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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. brian.golob@co.hennepin.mn.us 612-543-5204. Agenda. Background Information for TCM APC Program

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twin cities metro advanced practice center overview

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.

brian.golob@co.hennepin.mn.us

612-543-5204

agenda
Agenda
  • Background Information for TCM APC Program
  • Perspective on EH Emergency Preparedness
  • Overview of Products
twin cities metro apc
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
disaster denial paradigm
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.
in the beginning
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
in the beginning cont
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
initial goal write an eh emergency response plan
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
why are we concerned
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
list of hazards natural
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
list of hazards man made or technological
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
defining key terms
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
principles of environmental health
Principles of Environmental Health
  • Promote health and quality of life
  • Protect the public from environmental hazards
  • Protect the environment from contamination
environmental health skills
Environmental Health Skills
  • Assessment
  • Management
  • Communication
environmental health skills cont
Environmental Health Skills (Cont.)
  • Assessment
    • Information Gathering
    • Data Analysis
    • Evaluation
environmental health skills cont18
Environmental Health Skills (Cont.)
  • Management
    • Problem solving
    • Project Management
    • Reporting
environmental health skills cont19
Environmental Health Skills (Cont.)
  • Communication
    • Education
    • Risk Communication
    • Conflict resolution
general environmental health emergency response actions
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
immediate environmental health emergency response actions
Immediate Environmental HealthEmergency Response Actions
  • A rapid initial qualitative assessment to collect information needed to begin an appropriate and timely response
specific eh functional or topic areas
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
twin cities metro advance practice center products
Twin Cities Metro Advance Practice Center Products
  • Training for EHP
  • Food Readiness
  • EH Planning & Practice
target audience
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
unintended audiences
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
overview of products eh training
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)

emergency preparedness and response fundamentals putting principles into practice
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
emergency preparedness and response fundamentals putting principles into practice cont
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
disaster strikes environmental health responds stories from the field
Disaster Strikes –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
disaster strikes environmental health responds cont
Disaster Strikes – Environmental Health Responds (Cont.)
  • Organizational Knowledge & Behavior
  • Collaboration
  • Information Gathering
  • Data Analysis
  • Problem Solving
  • Reporting, Documentation, and Record Keeping
  • Communication
  • Education
overview of products food readiness
Overview of Products: Food Readiness
  • 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)

overview of products food readiness cont
Information sheet titled 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.)
overview of products food readiness cont33
Overview of Products: Food Readiness (Cont.)
  • Emergency Readiness for Food Workers Trainer Guide (2006)

(Available as a hardcopy and PDF in English)

overview of products food readiness cont34
Overview of Products: Food Readiness (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

overview of products food readiness cont35
Overview of Products: Food Readiness (Cont.)
  • Food Safety and Security Self Audit Checklist (2007)*

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

overview of products food readiness cont36
Overview of Products: Food Readiness (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)

overview of products food readiness cont37
Overview of Products: Food Readiness (Cont.)
  • Clarifies Best Practices
  • Includes Food Security and Emergency Preparedness
overview of products eh planning practice
Overview of Products: 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)

overview of products eh planning practice cont
Overview of Products: EH Planning & Practice (Cont.)
  • Environmental Health Emergency Response Guide
overview of products eh emergency response guide cont
Overview of Products: 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
overview of products eh emergency response guide cont41
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

Overview of Products: EH Emergency Response Guide (Cont.)
overview of products eh planning practice cont42
Overview of Products: EH Planning & Practice (Cont.)
  • Environmental Health Resource Compendium for Emergency Response
overview of products eh planning practice cont43
Overview of Products: EH Planning & Practice (Cont.)
  • Hennepin County EH Emergency Response Plan
  • St. Paul-Ramsey County EH Standard Operating Procedures Annex
sneak preview
Sneak Preview
  • Special Event Planning Toolkit
  • Community Engagement Food Protection/EP Tool Kit
  • EH Emergency Preparedness Planning Toolkit
  • Disaster Simulation Training Module or “Game”
special event planning toolkit
Special Event Planning Toolkit

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

community engagement food protection ep tool kit
Community Engagement Food Protection/EP Tool Kit
  • 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
eh emergency preparedness toolkit
EH Emergency Preparedness Toolkit
  • Package a tool for EH Managers
  • Ensure that EH Plan is in place
  • EH Staff are oriented to the plan & available resources
disaster simulation training module or game
Disaster Simulation Training Module or “Game”
  • 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
slide50
Brian R. Golob, M.S.,C.H.M.M., R.E.H.S.

brian.golob@co.hennepin.mn.us

612-543-5204