twin cities metro advanced practice center overview advanced practice center roadshow july 28-29,...
TRANSCRIPT
Twin Cities MetroAdvanced Practice Center
Overview
Advanced Practice Center RoadshowJuly 28-29, 2009
Orlando, Florida
Brian R. Golob, M.S., C.H.M.M., R.E.H.S.
612-543-5204
Agenda
Background Information for TCM APC Program
Perspective on EH Emergency Preparedness
Overview of Products
Funding Support
Twin Cities Metro APC
Collaborative approach exclusively for EH emergency preparedness
Currently in 5th year of funding Focus on:
– Practical and Useful Products – Building EH Capacity
Disaster Denial Paradigm
It isn’t going to happen.
If it happens, it will not be as bad as they said it would be.
If it happens, and it is as bad as they said, it will not happen to me.
If it happens and it is as bad as they said, and it happens to me, then someone has planned for it and is coming to help.
In the Beginning…
American Journal of Public Health and the Nations Health 1930
Public Health Management of Disasters The Practice Guide, 2001, APHA
Environmental Health in Emergencies and Disasters, WHO, 2002
In the Beginning…(Cont.)
Journal of Environmental Health Article, Sept. 2004
Journal of Environmental Health Article, Nov. 2004
Disaster Field Manual for Environmental Health Specialists, 1994, 1998 & 2004 CA Assoc. of EH Administrator
Initial Goal:Write an EH Emergency Response Plan
Tracked Down Many Interesting Web Sites
Never Found an EH Emergency Response Plan
Realized that Roles & Responsibilities for EHP were not Defined
Training Materials were Lacking
Why Are We Concerned
Natural & man-made emergencies/ disasters can occur anywhere and frequently do
Incidents can affect human health, lives and the infrastructure that supports society
List of Hazards-Natural
Hurricane Earthquake Tsunami Avalanche Volcanic Eruption Landslide Fires
Tornado Flood Severe Wind Storm Severe Winter Storm Hail Storm Drought Extreme heat
List of Hazards-Man-made or Technological
Dam or Bridge Failure Power Outage/Failure Infectious Disease Transportation Accidents Terrorist Conventional
Bomb Chemical Terrorism
Contaminated Water Supply Contaminated Food Supply Hazardous Material Incident Radiological Incident Biological Terrorism Nuclear Detonation Cyber Terrorism
Defining Key Terms Hazard is any phenomenon that has the
potential to cause damage to humans and their environment
Emergency is not a disaster in itself, but an event requiring immediate response
Disaster overwhelms the affected community and requires outside assistance
Emergency or Disaster
Emergency or Disaster
Principles of Environmental Health
Promote health and quality of life
Protect the public from environmental hazards
Protect the environment from contamination
Environmental Health Skills
Assessment
Management
Communication
Environmental Health Skills (Cont.)
Assessment• Information
Gathering• Data Analysis• Evaluation
Environmental Health Skills (Cont.)
Management• Problem solving• Project Management• Reporting
Environmental Health Skills (Cont.)
Communication• Education• Risk Communication• Conflict resolution
General Environmental Health Emergency Response Actions
Primary responsibility for the “health” of a community
Includes basic services such as food safety, water supply, shelter, sanitation & waste management
Immediate Environmental HealthEmergency Response Actions
A rapid initial qualitative assessment to collect information needed to begin an appropriate and timely response
Specific EH Functional or Topic Areas
Food/waterborne outbreak investigation
Water safety & supply Food safety Sanitation Mass care Vector control Solid waste Worker Safety/PPE
Hazardous waste Household hazardous
waste Medical/infectious
waste Chemical incident Radiological incident Flood Tornado/wind
damage
Twin Cities Metro Advance Practice Center Products
Training for EHP
Food Readiness
EH Planning & Practice
Target Audience Environmental Health
Directors, Managers, Supervisors
Public health staff responsible for environmental health programs
Front line staff with years of experience and those who are new in the field
Unintended Audiences
Other professionals: fire, police, nurses, doctors, emergency management and haz mat responders
Many people do not know or realize what EH brings to the table
They gained an understanding of the role that EHP would have in a disaster/emergency
Overview of Products: EH Training
Emergency Preparedness and Response Fundamentals & Putting Principles into Practice (2005)(Available as a CD and on-line)
Disaster Strikes-Environmental Health Responds: Stories from the Field (2007)(Available as a CD and on-line)
Emergency Preparedness and Response Fundamentals & Putting Principles into Practice
Lesson 1: Overview of EH Principles
Lesson 2: Communicating as a Key Role for EH Professionals
Lesson 3: Responding to Emergencies/Disasters
Lesson 4: Minimizing Health Implications
Emergency Preparedness and Response Fundamentals & Putting Principles into Practice
(Cont.) Three Real World Disasters
• Scenario # 1 – Elemental Hg
• Scenario # 2 – Train Derailment Anhydrous Ammonia Release
• Scenario # 3 – F5 Tornado
Disaster Strikes – Environmental Health Responds: Stories from the Field
Interviewed 22 EHP across the country
Learned how they dealt with 9 disasters & 1 emergency
They shared valuable tips, techniques and lessons learned
Experience is a powerful teacher
Focused on 8 EH Core Competencies
Disaster Strikes – Environmental Health Responds (Cont.)
Organizational Knowledge & Behavior Collaboration Information Gathering Data Analysis Problem Solving Reporting, Documentation, and Record Keeping Communication Education
Overview of Products: Food Readiness
Emergency Handbook for Food Managers includes a readiness guide and photo lessons (2005)(Available as a hardcopy, CD and PDF in English, Spanish, Arabic, Chinese, Hmong & Somali)
Overview of Products: Food Readiness (Cont.)
Information sheet titled Who to Contact in an Emergency (Released 2005 & Revised 2006).
(Available as a hardcopy and PDF in English)
• Police Dept.• Local Health Dept.• Insurance Carrier• Local Utility• Governmental Agency for
Chemical Spill/Release• Well Water Disinfection• Potable Water Supply• Waste Mgt Assistance
Overview of Products: Food Readiness (Cont.)
Emergency Readiness for Food Workers Trainer Guide (2006)
(Available as a hardcopy and PDF in English)
Overview of Products: Food Readiness (Cont.)
Information sheet titled In an Emergency: Discard or Salvage (2005) *
Information sheet titled In an Emergency: Equipment & Supplies List for Food Service (2005) *
* PDFs in English, Spanish, Arabic, Chinese, Hmong, Laotian, Oromo, Russian, Somali & Vietnamese
Overview of Products: Food Readiness (Cont.)
Food Safety and Security Self Audit Checklist (2007)*
* PDFs in English, Spanish, Arabic, Chinese, Hmong, Laotian, Oromo, Russian, Somali & Vietnamese
Overview of Products: Food Readiness (Cont.)
2005 Baseline Survey on Emergency Preparednessat Twin Cities Metro Food Service Establishments (Available in hardcopy and archived at NACCHO)
2007 Benchmark Survey on Emergency Preparednessat Twin Cities Metro Food Service Establishments (Work in Progress)
Overview of Products: Food Readiness (Cont.)
Clarifies Best Practices
Includes Food Security and Emergency Preparedness
Overview of Products: EH Planning & Practice
Solid Waste Management and Highly Pathogenic H5N1 Avian Influenza Virus Decision Tree Guidance Document (Released 2007)
(Available in hardcopy and on CD)
Overview of Products: EH Planning & Practice (Cont.)
Environmental Health Emergency Response Guide
Overview of Products: EH Emergency Response Guide (Cont.)
Describe general and specific response actions that EH personnel would be responsible for in a disaster/emergency
Each topical area includes: Introduction Emergency Response Objectives Priority Activities Practical Guidance Information
Overview of Products: EH Emergency Response Guide (Cont.)
Food/waterborne outbreak investigation
Water safety & supply Food safety Sanitation Mass care Vector control Solid waste Worker Safety/PPE
Hazardous waste Household hazardous
waste Medical/infectious
waste Chemical incident Radiological incident Flood Tornado/wind
damage
Overview of Products: EH Planning & Practice (Cont.)
Environmental Health Resource Compendium for Emergency Response
Overview of Products: EH Planning & Practice (Cont.)
Hennepin County EH Emergency Response Plan
St. Paul-Ramsey County EH Standard Operating Procedures Annex
Sneak Preview
Special Event Planning Toolkit
Community Engagement Food Protection/EP Tool Kit
EH Emergency Preparedness Planning Toolkit
Disaster Simulation Training Module or “Game”
Special Event Planning Toolkit
Planning process guidance Training materials Training program guidance Inspection process and form Communication
protocol/reporting template Mutual-aid agreement and
staff identification Tool for estimating agency
resource
Community Engagement Food Protection/EP Tool Kit
For local EH agencies to use
Engage food service establishments
Increase the capacity of food managers and front-line food workers to protect the food supply
EH Emergency Preparedness Toolkit
Package a tool for EH Managers
Ensure that EH Plan is in place
EH Staff are oriented to the plan & available resources
Disaster Simulation Training Module or “Game”
Describe the role of EHP in a disaster
Make informed and sound decisions related to preparation, response and recovery efforts
Addresses a flood and a train derailment