Western New York Public Health Alliance

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Western New York Public Health Alliance

• Rural Advanced
• Practice Center

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Western New York Public Health Alliance

• Only current APC to focus on rural preparedness.
• Working with the eight counties of western New
  York and contiguous Pennsylvania and Canadian
  provincial agencies, the WNYPHA APC develops
  tools and resources to assist emergency planners
  with urban to rural evacuation and
  cross-jurisdictional planning.

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WNYPHA APC - Focus

• Evacuation/migration of populations from urban to
  rural areas and prediction of post-event
  population surge
• Cross border issues including legal,
  jurisdictional, mutual aid, constraints to
  collaboration, and ongoing activities
• Training needs of public health/emergency
  planners relevant to evacuation, rural issues
• Partnering and collaboration with new and diverse
  partners

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Urban to Rural Evacuation Modeling

• Map-based tool to predict community population
  surge following potential urban disasters.
• Planning tool for preparedness planners, and as
  an educational tool to inform policy makers about
  the issue of population surge resulting from
  urban evacuation.
• Includes information on the number of likely
  evacuees, evacuee demographic information (such
  as presence of children, disability status,
  etc.), and local planning information (number of
  hospital beds, hotel rooms, etc.)
• National expansion completed, includes the 100
  largest urban centers in the U.S. and all state
  capitals
• Current modeling includes surrounding counties
  within a 150-mile radius.
• http//www.cei.psu.edu/evac/

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Urban to Rural Evacuation Modeling

• Scenario Specific Variables
• Based on the nature of the precipitating event
  how much push does it have, and how many urban
  citizens are likely to evacuate as a result?
• Current scenarios dirty bomb, pandemic flu,
  industrial/chemical
• Demographics Variables
• Based on the demographics of the urban area, who
  is more or less likely to evacuate? For
  example, people with children are more likely to
  evacuate people with disabilities are less
  likely to evacuate, etc.
• Pull Variables
• Based on known information about counties
  surrounding the urban area, which will be more or
  less attractive to evacuees? Features that make a
  county more attractive include things such as
  road networks into the county, number of hotel
  rooms attractive include things second homes,
  family networks, etc.

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Urban to Rural Evacuation Planning Guide

• Based on findings from expert panel convened in
  February 2008
• Tool currently released and available in
  hard-copy or for download
• Includes recommendations for pre-event planning,
  event response, and post-event recovery

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Urban to Rural Evacuation 2008 2009 Objectives

• Enhancement of Evacuation Modeling Tool Features
• Custom analysis (selection of radius, block
  areas)
• Ability to save/print reports
• Usability Testing and User Feedback
• Refinement of Evacuee Demographic Predictions of
  Evacuation Modeling Tool and Data Updates
• (age, household composition, special medical
  needs, language, disability, etc.)
• Production of User Guides and Promotional
  Materials Stakeholder Outreach

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Guide to Multi-jurisdictional Collaborations

• Based on survey assessment of issues related to
  international, inter-state, intra-state
  cooperation
• Focus on legal, mutual aid, cross border
  activities, form and function of public health
  systems, and communication
• Online version is 61 pages, Appendix with 75
  files
• http//sphhp.buffalo.edu/cb_guide/
• 2008 2009 Objectives
• Expanded content
• Format revisions
• Addition of hot-links and search capability
• Ability to track usage

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Regional Collaboration

• Regional and State Mass Fatality Workgroups
• Guidelines for convening partners and
  facilitation of discussion-based workshop (WNY)
• Survey of cemeteries to assist in surge planning
• Pandemic Flu Mass Fatality Planning Guidance
  Document (NYSDOH)
• NYSDOH Plan Development Workgroup
• WNYPHA APC lead for development of Empire
  County Health Emergency Preparedness Plan
• Based on Project Public Health Ready (PPHR)
  Criteria
• Linked to PPHR and APC tools, and NYSDOH BT Grant
  Deliverables and guidance documents

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Hepatitis A POD

• Lessons Learned from the Erie County Hepatitis A
  POD event (February 2008)
• Mass vaccination/prophylaxis campaign for 10,000
• Required collaborative effort from all 8 WNY
  counties, NYSDOH, Erie County Medical Reserve
  Corps, and many other partners
• Link to webcast available at http//www.wnypha.or
  g/Home/Programs/AdvancedPracticeCenter/Tools

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Hepatitis A Follow-up POD

• September 2008
• Mass vaccination/prophylaxis campaign designed
  for 5,000
• Extensive pre-planning and training
• Utilized Drive-Through format
• Evaluation
• Qualitative surveys of attendees and
  staff/volunteers
• Guidance for AAR

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Tools Products for 2008-2009

• Expansion, revision, and marketing of previous
  products
• Satellite Broadcast
• New Products
• Elected Official Toolkit
• Migrant Worker Planning Guide
• Hep A POD documents

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Elected Official Toolkit

• Topics include Public Health Emergency
  Preparedness, role of the LHD in emergency
  response, capacity of the LHD, and critical gaps
  in public health infrastructure that exist.
• Contents will include templates for a letter of
  invitation, list of suggested invitees, agenda,
  sign-in sheet, complete Power Point presentation,
  talking points, and list of items to include in
  packet, and additional resources

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Migrant Worker Planning Guide

• Purpose
• Unknown population surge
• Unique populations with cultural, language
  barriers, etc.
• Extensive literature review
• Development of discussion guide
• Convene expert panel
• Emergency planners, representation from migrant
  communities, social service agencies
• Develop planning guidelines

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• Tracy Fricano Chalmers
• Program Manager, WNYPHA Rural APC
• tracy.chalmers_at_erie.gov
• [phone]
• www.wnypha.org

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