OFFICE OF TERRORISM PREPAREDNESS AND EMERGENCY RESPONSE

1. OFFICE OF TERRORISM PREPAREDNESS AND EMERGENCY RESPONSE NNPHI Conference May 2003 Joe Davis, CDC/OTPER

2. Background Following the events of September 11 and the subsequent anthrax release, improving public health preparedness has become a national priority. As public health takes center stage, there are many issues CDC/ATSDR’s terrorism preparedness and response effort must address. The Office of Terrorism Preparedness and Emergency Response (OTPER) was established in August 2002 to help focus on many of these issues including: Intense focus on terrorism preparedness and response – The threat of terrorism continues to dominate the federal government and public health agendas. A significant increase in terrorism funding creates high expectations and demands accountability. Increased national and global visibility – the CDC/ATSDR role in public health policy has grown significantly as terrorism becomes a greater global and national security issue. This visibility demands that the agency assume new roles and relationships, including partnerships with law enforcement, intelligence and military. A new Administration – While the Administration is now two years old, changes in leadership and policy continue to impact CDC/ATSDR. The agency must respond to many new takeholders, new organizations and changing leadership. New management demands – The current Administration has introduced a number of key initiatives through the President’s Management Agenda (PMA) with specific expectations for performance and the management of resources. Existing business needs – In spite of each new demand placed upon the agency, its other public health responsibilities remain priorities and require continued attention and dedication of resources. These priorities must not be overshadowed by terrorism.

3. Biological Information Systems Training Nuclear, Radiological Chemical Planning Communications Readiness Natural Disasters/Trauma All-Hazards Approach

5. Vision Statement: People protected – public health prepared. Mission Statement: Prevent death, disability, disease and injury associated with urgent health threats by improving preparedness of the public health system, the healthcare delivery system and the public through excellence in science and services. Vision and Mission Below are the vision and mission statements as developed by CDC/ATSDR leaders representing each CIO, including OD, during the Strategy Articulation Session held on January 08, 2003.

6. Strategic Imperatives The Strategic Imperatives have been placed into two categories, “Programmatic” and “Enabling.” The “Programmatic” Imperatives reflect the core mission functions employed to achieve the mission while the “Enabling” Imperatives express the means that “enable” programmatic achievement. Programmatic: • Timely, effective and integrated detection and investigation • Sustained prevention and consequence management programs • Coordinated public health emergency preparedness and response • Qualified, equipped and integrated laboratories • Competent and sustainable workforce • Protected workers and workplaces • Innovative, relevant and applied research and evaluation • Timely, accurate, and coordinated communications Enabling: • Achieving shared goals through partnerships • Coordinated and secure information systems • Creative and effective management services

7. FY 2002 and FY 2003 Appropriations FY 2002 Appropriations FY 2003 Appropriations $939M 940.2M $144.2M $11.9M $20M $18M $55.6M $645M $159M $512M $18.4M $99M $298M Critical Recovery (FY 2002 only) Upgrading State & Local Capacity Smallpox Upgrading CDC Capacity Anthrax Strategic National Stockpile Security (FY 2003 only) September 11 Aftermath (FY 2002 only)

8. State and Local Program OTPER houses the State and Local Preparedness Program. Through this program, CDC/ATSDR helps public health departments in all 50 states, US territories and several major municipalities develop capacity to handle terrorist attacks. 62 State, local and territorial health departments People Protected - Public Health Prepared + = CDC / ATSDR • Plan Preparedness • Report Readiness • Demonstrate Response • Expert public health guidance for terrorism preparedness and response • $1Billion in funding dedicated to build capacity in state, local and municipal health departments in FY 2002 and FY2003 • Preparedness Planning and Readiness Assessments • Surveillance and Epidemiologic Capacity • Laboratory Capacity – Biological and Chemical • Communications and Information Technology / Health Alert Network • Risk Communication and Health Information Dissemination • Education and Training *FY 2003 funding level for cooperative agreement program.

9. Emergency Operations Program OTPER maintains responsibility to make emergency preparations for terrorist attacks as well as the responsibility to respond to all types of emergencies. The OTPER Emergency Operations Program develops the agency’s emergency response capacity through the Emergency Operations Center (EOC) and the Strategic National Stockpile (SNS). Emergency Operations Center • 24x7 operations to monitor, detect and respond to emergency events • Maintains secure communications with other federal agencies to activate emergency response plans within minutes of detection • Serves as a hub for communications and activities during an event Strategic National Stockpile • Ensures availability and deployment of life-saving pharmaceuticals, supplies and equipment to counter the effects of terror agents • Provides Technical Advisory Response Units (TARUs) to advise local authorities on receiving, distributing, dispensing, replenishing, and recovering SNS materiel • Provides education and training for state, local and federal partners

10. Select Agent Program The Select Agent Program regulates the possession of biological agents and toxins that have the potential to pose a severe threat to public health and safety. The Select Agent Program currently requires registration of facilities including government agencies, universities, research institutions, and commercial entities. The Select Agent Program Regulates: • Registration of laboratories that house threat agents, including specific viruses, bacteria, rickettsiae, fungi, toxins and recombinant organisms/molecules • Requests to acquire, use and dispose of threat agents • Transfer of agents among registered laboratories • Inspection of laboratories to ensure appropriate use and security • Enforcement of penalties for misuse

11. For More Information – www.bt.cdc.gov