Mass Dispensing Security Orientation

1. Mass Dispensing Security Orientation

2. Objectives • Describe the role of the Strategic National Stockpile • Identify the chain of command as stipulated by the Incident Command System • Define Mass Dispensing Site • Identify the mission of Security/Law Enforcement in mass dispensing • Identify security’s tasks in each area of the site • Complete an assessment of the site(s) in your county

3. Strategic National Stockpile Medical supplies, drugs, and equipment in quantities large enough to protect the public in an emergency severe enough to deplete local resources.

4. Strategic National Stockpile Components • 12 Hour Push Package • Stockpile Managed Inventory

5. Receiving, Storing and Staging • State Developing Regional Plan • TARU/Federal Marshals • State Law Enforcement • Local Law Enforcement

6. Local Level • Each county has been tasked with developing a plan for providing mass prophylaxis in a public health event • Pill dispensing or vaccines • 48 hour time frame • Prepare for “worst case scenario”

7. Worst Case? • Aerosolized Anthrax • Found in every continent except Anartica • Stable and easily reproduced in lab • Anti-biotics prior to symptoms/48 hours • Not technologically easy to aerosolize • Localized event most likely • Used for any mass prophylaxis event • Scale up and down as necessary

8. What is a Mass Dispensing Site? A site where medications or vaccines intended to prevent disease may be given quickly to a large number of people in the event of a public health emergency. • Sites for medication dispensing called PODS

9. White Powder Protocol • Outlines procedures to be taken in a suspicious incident involving unknown substances • Protects 1st Responder (usually law enforcement) from unintentional exposure to biological agents • Must contact FBI’s Weapon’s of Mass Destruction Coordinator – (404)697-9000 • Always err on the side of caution!

10. Credible Threat • A letter/package with material present • Persons exposed to suspicious substance suddenly become ill • A threat accompanies the letter or package • A suspicious substance with threat • The intended target is potentially vulnerable or is of strategic significance

11. Who You Call • District Public Health (Office of Emergency Preparedness • District then notifies State Public Health • Local EMA • Who then notifies GEMA • HazMat – if powder/substance is present • Georgia Poison Control Public Health Emergency Line: (404)230-8990

12. Credible Threat and Law Enforcement • Crime Scene • No field analysis for biological agent – get HazMat to bag powder ASAP • Transport to GA Public Health Lab • 1st call (404)327-7900 or 800-806-1376 • An FBI Case # is required for all specimens submitted to the GPHL DO NOT SMELL, TOUCH, TASTE, LOOK CLOSELY AT OR SHAKE THE SUBSTANCE!!

13. No FBI Credible Threat • Uncertain Risk: Clean and disinfect with bleach solution; place in plastic bag • Low Risk: Low profile, low-risk target with no threat • Whether or not the assessment should be conducted on scene is decided case by case at the discretion of law enforcement • Very Low Risk: Obvious explanation – assessment does not need to be conducted on scene • Extremely Low Risk: Known substance – clean like routine spill • Incorrect Appraisal: Information suggests FBI’s initial appraisal of No Threat is incorrect – IMMEDIATELY Begin steps as Credible Threat

14. Public Health Emergency That May Require Mass Dispensing • Many people have been exposed to an infection that may make them sick AND • Disease from that infection may be prevented by antibiotics or a vaccine

15. Push Packets • Means of getting pills to large populations that cannot/should not attend a public site • Nursing Homes • Prisons/Jails • Hospitals • Large businesses

16. Pull • Pulls public into a specific, pre-identified location • Where the “Rubber Meets the Road” • Also called Points of Dispensing (PODS)

17. Where are they? • Each County in the health district has been asked to identify sites to be used for mass dispensing. • Typically these sites are areas where large numbers can congregate without undue difficulty (schools, auditoriums, churches, gymnasiums etc…) • They are NOT Hospitals! Hospitals will need to be available to care for those who are already ill or symptomatic. Dispensing Sites are NOT for those who are sick.

18. Speed • Site Set up – Worst case scenario – 12 hours to set up site and begin administering drugs • Site Operation – 12 hour set-up means 36 hours to provide prophylaxis to entire community!

19. Volume • Patient Flow • Effective Triage • Effective Patient Screening • Careful floor plan/site design • Security and Crowd Control • Adequate Staffing

20. Floor Plan (Example)

21. Preparation • Site Selection • Site Acquisition • Site Security Assessment 21

22. Planning • County Health Department • POD Manual • Security Plan

24. SECTION SIX: SECURITY (10%)

26. 4) Command and management • Establish command center for law enforcement • Determine radio channels • Ensure communication and coordination between law enforcement organizations • Establish shifts • Establish sufficient number of law enforcement officer assignments • 5) Evacuation plans • 6) Security breach plans

29. Event POD Security • Secure Site • Asset Protection • Medication • Staff

30. Event POD Security Continued • Traffic • Incoming • Parking • Out-going • Crowd Control • Perimeter

31. Event POD Security (cont) • Functional Areas • Badging/Credentialing • Triage • Forms Review • Special Needs • Medical Evaluation • Dispensing/Drug Storage • Exit

32. Special Considerations(Personalities) • Average Joe Citizen • Gang Members • Criminals/Con Artists • Terrorist Sympathizers • Radical Activists • Hate Mongers • Crepehangers • Pompous

33. Special ConsiderationsPsycho-Physical Responses • Freeze • Respond/Aggressive • Respond/Runaway

34. Contact… Insert Local Info Here