1. ST. CLAIR COUNTY HEALTH DEPARTMENT EMERGENCY PREPAREDNESS AND RESPONSE
St. Clair County Health Department Diane Forys R.S Emergency Preparedness Coordinator

2. Levels of Public Health
WHO
INTERNATIONAL
CDC
FEDERAL
MDHHS MDARD MDEQ MDNR
STATE OF MICHIGAN
HEALTH DEPARTMENT
(LOCAL) CITY/COUNTY
Public health protects populations as small as a handful of people, or as large as all the inhabitants of several continents.

3. Public Health -and- Traditional Medicine
Prevent Illness Treat sick or injured
Population Health Individual health
Track disease in Follow-up care for populations individuals
see handouts in folder
SCCHD EMERGENCY PREPAREDNESS AND RESPONSETECHNICAL REVIEW
Prevent secondary public health emergencies….
Some public health emergencies are a “slow burn”
Accidental, criminal, natural, terrorism, man-made….

4. Public Health ….. a complex system
ROUTINE Public Health Operations
Guidance, Education, and Information
Surveillance and Monitoring
Investigation
Testing, Inspection
Prophylaxis and Treatment
Enforcement
Follow-up for Compliance and Result
ROUTINE OPERATIONS
ELEVATED THREAT ALERTS
IMMINENT THREAT RESPOND
RECOVERY RETURN TO NORMAL
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
Public Health ….. a complex system

5. Health Department - Emergency Preparedness Coordinator (EPC)
Plans, Policies and Procedures
When, where, how….
Analyze systems, processes and data
Train and Exercise
Ensure staff and partners know the plans
Test the plans
Respond
Coordinate response activities
Evaluate
After-Action and Improvement Reports
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW

6. Public Health Measures
Pharmaceutical
Vaccinations
Antivirals
Antibiotics
Non-Pharmaceutical
Individual Measures or Home-based
Community-Based Measures
-social distancing, isolation, quarantine
Risk Communications - Education
Inspections and Enforcement
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
Our response was just as I showed you earlier…..
Susan Amato and Dr. Mercatante……….
Antivirals…. Reduces severity and duration of disease
Reduces the amount of viral shedding, and hence infectivity. Most effective is started within 48 hours of onset of symptom
It is important to stress the importance of taking anti-virals ONLY if really needed……
Novel viruses can be frightening…. But the reality is …… what really kills us we have learned to accept.

7. SCCHD Emergency Operations Plan (EOP)
BASE PLAN (WHO, WHEN, WHY)
FUNCTIONAL ANNEXES (HOW)
Command, Control and Continuity of Operations
Crisis, Emergency, Risk and Communications Plan (CERC)
Tactical Communications and Information Technology
Data, Surveillance, Investigation, and Laboratory
Medical Countermeasures
CONTROL OF COMMUNICABLE DISEASE (CD) PLAN
MASS VACCINATION PLAN
STRATEGIC NATIONAL STOCKPILE PLAN
MATERIAL MANAGEMENT AND DISTRIBUTION
Special Facilities: Mass Care and Shelters
Fatality Management
Staff and Volunteer Training and Management
Threat Specific Annexes
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
11/12/2018

8. SNS SCCHD receives State/Federal Assets within hours of request
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
SNS
SCCHD receives State/Federal Assets within hours of request

9. Site Activation – occurs as we await delivery of assets
11/12/2018
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
Most of the following slides are from our response to the “2009 H1N1 Pandemic Event”.
This was extremely taxing for our staff…. The pandemic was just that “world-wide”, but locally we were not yet impacted at a widespread
epidemic level…. we could not justify suspension of routine health department services and operations (we could not afford to….for clients
or our department).
So, we did both….. ran the department all day, and ran clinics at night.
Photos: Nursing team – last minute briefing, organizing a medical supply depot (ACC), and offloading mass clinic equipment and supplies
from one of our units.

10. Drills and exercises – essential!
Site Staff
Briefings
Job Action Guides
Roles Clear
Drills and exercises – essential!
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
Reviewing dispensing policies, safety and security protocols.

11. Dispensing Queue Quickly as possible!! No bottnecks or obstacles
Clients/patients are triaged constantly to keep lines moving
Required to being to provide prophylaxis within 24hours of the decision to do so… entire population of St. Clair County within 48 hours.
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
Acted as backfill and runners for all other staff
Managed lines, flow of traffic
Proofread forms
Directed to next vaccinator
Security

12. Thank You!
Questions?
SCCHD EMERGENCY PREPAREDNESS AND RESPONSE: TECHNICAL REVIEW
St. Clair County Health Department Diane Forys R.S Emergency Preparedness Coordinator
(810) 12