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Los Angeles County Department of Public Health Emergent Disease Annex Briefing

Los Angeles County Department of Public Health Emergent Disease Annex Briefing. Emergent Disease Annex. All-Hazards Emergency Plan (Feb. 2013). Overarching Departmental emergency plan and response framework Not specific to any hazard.

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Los Angeles County Department of Public Health Emergent Disease Annex Briefing

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  1. Los Angeles County Department of Public Health Emergent Disease Annex Briefing

  2. Emergent Disease Annex All-Hazards Emergency Plan (Feb. 2013) • Overarching Departmental emergency plan and response framework • Not specific to any hazard • Preparation, response and recovery from emergent disease threat • Courses of Action (COAs) and Options Emergency Operations Annex (Feb. 2014) Emergent Disease Annex (Sept. 2014) • Activation and operation emergency management system (ICS) • Not specific to any hazard Emergent Disease Response Playbooks (Fall 2014) • DOC and Field Specific • ICS section specific • Key objectives, policies, COAs and decision points

  3. Situation and Scenario • Emergent Disease • Could be caused by a number of organisms • Unique disease transmission and severity profile • No vaccine or treatment • Sustained, human-to-human transmission • Scenario (p.3) • A novel, SARS-like coronavirus has emerged on the global stage. Early epidemiology and clinical reports from the country/region of origin suggest high transmissibility (Ro~3.0), and there is limited information on disease severity (i.e. hospitalizations, mortality) • The disease rapidly progresses from emergence in a foreign country to some other major metropolitan areas in the U.S. before reaching Los Angeles County. Local outbreaks first occur at a school and hospital. Additional clusters then quickly emerge within the County. Each cluster is characterized by high severity in certain populations. • The outbreak rapidly evolves through widespread transmission of the disease throughout the County.

  4. Mission Areas • DPH Mission(p.6) • Save and sustain human life, minimize disease transmission, support public health and healthcare infrastructure and support community recovery. • Mission Areas • Operational planning in nine (9) key focus areas of responsibilities • - Epidemiology and Surveillance - Non-Pharmaceutical Interventions • - Public Health Lab - Healthcare Support • - Public Information and Warning - Fatality Management • - Emergency Management - Mass Care • - Intel and Information Management • Based on PHEP (CDC), HPP (ASPR) and FEMA Capabilities

  5. Timeline • Timeline (p.12) • Key operational response actions

  6. Objectives and Key Actions Epi & Surveillance [Appendix B1] • Develop critical information and inform DPH/DOC decision making • Cases; Efficacy of interventions/COAs; Forecast potential impacts Public Health Lab [B2] • Facilitate rapid detection and confirmation of cases Emergency Public Info & Warning [B3] • Develop, coordinate and disseminate warnings and notifications • Many audiences: Healthcare, First responders, Media, Community • At-risk, vulnerable populations

  7. Objectives and Key Actions Emergency Management [B4] • Manage, sustain DPH response • Coordinate with local, state and federal response agencies Intelligence and Information Management [B5] • Collect, analyze and depict incident information Non-Pharmaceutical Interventions [B6] • Control spread, limit effect of disease • Centerpiece of Annex • Isolation, Quarantine, Community NPI • Efficacy v. Resources

  8. Objectives and Key Actions Healthcare Support [B7] • Coordination; Communication; Facilitation • Guidance; PPE; Infection control practices Mass Care [B8] • Support health, medical, mental health and social needs of impacted individuals • Coordination of services with partner agencies Fatality Management [B9] • Support recovery, identification and handling of decedents • Surge in death certificates • Support in family assistance centers

  9. Mission Area Responsibilities

  10. Whole Community: FEMA Process in LACDPH Assess & Prioritize Hazards Train, Exercise and Maintain Annex Engage the Community -Develop and conduct trainings -Develop and conduct exercises -Review/revise approved plan (every 3 years) -Present plan to: -Key government agencies -Healthcare partners -Community stakeholders Determine Goals & Objectives Prepare, Review & Approve Annex -Planning Directive -Form Core Planning Team -Define Scenario, Assumptions, Goals and Mission Area Objectives -Approval by DPH Executives -Submit approved plan to ECO/OEM for County inclusion & adoption Develop the Annex -Form Dept. planning workgroups -Develop and analyze COAs and tasks -Write Annex -Vet with Executives for approval

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