These resource elements are relevant to both routine public health activities and essential public health services. Adverse events reporting systems: Systems that collect, analyze, and disseminate information about adverse events. stakeholders according to incident requirements. Recommended procedures may include. P2: (Priority) Procedures in place to communicate AAR and IP findings to data submitters and other key partners and stakeholders, including groups representing affected populations, to implement identified corrective actions. Function 4: Monitor nonpharmaceutical interventions. P1: (Priority) Procedures in place to ensure the completion, verification, and documentation of responder safety and health training prior to and during an incident to ensure jurisdictional public health personnel and supporting surge capacity personnel are prepared to respond to emergencies and understand the jurisdictional Incident Command System. The public health agency role in fatality management activities may include supporting. Assemble subject matter experts to assess the severity of exposure or transmission at the jurisdictional level and the need for NPIs. PART A– Staff Health & Wellbeing: Occupational Health in the Context of COVID-19. (See Capability 14: Responder Safety and Health and Capability 15: Volunteer Management), P3: Security measures, specific to each medical countermeasure dispensing and vaccine administration site, as necessary, to ensure personnel safety, product security, and crowd management during an incident. Through EMAC, states also can transfer services, such as shipping newborn blood from a disaster-impacted laboratory to a laboratory in another state, and conduct virtual missions, such as GIS mapping. Although referenced in the capabilities document, LRN-R for radiological threats has not been established. S/T2: Personnel trained on established procedures for disposal of unused or unopened medical materiel, pharmaceuticals, durable items, and hazardous materials and medical waste. Task 1: Conduct responder safety and health monitoring and surveillance. Task 1: Engage community partners and other stakeholders to support risk-mitigation. Task 2: Notify and assemble personnel who will support medical countermeasure dispensing/ administration. Since then, these capability standards have served as a vital framework for state, local, tribal, and territorial preparedness programs as they plan, operationalize, and evaluate their ability to prepare for, respond to, and recover from public health emergencies. EPIC Partners . Task 4: Conduct after-action reviews of NPIs. P1 (Priority): Procedures in place for information exchange that adhere to available national standards for health information exchange. P6: Procedures in place to identify jurisdictional public health agency ESF #8 lead or support roles and functions based on incident characteristics, legal authorities, and existing mandates. E/T4: Communication devices to support partnerships with emergency management or other local authorities. Elements to track in information systems may include, E/T2: Equipment, supplies, and systems needed to support dispensing/administration, which may Contact volunteer organizations to support the identification of volunteers based on incident-specific needs. local, tribal, and territorial personnel with necessary public health expertise to serve as incident Prepare and train public health professionals, 2. E/T2: Volunteer registries and rosters that are maintained with the appropriate IT security measures to safeguard PII. P2: Procedures in place to identify points of contact and establish a clearance process to verify and approve communication products, including talking points, social media messages, public information, and external-facing documents. Identify the number of volunteers, skills, and resources needed to support an incident based on existing volunteer registration lists. Recommended procedures include. Methods may include. Task 6: Establish an inventory management system. In the context of the capability standards, the term “incident” is used to describe any scenario, threat, disaster, or other public health emergency. Task 3: Share surveillance findings. The U.S. Department of Health and Human Services has declared a public health emergency in the U.S. over the coronavirus in part because a government diagnostic for the virus yields inconsistent results, a fact that may spur the life sciences to provide a solution. Joint Information System (JIS): Integrates incident information and public affairs into a cohesive organization designed to provide consistent, coordinated, timely information during crisis or incident operations. Procedures in place: For the purposes of this document, this phrase refers to documented agreements or processes, such as a written plan, a policy, a memorandum of understanding or agreement, a contract, or any other type of written agreement that verifies that a procedure is formally in place. Task 1: Facilitate access to training for handling, packaging, and shipping samples . Function Definition: Ensure timely laboratory results reporting to stakeholders to support determination of the cause or origin, definitively characterize the threat, and inform deployment of appropriate countermeasures. Documentation should include training date(s) and manner of delivery, such as formal training or “train the trainer.”. Standard Reference laboratories are encouraged, but not required, to maintain select agent registration, Valid shipping permit(s) from the U.S. Department of Agriculture, Animal and Plant Health Inspection Service, and Veterinary Services, as necessary, License(s) from the Nuclear Regulatory Commission or state entities as required (LRN-R laboratories only, if network is established), Education, training, and exercising to advance knowledge and skills necessary to perform LRN duties. P3: (Priority) Procedures in place to support or implement family reunification. Task 3: Ensure food and water safety at congregate locations. Task 3: Collect and share antemortem data with partners. Task 1: Estimate fatality management needs based on jurisdictional risks. Recommended procedures may include, P2: Procedures in place to activate call centers with community partners, as needed. Prepare and train public health professionals, Establish priorities in disaster responses, and. Definition: Public health surveillance and epidemiological investigation is the ability to create, maintain, support, and strengthen routine surveillance and detection systems and epidemiological investigation processes. In response to the emergence of severe acute respiratory syndrome (SARS), the United States established national surveillance using a sensitive case definition incorporating clinical, epidemiologic, and laboratory criteria. S/T3: Biological, chemical, and radiological (if LRN-R is established) threat laboratory personnel trained annually on chain of custody procedures. groups representing and serving populations with access and functional needs, health care organizations (private and community-based), jurisdictional strategic advisory councils, Are at higher risk of severe complications from infectious diseases, such as pandemic influenza, for example, older adults, pregnant women, children, and people with pre-existing chronic medical conditions, such as diabetes or heart disease, Have limitations that interfere with the receipt of and response to information, such as individuals who may not be able to hear, see, understand, or act on safety information, Rely on personal care assistance to manage or maintain health, Function independently if they have durable medical equipment or other assistive devices, service animals, or personal assistance service providers, Find it difficult to cope in a new environment, such as those with autism, dementia, or intense anxiety, Have transportation needs, including those who use public transit or accessible vehicles, such as lift-equipped or vehicles suitable for transporting individuals who use oxygen tanks, Identification of potential hazards, such as geographic and physical hazards, vulnerabilities, risks related to population characteristics, such as population density and demographics, and other risks in the community with the potential to adversely impact public health and related health care, human services, mental/behavioral health, and environmental health systems, A definition of risk, including a risk formula, The relation between identified risks to human impact and the interruption of public health, health care, human, mental/behavioral health, and environmental health services, noting that certain responses may affect basic functions of society, including physical damage to infrastructure or a reduction in the critical workforce, Estimate of plausibility or probability of risks and hazards for the jurisdiction, such as the likelihood of natural disasters based on historical precedence, Size and characteristics of the jurisdiction’s population Identification or location of populations with access and functional needs, Identification of populations with limited language proficiency (language isolation) and limited access to communication channels to receive timely and effective public health information, Information on vulnerabilities based on socioeconomic status, education, culture, and other factors, Locations or mapping of populations using information sources, including geographic information systems (GIS), the Agency for Toxic Substances and Disease Registry (ATSDR) Social Vulnerability Index, HHS emPOWER data, and other sources, Data on the size and type of animal populations within the jurisdiction, Consultation with subject matter experts from jurisdictional partners and stakeholders, Data that help prioritize jurisdictional hazards and public health vulnerabilities, including historical data from emergency management risk assessment(s), public health programs, relevant scenarios or models, community engagements, GIS, and other supplementary sources, Identification of factors that influence community resilience, Estimated impact on public health, environmental health, and health care system functioning, for example, the potential loss or disruption of essential services, such as water, sanitation, vector control, electricity, or other utilities, or the interruption of public health, human services, environmental health, or health care infrastructure and services, Assist with informing jurisdictional risk assessments, mitigating identified health hazards, and controlling risks, Integrate all-hazards emergency plans with identified community roles and responsibilities related to the provision of public health, health care, human services, mental/behavioral health, and environmental health services, Define Emergency Support Function (ESF) #8 public health roles at the state, local, tribal, or territorial level Implement additional activities to strengthen community resilience, Continuity of operations for public health, health care, human, mental/behavioral health, and environmental health services within the community, including vaccination and dispensing services using a variety of provider types and settings, such as pharmacies, doctors’ offices, school-located vaccination clinics, occupational health or worksite clinics, point-of-dispensing sites, and other traditional and non-traditional locations, during and after an incident. The public health agency role in fatality management activities may include supporting. Jurisdictional fatality management procedures should be included in relevant jurisdictional emergency operation plans. Task 3: Return or dispose of unused medical materiel. The 10 Essential Public Health Services are. Task 1: Identify incident-specific volunteer needs. (See Capability 3: Emergency Operations Coordination). Activate adverse event reporting processes to accommodate reporting from any relevant source, including individuals, health care providers, or public health agencies. Legal and regulatory considerations that apply to ports of entry may include, Resource and planning considerations may include, P4: Procedures in place to implement isolation or quarantine measures at designated locations. Centers for Disease Control and Prevention. P6: (Priority) Procedures in place to account for laws, provisions, and policies addressing privacy, security including cybersecurity, civil liberties, intellectual property, information sharing limitations, and other substantive issues. Available at Facilitated Teleconference. Act quickly and efficiently in emergencies and disasters. Coordinate with ESF #6, #8, and #11 partners to conduct infectious disease surveillance and environmental health and safety assessments, provide support for addressing the access and functional needs of at-risk individuals, and support decontamination to assist in a mass care response, needs and capabilities. P5: Templates for public health alert messages and procedures including distribution methods to ensure messages reach intended individuals 24/7 year-round. P1: (Priority) Procedures in place to conduct ongoing shelter population health surveillance. Support the pre-incident recruitment of volunteers needed in a potential jurisdictional public health response by coordinating with existing volunteer programs and partner organizations. Determine public health agency, partners, and stakeholders services that can be provided for short- and long-term recovery operations, including previously identified services and new services, as appropriate, to address emerging community recovery needs. Procedures may include. E/T1:: Materiel to manage fatality operations based on the incident. A primary method of sharing cleared information about urgent public health incidents with public information officers; federal, state, local, tribal, and territorial health practitioners; clinicians; and public health laboratories. Task 2: Identify stakeholder data requirements. Determine need for long-term medical and mental/behavioral health support for volunteers based on information collected from volunteers during the response and at demobilization. Task 1: Establish systems for managing public and media inquiries. E/T1:Information system(s) updated regularly and with appropriate backup to store and retrieve stakeholder contact information in a timely manner. Sentinel laboratories provide routine diagnostic services, rule-out, and referral steps in the identification process. Since 9/11, the CDC’s Public Health Emergency Preparedness (PHEP) cooperative agreement program has been a critical source of funding, guidance, and technical assistance for state and local public health departments, helping to build and maintain a nationwide emergency management system that saves lives through … Task 2: Develop and share incident-specific public health fatality management recommendations. P5: Laws, statutes, policies, and procedures that ensure jurisdictional public health agencies have the authority to collect and share a uniform set of jurisdictional health-related data associated with diseases, exposures, or injury conditions of public health importance. Coordinate with partners to assist in the collection and dissemination of antemortem data to law enforcement, other agencies, and families of the deceased. Coordinate with health care partners and other applicable providers to ensure health care, mental/behavioral health, and human services; medication, immunizations, and consumable medical supplies, such as hearing aid batteries and incontinence supplies; and DME are provided at or through congregate locations based on mass care needs. P12: Procedures in place for the local EMS system to request additional resources, such as specialty equipment and personnel, for the needs of pediatric cases as part of the jurisdictional ESF #8 annex or other documentation. E/T1: Responder registration system that is scalable, secure, and compliant with NIMS. Today, the PHEP program funds 62 cooperative agreement recipients: 50 states, four localities, and eight territories and freely associated states. P1: (Priority) LRN for Biological Threats Preparedness (LRN-B) Reference laboratories with proficiency in LRN-B testing methods and the ability to accurately test for agents as defined in the LRN-B Standard Laboratory Checklist. Task 7: Identify security needs and establish security measures. Drug and vaccine information may include, P3: Procedures in place to request additional personnel and supplies based on incident characteristics. Provide recommendations and guidance to support pre-incident screening and verification of responder credentials, training, and health status, such as vaccinations, physical fitness, and mental health, to ensure suitability for deployment role. 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