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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) IN THIS ISSUE • 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 email@example.com firstname.lastname@example.org Beth Crane, Operations Manager Michael Heumann, Environmental Health 971-673-1025 971-673-0538 email@example.com firstname.lastname@example.org Randy Shaw, Planning and Liaison Program Sonya Czerniak, Strategic National Stockpile 971-673-1316 971-673-0327 email@example.com firstname.lastname@example.org Jere High, Health Care Systems Teresa McGivern, Public Health Laboratory 971-673-0199 503-693-4123 email@example.com firstname.lastname@example.org Lynda Muriera, Training and Exercise Kevin Cradock, Health Alert Network 503-593-6963 503-572-7618 email@example.com firstname.lastname@example.org Candy Cates, Crisis and Emergency Risk Communication Coordinator 971-673-1313 email@example.com Oregon Public Health Division Public Health Emergency Preparedness 800 NE Oregon St., Suite 465B Portland, OR 97232 http://www.oregon.gov/DHS/ph/preparedness/phep_newsletter_index.shtml This document can be provided upon request in alternative formats for individuals with disabilities. Other formats may include (but are not limited to) large print, Braille, audio recordings, Web-based communications and other electronic formats. Call 971-673-1244, or for TTY call 971-673-0372 to arrange for the alternative format that will work best for you.
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