1. Disaster Information Specialists Program Thursday, June 12, 2014

2. About NACCHO The National Association of County and City Health Officials (NACCHO) represents the nation's 2,800 local health departments (LHDs). NACCHO’s Mission: To be a leader, partner, catalyst, and voice for local health departments in order to ensure the conditions that promote health and equity, combat disease, and improve the quality and length of all lives.

3. Governance of Local Health Departments (by State) Local = All LHDs in state are units of local government State = All LHDs in state are units of state government Shared = All LHDs in state governed by both state and local authorities Mixed = LHDs in state have more than one governance type

4. Population Served by LHDs

5. Percentage of LHDs with Specific Sources of Revenue for Preparedness Activities for the Most Recently Completed Fiscal Year (2010 and 2013)

6. Cuts Reduce Capacity for Response LHDs collectively lost 43,900 jobs since 2008. Workforce losses and gains were roughly equal in 2012, with LHDs adding 4,000 positions and reducing 4,300 positions. Estimated Number of LHD Job Losses Over Time Job Losses (Layoffs or Attrition) 20087,000 200916,000 20106,000 201110,600 20124,300 TOTAL43,900

7. Success Story: El Paso Texas The City of El Paso Department of Public Health in partnership with the Pan American Health Organization (PAHO) Regional Office of the World Health Organization (PAHO/WHO) and the 2-1-1 Texas Rio Grande Region will enhance access to health and emergency preparedness information in El Paso County, Texas. Enhance the knowledge of librarians, special-population healthcare providers, and Community Health Workers (CHWs) on the functional role local emergency and disaster organizations, and develop skills to participate and assist in emergency and/or disaster events. Increase awareness on local practices and methods of information sharing, including the use of the 2-1-1, 24/7 Information and Referral system, 911, the State of Texas Emergency Assistance Registry (STEAR) PAHO’s virtual library, NLM, and others.

8. Success Story: Communications Northeast Texas Public Health District http://www.accessibleemergencyinfo.com/ Large Print Documents, Braille Documents, Videos

9. Success Example: HANDI App in Denver Mobile application to enhance health department dispensing efforts Registers individuals, monitors contraindications, tracks immunizations Goal: support efficient public health immunization and treatment activities through rapid collection and transfer of standardized data Currently being considered as an adverse event tracking device through ongoing work with the FDA and NACCHO.

10. Radiation Legal Project Examining the state of legal authorities to ensure we are legally prepared for a radiological incident

11. Hurricane Katrina Dispersion Map

12. Legal Research Questions 1. Can jurisdictions restrict the movement of individuals?

13. Legal Research Questions Continued 2. Can jurisdictions decontaminate individuals?

14. Legal Language Categories

15. An emergency or public health emergency declaration may clarify/expand the authority

16. Restriction of Movement Non-Emergency v. Emergency

17. Emergency Declaration

18. Some jurisdictions have language limited to infectious and contagious disease

19. Radiation Legal 2013-2014 Activities

20. For the Latest Information http://nacchopreparedness.org/