Texas Department of State Health Services

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Texas Department of State Health Services

• Rick Bays
• Director, Response Recovery Unit,
• Prevention and Preparedness

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2008 Emergency Response

• San Angelo Yearning for Zion Ranch
• Epi Investigation Salmonella Outbreak
• Hurricane Dolly
• Hurricane Eduard
• Hurricane Gustav
• Hurricane Ike

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Principal ActivitiesSan Angelo Yearning for
Zion Ranch

• Health Medical Support to Shelters
• - Clinical Services
• - Medical Care
• - Pharmacy Services
• - Infection Control
• - Communicable Disease Outbreak

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Principal ActivitiesSan Angelo Yearning for
Zion Ranch Contd

• Medical Triage of State Employees
• EMS Transportation
• Mental Health Services including CISM

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Principal ActivitiesNationwide Salmonella
Outbreak

• Coordinated Activities between CDC, FDA, States
• ID Cases
• Trace back food sources and distribution
• Product recalls
• Consumer advisories

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Principal Activities2008 Hurricanes

• Evacuation Support for MSN
• Evacuation Support for Facilities
• Sheltering for MSN
• Repatriation of MSN
• Recovery

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Evacuation Support for MSN

• Deployed ambulances under state contract
• Requested, managed, and deployed FEMA Ambulances
• Deployed and managed paratransit vehicles
• Deployed coach buses with staff
• - paramedics and nurses
• - Medical supplies jump bags
• O2 at fuel and comfort stations

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Evacuation Support for Facilities

• Statewide bed reporting
• Hospital Status Reporting
• Evacuation of State Hospital
• Medical Transportation
• -ambulances, paratransit, buses
• -NDMS flights
• -TMF flights

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Evacuation Support for Facilities Contd

• Medical Supplies
• DMAT Teams
• Patient Tracking
• Evac of UTMB

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Sheltering for MSN

• Support to local jurisdictions
• Contract with BCFS to operate shelters
• FMS shelters
• Medical Staff Support
• - Volunteers
• - Contracted
• - Federal

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Sheltering for MSN Contd

• Supplies and Equipment
• - shelter push packs
• - O2
• - Bariatric beds
• Pharmacy Services
• - federal EPAP program
• - direct Contracts with pharmacies

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Sheltering for MSN Contd

• Shelter surveillance
• - rosters
• - infection control

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Repatriation of MSN

• Medical Transportation
• - staffing on buses
• - ambulances and paratransit
• - fixed and rotary wing aircraft
• Coordinator between sending and receiving
  locators
• Validation of arrival

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Recovery

• Task Force Ike
• Public Health Assessment
• - infrastructure
• - CASPER Team
• MSN Shelters
• Mental Health Services
• - Community MHMR clinics
• - CISM

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Recovery

• Immunizations
• Vector
• Mortuary

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Major Challenges/ Needs

• Patient Evacuee Tracking
• Local Regional Med Evac Plan Training
• Local Regional Planning for Shelters
• Recovery Planning
• Integration of Planning and Resource Sharing
• - Facility
• - Local Community
• - Regional
• - State
• - Federal