1. Public Health Preparedness
Monroe County Health Department
2353 South Custer Road
Monroe, MI Phone

2. What is Public Health Preparedness?
The capacity of individuals, organizations, and communities to respond to public health emergencies, such as natural disasters, severe weather, bioterrorism, disease outbreaks, mass casualties, and chemical or radiation emergencies.
Focus on prevention and preparation
Roles in preparedness and response
Relate ongoing public health functions/responsibilities to emergency preparedness and response.
EP Division not at Health Dept until post-9/11
Since then, public health preparedness has played an integral role in disasters and emergencies – i.e. Hurricane Katrina, Hurricane Sandy

3. What do we do? Education and outreach Surveillance and monitoring
Collaboration
Drills, exercises and plan improvements
Pandemic flu presentations, All-Hazards trainings, Health Fair
Mainly through CD, but assist in emergencies. Seasonal flu surveillance, STIs
Collaborate with many community partners (EMD, Red Cross, City Government, Fire, Police…etc.
Continuously working on planning, training staff for response

4. 1. Education and Outreach
Pandemic flu presentations, All-Hazards trainings, 1st grade hand-washing competition, Health Fair, KI Distribution at schools

5. 2. Surveillance and Monitoring
CDC provides resources when outbreaks exceed state capacity, are multi-state or international events, or result from bioterrorism
Federal
Technical assistance, policy guidance, lab support, field assistance, resources (vaccines, drugs)
State
Disease surveillance, initial outbreak investigations
Local
LOCAL---hospital, physicians
STATE---during H1N1 sent specimens to State lab for testing
FEDERAL—SNS (more on this later); H1N1, shipped some antivirals and PPEs

6. 3. Collaboration Examples
Emergency Management Department
American Red Cross
City Government
Fire Department
Collaborating with other agencies including police, commission on aging, fire departments, red cross and more for Preparedness Expo on September 24th

7. 4. Plan Improvement, Drills and Exercises
Examples of Plans:
Emergency Operations
Communication
Fermi 2
SNS

8. Emergency Operations Plan
All hazards approach
Respond to a range of emergencies varying in scale, duration and cause
Use of Incident Command System (ICS)/ Incident Management System (IMS)
An ICS enables integrated communication and planning by establishing a manageable span of control.
Mention ICS courses staff required to take…ICS 100, 700, 200, 800 etc
An ICS divides an emergency response into five manageable functions essential for emergency response operations: Command, Operations, Planning, Logistics, and Finance and Administration. Command Team
Benefits: common language/functional areas; clear lines of authority/communication; national use
Fire, Police etc all use this command structure

9. Fermi 2 Plan Plan for a radiological threat
Collaborate with the Environmental Health Division, EMD, Hospital and other community authorities
EH—individual decon
EP—coordinate evacuation of LTC Facilities
Coordinate with hospital—sending pts, surge capacity
Fire—decon first responders, monitor cars at decon centers

10. SNS Plan
A “Push Package” can be delivered anywhere in the US within 12 hours.

11. Material and medical supplies are broken down into manageable size for the mass dispensing sites, hospitals, pharmacies’ and doctors’ offices at a Distribution Node.

12. At the Distribution Node, Public Health Staff, in the green vests, exercise preparing the assets to get the “Pills to the People” within 48 hours of receipt.

13. The Monroe County Health Department opened up nine Mass Vaccination Clinics in during the H1N1 Pandemic.

14. Over 18,000 doses of H1N1 vaccine were given to 11% of Monroe County residents.

15. Medical Reserve Corps
Unit of local volunteers to assist during a public health emergency
Health professionals
Non-medical/general volunteers
One of 1,000 units nationwide with 207,000 volunteers One of 20 units in Michigan
Housed in the Public Health Preparedness Division
823 units nationwide with 179,220 volunteers
How to become a volunteer
What volunteers do/will do….staff DS
Newest unit is in Washtenaw County
To join, visit:

16. Personal Preparedness
Critical for Public Health staff and community members!
Create a Family Emergency Plan
Consider all types of emergencies
Be informed before an emergency occurs
Establish expectations, practice
Create a personal supply kit
Online resources

17. How to get involved www.MIVolunteerRegistry.org
Michigan Volunteer Database
List your qualifications
List counties/cities you would be willing to volunteer in during an emergency

18. Public Health Emergency Preparedness
Contact Information
Public Health Emergency Preparedness
Tatyana Ivanova, M.D., M.P.H.
Community Health and Public Health Preparedness Director Phone: Fax:
Wendy Carlson
Emergency Preparedness Phone: Fax:
Carolyn Gardetto
MRC Planner Phone: Fax: