Presentation on theme: "Healthy NH Shelters October 29, 2014. Acknowledgements Shelter Surveillance Work Group and Exercise Planning Team Participants – that’s you! Funding."— Presentation transcript:
Healthy NH Shelters October 29, 2014
Acknowledgements Shelter Surveillance Work Group and Exercise Planning Team Participants – that’s you! Funding
Thank you! Manchester Health Department for letting us use their space American Red Cross for providing refreshments
Healthy NH Shelters Exercise Briefing October 29, 2014 Manchester Health Department Exercise Scope: tabletop; 2 hours Mission area: Response
Objectives and Public Health Preparedness Capabilities Exercise ObjectiveCore Capability Identify the roles and responsibilities of the participating agencies during health surveillance in mass care shelters. PHP Capability 1: Community Preparedness; HP Capability 1: Healthcare System Preparedness Identify all existing laws, plans, policies and procedures related to health surveillance in shelters and how they can be coordinated for a more efficient response. PHP Capability 7: Mass Care
Exercise ObjectiveCore Capability Evaluate the guidance, policies, and protocols to implement health surveillance in mass care shelters. PHP Capability 7: Mass Care; PHP Capability 13: Public Health Surveillance and Epidemiological Investigation Evaluate communication flow and information sharing between the shelters, the SEOC and the NH DHHS ICC/DPHS. PHP Capability 3: Emergency Operations Coordination; PHP Capability 6: Information Sharing Assist the shelter with identifying and implementing infection prevention and control measures for the shelter. PHP Capability 13: Public Health Surveillance and Epidemiological Investigation
Participant Roles and Responsibilities Players: Respond to situation presented based on current plans, policies, and procedures Observers: Support players in developing responses, but do not participate in moderated discussion Facilitators: Provide situation updates and moderate discussions Evaluators: Observe and document player discussions
Exercise Guidelines This is an open, low-stress, no-fault environment. Varying viewpoints, even disagreements, are expected. Base your responses on the current plans and capabilities of your organization. Decisions are not precedent setting; consider different approaches and suggest improvements. Issue identification is not as valuable as suggestions and recommended actions that could improve efforts; problem-solving efforts should be the focus.
Assumptions and Artificialities The exercise is conducted in a no-fault learning environment wherein capabilities, plans, systems, and processes will be evaluated The exercise scenario is plausible, and events occur as they are presented All players receive information at the same time
Module 1: Storm Headless Horseman
Module 1 Objectives (30 mins) Identify the roles and responsibilities of the participating agencies during health surveillance in mass care shelters. Identify all existing laws, plans, policies and procedures related to health surveillance in shelters and how they can be coordinated for a more efficient response.
10/22/14 In the news…… ISIS Using Chemical Weapons? Ebola Quarantine Rules Will Hawaii’s Volcanic Menace Stop?
10/22/14 – Weather Forecast A major storm with torrential downpours and heavy winds is expected to hit NH Worry about power outages and flooding With Halloween around the corner the storm was nicknamed the Headless Horseman
Discussion What is your agencies role pre- event when bad weather is coming? Is there anything being done to pre-designate or set-up shelters?
10/23/14 – Storm Headless Horseman hits NH Heavy rains High winds Saturated ground
10/23/14 Flash Flood Watch in effect for entire state of NH
10/23/14 Multiple vehicle accidents across state 1 fatality; 5 sent to the hospital One person sent to the hospital after trying to clear a fallen tree from his driveway
10/24/14 – after the storm DPW starts to clear the damage Flash flood warning goes into effect Power is out to 300,000 people across NH
10/24/2014 – Shelter Granite State High School opens a shelter for residents, pets and individuals with functional needs It is run by the municipality with help from the Public Health Region
10/24/14 – ARC Shelter American Red Cross sets up a shelter in the neighboring region
Discussion What is your agencies role in setting up, running or assisting shelters during emergencies? How can your agency help with surveillance in shelters?
Discussion Are there existing laws, plans, policies or procedures that can assist with conducting surveillance in shelters?
Surveillance in Shelters When does the surveillance process start for shelters? Should any of the surveillance forms be started prior to opening a shelter?
Module 2: Granite State High School Shelter
Module 2 Objectives (70 mins) Evaluate the guidance, policies, and protocols to implement health surveillance in mass care shelters. Evaluate communication flow and information sharing between the shelters, the SEOC and the NH DHHS ICC/DPHS. Assist the shelter with identifying and implementing infection prevention and control measures for the shelter.
10/25/14 Power outages expected to be out for approximately 7-10 days Flooding severe in some places and people can’t return home
10/25/14 Both shelters are filling up quickly Granite State High School shelter 120 residents 30 volunteers/staff during the day 15 volunteers/staff at night 1-2 medical staff available each shift
Granite State High School Number Category Number Category 68Females52Males 35 Families w/o children 14Families w/children 1Service Dogs10 People with durable medical equipment 2 Group Home adult residents 2Group Home staff 30 Shelter staff – day shift 15 Shelter staff – night shift
Discussion Who oversees surveillance and infection control in shelters? Who would be tasked to contact the state to report outbreaks or communicable diseases? Who is responsible for triage at the shelter?
Discussion What communication pathways exist between shelters (including ARC shelters) and the state?
10/25/14 Granite State High School is working with the municipality and giving updates on shelter counts and issues to the LEOC Shelter mentions that they may need help with medical supplies for some of the residents from the group home The residents from the group home brought some yummy delicious Halloween cupcakes they made before the storm hit and shares them with everyone….they are so nice!
SEOC to GSHS The SEOC ESF-8 reaches out to the GSHS to check-in and asks if they have started to conduct surveillance using the forms GSHS didn’t know they were supposed to fill out forms
Discussion How can the GSHS access the forms? What can the SEOC do to assist the shelter? How can the shelter get the forms to the SEOC daily?
Discussion Who keeps track of the summary forms and monitors for trends? If a possible outbreak is identified, who assists?
10/26/14 – 10/28/14 GSHS has been filling out the summary form and sending it to the NH DHHS ICC address daily
10/28/14 – Concord, we have a problem
Discussion What is the problem? Who gets notified? Who takes control of the outbreak investigation?
Discussion What additional information is needed from the shelter? What measures are given to the shelter to try to stop the outbreak? What actions should have been taken before this started to prevent it?
Back to the cupcakes… Two of the ill residents are from the group home and one of the ill residents is a staff person from the group home. Investigation reveals that all the ill residents ate the cupcakes One resident is transported to the hospital for dehydration and test results point to norovirus
American Red Cross Shelter If this same situation happened at an ARC shelter: Who is notified? Who is in charge of notifying the state of an outbreak situation? What ARC resources are available to help mitigate the situation?
Hotwash Strengths Areas for Improvement
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