’ need to collect and
activities had PSET staff in both leadership and          maintain personal data; and the purchase of
support roles in the state public health agency           HAM radio repeaters and equipment to provide
operations center. PSET staff convened the                redundant communications for hospitals in remote
Pandemic Influenza Coordination Committee,                areas of the state. H1N1 activities had hospitals
maintained the accuracy of reporting H1N1                 activate emergency operation plans; provide
influenza deaths and hospitalizations, and made           situational awareness; develop guidelines for
the HHS antiviral purchase program available to           visitors, staff protection and resource management;
Critical Infrastructure Key Response partners.            and form health/medical coordination groups to
                                                          guide regional decision making.

   Page 6                                             DHS: Public Health Division. Emergency Preparedness Program
Strategic National Stockpile
In 2009, Strategic National Stockpile (SNS)             93 sites registered with the SNS program to
activities included trainings, exercising Receipt       distribute state-owned antiviral medications and
Store and Stage (RSS) setup, pandemic H1N1              receive updates on the state antiviral listserv. An
response, and developing                                                    antiviral allocation system
guidance and systems                                                        was developed to track and
improvements to support asset                                               approve local requests. During
allocation, distribution and                                                the second pandemic wave, a
tracking. The RSS received                                                  contract was negotiated with
three shipments of federal                                                  a pharmaceutical distributor
assets, including antiviral                                                 to store state-owned antiviral
medications or personal                                                     medications and deliver to
protective equipment, and                                                   clinics across Oregon within
                                    Requests for SNS assets are processed two days of request. A major
responded to over 30 local
                                           and inventory updated.
requests for resources.                                                     accomplishment of the year
They distributed 5,228 courses of antiviral             was the SNS program score of 86 percent in
medications to counties, tribes and state               overall readiness on the state of Oregon 2009
institutions, along with state guidance for use,        CDC Annual Technical Assistant Review, an
inventory reporting and handling. A total of            improvement from the 2008 score of 85 percent.

     The Oregon Strategic National Stockpile                   SNS assets are packed and ready for
      maintains a ready supply of personnel                        shipping to local agencies.
      protective equipment and other assets
        for statewide emergency response.

   February 2010 Winter Newsletter                                                                Page 7
          Public Health Emergency Preparedness Contacts
   Mike Harryman, Preparedness Manager                            Barbara Progulske, Principal Investigator
   971-673-1320                                                   971-673-1006
   mike.harryman@state.or.us                                      barbara.a.progulske@state.or.us
   Beth Crane, Operations Manager                                 Michael Heumann, Environmental Health
   971-673-1025                                                   971-673-0538
   elizabeth.crane@state.or.us                                    michael.a.heumann@state.or.us
   Randy Shaw, Planning and Liaison Program                       Sonya Czerniak, Strategic National Stockpile
   971-673-1316                                                   971-673-0327
   randy.shaw@state.or.us                                         sonya.l.czerniak@state.or.us
   Jere High, Health Care Systems                                 Teresa McGivern, Public Health Laboratory
   971-673-0199                                                   503-693-4123
   jere.high@state.or.us                                          teresa.e.mcgivern@state.or.us
   Lynda Muriera, Training and Exercise                           Kevin Cradock, Health Alert Network
   503-593-6963                                                   503-572-7618
   lynda.p.muriera@state.or.us                                    kevin.cradock@state.or.us
                      Candy Cates, Crisis and Emergency Risk Communication Coordinator

Oregon Public Health Division
Public Health Emergency Preparedness
800 NE Oregon St., Suite 465B
Portland, OR 97232

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