1. Volcano Preparedness Public Health Nursing Practice on the Edge of the Ring of Fire Leslie Callaway, PHN & Patricia Little, PHN State of Alaska, DHSS, Division of Public Health Section of Public Health Nursing Photo courtesy of Barb DeShong, April 2009

2. Presentation Overview and Objectives Personal and family plan for volcano preparedness Individual level Public health center internal volcano action plan and community preparedness Community level Borough, state, and federal preparedness partners and systems preparedness Systems level

3. The Ring of Fire: South Central Alaska Alaska Volcano Observatory

4. Poll 1 Do you have a personal and family preparedness plan? Yes No Click on the down arrow if you can’t see the response choices.

5. PHN individual and family plan for volcano, tsunami, and earthquake Awareness of level of volcanic activity Promotion of individual volcano preparedness plans Photo: NASA image created by Jesse Allen Individual level

6. Volcano Alert System Alaska Volcano Observatory Weekly Update Friday, June 26, 2009 12:51 PM AKDT Redoubt Volcano 60°29'7" N 152°44'38" W Summit Elevation 10197 ft (3108 m) Current Aviation Color Code: Orange Current Volcano Alert Level: Watch www.avo.alaska.edu/activity/avoreport.php Photo courtesy of Game McGimsey, April 30, 2009, AVO Awareness of level of volcanic activity Individual level

7. Complete volcano preparedness check list www.hss.state.ak.us/prepared/volcanoes.htm 1234 Awareness of potential volcanic eruption Create a disaster plan Practice and maintain preparedness plan 1 2 3 4 Promotion of individual volcano preparedness plans Individual level

8. Photo courtesy of Game McGimsey, April 4, 2009, AVO Website Internal volcano, earthquake, and tsunami preparedness plan Staff health and safety Facility security and integrity Continuity of public health services Community level

9. Community outreach and education Agency support and preparedness Liaison for public information officer Community level Photo by Chris Waythomas, the Alaska Volcano Observatory, and the USGS

10. Photo courtesy of AVO Web site, May 5, 2009 Borough State Federal Systems level

11. Borough and Community Preparedness Partners Kenai peninsula borough * Kenai Peninsula borough Office of Emergency Management Local emergency preparedness community City governments * www.borough.kenai.ak.us/emergency/default.htm www.borough.kenai.ak.us/emergency/default.htm Systems level Borough Photo by T. Mill, US Geological survey 2/15/90

12. Alaska Tsunami Warning Center Alaska Volcano Observatory Red Cross of Alaska State Systems level Dept of Military & Veterans Affairs Division of Homeland Security and Emergency Management State Emergency Coordination Center Dept of Health & Social Services Division of Public Health, Section of Public Health Nursing Section of Epidemiology, Section of Preparedness

13. State Preparedness Team Public Health Preparedness State Emergency Coordination Center State Systems level Public Health Nursing

14. Epidemiology Volcanic ash exposure information Health warnings Epi bulletins * Health Alert Network State Systems level * www.epi.hss.state.ak.us/bulletins/bltnidx.jspwww.epi.hss.state.ak.us/bulletins/bltnidx.jsp

15. Public Health Nursing (PHN) 24/7 PHN call out State resource for local preparedness partners Alaska Public Health Training Network * * www.chems.alaska.gov/phtnwww.chems.alaska.gov/phtn PHN liaison with local ICS State Systems level

16. Centers for Disease Control US Geological Survey National Oceanic & Atmospheric Administration Center for Risk Communication National Association of City and County Health Organizations Federal Systems level

17. Systems Integration: Preparedness Partnerships Federal State Public Health Nursing Borough Community

18. Preparedness Activities Exercises Mitigation Volcano Earthquake Tsunami

19. Poll 2 As the crow flies, what is the closest distance from your work to the nearest volcano? A Less than 30 miles B 30–100 miles C 100–200 miles D Over 200 miles Click on the down arrow if you can’t see the response choices.

20. Poll 3 How far do you have to live from a volcano before you need to start thinking about a public health preparedness response? A Less than 30 miles B 30–100 miles C 100–200 miles D Over 200 miles Click on the down arrow if you can’t see the response choices.

21. Photo courtesy of Barb DeShong, April 2009 Early alert and warning systems Earthquake warnings Tsunami warnings Travel advisories Ash cloud trajectory Incident & unified command

22. Continuity of Community Functions and Essential Services Utilities and community resources Oil and gas industry Community cohesion Recovery and cleanup Public safety Photo courtesy of Barb DeShong, April 2009

23. Questions Photo courtesy of Barb DeShong, April 2009