Public Health Partnerships for Preparedness

1. Public Health Partnerships for Preparedness Veronica M. Aberle, MSN, RN Peoria City/County Health Department vaberle@peoriacounty.org Sarah Buller Fenton, MS, RNC Tazewell County Health Department sfenton@idphnet.com Laurie Schierer MS Woodford County Health Department lschierer@bromenn.org

2. Public Health Partnerships for Preparedness Tri-County AreaPopulation Peoria County 183,000 Tazewell County 128,000 Woodford County 36,000 Total 347,000

3. Public Health Partnerships for Preparedness Peoria County Demographics Urban Rural Mix City of Peoria: 112,000 County Total: 183,000 Population: 79% white, 16% African-American, 2% Hispanic, 1.7% Asian and 1.3% other 4 municipalities; 18 independent school districts Home to 2 research/ teaching medical centers, a Children’s Hospital and a community hospital Peoria has four Colleges of Nursing; undergraduate and graduate

4. Public Health Partnerships for Preparedness TazewellCounty Demographics Rural /urban Mix City of Pekin: 33,857; East Peoria: 22, 638; Morton: 15,198 County Total: 128,000 Population: 97% white, .9% African-American,1% Hispanic, .5% Asian and .6% other 2 Community Hospitals Woodford County Demographics Rural County City of Eureka: 4,871 County Total: 36,000 Population: 98.5% white, .3% African American, .7% Hispanic, .3% Asian and .2% other Health Department contractually operated by BroMenn Health Care

5. Public Health Partnerships for Preparedness Established Partners for Health Regional Health Services OSF St. Francis Medical Center Methodist Medical Medical Center Proctor Hospital Pekin Hospital Eureka Community Hospital University of Illinois Colleges of Medicine and Nursing American Red Cross Peoria, Tazewell, Woodford Health Departments Advanced Medical Transport ( EMS) PH Regional Response Planner & Epidemiologist

6. Public Health Partnerships for Preparedness GovernmentPartnerships Illinois River Valley Council of Governments Mayors County Boards ESDA Directors FBI,Police and Fire Chiefs Associations Illinois Air Guard 5th Civil Support Team USDA Research Laboratory

7. Public Health Partnerships for Preparedness Beginnings January, 2000 Hoax Anthrax Threat Peoria Planned Parenthood June, 2000Peoria Area Task Force on Weaponsof Mass Destruction Medical Subcommittee March, 2001IEMA – Illinois Terrorism Threat Assessment February, 2002Tri-County Terrorism Response Coalition March 6, 2002Community Leaders Meeting

8. Public Health Partnerships for Preparedness Tri-County Terrorism Response Coalition Mission …”through planning, to coordinate the response … to protect the lives and property of the citizens.” Unique Partnership: Plan-Train-Exercise-Respond Cross Jurisdictional Public/Private Partnership Organized Under Leadership of ESDA Directors Six standing Committees-First Responders Support Services Medical/Public Health Public Information Officers Communications Executive

9. Public Health Partnerships for Preparedness Focus Areas Funding Planning Training Equipment Coordinated Response Resources Communications Notification and Procedures

10. Public Health Partnerships for Preparedness Initial Challenges WMD Medical/Public Health Committee • Recognition of Public Health as First Responder • Establish Role of Public Health in Disaster Response • Goals and objectives focused on education, training, equipment for HazMat, pre-hospital and hospital • Public Health link to pharmacies to establish prophylaxis plan (state and national stockpile) • Training and Exercise • Communications cooperation among partners • System to monitor readiness

11. Public Health Partnerships for Preparedness Public Health/Medical Committee Public Health’s Initial Priorities 2002 Medication/Prophylaxis Distribution Workforce Development/Staff Training Surveillance Systems

12. Public Health Partnerships for Preparedness Public Health/Medical Committee June, 2002 • Change of Focus: Public Health planning takes priority. • Committee to be chaired by a hospital representative and a public health representative. • Reviewed goals and objectives • Identified areas for discussion and action

13. Public Health Partnerships for Preparedness Public Health/Medical Committee Discussion Items – Planning, training, education Exercises, drills Environmental sampling Response teams – IMERT, MRC Public information

14. Public Health Partnerships for Preparedness Public Health/Medical Committee Action Items - Resources for nursing/professional support Regional Cooperation Mutual Aid Agreements Exercises and drills Utilization of Illinois and National stockpiles

15. Public Health Partnerships for Preparedness Medical Reserve Corps Resources to Support Public Health HRSA Grant submitted on behalf of Tri-County Terrorism Response Coalition by the American Red Cross Central Illinois Chapter- 2002 Recruit, train, organize and exercise professional volunteers Support community needs: Strategic National Stockpile Deployment Public Health Emergencies Public Education on Preparedness

16. Public Health Partnerships for Preparedness Public Education: American Red Cross “Together We Prepare” Community Education Disaster Preparedness Focus on families and business:Preparation of Home and familyContinuity of business operations

17. Public Health Partnerships for Preparedness Public Information Cooperative Efforts • Public Information Officers of Public Health, Hospitals and American Red Cross Planned Coordinated Response with media • Joint News Conferences: Anthrax Threat Pre-event smallpox

18. Public Health Partnerships for Preparedness Public Health Emergencies Coordinated plans, procedures and training Medical Reserve Corps Volunteers Utilize Shared Resources Target Special PopulationsSchools and Day CarePediatric Prophylaxis ProtocolsChildren & Adults with Special NeedsPre-event Community Education

19. Public Health Partnerships for Preparedness Public Health/Medical Committee Regional Cooperation • Hospitals • PH-Regional Response Planning Area • Pre-event smallpox vaccination program Mock Smallpox Clinic • Mutual aid agreementsPeoria City/County Health Department Tazewell County Health Department Woodford County Health Department • Surveillance and SNS subcommittees

20. Public Health Partnerships for Preparedness Public Health/Medical Committee Hospital & Community Pharmacists Single Agency Plans Regional Public Health Plans Regional Multi-Agency/Cross Jurisdictional Plan

21. Public Health Partnerships for Preparedness Current Initiatives DOJ Threat Assessment Fall 2003 Collaborative Grant Plan Submitted on Behalf of an expanded 5 county coalition includes: Equipment, PPE and training plans to be used across first responder disciplines i.e. Incident Command/Unified Command, Forensic Epidemiology, Cross-system communication Surveillance Committee: Hospitals (Infection Control) and Health Departments targeting system issues surrounding communication, reporting and isolation and quarantine Web-based regional exercise, SARS scenario, 5/27/04

22. Public Health Partnerships for Preparedness Strengths of Partnerships • Maximize the resources/skills of each partner • Unique partnership maintains local controland builds trust among diverse partners • Promote goals and objectives across the communities • Grant Awards: Project Impact Medical Reserve Corps Homeland Security • Funding Opportunities in Partnership

23. Public Health Partnerships for Preparedness Coming together is a beginning, Staying together is progress, And working together is success. -Henry Ford