Community Resilience; Public Health Preparedness Updates

1. Community Resilience;Public Health Preparedness Updates Bob Mauskapf, MPA Director, Emergency Preparedness

2. Virginia’s Vision… The healthiest state in the nation!

5. County Health Rankings from Robert Wood Johnson

6. County Health Rankings from Robert Wood Johnson

7. Create Health Promoting School Systems .. that Care and are resistant and resilient!

8. Alice and Planning • Alice: • “Which way should I go?” • Cat: • “That depends on where you are going.” • Alice: • “I don’t know where I’m going!” • Cat: • “Then it doesn’t matter which way you go.”

9. Public Health Consequences of Natural and Man-made Disasters • Loss of Clean Water • Loss of Shelter • Loss of Personal Property • Major Population Movements • Loss of Sanitation • Loss of Routine Hygiene • Loss of Electricity • Standing Surface Water • Disruption of Solid Waste Management • Injuries • Public Concern for Safety • Increased Pests & Vector • Damage to Healthcare Systems • Worsening of Chronic Illnesses • Toxic / Hazardous Exposure • Loss of Food Supply • Behavioral Health Impact • Death

10. Resilience “the sustained ability of communities to withstand and recover—in both the short and long terms—from adversity”* *National Health Security Strategy (NHSS 2009)

11. Vision for Health Security • Built on a foundation of community resilience: • healthy individuals, families, and communities with access to health care and with the knowledge and resources to know what to do to care for themselves and others in both routine and emergency situations. • Communities help build resilience by implementing policies and practices to ensure the conditions under which people can be healthy, by assuring access to medical care, building social cohesion, supporting healthy behaviors, and creating a culture of preparedness in which bystander response to emergencies is not the exception but the norm. (NHSS, 2009)

12. Communities • Communities can be joined together by geographic or political boundaries, cultural or religious affiliations, or be self-defined by interests or group affiliations that may be bound by location or be supported through virtual venues such as social media. • In our context: Any affiliation that can be leveraged to promote health, wellness, safety, and resilience in the face of emergency or disaster. Schools can be one defined community.

13. Components / Themes • Community health resilience is inseparable from community resilience and happens at the community level. • Health underpins all other resilience sectors. • Community health resilience involves stepping beyond the traditional health system and promoting whole community networks • Building social connectedness (or social capital) is a legitimate and important emergency preparedness action.

14. More Resilience Themes: • Community health resilience helps people face everyday challenges as well as extreme events such as disasters or public health emergencies. • Meeting the health, wellness, and emergency preparedness needs of at-risk populations, including children and elders, improves overall community resilience. • Accessible services from robust public health, healthcare, and behavioral healthcare systems are key drivers in promoting community health resilience.

15. Domains of Resilience • Human Health • includes physical and behavioral health, the day-to-day health care systems that support individual and family health, and the public health systems that work to protect and improve population health. • Well-being • includes emotional, spiritual, and familial/interpersonal health, social services, community, and faith-based systems that support well-being. • Social Connectedness • refers to the engagement of individuals in the life of their communities and to the reservoirs of social capital and the trust between people and between individuals and organizations

16. National Health Security Strategy

17. ResearchNational Biodefense Science Board Community Health Resilience Reporthttp://www.phe.gov/Preparedness/legal/boards/nprsb/meetings/Documents/nbsb-chrreport.pdf • Morton, Melinda J., Lurie, Nicole. (2013). Community Resilience and Public Health Practice. American Journal of Public Health, Vol 103 (No. 7), 1158-1160. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682626/ • Chandra, Anita, Acosta, Joie, Stern, Stefanie, Uscher-Pines, Lori, Williams, Malcolm V., Yeung, Douglas, Grant, Jeffrey, Meredith, Lisa S. (2011). Building Community Resilience to Disasters: A Way Forward to Enhance National Health Security. RAND Technical Reports: Health, 1-78. http://www.rand.org/content/dam/rand/pubs/technical_reports/2011/RAND_TR915.pdf • Sebelius, Kathleen. (2009). National Health Security Strategy of the United States of America. Department of Health and Human Services, 1-43. http://www.phe.gov/preparedness/planning/authority/nhss/strategy/documents/nhss-final.pdf • Aldrich, Daniel P. (2012). Building Resilience: Social Capital in Post-Disaster Recovery. Chicago: University of Chicago Press. • Putnam, Robert. (2000). Bowling Alone: The Collapse and Revival of American Community. New York: Simon & Schuster.

18. Resilient School Communities • Promote post-disaster safety for children • Establish key partnerships that will promote planning for safe spaces for children post-disaster. • Develop effective supports for reconstitution of the steady-state school operations and child care capability. • Involve parents/guardians in preparedness activities • Assess current needs for child-specific disaster behavioral health planning. • Incorporate community schools and home-based child care and community care centers into plans and exercises. Stress alerting and reunification

19. Requisite Skills • Develop intimate knowledge of available community resources. • Enhance partnering and network building skills. Include home-schooled. • Develop / maintain outreach to private and public sector community partners. • Real-time Situational Awareness and related tools and technology familiarity. • Intimate awareness of underlying community health issues and factors

20. Lessons Learned • Exercise VISION & LEADERSHIP • Prepare (Plan, Train, Exercise) for ALL HAZARDS • Be Proactive • Collaborate • Communicate • Pre-script Messages • Continue Post-Event • Weather the Storm • Identify all Available Resources • Emphasize Continuity & Reunification

21. Statewide Hospital Preparedness Program • VDH provides the framework for statewide administration of HPP • VDH works through the Virginia Hospital and Healthcare Association (VHHA) to coordinate governance and initiatives to 6 Healthcare Coalitionswith 300+ participating facilities • Regional Healthcare Coordinators develop their regional plans, polices and governance structure under the oversight of their Regional Healthcare Coalition Northern Northwest • Regions operate Regional Healthcare Coordination Centers (RHCC) Eastern Near Southwest Central Far Southwest

22. Healthcare Coalition Membership

23. Virginia Medical Reserve Corps“Force Multiplier” 31 Units 13,500+ Volunteers 5,600+ Health Care Volunteers $890,000 in volunteer time for 2013 Volunteers Protecting Virginia’s Health

25. Dr. Dave Trump, Chief Deputy Commissioner Public Health and Preparedness David.trump@vdh.virginia.gov 804-864-7025 Bob Mauskapf, Director Emergency Preparedness Bob.Mauskapf@vdh.virginia.gov 804-864-7035 Cindy Shelton, Assistant Director, Emergency Preparedness Cindy.Shelton@vdh.virginia.gov 804-864-7486 Jennifer Freeland VDH State Volunteer Coordinator Jennifer.freeland@vdh.virginia.gov 804-396-0543 Kim Allan, Operations Director Kim.Allan@vdh.virginia.gov 804-864-7030 Suzi Silverstein, Director, Risk Communications and educationSuzi.Silverstein@vdh.virginia.gov 840-864-7538 Jenny Schitter, State Hospital Coordinator Jennifer.Smock@vdh.virginia.gov 804-864-7033 General Info / Contact http://www.vdh.virginia.gov/OEP/ http://www.vdh.virginia.gov/OEP/documents/2014/pdf/DirectoryPHP_2014.pdf Questions?VDH Staff Contact Information