1. Public Health System Training in Disaster Recovery (PH – STriDR) This work was supported by Centers for Disease Control and Prevention Cooperative Agreement 1U01TP000576-01 1

2. Disclaimer The views expressed are those of the authors and do not necessarily reflect the official policy or position of the Uniformed Services University of the Health Sciences, the Department of Defense, or the United States Government. 2

3. Mission The NCDMPH leads Federal and coordinates national efforts to develop and propagate core curricula, education, training and research in all-hazards disaster health. Vision A Nation of resilient communities with a competent health workforce prepared to respond and mitigate all-hazards disasters. 3

4. Training Program Structure o Four Sessions: Session 1: Disaster Recovery Activities in the Local Public Health Agency Session 2: Your Roles and Responsibilities in Disaster Recovery Session 3: Personal/Family and Workplace Support Issues and Resources Session 4: What does a successful disaster recovery look like? o PowerPoint presentations, small group discussions, large group discussions, individual activities We value your knowledge and experience in this area and your participation is encouraged! 4

5. Session Schedule Date, time, location How you will be notified of updates 5

6. Session 1: Disaster Recovery Activities in the Local Public Health Agency 6

7. Introductions Trainer Introduction Learner Introductions – Please go around the room and state your name and role in the health department. 7

8. Administrative Issues Session Duration: 90 minutes Exit and Restroom Locations “Parking Lot” Please Silence Your Cell Phone 8

9. Learning Objectives List various types of natural and human- generated disasters that are likely to occur in your area. Identify local public health agency recovery activities for disasters likely to occur in your area. 9

10. Definition of Disaster “A sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources.” (International Federation of the Red Cross and Red Crescent Societies) 10

11. Disaster Statistics Globally, the number of natural and technological disasters has increased steadily since 1960, as has the number of people affected by disasters. Increasing severity of disaster impacts is influenced by the increase in magnitude of extreme weather events and an increase in exposure and vulnerability of human populations. What are some recent disasters? 11

12. Emergency Management Cycle “Emergency management is the continuous process by which all individuals, agencies, and levels of government manage hazards in an effort to avoid or reduce the impact of disasters resulting from the hazards.” Local public health agencies have a role in all four phases, including disaster recovery. U.S. Department of Transportation Federal Highway Administration 12

13. What is Recovery? “[R]ecovery encompasses more than the restoration of a community’s physical structures to its pre-disaster conditions. Of equal importance is providing a continuum of care to meet the needs of the affected community members who have experienced the hardships of financial, emotional or physical impacts as well as positioning the community to meet the needs of the future.” – National Disaster Recovery Framework, 2011 13

14. Why Focus on Recovery? The recovery phase can last a considerable length of time. Activities in the recovery phase can be very influential for the health and well-being of the community. Local public health workers have a significant role to play in community recovery. Disaster recovery is an opportunity to build a more resilient and healthier community. Disaster recovery is often overlooked, as focus has historically been on preparedness and response. 14

15. National Disaster Recovery Framework The recovery phase is often divided into the short-term (days to weeks), intermediate-term (weeks to months), and long-term (months to years) recovery phases. Decisions made early in the recovery process can have a cascading effect on recovery progress. National Disaster Recovery Framework, 2011. 15

16. System View of Recovery Local and state health departments are part of a larger National Planning System that synchronizes planning from the individual to the national level. National Incident Management System (NIMS) and Incident Command System (ICS) are used to coordinate and communicate among levels. FEMA IS-230.c Fundamentals of Emergency Management 16

17. System View of Recovery Where is your agency in this diagram? Thinking about the other levels in the diagram, who else does your agency coordinate with in disasters? FEMA IS-230.c Fundamentals of Emergency Management 17

18. Local Public Health Agency Recovery Roles and Responsibilities Ensuring the continuity of health care services Monitoring environmental infrastructure Assessing and providing referrals to meet the needs of vulnerable populations Initiating surveillance programs Issuing health advisories and continuing open communication with the public Allocating resources to match the public health needs of the disaster response and recovery Restoring health services and environmental safety to pre-event levels 18

19. Assessing Risk Planning tools for assessing community risks and hazards include Hazard Vulnerability Analysis (HVA) and Threat and Hazard Identification and Risk Assessment (THIRA). These can be used to assess the capability of a community to respond to and recover from specific hazards. They can be used within a health department to assess organizational risk and capability to respond and recover. Does the health department have one or both of these? Does the community? 19

20. Full Group Discussion (Optional) If a jurisdictional or agency HVA or THIRA is available, share and discuss key points. 20

21. Full Group Discussion As a group, list any probable hazards in your community. Record the list on your flipchart. Your trainer will transfer this list to the Master Copy of the Disaster Recovery Activity Worksheet. 21

22. Small-Group Activity Break into small groups to fill in the Disaster Recovery Activity Worksheet for one natural disaster and one human-generated disaster from the list that was just created. Please choose one person to complete the Disaster Recovery Activity Worksheet for your group. Be sure to return the completed worksheet to the instructor. 22

23. Summary of Main Points A number of natural and/or human-generated disasters could impact your community. Your local public health agency can play a role in disaster recovery activities in your community. These roles fit into a larger planning framework that includes both individual-level planning and higher levels of government. 23

24. Questions? 24

25. Thank you! Please visit the NCDMPH Website for more disaster health-related education and training resources. https://ncdmph.usuhs.edu/ @NCDMPH 25