Emergency Preparedness and Response: The Big Picture

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Emergency Preparednessand ResponseThe Big
Picture
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The National Response Framework
Doctrine, organization, roles and
responsibilities, response actions and planning
requirements that guide national response
Mechanisms to group and provide Federal resources
and capabilities to support State and local
responders
Emergency Support Function Annexes
Support Annexes
Essential supporting aspects of the Federal
response common to all incidents
Incident Annexes
Incident-specific applications of the Framework
Partner Guides
Next level of detail in response actions tailored
to the actionable entity
www.fema.gov/nrf
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Applying the Framework

• Most incidents managed entirely locally
• Some require additional support
• Small number require Federal support
• Catastrophic requires significant Federal support
• State Governor must request Federal support
• Minor event might just be start of larger threat
• Could rapidly grow larger
• Need to accelerate assessment and response
• Federal Department/Agency acting on own authority
  may be initial Federal responder
• Integrated, systematic Federal response intended
  to occur seamlessly

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Effective, unified national response requires
layered, mutually-supporting capabilities

• Local officials have primary responsibility for
  community preparedness and response and are
  responsible for ensuring the public safety and
  welfare of their jurisdiction.

• The local emergency manager has the day-to-day
  authority and responsibility for overseeing
  emergency management programs and activities.

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Effective, unified national response requires
layered, mutually-supporting capabilities

• States are sovereign entities. The Governor is
  responsible for public safety and welfare.
  States are the main players in coordinating
  resources and capabilities and obtaining support
  from other States and the Federal government.

• A primary role of State government is to
  supplement and facilitate local efforts before,
  during, and after incidents. Governors, State
  homeland security advisors, State emergency
  management directors, and tribal leaders have key
  roles and responsibilities in incident management.

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Effective, unified national response requires
layered, mutually-supporting capabilities

• The Private Sector supports community response,
  organizes business to ensure resiliency, and
  protects and restores critical infrastructure and
  commercial activity.

• Government works with private sector groups as
  partners in emergency management. Major portions
  of the nations critical infrastructure are
  operated and maintained by the private sector.

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Effective, unified national response requires
layered, mutually-supporting capabilities

• NGOs (non-governmental organizations)
• Assist individuals who have special needs
• Coordinate volunteers
• Interface with government response officials at
  all levels
• Perform other vital missions

For example, NGOs provide sheltering, emergency
food supplies, counseling, and other vital
services to support response and promote the
recovery of disaster victims.
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Effective, unified national response requires
layered, mutually-supporting capabilities

• Individuals and Households are key starting
  points for emergency preparedness and support
  community efforts.

Though not formally part of emergency operations,
they play a key role in the overall emergency
management strategy.  They can contribute by
reducing hazards in and around their homes,
preparing emergency supply kits and household
emergency plans, and carefully monitoring
emergency communications.
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Emergency Support Functions / Annexes

• ESF 1 - Transportation
• ESF 2 - Communications
• ESF 3 - Public Works and Engineering
• ESF 4 - Firefighting
• ESF 5 - Emergency Management
• ESF 6 - Mass Care, Emergency Assistance,
  Housing and Human Services
• ESF 7 - Logistics Management and Resource
  Support
• ESF 8 - Public Health and Medical Services
• ESF 9 - Search and Rescue
• ESF 10 - Oil and Hazardous Materials Response
• ESF 11 - Agriculture and Natural Resources
• ESF 12 - Energy
• ESF 13 - Public Safety and Security
• ESF 14 - Long-Term Community Recovery
• ESF 15 - External Affairs

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Emergency Support Functions / Annexes

• ESF 1 - Transportation
• ESF 2 - Communications
• ESF 3 - Public Works and Engineering
• ESF 4 - Firefighting
• ESF 5 - Emergency Management
• ESF 6 - Mass Care, Emergency Assistance,
  Housing and Human Services
• ESF 7 - Logistics Management and Resource
  Support
• ESF 8 - Public Health and Medical Services
• ESF 9 - Search and Rescue
• ESF 10 - Oil and Hazardous Materials Response
• ESF 11 - Agriculture and Natural Resources
• ESF 12 - Energy
• ESF 13 - Public Safety and Security
• ESF 14 - Long-Term Community Recovery
• ESF 15 - External Affairs

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ESF 6 in Gwinnett County

• The Department of Human Resources (DHR) Division
  of Family and Children Services (DFCS) has
  primary government agency responsibility. The
  American Red Cross (ARC) has primary volunteer
  organization responsibility. Supporting roles
• East Metro Health District (EMHD) - Personnel,
  environmental inspections
• Georgia Baptist Convention - Child care, food,
  personnel
• The Salvation Army - Donated goods, food
• Local Law Enforcement - Security
• Local Departments of Education and others -
  Facilities

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Note roles of entities

• State Dept. of Human Resources (DHR) Div. of
  Family and Children Services (DFCS)
• NGO American Red Cross (ARC), Georgia Baptist
  Convention, The Salvation Army
• State and Local Gov East Metro Health District
  (EMHD)
• Local Gov Law Enforcement, Department of
  Education
• Private Sector Businesses assisting in other
  ways
• Re NGOs American Red Cross, GA Baptist
  Convention, Salvation Army, American Radio Relay
  League, many others are members of National
  and/or Georgia Voluntary Organizations Active in
  Disaster (VOAD).

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Emergency Support Functions / Annexes

• ESF 1 - Transportation
• ESF 2 - Communications
• ESF 3 - Public Works and Engineering
• ESF 4 - Firefighting
• ESF 5 - Emergency Management
• ESF 6 - Mass Care, Emergency Assistance,
  Housing and Human Services
• ESF 7 - Logistics Management and Resource
  Support
• ESF 8 - Public Health and Medical Services
• ESF 9 - Search and Rescue
• ESF 10 - Oil and Hazardous Materials Response
• ESF 11 - Agriculture and Natural Resources
• ESF 12 - Energy
• ESF 13 - Public Safety and Security
• ESF 14 - Long-Term Community Recovery
• ESF 15 - External Affairs

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ESF 8 in Gwinnett County

• Under ESF 8, Public Health
• Coordinates and/or delivers medical,
  environmental health, and mental health services
• Accesses and/or seeks health-related private
  resources
• Supplements disrupted or overburdened health
  service delivery personnel and resources
• Coordinates rehabilitation support

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Support Annexes
Incident Annexes

• Critical Infrastructure and Key Resources
• Financial Management
• International Coordination
• Private Sector Coordination
• Public Affairs
• Tribal Relations
• Volunteer and Donations Management
• Worker Safety and Health

• Biological Incident
• Catastrophic Incident
• Cyber Incident
• Food and Agriculture Incident
• Mass Evacuation Incident
• Nuclear/Radiological Incident
• Terrorism Incident Law Enforcement and
  Investigation

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Support Annex A14 Volunteer Programs Management

• Addresses how the Medical Reserve Corps program
  integrates with emergency response
• Describes where volunteers might be used in a
  healthcare emergency
• Provides forms that must be completed to address
  liability issues
• Provides job action sheets that can be used for
  just-in-time training

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Support Annex A15 Modular Emergency Medical
System

• Addresses medical surge options in support of
  hospitals
• Defines Neighborhood Emergency Help Center
• Defines Acute Care Center
• Defines staffing requirements based on given
  configuration
• Does not address specific alternative standards
  of care protocols

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Support Annex A16 Strategic National Stockpile

• Criteria for and how to request the SNS
• Mass dispensing/vaccination procedures
• Manpower requirements
• Just-in-time training materials for using
  volunteers
• Medication control procedures
• Patient education

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What is the Strategic National Stockpile ?

• A large CDC-managed stockpile of medicine and
  medical supplies to protect the American public
  if there is a public health emergency severe
  enough to cause local supplies to run out.

You can learn more about the Strategic National
Stockpile at http//www.bt.cdc.gov/stockpile
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Strategic National Stockpile Components

• Push Pack/12 Hours
• Vendor Managed Inventory/ 24-36 hours

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SNS Responsibilities

• SNS
• Send medications / vaccines
• Provide technical assistance
• State and Local governments
• Demonstrate need for supplies
• Receive, stage and store supplies
• Dispense at community PODs
• Hospitals
• Dispense to at hospital PODs

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What is a POD?

• Point of dispensing (POD) - a place where a
  vaccine, antibiotic or other medication is
  dispensed quickly to a large group of people.
• First Responders
• Hospital staff patients
• Community members

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Why would a POD be activated?

• Usually To prevent disease in those exposed to
  an infection but who are not yet sick
• Possibly To treat an infectious disease
• The treatment offered would be limited to
  dispensing a specific medication.

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What Kinds of Emergencies Might Require a POD?

• Natural disaster
• Influenza pandemic
• Bioterrorism attack

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