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Anticipating and Defending Against Bioterrorism: The Local Public Health Agency Perspective

Anticipating and Defending Against Bioterrorism: The Local Public Health Agency Perspective. IFPA-Fletcher Conference on National Strategy Security and Policy October 29, 2004. NACCHO Overview. Close to 3,000 local public health agencies (LPHAs) nationwide Wide range of Sizes Settings

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Anticipating and Defending Against Bioterrorism: The Local Public Health Agency Perspective

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  1. Anticipating and Defending Against Bioterrorism: The Local Public Health Agency Perspective IFPA-Fletcher Conference on National Strategy Security and Policy October 29, 2004

  2. NACCHO Overview • Close to 3,000 local public health agencies (LPHAs) nationwide • Wide range of • Sizes • Settings • Preparedness Needs

  3. Say it with me… All emergencies are… LOCAL. …at least at first…

  4. Three Stages of a Bio-Event • Determining an event has occurred • Response • Engaging in the long-term “consequence management” after the event

  5. Determining an Event has Occurred Without a “smoking gun…” • Syndrome Surveillance • Communication with Clinicians • Environmental Monitoring • Biowatch • Biohazard Detection System (BDS) These systems are TOOLS toward a larger end, not an end in themselves. How do we USE what we learn?

  6. Response (common threads) • Epidemiological Investigation • Challenge: Coordinating with Criminal Investigation • Risk Communication • Challenge: Getting the Story Straight, Fast • Challenge: Communicating with Diverse Populations

  7. Response (incident specific) • Mass Vaccination Clinics? • Staff, Supplies, Security • Mass Dispensation Sites? • Staff, Supplies, Security • Isolation? Quarantine? • Security, Resources, Information

  8. After the Incident… • Monitoring the environment • Monitoring those who received treatment Is the public health aspect of the anthrax attacks finished?

  9. Keeping Up with Federal Programs NIMS HSPD-5 MRCs NRP HSPD-8 National Preparedness Goal HSPD-10 Cities Readiness Initiative Biowatch BDS Biosense MMRS

  10. In Conclusion… • Bio is DIFFERENT • Not geographically specific • Not temporally specific • Local Public Health is KEY • Detect early • Stop the spread • Foundation upon which external assistance will build

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