Thank You to Our Partners. Law Enforcement Fire Services Emergency Management Public Health Behavioral/Mental Health

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2 Thank You to Our Partners Law Enforcement Fire Services Emergency Management Public Health Behavioral/Mental Health

3 The School Safety Continuum Prevention Intervention Response

4 Prevention & Intervention

5 Response

6 Lifetime Achievement Recognition Dr. Oscar J. Meehling For your commitment and dedication to school safety and violence prevention. Your contributions will continue to positively impact the children of Arizona for many years.

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8 Arizona Counter Terrorism Information Center Phoenix Police Community Outreach Program Homeland Defense Bureau

9 What is the ACTIC? Collaboration of Federal, State, Tribal and Local agencies, including Law Enforcement, Fire Departments, Public Health and Military. Includes FBI, TSA, DHS, ICE, and Secret Service Joint Terrorism Task Force (JTTF) Houses the Terrorist Liaison Officer Program, Threat Mitigation Unit and the Community Outreach Program

10 What is the ACTIC? Terrorism Liaison Program (TLO) Serves as an information source with updated, accurate data on high priority events Respond if necessary and provide ACTIC support for investigations and events that may have an impact on Homeland Security.

11 What is the ACTIC? Threat Mitigation Unit (TMU) TMU was created specifically to satisfy a national mandate and is responsible for creating and coordinating critical infrastructure protection efforts for the City of Phoenix. Mission is to identify critical infrastructure important to the City of Phoenix, gather accurate data, and then work collaboratively with all of the different partners to strengthen the sites against all potential hazards.

12 What is the ACTIC? TMU pursues and manages millions of dollars in Federal Homeland Security Grants to help fund different project. Responsible for conducting vulnerability assessments of sites Public outreach to the numerous private sector partners Program management

13 Phoenix Safe School Initiative Enhanced patrol presence Site assessments Support ERP SSO program Increased training

14 Site Assessments ACAMS ACID First Responder Critical Infrastructure IP Gateway Options for Consideration

15 What is the ACTIC? Statewide Watch Center Nerve Center Information Gathering and Dissemination Citizens and Government Flow of Information both directions

16 Community Outreach Program Facilitates communication between the Private Sector and ACTIC, with an emphasis on Critical Infrastructure (CI) Critical Infrastructure is loosely defined as infrastructure needed to continue day to day operations and sustain existence or profoundly damage the Nation s morale or confidence % of Critical Infrastructure are privately owned.

17 Make The Call

18 Community Outreach Program Answer: Call the ACTIC Watch or Go to the Web Site

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21 The Benefit Citizens will have an outlet for information sharing The information can be followed up on if necessary by a TLO/JTTF Because of the collaborative nature of the ACTIC, information can be pushed up to the federal level or out to law enforcement agencies and the private sector Increased awareness of this new paradigm of policing

22 Contact Information Community Outreach Program/ Watch Center Phone or Phone SAVEAZ ( ) Web Site Azactic.gov

23 Contact Information Detective Paul W. Stebbins (602)

24 WHAT S ON THE PUBLIC HEALTH RADAR A Public Health Update Candice L. Williams, MD, MPH

25 Topics Seasonal Flu Enterovirus D-68 Ebola

26 Seasonal Flu

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28 Laboratory-Confirmed Cases Reported, by County, Influenza Season In Arizona: 82 cases of influenza reported so far this season 8 counties affected Key: * = Any activity reported this season = Activity reported in the previous three weeks = No activity reported in the previous three weeks

29 Influenza-Like Illness Per School Enrollment in Arizona (per 100,000)

30 Transmission and Symptoms Spread by droplets (coughing, sneezing, etc) Generally travel 3ft, up to 6ft Symptoms Fever* or feeling feverish/chills * It's important to note that not everyone with flu will have a fever. Cough Sore throat Runny or stuffy nose Muscle or body aches Headaches Fatigue (tiredness) Some people may have vomiting and diarrhea, though this is more common in children than adults.

31 Treatment and Prevention Flu treatment includes supportive care. Physician prescribed medications (ex. Tamiflu) can shorten flu duration. Flu is prevented in the same way as other respiratory viruses: Washing hands often Avoid touching eyes, nose and mouth Covering your cough and sneeze with the inside of your elbow Staying home when you re sick Clean and disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick Getting vaccinated!

32 Students & Sneezing & Flu oh my! What should I do if there is an increased number of students with flu or flu-like illness? Contact your county health department

33 Enterovirus D68

34 Enterovirus D68 (EV-D68) EV-D68 was identified in CA in 1962 & has been identified in labs occasionally ever since From mid-august to October 24, 2014, CDC has confirmed 998 people in 47 states and the District of Columbia with respiratory illness caused by EV-D68 On October 22, 2014, Maricopa County was notified of the first confirmed case of EV-D68 in the county/state Child who was hospitalized and has recovered There has been 1 additional confirmed case in AZ 12/8/2014

35 Enterovirus D68 (EV-D68) Trends in US Activity of Enterovirus D68-like Illness in States: 34 states and the District of Columbia reported low or declining activity (including Arizona) 8 states reporting elevated activity 1 state reporting increasing activity

36 Transmission and Symptoms EV-D68 is spread through respiratory droplets like the flu Infants, children and teenagers are more likely to become ill with EV-D68 Children with asthma may have a higher risk for severe respiratory illness caused by EV-D68 Symptoms of EV-D68 include: Runny nose Sneezing Body/muscle aches Cough Fever (not always present) Wheezing and difficulty breathing (more serious cases)

37 Treatment and Prevention There is no specific treatment for people with respiratory illness caused by EV-D68 infection supportive care only EV-D68 is prevented in the same way as other respiratory viruses like the flu by following these steps: Washing hands often Avoid touching eyes, nose and mouth Covering your cough and sneeze with the inside of your elbow Staying home when you re sick Clean and disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick

38 Maricopa County Surveillance MCDPH continues to work with state & federal partners to test provider suspect cases MCDPH has maintained heightened surveillance Surveillance alerts to providers Active cluster surveillance within pediatric facilities CDC expects that EV-D68 infections will likely begin to decline by late fall

39 2014 Ebola Outbreak Response West Africa and the US

40 Liberia, Guinea, and Sierra Leone 2014 Ebola Outbreak in West Africa - Outbreak Distribution Map

41 Countries with Widespread Transmission (As of 11/28/2014) Country Total Cases Laboratory- Confirmed Total Deaths Guinea Liberia Sierra Leone Total Source:

42 Ebola Cases (United States) As of October 20th, four confirmed Ebola cases have been diagnosed in the United States Sept. 30 first case of Ebola diagnosed in U.S. (Dallas), patient returning from Liberia, died October 8. Oct. 10, First U.S. Ebola transmission confirmed in a nurse that provided care for Dallas patient, recovered and discharged on Oct. 24. Oct. 15, Second U.S. Ebola transmission confirmed in a Dallas nurse, recovered and discharged Oct. 28. October 23, physician who treated Ebola cases diagnosed in NYC, recovered and discharged Nov. 11. There are NO CASES in Maricopa County or Arizona

43 Symptoms Signs of Ebola include fever (greater than 38.0 C or F) and symptoms such as Severe headache Muscle pain Vomiting Diarrhea Abdominal pain Unexplained bleeding The incubation period, from exposure to when signs or symptoms appear, is 2 to 21 days, but the average time is 8 to 10 days. A person infected with Ebola virus is not contagious until symptoms appear

44 Transmission Ebola is spread through direct contact (through broken skin or unprotected mucous membranes) with: A sick person s blood or body fluids, including but not limited to urine, saliva, feces, vomit, and semen Contaminated objects (like needles and syringes) Infected animals (by contact with blood, fluids, or infected meat) Mosquitos or other insects cannot transmit Ebola virus

45 How contagious is Ebola?

46 What are we doing in Arizona? Educating healthcare providers Sharing CDC and ADHS Guidelines on screening and infection control Working with ERs and others to evaluate suspect cases for testing Actively monitoring travelers from Liberia, Sierra Leone, or Guinea Daily temperature and symptom monitoring for 21 days Contacting healthcare facility ahead of time if symptoms develop

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