Emergency Preparedness and Response: The Big Picture

Emergency Preparednessand Response:The Big Picture

The National Response Framework Doctrine, organization, roles and responsibilities, response actions and planning requirements that guide national response Core Document 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

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 Applying the Framework

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. Local Governments State & Tribal Governments • The local emergency manager has the day-to-day authority and responsibility for overseeing emergency management programs and activities. NRF Private Sector & NGO Federal Government

Effective, unified national response requires layered, mutually-supporting capabilities • Statesare 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. Local Governments State & Tribal Governments NRF Private Sector & NGO Federal Government

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. Local Governments State & Tribal Governments • Government works with private sector groups as partners in emergency management. Major portions of the nation’s critical infrastructure are operated and maintained by the private sector. NRF Private Sector & NGO Federal Government

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 Local Governments State & Tribal Governments For example, NGOs provide sheltering, emergency food supplies, counseling, and other vital services to support response and promote the recovery of disaster victims. NRF Private Sector & NGO Federal Government

Effective, unified national response requires layered, mutually-supporting capabilities • Individuals and Households are key starting points for emergency preparedness and support community efforts. Local Governments State & Tribal Governments 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. NRF Private Sector & NGO Federal Government

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

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

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).

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

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

Support Annexes Incident Annexes • Biological Incident • Catastrophic Incident • Cyber Incident • Food and Agriculture Incident • Mass Evacuation Incident • Nuclear/Radiological Incident • Terrorism Incident Law Enforcement and Investigation • Critical Infrastructure and Key Resources • Financial Management • International Coordination • Private Sector Coordination • Public Affairs • Tribal Relations • Volunteer and Donations Management • Worker Safety and Health

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 Support Annex A14 Volunteer Programs Management

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 Support Annex A15 Modular Emergency Medical System

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 Support Annex A16 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. What is the Strategic National Stockpile ? You can learn more about the Strategic National Stockpile at http://www.bt.cdc.gov/stockpile

Push Pack/12 Hours Vendor Managed Inventory/ 24-36 hours Strategic National Stockpile Components

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 SNS Responsibilities

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 What is a POD?

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. Why would a POD be activated?

Natural disaster Influenza pandemic Bioterrorism attack What Kinds of Emergencies Might Require a POD?

Emergency Preparedness and Response: The Big Picture