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Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program

Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program. Iowa Department of Public Health Division of Epidemiology, EMS and Disaster Operations Sharon Cook, BS, RDH. A Look Back.

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Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program

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  1. Public Health and Healthcare (Bio)Terrorism Preparedness and Response Program Iowa Department of Public HealthDivision of Epidemiology, EMS and Disaster Operations Sharon Cook, BS, RDH

  2. A Look Back • October 2001 - New Office created - Division of Epidemiology, EMS, and Disaster Operations (2003 Legislature) • April 2002 - Department of Health and Human Services Funding 12.8M- CDC public health = 11.5M- HRSA healthcare/EMS = 1.3M

  3. A Look Back • June 2002– Iowa’s First Public Health Congress • 99 counties (BOH) • Allocation of Local Public Health funds • Build planning regions & governance

  4. A Look Back • Disaster/Terrorism Committees • 6 Bio-terrorism Planning Regions • August 2003– 18M funding for public health and healthcare- CDC public health = 12.6M- HRSA healthcare/EMS = 5.4M

  5. Mission To provide a statewide, effective and sustainable program of public health and healthcare disaster/terrorism services across organizational boundaries of all stakeholders that is fully integrated into Iowa’s Homeland Security and Emergency Plan.

  6. Partnerships • Healthcare • Emergency Medical Services • Public Health • Laboratories • Fire Service • Hazmat • Law Enforcement • Homeland Security and Emergency Management • State Agencies • Federal Agencies

  7. Iowa (Bio)terrorism Committees • CDC (public health) & HRSA (healthcare) • Bioterrorism Regional Steering Committees • IA-DMAT (disaster medical assistance teams) • SNS (strategic national stockpile) • HAN (health alert network) and communications • Laboratory

  8. Iowa (Bio)terrorism Planning Regions Structure

  9. Why Regional Planning? • Required by Grants • Opportunity to identify and integrate resource capacities and capability • Bring multiple response partners together • Build upon existing county emergency response infrastructure • Develop a regional response plan, ensuring integration into state Homeland Security and Emergency Plan

  10. HRSA (healthcare)All Hospitals x2EMS (career & volunteer)Emergency ManagementPublic Health Community Health CentersIndian Health Services CDC (public health)All county public health Hospitals EMSEmergency ManagementCommunity Health CentersIndian Health Services (Bio)terrorism Regional Steering Committees

  11. The System = Partnerships Incident County “All Hazard Plan” Emergency Management Local Authority Resource Capacity Capabilities Regional Public Health and Healthcare Bioterrorism Preparedness and Response Program State Emergency Plan Iowa Homeland Security and Emergency Management State Authority Federal

  12. State Emergency Response Plan • Follows incident management system • Defines what each department is tasked with doing in the event of a disaster • Uses a “multi-hazard” approach to planning

  13. Iowa Homeland Security and Emergency Plan • IDPH Serves as LEAD agency for 4 annexes:1. Medical Services2. Public Health3. Radiological Health4. Mass Fatalities

  14. Comprehensive Bio-Emergency Planning • Smallpox • WNV • SNS • Bio-Emergency Response Plan Template • SARS Response Plan

  15. 99 local public health bioemergency plans 24/7 duty officer call system with 800 number Regional capacity and resource sharing plans Comprehensive needs assessment Public health disaster legislation SNS plan and full scale exercise Purchased and equipped all hospitals with portable decontamination showers and PPE UHL connection with sentinel labs 99% high speed internet connection HAN, 24/7 emergency contacts Regional epidemiology program Iowa Accomplishments

  16. Risk communication training in each region Five volunteer disaster medical assistance teams Environmental sampling teams and kits Comprehensive survey of level a and b laboratories Laboratory response plan Security plan for information systems PIO go kits Learning management system EMS start triage program Regional tabletop scenarios Established redundant communication system with all hospitals with 800 mHz radios Identified mass dispensing/vaccination sites in all counties Iowa Accomplishments

  17. Iowa Disaster Medical Assistance Teams (IA-DMAT) • Volunteer force of medical, public health and environmental health professionals • No pay, but receive legal protections as state employees while deployed to a disaster site

  18. IA-DMAT • Five sponsoring hospitals • Not an employee of the hospital • Administration and equipment role • On-call every five months

  19. IA-DMAT: Iowans Helping Iowans • A state resource, in the event of a disaster that overwhelms local medical capabilities • IA-DMATs do not leave Iowa • Work in austere conditions or in a hospital

  20. Challenges • Transforming public health and healthcare • Budget deficits and workforce shortages • Commitment to sustain support and funding to build our system of emergency preparedness and response • Maintaining the momentum to continue with preparedness and response activities

  21. Thank You!

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