Columbia University Center for Public Health Preparedness

1. Columbia UniversityCenter for Public Health Preparedness Emergency Preparedness Core Competencies for ALL Public Health Workers The Columbia University Center for Public Health Preparedness is a joint project of the New York City Department of Health and the Mailman School of Public Health, in collaboration with the Center for Health Policy at the Columbia University School of Nursing. The Center is funded by a Cooperative Agreement between the Centers for Disease Control and Prevention and the Association of Schools of Public Health, Project # S1544-20/20.

2. Columbia University Center for Public Health Preparedness This presentation has been approved for ( ) contact hours of continuing education credit through the (insert the accreditation agency here)

3. Columbia University Center for Public Health Preparedness Thank you for coming todayBefore we start….

4. Columbia University Center for Public Health Preparedness ABOUT YOUR FOLDER

5. Columbia University Center for Public Health Preparedness Pre-test Form (Insert your Pre-Test form here)

6. Columbia University Center for Public Health Preparedness Pre-test Procedures • Test sheet & pencil • Complete the test • Pass completed tests forward • Retain your pencil

7. Columbia University Center for Public Health Preparedness Presentation Agenda

8. Columbia University Center for Public Health Preparedness Training Development Team

9. Columbia University Center for Public Health Preparedness Purpose of Training Provide a basic understanding of the Core Competencies for Emergency Preparednessand Response for the [Public Health Worker]

10. Columbia University Center for Public Health Preparedness The Public Health System Process • a continuous cycle of gathering information, deciding, acting, evaluating • Public health is always evaluating the health of the community

11. Workforce Information Systems Communication Epidemiology/surveillance Laboratory Policy and Evaluation Preparedness and Response Columbia University Center for Public Health Preparedness Public Health Preparedness for: Threats and Emergencies7 Core Capacities

12. Columbia University Center for Public Health Preparedness Workforce The public health system maintains a public health workforce capable of delivering the Essential Public Health Services during routine and emergency operation

13. Columbia University Center for Public Health Preparedness Information Systems Public Health Systems establish and maintain secure accessible information systems for rapid communication, analysis and interpretation of health data, and public access to health information.

14. Columbia University Center for Public Health Preparedness Communication Public Health systems maintain communication mechanisms to: • Routinely translate scientific and health information for communities and policy makers • Provide timely, accurate public information and advice to policy makers during emergency events • Coordinate logistical communication within the response community.

15. Columbia University Center for Public Health Preparedness Epidemiology/Surveillance Public health systems monitor health events to identify changes or patterns and to investigate underlying causes and factors.

16. Columbia University Center for Public Health Preparedness Laboratory Public health systems maintain the ability to produce timely and accurate laboratory results for diagnostic and investigative public health coverage.

17. Columbia University Center for Public Health Preparedness Policy and Evaluation Public health systems use community assessment findings to establish priorities and improve the effectiveness of programs and policy decisions.

18. Columbia University Center for Public Health Preparedness Preparedness and Response Public health systems maintain the ability to effectively detect and respond to public health threats and emergencies.

19. Columbia University Center for Public Health Preparedness In order to respond to any emergency/disaster, ALLpublic health workers should be able to: • IDENTIFY & LOCATE the emergency plan • DESCRIBE the role of Public Health • DESCRIBE the Chain of Command • DESCRIBE & DEMONSTRATE one’s functional role • RECOGNIZE deviations from the norm • IDENTIFY limits to own authority • DESCRIBE communication roles • DEMONSTRATE use of communication equipment • APPLY creative problem solving skills

20. Columbia University Center for Public Health Preparedness COMPETENCY WHAT IS IT?

21. Columbia University Center for Public Health Preparedness COMPETENCY A complex combination of knowledge, skills and abilities demonstrated by organization members that are critical to the effective and efficient function of the organization (Center for Public Health Practice, Emory University)

22. Photo by Michael Rieger FEMA News Photo Columbia University Center for Public Health Preparedness World Trade Center DisasterSeptember 11, 2001 Scene of Sept. 11, 2001 Plane Crashes into the NYC WTC, Source: CNN

23. Columbia University Center for Public Health Preparedness Definitions • Emergency • Disaster

24. Columbia University Center for Public Health Preparedness Emergency “An emergency is a sudden occurrence demanding immediate action that may be due to epidemics, technological catastrophes, or strife [from] natural or man-made causes.” (W.H.O)

25. Disaster Columbia University Center for Public Health Preparedness “A disaster is any occurrence that causes damage, ecological disruption, loss of human life or deterioration of health and health services on a scale sufficient to warrant an extraordinary response from outside the affected community areas.” (W.H.O)

26. Columbia University Center for Public Health Preparedness Definitions: Disasters/Emergencies • Man-Made (Human-Made) • Natural

27. Columbia University Center for Public Health Preparedness Man-Made Disasters/Emergencies “Situation which man clearly causes such as: wars, armed conflicts or civil strife…[including] technological disasters.” (Guha-Sapir, 2000)

28. Columbia University Center for Public Health Preparedness Examples of a RANGE of: Man-Made (Human-Made) Disasters/Emergencies that have Public Health Implications

29. Transportation Accidents Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters

30. Aviation Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters

31. Columbia University Center for Public Health Preparedness Potential Emergencies/DisastersFire

32. Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters Hazardous Material Incident Baltimore train carrying hazardous materials catches fire July 17, 2001

33. Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters Biological and Chemical Terrorism

34. Columbia University Center for Public Health Preparedness Potential Emergencies/DisastersOutbreak

35. Columbia University Center for Public Health Preparedness Common Features of Large Scale Disasters/Emergencies • Pose a threat to public health & safety • May disrupt social and economic infrastructure • May require large scale mobilization of local resources to manage consequences

36. Columbia University Center for Public Health Preparedness Natural Emergencies/Disasters Results of …ecological disruptions exceeding the adjustment capacity of the affected community. They are generally of sudden onset and imply unforeseen, serious and immediate threats to public health. (W.H.O.)

37. Columbia University Center for Public Health Preparedness Examples of a RANGE of Natural Disasters/Emergencieswith Public Health Implications

38. Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters Winter Storms (Snow Emergency)

39. Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters Heat Emergency Utility Disruptions A HEAT WAVE SIZZLES: THE NEIGHBORHOOD; Blackout Stops Trains and Electricity for 200,000 Source: The New York Times, 7/7/99

40. Columbia University Center for Public Health Preparedness Potential Emergencies/DisastersHurricane

41. Columbia University Center for Public Health Preparedness Potential Emergencies/Disasters Nor’easter Coastal Flooding Fulton Fish Market, November 1950 Canal Street, November 1950

42. Columbia University Center for Public Health Preparedness EMERGENCY PREPAREDNESS COMPETENCY IDENTIFY and LOCATE your agency emergency response plan (or the pertinent portion of the plan)

43. Columbia University Center for Public Health Preparedness Do You Know Where the Emergency/Disaster Plan is for Your Agency? • The plan should be: • In an accessible location at work • Reviewed by each employee on a regular basis • Updated at least annually • Practiced regularly

44. Columbia University Center for Public Health Preparedness First Steps to Emergency Preparedness In order to be ready to respond to public emergencies you must develop, practice and maintain your own • Public Health Agency Emergency/Disaster Plan • Personal Emergency/Disaster Plan • Family Emergency/Disaster Plan

45. Columbia University Center for Public Health Preparedness EMERGENCY PREPAREDNESS COMPETENCY DESCRIBE the public health role in emergency response in a range of emergencies that might arise.

46. Columbia University Center for Public Health Preparedness Core Functions of Public Health in America • Prevent epidemics and spread of disease • Protect against environmental hazards • Prevent injuries • Promote and encourage health behaviors • Assure the quality and accessibility of health services • Respond to disasters and assist communities in recovery

47. Columbia University Center for Public Health Preparedness The Role of the Local Public Health Agency in Emergency Response • Collaborate with other agencies in policy decisions and actions • Surveillance • Investigation • Public information

48. Columbia University Center for Public Health Preparedness The Role of the Local Public Health Agency in Emergency Response (cont’d) • Medical provider information • Reference laboratory support • Public health interventions (e.g. mass vaccinations) • Establish and staff shelters and assure the safety of the displaced

49. Columbia University Center for Public Health Preparedness Which Public Health Employees are Needed During Emergency or Disaster Response? • Some emergencies and disasters could require the mobilization of MOST or ALL public health employees. • Therefore, ALL public health workers need to learn what their roles may be in these situations.

50. Columbia University Center for Public Health Preparedness Role of the State or Local Office of Emergency Management (OEM) Plans, monitors and coordinates all inter-agency activities for potential or actual emergency situations.