1. Ohio Department of Health1 The State of Ohio Weapons of Mass Destruction BIO TERRORISM PROTOCOL PROCEDURES FOR LOCAL, STATE AND FEDERAL PERSONNEL AND AGENCIES

2. Ohio Department of Health2 BIO-TERRORISM THERE ARE A NUMBER OF THINGS WHICH MAKE THIS TYPE OF INCIDENT DIFFERENT FROM OTHERS NON TRADITIONAL RESPONDERS INVOLVED

3. Ohio Department of Health3 AGENCIES INVOLVED LOCALLY –EMA –EMS –FIRE –HEALTH DEPT –HOSPITAL –LAW ENFORCEMENT –POISON CONTROL STATE & FEDERAL –CDC –FBI –EMA –OSP –STATE DEPT OF HEALTH –USPHS

4. Ohio Department of Health4 FIRE Ohio Revised Code places senior fire officer in charge Responsible for interagency coordination Incident Command System Unified Command Hazmat

5. Ohio Department of Health5 POLICE This is a crime scene Primary job is securing the scene and the preservation of the evidence –building security –interagency coordination of all law enforcement

6. Ohio Department of Health6 EMS Support of Hazmat team Decon Triage Transportation Team Vitals Patient monitoring Coordination with LHD for pt. monitoring

7. Ohio Department of Health7 HEALTH Local Health Department contacts Ohio Department of Health Assist in processing victims if applicable Long term monitoring of patients Support of command with information about the agent Coordinates with local hospitals Sends liaison to hospital for patient inventory Contact Poison Control/CDC

8. Ohio Department of Health8 EMA Local EMA is charged with coordination of services Notifies State EMA Finds needed resources State EMA coordinates at the state level Opens EOC as needed

9. Ohio Department of Health9 In state buildings, in charge of security ODH labOSUOSP may coordinates transportation of the sample to ODH lab at OSU Maintains the chain of custody and coordinates with FBI Transportation will be air and ground

10. Ohio Department of Health10 By Federal Law, FBI is charged with the investigation if a crime exists. Will coordinate the scene with local officials There are coordinators in Cleveland, Columbus, and Cincinnati

11. Ohio Department of Health11 OHIO DEPARTMENT OF HEALTH Disaster ResponseInfectious Disease Bureaus CDCDisaster Response and Infectious Disease Bureaus will establish a bridge line with CDC and the on scene incident commander ODHLabODH Lab will accept samples from scene and process them for identification. ODH will support local health department

12. Ohio Department of Health12 Scenario: Anonymous Caller- No Device Found Telephone call received No evidence is seen ICS must decide on building evacuation Secondary device should be considered Officials notified

13. Ohio Department of Health13 Scenario: Device Found Threat is received Evidence found All potentially exposed personnel must be contained Decontamination process established Officials notified Patients monitored

14. Ohio Department of Health14 Scenario: Potential Threat Opened - Material Present Envelope or package is received Has some type of alleged agent inside Package should be contained Area should be contained Officials notified Personnel decontaminated

15. Ohio Department of Health15 Scenario: Envelope Open- No Material Person opens an envelope or package Information inside advises of anthrax contamination Nothing seems to be in the envelope –Envelope or box should be contained –Notify officials –Secure area –DECON to be determined

16. Ohio Department of Health16 Person does not open envelope or package Handle as law enforcement investigation –Notify officials –Envelope or box should be contained (double bagged and into container) –Secure area Scenario: Potential Bio Threat - Not Opened

17. Ohio Department of Health17 The Biologic Threat Anthrax seems to be the agent of choice at the present time There ARE others!! Any threat using biologic agents should be considered real Abortion and family planning clinics have been targeted in the past, also industry and schools

18. Ohio Department of Health18 Potential List of Agents Anthrax (bacteria) Plague (bacteria) Q fever (rickettsia) Smallpox (virus) Ebola (virus) Venezuelan Equine Encephalitis (VEE) (virus) Staphylococcal Enterotoxin B (toxin) Botulinum (toxin) Ricin (toxin)

19. Ohio Department of Health19 Calls to 9-1-1 & EMS responds Medical community response Epidemiology Detection of Covert Biological Attacks

20. Ohio Department of Health20 Covert Incident will be Hard to Recognize Symptoms resemble other sicknesses May not surface for 3 or 4 days Physicians may not be familiar with symptoms Mortality will be expected Lab analysis must be expedited in any case

21. Ohio Department of Health21 Local Dispatch & 911 Centers Initial dispatch card should include – Fire / EMS – EMA – Law enforcement – Hospitals Secondary notification should include – Local health department – FBI

22. Ohio Department of Health22 QUESTIONS? REVIEW POINTS: –The GUIDELINES are a “work in progress” –They are ONE of several tools to use in planning –Incident Command System is a NECESSARY concept for response –Communication is THE KEY (e.g., HAN, partnering with other agencies)