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Practical Considerations for Setting Up a Community Reception Center. Part 2 Setting up a Community Reception Center During the Empire 09 Radiological Exercise. Setting up a Community Reception Center During the Empire 09 Radiological Exercise. Adela Salame-Alfie, Ph.D.

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practical considerations for setting up a community reception center

Practical Considerations for Setting Upa Community Reception Center

Part 2

Setting up a Community Reception Center During the Empire 09 Radiological Exercise

slide2

Setting up a Community Reception Center During the Empire 09 Radiological Exercise

Adela Salame-Alfie, Ph.D.

New York State Department of Health

Center for Environmental Health

key element
KEY ELEMENT

COLLABORATION

  • Between Radiation Control and Public Health
  • With Emergency Response Organization
  • With the Medical Reserve Corp/Red Cross
  • With local HAZMAT
  • With Law Enforcement
  • With Volunteers
  • Etc.
slide4

Need to Collaborate and Develop Partnerships

Emergency Response

Points of Dispensing

Hospital Preparedness

Radiation Protection

Epidemiology

Shelters

Public Health Preparedness

Environmental Sampling

Local Public Health

Hazmat

Why

Partner ?

why do we need to partner
Why do we need to partner?
  • Radiological emergency preparedness is not just for the “Big Cities”
  • A radiological incident/event can happen anywhere, anytime (a truck accident involving radioactive material)
  • If a radiological incident happens at a big City, adjacent, and even “far away”, “smaller” localities would have to deal with the aftermath (evacuations after Katrina)
the need
The Need
  • Multiple types of expertise needed
  • Many (most) local health departments do not handle radiation issues
  • Radiation is not a required program
  • Competing priorities (H1N1?)
  • Loss of experienced staff due to retirement
the strengths
The strengths
  • Multiple types of expertise available at the state and local levels
  • Funding for preparedness has strengthen many local and state programs
  • POD exercises have encouraged partnerships with Medical Reserve Corp, Red Cross, other volunteers
examples where public health and radiation control can partner
Examples Where Public Health and Radiation Control can Partner
  • Setting up Community Reception Centers
  • Collection of bioassay samples to assess internal contamination and possible administration of “radioprotective drugs”
  • Developing/collecting vital information from victims for “registry”
  • Preparing key messages to inform and educate the public
examples of partnerships in ny
Examples of Partnerships in NY
  • Within the New York State Department of Health (NYSDOH)
  • With other NYS Agencies (Environmental Conservation, Fire Prevention and Control, Emergency Management)
  • With Local Health Departments
  • With the School of Public Health
  • Hospitals
  • Medical Reserve Corps
slide10

Emergency Response

Points of Dispensing

Hospital Preparedness

Radiation Protection

Epidemiology

Shelters

Public Health Preparedness

Environmental Sampling

Local Public Health

Partnership

slide11

EMPIRE 09

HIGHLIGHTS

empire 09 setup
EMPIRE 09 Setup
  • National Level Radiological Exercise in Albany, NY
  • Mid-size urban area
  • Involve local response
  • Involve multiple states
  • Require federal assistance
  • Two “small” dirty bombs (Cesium-137, Americium 241)
    • Localized structural damage
    • Need for evacuation/decontamination/relocation
overview
Overview

Conducted in Three Phases

  • Phase IThe first 48 hours

Table-top Exercise: May 14-15

  • Phase II48 hours - 120 hours

Full Scale Exercise: June 2-4

  • Phase III45+ days

Facilitated Discussion: June 16-17

phase i 0 48 hours
Phase I (0-48 hours)

Table-top Exercise Objectives

  • Address operational and strategic decision making
  • Address policy issues that develop after life-saving operations
  • Emphasis on local (city, county) and state response and federal support process
phase ii full scale exercise
Phase II Full Scale Exercise

Real-time field play

  • Strategic, policy-level play at various sites throughout the nation, including senior-level play in DC
  • City of Albany, Albany County, Rensselaer County, NY State Agencies, Vermont, New England Radiological Compact and Federal Agencies
phase iii facilitated discussion
Phase III Facilitated Discussion

Long term recovery activities

  • Transfer coordination from Department of Energy to Environmental Protection Agency
  • Stafford Act Declaration ($)
  • Long-term Health Issues
  • Determination of clean-up levels
  • Re-entry, return, etc.
doh activities in preparation for empire 09
DOH Activities in Preparation for Empire 09
  • Planning Meetings (18 months!)
    • With County and State Agencies, with FRMAC and other Local, State and Federal Agencies
  • Training, training, training
    • Field Sampling, surveying, ICS, etc.
  • Developing Message Maps
  • Identifying needs and developing materials for use at the Community Reception Center
    • Developed victim intake forms, worker job action sheets, need for urinalysis, laboratory prioritization (collaboration with CDC)
    • Victim scripts (in collaboration with CDC)
    • Adapted CRC protocols from LA County
examples of doh roles and responsibilities
Examples of DOH Roles and Responsibilities
  • Lead agency for response to radiological emergencies
  • Assessment and evaluation of radiation doses to members of the public and issuance of protective action recommendations
  • Collection of field samples and measurements of environmental radiation levels
  • Analysis of field samples
  • Analysis of biological samples
  • Staffing of Community Reception Center (CRC) to screen non-injured potentially contaminated individuals
examples of doh roles and responsibilities1
Examples of DOH Roles and Responsibilities
  • Technical assistance to hospitals regarding contaminated victims
  • Technical assistance (in collaboration with CDC) for administration of counter-measures
  • Setting up a registry (in collaboration with CDC)
  • Risk communication at JIC, State EOC, CRC, etc.
  • Provide advise on health and safety of workers
  • Support the activities at Health Operations Center
  • Assistance to county health departments as needed
  • Etc.
locations where doh was involved
Locations where DOH was involved
  • State Emergency Operations Center (EOC)
  • Unified Command
  • Assessment and Evaluation (Co-located with FRMAC
  • Health Operations Center (HOC)
  • Joint Information Center (JIC)
slide21

Locations where DOH was involved

  • Wadsworth Laboratory (WC) and DOH mobile laboratory
  • Field Teams - at various locations around the Capital District
  • Several Hospitals
  • Community Reception Center
phase ii exercise recap
Phase II Exercise Recap
  • Players - 660
  • Controllers/Evaluators-150
  • Foreign Observers - 65
  • Domestic VIPs - 52
  • Number of injects
    • 329 total injects
      • 61 were contingency injects
  • Data points – more than 2000
  • Major Exercise Venues – 13!
slide23

Operating a CRC

During Empire 09

slide24

CRC

A Bird's Eye

View

slide25

Set-up

Prior to Start

slide26

Screening

Area

To “Special Needs” Area

Contaminated lane

- to showers

Express Lane - Clean

slide27

"Special

Needs"

Area

slide29

Clean ?

Following Initial Screening – No need for Decontamination

slide30

Or Dirty ?

Changing and Shower Areas - Used for Decontamination

slide31

Information

Hand-outs

Showers

Clean side

Contaminated side

slide32

Instructions

Changing/Shower Area

slide33

Getting

Ready !

Whole body screening using portal monitors (training prior to start-up)

briefing on use of hand held equipment for screening office of fire prevention and control assisted
Briefing on use of hand-held equipment for screening Office of Fire Prevention and Control Assisted
slide38

Shower Area

Changing Area

Health & Safety

Officer

slide39

Paperwork

is Important !

Form drop-off station

slide41

Do We

Have Any

Victims?

slide43

Keep 'em

Moving

“Victims” waiting for initial screening survey

slide44

Check for

Alpha & Gamma

Initial contamination survey

(for alpha and gamma) prior to walking through the portal monitor

slide45

Check for

Alpha & Gamma

Initial contamination survey

(for alpha and gamma) prior to walking through the portal monitor

slide46

Special

Attention

“Special Needs” victim with hearing-guide dog

post decontamination survey
Post-decontamination Survey

Are you

Clean?

Clean clothes provided after shower

completing survey forms after screening and or decontamination
Completing survey forms after screening and/or decontamination

Keep Track

of Paperwork

slide50

Need Help

With Paperwork?

Completing survey forms after screening and/or decontamination

slide51

Shower Area

First!

Safety

Health and Safety Officer advising staff

slide52

Medical Counseling

Urine Cups

Fact Sheets

Checking for

Contamination

Internal

Medical screening station

slide53

Are We Done?

Counselors Available to Help Victims

slide55

Last Stop !

Form drop-off station

slide56

Thank You

MRC Volunteers!