Wednesday, June 3, 2009

Spokane DEM Newsletter May 2009

Spokane Department of Emergency Management
Newsletter Vol. 4 May 2009

Inside this issue
1. From the Deputy Director
2. Training
3. Exercises
4. ABCDP & DEM
5. Mitigation Plan
6. ECC Plan
7. Homeland Security

From the Deputy Director:

There are a number of exciting and challenging projects that DEM is working on that are being addressed in individual staff inputs onto this bulletin board. Several of the note worthy items are; Homeland Security Audit by the State Auditors Office, working further with Regional Health District with the H1N1 (Swine) flue planning process and evaluation of the local incident, a re-write of the Emergency Coordination Center/ECC (formally the Emergency Operations Center/EOC) plan, collecting data and support documentation for the Federally Declared Disaster (winter 2008/09) and now that mother nature is cooperating and giving us that break, we are continuing our efforts in completing the review and update to the Comprehensive Emergency Management Plan (http://spokaneprepares.org/SpokaneCEMP.php)

The position of Washington State Homeland Security Region 9 Coordinator is in process and applicants have been advised of their individual standings. We are hoping to have this position filled by August 1, 2009.

Remember, preparedness starts with you. How prepared are you?

Training
The training plan is completed for 2009 and will be reviewed at the training and exercise meeting. The plan is based on the target capabilities including lessons learn from events and exercises of the past two years. More information on target capabilities can be found at http://www.ojp.usdoj.gov/odp/assessments/hspd8.htm. The training course can be found at http://demcalendar.blogspot.com/. If you have comments, please contact Lisa Jameson.


Capabilities Recommendations
Prevention Mission Area:
CBRNE Detection
Outcome: Chemical, biological, radiological, nuclear, and/or explosive (CBRNE) materials are rapidly detected and characterized at borders and ports of entry, critical locations, events, and incidents.
Threat & Risk Assessment , PMC, AWR 160, IS 821

Response Mission Area:
Explosive Devise Response Operations
Outcome: Threat assessments are conducted, the explosive and/or hazardous devices are rendered safe, and the area is cleared of hazards. Measures are implemented in the following priority order: ensure public safety; safeguard the officers on the scene (including the bomb technician); collect and preserve evidence; protect and preserve public and private property; and restore public services.
Bomb sqad identified training needs, AWR 103/PER 201, NCBRT, IRTB

Emergency Operations Center Management
Outcome: The event is effectively managed through multi-agency coordination for a pre-planned or no-notice event.
IS 230, IS 235, IS 701, IS 703, DEM 201, MGT 312, MGT 340, G775, G191,

Emergency Public Information and Warning
Outcome: Government agencies and public and private sector entities receive and transmit coordinated, prompt, useful, and reliable information regarding threats to their health, safety, and property, through clear, consistent information-delivery systems. This information is updated regularly and outlines protective measures that can be taken by individuals and their communities.
IS 242, IS 250, IS 702, E388

Onsite Incident Management
Outcome: The event is managed safely, effectively, and efficiently through the common framework of the ICS.
IS 700, IS800, ICS 100, ICS 300, ICS 400, G191

Emergency Public Safety and Security Response
Outcome: The incident scene is assessed and secured; access is controlled; security support is provided to other response operations (and related critical locations, facilities, and resources); emergency public information is provided while protecting first responders and mitigating any further public risks; and any crime/incident scene preservation issues are addressed.
PMC, AWR 160, DEM 134

Responder Safety and Health
Outcome: No illnesses or injury to any first responder, first receiver, medical facility staff member, or other skilled support personnel as a result of preventable exposure to secondary trauma, chemical/radiological release, infectious disease, or physical and emotional stress after the initial incident or during decontamination and incident follow-up.
Individual Organizations deem appropriate measures based on perfomance levels

Emergency Triage and Pre-Hospital Treatment
Outcome: Emergency Medical Services (EMS) resources are effectively and appropriately dispatched and provide pre-hospital triage, treatment, transport, tracking of patients, and documentation of care appropriate for the incident, while maintaining the capabilities of the EMS system for continued operations.
IS 703, PER 304, DEM 134

Medical Surge
Outcome: Injured or ill from the event are rapidly and appropriately cared for. Continuity of care is maintained for non-incident related illness or injury.
PER 304, DEM 134

Fatality Management
Outcome: Complete documentation and recovery of human remains and items of evidence (except in cases where the health risks posed to personnel outweigh the benefits of recovery of remains). Remains receive surface decontamination (if indicated) and, unless catastrophic circumstances dictate otherwise, are examined, identified, and released to the next-of-kin’s funeral home with a complete certified death certificate. Reports of missing persons and ante mortem data are efficiently collected. Victims’ family members receive updated information prior to the media release. All hazardous material regulations are reviewed and any restrictions on the transportation and disposition of remains are made clear by those with the authority and responsibility to establish the standards. Law enforcement agencies are given all information needed to investigate and prosecute the case successfully. Families are provided incident-specific support services.
Mass Fatality Victim Identification Seminar
If you have any questions regarding emergency management training, please contact Lisa Jameson at 509-477-3029.

Exercises:

The recent H1N1 Public Health focused incident provided a good opportunity to review our plans, partnership, and responsibilities. I will be working closely with our Public Health partners at Spokane Regional Health District on our communities Lessons Learned (LL) and After Action Reports (AAR). In a related effort, DEM participated with our muti-discipline partners on May 18th in the Health Care Coalition sponsored tabletop exercise, RAMSES III. The exercise focused on mass casualties, mass fatalities, forward movement of patients, alternate care facilities, and other medical surge related requirements. We are working to include the issues identified in both events with our other incident and exercise LL/AAR’s.


Our quarterly Regional Training and Exercise committee meets on Tuesday, June 9th and is focusing on the following areas:

· Review/discuss draft WA State Training and Exercise Plan (attached below)
· Review/discuss long range training plan
· Review/discuss IED Exercise series
· Review AAR/IP actions (exercise and incidents)

If you have any questions about these projects or meetings, please contact Darrell at 477-3006 or druby@spokanecounty.org.

ABCDP and DEM.
Gerry Bozarth, Disaster Recovery/Business Continuity

I am the DEM representative to the Alliance for Business Continuity & Disaster Preparedness (ABCDP). The ABCDP has been an active group in our community for many years and speaks on behalf of business for disaster planning, preparedness, continuity, and response. Another role is assisting businesses when they are in crisis. The Co-Chairs are John Ames of I.T. Lifeline and Randi Rich of Avista. The After Action Review from the Winter Storm noted that the ABCDP and businesses could improve their communication to those businesses affected during and after a disaster. While an attempt to utilize the media in contacting businesses suffering damage was not effective. Many of those businesses with significant damage could have benefited from the ABCDP’s expertise.

In response, the ABCDP approached local business organizations such as Greater Spokane Inc,, the Downtown Partnership, and the Better Business Bureau to name a few in the hopes of finding a solution to the commutation gap. A new advisory group has been formed to facilitate this improvement.

Business Continuity Advisory Group

Purpose: Serve as conduit between government emergency management personnel and business to facilitate dissemination of appropriate information to business, coordination of necessary business assistance, and informed decision making by Government officials in response to crisis situations.

Greater Spokane Incorporated (GSI) will coordinate with other regional business organizations to ensure appropriate engagement using the following envisioned structure / process:

1. Emergency situation arises necessitating business awareness and/or asistance/involvement;
2. Emergency management officials, working through the Alliance for Business Continuity, contact the Business continuity Advisory Group (BCAG) via Greater Spokane Incorporated.
3. Greater Spokane Incorporated analyzes situation, consults with appropriate BCAG members, determines the appropriate response / informs other BCAG members / helps implement necessary action. Likely scenarios for engagement of business community include:
a. Physical participation of BCAG membership as part of County Crisis Action Team (Infrequently, i.e., during declared emergencies)
b. Dissemination of information to inform business community during crisis situations (i.e., official information to inform of epidemic, fire, etc.)
c. Assistance for businesses affected during crisis (i.e., temporary access to phone / desk / internet, operating location, etc.);
d. Providing “voice of business” to inform Government official decision-making during times of crisis.

This newly formed advisory group and the proposed process should alleviate many of the problems affected businesses incurred during the last activation of the ECC.

Contact the ABCDP at http://www.spokaneprepares.org/ or John Ames at james@itlifeline.net for more information.

Mitigation Plan
DEM is conducting our annual review of the All Hazard Multi-Jurisdictional Mitigation Plan at the June Disaster Council meeting. This is a good opportunity to share with our partners previously identified priorities and recommended actions to help mitigate some of the annual hazards our community faces. Some of those hazards (not in priority order) are: wildland fire, winter storm, pandemic preparedness, HAZMAT, flood, terrorism, etc. The current mitigation plan http://www.spokanecounty.org/data/emergencymanagement/mp/SpokaneCountyMitigationPlanFinalApril2007.pdf

ECC Plan
The Emergency Operations Center (EOC) plan is currently being reviewed and updated. In conjunction with plan changes from the recent winter storm, H1N1, and past exercises is a name change to Emergency Coordination Center (ECC). Although this is a somewhat subtle name change, we believe it better reflects our role to coordinate resources and requirements. The ECC is established to coordinate support for response and recovery to incident (s) in support of multi-agency and multi-jurisdictional emergencies in Spokane County.
Homeland Security
Following is an update on recent committee activities related to the Homeland Security Grant Program:

Local State Homeland Security Planning (SHSP) Committee – May 5, 2009
· Received status report on SHSP Grant funded projects for FY07 and FY08
· Approved reallocating remaining FY07 funds to equipment projects
· Discussed sustainment costs
· Next meeting August 2009

Metropolitan Medical Response System (MMRS) Committee – May 20, 2009
· Received report on up-coming training classes
· Discussed H1N1 Response
· Received status report on grant funded projects for FY07 and FY08
· Received an update on Pharmaceutical Projects
· Shared information on area exercise plans
· Spokane DEM will host the next State MMRS meeting on July 15th
· Next meeting – June 17th, 2009

Region 9 Homeland Security Meeting – April 29, 2009
· Received a report on the jurisdictions represented by each Region 9 member.
· Discussed H1N1 Response.
· Reviewed proposed funding methodology options and provided Region 9’s recommendation for FY2010 to Washington State EMD.
· Approved reallocating remaining FY07 funds, a share to each County in Region 9.
· Received an update from DEM on the status of planning projects and the Regional Coordinator position.
· Received information from Chris Barnes regarding developing a Northwest Preparedness Coalition. Chris also shared information on a free FEMA course available on Emergency Planning for Special Needs Communities. He is exploring brining the course to our community.
· Next meeting – May 27th
Citizen Corps Planning Meeting – May 14, 2009.
· Received update on FY07 project allocations and expenditures
· Reviewed and approved FY08 projects


For more information, contact:
Kristine Glasgow, Homeland Security Grants Administrator
(509) 477-7603
KGlasgow@Spokanecounty.org

Monday, May 25, 2009

Wednesday, April 29, 2009

CEMP ESF #8 Health & Swine Flu Information

The Comprehensive Emergency Management Plan (CEMP) Emergency Support Function (ESF) #8 can be found at http://spokaneprepares.org/ESF_8.pdf. The purpose and scope of this ESF are listed below. Also, I have included the Department of Homeland Security Private Sector Office information and links below regarding swine flu.


Spokane City/County Department of Emergency Management
Emergency Support Function #8
Health, Medical, and Mortuary Services

I. LEAD AGENCIES:
Spokane Regional Health District (SRHD)
Spokane County EMS and Trauma Care Council
Spokane County Medical Examiner
Spokane Mental Health

II. SUPPORT AGENCIES:
Ambulance/Private
American Red Cross
Department of Social and Health Services
Educational Services Districts
Fire Departments/Districts
Law Enforcement Agencies/Federal
Law Enforcement Agencies/Local/State
Medical Centers/Hospitals
Medical/Dental Societies
Volunteer Organizations Active in Disasters

III. INTRODUCTION
A. Purpose:
To organize pre-hospital and community health resources to reduce the mortality
and morbidity resulting from major emergencies or disasters.

B. Scope:
1. Scene security and citizen evacuation
2. Emergency medical response to provide triage, treatment, and transport to the injured.
3. The coordination of hospital resources to provide in-hospital patient care and additional pre-hospital support as needed.
4. Community mental health and ministerial services.
5. Control and prevention of epidemics.
6. Vector prevention and control.
7. Provision of potable water and wastewater and solid waste disposal.
8. Emergency medical and public health support to displaced or sheltered
persons.
9. Victim identification and mortuary services.



U.S. DEPARTMENT OF HOMELAND SECURITY
PRIVATE SECTOR OFFICE
H1N1 FLU OUTBREAK UPDATE #3
APRIL 28, 2009 – 6:00PM

FEDERAL INTERAGENCY UPDATES AND INFORMATION
U.S. Department of Homeland Security

DHS H1NI Update: http://www.dhs.gov/xprepresp/programs/swine-flu.shtm
Featured: Video of Monday’s press conference

Post the H1N1 Flu Web Widget!

Help us get the message out to the public, post the H1N1 Flu Outbreak Web Widget to your web site: http://www.hhs.gov/

Center for Disease Control and Prevention Main CDC H1N1 Flu Outbreak Page: http://www.cdc.gov/swineflu/
(4/27) CDC Press Briefing: http://www.cdc.gov/media/transcripts/2009/t090427.htm
(4/27) CDC activates Emergency Operations Center: http://www.cdc.gov/news/2009/04/swine_flu/
(4/26) Travelers Health: http://wwwn.cdc.gov/travel/contentSwineFluTravel.aspx
(4/26) Travelers Health (Spanish): http://wwwn.cdc.gov/travel/contentSwineFluTravelSpanish.aspx

Key Facts on H1N1 Flu: http://www.cdc.gov/swineflu/key_facts.htm
CDC Caretaking Guidance: http://www.cdc.gov/swineflu/guidance/
Information for Airline Passengers Exposed to H1N1 Flu: http://wwwn.cdc.gov/travel/contentSwineFluPassengers.aspx
Good Health Habits Guidance: http://www.cdc.gov/flu/protect/habits.htm
H1N1 Flu (Swine) Flu and You: http://www.cdc.gov/swineflu/swineflu_you.htm
U.S. Department of Health and Human Services: PandemicFlu.gov
· (4/26/09) HHS Declares Public Health Emergency for H1N1 (Swine) Flu Outbreak http://www.hhs.gov/news/press/2009pres/04/20090426a.html
· Frequently Asked Questions on H1N1 Flu Outbreak: http://pandemicflu.gov/faq/swineflu/
· Guidance for individuals and families preparing for pandemic: http://www.pandemicflu.gov/plan/individual/index.html.
· Planning information for community organizations: http://www.pandemicflu.gov/plan/community/index.html

U.S. Food and Drug Administration

· (4/27) FDA Authorizes Emergency Use of Influenza Medicines, Diagnostic Test in Response to Swine Flu Outbreak in Humans
http://www.fda.gov/bbs/topics/NEWS/2009/NEW02002.html
U.S. Department of Agriculture
· (New - 4/28) Updated Statement by Agriculture Secretary Vilsack Regarding USDA Efforts Regarding H1N1 Flu Outbreak http://www.usda.gov/wps/portal/!ut/p/_s.7_0_A/7_0_1OB?contentidonly=true&contentid=2009/04/0137.xml
· Frequently Asked Questions: http://www.usda.gov/wps/portal/?contentidonly=true&contentid=2009/04/0131.xml

Office of Personal and Management
(See attached) Memorandum for Heads of Executive Departments and Agencies, Advice to Federal Employees and Agencies on Preventing the Spread of the Current Flu and Maintaining Readiness to Use HR Flexibilities if Necessary http://www.opm.gov/
U.S. Department of Labor/Office of Safety and Health Administration
Preparing Workplaces for an Influenza Pandemic http://www.osha.gov/Publications/influenza_pandemic.html
Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers: www.osha.gov/Publications/OSHA_pandemic_health.pdf
Proposed Guidance on Stockpiling of Respirators and Facemasks in Occupational Settings: http://www.osha.gov/dsg/guidance/stockpiling-facemasks-respirators.html

WORLD HEALTH ORGANIZATION

(4/27) On Monday, the World Health Organization raised its current phase of alert in the WHO global influenza preparedness plan from Phase 3 to Phase 4.
Phase 4 is characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause “community-level outbreaks.” The ability to cause sustained disease outbreaks in a community marks a significant upwards shift in the risk for a pandemic. Any country that suspects or has verified such an event should urgently consult with WHO so that the situation can be jointly assessed and a decision made by the affected country if implementation of a rapid pandemic containment operation is warranted. Phase 4 indicates a significant increase in risk of a pandemic but does not necessarily mean that a pandemic is a forgone conclusion.
For more information click to: http://www.who.int/csr/disease/avian_influenza/phase/en/index.html

TRAVELERS GUIDANCE

Travelers Health: http://wwwn.cdc.gov/travel/contentSwineFluUS.aspx

PREVENTION GUIDANCE
It is prudent for businesses to act in the absence of sufficient data to protect their employees and take advantage of a narrow window of opportunity for intervention. Persons with febrile respiratory illness should stay home from work or school to avoid spreading infections (including influenza and other respiratory illnesses) to others in their communities. In addition, frequent hand washing can lessen the spread of respiratory illness. As public health officials in the United States learn more about this virus, updated guidance will be issued to the public in conjunction with our state, local, tribal and territorial partners.
Identify your city, county or state public health department’s website for the most accurate information on what is taking place in your local area. These sites contain information on the current conditions in your area, what services are available as well as what services may be curtailed or suspended for the duration of an outbreak of influenza.

Identify your Continuity of Operations Planning (COOP) and employee readiness to successfully navigate a difficult period. Consulting a website like www.ready.gov on how employees should have enough food, water, medications, and other necessities to weather any breakdown in the supply chain that could prevent employees from reporting to their place of employment.

Identify policies and procedures to protect and sustain workers
Emphasize worker and workplace disease control and protection
Encourage employees to take actions to stay healthy. Such as covering the nose and mouth with a tissue when coughing or sneezing. Throw the tissue in the trash after you use it. Promote often hand washing with soap and water. Alcohol-based hands cleaners are also effective. Avoid touching the eyes, nose or mouth
If an employee is sick, CDC recommends that the individual stay home from work or school and limit contact with others to keep from infecting them

Identify and assess all essential services, functions, and processes necessary to keep systems running

Identify the types and numbers of workers critical to sustain essential functions
Define roles and responsibilities of employees, labor organizations, staff, supervisors, managers, and staff medical personnel
Assess impacts from short-term and extended absences by essential workers
Access, practice, and test remote connectivity and accessibility options for workers to ensure services remain operational

Review all equipment critical to support each essential function
Review primary and supporting components of critical equipment to identify potential critical system failures and possible cascading consequences

Prepare to sustain essential equipment, materials, and supplies for a nationwide wave lasting up to 12 weeks
Assess implications if your essential equipment fails early on during the influenza outbreak

Determine the most effective ways to ensure adequate supply of essential materials
Identify physical or safety limitations in stocking sufficient critical supplies locally
Assess recurring and preventative maintenance requirements

Identify Federal, State, and local regulatory requirements that may affect business operations
Consider how each action relates to those emergency response actions in existing business contingency and emergency response plans

Identify effects from mitigation strategies; take actions to reduce negative impacts
Discuss strategies’ potential impacts with workers, as well as your strategies management will take to communicate with employees, before, during, and after an outbreak
Discuss the potential impacts of these strategies with workers, their families, and with customers, supporting businesses and other stakeholders
Collaborate with public/private partners such as state and local health authorities and first responders who support and rely on you

U.S. Department of Homeland Security
Private Sector OfficeContact: private.sector@dhs.gov (202) 282-8484

Friday, April 24, 2009

Thursday, April 16, 2009