1 / 15

Exposure Rostering : Population Tracking Following a Disaster

Exposure Rostering : Population Tracking Following a Disaster. Melissa E. Powell, MPH Michelle F. Barber, MS Preparedness, Surveillance & Epidemiology. PUBLIC HEALTH DIVISION Office of Disease Prevention & Epidemiology. The Public Health Approach to Disaster Response.

rosina
Download Presentation

Exposure Rostering : Population Tracking Following a Disaster

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Exposure Rostering:Population Tracking Following a Disaster Melissa E. Powell, MPH Michelle F. Barber, MS Preparedness, Surveillance & Epidemiology PUBLIC HEALTH DIVISIONOffice of Disease Prevention & Epidemiology

  2. The Public Health Approach to Disaster Response • Population-based information is critical to public health action • Rapidly assess the needs of affected populations • Conduct studies and surveys (e.g., injury rates) • Conduct surveillance and investigate outbreaks • Implement, monitor and evaluate public health programs and disease/injury control efforts • Data collection/analysis are linked to decision-making processes • Evaluation can improve future planning efforts

  3. Post-Disaster Surveillance • When, how, and why to surveil? • Who should be included? • Recruitment? • Which data are important? • Who will gather the data? • Who will maintain data? • When to switch to a registry? • Who will do long-term follow-up?

  4. Public Health Emergency Preparedness in Oregon • Public Health Emergency Preparedness Program (PHEP) • Improved state and local capacity to respond to health emergencies • Anticipate, detect, assess, and understand health risks • Develop and test plans • Train and collaborate between communities • Preparedness, Surveillance and Epidemiology Team (PSET) • Collaborate with PHEP, Communicable Disease and Environmental Health • Practice routine epidemiology • Maintain systems to provide timely and accurate information to decision makers • Train, consult and provide tools

  5. Chemical Stockpile Emergency Preparedness Program (CSEPP) • Annual exercise for accidental release of chemical warfare agents • 2008: Post-Disaster Surveillance Registry tools (modified ATSDR Rapid Registry, Post-Disaster Registry System) • 2010: The Exposure Rostering and Laboratory Sampling Plan

  6. Background Assumptions • A hazardous material event may occur • HazMat teams are in place to provide support • Responders are trained to decontaminate • Local hospitals/providers have limited resources • Local Public Health Departments (LPHD) maintains a vulnerable populations self-registry of persons within 15 mile radius

  7. Exposure Roster Plan

  8. Roster vs. Registry • Quickly gather info about many individuals • Early assessment tool • Identify health problems • Can populate future registries • Limited utility in the immediate aftermath • Long-term follow-up of affected populations • Study health problems

  9. Roles and Responsibilities – Planning • LPHD/Tribes • Identify personnel for Exposure Roster Task Force • Create job-action sheets and maintain “go-kits” • Exercise/train staff • State • Consult on plan development • Draft and exercise tools (i.e., forms, database) • Feds (CDC/ATSDR/NIOSH) • Consult on plan development • Partners (Red Cross, Private Sector) • Consult on plan development

  10. Roles and Responsibilities – Response • LPHD/Tribes • Activate mutual aid agreement with state to implement plan • Organize Exposure Roster Task Force • Activate data and specimen collection sites • State • Provide guidance on collecting exposure data and specimens • Provide tools for data collection; assist when appropriate • Conduct outreach to self-evacuees • Provide guidance on data management • Feds • Provide guidance on specimen collection • Partners • Cooperate/Facilitate rostering at shelter sites

  11. Exposure Roster Task Force

  12. Who is Rostered? • First responders • Decontaminated persons • Evacuees at Assistance Centers • Symptomatic hospitalized locally • Those who sought treatment from their health care provider • Those exposed at the site (or through secondary exposure) and do not seek medical care

  13. Roles and Responsibilities – Recovery • LPHD/Tribes • Assist state/federal partners with tracking rostered persons if determined that registry is warranted • State/Feds • Determine need for registry • Collaborate to compile a registry that links exposure roster and long-term data with clinical lab results

  14. Conclusions • The Exposure Roster and Laboatory Sampling Plan has been included in State All Hazard Response Plan • Next Steps • CSEPP National Annual Conference in PDX in June • Exercise the Exposure Rostering Plan at frequent intervals • Pilot Exposure Rostering Form • Identify effective means to notify local jurisdictions about rostering • Develop means to track affected individuals in transit • Refine public information messages

  15. Questions? Melissa.E.Powell@state.or.us 971-673-1111

More Related