Office of Public Health Preparedness and Response Rear Admiral Stephen C. Redd, MD Director, Office of Public Health Preparedness and Response (OPHPR), CDC scr1@cdc.gov @DrReddCDC

Office of Public Health Preparedness and Response Stephen C. Redd Director Division of Emergency Operations Jeff Bryant (A) Division of Select Agents and Toxins Rob Weyant Division of State and Local Readiness Chris Kosmos Division of Strategic National Stockpile Greg Burel Bob Ruiz Deputy Director Dan Sosin Deputy Director and Chief Medical Officer (A) = Acting 2

Division of State and Local Readiness Public Health Emergency Preparedness (PHEP) Cooperative Agreement Aim is to prepare national public health system for response to emergencies 62 cooperative agreement awardees (state, local, territorial) Summarizes data collection on exercises and incidents Improved emergency preparedness and response capacity in health departments DSLR administers the PHEP Cooperative Agreement which supports preparedness nationwide. CDC does not do its work alone. State and local health departments play a critical role. All disease monitoring and initial response is local. State and Local Preparedness and Response provides funding, guidance and training to the states, local health departments, territories, tribal governments and some cities to enable them to acquire the tools, personnel and skills to respond to all types of public health threats including terrorist attacks and natural disasters. Provides guidance and funding to 62 state, local, and territorial public health departments to strengthen preparedness (including pandemic influenza) Technical assistance and consultation provided through Project Officers and CDC subject matter experts Gathers performance data on exercises and real events through public health department reporting Due in part to PHEP funding, health departments in states such as New York and North Dakota have reported improved response, training, communication, and surveillance capabilities that have prevailed through disaster events. 3

Division of Strategic National Stockpile Operates national repository of life-saving pharmaceuticals and medical supplies Procures, stores, and delivers assets Operates and maintains the national repository of critical medical assets including antibiotics, antiviral drugs, antitoxins, other life-support medications, and supplies Procures, stores, and delivers these assets to the site of a public health emergency Can deploy a Stockpile Service Advance Group (SSAG) team to state and local officials during a health emergency Technical assistance provided to state and local health departments to move medical assets from warehouses to points of dispensing Provides technical assistance to state and local health departments 4

Division of Select Agents and Toxins Regulates the possession, use, and transfer of select biological agents and toxins that threaten public health and safety 267 institutions registered with HHS/CDC: 90 Government (Non-Federal) 80 Academic 41 Commercial 40 Government (Federal) 16 Private Oversees the Etiologic Agent Import Permit Program that regulates the importation of agents, hosts, and vectors of human disease in the United States DSAT regulates the possession, use, and transfer of biological agents and toxins (select agents) that could pose a severe threat to public health and safety. This regulatory activity is carried out by DSAT's Select Agent Program. The CDC Select Agent Program currently regulates 51 of the 80 select agents, and 323 registered entities. The Division of Select Agents and Toxins also oversees the Etiologic Agent Import Permit Program that regulates the importation of agents, hosts, and vectors of human disease in the United States. 5

Division of Emergency Operations Emergency Operations Center Command center for coordinating emergency responses to public health threats Staffed 24/7/365 to provide worldwide situational awareness When activated, provides focus for unified effort in response Central point of contact for state agencies reporting public health threats DEO is responsible for overall coordination of CDC’s preparedness, assessment, response, recovery, and evaluation prior to and during public health emergencies CDC increased the number of quarantine stations from 8 to 20 Located at major points of entry and land border crossings (85% of international travels arrive there) CDC and airport partners delivered 2 million T-HANs with information and recommendations for people traveling that may have been exposed to SARS Sent health alert notices to passengers arriving from 11,480 flights originating from areas with SARS 6

Approach to partnerships OPHPR Priorities 1 2 3 Get to zero Stay at zero PHEP Impact Approach to partnerships

US Government Ebola Strategy Control the Outbreak Mitigate Secondary Impacts Encourage International Participation Build Long-term Capacity to Detect and Respond 8

CDC Entry Screening and Follow-up in the U.S. Movement and Monitoring Hospital Preparedness CARE kits - http://www.cdc.gov/media/dpk/2014/Ebola-Care-Kit.html Infographic - http://www.cdc.gov/vhf/ebola/pdf/care-health-advisory.pdf 9

Lessons Learned from Emergency Responses Day-to-day public health system is the foundation for response Plan for adaptability during response Continuous need to modify / improve response Assess modifications Critical role of risk communication 10

Rear Admiral Stephen C. Redd, MD scr1@cdc.gov 404.639.7377 @DrReddCDC