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The Good, The Bad, and The Ugly PowerPoint PPT Presentation


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The Good, The Bad, and The Ugly. TOPOFF2 Lessons Learned. Half Full or Half Empty. TOPOFF2 Overview. May 12-16, 2003 Largest Terrorism Response Exercise Designed to Identify Vulnerabilities in the Nation’s Incident Management Capability

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The Good, The Bad, and The Ugly

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The good the bad and the ugly

The Good,

The Bad,

and The Ugly

TOPOFF2 Lessons Learned


Half full or half empty

Half Full or Half Empty...


Topoff2 overview

TOPOFF2 Overview...

  • May 12-16, 2003

  • Largest Terrorism Response Exercise

  • Designed to Identify Vulnerabilities in the Nation’s Incident Management Capability

  • Radiological Dispersal Device (Seattle, WA)

  • Pneumonic Plague (Illinois)

  • Open Exercise to Enhance Learning and Preparedness


Dhs after action summary

DHS After Action Summary...

  • Marred by Communications Problems

  • Serious Shortages of Medical Supplies and Hospital Rooms

  • Lack of Federal, State and Local Preparedness

  • Confusion Over Where Radiological Residue would Spread


The participants

The Participants…


Major activities

Major Activities…

  • Disease Investigation and Surveillance

  • SNS Distribution and Dispensing

  • SWMDT Takedown

  • Hospital Play

  • JOC/JIC Operation


Many positives from t2

Many Positives from T2…

  • Critical Decisions by Governor and Top Staff

  • SNS Distribution and Dispensing Activities

  • SWMDT Takedown of Terrorist Cell

  • Disease Investigation and Surveillance

  • Utilization of ILEAS – 1,200 law officers

  • Public Information and EAS Activation

  • Rapid VMI Re-supply


Future preparedness needs

Future Preparedness Needs…

  • Coordination Between Many Command Centers

  • Joint Decision-Making/Information Sharing

  • Mass vs. Targeted Prophylaxis

  • Prophylaxis of First Responders

  • Consolidate Conference Calls

  • Further Development of JOC/JIC

  • Streamline Electronic Communication (E-Mail)

  • No Prioritization of Information Shared


Future preparedness needs1

Future Preparedness Needs…

  • Wider Distribution of State Situation Reports

  • Blast-Faxing of Information Slow

  • Need for Effective Staging Areas

  • Communication with SWMDT During Event


Public health and hospital review and critique

Public Health and HospitalReview and Critique


Public health activities

Public Health Activities…

  • Disease Surveillance and Epidemiology

  • Laboratory Confirmation and Technical Assistance

  • Strategic National Stockpile Distribution

  • Hospital Response and Collaboration

  • Legal Authorities and Review


The good i e successes

The Good (i.e. Successes)…

  • Preparedness Activities and Pre-Planning

  • First Responder and Hospital Coordination

  • Strategic National Stockpile Distribution

  • State and Local Public Health Collaboration

  • Legal Team Development and Review

  • Defined Public Health Role During Emergency


The bad i e concerns

The Bad (i.e. Concerns)…

  • Coordination with Command Centers

  • Sending Voice and Electronic Communications (Alerts)

  • Monitoring News Reports (VNN)

  • Highlighted Resource (Personnel) Needs

  • Input in Major Decisions (Schools and O’Hare)


The ugly i e critical issues

…The Ugly (i.e. Critical Issues)

  • New Concept of JOC/JIC

  • Multiple Points-of-Contact with Federal Government

  • Time Compressed Activities Produced Unrealistic Scenario


Lessons learned

Importance of Surge Capacity

Critical Role of Regional Planning (Mutual Aid)

Electronic Reporting is Mandatory

Core Surveillance Standards are Needed

Public Health is from Venus and EMA is from Mars

Lessons Learned…


Next steps

Next Steps…

  • Further Define SNS Strategies (Mass vs. Targeted)

  • Upgrade Voice and Electronic Communication Systems

  • Integrate Public Health and Hospital Preparedness Activities

  • Conduct Additional Exercise (No Notice)


Questions comments

Questions/Comments…

Donald Kauerauf

Chief, Division of Emergency Preparedness

and Response

Illinois Department of Public Health


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