1. Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication Edward J. Gabriel, M.P.A., A.E.M.T.-P Deputy Director Office of Emergency Management City of New York Edward J. Gabriel, M.P.A., A.E.M.T.-P Deputy Director Office of Emergency Management City of New York

2. Local Agencies/Organizations State Agencies/Organizations Federal Agencies/Organizations Health Agency Coordination Emergency Management Hospitals State Emergency Management Office of Occupational Safety and Health (COSH) Environmental Protection Agency (EPA) Federal Emergency Management Agency (FEMA) Public Employee Safety and Health Bureau (PESH) Office of the Chief Medical Examiner U.S. Dept. of Health and Human Services Dept. of Environmental Conservation Dept. of Environmental Protection EMS, PD, FD Occupational Safety and Health Administration (OSHA) State EMSDept. of Mental Health Public Health ServiceState Dept. of HealthDept. of Health

3. Coordination of Local Agencies: Public Health, Hospitals & Emergency Responders

4. One Voice !!!!!!!!!!

5. Incident Command System & Decision Making  Understanding of how the system coordinates multi-agency responses to field and non-field emergencies.

6. Local Preparedness & Local Resource Stockpiles

7. Syndromic Surveillance Systems  Pre-Clinical –Over the counter (OTC) pharmaceutical sales –Data collection hotlines –Medical examiner numbers –Suspicious substances  Clinical –911 ambulance dispatch –Sick leave usage –Emergency department visits –Clinical laboratory submissions

8. “Syndromic Surveillance” Ideal Characteristics:  Does not rely on physician reporting  Data already collected routinely  Immediately computerized  Population-based  Categorized by syndrome

9. Health Care System & Provider Protections MD’s, RN’s, EMS, Firefighters, Police Officers, etc.