Jay MayeauxLouisiana Office of Homeland Security

& Emergency Preparedness

NATURAL EVENTS

TORNADOESHURRICANESFLOODINGDROUGHT EVENTSWILD FIRESWINTER STORMSAGRICULTURE EVENTS

TECHNOLOGICAL EVENTS

ENEMY ATTACKTERRORISMCIVIL DISTURBANCESOIL SPILLS HAZARDOUS MATERIALSNUCLEAR POWER PLANTS

ORGANIZING

…how we leverage our State structure for Homeland Security …

ORGANIZING FORHOMELAND SECURITY

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

Office ofPublic Safety

ORGANIZING FORHOMELAND SECURITY

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

StateFire Marshal

LANG

ORGANIZING FORHOMELAND SECURITY

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

ORGANIZING FORHOMELAND SECURITY

OEP

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

ORGANIZING FORHOMELAND SECURITY

DOACyber

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

ORGANIZING FORHOMELAND SECURITY

OPHMedical

Emergency & CBRNE

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

ORGANIZING FORHOMELAND SECURITY

Dept Ag & Forestry

Agro-Terror

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

ORGANIZING FORHOMELAND SECURITY

Coordinating Role

DETECTION

PREVENTION

PREPAREDNESSRESPONSE

RECOVERY

MITIGATION

REGIONAL CONCEPT

SABINE

NATCHITOCHES

WINN

UNION MOREHOUSEWEST

EAST

JACKSON

LINCOLNOUACHITA RICHLAND

MADISON

CARROLL

CALDWELL FRANKLIN

TENSAS

GRANTLaSalle

CATAHOULA

VERNONRAPIDES

AVOYELLES

BEAUREGARD ALLEN

CALCASIEUJEFFERSON DAVIS

CAMERON

EVANGELINE SAINT LANDRY

ACADIA

VERMILION

VER

LAFAYETTE

SAINTMARTIN

IBERIA

SAINT HELENA

TANGIPAHOA

WASHINGTON

SAINT TAMMANY

POINTECOUPEE

WESTFELICIANA

EAST FELICIANA

EAST BATON ROUGE

LIVINGSTON

IBERVILLE

WEST BATON ROUGE

ASCENSION SAINTJOHN

SAINTCHARLES

J E F F E R S O N

P L A Q U E M I N E S

SAINT BERNARD

ORLEANS

SAINT MARY

ST.MARTIN

L A

F O U R C

H

E

TERREBONNE

ASSUMPTION

SAINTJAMES

CONCORDIA

BOSSIER CLAIBORNE

DESOTORED RIVER

BIENVILLE

WEBSTERCADDO

LA State Police HAZMAT & Bomb Squads

LANG – 62d CST

DHH – Response Teams

13

9

87

11

22

33

55

6

44

7 8

99BATBAT

CATCAT

ERTERT

C2C2

PIOPIO

CETCET

44

6

55

78

99

1133

22

PATPAT

99

87

6

5544

33

22

11

44

6

55

78

99

1133

2299

8877

66

5544

33

22

11

Communications/IT - 9Immunization Teams - 18 Incident Response Teams - 9Regional Command/Control Teams - 9State Level PH Teams - 5

DEPARTMENT OFHEALTH & HOSPITALS

SMART Initiative

On-call force of soldiers to initially respond or reinforce on-site personnel. Over 1200 soldiers broken down into 11 teams. Distributed among nine metropolitan areas.

CADDO

BOSSIER CLAIBORNEUNION MOREHOUSEWEST EAST

DESOTORED RIVER

BIENVILLE JACKSON

LINCOLNOUACHITA RICHLAND

MADISON

SABINE

NATCHITOCHES

WEBSTER

CARROLL

WINN

CALDWELL FRANKLINTENSAS

GRANTLaSalle

CATAHOULACONCORDIAVERNON

RAPIDESAVOYELLES

BEAUREGARD ALLENEVANGELINE

SAINT LANDRY

POINTECOUPEE

WESTFELICIANA EAST

FELICIANA

SAINT HELENA

TANGIPAHOA

CALCASIEUJEFFERSON DAVIS

ACADIA

CAMERON VERMILION

VER

LAFAYETTE

SAINTMARTIN

IBERIA

SAINT MARY

ST.MARTIN

WASHINGTON

EAST BATON ROUGE

LIVINGSTON SAINT TAMMANY

IBERVILLE

WEST BATON ROUGE

ASCENSION SAINTJOHN

SAINTCHARLES

L A

F O

U R

C H

E

TERREBONNE

J E F F E R S O N

P L A Q U E M I N E S

SAINT BERNARD

ORLEANS

ASSUMPTION

SAINTJAMES

Shreveport/ Bossier City

Ruston Monroe

Alexandria/ Pineville

East and West Baton Rouge

Lake Charles

Lafayette

Bogalusa

New Orleans

Special Reaction Team (SRT) formed as a highly trained military law enforcement element to augment civilian authorities, conduct security operations, train soldiers in MP tasks and/or provide command and control. Four teams of 25 soldiers plus Command and Support assets.

• Maintain continuous lines of communication:– National Homeland Security Coordination Center– Local Jurisdictions– State Leadership and Agencies

• To provide effective and efficient real-time situational awareness

• Formalize reporting and timely alert protocols• Serve as conduit for relevant Louisiana Security

concerns, both initial and continuous monitoring

• National Homeland Security Strategy– Published July 2002– 9 months to compile

• Louisiana Homeland Security Strategy– Support National Strategy– Collaborative effort

• State Agencies• Local Jurisdictions• Stakeholders

– Final Publication March 2003

Basic Individual Training(Police Academies, Fire Academies, EMS Certifications)

Community/Local Specific Training

Advanced Individual Training (SARTA, FETI, Mass Casualty Project)

Joint- Multi-

Discipline Exercise (CEDR)

MEDICAL TRAININGS• CDC Grant

• HRSA Grant

• Combined Grants: Table Tops & Community Drills

• Future Projects: DHH Medical Training Institute

CDC Grant Trainings

Year Class Medical Non-Medical Total

2002 - 2004 USAMERICD - FMCBC 3 0 3

2002 - 2004 Anniston – Incident Command 16 8 24

2002 - 2004 Anniston - TERT 0 6 6

2002 - 2004 Emerg Resp to Domestic Bio Incidents 101 245 346

2003 - 2004 USAMERICD - MMCBC 3 0 3

2003 - 2004 Anniston – Incident Command 27 40 67

2003 - 2004 Anniston – TERT 0 2 2

2003 - 2004 Anniston - NOBLE 1 0 1

2003 - 2004 WMD for the Health-Care Professional 111 72 183

2003 - 2004 HEICS 105 64 169

2003 – 2004 RRT – Epidemiology Training 1420 487 1907

2003 - 2004 Other Emergency Responders 0 123 123

GRAND TOTAL 1792 1063 2855

Hospitals trainings were conducted to develop a regional hospital response system. Approximately 36 meetings are conducted each Grant Year FY to address systems planning between hospitals and partners, surge capacity issues, communications, interoperability, technical decontamination procedures and the Strategic National Stockpile. 90 – 95% of all 209 hospitals actively participated in these Rounds.

HRSA Grant Trainings

Region Area Round 1 Round 2 Round 31 New Orleans 24-07-02 30-08-02 12-09-022 Baton Rouge 22-07-02 13-08-02 18-09-023 Terrebonne 17-07-02 12-08-02 09-09-024 Lafayette 18-07-02 06-08-02 16-09-025 Calcasieu 08-07-02 07-08-02 31-10-026 Alexandria 12-07-02 01-08-02 01-10-027 Shreveport 10-07-02 01-08-02 29-08-028 Monroe 26-06-02 27-08-02 04-09-029 St. Tammany 23-07-02 14-08-02 03-09-02

In FY 03 – 04, 36 trainings targeted to hospitals will also be conducted. Isolation capacity, surge, deployment and credentialing of medical personnel are some of the issues to be addressed. The Strategic National Stockpile and Hurricane Sheltering is the major component of these rounds.

HRSA Grant Trainings

Region Area Round 1 Round 2 Round 31 New Orleans 03-02-04 24-03-04 TBD2 Baton Rouge 30-01-04 03-03-04 TBD3 Terrebonne 04-02-04 02-03-04 TBD4 Lafayette 29-01-04 25-03-04 TBD5 Calcasieu 28-01-04 02-03-04 TBD6 Alexandria 23-01-04 12-03-04 TBD7 Shreveport 22-01-04 10-03-04 TBD8 Monroe 21-01-04 09-03-04 TBD9 St. Tammany 05-02-04 23-03-04 TBD

A total of 10 Medical Awareness Courses were facilitated in 9 Regions of the state. The full-day agenda was directed specifically to physicians, nurses, pharmacists and lab professionals to increase the level of awareness for differential diagnosing of potential terrorism agents and/or potential disease outbreaks. Instructors: LSU, Poison Control, and DHH

PROFESSIONAL COURSES

Disciplines Regis tered Received TrainingLab 115 88Physician 67 38Nurse 420 284Pharmacy 68 47Others 103 80Total 773 537

An initiative by the Louisiana Sheriff’s Association, Ascension Parish Sheriff’s Department, Louisiana State Police, Louisiana State University, and The

Louisiana National Guard

• To establish a Regional/National Academy that will address counter-terrorism by providing training for Homeland Defenders to maximize Law Enforcement first responder readiness.

• Three operational locations south of Baton Rouge.– Gillis Long Center, Carville would serve as site for academy’s

operation base, academic, housing and educational support units.– Existing facilities at the Ascension Parish Sheriff Department’s

Training Center– 68-acres of donated land adjacent to Ascension Parish Sheriff’s

Office (APSO) firearms training center would serve as site of tactical operations.

Ready toUse….

• Former Hospital

• 45,000 sq ft renovation to include: – Classrooms– Office Space– Trauma Center

Emergency Medical ServicePartnership

Major Initiative: DHH Medical Training Institute

Partnering with Louisiana National Guard to retrofit Carville facility

Architectural retrofitting to meet medical training needs

To provide trainings from “triage to treatment” continuum- Professional trainings (CE accredited)

- Community trainings (interface with other entities)

- Performance based trainings (patient simulators)

Anticipated Date for Architectural Completion: Fall 2004

For more information:

Louis Cataldie, MD DHH Medical Training Officer 225-342-3417

Rosanne Prats, MHA, ScD – Executive Director, DHH Emergency Preparedness 225-342-3417

Rooming Accommodations

• Housing to accommodate 50 students in double occupancy

• Rooms completely renovated March 2003

Human Patient Simulator

Table-Top Exercises: The full day agenda tested the ability of hospitals, public health, law enforcement, EMS, HLS/EP, and other emergency responders to communicate interact effectively in biological or chemical disasters.

Region Area Table Top Exercises1 New Orleans 21-02-032 Baton Rouge 14-01-033 Terrebonne 13-03-034 Lafayette 12-03-035 Calcasieu 22-04-026 Alexandria 23-04-027 Shreveport 04-12-038 Monroe 11-06-039 St. Tammany 05-05-03

CDC & HRSA Hospital Grant

Community Drills: The full-day agenda tested the application of developed plans by hospitals, public health, law enforcement, EMS, HLS/EP and other emergency responders at staged events.

Region Area Community Drills1 New Orleans 24-07-032 Baton Rouge 24-07-033 Terrebonne 19-03-034 Lafayette 01-06-035 Calcasieu 13-03-036 Alexandria 19-05-037 Shreveport 05-12-028 Monroe 22-07-039 St. Tammany 29-05-03

CDC & HRSA Hospital Grant

Ring Vaccine TestExercise Highlights: Validate Smallpox Program – Improve children's immunization standings

89 Different Vaccine Sites- Office of Public Health Clinics- Clinic Staff- Hospital Nurses

Louisiana Immunization for Children System - Notification- Tracking

Direction and Control- DHH/OPH Communications- DHH/OPH Emergency Operations Center

SNS Exercise16-18 Mar 04

Exercise Objectives: • Observe state of readiness – Exercise/evaluate state readiness to respond to a

significant biological incident.

• City, Parish, State & Federal Interaction

• Awareness of response plans & Policies

• Implementation & Deployment of Biological Response Assets – Evaluate effectiveness of requesting, receiving, and distributing local and federal assets.

• Medical Capabilities – Detection, assessment, prevention of disease spread, treatment, and resource replenishment.

• Public Information – Employ measures to provide timely information to the population and assist with message as “enabler” vs. “de-stabler”. Evaluate media coordination between state and federal agencies.

• Intra / Inter agency communications – Evaluate redundant methods.

PARTICIPANTSCDC – Strategic National Stockpile Training SetU.S. Marshall Service

LA Department of Health & Hospitals/Office Public HealthLA Office Homeland Security & Emergency Preparedness LA State PoliceLA National Guard

Bossier Parish HLS&EPCaddo Parish HLS&EP

SNS Exercise16-18 Mar 04

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