“planning for emergencies in hays county” - strategic national stockpile (sns) - points of...
TRANSCRIPT
1
“Planning For Emergencies In Hays County”
- Strategic National Stockpile (SNS) - Points of Dispensing (POD’s)
Emergency Preparation
emergencymanagement
team
2
Emergency Planning - Today’s Discussion
Need For Emergency Planning Types of Disasters The Strategic National Stockpile (SNS) Points of Dispensing (POD) Sites
- Types & Medication Distribution Plans Need For Volunteers
emergencymanagement
team
3
The Role of Public Health in an Emergency
Disease prevention Controlling the spread of disease and preventing further spread Surveillance – determining the populations at risk Preparing for and responding to disasters and public health emergencies.
Our Goal: “To have a plan in place to provide appropriate medications to 100% of the population of Hays County within 48 hours of a declared emergency.”
We can’t do this alone. We will need many volunteers !
emergencymanagement
team
4
Could This Happen, Again ?
emergencymanagement
team
9-11 Twin Towers Hurricane Katrina
5
Or, could This Happen, Again ?
emergencymanagement
team
SARS 2003 Swine Flu H1N1 or Bird Flu H5N1, H7N9 ?
6
What if Anthrax, Smallpox, or Yersinia Pestis Was Dusted on a Texas State or UT
Stadium ???
emergencymanagement
team
7
Characteristics of Disasters
Extraordinary magnitude of harm Ecological disruption Disproportionate impact on vulnerable
communities Demand for response that exceeds community’s
ability to cope Necessity for outside assistance and resources
emergencymanagement
team
8
In a Major Public Health Emergency in Hays County the Strategic National Stockpile Will
Be Activated
The Strategic National Stockpile (SNS) is: Prepackaged medical materials Pre-positioned by Center For Disease Control
(CDC) To augment state/local medical needs Responds to a wide range of expected problems
associated with a chemical and/or biological incident or event.
emergencymanagement
team
9
What Medicines and Supplies Does the Strategic National Stockpile (SNS) Contain ?
It is a National Repository of Critical Medicines and Supplies to be Released in the Event of Terrorist Attack on the U.S or a National or State Declared Health Emergency. For example….
Pharmaceuticals
IV Administration Supplies Airway Management Supplies (Pediatric and Adult) Items for Radiation, Burns, and Blast Wound Care Supplies
emergencymanagement
team
Antibiotics (Oral and Intravenous) Chemical Agent Antidotes Vaccines, Antivirals and Antitoxins Other Emergency Medications
10
Components of the Strategic National Stockpile – 12 Hour Push Package
Phase I
Contains large quantities of antibiotics, antidotes, medical supplies, and equipment to immediately treat or provide antibiotics or preventative medication to thousands of affected or symptomatic individuals.
emergencymanagement
team
11
Other SNS Components – Managed Inventory (MI)
Phase II Large quantities of specific items to combat one or more specific threats The MI provides shipments of large and continuous quantities once the threat
is known. MI shipments will arrive in the state within 24-36 hours of an approved
request.
emergencymanagement
team
12
The SNS Distribution Plan for Hays County
SNS pharmaceuticals will be distributed from Hays County to various municipal sites according to three Point of Dispensing “POD” plans:
Special SNS “Direct Delivery” arrangements in place for CTMC, SETON, Texas State, TDCJ Kyle Prison Unit
emergencymanagement
team
1. Critical First Responder/Infrastructure distribution to emergency workers
2. Closed POD’s (~ 60) sites for retirement homes, hospital employees, businesses, school employees (They pick up supplies at central distribution point)
3. Six Open POD sites for the general public (1 Dripping Springs, 1 Wimberley, 2 San Marcos, 1 Buda, 1 Kyle)
13
Points of Dispensing (PODs) Medication Distribution Plans
POD’s are simply pre-identified sites where drugs are dispensed or administered to the affected population (“Closed” or “Open”)
The number of POD’s is dictated by the magnitude of the event and the number of support staff and volunteers available.
POD’s are predetermined by Hays County Health Department and Office of Emergency Management.
emergencymanagement
team
14
Overall Goal of the POD Sites
The goal is to have the appropriate pharmaceuticals in the hands of the entire population of Hays County within 48 hours. (172,000 +)
emergencymanagement
team
A public information campaign regarding a mass prophylaxis clinics would begin
Public will be provided with current information, steps to take if exposed to the agent, the medical regimen, clinic locations, hours of clinic operation, and information to bring about their medical history (e.g. known medication allergies).
15
Benefits of a Closed PODPartnering Arrangement With Hays County
“Win-Win”
Benefits To Employer
Free benefit to employer, employees, and their families. Employers receive free antibiotics quickly. Ensures business continuity of operations (emergency plans) The more prepared, the longer business stays open. Saves money – decreases lost productivity. Sends positive message to employees. Improves public relations and good will. No obligation, participation is completely voluntary. Psychologically and physiologically your business and staff WIN. Peace of mind your family is protected as well !
emergencymanagement
team
16
Benefits of a Closed PODPartnering Arrangement With Hays County
“Win-Win” continued…….
Benefits To Employees
Receive free life-saving medication and training in disaster preparedness.
Employees and their families receive medication faster – no standing in lines at open PODs.
Employees and families are protected Employees return to work faster Increases loyalty and sense of security Reduces stress and anxiety
emergencymanagement
team
17
Benefits of a Closed PODPartnering Arrangement With Hays County “Win-Win” continued…….
Benefits To County
Increases opportunity to save lives. Increases efficiencies for the county health department during public
health emergencies. Community is better prepared for a disaster. Medications can be administered rapidly and efficiently. Ensures hard to reach populations are covered who may find it
difficult to get to an open POD site. Medications are offered free of charge (i.e. federal asset).
emergencymanagement
team
18
Closed POD MOU Agreement
MOU Agreement:
Agreement between your business and Hays County Emergency Management allowing your organization to operate as a Closed POD during a declared health emergency.
Outlines your organization’s and Hays County Health Department responsibilities.
The MOU is completely voluntary and you may opt out of being a Closed POD Partner at any time with a 30 day notice; the MOU does not legally bind you to operate as a Closed POD.
Base agreement is for 5 years, with 1 year automatic renewal thereafter.
emergencymanagement
team
19
Closed POD Registration
Key Business or Organization Information Required:
Name and address Contact information for Core Management Team - 24/7 Number of employees, their families, and/or clients you plan to provide this service to. What types of clients your facility serves. Whether or not your organization will serve as a “Medication Only” POD, or both a
“Medication and Vaccination” POD. If your employees or clients speak other languages and you require written materials in
those languages. If you have any medical personnel on your staff
All information will be kept confidential at the Hays County Office of Emergency Management. Your information will not be shared. All POD staff must
Sign an Oath of Confidentiality.
emergencymanagement
team
20
Closed POD Planning & Training
A Closed POD should be able to: Provide access to emergency medical services. Provide security of medical material delivered. Maintain proper temperature control of medicines. Return any unused material to the Hays County Health Department.
Plans, Policies and Procedures are developed by each participating business: Review – updates, exercises and evaluations of your plan Training – of the people who will staff the function of your POD plan. Assessment – of your facility layout to make sure it will meet your POD needs. Exercise – plans, key staff and POD site.
Education &Training and Annual Exercises will be provided by Hays County Emergency Management and Health Department personnel.
emergencymanagement
team
21
Closed POD Resources Provided by
Hays County Health Department
Training modules and transcripts All necessary forms and information sheets (medications, fact
sheets, consent, intake, etc) Staff roles and job action sheets Sample Closed POD plan Sample “Just-in-time” training guide and checklist Training log Final event summary report
emergencymanagement
team
22
Legal Acts & References
Public Readiness and Emergency Preparedness Act, or “PREP Act”
emergencymanagement
team
Provides tort liability protection (except for willful misconduct) for activities related to developing, manufacturing, distributing, prescribing and using anthrax countermeasures in preparation for, and in response to, a potential anthrax attack.
The PREP Act sets forth the immunity for “covered persons” from tort claims related to, in this case, “covered countermeasure”. The Closed POD may be considered a covered person; a “Program Planner of countermeasure (i.e., individuals and entities involved in planning and administering programs for distribution countermeasure)….”appears in CDC PREP Act Questions and Answers, 42 USC S247d-6d(i)(7)(A)(ii).
As a covered person, if applicable, ENTITY may be immune from suit and liability under Federal and State law with respect to “all claims for loss caused by, arising out of, relating to, or resulting from the administration to or the use by an individual of a covered countermeasure….”. 42 USC S247d-6d(a)(i).
To view the PREP Act visit: http://www.phe.gov/Preparedness/legal/prepact/Pages/prepqa.aspx.
23
Legal Acts & References continued….
Emergency Powers Act
Pandemic and All Hazards Preparedness Act or “PAHP Act”
emergencymanagement
team
Allows individuals, other than pharmacists to dispense prescription drugs during a declared emergency.
Was created to improve the Nation’s public health and medical response capabilities for emergencies, whether deliberate, accidental, or natural.
To view the PAHP Act visit: http://www.hhs.gov/aspr/opsp/pahpa/index.html.
24
Volunteers Needed To Help Hays County’s Health Department and Emergency
Management Fulfill its Mission
To save lives, prevent illness and facilitate basic healthcare services during emergencies.
To aid in the dispensing of antibiotics, medical triage, special needs, screening, immunizations and other life saving procedures during a large-scale health emergency.
emergencymanagement
team
25
“There is nothing stronger than the heart of a volunteer”
For more Information on Volunteering,
Please call:
Mike Jones
Hays County Health Department
Office of Emergency Management
512-393-5538
Email: [email protected]
emergencymanagement
team
26
Questions ?
emergencymanagement
team