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LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS OFFICE OF PUBLIC HEALTH

LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS OFFICE OF PUBLIC HEALTH. Building A Successful “Total Force” Response Capacity. Public Health Preparedness And Response for Bioterrorism. 5 February 2003. Presented by

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LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS OFFICE OF PUBLIC HEALTH

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  1. LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALSOFFICE OF PUBLIC HEALTH Building A Successful “Total Force” Response Capacity Public Health Preparedness And Response for Bioterrorism 5 February 2003 Presented by Madeline W. McAndrew State Public Health Official

  2. Keys to Building a Successful “Total Force” Response Capacity Command Control Coordination Communication Intelligence

  3. Public Health Awareness AIDS Smallpox Ebola “Where do our weaknesses and vulnerabilities lie? The greatest of our war machines will not protect our forces against the deadly pathogen. Their stealth and precision surpass the complexity of human imagination. Their vectors are fully competent. Their tactics have been perfected over millennia. Their mission…invade and destroy the unsuspecting and unprotected .” Brian Blalock, Osan Air Base, Korea, 2001

  4. Securing the HomelandPublic Health is integral to the National Security Strategy. Enhancing Security on the Homeland Environmental Health Initiatives Domestic Preparedness Against Weapons Mass Destruction

  5. Intelligence • Public Health is an intelligence gathering agency. • Information superiority is obtained via surveillance, collection and control of vital health statistics and parish specific disease information and trends.

  6. Intelligence • Public Health is part of a national disease reporting and surveillance network. • Centers for Disease Control and Prevention • State and local laboratory network • Hospital, EMS, physician, coroner, veterinarian disease reporting

  7. Intelligence Law Enforcement Sensitive • Criminal Investigation • Security Clearance • Criminal Surveillance Local Law Enforcement Coroners Military/DoD FBI/DOJ LSP Intel Link CROSSING THE GREAT DIVIDE CDC/DHHS Hospitals Laboratories Veterinarians Public Health Patient Sensitive • Medical Investigation • Controlled Access • Disease Surveillance Prevention and Deterrence Continuum is Intelligence Driven

  8. Law Enforcement Sensitive • Criminal Investigation • Security Clearance • Criminal Surveillance Patient Sensitive • Medical Investigation • Controlled Access • Disease Surveillance Intelligence CROSS POLLINATION PARADIGM Emergency Management State Police Public Health Prevention and Deterrence Continuum is Intelligence Driven

  9. Public Health Incident Command Structure State Public Health Official Public Health Assistant Secretary Madeline W. McAndrew DHH Emergency Response DHH Communications HRSA/Hospital Grant PIO OPH Human Resources C2 Plans OPH Emergency Response CDC BT Grant Administrative & Technical Finance Ops Center for Health Promotion Information and Policy Center for Environmental Health Center for Community Health Center for Preventive Health Infectious Disease Epi Environmental Epi Bureau of EMS Immunization Services Laboratory Services Sanitarian Services Pharmacy Services STD Services Vital Records Engineering/H2O Safety Nursing Services TB Prevention & Control Regional Offices

  10. FEMA CDC EPA DOJ State Level Public Health Command and Control MMRS LOEP State EOC DHH Secretary DHH Emergency Response Isolation & Quarantine Dept. Environmental Quality Louisiana State Police EOC LSP HAZM AT Response Unit LANG 62nd CST/WMD

  11. Diologics Operator PIO C2 Plans Finance Ops Public Health Emergency Operations Center and Incident Command DHH Public Affairs/PIO LDHH Secretary DHH Emergency Response Emergency Action Cell OPH Legal Counsel Public Health Assistant Secretary & OPH Medical Director LSP Officer LANG Officer CDC BT Advisor OPH Human Resources HAN CH Center Director Metro City HD Liaison CDC Liaison BT Director PH Center Director NPS Coordinator PPHI Center Director OPH Laboratory Director BT Operations Officer ENVS Center Director PH Vet State Epidemi- ologist Nursing Director IT Director TB/STD Directors Pharmacy Director Contracting Officer EOC Support Environ Epi Director EMS Director Finance Director IT Support Immuniza- tions Director DHH TeleCom Agent HNBC GIS Vital Records DHH Purchasing Agent Radio Com Runner

  12. C2 Regional PH C2 C2 State PH C2 PH Headquarters State PH Lab Public Health Command and Control 7 8 OPH C2 6 2 9 5 4 1 3

  13. c2 Regional PH C2 C2 State PH C2 Parish Health Unit State PH Lab Public Health Command and Control Expanded 8 7 OPH C2 6 2 9 5 4 1 3

  14. C2 LSP LOEP C2 OPH LHA/DRC MMRS Statewide Command and Control Network LANG DHH C2 C2 CDC C2 DEQ A B 8 7 C2 LSP State EOC OPH C2 C2 6 C B 2 9 5 I L 4 D I C 1 3

  15. Public Health “Total Force” Response Capacity Communications/IT 8 8 7 8 7 Immunization Teams 7 8 8 7 7 8 7 Incident Response Teams Regional Command/Control Teams 6 6 State Level PH Teams 6 6 C2 6 BAT 9 9 9 9 2 2 9 CAT 9 5 2 5 4 2 4 4 2 ERT 5 5 4 5 4 PIO 3 1 3 1 1 CET 3 1 3 3 1 1 3 PAT

  16. FBI LSP Local Law Hospital ED NPS Regional Public Health Incident Response Team OPH Medical Director State EOC OPH CC Regional Medical Director TEAM CHIEF Regional Public Health Command Center Parish EOC Regional Administrator/C2 Public Health ER Coordinator Facility Manager/C2 Regional Nurse Administrative Support Team Regional Sanitarian COMMET/IT Team Regional Engineer Immunization Teams (9x2) Regional Epidemiologist Biological Aug. Teams (3) Disease Surveillance Spec. Pharmacy Teams (2) PH Nurse Deployable Support Teams Public Affairs (2) PH Sanitarian Chemical Aug. Teams (2) Disease Intervention Spec. Epidemic Surveillance Response Teams (2)

  17. Regional Immunization Teams Regional Medical Director Immunization Consultant Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse Public Health Nurse EMT Paramedic EMT Paramedic EMT Paramedic Public Health Clerk Public Health Clerk Public Health Clerk Public Health Clerk HRSA Hospital Nurse HRSA Hospital Nurse

  18. STD Inter. Spec. STD Inter. Spec. TB Inter. Spec. TB Inter. Spec. State Level Epidemic Response Teams DHH Public Info Officer State PH Official State Health Officer DHH Emergency Resp. OPH Medical Director State Epidemiologist Assistant State Epidemiologist Regional Medical Director Regional Medical Director Admin Support Regional Incident Response Regional Incident Response Admin Support Admin Support ID Epi Supervisor ID Epi Supervisor ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1 ID Epidemiologist 1

  19. State Health Officer/C2 DHH Emergency/Plans Response Director State PH Official DHH Public Info Officer OPH Medical Director Center Director Environmental Services State EOC Env Epidemiologist Regional Medical Director/C2 Admin Support LSP HAZMAT LSP HAZMAT Regional Incident Response Team Admin Support LSP HAZMAT Admin Support LSP HAZMAT Env Epi Supervisor Dept. Environmental Quality LSP HAZMAT Env Epi Physician LSP EOC LSP HAZMAT Dept. Environmental Quality Env Epi LSP HAZMAT Env Epi LSP HAZMAT Dept. Environmental Quality Env Epi LSP HAZMAT LSP HAZMAT Env Epi LSP HAZMAT State Level Chemical Augmentation Team LSP HAZMAT

  20. Public Health Preparedness Challenges Preparedness and Readiness Cultural Shift Integration and Cross Pollination Communication Gaps Risk Communication and Public Info Education and Training Continued Funding

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