1. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Bridging the Gap: Utilizing Community Partnerships in Developing Community Threat and Hazard Identification and Risk Assessment (THIRA) Conference Track: Interoperable Communications/Information/Intelligence Sharing and Preparedness Partner

2. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Introductions George DeTella Chief, Office of Risk and Emergency Management DuPage County Health Department Phone: (630) 221-7121 Email: gdetella@dupagehealth.org David Bunge Emergency Management Coordinator DuPage County Office of Homeland Security and Emergency Management Phone: (630) 407-2937 Email: David.Bunge@dupageco.orggdetella@dupagehealth.orgDavid.Bunge@dupageco.org

3. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Presentation Overview 1.Introductions 2.Presentation Overview 3.DuPage County THIRA Overview 4.Recommended First Steps to THIRA 5.THIRA Step One: Identify the Threats and Hazards of Concern 6.THIRA Step Two: Give the Threats and Hazards Context 7.THIRA Step Three: Examine the Core Capabilities Using the Threats and Hazards 8.THIRA Step Four: Set Capability Targets 9.THIRA Step Five: Apply the Results 10.THIRA Challenges 11.Question And Answer Period

4. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series DuPage County THIRA Overview 1.We have yet to receive UASI and/or State guidance concerning our role and responsibilities with THIRA but we are expecting guidance and requirements in July 2012. 2.Based on our need to update Public Health Emergency Preparedness (PHEP) guidance and the need to expand our current hazard mitigation planning in detailing technological and human caused hazards we have begun to conceptualize a THIRA process. 3.We have come to understand that multiple organizations in the county are gathering information on hazards and community profile information; we realize the need to consolidate and focus this information in a centralized and focused structure and method; THIRA seems like a good focal point.

5. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series DuPage County THIRA Overview 4.As a health department working within the PHEP guidance we wanted to develop a collaborative working relationship to develop a better common operational picture; THIRA provides a framework to understand the process. 5.The challenge and starting point is available funding and personnel to complete this process with significant research and development; we anticipate starting with readily available information. 6.Even working through the information and its sources will be a tremendous benefit as it will hopefully lead to a more streamlined process.

6. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Recommended First Steps to THIRA Basic Elements of the THIRA Process

7. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Recommended First Steps to THIRA CPG 101: Steps in the Planning Process

8. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Recommended First Steps to THIRA 1.Organize Resources and Form a Collaborative Project (Program) Team. Based on FEMA 386-1 State and Local Mitigation Planning and CPG 101 form a project and long-term program team of appropriate organizations. 2.Assess Organization Roles and Responsibilities. There are very likely multiple agencies and organizations involved in the THIRA process; identify the right organizations to ensure threat, hazard, capabilities, and capability information and intelligence are developed and maintained as appropriate. 3.Review Existing Jurisdictional Inputs and Information. The organizations may not be universally aware of the information being collected currently that can be part of or increase the capacity of the THIRA process. 4.Determine THIRA Project/Program Goals and Objectives. Emergency management and public health have existing preparedness activities - e.g. Hazard Mitigation and Public Health Emergency Preparedness (PHEP) – with existing planning cycle requirements; THIRA goals and objectives are likely to be long-term and require careful integration with operational and program requirements. 5.Initiate THIRA Process.

9. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Identify Threats and Hazards of Concern 1.Develop and standardized hazards/threat profiles throughout the county (potentially state/region) that can be easily understood by all partners in the THIRA process. 2.Develop and standardized hazard impacts (all-hazard impacts) connecting hazards and impacts that can again be easily understood by all partners in the THIRA process. 3.Expand the threat analysis to threats outside “current” mitigation planning requirements (primarily focusing on natural hazards) to a natural, technological, and human-caused hazard (all-hazard) analysis. 4.Include emergency management, public health, and additional THIRA partners in identifying hazards and threats. 5.As a Chicago Metropolitan Statistical Area (MSA) county we have decided to analyze regional and Chicago based threats as our working population is split 50/50 in commuting to and from Chicago. 6.We are carefully considering hazard frequency as non-frequent hazards may be extremely severe if they were to occur, while conversely frequent hazards cumulative impact may be overlooked.

10. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Identify Threats and Hazards of Concern THIRA Guide: Table 2 Types of Threats/Hazards and Examples NaturalTechnologicalHuman-caused Resulting from acts of nature Involves accidents or the failures of systems and structures Caused by the intentional actions of an adversary Disease OutbreakCBRNE – Anthrax

11. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Give the Threats and Hazards Context 1.Develop hazard context. For example: influenza is considered by severity and type of outbreak with when (time and season) or where (location) being priorities. a.1918 Flu Pandemic b.2009 H1N1 Flu Pandemic c.2002 SARS Outbreak 2.Develop hazard context. For example: with CBRNE – Anthrax is considered by method of attack (time or “awareness” of impact) with a location outside of DuPage County: a.Attack with no warning (covert) and “awareness ” by regional patients/deaths with no awareness of attack location or scope b.Attack with warning by sensors c.Attack with warning or notice by advisory – hours after the attack with no known location d.Attack discovered and disrupted during execution

12. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Give the Threats and Hazards Context THIRA Guide: Table 3 Example Descriptions Threat/Hazard GroupThreat/Hazard Type NaturalDisease Outbreak a.1918 Flu Pandemic b.2002 SARS Outbreak c.2009 H1N1 Flu Pandemic Human CausedCBRNE – Anthrax a.Attack with no warning (covert) and “awareness ” by regional patients/deaths with no awareness attack location b.Attack with warning provided by sensor elements c.Attack with warning or notice by adversary – hours after the attack with no known location d.Attack discovered and disrupted during execution

13. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Examine the Core Capabilities Using the Threats and Hazards 1.Develop core capabilities (table 4 CPG 201) desired outcomes based on current (actual) capability levels and on measurable (quantifiable by time, percentages, numbers, etc.) results. 2.Develop estimated impacts for core capabilities (table 5 CPG 201) based on current (actual) capability levels and on measurable (quantifiable by time, percentages, numbers, etc.) results.

14. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Examine the Core Capabilities Using the Threats and Hazards THIRA Guide: Table 4 Example Desired Outcomes (Anthrax) Core CapabilityDesired Outcome PlanningComplete planning in strategic, operational, and tactical elements as appropriate based on applicability (make planning operational) Public Information and Warning Have JIC/JIS operationally ready with teams, facilities, equipment, systems, and materials ready for operations in the first 12 hour operational period Operational CoordinationHave EOC(s) and as appropriate incident and area command teams, SOP/SOGs, developed and understood and fully functioning in the first 12 hour operational period Responder Safety and Health* Ensure all first responders have the appropriate level of medical countermeasures in the first 12 hour operational period Medical Materiel Management & Distribution* Have all medical countermeasures delivered from RDS to distribution sites within 6 hours of receiving the shipment from Federal/State Medical Countermeasure Dispensing* Organize and implement as many PODs as possible that can operated effectively and maintained for six (6) consecutive 12 hour operational periods

15. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Examine Estimated Impacts for Core Capabilities THIRA Guide: Table 5 Example Estimated Impacts for Core Capabilities (Anthrax) Hazard Common Core Capabilities PlanningPublic Information and Warning Operational Coordination Attack with no warning (covert) and “awareness ” by regional patients/deaths with no awareness attack location Time and public/political pressure to implement the entire Strategic National Stockpile (SNS) to DuPage will be immense. Time to implement operations is so critical planning must be operational Anthrax, as a weapon or terror, would cause a significant level of public distress and confusion regardless of the location, scale, and actual impact of the attack. Time is uncompromising and JIT training for leadership and command and management personnel is an unlikely outcome for the first operational period.

16. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Examine Estimated Impacts for Core Capabilities THIRA Guide: Table 5 Example Estimated Impacts for Core Capabilities (Anthrax) Response Capabilities Public Health and Medical Services Responder Health and Safety Medical Materiel Management & Distribution* Medical Countermeasure Dispensing* Medical surge impact due to fear and public perception. Small number of fatalities and causalities in DuPage County. Regional causalities and fatalities expected. Provide 5,000 regimens of medication to county first responders within the first 12 hour operational period. Provide 1,000,000 regimens of medication to county Point of Distribution (POD) sites. Using PODs provide 1,000,000 regimens of medication to the entire population of DuPage County within two (2) 12 hour operational periods from receiving medication from Federal/State agencies.

17. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Set Capability Targets 1.Develop capability targets (table 6 CPG 201) based on the nexus of: 1.Core capability desired outcomes (table 4) measurable (quantifiable by time, percentages, numbers, etc.) results. 2.Core capability estimated impacts (table 5) based on appropriate impacts through the common capabilities and mission areas: prevention, protection, mitigation, response, and recovery. 3.Setting capability targets (table 6) based on desired outcomes and highest potential impact and through analysis setting the capability target.

18. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Set Capability Targets THIRA Guide: Table 6 Set Capability Targets (Anthrax) Core CapabilityDesired Outcome Public Health and Medical Services Capability Target: Responder Health and Safety Capability Target: Medical Materiel Management & Distribution* Capability Target: Medical Countermeasure Dispensing* Capability Target:

19. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Apply the Results 1.Validate preparedness efforts and develop strategic planning in order to justify ever tightening funding for mitigation activities, equipment, and resources. 2.DCHD Five Year Strategic Plan Integration 3.DuPage County Office of Homeland Security and Emergency Management (OHSEM) All-Hazard Mitigation Plan Review and Update 4.DuPage County Hybrid Planning Approach: Pandemic Influenza 1.Scenario-based: 1918 Pandemic Influenza 2.Scenario-based: Anthrax Attack 3.Function-based: County EOP Functional Annexes 4.Capability-based: THIRA Based – identified core capabilities, desired outcomes, estimated impacts, capability targets, and application of results

20. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Potential Challenges 1.THIRA process and the CPG 101 planning process should be integrated as needed. 2.Integrating THIRA into current mitigation planning doctrine; e.g. the focus of impacts on capabilities versus community profile; is challenging. 3.Apply the results when it comes to acquiring additional funding regardless of source (municipal bonds, federal grant funding, etc.) during these tough fiscal times seems a daunting prospect. Capability targets are more rationally what we can accomplish within existing county resources first; looking for assistance regionally second; and third within the state; this is including public, private, and non-profit partnerships. 4.Recommend a focus on the common core capabilities as a priority – planning, public information and warning, and operational coordination – prior to applying the results to the remaining core capabilities.

21. Office of Risk and Emergency Management: Emergency Preparedness Professional Development Series Question and Answer Period