@NACCHOalerts th St NW Washington, DC Integrating GIS Mapping into Radiation Emergency Response Planning to Maintain Situational Awareness in the 50 mile EPZ Surrounding Nuclear Power Plants National Radiological Emergency Preparedness Conference 2016 Annual Meeting and Training Charleston, South Carolina Patrick P. Rose, PhD Thursday, May 5 th, 205

@NACCHOalerts th St NW Washington, DC About NACCHO: The National Association of County and City Health Officials (NACCHO) represents the nation’s 2,800 local health departments (LHDs) and 162,000 employees. NACCHO’s mission: To be a leader, partner, catalyst, and voice for LHDs in order to ensure the conditions that promote health and equity, combat disease, and improve the quality and length of all lives. A Leader In Public Health 2

@NACCHOalerts th St NW Washington, DC Taking The Lead In Public Health Security 3

@NACCHOalerts th St NW Washington, DC Using GIS To Integrate Public Health Into Radiation Response Activities 4

@NACCHOalerts th St NW Washington, DC A sense of capability and capacity to respond to a disaster enhances operations to ultimately save more lives. Should a radiological/nuclear (RN) incident occur in the United States, communities at the local level will be immediately overwhelmed and require broad support from all levels of government. Leverage Public Health To Manage Response Gaps 5

@NACCHOalerts th St NW Washington, DC Mind The Gap To Meet Response Needs Barbisch and Koenig (2006) Academic Emergency Medicine 6

@NACCHOalerts th St NW Washington, DC Recognize vulnerabilities and how to leverage cross-jurisdictional, state, and Federal resources and assets in order to fill in immediate gaps of response & recovery operations. Coordinating Activities Efficiently Saves Lives 7

@NACCHOalerts th St NW Washington, DC Mapping Challenges and Gaps Improves R&R Capacities 8

@NACCHOalerts th St NW Washington, DC The Role of Public Health Beyond ESF-8 Activities 9

@NACCHOalerts th St NW Washington, DC Synchronize public health emergency response activities Coordinate public health activities within local communities Incorporate existing infrastructure to augment or complete public health response strategies Enhance the reach into communities to identify functional needs populations Leverage Existing Systems For Public Health Responses 10

@NACCHOalerts th St NW Washington, DC Coordinating Response & Recovery Structures 11

@NACCHOalerts th St NW Washington, DC Coordination Structure FEMA Federal Interagency Operational Plans 112

@NACCHOalerts th St NW Washington, DC PH Response & Recovery System 13

@NACCHOalerts th St NW Washington, DC In Depth Response & Recovery Coordination 14

@NACCHOalerts th St NW Washington, DC Complexities Of R&R Coordination Creates Barriers 15

@NACCHOalerts th St NW Washington, DC Public Health Challenges 16

@NACCHOalerts th St NW Washington, DC Radiological emergency preparedness is not a high priority many jurisdictions, with limited resources being the most common reason. A combination of lost funding and subsequent attrition of important public health positions further adds to the root causes of why radiological emergency planning is not a high priority; and reflected in the majority of these jurisdictions having zero to five staff of which are well versed in radiological emergencies. Challenges In Preparedness 17

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@NACCHOalerts th St NW Washington, DC Logistical Challenges Can Be Overwhelming If Underestimated 200

@NACCHOalerts th St NW Washington, DC Federal Staging Areas National Guard Staging Areas Medical Countermeasure Distribution Evacuation Sites Shelters Screening & Decontamination outside of CRCs Community Reception Centers Hospitals Fire & Rescue, Law Enforcement Pre-Event PH Is A Partner In Planning Activities 211

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@NACCHOalerts th St NW Washington, DC Damage Zones Plume Modeling Fire Control Evacuation Routes Medical Centers Critical Infrastructure Population Monitoring Population Relocation PH Integrated In Response Event 233

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@NACCHOalerts th St NW Washington, DC Security Damage Assessments Structural Integrity Analysis Transportation Infrastructure Agriculture Embargo Environmental Scans Behavioral Health Functional Needs Support Post-Event PH As Part Of Recovery 277

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@NACCHOalerts th St NW Washington, DC Create and share maps and data that results in more informed analyses and better health outcomes. Provide visualizations of complex datasets (e.g., vulnerable populations) to assist with critical decision making. Identify trends without time-consuming analysis for a more informed response process. Assist with tracking issues in time and space to model projections for present day decision making. Public Health’s Incident Planning Contributions 29

@NACCHOalerts th St NW Washington, DC Overcoming Barriers 30

@NACCHOalerts th St NW Washington, DC Data Management Remains A Challenge 31

@NACCHOalerts th St NW Washington, DC Full Interoperability Has Not Been Achieved 332

@NACCHOalerts th St NW Washington, DC Thank you Patrick P. Rose, PhD