1. CDC Support of the US-Affiliated Pacific Islands for Public Health Preparedness and Response
Walter Randolph Daley, DVM, MPH
Chief, Field Services Branch
Division of State and Local Readiness
Pacific Island Health Officers Association Executive Board Meeting
March 29, 2017
Office of Public Health Preparedness and Response
Division of State and Local Readiness

2. Office of Public Health Preparedness and Response Division of State and Local Readiness (DSLR)
MISSION: To assure the nation's public health system is prepared to respond to and recover from a public health event or emergency
Partnerships with Health and Human Services (HHS) and Department of Homeland Security (DHS)
Capabilities-based standards for state and local public health
Funding
Strategic placement of CDC field staff
Technical assistance strategies and guidance
Translation of science into practice

3. Public Health Preparedness Standards1
Community Preparedness 2
Community Recovery 3
Emergency Operations Coordination 4
Emergency Public Information and Warning 5
Fatality Management 6
Information Sharing 7
Mass Care 8
Medical Countermeasure Dispensing 9
Medical Materiel Management and Distribution 10
Medical Surge 11
Non-Pharmaceutical Interventions 12
Public Health Laboratory Testing 13
Public Health Surv and Epi Investigation 14
Responder Safety and Health 15
Volunteer Management
In March 2011, CDC released Public Health Preparedness Capabilities: National Standards for State and Local Planning, which defines and describes standards for public health preparedness at the state and local levels.
Foundational guidance document for state and local public health preparedness planning
Developed in response to awardee requests to help prioritize public health preparedness capabilities, especially as resources become more scarce.
Consensus document developed by CDC and its federal partners, the practice community, and national professional organizations.
Helps public health departments organize work and identify gaps
Capabilities are designed to be scalable depending upon jurisdictional needs, priorities
No CDC expectations that every local health department will be able to perform all aspects of the capabilities
States determine how to manage preparedness, response, and recovery activities in their jurisdictions

4. DSLR Projects in the Pacific
Public Health Emergency Preparedness (PHEP) Cooperative Agreement: $2.3 million
PHPR Zika Cooperative Agreement: $2.6 million
Regional Career Epidemiology Field Officer
Cooperative Agreement with PIHOA
Training/Technical Assistance/Assessment
Data for Decision Making
Enhanced Laboratory Capability
Zika Surge Staffing and Training Support
Training/TA/Assessment - $50,000
DDM
Microbiology/Infectious disease diagnostic capacity
Improve existing lab info systems/lab SOPs
Assess 10 USAPI labs
Zika Surge Staffing - $2.7 million
39 (1 year term) positions
6-month training stints for preparedness and response
FY2017 – planned $25,000 to support administrative preparedness

5. Career Epidemiology Field Officer US-Affiliated Pacific Islands
Public Health Systems and Workforce Development
Data for Decision Making
Surveillance Enhancement
Pacific Basin Medical Association
Emergency Response
Typhoons (Maysak, Souldelor)
Zika Virus
FestPac
Consultation and Coordination
Foodborne Illness, Dengue, Chikungunya, MERS, Hepatitis A …
Pacific Public Health Surveillance Network
Epidemiology and Laboratory Capacity Workgroup
Surveillance Enhancement – CNMI (post Souldelor)
DDM – AS (Samoa), FSM
Pacific Basin Medical Association – Palau
Typhoon Maysak – Yap, FSM; Typhoon Soudelor – CNMI Zika Deployments – AS, FSM (add on to DDM) FestPac – GU
Foodborne illness – typhoid in US Marshallese community (OK, IA)
Chik - RMI
MERS – Guam, Hepatitis A – RMI

6. PHEP Cooperative Agreement US-Affiliated Pacific Islands
Unliquidated Funds
Activity Areas Incomplete
Laboratory Preparedness
Epidemiologic Capacity
Planning for Response
Budget Period
Total
Percent
1 & 2
$681,354 15 3
$213,785 9
Total Awards Unexpended
Budget Period 1 & 2 $4,670,965 $681,354
Budget Period 3 $2,340,630 $213,785

7. DSLR Support to the Pacific Islands in the Future Topics for Discussion
Is funding meeting the need?
Can alternative fiscal methods overcome obstacles?
Should some financial assistance be converted to direct assistance?
What could be the role of DSLR field staff?
Would a different approach to preparedness requirements improve outcomes?

8. CDC 24/7: Saving Lives. Protecting People.
Office of Public Health Preparedness and Response
Division of State and Local Readiness