Public Health Preparedness and Response in Crisis ___________________________ JD Givens Office of Research and Methodology Centers for Disease Control National Center for Health Statistics Interface 2003 Conference, March 14, 2003

WHAT IS THE PUBLIC HEALTH PROBLEM? Bioterrorism proved to be a significant public health threat during the Fall of 2001 when Anthrax outbreaks occurred in the United States using the mail as a source of exposure. Response to a bioterrorism event requires rapid deployment of limited public health resources in order to save lives and prevent others from becoming ill. The nation's public health infrastructure currently is not adequate to detect and respond to a large scale bioterrorist event.

Managing the BT Preparedness Initiative is complex at CDC… Lead Center at CDC Areas of Responsibility National Center for Infectious Diseases (NCID) Laboratories (Rapid Testing and Triage), Research, Surveillance, Hospital Preparedness, Quarantine National Center for Environmental Health (NCEH) Environmental and Chemical Laboratory Capability, Planning, Stockpile Public Health Practice Program Office (PHPPO) Health Alert Network, Training, Centers for Public Health Preparedness Epidemiology Program Office (EPO) Epi/Surveillance, Detection, Investigation, Communications, Epi-X Office of Health and Safety (OHS) Administers Select Agent Rule, Lab Safety Consultations and Guidelines National Institute for Occupational Safety and Health (NIOSH) Worker Safety, Personal Protection Devices National Immunization Program (NIP) Vaccine Development and Vaccine Safety Agency for Toxic Substances and Disease Registry (ATSDR) Medical Management Guidelines for Chemical exposures Source: Kane Hall, Univ. of Washington –11/2001 PPT

Secretary's Council on Public Health Preparedness DA Henderson -Chairman Purpose: advises the Secretary and the department on appropriate actions to prepare for and respond to public health emergencies, including acts of bioterrorism.

Office of the Assistant Secretary for Public Health Emergency Preparedness Jerome Hauer -Director Mission: The Office of Public Health Preparedness (OPHP) shall direct the Department of Health and Human Services' efforts to prepare for, protect against, respond to, and recover from all acts of bioterrorism and other public health emergencies that affect the civilian population; and shall serve as the focal point within HHS for these activities.

Office of Global Health Affairs Mission: To promote the health of the world's population by Advancing the Department of Health and Human Services' global strategies and partnerships, thus serving the health of the people of the United States.

PH Emergency Preparedness and Response URL: http://www.bt.cdc.gov/planning/index.asp

PH Emergency Preparation and Planning

Smallpox Preparedness and Response

Bioterrorism Preparedness and Response Program (Centers for Disease Control) Mission: ensure the rapid development of federal, state, and local capacity to address potential bioterrorism events. The program integrates planning and training to facilitate the development of core capacities in the primary elements of public health preparedness, including surveillance, epidemiology, rapid laboratory diagnosis, emergency response, and communications systems.

Centers for Public Health Preparedness URL: http://www.bt.cdc.gov/training/CPHPlocations.asp

Centers for Disease Control and Prevention (CDC) Centers for Public Health Preparedness A national system of Centers for Public Health Preparedness (CPHP) implemented to ensure frontline public health workers have the requisite skills and competencies to effectively respond to current and emerging health threats. The CPHPs are involved in four key areas: develop competency-based public health practice curricula; technology-mediated learning (e-learning); certification and credentialing; applied research and evaluation.

Millions of clinical workers to get smallpox information packets Mar 4, 2003 (CIDRAP News) – CDC announced its plan as part of an ongoing education effort program, information packets about smallpox is being mailed to 3.5M physicians and other healthcare workers.

Council on Private Sector Initiatives (CPSI) Mission To ensure public health preparedness and the preparedness, security, safety, and quality of the health care delivery system. Objectives Provide the private sector with a single DHHS point of contact for innovative ideas that cut across agencies and departments. 2. Coordinate requests from individuals and firms seeking HHS review of their ideas. Ensure that HHS responds systematically and consistently to these requests. Report to the Secretary on the Council’s activities and actions resulting from them.

Local Centers for Public Health Preparedness NACCHO, in collaboration with CDC, has been tasked with analyzing the lessons learned from the local Centers during the project period, and disseminating these lessons and best practices to the broader public health community. The Local Centers for Public Health Preparedness project was developed to create models for implementing information technology and training in support of bioterrorism preparedness and emergency response.

Mission The Center for Civilian Biodefense Strategies is an independent, non-profit organization of the Johns Hopkins Bloomberg School of Public Health and the School of Medicine. The Center works to prevent the development and use of biological weapons, to catalyze advances in science and governance that diminish the power of biological weapons as agents of mass lethality, and to lessen the human suffering that would result if prevention fails. URL: http://www.hopkins-biodefense.org/

Multi-Sector Crisis Management Consortium (MSCMC) Mission The mission of the Consortium is to advance the research, development, knowledge, and application of information technology for crisis management and emergency response among government agencies, academia and the private sector. Priority is given to support communication and collaboration among people from all sectors of society on the applications of information technology to meet the critical needs of crisis management. The work of the Consortium is supported by the National Center for Supercomputing Applications at the University of Illinois at Urbana-Champaign

The National Technology Grid

Crisis What is a crisis? Extreme events that cause significant disruption and put lives and property at risk - situations distinct from ‘business as usual.” These include civilian and judicial crises management, e.g., natural and man-made disasters including such threats as the use of weapons of mass destruction by terrorists (nuclear and biomedical and chemical attacks). Source: National Research Council’s 1999 Workshop on Information Technology Research for Crisis Management

Contact Information Centers for Disease Control and Prevention National Center for Health Statistics (NCHS) Office of Research and Methodology 3311 Toledo Rd., Rm 3218 Hyattsville, Maryland 20782 JDG#@CDC.GOV 301.458.4236