1. New Jersey Preparedness Training Consortium Continuing Education for Health Care Professionals SPH 13 th Annual Summer Institute for Teachers Preparing for Bioterrorism and Other Health Threats August 11, 2006 Patricia L. Fleming, PhD, MS Professor, NJ Medical School & School of Public Health, UMDNJ

2. Objectives Describe components of NJ’s system for recognizing and responding to health threats Identify NJ’s hazards and vulnerabilities Identify steps to preparedness –Personal –Workplace/School –Other

3. Public Health EmergencyManagement Healthcare Delivery System competency capability capacity The Health Emergency Preparedness and Response Triad

4. Emergency Management New NJ Dept. of Homeland Security Office of Emergency Management State of emergency Local police, fire, rescue Incident Command System in disasters

5. Unified Command (Representatives From Local Jurisdictions) Finance/ Administration Logistics Planning Operations

6. EOC Organization EOC Manager Coordination Communications Resource Management Information Management

7. Key Public Health Components New Jersey Department of Health and Senior Services Laboratory response network Local health departments Local Information Network & Communications System (LINCS)

8. NJ Local Information Network & Communications System: LINCS 22 local (county/city) public health agencies Secure, encrypted web portal access and email messaging Health Alert Network (HAN) Role of LINCS Staff: epi, nurse, planner, coordinator NJDHSS networks to > 30,000 local personnel Communications hub Coordinate/Activate with local health depts., emergency management, law enforcement, first responders, hospitals, etc. http://www.nj.gov/health/lh/lincs/index.html http://www.nj.gov/health/lh/directory/lhdselectcounty.htm

9. Public Health Activities Detection - Health surveillance by clinical providers and laboratories –Notify Public Health (Local HD/NJDHSS) Rapid Laboratory Diagnosis –Laboratory response network (LRN) Epidemiologic Investigation –Public health workers identify exposure risks Implementation of Control Measures Pharmaceutical Stockpile Medical Reserve Corps

10. Healthcare Delivery System >250,000 health professionals in NJ Hospitals Regional Medical Coordination Centers Professional organizations NJHA, VA, others FQHCs

11. NJDHSS HECC Support NJDHSS (NJHA, Associations,VA, others) Local/County EOC State EOC New Jersey Health Emergency Response Network State Regional Team Hospital FQHC Other Health Organizations Incident Commander MCC Regional Medical Coordination Center MCC

12. Strategic National Stockpile & Strategic State Stockpile Purpose: Determine NJ ’ s need for pharmaceutical and medical supplies in case of CBRNE event Activities: Planning for mass medication and/or mass vaccination acquisition and distribution Preparing to meet needs of pediatric and geriatric communities State owned caches are stored strategically in NJ for deployment prior to the receipt of federal assets Request federal assistance if need exceeds capacity

13. Readiness/Response How SNS Assets are Deployed Readiness/Response How SNS Assets are Deployed State Requests Federal Assistance Need for Drugs and Medical Supplies Exceeds Local & State Resources In Consultation with the Surgeon General, Secretary HHS, HHS Office of Emergency Preparedness (OEP), FEMA and the FBI Augments Local/State Medical Materiel Resources SNS CDC Director Deploys SNS Assets

14. Oral Antibiotics IV Supplies Nerve Agent Antidotes Airway supplies Med/Surg Supplies (Clear)

15. RSS Site Hospitals 22 Local Agencies (LINCS Agency Health Departments ) POD

16. N.J.A.C. 8:57 New Jersey Administrative Code Title 8, Chapter 57 Purpose: to expedite reporting of certain diseases or outbreaks of disease for appropriate public health action

17. Communicable Diseases (infectious diseases, bioterrorism agents) Reporting of listed diseases is required by NJ state law and vital to protecting public health See list of reportable diseases in handouts Contact local/county health department Emergency notification to the state health department: 1-609-588-7500 1-609-392-2020 (after hours) Visit http://www.nj.gov/health/cd/izdphome.htm

20. Chemical Exposure (Poisons, Nerve Agents, Vesicants, Bio-toxins, Hazardous Chemicals) Contact your City/county LINCS NJ Poison Information & Education System 24/7 hotline Emergency treatment advice about exposure to poisons, medications, etc. 1-800-222-1222 NJ Department of Environmental Protection 24/7 hotline Report environmental incidents, hazardous chemical exposures 1-877-WARNDEP (1-877-927-6337) NJ Office of Emergency Management (NJ State Police) Coordinates all disaster mitigation and response statewide Hazardous Materials Emergency Response Planning Unit 1-609-882-2000

21. Radiation/Nuclear Exposure (dirty bomb, nuclear facility accident, sabotage, radioactive materials, nuclear weapons) Medical Consultation: Radiation Emergency Assistance Center/Training Site (REAC/TS) »1-865-576-1005 Notification: City/County LINCS Local law enforcement NJ Office of Emergency Management »(Radiological Emergency Response Planning and Technical Unit) »1-609-882-2000

22. Important phone numbers: Your city/county LINCS contact (see handout) NJ Dept. of Health & Sr. Services 1-609-588-7500 or -3121 1-609-392-2020 (after hours) NJ Poison Information and Education System 1-800-222-1222 NJ Office of Emergency Management 1- 609-882-2000 NJ Dept. of Environmental Protection 1-877-WARNDEP (1-877-927-6337)

23. Hazard Vulnerability Assessment Previously “all hazards” Post-Katrina, shift to state/local HVA, state/local responsibility to focus resources on priority hazards Federal lead limited to “societal transforming events” What are NJ’s hazards and vulnerabilities?

28. NJ’s Hazards & Vulnerabilities

29. Why should teachers and students be prepared? Natural events: risk of emerging/re-emerging/unusual infections SARS, West Nile, HIV and TB, monkeypox, pandemic flu Natural catastrophic weather-related and geophysical events Flooding, hurricanes, earthquakes Global political instability: risk of bio, chem, rad/nuclear terrorism Anthrax, Sarin gas “Conventional” terrorism climate of mass casualties from explosions/incendiary events WTC, OK City Failures of technology Bhopal, Chernobyl, Three Mile Island, flu vaccine shortage

30. If disaster strikes, where are you likely to be? N=168 hrs/week

31. Ready Together (hand out) Personal preparedness –Teachers –Students School emergency plan –Shelter-in-place –Evacuate Car

32. What can you do in your classroom? Have your own preparedness plan in place, reassure students that if disaster strikes while at school, you will be ready to respond Know your workplace emergency plan, chain of command, and your role and responsibilities Stimulate students to discuss their family preparedness plans at home, report back, identify gaps Familiarize students with the school’s emergency plan Assign students topics for research, report back, critique

33. Other Classroom Activities

35. Are we Prepared?

36. Thank you Please complete the evaluation form