Public Health Preparedness and the Private Sector Roundtable: IL State Best Practices and Lessons Learned 20 October 2009
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1 Public Health Preparedness and the Private Sector Roundtable: IL State Best Practices and Lessons Learned 20 October 2009 COL Damon T. Arnold, M.D., M.P.H. Director Illinois Department of Public Health State Surgeon Illinois Army National Guard 1
2 Maxims to Consider All models are Wrong Some are Useful! In God We Trust All Others Bring Data! Fear is Bad Council! The State Public Health Hour Glass Model FEDs: Follow me, but lead yourself! Locals: Give us resources and guidance, but we can handle this and lead ourselves! 2
3 Date HSPD Historical Perspective 29OCT01 1: Established DHS and the HSC 29OCT09 2: Combat Terrorism via Immigration Policies 11MAR02 3: Homeland Security Advisory System (Color Code) 17SEP02 4: National Security Strategy to Combat WMD 28FEB03 5: Management of Domestic Incidents (NIMS) 16SEP03 6: Integration and Use of Screening Information 17DEC03 7: CI Identification, Prioritization, and Protection 17DEC03 8: National Preparedness (Policies/Strengthen U.S.) 30JAN04 9: Defense of U.S. Agriculture and Food 28APR04 10: Bio-defense for the 21 st Century 22AUG04 11: Comprehensive Terrorist-related Screening Proc. 27AUG04 12: Policy for a Common Identification Standard [NSPD 41] 13: National Standard for Maritime Security 3
4 Emergency Response National Response Plan (NRP) Emergency Support Function (ESF) ESF - 6: Mass Care and Sheltering Mass Care - Sheltering & Housing - Human Services ESF - 8: Health and Medical Assessment of Health and Medical Needs Health and Medical Guidance Surveillance Medical Personnel and Patient Care Medical Supply Food and Environmental Monitoring 4
5 The 17 CIKR Sectors Agriculture and Food Banking and Finance Chemical Commercial Facilities Commercial Nuclear Dams Defense industrial Base Drinking Water / Treatment Emergency Services Energy Government Facilities Information Technology National Monuments / ICONS Postal and Shipping Public Health and Healthcare Telecommunications Transportation Systems 5
6 IDPH Preparedness Training Illinois was the first state to conduct a Pan Flu Exercise in May of 2006 called FLUEX NIMS Training [100, 200, 300, 400, 700 and 800 Series]: All 42 IDPH senior staff members completed this training in February They also completed CDC Meta- Leadership training in March 2009 Interagency collaboration: IEMA / ING / IDHS / IDOT etc. Multiple CB, FB, grantee-based, and volunteer-based organizations are a part of the plan and training goals 6
7 Emergency Response Guidance Focus: Establishment of Authorities [NIMS] Operational Planning [OP PLAN] Objectives Clear-cut Strategic Goals Definitive implementation strategies Unequivocal responsibility assignments Measurable performance objectives Monitoring of Agency COOP implementation 7
8 Public Health Theory: A Cause - Effect Paradigm Recognition WHY? : [ Theology - Philosophy - Mental Health - Legal ] Ideological Explanations / Opinion / Debate (Fallacies of Logic) TRUE VALID CAUSE EFFECT FALSE INVALID HOW? : [ Science ] Deductive and Inductive Reasoning / Logic / Hypothesis Testing There is sometimes an incongruence, as they ask different questions! But what directs the Energy-Matter relationships? I Man Made Products I [ Light Waves -PP PC C BC B (FC) Geo-P V/B 8
9 GIS Mapping and Population Movement Issues Deploying & Returning Service Members Migrant farm worker camps Commercial Transportation (Air/Rail/Road) Graduation ceremonies Community Spring Season events Faith-Based Ceremonies Business Meetings (Large Scale) Inaccurate Census Data 9
10 SNS Pharmaceutical Distribution 10
11 SNS Pharmaceutical Convoys 11
12 Case Counts for H1N1 12
13 H1N1 Hotline Calls 13
14 Rates Cases Per 100 K Population 14
15 Migrant Labor Camps 15
16 H1N1 Response Implementation Strategies SNS Deployment [16 Hours] / PHEOC 3 State IDPH Laboratory Locations Confirmatory testing (in-house) Sample surge capacity flexibility CDC Community Mitigation Strategy Communications Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21 Multi-lingual/ Media/ Hospitals/ LHDs/ SEOC FBO Pandemic Flu Ambassador Program 16
17 Current Situational Report 3,166 Cases in Illinois (6,762 Samples Tested) in 32 Counties 13 Deaths (mostly underlying chronic medical conditions) Mass Seasonal Flu Vaccination Campaign Preparation for mass vaccination and surges We continue to closely monitor the situation along with the CDC and our state and local partners and communicate with the Media. 17
18 Areas Needing Improvement (Other Than Funding! ) More wireless access for field laptops Groove workspace template (PHEOC OPS) Pre-identify and train additional staff to support PHEOC, RSS, & RDC operations Laboratory staffing / supply need surges Better private sector involvement Maintain / update local drop site database Restructure IAPs for partner integration 18
19 Questions? 19
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