Emergency Preparation

1. “Planning For Emergencies In Hays County”- Strategic National Stockpile (SNS)- Points of Dispensing (POD’s) Emergency Preparation emergency management team

2. Emergency Planning - Today’s Discussion Need For Emergency Planning Types of Disasters The Strategic National Stockpile (SNS) Points of Dispensing (POD) Sites - Types & Medication Distribution Plans Need For Volunteers emergency management team

3. The Role of Public Health in an Emergency Disease prevention Controlling the spread of disease and preventing further spread Surveillance – determining the populations at risk Preparing for and responding to disasters and public health emergencies. Our Goal: “To have a plan in place to provide appropriate medications to 100% of the population of Hays County within 48 hours of a declared emergency.” We can’t do this alone. We will need many volunteers ! emergency management team

4. Could This Happen, Again ? Hurricane Katrina 9-11 Twin Towers emergency management team

5. Or, could This Happen, Again ? Swine Flu H1N1 or Bird Flu H5N1, H7N9 ? SARS 2003 emergency management team

6. What if Anthrax, Smallpox, or Yersinia Pestis Was Dusted on a Texas State or UT Stadium ??? emergency management team

7. Characteristics of Disasters Extraordinary magnitude of harm Ecological disruption Disproportionate impact on vulnerable communities Demand for response that exceeds community’s ability to cope Necessity for outside assistance and resources emergency management team

8. In a Major Public Health Emergency in Hays County the Strategic National Stockpile Will Be Activated The Strategic National Stockpile (SNS) is: Prepackaged medical materials Pre-positioned by Center For Disease Control (CDC) To augment state/local medical needs Responds to a wide range of expected problems associated with a chemical and/or biological incident or event. emergency management team

9. What Medicines and Supplies Does the Strategic National Stockpile (SNS) Contain ? • Antibiotics (Oral and Intravenous) • Chemical Agent Antidotes • Vaccines, Antivirals and Antitoxins • Other Emergency Medications It is a National Repository of Critical Medicines and Supplies to be Released in the Event of Terrorist Attack on the U.S or a National or State Declared Health Emergency. For example…. Pharmaceuticals IV Administration Supplies Airway Management Supplies (Pediatric and Adult) Items for Radiation, Burns, and Blast Wound Care Supplies emergency management team

10. Components of the Strategic National Stockpile – 12 Hour Push Package Phase I Contains large quantities of antibiotics, antidotes, medical supplies, and equipment to immediately treat or provide antibiotics or preventative medication to thousands of affected or symptomatic individuals. emergency management team

11. Other SNS Components – Managed Inventory (MI) Phase II Large quantities of specific items to combat one or more specific threats The MI provides shipments of large and continuous quantities once the threat is known. MI shipments will arrive in the state within 24-36 hours of an approved request. emergency management team

12. The SNS Distribution Plan for Hays County Critical First Responder/Infrastructure distribution to emergency workers Closed POD’s (~ 60) sites for retirement homes, hospital employees, businesses, school employees (They pick up supplies at central distribution point) Six Open PODsites for the general public (1 Dripping Springs, 1 Wimberley, 2 San Marcos, 1 Buda, 1 Kyle) SNS pharmaceuticals will be distributed from Hays County to various municipal sites according to three Point of Dispensing “POD” plans: Special SNS “Direct Delivery” arrangements in place for CTMC, SETON, Texas State, TDCJ Kyle Prison Unit emergency management team

13. Points of Dispensing (PODs) Medication Distribution Plans POD’s are simply pre-identified sites where drugs are dispensed or administered to the affected population (“Closed” or “Open”) The number of POD’s is dictated by the magnitude of the event and the number of support staff and volunteers available. POD’s are predetermined by Hays County Health Department and Office of Emergency Management. emergency management team

14. Overall Goal of the POD Sites • A public information campaign regarding a mass prophylaxis clinics would begin • Public will be provided with current information, steps to take if exposed to the agent, the medical regimen, clinic locations, hours of clinic operation, and information to bring about their medical history (e.g. known medication allergies). The goal is to have the appropriate pharmaceuticals in the hands of the entire population of Hays County within 48 hours. (172,000 +) emergency management team

15. Benefits of a Closed PODPartnering Arrangement With Hays County“Win-Win” Benefits To Employer Free benefit to employer, employees, and their families. Employers receive free antibiotics quickly. Ensures business continuity of operations (emergency plans) The more prepared, the longer business stays open. Saves money – decreases lost productivity. Sends positive message to employees. Improves public relations and good will. No obligation, participation is completely voluntary. Psychologically and physiologically your business and staff WIN. Peace of mind your family is protected as well ! emergency management team

16. Benefits of a Closed PODPartnering Arrangement With Hays County “Win-Win” continued……. Benefits To Employees Receive free life-saving medication and training in disaster preparedness. Employees and their families receive medication faster – no standing in lines at open PODs. Employees and families are protected Employees return to work faster Increases loyalty and sense of security Reduces stress and anxiety emergency management team

17. Benefits of a Closed PODPartnering Arrangement With Hays County “Win-Win” continued……. Benefits To County Increases opportunity to save lives. Increases efficiencies for the county health department during public health emergencies. Community is better prepared for a disaster. Medications can be administered rapidly and efficiently. Ensures hard to reach populations are covered who may find it difficult to get to an open POD site. Medications are offered free of charge (i.e. federal asset). emergency management team

18. Closed POD MOU Agreement MOU Agreement: Agreement between your business and Hays County Emergency Management allowing your organization to operate as a Closed POD during a declared health emergency. Outlines your organization’s and Hays County Health Department responsibilities. The MOU is completely voluntary and you may opt out of being a Closed POD Partner at any time with a 30 day notice; the MOU does not legally bind you to operate as a Closed POD. Base agreement is for 5 years, with 1 year automatic renewal thereafter. emergency management team

19. Closed POD Registration Key Business or Organization Information Required: Name and address Contact information for Core Management Team - 24/7 Number of employees, their families, and/or clients you plan to provide this service to. What types of clients your facility serves. Whether or not your organization will serve as a “Medication Only” POD, or both a “Medication and Vaccination” POD. If your employees or clients speak other languages and you require written materials in those languages. If you have any medical personnel on your staff All information will be kept confidential at the Hays County Office of Emergency Management. Your information will not be shared. All POD staff must Sign an Oath of Confidentiality. emergency management team

20. Closed POD Planning & Training A Closed POD should be able to: Provide access to emergency medical services. Provide security of medical material delivered. Maintain proper temperature control of medicines. Return any unused material to the Hays County Health Department. Plans, Policies and Procedures are developed by each participating business: Review – updates, exercises and evaluations of your plan Training – of the people who will staff the function of your POD plan. Assessment – of your facility layout to make sure it will meet your POD needs. Exercise – plans, key staff and POD site. Education &Training and Annual Exercises will be provided by Hays County Emergency Management and Health Department personnel. emergency management team

21. Closed POD Resources Provided by Hays County Health Department Training modules and transcripts All necessary forms and information sheets (medications, fact sheets, consent, intake, etc) Staff roles and job action sheets Sample Closed POD plan Sample “Just-in-time” training guide and checklist Training log Final event summary report emergency management team

22. Legal Acts & References • Provides tort liability protection (except for willful misconduct) for activities related to developing, manufacturing, distributing, prescribing and using anthrax countermeasures in preparation for, and in response to, a potential anthrax attack. • The PREP Act sets forth the immunity for “covered persons” from tort claims related to, in this case, “covered countermeasure”. The Closed POD may be considered a covered person; a “Program Planner of countermeasure (i.e., individuals and entities involved in planning and administering programs for distribution countermeasure)….”appears in CDC PREP Act Questions and Answers, 42 USC S247d-6d(i)(7)(A)(ii). • As a covered person, if applicable, ENTITY may be immune from suit and liability under Federal and State law with respect to “all claims for loss caused by, arising out of, relating to, or resulting from the administration to or the use by an individual of a covered countermeasure….”. 42 USC S247d-6d(a)(i). • To view the PREP Act visit: http://www.phe.gov/Preparedness/legal/prepact/Pages/prepqa.aspx. Public Readiness and Emergency Preparedness Act, or “PREP Act” emergency management team

23. Legal Acts & References continued…. • Allows individuals, other than pharmacists to dispense prescription drugs during a declared emergency. • Was created to improve the Nation’s public health and medical response capabilities for emergencies, whether deliberate, accidental, or natural. • To view the PAHP Act visit: http://www.hhs.gov/aspr/opsp/pahpa/index.html. Emergency Powers Act Pandemic and All Hazards Preparedness Act or “PAHP Act” emergency management team

24. Volunteers Needed To Help Hays County’s Health Department and Emergency Management Fulfill its Mission To save lives, prevent illness and facilitate basic healthcare services during emergencies. To aid in the dispensing of antibiotics, medical triage, special needs, screening, immunizations and other life saving procedures during a large-scale health emergency. emergency management team

25. “There is nothing stronger than the heart of a volunteer” For more Information on Volunteering, Please call: Mike Jones Hays County Health Department Office of Emergency Management 512-393-5538 Email:mike.jones@co.hays.tx.us emergency management team

26. Questions ? emergency management team