The State of Ohio

1. The State of Ohio Weapons of Mass Destruction BIO TERRORISM PROTOCOL PROCEDURES FOR LOCAL, STATE AND FEDERAL PERSONNEL AND AGENCIES Ohio Department of Health

2. BIO-TERRORISM • THERE ARE A NUMBER OF THINGS WHICH MAKE THIS TYPE OF INCIDENT DIFFERENT FROM OTHERS • NON TRADITIONAL RESPONDERS INVOLVED Ohio Department of Health

3. LOCALLY EMA EMS FIRE HEALTH DEPT HOSPITAL LAW ENFORCEMENT POISON CONTROL STATE & FEDERAL CDC FBI EMA OSP STATE DEPT OF HEALTH USPHS AGENCIES INVOLVED Ohio Department of Health

4. FIRE • Ohio Revised Code places senior fire officer in charge • Responsible for interagency coordination • Incident Command System • Unified Command • Hazmat Ohio Department of Health

5. POLICE • This is a crime scene • Primary job is securing the scene and the preservation of the evidence • building security • interagency coordination of all law enforcement Ohio Department of Health

6. EMS • Support of Hazmat team • Decon • Triage • Transportation • Team Vitals • Patient monitoring • Coordination with LHD for pt. monitoring Ohio Department of Health

7. HEALTH • Local Health Department contacts Ohio Department of Health • Assist in processing victims if applicable • Long term monitoring of patients • Support of command with information about the agent • Coordinates with local hospitals • Sends liaison to hospital for patient inventory • Contact Poison Control/CDC Ohio Department of Health

8. EMA • Local EMA is charged with coordination of services • Notifies State EMA • Finds needed resources • State EMA coordinates at the state level • Opens EOC as needed Ohio Department of Health

9. STATE HIGHWAY PATROL • In state buildings, in charge of security • OSP may coordinates transportation of the sample to ODH lab at OSU • Maintains the chain of custody and coordinates with FBI • Transportation will be air and ground OHIO Ohio Department of Health

10. Federal Bureau ofInvestigation • By Federal Law, FBI is charged with the investigation if a crime exists. • Will coordinate the scene with local officials • There are coordinators in Cleveland, Columbus, and Cincinnati Ohio Department of Health

11. OHIO DEPARTMENT OF HEALTH • Disaster Response and InfectiousDiseaseBureaus will establish a bridge line with CDC and the on scene incident commander • ODHLab will accept samples from scene and process them for identification. • ODH will support local health department Ohio Department of Health

12. Scenario: Anonymous Caller- No Device Found • Telephone call received • No evidence is seen • ICS must decide on building evacuation • Secondary device should be considered • Officials notified Ohio Department of Health

13. Scenario: Device Found • Threat is received • Evidence found • All potentially exposed personnel must be contained • Decontamination process established • Officials notified • Patients monitored Ohio Department of Health

14. Scenario: Potential Threat Opened - Material Present • Envelope or package is received • Has some type of alleged agent inside • Package should be contained • Area should be contained • Officials notified • Personnel decontaminated Ohio Department of Health

15. Scenario: Envelope Open- No Material • Person opens an envelope or package • Information inside advises of anthrax contamination • Nothing seems to be in the envelope • Envelope or box should be contained • Notify officials • Secure area • DECON to be determined Ohio Department of Health

16. Scenario: Potential Bio Threat - Not Opened • Person does not open envelope or package • Handle as law enforcement investigation • Notify officials • Envelope or box should be contained (double bagged and into container) • Secure area Ohio Department of Health

17. The Biologic Threat • Anthrax seems to be the agent of choice at the present time • There ARE others!! • Any threat using biologic agents should be considered real • Abortion and family planning clinics have been targeted in the past, also industry and schools Ohio Department of Health

18. Potential List of Agents • Anthrax (bacteria) • Plague (bacteria) • Q fever (rickettsia) • Smallpox (virus) • Ebola (virus) • Venezuelan Equine Encephalitis (VEE) (virus) • Staphylococcal Enterotoxin B (toxin) • Botulinum (toxin) • Ricin (toxin) Ohio Department of Health

19. Detection of Covert Biological Attacks • Calls to 9-1-1 & EMS responds • Medical community response • Epidemiology Ohio Department of Health

20. Covert Incident will be Hard to Recognize • Symptoms resemble other sicknesses • May not surface for 3 or 4 days • Physicians may not be familiar with symptoms • Mortality will be expected • Lab analysis must be expedited in any case Ohio Department of Health

21. Local Dispatch & 911 Centers • Initial dispatch card should include • Fire / EMS • EMA • Law enforcement • Hospitals • Secondary notification should include • Local health department • FBI Ohio Department of Health

22. QUESTIONS? • REVIEW POINTS: • The GUIDELINES are a “work in progress” • They are ONE of several tools to use in planning • Incident Command System is a NECESSARY concept for response • Communication is THE KEY (e.g., HAN, partnering with other agencies) Ohio Department of Health