Public health emergency response guide
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Public health emergency response guide

Public Health Emergency Response Guide


Public health emergency response guide

สถานการณ์

ท่านเป็นผู้รับผิดชอบด้านการควบคุมโรคในจังหวัด ได้รับรายงานว่ามีผู้ป่วยเสียชีวิตจากอาการปอดอักเสบและติดเชื้อทางเดินหายใจ ที่โรงพยาบาลศูนย์ ๓-๔ รายพร้อมๆกัน ผู้ป่วยมีอาการไข้สูง หายใจหอบเหนื่อย การหายใจล้มเหลว จนเสียชีวิตอย่างรวดเร็ว ภายใน ๒-๓ วันหลังจากเริ่มมีอาการ และขณะนี้พบว่ามีผู้ป่วยที่เริ่มมีอาการติดเชื้อทางเดินหายใจมารับการรักษามากขึ้นกว่าปกติ จากการประเมินสถานการณ์แล้ว ท่านคาดว่าอาจเป็นโรคติดต่อทางเดินหายใจที่รุนแรง จนเป็นภาวะฉุกเฉินทางสาธารณสุขได้ จึงเสนอให้เปิดศูนย์ตอบโต้สถานการฉุกเฉินทางสาธารณสุข

ในการตอบโต้เหตุการณ์นี้ท่านมีแนวทางปฏิบัติอย่างไร?


Public health emergency response guide

วัตถุประสงค์

  • บุคคลากรสาธารณสุขที่เกี่ยวข้องกับการตอบโต้ภาวะฉุกเฉินทางสาธารณสุข สามารถริเริ่มกิจกรรมการตอบโต้สถานการณ์ฉุกเฉินภายใน ๒๔ ชั่วโมงแรกได้อย่างถูกต้อง

  • สามารถปรับใช้แผนปฏิบัติการฉุกเฉิน, แนวทางปฏิบัติ, ทรัพยากรที่เกี่ยวข้อง, และระบบการตอบโต้เหตุการณ์ ให้เข้ากับสถานการณ์

  • สามารถประสานการปฏิบัติตามแผนกับหน่วยงานที่เกี่ยวข้องและชุมชนได้อย่างถูกต้อง


Public health emergency response guide

http://emergency.cdc.gov/planning/responseguide.asp.


Scope

Scope

  • Public Health Emergency Preparedness Assumption

  • Public Health Emergency Response Functions and Tasks during the Acute Phase

  • Ongoing Public Health Emergency Response Functions and Tasks


Focus on first 24 hours

Focus on First 24 Hours

  • Three response timeframe

  • Immediate (Hours 0-2)

  • Intermediate (Hours 2-6 and 6-12)

  • Extended (Hours 12-24)


Public health emergency preparedness assumption

Public Health Emergency Preparedness Assumption

  • Public Health Department must engage in preparedness activities

  • Completion of the following activities prior to an incident is essential to a successful response effort


Public health emergency response guide

  • Establish close working relationship and mutual-aid agreement with:

    • Emergency management agency (EMA)

    • Emergency Medical Service (EMS)

    • Medical/Health/Behavioral care providers

    • Fire, Law enforcement, and Other organizations

    • Local Emergency Planning Committee

    • NGOs, Volunteers, Neighboring, etc.


Public health emergency response guide

  • Participate in hazard vulnerability and risk assessment for your area(s).

  • Conduct capacity assessment

  • Acquire resources and surge capacity

  • Develop plans, procedure, guideline that are consistent with those used by other response agencies and organizations

  • Develop operational objectives for PHER

  • Develop basic system for surveillances and registry with appropriate archiving systems


Public health emergency response guide

  • Develop plans, procedures, guidelines for public affairs and risk communication

  • Engage in resource typing and credentialing for personnel, resources, and assets for emergency response

  • Ensure that public health personnel are trained and certified in safety and health practice (PPE, on-scene)


Public health emergency response guide

  • Provide orientation and training to public health response personnel

  • Participate in planning, design, and conduct exercises to evaluate PHEP&R

  • Participate in after action reviews of exercise and actual incidents


Immediate response hours 0 2

Immediate Response: Hours 0-2

  • Assess situation

  • Contact key health personnel

  • Develop initial health response objectives and Establish an action plan

  • Public health participation in Emergency Operations Center (EOC)

  • Ensure that the site health and safety plan (HASP) is established, reviewed, and followed


Immediate response hours 0 21

Immediate Response: Hours 0-2

  • Establish communications with key health and medical organization

  • Assign and deploy resources and assets to achieved established initial health response objectives

  • Address requests for assistance and information

  • Initiate risk communication activities


Public messages in crisis

Public Messages in Crisis

  • STARCC Principle

  • S: Simple

  • T: Timely

  • A: Accurate

  • R: Relevant

  • C: Credible

  • C: Consistent

Source: Reynolds, B., Crisis and Emergency Risk

Communication by Leaders for Leaders. Atlanta, GA:

Centers for Disease Control and Prevention, 2004


Public health emergency response guide

When engaging in risk communication, build trust and credibility by expressing . . .

  • Empathy & Caring

  • Competence & Expertise

  • Honesty & Openness

  • Commitment & Dedication


Top tips

Top Tips.

  • Don’t over reassure

  • Acknowledge uncertainty

  • Express wishes (“I wish I had answers”)

  • Explain the process in place to find answers

  • Acknowledge people’s fear

  • Give people things to do

  • Ask more of people (share risk)


As a spokesperson

As a spokesperson

  • Know your organization policies

  • Stay within the scope of responsibility

  • Tell the truth. Be transparent

  • Embody your agency’s identity

    CONSISTENT MESSAGE ARE VITAL

Source: Reynolds, B., Crisis and Emergency Risk Communication. Atlanta, GA: Centers for Disease Control and Prevention, 2002.


Immediate response hours 0 22

Immediate Response: Hours 0-2

  • Engage legal counsel as part of the emergency response effort

  • Document all response activities


Intermediate response hours 2 6

Intermediate Response: Hours 2 – 6

  • Verify that health surveillance systems are operational

  • Ensure that laboratories likely to be used during the response are operational and verify their analytical capacity

  • Ensure that the needs of special populations are being addressed


Intermediate response hours 2 61

Intermediate Response: Hours 2 – 6

  • Health-related volunteers and donations

  • Update risk communication messages


Intermediate response hours 6 12

Intermediate Response:Hours 6 – 12

  • Collect and analyze data that are becoming available through health surveillance and laboratory systems

  • Prepare and update information for shift change and executive briefings


Intermediate response hours 6 121

Intermediate Response:Hours 6 – 12

  • Prepare for state and federal on-site assistance

  • Assess health resource needs and acquire as necessary


Extended response hours 12 24

Extended Response: Hours 12 – 24

  • Address mental and behavioral health support needs

  • Prepare for transition to extended operations or response disengagement


Ongoing public health emergency response functions and tasks

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Environmental hazard identification

  • Hazards consultation

  • Epidemiological services

  • Health and medical needs assessment

  • Identification of affected individuals


Ongoing public health emergency response functions and tasks1

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Contamination control

  • Health surveillance

  • Laboratory specimen collection and analysis

  • Infectious disease identification, treatment, and control


Ongoing public health emergency response functions and tasks2

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Quarantine/Isolation

  • Public health information

  • Risk communication

  • Responder safety and health

  • Health and medical personnel resources


Ongoing public health emergency response functions and tasks3

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Health and medical equipment safety and availability

  • Health-related volunteer and donation

  • Coordination

  • In-hospital care

  • Evacuation


Ongoing public health emergency response functions and tasks4

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Sheltering

  • Special populations needs and assistance

  • Mass trauma

  • Mass fatality

  • Mortuary service


Ongoing public health emergency response functions and tasks5

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Mental/behavioral health care and social services

  • Potable water

  • Food safety

  • Vector control and pest management disposal


Ongoing public health emergency response functions and tasks6

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Wastewater and solid-waste management/ disposal

  • Building/facility assessment

  • Sanitation/hygiene service

  • Continuity of public health programs, services, and infrastructure


Ongoing public health emergency response functions and tasks7

ONGOING PUBLIC HEALTH EMERGENCY RESPONSE FUNCTIONS AND TASKS

  • Veterinary services

  • Animal rescue/control/shelters

  • Long-term community recovery


Template 1 documentation of contacts actions

Template 1: Documentation of contacts & actions


Template 2 health department personnel emergency contact information

Template 2: Health department personnel emergency contact information


Template 3 state local tribal emergency contact information

Template 3: State, local, tribal emergency contact information


Template 4 leadership assignment

Template 4: Leadership assignment


Template 5 incident specific public health preparedness

Template 5: Incident-specific public health preparedness


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