1. 1 Arizona Department of Health Services Will Humble, Director Public Health Emergency Preparedness Overview

2. Health and Wellness for all Arizonans azdhs.gov Top Ten Reasons to Prepare 2 Goal: Effectively respond to the public health consequences of all hazards, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events.

3. Health and Wellness for all Arizonans azdhs.gov Reason 10 – Flood 3 Floods in Arizona? Between October 1977 and February 1980, there were seven floods. Phoenix was declared a disaster area three times and 18 people lost their lives. 1966 Salt River Flood

4. Health and Wellness for all Arizonans azdhs.gov Reason 9 – Active Shooter 4 These responses are largely law enforcement and EMS in nature, but result in a huge, long- term community impact. Big behavioral health response Gabrielle Giffords Shooting

5. Health and Wellness for all Arizonans azdhs.gov Reason 8 – Extreme Weather (summer or winter) 5 Extreme weather can dramatically impact the healthcare delivery system Heat-related illness Road closures

6. Health and Wellness for all Arizonans azdhs.gov Reason 7 – Hurricane 6 Hurricanes in Arizona? Katrina – over 500 evacuees in Coliseum, nearly 200 in Tucson Hurricanes can also impact AZ weather

7. Health and Wellness for all Arizonans azdhs.gov Reason 6 – Earthquake 7 Earthquakes in AZ? Seismic activity possible in AZ Impact from big Southern CA quake – receiving thousands of evacuees with medical needs Northridge, 1994

8. Health and Wellness for all Arizonans azdhs.gov Reason 5 - Power Outage 8 Transformer fire June 2011 80,000 people no power in Mesa, AZ Sustained outage would be a major healthcare system emergency

9. Health and Wellness for all Arizonans azdhs.gov Reason 4 - Wildfire 9 Biggest recurring threat in AZ – happen every year Major environmental health response Evacuation of healthcare facilities and hospitals can be a massive strain on healthcare system Wallow Fire, 2011

10. Health and Wellness for all Arizonans azdhs.gov Reason 3 – Palo Verde 10 Palo Verde Nuclear Generating Station (PVNGS) Very safe, but threat is real Numerous federal and state exercises to prepare ADHS focus is on medical countermeasures and assistance with Mass Care

11. Health and Wellness for all Arizonans azdhs.gov Reason 2 – Bioterrorism 11 Unlikely “Black Swan” event with massive public health consequence Bioterrorism threat is the main reason for the state/local/federal Strategic National Stockpile (SNS) program Anthrax Attacks, 2001

12. Health and Wellness for all Arizonans azdhs.gov Reason 1 – Pandemic Influenza 12 Major pandemic like 1918 “Spanish Flu” would be a global catastrophe Main reason for public health preparedness funding