Implementing Project BioShield: Government Goals, Priorities an

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The Role of the Federal Government in Disaster
Planning CAPT Roberta Lavin, MSN Chief of
Staff Office of Public Health Emergency
Preparedness U.S. Department of Health Human
Services Voices from the Storm Institute
Session 3 August 2006
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Office of Public Health Emergency Preparedness

• VISION A nation prepared to prevent and respond
  to the health effects of disasters, natural or
  manmade
• MISSION Prepare the nation to prevent and
  respond to the health effects of disasters,
  natural or manmade

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Office for Public Health Emergency Preparedness

• Leads the HHS effort to prepare for, protect
  against, respond to and recover from all public
  health emergencies, including acts of
  bioterrorism
• Coordinates, supports and participates in the
  early and late stage research, development and
  acquisition of medical countermeasures (MCM)
• Procures MCM for the Strategic National Stockpile
  (SNS) authorized under the Project BioShield Act
  of 2004, pandemic flu supplemental budget, and
  other authorities
• Enhances state and local preparedness
• Coordinates OPHEPs overall influenza pandemic
  effort and works closely with other HHS
  components and external entities
• Supports the Early Warning Infectious Disease
  Surveillance program at the borders with Mexico
  and Canada
• Manages the Secretarys Operations Center

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HHS Priority Secure the Homeland

• Increase the capacity of the health care system
  to respond to public health threats from
  bioterrorism or natural causes.
• Increase the nations preparedness for a
  potential disease pandemic.
• Increase the timeliness and accuracy of domestic
  and international public health surveillance.

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HHS Entities Involved in Disaster Preparedness
Office of the Secretary
ATSDR
ACF
ASH
GC
ASAM
OMHA
FDA
AoA
PSC
OCR
HRSA
CMS
ASBTF
CFCI
IG
IHS
AHRQ
ASPE
OPHEP
DAB
NIH
CDC
ASL
OGHA
SAMHSA
ASPA
ONCHIT
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Entities Involved in Disaster Preparedness
Executive
HHS
DHS
GSA
VA
EPA
DOD
DOT
USDA
DOJ
DOE
NCS
USPS
OFDA
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Current Planning and Ongoing Initiatives

• Enhance State and local public health and medical
  preparedness and participation in regional
  planning activities
• Coordinate entities within and beyond HHS
• Lead interagency policy and plan development for
  response to public health and medical threats and
  emergencies under ESF-8 and HSPD-10

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Katrina Lessons Learned

• Expand role of Assistant Secretary for Public
  Health Emergency Preparedness
• Reorganize and Resource
• Incident command and preparedness
• Expanded regional operations and logistics
  capabilities
• Establish deployable teams
• Pre-identified, equipped and trained
• Clinical, mental health, human services, applied
  public health components
• Transform Public Health Service Commissioned
  Corps
• Full-time Rapid Deployment Force
• National Disaster Medical System (NDMS)

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Recommendations to the States

• Federal government provides guidance to the
  States
• On bioterrorism and natural disaster preparedness
  and response
• Funding through CDC and HRSA grants
• States provide guidance to the locals
• General guidance available through online
  resources
• E.g., Florida State Health Department
  websiteFamily Preparedness Guide
  http//www.doh.state.fl.us/rw_webmaster/prepareeng
  lish042.pdf

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Vision for Natural Disasters

• All-Hazards Approach The techniques and
  strategies used today in public health emergency
  planning can generally be used in any public
  health emergency.
• State and local communities know how to help
  themselves and others in the event of a natural
  disaster.
• HHS and its partners can seamlessly and rapidly
  provide resources and public health personnel
  when needed anywhere in the United States.

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Vision for Biodefense

• State and local communities know how to help
  themselves and others in the event of a
  biological attack or flu pandemic.
• HHS and its partners can seamlessly and rapidly
  provide resources and public health personnel
  when needed anywhere in the United States.
• Surveillance of data in electronic health records
  provide early warnings of dangerous viruses or
  bioterrorism activities.

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Tools, Research, Resources

• Mental Health All-Hazards Disaster Planning
  Guidance
• http//www.mentalhealth.samhsa.gov/publications/al
  lpubs/SMA03-3829/default.asp
• Web based tool Emergency Preparedness Resource
  Inventory (EPRI)
• http//www.ahrq.gov/research/epri
• Alternative Healthcare Sites Resource
• http//www.ahrq.gov/research/altsites.htm
• Surge Toolkit and Facilities Checklist
• http//www.ahrq.gov/research/shuttered/
• Development of Models for Emergency Preparedness
• http//www.ahrq.gov/research/devmodels/
• AHRQ Bioterrorism Planning and Response Site
  (including CDC, HRSA, FDA, HHS links)
• http//www.ahrq.gov/browse/bioterbr.htm
• CDC Bioterrorism website
• http//www.bt.cdc.gov/

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• Make preparations in advance. You never have
  trouble if you are prepared for it.
• Theodore Roosevelt

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• Questions