1. Cochise County Health Department Bioterrorism Preparedness: IGA Presentation March 27, 2007 Elizabeth Lueck, BT Program Coordinator Vaira Harik, Health Director

2. Intergovernmental Agreement between Cochise County and AZ Dept. of Health Services Contract #:HG754193 Description Price. CDC Emergency Preparedness & Response$350,079 Pandemic Influenza, Phase II$105,405 Early Warning Infectious Disease Surveillance$ 50,000 Total$505,484 Term: 4/1/2007 – 8/30/2011

3. Context: The National Response Plan (NRP) Following 9/11/01 the Dept. of Homeland Security was formed and a National Response Plan for disaster response was put in place. “The NRP forms the basis of how federal departments and agencies will…coordinate with state, local, and tribal governments and the private sector during incidents.” Dept. of Health and Human Services (CDC) was put in charge of public health-related responses. Contracts: US HHS (CDC)  AZ DHS  Cochise County Health Dept.

4. Bioterrorism Preparedness Objective Establish and test protocols to help the County respond to natural and manmade hazards, prevent loss of life, and protect public health. The Cochise County Health Department is the lead County agency in this effort.

5. BT-Preparedness at Cochise County Health Dept. 2002-2004 “Stocking and Staffing” 2004-2006Plan Writing, Outreach to Working Partners 2007Drill and Exercise 2007-2011Plan Refinement Continuation of Drilling and Exercising.

6. The CCHD Bio-Terrorism Preparedness Program Is: ~$505K/Year for 5 years, 2007-2011. Emergency Preparedness Planning Disease Surveillance & Reporting Volunteer Management Community Preparedness Education Coordination with County Agencies Stakeholder Outreach (e.g. Mutual Aid Agreements) Drills and Exercises

7. Bioterrorism Preparedness Positions: Program Coordinator 1.0 FTE Emergency Response Liaison 1.0 FTE Surveillance Specialist 1.0 FTE Secretary II 1.0 FTE Health Educator 0.5 FTE SIREN/MEDSIS Liaison 0.2 FTE EWIDS Bi-National Liaison 0.1 FTE PHN III 0.2 FTE Total5.0 FTE

8. Who We Work With… Hospitals: Infection Control Practitioners Emergency Responders: Law Enforcement, Fire, EMS Attorneys: Isolation & Quarantine, MOU’s, Volunteer Liability Infectious Disease Responders: Countywide & Bi-National Our Community: Schools, Religious Leaders, Elected Officials, Civic Organiz. M.E. & Mortuaries: Mass Casualties State and Federal Partners:AZ Dept. of Health Services, Natl. Centers for Disease Control (CDC)

9. Winter 2007 Preparedness Events Mass Vaccination Exercise, 1/20/07 Open Point of Dispensing at Douglas Health Dept. 100 free adult doses made available over 2 hours. Measure Clinic Through-put & Practice Incident Command. Hazardous Materials Drill, 2/26/07 February 26 th Chlorine/Flu Awareness. Douglas Airpark. BT Team & 3 County Hazmat Teams.

10. Spring/Summer 2007 Preparedness Events School Pandemic-Flu Preparedness Planning (May) Hospital Table-Top Exercise (June) Communication Enhancements (Ongoing) Roll out event disease detection system to health care providers (August) Increase number of Public Health Volunteers (Ongoing) Staff Incident Command Education (Completed)

11. (RECAP.) Intergovernmental Agreement between Cochise County and AZ Dept. of Health Services Contract #:HG754193 Description Price. CDC Emergency Preparedness & Response$350,079 Pandemic Influenza, Phase II$105,405 Early Warning Infectious Disease Surveillance$ 50,000 Total$505,484 Term: 4/1/2007 – 8/30/2011

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