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Twin Cities Metro Advanced Practice Center Overview. Advanced Practice Center Roadshow July 28-29, 2009 Orlando, Florida Brian R. Golob, M.S., C.H.M.M., R.E.H.S. [email protected] 612-543-5204. Agenda. Background Information for TCM APC Program

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Twin Cities MetroAdvanced Practice Center Overview

Advanced Practice Center Roadshow

July 28-29, 2009

Orlando, Florida

Brian R. Golob, M.S., C.H.M.M., R.E.H.S.

[email protected]

612-543-5204


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Agenda

  • Background Information for TCM APC Program

  • Perspective on EH Emergency Preparedness

  • Overview of Products



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Twin Cities Metro APC

  • Collaborative approach exclusively for EH emergency preparedness

  • Currently in 5th year of funding

  • Focus on:

    • Practical and Useful Products

    • Building EH Capacity


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Disaster Denial Paradigm

  • It isn’t going to happen.

  • If it happens, it will not be as bad as they said it would be.

  • If it happens, and it is as bad as they said, it will not happen to me.

  • If it happens and it is as bad as they said, and it happens to me, then someone has planned for it and is coming to help.


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In the Beginning…

  • American Journal of Public Health and the Nations Health 1930

  • Public Health Management of Disasters The Practice Guide, 2001, APHA

  • Environmental Health in Emergencies and Disasters, WHO, 2002


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In the Beginning…(Cont.)

  • Journal of Environmental Health Article, Sept. 2004

  • Journal of Environmental Health Article, Nov. 2004

  • Disaster Field Manual for Environmental Health Specialists, 1994, 1998 & 2004 CA Assoc. of EH Administrator


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Initial Goal:Write an EH Emergency Response Plan

  • Tracked Down Many Interesting Web Sites

  • Never Found an EH Emergency Response Plan

  • Realized that Roles & Responsibilities for EHP were not Defined

  • Training Materials were Lacking


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Why Are We Concerned

  • Natural & man-made emergencies/ disasters can occur anywhere and frequently do

  • Incidents can affect human health, lives and the infrastructure that supports society


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Hurricane

Earthquake

Tsunami

Avalanche

Volcanic Eruption

Landslide

Fires

Tornado

Flood

Severe Wind Storm

Severe Winter Storm

Hail Storm

Drought

Extreme heat

List of Hazards-Natural


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Dam or Bridge Failure

Power Outage/Failure

Infectious Disease

Transportation Accidents

Terrorist Conventional Bomb

Chemical Terrorism

Contaminated Water Supply

Contaminated Food Supply

Hazardous Material Incident

Radiological Incident

Biological Terrorism

Nuclear Detonation

Cyber Terrorism

List of Hazards-Man-made or Technological


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Defining Key Terms

  • Hazard is any phenomenon that has the potential to cause damage to humans and their environment

  • Emergency is not a disaster in itself, but an event requiring immediate response

  • Disaster overwhelms the affected community and requires outside assistance




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Principles of Environmental Health

  • Promote health and quality of life

  • Protect the public from environmental hazards

  • Protect the environment from contamination


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Environmental Health Skills

  • Assessment

  • Management

  • Communication


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Environmental Health Skills (Cont.)

  • Assessment

    • Information Gathering

    • Data Analysis

    • Evaluation


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Environmental Health Skills (Cont.)

  • Management

    • Problem solving

    • Project Management

    • Reporting


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Environmental Health Skills (Cont.)

  • Communication

    • Education

    • Risk Communication

    • Conflict resolution


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General Environmental Health Emergency Response Actions

  • Primary responsibility for the “health” of a community

  • Includes basic services such as food safety, water supply, shelter, sanitation & waste management


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Immediate Environmental HealthEmergency Response Actions

  • A rapid initial qualitative assessment to collect information needed to begin an appropriate and timely response


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Food/waterborne outbreak investigation

Water safety & supply

Food safety

Sanitation

Mass care

Vector control

Solid waste

Worker Safety/PPE

Hazardous waste

Household hazardous waste

Medical/infectious waste

Chemical incident

Radiological incident

Flood

Tornado/wind damage

Specific EH Functional or Topic Areas


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Twin Cities Metro Advance Practice Center Products

  • Training for EHP

  • Food Readiness

  • EH Planning & Practice


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Target Audience

  • Environmental Health Directors, Managers, Supervisors

  • Public health staff responsible for environmental health programs

  • Front line staff with years of experience and those who are new in the field


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Unintended Audiences

  • Other professionals: fire, police, nurses, doctors, emergency management and haz mat responders

  • Many people do not know or realize what EH brings to the table

  • They gained an understanding of the role that EHP would have in a disaster/emergency


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Overview of Products: EH Training

  • Emergency Preparedness and Response Fundamentals & Putting Principles into Practice (2005)

    (Available as a CD and on-line)

  • Disaster Strikes-Environmental Health Responds: Stories from the Field (2007)

    (Available as a CD and on-line)


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Emergency Preparedness and Response Fundamentals & Putting Principles into Practice

  • Lesson 1: Overview of EH Principles

  • Lesson 2: Communicating as a Key Role for EH Professionals

  • Lesson 3: Responding to Emergencies/Disasters

  • Lesson 4: Minimizing Health Implications


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Emergency Preparedness and Response Fundamentals & Putting Principles into Practice (Cont.)

  • Three Real World Disasters

    • Scenario # 1 – Elemental Hg

    • Scenario # 2 – Train Derailment Anhydrous Ammonia Release

    • Scenario # 3 – F5 Tornado


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Disaster Strikes – Principles into Practice (Cont.)Environmental Health Responds: Stories from the Field

  • Interviewed 22 EHP across the country

  • Learned how they dealt with 9 disasters & 1 emergency

  • They shared valuable tips, techniques and lessons learned

  • Experience is a powerful teacher

  • Focused on 8 EH Core Competencies


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Disaster Strikes – Principles into Practice (Cont.)Environmental Health Responds (Cont.)

  • Organizational Knowledge & Behavior

  • Collaboration

  • Information Gathering

  • Data Analysis

  • Problem Solving

  • Reporting, Documentation, and Record Keeping

  • Communication

  • Education


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Overview of Products: Food Readiness Principles into Practice (Cont.)

  • Emergency Handbook for Food Managers includes a readiness guide and photo lessons (2005)

    (Available as a hardcopy, CD and PDF in English, Spanish, Arabic, Chinese, Hmong & Somali)


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Information sheet titled Principles into Practice (Cont.)Who to Contact in an Emergency (Released 2005 & Revised 2006).

(Available as a hardcopy and PDF in English)

Police Dept.

Local Health Dept.

Insurance Carrier

Local Utility

Governmental Agency for Chemical Spill/Release

Well Water Disinfection

Potable Water Supply

Waste Mgt Assistance

Overview of Products: Food Readiness (Cont.)


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Overview of Products: Food Readiness (Cont.) Principles into Practice (Cont.)

  • Emergency Readiness for Food Workers Trainer Guide (2006)

    (Available as a hardcopy and PDF in English)


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Overview of Products: Food Readiness (Cont.) Principles into Practice (Cont.)

  • Information sheet titled In an Emergency: Discard or Salvage (2005)*

  • Information sheet titledIn an Emergency: Equipment & Supplies List for Food Service (2005)*

    * PDFs in English, Spanish, Arabic, Chinese, Hmong, Laotian, Oromo, Russian, Somali & Vietnamese


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Overview of Products: Food Readiness (Cont.) Principles into Practice (Cont.)

  • Food Safety and Security Self Audit Checklist (2007)*

    * PDFs inEnglish, Spanish, Arabic, Chinese, Hmong, Laotian, Oromo, Russian, Somali & Vietnamese


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Overview of Products: Food Readiness (Cont.) Principles into Practice (Cont.)

  • 2005 Baseline Survey on Emergency Preparedness

    at Twin Cities Metro Food Service Establishments

    (Available in hardcopy and archived at NACCHO)

  • 2007 Benchmark Survey on Emergency Preparedness

    at Twin Cities Metro Food Service Establishments

    (Work in Progress)


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Overview of Products: Food Readiness (Cont.) Principles into Practice (Cont.)

  • Clarifies Best Practices

  • Includes Food Security and Emergency Preparedness


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Overview of Products: Principles into Practice (Cont.)EH Planning & Practice

  • Solid Waste Management and Highly Pathogenic H5N1 Avian Influenza Virus Decision Tree Guidance Document (Released 2007)

    (Available in hardcopy and on CD)


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Overview of Products: Principles into Practice (Cont.)EH Planning & Practice (Cont.)

  • Environmental Health Emergency Response Guide


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Overview of Products: Principles into Practice (Cont.)EH Emergency Response Guide (Cont.)

  • Describe general and specific response actions that EH personnel would be responsible for in a disaster/emergency

  • Each topical area includes:

    • Introduction

    • Emergency Response Objectives

    • Priority Activities

    • Practical Guidance Information


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Food/waterborne outbreak investigation Principles into Practice (Cont.)

Water safety & supply

Food safety

Sanitation

Mass care

Vector control

Solid waste

Worker Safety/PPE

Hazardous waste

Household hazardous waste

Medical/infectious waste

Chemical incident

Radiological incident

Flood

Tornado/wind damage

Overview of Products: EH Emergency Response Guide (Cont.)


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Overview of Products: Principles into Practice (Cont.)EH Planning & Practice (Cont.)

  • Environmental Health Resource Compendium for Emergency Response


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Overview of Products: Principles into Practice (Cont.)EH Planning & Practice (Cont.)

  • Hennepin County EH Emergency Response Plan

  • St. Paul-Ramsey County EH Standard Operating Procedures Annex


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Sneak Preview Principles into Practice (Cont.)

  • Special Event Planning Toolkit

  • Community Engagement Food Protection/EP Tool Kit

  • EH Emergency Preparedness Planning Toolkit

  • Disaster Simulation Training Module or “Game”


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Special Event Planning Toolkit Principles into Practice (Cont.)

Planning process guidance

Training materials

Training program guidance

Inspection process and form

Communication protocol/reporting template

Mutual-aid agreement and staff identification

Tool for estimating agency resource


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Community Engagement Food Protection/EP Tool Kit Principles into Practice (Cont.)

  • For local EH agencies to use

  • Engage food service establishments

  • Increase the capacity of food managers and front-line food workers to protect the food supply


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EH Emergency Preparedness Toolkit Principles into Practice (Cont.)

  • Package a tool for EH Managers

  • Ensure that EH Plan is in place

  • EH Staff are oriented to the plan & available resources


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Disaster Simulation Training Module or “Game” Principles into Practice (Cont.)

  • Describe the role of EHP in a disaster

  • Make informed and sound decisions related to preparation, response and recovery efforts

  • Addresses a flood and a train derailment


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Brian R. Golob, M.S.,C.H.M.M., R.E.H.S. Principles into Practice (Cont.)

[email protected]

612-543-5204


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