Presentation on theme: "The Advisory Team for Environment, Food, and Health"— Presentation transcript:
1The Advisory Team for Environment, Food, and Health
2The A-Team HistoryThe Advisory Team for Environment, Food, and Health (A-Team) was established to assist in international and domestic nuclear emergencies.The A-Team concept was incorporated into the FRERP in May 1996.In 1997 an Environment, Food, and Health Subcommittee of the FRPCC was established. (44 CFR )The A-Team is incorporated into the National Response Framework (NRF) via the Nuclear/Radiological Incident Annex (June 2008).FRERP = Federal Radiological Emergency Response PlanFRPCC = Federal Radiological Preparedness Coordinating CommitteeNRF = National Response Framework
3The Advisory Team for Environment, Food, and Health (A-Team) The goal of the A-Team is to provide coordinated advice and recommendations to the State, Coordinating Agency, and DHS concerning environmental, food, and health matters.Membership is comprised principally of :and other Federal agencies as needed
4Advisory Team Duties Overview Advisory Team provides recommendations in matters related to the following:Environmental assessments (field monitoring) required for developing recommendations;Protective Action Guides and their application to the emergency;Protective Action Recommendations using data and assessments from FRMAC;
5Advisory Team Duties Overview (cont.) Recommendations to prevent or minimize exposure through the ingestion pathway from contaminated milk, food, and water;Recommendations regarding the disposition of contaminated livestock, poultry, and foods;Recommendations for minimizing losses of agricultural resources;
6Advisory Team Duties Overview (cont.) Guidance on availability of clean food, animal feed, and water supply inspection programs to assure wholesomeness;Recommendations on relocation, reentry, and other radiation protection measures prior to recovery;Recommendations for recovery, return, and cleanup issues;
7Advisory Team Duties Overview (cont.) Estimated effects of radioactive releases on human health and the environment;Recommendations on the use of radioprotective substances (e.g., thyroid blocking agents);Health and safety advice or information for the public and for emergency workers; andOther matters as requested by the IC or coordinating agency.
8Advisory Team Does not make policy decisions Does not make protective action decisions for States and locals, only recommendationsProvides coordinated technical and scientific advice through the Coordinating Agency not directly to StatesBases its recommendations on science and best practices
9Activation of the Advisory Team The Nuclear/Radiological Incident Annex (June 2008) summarizes the Advisory Team activation process as follows:“DHS, coordinating agencies, and State, tribal, and local governments may request support from the Advisory Team by contacting the CDC Director’s Emergency Operations Center (EOC) at ”“DOE will request activation of the Advisory Team whenever the FRMAC is activated.”See Table 3, page NUC-18 of the Nuclear/Radiological Incident Annex (June 2008).
10“Remote” Advisory Team “Remote” Advisory Team is composed of non-deployed members of the Advisory Team.Goal is to have “remote” Advisory Team established and available to provide advice via phone bridge within 2 hours of initial notification to CDC EOC.“Remote” Advisory Team will establish contact with coordinating agency, state/local agencies, FRMAC/CMHT and others as appropriate.“Remote” Advisory Team will provide support to deployed Advisory Team members throughout the incident.
11“On-Site” Advisory Team “On-site” Advisory Team is composed of deployed members of the Advisory Team.Unless requested otherwise, the “on-site” Advisory Team will initially co-locate with the FRMAC.As the IC/UC is established, the “on-site” Advisory Team is expected to integrate into the Planning Section.The “on-site” Advisory Team may also provide liaisons to and/or coordinate with the JFO and State, tribal, and local government Emergency Operation Centers.
12Advisory Team Participation in Outreach Programs and Exercises 2008: 15 exercises/drills and 8 Outreach programs2009: 9 exercises/drills and 5 Outreach programsSchedule Advisory Team participation in exercises, etc., by contacting:Lynn Evans (CDC)Phone: (770)Plan is to provide at least 2 Advisory Team members on-site during exercises. Other Advisory Team members will participate as “remote” Advisory Team via phone bridge.Advisory Team will ocassionally participate in drills. This is usually done remotely via phone bridge.
13For more information about the Advisory Team: Go to the Conference of Radiation Control Program Directors (CRCPD) website
14National Response Framework HHS – ESF #8EPA – ESF #10USDA – ESF #11Nuclear/Radiological Incident AnnexThe National Response Plan (NRP) was revised and re-issued as the National Response Framework. The NRF base plan took effect on March 22, The various annexes and emergency support functions that existed in the NRP will remain in force until their revisions are finalized.The Nuclear/Radiological Incident Annex was revised and re-issued in June 2008.ESF = Emergency Support FunctionsESF 8 = Public Health & Medical ServicesESF 10 = Oil & Hazardous Materials ResponseESF 11 = Agricultural & Natural Resources
15CDC Emergency Operations Center (EOC) (770) 488-7100 Available 24/7 HHS/CDC Roles in Radiological EmergenciesCDC Emergency Operations Center (EOC) (770) Available 24/7
16CDC RESPONSE Deploy Strategic National Stockpile Evaluate health and medical impact on the public and emergency personnelConduct surveillance and epidemiological studies of exposed population
17CDC RESPONSE Advise on: Triage Patient treatment and decontamination Medical intervention recommendationsDisease control and prevention measuresSafety and protection of health care providers
18National Response Framework Nuclear/Radiological Incident Annex Decontamination andPopulation Monitoring are:“the responsibility of State, local, and tribal governments.”
19National Response Framework Nuclear/Radiological Incident Annex HHS, through ESF #8 and in consultation with the coordinating agency, coordinates Federal support for external monitoring of people and decontamination.
20National Response Framework Nuclear/Radiological Incident Annex HHS assists and supports State, local, and tribal governments in performing monitoring for internal contamination and administering available pharmaceuticals for internal decontamination, as deemed necessary by State health officials.
21National Response Framework Nuclear/Radiological Incident Annex HHS assists local and State health departments in establishing a registry of potentially exposed individuals, performing dose reconstruction, and conducting long- term monitoring of this population for potential long-term health effects.
22CDC Guidance Target audience: Focus Scope State and local public health and emergency preparedness personnelFocusMass casualty incidentsScopeAssumes local infrastructure is intactPrinciples apply to all radiation incidents
23CDC DeploymentCDC staff may be deployed to onsite locations to serve asPopulation Monitoring Liaison TeamRadiological Subject Matter ExpertEpidemiologistCommunications liaisonCDC representative to Advisory TeamOther HHS/CDC responders
24HHS/FDA Roles in Radiological Emergencies Office of Crisis ManagementEmergency Operations CenterUS Food and Drug AdministrationRockville, Maryland(24 hour)
25FDA MissionThe Mission of the FDA prior to and during a radiological emergency is to:Protect the public health following a radiological incident by facilitating the development and availability of medical countermeasuresEnhance the Agency’s emergency preparedness and response capabilitiesEnsure the safety and security of FDA regulated products
26FDA Regulated Products Human Drugs - including radiation countermeasuresVeterinary Drugs – including radiation countermeasuresMedical Devices – including ionizing and non-ionizing radiation emitting and screening devicesCosmeticsBiologics – including vaccines, blood and blood products
27FDA Regulated Foods All domestic and imported foods excluding Meat and Poultry MilkButterCheeseEggsVegetablesGrainsShellfishSeafoodHoneyDietary supplementsCommercially produced gamePet foodLive food animalsBottled waterFood additivesFood packagingWine beverages < 7% alcohol
28A-Team: FDA Provides technical health physics support Provides consultation on food contamination issuesProvides advice on FDA regulated products which may be affected by a radiological incident or utilized to mitigate the effects of such an event (i.e., medical and device countermeasures)Provides liaison and reach-back to FDA HQ
29FDA Organizational Structure Office of the CommissionerOffice of Regulatory AffairsFDA CentersCenter for Biologics Evaluation and ResearchCenter for Drug Evaluation and ResearchCenter for Devices and Radiological HealthCenter for Food Safety and Applied NutritionCenter for Veterinary MedicineNational Center for Toxicological ResearchTouch on the key assets of each component of the FDA:* The Office of the Commissioner houses the FDA Emergency Operations Center and the policy/decision makers for the Agency* The Office of Regulatory Affairs contains two key organizations for radiological emergency response which represent the field assets of the FDA: The Winchester Engineering and Analytical Center (WEAC) which is responsible for analysis of radioactive food samples and is the lead for the radiological component of the FERN (Food Emergency Response Network) and; the Regional Radiological Health Representatives who are the FDA representatives to the A-team in the field (there is one in each of the five FDA regions).* The Center for Biologics is responsible for overseeing the US blood supply, vaccines and other blood products.* The Center for Drugs approves drugs for medical countermeasures such as KI, Prussian Blue and DTPA and provides guidance on their use.* CDRH provides technical health physics support and coordination for radiological emergency response. The Center also reviews and provides guidance on devices for security screening.* CFSAN is responsible for protecting the US food supply and is the lead for updating and application of the FDA food protective action guides.* The Center for Veterinary Medicine provides guidance on drugs for animals and also companion animal issues.* The National Center for Toxicological Research is able to provide limited health physics resources including personnel and instrumentation.
30US Department of Agriculture (USDA) Roles in Radiological EmergenciesOffice of Homeland Security and Emergency Coordination3030
31USDA Radiological Emergency Response Structure Office of the SecretaryAssistant Secretary for AdministrationOffice of Homeland Security and Emergency CoordinationHomeland Security DivisionEmergency Programs DivisionContinuity of Operations DivisionRadiation Safety DivisionRadiological Emergency Programs CoordinatorUSDA places great importance on being able to respond to any emergency. We have recently re-organized at the departmental level to better coordinate all emergencies and to bring our administrative structure in line with the National Response Framework and with the Incident Command System.The USDA’s Office of Homeland Security and Emergency Coordination manages all programs related to emergency response. The three divisions are shown.The Department has established a radiological emergency programs coordinator to manage all aspects of planning and preparedness for radiological incidents.3131
32USDA HQ Emergency Response Structure USDA Departments/Agencies Represented on the Advisory TeamOffice of Homeland Security and Emergency CoordinationRadiation Safety DivisionAnimal Plant Health Inspection Service,Food Safety Inspection Service,Agricultural Marketing Service, andRural DevelopmentHeadquarters staff are members of the Advisory Team. In addition to health physicists from the OHSEC Radiation Safety Staff, trained staff from the primary Agencies that deal with food safety and long term recovery issues are members of the A-Team.This includes members from the Animal and Plant Health Inspection Service (APHIS), the Food Safety Inspection Service (FSIS), the Agricultural Marketing Service (AMS), and Rural Development (RD).3232
33USDA Field Emergency Response Structure APHIS, ESF-11 CoordinatorsAssist FEMA Regional Assistance CommitteesCoordinate Regional Radiological PlanningAPHIS, Area Emergency CoordinatorsAssist State agricultural/veterinary officialsFSA, State and County Emergency BoardsUSDA local disaster management coordinationCoordinate disaster and crop damage assessmentsUSDA has trained field staff to support the Department during radiological emergencies.APHIS coordinates our ESF-11 activities and has coordinators located in each FEMA region. They have been tasked with supporting the Regional Assistance Committees and coordinating radiological emergency planning. The national coordinator for ESF-11 is an APHIS employee and works closely with OHSEC.APHIS also has Area Emergency Coordinators whose primary job is to assist State agricultural veterinary officials during animal health outbreaks. These APHIS veterinarians are becoming trained in radiological issues and will be able to assist in animal decontamination and carcasses disposal issues.The Farm Service Agency is the primary disaster coordination agency with the Department. The State Emergency Director reports disaster assessments to Headquarters and maintains a situational awareness of ongoing issues. County Emergency Directors are directly involved with on-site emergency management officials.3333
34USDA Essential Functions Ensure Food Safety and Protect Agricultural HealthProvide Emergency Food SuppliesFight Forest FiresProvide Safety and Security on Public Lands (National Forests and Grasslands)The headquarters and field structure was established to support the Department’s essential functions during an emergency. These functions can be grouped into four general categories:Ensure Food Safety and Protect Agricultural HealthProvide Emergency Food SuppliesFight Forest FiresProvide Safety and Security on Public Lands (National Forests and Grasslands)All of these functions can be linked to emergency response activities within the National Response Framework.3434
35ESF-4 SupportUSDA is the coordinator for Emergency Support Function 4: Fire FightingDetecting and suppressing fires on Federal LandsProviding personnel, equipment and supplies in support of State, tribal and local agencies involved with rural and urban firefighting operationsUSDA is the lead under ESF-4, FirefightingAlthough most of these efforts support wildfire management, they would be activated if an IND were to be detonated.3535
36ESF-11 SupportUSDA is the coordinator for Emergency Support Function 11: Agriculture and Natural ResourcesProvision of nutrition assistance by the Food and Nutrition ServiceAnimal and plant disease and pest responseAssurance of safety and security of the commercial food supplyProtection of Natural Cultural resources and Historic propertiesUSDA is the lead under ESF-11, Agriculture and Natural Resources.Any RDD, IND or nuclear power plant incident has the potential to impact agriculture, food processing, and food safety. We need to be able to provide safe food to populations that have been relocated.ESF-11 will be the primary resource for USDA activities during any radiological emergency.3636
37ESF-14 SupportUSDA is a primary agency for Emergency Support Function 14: Long-Term Community RecoverySupports commodity credit programs for agricultural recoveryProvides available housing for evacuees and first respondersProvides recommendations for long term community recoveryUSDA is a primary Agency under ESF-14, Long-term RecoveryUnder this program we will assist agricultural recovery efforts as well as providing support for communities impacted by any radiological event.3737
38USDA Responses to Radiological Emergencies Prevent members of the public from ingesting contaminated foodEnsure safety of food regulated by the USDAMinimize damage to agriculture and its marketsMinimize damage to forests and rangelands from radioactive contaminationProvide consultation on food contamination issuesProvide liaison and reach back to USDA HQUSDA’s specific responses to radiological emergencies, and the areas most likely to be supported by the Advisory Team are shown on this slide.3838
39USDA Roles and Responsibilities under the Nuclear/Radiological Incident Annex of the NRF Assist in planning and collection of agricultural samplesAssess damage to crops, soil, livestock, poultry and processing facilitiesEvaluate the impact of an incident on agricultureProvide advice and support on decontamination of pets and farm animalsUSDA’s other responses to radiological emergencies, and the areas most likely to be supported by the Advisory Team are shown on this slide.3939
40USDA Roles and Responsibilities Assist in animal carcasses disposalAssist in the collection of samples of crops, meat, poultry and egg products to ensure they are safe for human consumptionAssist in monitoring the production, processing, storage and distribution of food to eliminate contaminated productUSDA’s other responses to radiological emergencies, and the areas most likely to be supported by the Advisory Team are shown on this slide.4040
41USDA Roles and Responsibilities Assist in monitoring the production, processing, storage and distribution of food to eliminate contaminated product and to ensure that levels of contamination are below the FDA derived intervention levels (DILs)USDA’s other responses to radiological emergencies, and the areas most likely to be supported by the Advisory Team are shown on this slide.4141
42USDA Contact Jack Patterson Radiological Emergency Programs CoordinatorOffice:For more specific information regarding the USDA’s radiological emergency response programs and the activities of the USDA members of the Advisory Team, please contact Jack Patterson. His contact information is shown on this slide.4242
44The EPA is the Emergency Support Function (ESF)10 Coordinator: ESF #10 SUPPORTThe EPA is the Emergency Support Function (ESF)10 Coordinator:Lead coordination role to support State, local and tribal responseOil and hazardous materials responseNCP and NRF can be used togetherNCP = National Oil and Hazardous Substances Pollution Contingency Plan
45EPA’s Radiological Emergency Response Role Emergency preparedness planningDevelopment of Protective Action Guides (PAGs)Provide recommendations during emergenciesEmergency response support (or lead) federal response to radiological emergenciesMonitoring and assessment of release impactsRecovery, clean-up, & mitigation coordinationEPA generally has the lead only when it’s a foreign source affecting the US, or an orphan source.
46Protective Action Guides Purpose of Protective Action Guides (PAGs)What is a PAG?Phases of a radiological emergencyDHS approach to late phase & the recovery processEPA is preparing an updated PAG manual. Providing guidance to other federal agencies on radiation exposure limits was one of the responsibilities delegated to the EPA upon its formation in Under regulations governing radiological emergency planning and preparedness issued by the Federal Emergency Management Agency (FEMA) in 1982, EPA was given the responsibilities to (1) establish Protective Action Guides (PAGs) (2) prepare guidance on implementing PAGs and (3) develop and promulgate guidance to State and local governments on the preparation of emergency response plans. In carrying out these responsibilities, EPA previously published PAGs, the most recent being the 1992 Manual of Protective Action Guides and Protective Actions for Nuclear Incidents.
47Purpose of the PAG Manual Provide response guidance for nuclear and/or radiological incidents and accidentsProvide recommended action levels for protecting the public and emergency workersThe 1992 PAGs Manual focused on nuclear power plant incidents, did not include a specific drinking water PAG, and had a placeholder for late phase/recovery guidance.
48What is a PAG?The projected radiation dose to reference man, or other defined individual, from an accidental release of radioactive material at which a specific protective action to reduce or avoid that dose is warranted.Just a reminder that PAGs are projected doses, not doses received. There are three phases we split the PAGs into: Early, Intermediate and Late or Recovery PhaseNot necessarily precise time periods - activities may overlap phases.
49Early Phase Beginning of the incident Immediate decisions based on plant conditions and minimal dataProtective ActionsEvacuation to 5 remSheltering – no minimumStable iodine (KI) administration – 5 rem child thyroidAccess controlEarly phase is characterized by need to take action quickly, with little or no actual radiological data (dose rates, radionuclide deposition amounts). Only basic model projections are available to guide decision makers.Note the KI threshold listed here is actually a simplification of FDA’s age-specific thresholds and dosages.For nuclear power plant and other fixed facility incidents, plant and facility conditions will drive the protective action recommendations and decisions.For non- fixed facility/power plant incidents, plume models and whatever information is available about the source(s) involved will drive the decision process
50Intermediate Phase PAGs Population relocation ≥ 2 rem first yearApply dose reduction techniques - < 2 rem first yearFood (FDA Guidance incorporated) – most limiting of:0.5 rem CEDE first year, or5 rem CDE to organ or tissueDrinking water – 0.5 rem first yearIn the Intermediate Phase the focus is on Relocation and imposing food or drinking water protections. The drinking water PAG is being proposed in the draft revised PAGs Manual, so it is still subject to public comment and possible change.
51Approach to Late Phase PAGs Focus on process for reaching consensus decision on acceptable levels of cleanIdentify stakeholders that need to be included in decision making processIdentify factors that need to be consideredDescribe protective actions that can be taken during recovery phase
52EPA Response AssetsRadiological Emergency Response Team (RERT)National Decontamination Team (NDT)Environmental Response Team (ERT)Mobile laboratories and sample prep vehiclesOn-Scene Coordinators (OSCs)Nationwide radiation monitoring system - RadNet
53Radiological Emergency Response Team (RERT) EPA’s radiological response assets include:Trained respondersTeam commanders and specialistsEquipment and mobile laboratory capabilitiesRERT expertise includes:Radiation monitoringRadionuclide analysisRadiation health physicsRisk assessmentEPA's Radiological Emergency Response Teams (RERT)The RERT is comprised of experts (more than 50 staff) in health physics, nuclear engineering, biology, and related disciplines who can assist in monitoring and assessing radiological emergencies. Members of the team are on standby alert at all times. The team is equipped with field monitoring instruments, communication equipment, mobile command posts, sample preparation trailers, and mobile analytical labs.Radiation Environmental LaboratoriesThe NAREL and the R&IENL are EPA’s two radiological facilities in Montgomery, AL and Las Vegas, NV.Focus is on identifying and assessing potential impacts of low-level contamination.
54Radiation Monitoring Network RadNet:Approximately one station per state (60)Samples air, precipitation, drinking water, and pasteurized milkUpgrades being implemented:Additional stations (140 – 180 stations total)Mobile stations (40 stations)Real time dataBetter coverage of US populationEPA operates RadNet for measuring radioactivity and other contaminants in various environmental media. RadNet has 260 sampling stations throughout all 50 states and the U.S. territories to collect samples of air, precipitation, drinking water, surface water, and pasteurized milk in order to measure ambient levels or radioactivity in the environment. The frequency with which stations are monitored can be increased to once per day, if warranted by an emergency situation.