Emergency Manager Needs to Know
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1 Public Health 101 What Every Emergency Manager Needs to Know Partners in Emergency Preparedness Conference April 27, 2011 Nicole Errett Baltimore City Mayor s Office of Emergency Management Brian Spendley Hagerty Consulting 1 PIEP 2011
2 Define Public Health and its core concepts Describe the U.S. Public Health Preparedness Infrastructure Video and Discussion H1N1 Identify implications of PPACA (Health Reform) on emergency planning assumptions 2 PIEP 2011
3 Public Health Definition Public health definition and prevention 3 PIEP 2011
4 Definition: Is there one? 4 PIEP 2011
5 Definition: Public health emergency preparedness (PHEP) is the capability of the public health and health care systems, communities, and individuals, id to prevent, protect against, quickly respond to, and recover from health emergencies, particularly those whose scale, timing or unpredictability threatens to overwhelm routine capabilities. Preparedness involved a coordinated and continuous process of planning and implementation that relies on measuring performance and taking corrective action. 5 Source: Nelson, C., Lurie, N., Wasserman, J., and Zakowski, S. (2007) Conceptualizing and Defining Public Health Emergency Preparedness. American Journal of Public Health, 97(S1), S9-S11. PIEP 2011
6 6 PIEP 2011
7 3 Core Functions Assessment Policy Development Assurance 7 PIEP 2011
8 Primary Prevention Secondary Prevention Tertiary Prevention 8 PIEP 2011
9 Primary Prevention Prevent the outcome before it occurs (e.g. planning, hazard mitigation, gap analysis, training i and exercises) Secondary Prevention Early detection (e.g. surveillance) 9 Tertiary Prevention Prevent the outcome from getting worse (e.g. emergency management operations) PIEP 2011
10 1 0 PIEP 2011 Picture:
11 . Saving lives, millions at a time. 1 1 PIEP 2011 Picture: and
12 Undergraduate Degree Programs Master Degree Programs Doctoral Degree Programs 1 2 PIEP 2011
13 You re not alone! 1 3 PIEP 2011 Picture: health news/hand washing and hand sanitizer study a914/
14 Core Concepts What are the major components of a public health education? 1 4 PIEP 2011
15 Biostatistics Epidemiology Health Policy and Management Environmental Health Health Policy and Management Social/Behavior Health Sciences 1 5 PIEP 2011
16 1 6 PIEP 2011 Picture: biostatistics.jpg
17 1 7 PIEP 2011 Picture:
18 1 8 PIEP 2011 Picture:
19 HAZARD AND VULNERABILITY ASSESSMENT TOOL NATURALLY OCCURRING EVENTS SEVERITY = (MAGNITUDE - MITIGATION) PROBABILITY RISK HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPARED-NESS INTERNAL RESPONSE EXTERNAL RESPONSE EVENT Likelihood this will occur Possibility of death or injury Physical losses and damages Interuption of services Preplanning Time, effectivness, resouces Community/ Mutual Aid staff and supplies Relative threat* SCORE 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = Low 0 = N/A 1 = High 0 = N/A 1 = High 0 = N/A 1 = High 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = High 2 = Moderate 3 = Low or none 2 = Moderate 3 = Low or none 2 = Moderate 3 = Low or none 0-100% Hurricane 0% Tornado 0% Severe Thunderstorm 0% Snow Fall 0% Blizzard 0% Ice Storm 0% Earthquake 0% Tidal Wave 0% Temperature Extremes 0% Drought 0% Flood, External 0% Wild Fire 0% Landslide 0% Dam Inundation Volcano 0% Epidemic i 0% AVERAGE SCORE % *Threat increases with percentage. 0 0 RISK = PROBABILITY * SEVERITY IAEM
20 Pictures of recent CSXT 2 0 PIEP 2011
21 2 1 PIEP 2011
22 2 2 PIEP 2011
23 2 3 PIEP 2011
24 Public Health in the United States Research, Practice, and Infrastructure 2 4 PIEP 2011
25 Where is public health researched? Where is public health hpracticed? 2 5 PIEP 2011
26 What is the foundation? Pandemic and All Hazards Preparedness Act (PAHPA) National Health Security Strategy (NHSS) 2 6 PIEP 2011
27 Amended the Public Health Service Act to establish a new Assistant Secretary for Preparedness an Response (ASPR) Called for a quadrennial National Health Security Strategy (NHSS) 2 7 PIEP 2011
28 What is it? National Health Security is a state in which the nation and its people are prepared for, protected from, and resilient in the face of health threats with potentially negative consequences. Two Goals Build community resilience Strengthen and sustain health and emergency response systems. No unfunded mandates. Aligns with the NRF and NSS. 2 8 PIEP 2011
29 2 9 PIEP 2011
30 Created under PAHPA Lead in the nation in preventing, preparing for, and responding to the adverse health effects of public health emergencies and disasters. 3 0 PIEP 2011
31 Mission: i Collaborating to create the expertise, information, and tools that people and communities need to protect their health through health promotion, prevention of disease, injury and disability, and preparedness for new health threats. 3 1 PIEP 2011
32 MA: 6 State Agencies, 1 County HD, 4 regional lhd, 351 municipal board of health MD: 6 State Agencies, 24 local county health departments 3 2 PIEP 2011
33 Video H1N1 Flu in Review: The HHS Response 3 3 PIEP 2011
34 Discussion H1N1 Novel linfluenza 3 4 PIEP 2011
35 Health Reform: Patient Protection and Affordable Care Act (PPACA) What is it? How does it affect planning assumptions? 3 5 IAEM 2010
36 Individual Mandate Employer Mandate Health Insurance Exchange Medicaid Expansion Minimum Coverage 3 6 IAEM 2010 Picture:
37 Reduces uninsured by 32 million in 2019 (CBO Estimate) Eti t) Decreases vulnerability May decrease cost Increases transparency 3 7 IAEM 2010
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