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NCHRP 20-59(44): A Guide for Public Transportation Pandemic Planning and Response Final Briefing Slides December 2013.

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Presentation on theme: "NCHRP 20-59(44): A Guide for Public Transportation Pandemic Planning and Response Final Briefing Slides December 2013."— Presentation transcript:

1 NCHRP 20-59(44): A Guide for Public Transportation Pandemic Planning and Response Final Briefing Slides December 2013

2 NCHRP 20-59(44) | pg 2 Research Team  Principal Investigator: Kim Fletcher, Loch Haven Partners  Abt Associates Inc.  The Louis Berger Group, Inc.  Environmental Security International/EnMagine, Inc.

3 NCHRP 20-59(44) | pg 3 Overview Phase I Literature Review Survey Interviews Phase II Final Guide Draft Guide Guide Review Final Guide Gaps Effective Practices Innovations Implementation Plan Final Briefing Slides

4 NCHRP 20-59(44) | pg 4 Literature Review  Literature review of publications, websites, and other information posted by transportation, health, and other relevant agencies –Websites of the federal agencies (FEMA, DHHS, CDC) and TRB’s Transport Research International Documentation (TRID) database –EBSCO Academic Search Complete –Other research by team members  Information collected was categorized into four groups –Domestic and international government guidance and reports –State and local pandemic plans –Journal articles –Non-governmental organization reports

5 NCHRP 20-59(44) | pg 5 Survey  Survey goal was to gather the following information on pandemic planning: –The extent to which pandemic planning is occurring –The level of interagency collaboration is taking place –Policies and procedures to continue transportation operations –Barriers to pandemic planning  We received 47 responses to the survey Transit organizations (34.9%) Public health agencies (27.9%) Emergency management agencies (14%) Others: Department of Social Services, non-specified local and federal government agencies, and consulting firms

6 NCHRP 20-59(44) | pg 6 Interview Process and Results  Targeted the following audiences: –Rural and small urban transit providers –Local human service agencies offering public transportation –State department of transportation (DOT) agencies –Non-transit regional, state, and local agencies –Transportation and planning organizations or universities  Reached out to 55 interview candidates and conducted interviews with 20  Interview questions were compiled in an Interview Guide to ensure consistency across interviews  The literature review, survey, and interview results all indicate a lack of pandemic planning experience by rural and small urban transit organizations

7 NCHRP 20-59(44) | pg 7 Findings of Synthesis Report Gaps Limited resources, guidance, and plans available for rural and small urban transit systems Gaps in pandemic planning are largely due to limited resources (staff) and funding availability Many agencies do not target persons with disabilities Current Practices Coordinating across all levels and types of organizations Ensuring worker protection and vaccination during a pandemic Developing a plan for effective distribution of vaccines and medical countermeasures Training and drills for responders and transportation workers Support for persons with disabilities and functional and access needs Innovations Planning more effective preventative measures (e.g., drive-through vaccination clinics) Developing information management tools to identify populations in need Using remote communication technology and networks to distribute pandemic flu planning information and disease tracking at the local level

8 NCHRP 20-59(44) | pg 8 Phase II: Guide Development

9 NCHRP 20-59(44) | pg 9 Stakeholder Review  Target audience: local, state, regional, tribal, and federal representatives with responsibility for pandemic planning –Stakeholders contacted through listservs and organizations related to transportation and pandemic response  Public webinar held for interested parties –20 organizations attended, including transportation agencies, non-transit governmental agencies, and private corporations  Further feedback solicited through and telephone interviews

10 NCHRP 20-59(44) | pg 10 Stakeholder Feedback  While overall feedback was positive, specific suggestions were limited  The key suggestions we received and incorporated in the final guide include: –Provide more “how-to” details –Make the guide more concise, when possible –Provide more links to information from CDC, Flu.gov, the Occupational Safety and Health Administration, and local health departments

11 NCHRP 20-59(44) | pg 11 Panel Review  Incorporated edits to draft guide based on panel comments: –Language simplified to improve readability –Checklists reformatted for clarity –Pandemic definition revised –Specific editorial comments incorporated

12 NCHRP 20-59(44) | pg 12 Overview – Final A Guide for Public Transportation Pandemic Planning and Response December 2013 (Reflects Stakeholder and Panel Feedback)

13 NCHRP 20-59(44) | pg 13 Chapter 1: Introduction  How to use the document based on an organization’s experience level and size  What is important to know about pandemics?  Pandemic impacts to transportation organizations  Case study: pandemic influenza versus seasonal flu  Understanding how pandemics differ from other hazards  When to activate your pandemic plan

14 NCHRP 20-59(44) | pg 14 Chapter 2: How Prepared is an Organization for a Pandemic?  Traditional components of a comprehensive emergency management program: mitigation, preparedness, response, and recovery  How all-hazards disaster management supports pandemic response –80% of pandemic response is generic to all disasters  Identifying organizational vulnerabilities during a pandemic

15 NCHRP 20-59(44) | pg 15 Chapter 3: Decision Making and Partnerships  Decision making –Clarity in delegation of responsibility and authority is key –Incident command system facilitates decision making  Working with partners –How to be an effective partner –Potential partners in pandemic response –Being active in the community  Establishing an emergency operations center  Developing strategies to ensure timely and relevant information exchange in a pandemic  Role of policy makers

16 NCHRP 20-59(44) | pg 16 Chapter 4: Preventing the Spread of Disease  Measures that prevent the spread of disease – engineering controls, administrative controls, personal protective equipment, hand hygene, environmental hygene, social distancing, and ventilation  Non-pharmaceutical interventions –Characteristics that determine the effectiveness of non- medicated community containment –Examples of containment measures with specific considerations for transportation organizations  Cleaning and disinfection of transportation assets  Medical Interventions

17 NCHRP 20-59(44) | pg 17 Chapter 5: Providing Services During a Pandemic  Identifying essential functions  Service utilization changes –Normal ridership likely to decrease –Potential influx of people without vehicles from urban areas  Providing services for ill passengers –Direct and indirect pandemic transmission Examples of illnesses that spread directly or indirectly Preventative actions for directly and indirectly transmitted disease

18 NCHRP 20-59(44) | pg 18 Chapter 6: Workforce  Causes of changes in normal staffing routines  Preparation of human resource policies  Family preparedness planning

19 NCHRP 20-59(44) | pg 19 Chapter 7: Crisis and Emergency Risk Communication  Communication during a crisis must be simple, concise, and consistent –Keep staff informed –Track and rapidly respond to rumors –Use diverse communication methods  Predetermine methods for rapid and accurate public information  Utilize traditional media (e.g. press releases, press conferences, distribution, etc.) and social media (e.g. Twitter, Facebook, etc.) for disseminating public information

20 NCHRP 20-59(44) | pg 20 Assessment Tools and Checklists  Sample Pandemic Activation Matrix  Pandemic Vulnerability Assessment  Decision Making and Partnership Planning Tool  Preventing the Spread of Disease Checklist  Providing Services During a Pandemic Checklist  Workforce Checklist  Public and Media Relations Checklist

21 NCHRP 20-59(44) | pg 21 Implementation Plan  Intended audiences: rural and small urban transit organizations  Impediments to implementation: –Budgetary constraints, lack of resources, abstract nature of threat, cultural barriers/turf barriers, and the infrequent nature of the threat  Potential leaders in guide implementation: –Transportation and public health organizations (including TRB); federal, state, and local agencies  Online implementation support  Criteria for measuring implementation progress and consequences  Update regularly (every 3 years) – with new tools and lessons learned


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