Presentation is loading. Please wait.

Presentation is loading. Please wait.

Healthy NH Shelters October 29, 2014. Acknowledgements  Shelter Surveillance Work Group and Exercise Planning Team  Participants – that’s you!  Funding.

Similar presentations


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:

1 Healthy NH Shelters October 29, 2014

2 Acknowledgements  Shelter Surveillance Work Group and Exercise Planning Team  Participants – that’s you!  Funding

3 Thank you!  Manchester Health Department for letting us use their space  American Red Cross for providing refreshments

4 Healthy NH Shelters  Exercise Briefing  October 29, 2014  Manchester Health Department  Exercise Scope: tabletop; 2 hours  Mission area: Response

5 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

6 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

7 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

8 Exercise Structure  2 modules  Break  Hotwash & Evaluation Forms

9 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.

10 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

11 Module 1: Storm Headless Horseman

12 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.

13 10/22/14 In the news……  ISIS Using Chemical Weapons?  Ebola Quarantine Rules  Will Hawaii’s Volcanic Menace Stop?

14 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

15 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?

16 10/23/14 – Storm Headless Horseman hits NH  Heavy rains  High winds  Saturated ground

17 10/23/14  Flash Flood Watch in effect for entire state of NH

18 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

19 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

20

21

22

23

24 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

25 10/24/14 – ARC Shelter  American Red Cross sets up a shelter in the neighboring region

26 Discussion  What is your agencies role in setting up, running or assisting shelters during emergencies?  How can your agency help with surveillance in shelters?

27 Discussion  Are there existing laws, plans, policies or procedures that can assist with conducting surveillance in shelters?

28 Surveillance in Shelters  When does the surveillance process start for shelters?  Should any of the surveillance forms be started prior to opening a shelter?

29 Module 2: Granite State High School Shelter

30 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.

31 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

32 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

33 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

34 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?

35 Discussion  What communication pathways exist between shelters (including ARC shelters) and the state?

36 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!

37

38 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

39 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?

40 Discussion  Who keeps track of the summary forms and monitors for trends?  If a possible outbreak is identified, who assists?

41 10/26/14 – 10/28/14  GSHS has been filling out the summary form and sending it to the NH DHHS ICC address daily

42 10/28/14 – Concord, we have a problem

43 Discussion  What is the problem?  Who gets notified?  Who takes control of the outbreak investigation?

44 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?

45 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

46 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?

47 Remaining Thoughts?

48 Hotwash  Strengths  Areas for Improvement

49 Thank you for coming!  Please fill out your evaluation form before you leave!

50


Download ppt "Healthy NH Shelters October 29, 2014. Acknowledgements  Shelter Surveillance Work Group and Exercise Planning Team  Participants – that’s you!  Funding."

Similar presentations


Ads by Google