Cultural Competence for Native American Communities in Emergency Preparedness and Response

1. Cultural Competence for Native American Communities in Emergency Preparedness and Response W. Susan Cheng, MPH, PhDc Native American Alliance for Emergency Preparedness

2. NAAEP Team: Past & Present Presentation on behalf of: • Louise Gresham, PhD, MPH (Principal Investigator) SDSU • Deven Parlikar, MBA (Co-Founder) SDAIHC • Lucy Cunningham, MS SDSU • Sonya Ingmanson, MPH SDSU • Brian Tisdale, MS Riverside-San Bern. • Heidi Kvitli, MBA SDAIHC • Suzanne Lindsay, PhD, MSW, MPH SDSU • Deborah Morton, PhD, MFA UCSD • Stephanie Brodine, MD SDSU • Denny Amundson, DO Army Medical • J. Scott Parrish, MD, FCCP Army Medical • Asha Deveraux, MD, MPH Medical • Lee Rickland, MD, PhD UCSD

3. History of the NAAEP Project • Native American Alliance for Emergency Preparedness (NAAEP) • Indian Health Services Funded Pilot Project, 2001 • Collaboration: Indian Health Council (lead), San Diego State University, County of SD Health & Human Services Agency • Terrorism Preparedness Training Workshops • Focus on biological/chemical/radiological terrorism preparedness and response for clinic health care workers • Website and online resources • http://www.naaep.com (new site: http://naaep.com.googlepages.com/) • Self-guided and interactive tutorials • Disaster Preparedness • Emergency Operations Plan template and training workshops • Avian and Pandemic Influenza Preparedness • Inter-Agency Collaboration • Federal, State, Local, and Tribal Organizations

4. Online Resources http://naaep.com.googlepages.com/ (temporary site) • Terrorism Preparedness Workshop Presentations (Power Point) • Self-Guided Tutorials • Interactive Tutorials • Disaster Preparedness • Training Workshop Presentations (Power Point) • Emergency Operations Plan Template • Bird and Avian Influenza Preparedness • Self-testing Questions • Inter-Agency Collaboration • About Us • Contact Us

5. Terrorism Prep Presentations http://naaep.com.googlepages.com/ (temporary site) • Biological/Chemical/Nuclear Terrorism Preparedness Workshops Power Points from Workshops: • Biological Agents of Concern • Chemical Agents of Concern • Radiological Defense • Local and Emergency Preparedness and Response • Psychosocial Impact

6. Self-Guided Tutorials http://naaep.com.googlepages.com/ (temporary site) • Self-guided Tutorials • Developed from Workshop Presentations • Includes specific objectives for each tutorial • Also includes topical questions and answers throughout tutorial • Biological Agents of Concern • Chemical Agents of Concern • Radiological Defense • Local and Emergency Preparedness and Response • Psychosocial Impact

7. Self-Guided Tutorials: Bio http://naaep.com.googlepages.com/ (temporary site)

10. Disaster Preparedness http://naaep.com.googlepages.com/ (temporary site) • Emergency Operations Plan Template • EOP Training Materials • Risks and Threats to Indian Health Clinics • Unique Roles of Indian Health Clinics • Hazard Vulnerability Assessment • EOP Template • Incident Command Systems • Exercising the Plan • EOP Workshop Materials • Agenda • Goals and Objectives • Hazard Vulnerability Assessment Worksheet • Pandemic and Avian Influenza Prep

12. Inter-Agency Collaboration http://naaep.com.googlepages.com/ (temporary site) • Purpose • Products • Agencies

13. Inter-Agency: Products http://naaep.com.googlepages.com/ (temporary site) • Clinic Disaster Preparedness Questionnaire • Baseline (Winter 2006) • Follow-Up (Fall 2006) • Follow-Up (Summer 2007) • Establishing local partnerships: • Indian Health Clinics in California • Public Health Officers in California • Emergency Medical Services Agency in California • On-site Technical Consultants • Contracted by Indian Health Program • California Health Alert Network (CAHAN) Enrollment

14. Collaboration: Agencies http://naaep.com.googlepages.com/ (temporary site) • Federal • California Area Indian Health Services • State • California Department of Health Services • Governor’s Office • Local • San Diego County • Tribal • Tribal Representatives

15. About Us http://naaep.com.googlepages.com/ (temporary site) • About Us • Brief History of the Project (Yr 1-5) • Faculty (current and past) • Partners • California Native American Research Center for Health (CA-NARCH) • Science Media • Council of Community Clinics • Presentations and Publications

16. Emergency Operations Plan Training Workshop • Wednesday, April 11th & Thursday, April 12th, 2007 • Cal-EPA Building, Coastal Hearing Room, Sacramento downtown • Webcasting (live and recorded) • Topics: • Emergency Operations Plan Template • Pandemic and Avian Influenza Prep • Personal Protective Equipment • Clinic Disaster Preparedness Questionnaire Results • Interactive, case-based mini-tabletop

17. Contact Information http://naaep.com.googlepages.com/ (temporary site) W. Susan Cheng, MPH, PhDc Consultant/Environmental Health & Safety Specialist Native American Alliance for Emergency Preparedness Indian Health Program Indian Health Services Phone: (858) 344 – 8969 Fax: (208) 474 – 2185 Email: wscheng@ucsd.edu