Response System Impacted

1
Response System Impacted
Normal Business
K No. of Victims
Negative Surge Capacity
Accidents Emergencies
Disasters
Planning must include contingencies for direct
impact on service provision (i.e. HR, facility,
supply chain, etc.)
2
National Framework on HEM

• Recovery starts with end of the impact phase

• Use plans for initial response.
• IMS Systems
• All hazards toolkits to meet the impacts.

April 16, 2003 / CHEMD
Post Event
Pre-Event
Risk/Vulnerability Assessment
Disaster Response Management

• Mitigation
• (Prevention)
• Structural
• Non-Structural

• Recovery
• Systemic Restoration
• Demobilize Resources

Response
Preparedness

• Rapid Assessment
• Notification of partners
• Incident Action Plans
• Mitigate further damage
• Records
• Declaration of Emergency?

Planning

• Initial Response
• Assess Impact
• Attenuate Impact

Capabilities
Resources
Quality Improvement
Training Education

• Consequence Mgmt.
• Apply / Manage Resources
• Medical Treatment
• Public Health Protection
• Psycho-Social Intervention
• Continuity of Health Services
• Communication Functions

Exercises
Evaluate Response
3
National Framework on HEM

• Apply new ideas to revise and improve plans.
• Use lessons learned to enhance response and plan
  to toolkits.
• Further training and exercises.
• Acquire further needed equipment and supplies.
• Obtain approval for changes.

April 16, 2003 / CHEMD
Post Event
Pre-Event
Risk/Vulnerability Assessment
Disaster Response Management

• Mitigation
• (Prevention)
• Structural
• Non-Structural

• Recovery
• Systemic Restoration
• Demobilize Resources

Response
Preparedness
Planning

• Debrief after exercises and emergencies.
• After Action Reports
• What worked.. What didnt.
• Ask the lazy man!

• Initial Response
• Assess Impact
• Attenuate Impact

Capabilities
Resources
Quality Improvement
Training Education

• Consequence Mgmt.
• Apply / Manage Resources
• Medical Treatment
• Public Health Protection
• Psycho-Social Intervention
• Continuity of Health Services
• Communication Functions

Exercises
Evaluate Response
4
National Emergency Stockpile System

• Surge Capacity Development

5
Public Health Agency of Canada- CEPR
DGO
OEP
OLS
OPHS
OMAS
Office of Emergency Response Services (OERS)
QUAR
NESS
NOHERT
6
National Emergency Stockpile System (NESS)

• The NESS Mission Statement
• To have sufficient quantities of emergency
  supplies and equipment, strategically located
  across Canada, in a state of readiness for
• immediate response to a natural orhuman-caused
  disaster,
• to alleviate the pain and suffering of Canadians

Mandated by the Canadian Emergencies Act and the
Emergency Preparedness Act
7
Historical Development of the NESS

• Cold war years a perceived nuclear threat
  response to trauma was a priority.
• 1980s NESS evolved to deal with technical and
  natural disasters.
• Since 2001 NESS broadened to include CBRN
  terrorist attacks, pandemics.

8
Key Activities of the NESS

• Acquisition, refurbishing, distribution,
  inventory quality control, disposal of supplies
  equipment
• Maintenance of supplies equipment across
  Canada
• Technical / logistical advice
• Training on uses of the stockpile
• Inspection of facilities stockpile sites.

The NESS has two components (next slides)
9
F/P/T Partnerships

• NESS equipment is owned by federal government
• Pre-positioned supplies are on loan to provinces
  and Territories (P/Ts) (agreements signed by
  Ministers)
• Storage/Security is the responsibility of P/Ts
• P/Ts administer unit positioning, integration
  with plans, quality control and staffing
• OERS establishes guidelines for the program
• Prov./Terr. Letters of Agreement with
  municipalities for storage and custody.

10
Federal Reserve Warehouses 60 of stock

• Large quantities of medical supplies and
  equipment are stored in 9 federal warehouses
  situated at strategic locations across the
  country.

11
Pre-positioned Sites
NESS Sites in Ontario
12
Pre-Positioned Sites

• 40 of NESS supplies and equipment are stored at
  approx 1,300 within the provinces or territories.
• Saskatchewan Supplies..

NESS Sites in Ontario
13
Purchasing, Packaging, Shelf Life Extension and
Disposal

• Budgetary priorities
• preferred,
• adequate,
• minimal
• Multi-dose vials/bulk packaging vs unit of use
• Drug Rotation Vendor-managed drugs / IV fluids
• Return Goods Policy other agreements
• Phased in purchases to ease budgets
• Testing to extend of shelf life / expiry dates
• Controlled disposal.

14
Access Protocols

• When local disasters overwhelm municipal, then
  provincial / territorial (P/T) resources
• P/T officials contact the Office of Emergency
  Response Services, PHAC
• Authority for release is with Director, OERS,
  Public Health Agency of Canada.

15

• Two Main Methods of Storage
• Bulk Stores Generators, water bladders,
• blankets, stretchers, etc.