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The State of Ohio. Weapons of Mass Destruction BIO TERRORISM PROTOCOL. PROCEDURES FOR LOCAL, STATE AND FEDERAL PERSONNEL AND AGENCIES. BIO-TERRORISM. THERE ARE A NUMBER OF THINGS WHICH MAKE THIS TYPE OF INCIDENT DIFFERENT FROM OTHERS NON TRADITIONAL RESPONDERS INVOLVED. LOCALLY EMA EMS
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The State of Ohio Weapons of Mass Destruction BIO TERRORISM PROTOCOL PROCEDURES FOR LOCAL, STATE AND FEDERAL PERSONNEL AND AGENCIES Ohio Department of Health
BIO-TERRORISM • THERE ARE A NUMBER OF THINGS WHICH MAKE THIS TYPE OF INCIDENT DIFFERENT FROM OTHERS • NON TRADITIONAL RESPONDERS INVOLVED Ohio Department of Health
LOCALLY EMA EMS FIRE HEALTH DEPT HOSPITAL LAW ENFORCEMENT POISON CONTROL STATE & FEDERAL CDC FBI EMA OSP STATE DEPT OF HEALTH USPHS AGENCIES INVOLVED Ohio Department of Health
FIRE • Ohio Revised Code places senior fire officer in charge • Responsible for interagency coordination • Incident Command System • Unified Command • Hazmat Ohio Department of Health
POLICE • This is a crime scene • Primary job is securing the scene and the preservation of the evidence • building security • interagency coordination of all law enforcement Ohio Department of Health
EMS • Support of Hazmat team • Decon • Triage • Transportation • Team Vitals • Patient monitoring • Coordination with LHD for pt. monitoring Ohio Department of Health
HEALTH • Local Health Department contacts Ohio Department of Health • Assist in processing victims if applicable • Long term monitoring of patients • Support of command with information about the agent • Coordinates with local hospitals • Sends liaison to hospital for patient inventory • Contact Poison Control/CDC Ohio Department of Health
EMA • Local EMA is charged with coordination of services • Notifies State EMA • Finds needed resources • State EMA coordinates at the state level • Opens EOC as needed Ohio Department of Health
STATE HIGHWAY PATROL • In state buildings, in charge of security • OSP may coordinates transportation of the sample to ODH lab at OSU • Maintains the chain of custody and coordinates with FBI • Transportation will be air and ground OHIO Ohio Department of Health
Federal Bureau ofInvestigation • By Federal Law, FBI is charged with the investigation if a crime exists. • Will coordinate the scene with local officials • There are coordinators in Cleveland, Columbus, and Cincinnati Ohio Department of Health
OHIO DEPARTMENT OF HEALTH • Disaster Response and InfectiousDiseaseBureaus will establish a bridge line with CDC and the on scene incident commander • ODHLab will accept samples from scene and process them for identification. • ODH will support local health department Ohio Department of Health
Scenario: Anonymous Caller- No Device Found • Telephone call received • No evidence is seen • ICS must decide on building evacuation • Secondary device should be considered • Officials notified Ohio Department of Health
Scenario: Device Found • Threat is received • Evidence found • All potentially exposed personnel must be contained • Decontamination process established • Officials notified • Patients monitored Ohio Department of Health
Scenario: Potential Threat Opened - Material Present • Envelope or package is received • Has some type of alleged agent inside • Package should be contained • Area should be contained • Officials notified • Personnel decontaminated Ohio Department of Health
Scenario: Envelope Open- No Material • Person opens an envelope or package • Information inside advises of anthrax contamination • Nothing seems to be in the envelope • Envelope or box should be contained • Notify officials • Secure area • DECON to be determined Ohio Department of Health
Scenario: Potential Bio Threat - Not Opened • Person does not open envelope or package • Handle as law enforcement investigation • Notify officials • Envelope or box should be contained (double bagged and into container) • Secure area Ohio Department of Health
The Biologic Threat • Anthrax seems to be the agent of choice at the present time • There ARE others!! • Any threat using biologic agents should be considered real • Abortion and family planning clinics have been targeted in the past, also industry and schools Ohio Department of Health
Potential List of Agents • Anthrax (bacteria) • Plague (bacteria) • Q fever (rickettsia) • Smallpox (virus) • Ebola (virus) • Venezuelan Equine Encephalitis (VEE) (virus) • Staphylococcal Enterotoxin B (toxin) • Botulinum (toxin) • Ricin (toxin) Ohio Department of Health
Detection of Covert Biological Attacks • Calls to 9-1-1 & EMS responds • Medical community response • Epidemiology Ohio Department of Health
Covert Incident will be Hard to Recognize • Symptoms resemble other sicknesses • May not surface for 3 or 4 days • Physicians may not be familiar with symptoms • Mortality will be expected • Lab analysis must be expedited in any case Ohio Department of Health
Local Dispatch & 911 Centers • Initial dispatch card should include • Fire / EMS • EMA • Law enforcement • Hospitals • Secondary notification should include • Local health department • FBI Ohio Department of Health
QUESTIONS? • REVIEW POINTS: • The GUIDELINES are a “work in progress” • They are ONE of several tools to use in planning • Incident Command System is a NECESSARY concept for response • Communication is THE KEY (e.g., HAN, partnering with other agencies) Ohio Department of Health