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Council of State and Territorial Epidemiologists ( CSTE ) 4 th Annual National Disaster Epidemiology Workshop

Partners in Disaster Response—Crosscutting Collaborations in Disaster Epidemiology. Council of State and Territorial Epidemiologists ( CSTE ) 4 th Annual National Disaster Epidemiology Workshop. May 8-9, 2013. Director Atlanta-Fulton County Emergency Management Agency.

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Council of State and Territorial Epidemiologists ( CSTE ) 4 th Annual National Disaster Epidemiology Workshop

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  1. Partners in Disaster Response—Crosscutting Collaborations in Disaster Epidemiology Council of State and Territorial Epidemiologists (CSTE) 4th Annual National Disaster Epidemiology Workshop May 8-9, 2013

  2. Director Atlanta-Fulton County Emergency Management Agency Incorporated Municipalities of Fulton County AFCEMA Team To enhance the preparedness and resiliency of our communities by coordinating and integrating the activities necessary to mitigate against, prepare for, respond to, and recover from natural or man-made disasters. Alpharetta, Atlanta, Chattahoochee Hill, College Park, East Point, Fairburn, Hapeville, Johns Creek, Milton, Mountain Park, Palmetto, Roswell, Sandy Springs Union City Population ≈ 949,599 (2011 US Census Bureau estimate) Land Area ≈ 526.64 Square miles Daily Population Surge ≈ 459,483 Daily Population Total ≈ 1,216,256

  3. Area 7 • Fulton, • DeKalb, • Cobb, • Gwinnett, • Clayton, • Henry, • Rockdale, • Fayette, and • Douglas

  4. RCH Regions Public Health EMS Regions GEMA Regions Georgia Counties Behavioral Health Nursing Homes CHCs EMS Regions GHCA Councils Behavioral Health Georgia Counties Regions

  5. Common Denominator in a Disaster How does the disaster affect • PEOPLE • ENVIRONMENT

  6. Management by Objectives Priorities : #1: Life Safety #2: Incident Stabilization #3: Property/ Environmental Preservation

  7. Incorporating Public Health in Disaster Management • Educate your partners • Who are you? • What do have to offer? • What is the value added? • Find a champion • Someone that understands the Return on Investment (ROI) regarding your services. 4 Phases of Disaster Management #1: Mitigation #2: Preparedness #3: Response #4: Recovery

  8. Mitigation Phase • Risk Reduction • Key to minimizing loss and improving resilience is the reduction of underlying risks • Data is critical – Helps reduce risks and improve response • Determining vulnerabilities • THIRA (Threat and Hazard Identification and Risk Assessment) • Everyone's “Disaster” is different • Understand historical patterns (Identify causes) • Education • Mutual Process – Learn from each other • Internal and External partners http://www.unisdr.org/2011/images/weinform_terminology.jpg

  9. Preparedness Phase • Educate your team • Learn the language of Emergency Management • Practice using Common Terminology • Don’t have to be a specialists • Get involved in the Preparedness Cycle • Especially Planning, Training and Exercising

  10. Preparedness Phase (cont.) • What resources do you have and how can they be requested? • Typing resources • Start with a Tier II definition (State and Local level) • Remove the guessing game • Credentialing • Ensure team is qualified and trained • Strike Team or Task Force Concept? FEMA - Tier 1 Resource Typing

  11. Response Phase • Main Goals • Assisting the Incident Commander with making an informed and educated decision regarding response objectives based upon data. • Help prioritize interventions • Establish surveillance systems that can aid in alleviating the burden of a disaster. • Use surveillance systems to determine adequacy of response. - Is what we are doing getting the results that we intended?

  12. Response Ex. - DM932 OIL SPILL Lower Mississippi River - New Orleans • July 23, 2008, approx. 1:30 AM • Barge DM932 collided with a tanker • Barge was carrying 9,983 bbls (419,286 gal) of #6 fuel oil in three compartments. • Two compartments ruptured - 6,733 bblsspilled (282,786 gal) • River was closed for 6 days • $275 million impact on the first day the river was closed

  13. DM932 (cont.) • DM932 OIL SPILL - Lower Mississippi River, New Orleans, LA • Protection of human health first concern • Downstream drinking water intakes were closed • Air monitoring conducted • Health and Safety Plan was created • Activated SMEs – • Environmental Chemist • Toxicologist • Epidemiologist • Crisis Communicator

  14. DM932 (cont.) • SMEsassisted in: • Data interpretation • Response recommendations • Proper PPE for responders • Potential short and long term affects • Crafting health advisory messages

  15. Recap • Educate your partners (sell yourself) • Find a Champion (someone to support your efforts) • Be prepared • Educate your team • Get involved with Planning, Training and Exercising (Preparedness Cycle) • Type your resource capability (standardize) • Response • Obtain the data needed for Incident Commanders to make informed and educated decisions

  16. THANK YOU www.facebook.com/AFCEMA Matthew Kallmyer, MPH @AFCEMA matthew.kallmyer@afcema.com 404.730.5600

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