groups representing and serving populations with access and functional needs, health care organizations (private and community-based), jurisdictional strategic advisory councils, Are at higher risk of severe complications from infectious diseases, such as pandemic influenza, for example, older adults, pregnant women, children, and people with pre-existing chronic medical conditions, such as diabetes or heart disease, Have limitations that interfere with the receipt of and response to information, such as individuals who may not be able to hear, see, understand, or act on safety information, Rely on personal care assistance to manage or maintain health, Function independently if they have durable medical equipment or other assistive devices, service animals, or personal assistance service providers, Find it difficult to cope in a new environment, such as those with autism, dementia, or intense anxiety, Have transportation needs, including those who use public transit or accessible vehicles, such as lift-equipped or vehicles suitable for transporting individuals who use oxygen tanks, Identification of potential hazards, such as geographic and physical hazards, vulnerabilities, risks related to population characteristics, such as population density and demographics, and other risks in the community with the potential to adversely impact public health and related health care, human services, mental/behavioral health, and environmental health systems, A definition of risk, including a risk formula, The relation between identified risks to human impact and the interruption of public health, health care, human, mental/behavioral health, and environmental health services, noting that certain responses may affect basic functions of society, including physical damage to infrastructure or a reduction in the critical workforce, Estimate of plausibility or probability of risks and hazards for the jurisdiction, such as the likelihood of natural disasters based on historical precedence, Size and characteristics of the jurisdiction’s population Identification or location of populations with access and functional needs, Identification of populations with limited language proficiency (language isolation) and limited access to communication channels to receive timely and effective public health information, Information on vulnerabilities based on socioeconomic status, education, culture, and other factors, Locations or mapping of populations using information sources, including geographic information systems (GIS), the Agency for Toxic Substances and Disease Registry (ATSDR) Social Vulnerability Index, HHS emPOWER data, and other sources, Data on the size and type of animal populations within the jurisdiction, Consultation with subject matter experts from jurisdictional partners and stakeholders, Data that help prioritize jurisdictional hazards and public health vulnerabilities, including historical data from emergency management risk assessment(s), public health programs, relevant scenarios or models, community engagements, GIS, and other supplementary sources, Identification of factors that influence community resilience, Estimated impact on public health, environmental health, and health care system functioning, for example, the potential loss or disruption of essential services, such as water, sanitation, vector control, electricity, or other utilities, or the interruption of public health, human services, environmental health, or health care infrastructure and services, Assist with informing jurisdictional risk assessments, mitigating identified health hazards, and controlling risks, Integrate all-hazards emergency plans with identified community roles and responsibilities related to the provision of public health, health care, human services, mental/behavioral health, and environmental health services, Define Emergency Support Function (ESF) #8 public health roles at the state, local, tribal, or territorial level Implement additional activities to strengthen community resilience, Continuity of operations for public health, health care, human, mental/behavioral health, and environmental health services within the community, including vaccination and dispensing services using a variety of provider types and settings, such as pharmacies, doctors’ offices, school-located vaccination clinics, occupational health or worksite clinics, point-of-dispensing sites, and other traditional and non-traditional locations, during and after an incident. a condition or practice exists which could reasonably be expected to cause death, disease, or serious physic P2: (Priority) Transportation security procedures in place that may include. The definitions described within the capability standards are broad. Throughout the month, the Center for Preparedness and Response will publish posts that highlight the work of public health departments as it relates to personal health preparedness themes. Task 3: Promote and facilitate reporting of adverse events. Task 2: Disseminate information to the public using pre-established message maps. P1: (Priority) Procedures in place to identify, develop, and implement services for survivors, families, and responders in conjunction with jurisdictional mental/behavioral health partners. Social connectedness: For the purposes of Capability 1: Community Preparedness, social connectedness refers to the personal relationships, such as family, friend, and neighbor, and professional relationships, such as service provider or community leader, among community residents. In 2011, CDC established 15 capabilities that serve as national standards for public health preparedness planning. Contact volunteer organizations to support the identification of volunteers based on incident-specific needs. Definition: Medical materiel management and distribution is the ability to acquire, manage, transport, and track medical materiel during a public health incident or event and the ability to recover and account for unused medical materiel, such as pharmaceuticals, vaccines, gloves, masks, ventilators, or medical equipment after an incident. Task 2: Identify stakeholder data requirements. Task 2: Coordinate with partners to provide required resources. Complete evaluation activities throughout Make incident action plans available to relevant public health response personnel, volunteers, and partner agencies according to emergency operations protocols. Law; 1. consequences requires an agency-level response. The program, now administered by CDC’s Center for Preparedness and Response, Division of State and Local Readiness (DSLR), evolved into the current Public Health Emergency Preparedness (PHEP) cooperative agreement. Specific jurisdictional needs may include. Maintain situational awareness of security needs throughout the duration of the incident and adjust security measures, as necessary. Procedures may include. CDC supports PHEM by providing in-country technical assistance, aiding the development of plans and procedures, and providing fellowship opportunities for public health emergency managers. Goals for capability development should align with capability definitions, capability functions, capability tasks, and capability resource elements. E/T2: Access to GIS or other system, such as zip code sorting to identify the location of at-risk individuals with access and functional needs that may be disproportionately impacted, including individuals with limited English proficiency, refugees, individuals with low income, people with chronic conditions, people with disabilities, and people living in long-term care within the jurisdiction and to compare their locations to pre-identified shelter locations and incident impact areas. P2: (Priority) Templates for disaster-surveillance forms, including active surveillance and facility 24-hour report forms. Use local businesses, community and faith-based organizations, radio and other broadcast media, social media, text messaging, and other channels, as applicable, in communication networks to disseminate timely, relevant, accessible, and culturally appropriate information throughout the whole community during an incident. P2: (Priority) Message templates and risk communication message development to address identified jurisdictional risks and vulnerabilities related to incident characteristics. Task 1: Support the safe management of human remains. NIMS provides a consistent nationwide framework and approach to enable government at all levels (federal, state, local, tribal, and territorial), the private sector, and nongovernmental organizations (NGOs) to work together to prepare for, prevent, respond to, recover from, and mitigate the effects of incidents regardless of the incident’s cause, size, location, or complexity. P5: (Priority) Regularly updated and verified list(s) of identified stakeholders who will share, receive, and distribute surveillance reports. Technical assistance needs may relate to the development of specific capability functions and capability resource elements, such as developing or modifying plans or processes, training personnel, or building or investing in new equipment and technology. For the purposes of Capability 2, partners and stakeholders may include the following: all parts of the whole community such as individuals, businesses, nonprofits, community and faith-based organizations, and all levels of government. Assess the effectiveness and efficiency of receiving sites and adjust operations, as applicable. Security (DHS) for Special Event Assessment Rating (SEAR) evaluation. Task 4: Demobilize mass care operations. Initiating the public health response during the first 24 hours (i.e., the acute phase) of an emergency or disaster. Recommended procedures may include, P9: (Priority) Procedures in place for a laboratory COOP plan to ensure the ability to conduct ongoing testing on routine and emerging public health threats. Identify personnel to manage and distribute medical materiel and ensure identified personnel meet training or certification requirements. Communication Programs . Task 1: Identify relevant data regulations, policies, and standards. Each capability standard identifies priority resource elements that are relevant to both routine public health activities and essential public health services. Definition: Community recovery is the ability of communities to identify critical assets, facilities, and other services within public health, emergency management, health care, human services, mental/behavioral health, and environmental health sectors that can guide and prioritize recovery operations. Definition: Medical countermeasure dispensing and administration is the ability to provide medical countermeasures to targeted population(s) to prevent, mitigate, or treat the adverse health effects of a public health incident. Ensure the appropriate legal guidance needed for interventions, such as quarantine, isolation, and mandatory orders to close events or order evacuations. Update recommendations for NPIs as indicated by the incident, including increasing or decreasing frequency or implementing new interventions. Situational awareness requires not only coordinated information collection to create a common operating picture (COP), but also the ability to process, interpret, and act upon this information. Function Definition: Support the provision of non-intrusive and culturally sensitive mental/behavioral health services to incident survivors, family members of the deceased, and responders according to the jurisdictional public health agency role for fatality management in coordination with the jurisdictional fatality management lead authority and stakeholders. P2: (Priority) Procedures in place to gather and analyze data on a broad range of health indicators, such as indicators identified in novel or emerging public health threats, case definitions, and World Health Organization (WHO) public health emergencies of international concern (PHEIC) declarations. Recommended activities to establish roles may include. Task 3: Leverage community networks to disseminate information during an incident. Definition: Emergency public information and warning is the ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management personnel. Alerts can convey 1) urgent information for immediate action, 2) interim information with actions that may be required in the near future, or 3) information that requires minimal or no action by responders. P3: (Priority) Procedures in place to support or implement family reunification. P3: Decision support matrix to help determine when to scale up or scale down JIS operations. The 2018 Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health recognizes the maturity and experience jurisdictional public health emergency preparedness and response programs have gained since 2011. The Stafford Act was signed into law on November 23, 1988, as an amendment to the Disaster Relief Act of 1974 (Public Law 93-288). Start procedures to activate identified personnel and the network of distribution sites for medical materiel management and distribution. Function Definition: Coordinate with partner and stakeholder agencies to provide access to health care, mental/behavioral health, and human services; medication, immunization, and consumable medical supplies, such as hearing aid batteries and incontinence supplies; DME for the impacted population; and specialized support to address the access and functional needs of individuals who may be disproportionately impacted by the incident. Task 1: Determine the public health response role. Demobilization procedures may include, P8: Procedures in place to provide long-term support for responders and conduct periodic assessments of responder safety and health measures. Antemortem data: Information about a missing or deceased person used for identification.This information includes demographic and physical descriptions, medical and dental records, and information regarding the person’s last known whereabouts. Drug and vaccine information may include, P3: Procedures in place to request additional personnel and supplies based on incident characteristics. P3: Procedures in place to integrate community and faith-based partner roles and responsibilities for each stage of a public health incident or event. S/T1: Ability to provide packaging and shipping training or information on the availability of packaging and shipping training in DOT regulations or IATA guidance for public health laboratory personnel and sentinel laboratories. Turn over documentation, conduct hot washes and incident debriefings, and identify final closeout requirements with responsible agencies and jurisdiction officials. matter experts to help determine the scale of incident management operations. Acquire: For the purposes of Capability 8: Medical Countermeasure Dispensing and Administration, this term refers to requesting medical materiel (inclusive of medical countermeasures) from the stockpile source or otherwise obtaining it from commercial sources or through mutual aid agreements. Function Definition: Notify, organize, assemble, and deploy volunteers participating in the jurisdictional public health agency response efforts based on identified assignments and incident characteristics. P1: (Priority) Procedures in place to coordinate with ESF #6, #8, and #11 partners, including emergency management, environmental health, and other agencies, to identify the jurisdictional public health agency lead or support role(s) for mass care. CMIST framework: The Communication; Maintaining Health; Independence; Support, Safety and Self-determination; Transportation (CMIST) framework defines cross-cutting categories of the access and functional needs of at-risk individuals. coordination with the MRC. For scale-back scenarios, jurisdictional public health agencies should clearly identify specific conditions, such as strategic, budgetary, and risk assessments that influence the need to scale back efforts. Notification procedures should include appropriate messaging timeframes per LRN data messaging and other laboratory-specific policies. Task 2: Notify and assemble personnel who will support medical countermeasure dispensing/ administration. Task 4: Develop systems for data storage and exchange. Facts About Riot Control Agents Overview of riot control agents, including signs, symptoms, & treatment. Preventative maintenance and service agreements must be provided for all equipment listed on the LRN-B equipment list. Lessons learned from public health emergency responses, updates to public health preparedness science, revised guidance and resources, findings from internal reviews and assessments, subject matter expert feedback from the practice community, and input from allied agencies all contributed to capability updates. P1: (Priority) Procedures in place for demobilization of public health operations. (See Capability 4: Emergency Public Information and Warning and Capability 6: Information Sharing). Determine need for long-term medical and mental/behavioral health support for volunteers based on information collected from volunteers during the response and at demobilization. The National Preparedness System has six parts that include identifying and assessing risk, estimating capability requirements, building and sustaining capabilities, planning to deliver capabilities, validating capabilities, and reviewing and updating. Laboratory Response Network (LRN): A coordinated network of public health and other laboratories for which CDC provides standard assays and protocols for testing biological and chemical terrorism agents. Maintain, assess, and strengthen surveillance systems, and continuously support bi-directional information exchange to respond promptly to public health threats, hazards, and incidents. The phases provide a high-level, global view of the evolving picture. Relevant trainings may include. Documentation should include training date(s) and manner of training delivery, such as formal or “train the trainer.”. It is a Task 2: Conduct health surveillance at congregate locations. response strategies based on the nature and scope of the incident including pandemic influenza, Task 1: Define the role of the public health agency in medical surge. CDC Emergency Operations Center Activations News about current public health emergency responses including Coronavirus, Lung Injury, and Ebola. Recover remaining medical materiel when demobilizing jurisdictional distribution operations. P1: Documented and approved intra- and inter-jurisdictional legal authorities to avoid communicating information that is protected for national security or law enforcement purposes or that may infringe on individual or entity rights. E/T2: System credentials and security clearances to access restricted information and systems, such as Epi-X, Homeland Security Information Network (HSIN), and the jurisdictional health alert network (HAN). S/T1: (Priority) Personnel trained on federal and applicable jurisdictional adverse event reporting system procedures, including the designation of a vaccine safety coordinator. P4: Procedures in place to identify state and applicable jurisdictional legal authorities that permit nonjurisdictional clinicians to be credentialed to work in emergency situations. It is intended to. Task 5: Develop continuity of operations plan(s). Coordinate with identified stakeholders to operationalize strategies as defined in the jurisdictional fatality management procedures and share incident recommendations for managing human remains. S/T3: Personnel trained on established procedures for after-action reporting, including the National Incident Management System (NIMS) and HSEEP trainings. Tier 1 capability standards form the foundation for public health emergency preparedness and response. Procedures in place: For the purposes of this document, this phrase refers to documented agreements or processes, such as a written plan, a policy, a memorandum of understanding or agreement, a contract, or any other type of written agreement that verifies that a procedure is formally in place. 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