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The Veterinarian’s Role in a Foreign Animal Disease Outbreak . Implementing the National Incident Management System. Joseph Annelli DVM, MS Director of Interagency Coordination Emergency Management USDA, APHIS, VS.

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Implementing the National Incident Management System

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    1. The Veterinarian’s Role in a Foreign Animal Disease Outbreak Implementing the National Incident Management System Joseph Annelli DVM, MS Director of Interagency Coordination Emergency Management USDA, APHIS, VS

    2. The Role of NDMS in the Event of a Highly Pathogenic Avian Influenza Outbreak in the United States Implementing the National Incident Management System Joseph Annelli DVM, MS Director of Interagency Coordination Emergency Management USDA, APHIS, VS

    3. Recent Disease Outbreaks • 1971 US—8 million birds killed (END) • 1983 US—17 million birds killed (AI) • 1997 Taiwan-- 4 million hogs killed (FMD) • 1998 Netherlands—11 million hogs killed (CSF) • 1999 Malaysia—1 million hogs killed, 256 humans sick and 100 died (Nipah) • 1990-2001 UK – Mad Cow Disease >$ 3 billion • 2001 UK - 10 million killed, $13B (FMD)

    4. Disease Eradication Plan Goal is to regain disease free status as soon as possible • Stamping out alone is first option • May include strategic vaccination for firebreak and later slaughter • May include preemptive slaughter • Carcass disposal is a major challenge • Doesn’t fit the Local → State→ Federal model

    5. Exotic Newcastle Disease in CA • Deadly DZ to chickens (90% mort.) • Internationally reportable DZ • 1st detected in October in 2 counties • “backyard” chickens • Exports halted • 5 counties infected so far • 3 commercial flocks now infected (1.2 million birds) • Identical to virus strain from Mexico • ≈ 2500 personnel involved • Expected to last until June • $ 3 Billion industry in CA

    6. Canada Canada Mexico Mexico South America Puerto Rico North Carolina Live Animal Shipments Live animals are shipped to a total of 27 states, Puerto Rico, Mexico, Canada and South America! • Beef Cattle Swine Goats Dairy Cattle Sheep and Lambs Poultry

    7. Outbreak in the US • May be accidentally or intentionally introduced • May be in 15-20 states before being detected • May be in up to 30 states before being controlled

    8. Response Resource Requirements • UK • 10,000 at a time for 9 months • 1000 vets • Military and other agency assistance • US • 100,000 – 300,000 personnel for 9 months • 5000 – 15,000 veterinarians required • Emergency management assistance for leadership and other support

    9. Levels of Response State APHIS All State and USDA Agencies NRP and other Federal Agencies (USDA primary, FEMA coordinates)

    10. Source of Resources • State Emergency Management Agency • State Agencies • National Guard • Voluntary Agencies • Agencies of the NRP • DoD

    11. Sources and Numbers of Vets Available • USDA • APHIS (400), FSIS (800), Others • HHS • PHS (90 to 100) DHS (FEMA) • NDMS (250 Vets and AHTs in VMAT) • DoD • Army (550 (400 Active) SMART V , Air Force • Private Practitioners • 50, 000 Active, 40,000 Accredited, • Vet faculties and 4th-year students (2500)

    12. National Response Plan One Plan, One Goal: a safer, more secure America

    13. Veterinary Services Role Training Introduction • National Response Plan (NRP) Overview • Correlation to NIMS • Roles & Responsibilities • Coordinating Structures • Field-Level Organizations & Teams • Incident Management Actions • Implementation • Questions & Answers

    14. The NRP provides one way of doing business for both Stafford Act and non-Stafford Act incidents – such as Animal Diseases The National Response Plan (NRP) • Builds on what works from previous plans and incident response • Forges new approaches and mechanisms to address today’s threats • Addresses the complete spectrum of incident management activities • Uses the National Incident Management System (NIMS) to establish a framework for coordination among Federal, State, local, tribal, nongovernmental, and private-sector organizations

    15. The Mandate Homeland Security Act of 2002 and HSPD-5 required a comprehensive national approach to domestic incident management through the development of a National Response Plan (NRP) and National Incident Management System (NIMS). • NIMS: Standardizes incident management processes, protocols, and procedures for use by all responders • NRP: Establishes . . . • Federal coordination structures/mechanisms • Direction for incorporation of existing plans • Consistent approach to managing incidents

    16. Does NOT alter or impede the ability of Federal agencies to carry out their specific authorities under applicable laws, Executive orders, and directives Existing Authorities The NRP: • Uses the foundation provided by the Homeland Security Act, HSPD-5, and the Stafford Act to provide a comprehensive, all-hazards approach to domestic incident management

    17. This is where VS decides if it needs and wants resources from the rest of the NRP and becomes the Lead Federal Agency to Coordinate and pay for what we need Federal-to-Federal Support • A Federal entity with primary responsibility and statutory authority for an incident that needs support or assistance beyond its normal operations may request DHS coordination and facilitation through the NRP • Generally, this support is funded by the Federal entity with primary responsibility and statutory authority for the incident, according to the Economy Act, unless other statutory authorities exist

    18. Federal Response Plan Transportation Communications Public Works and Engineering Firefighting Information and Planning Mass Care Resource Support Health and Medical Services Urban Search and Rescue Hazardous Materials Food Energy National Response Plan Transportation Communications Public Works and Engineering Firefighting Emergency Management Mass Care, Housing, and Human Services Resource Support Public Health and Medical Services Urban Search and Rescue Oil and Hazardous Materials Response Agriculture and Natural Resources Energy Public Safety and Security Long-Term Community Recovery and Mitigation External Affairs Emergency Support FunctionsNational Response Plan

    19. ESFs: What’s New ESF #11 - Agriculture and Natural Resources • Revamps the previous Food ESF to address agriculture and natural resources issues related to Incidents of National Significance • Supports State, local, and tribal authorities and other Federal agency efforts to: • Provide nutrition assistance • Control and eradicate animal and plant disease outbreaks • Assure food safety and food security • Protect natural and cultural resources and historic properties

    20. ESF #11 - Agriculture and Natural Resources STANDARD OPERATING PROCEDURES FOR NRP ESF #11 ACTIVATIONS • Table of Contents • Emergency Support Mission • Notification • National Responsibilities and Duties • Regional Responsibilities and Duties • Financial/Administrative Requirements • Role and responsibilities of Emergency Operations Centers • Roles and responsibilities of ESF #11 Support Agencies • Appendices • Mission Assignment (MA) and pre-scripted MA language • Action Request Form (ARF) • Briefing Paper (SitRep) template • Administrative Direction for FEMA Incident template • Notification/contact directory • ESF #11 Coordinators from FNS and APHIS • USDA Office of Homeland Security • Animal and Plant Health Inspection Service • Department of the Interior • Food and Nutrition Serive • Food Safety and Inspection Service

    21. Relationship: NIMS and NRP • NIMS • Aligns command, control, organization structure, terminology, communication protocols, & resources/resource-typing • Used for all events Resources Knowledge • NRP • Integrates & applies Federal resources, knowledge, & abilities before, during, & after an incident • Activated only forIncidents of National Significance Abilities

    22. Field-Level Organizations & Teams NRP field-level organizations include: • JFO Coordination Group • JFO Coordination Staff • JFO Sections • Operations • Planning • Logistics • Finance and Administration • Incident Command Post • State and local Emergency Operations Centers

    23. Other FederalEmergency Response Teams For Veterinary Services’ this means: • Animal Emergency Response Organization • National Incident Management Teams • National Response Coordination Group • State Incident Management Teams • Incident Complexity Analysis Teams • Veterinary Diagnostic Teams • Individual Technical Resources • Individual ICS Resources

    24. Step 1. Identify Positional Resources • Operations Section Chief • Supervises the Branch Director, Division/Group Supervisor, Task Force/Strike Team Leader, Staging Area Manager, and Technical Specialists. • This position will gather information from Operations and Planning personnel and work with the Planning Section Chief to formulate daily Tactical Plans (i.e., prepare the Incident Action Plan).

    25. Step 2. Resource Typing, Qualifications, & Certification You need to do this: To be a:

    26. Step 3: Create Incident Management Teams forAnimal or Plant Health Emergency Responses Teams based on ICS positions plus animal or plant technical specialties

    27. Step 3: Create Incident Management Teams forAnimal or Plant Health Emergency Responses APHIS has Primary and Support Units: • Primary Units: • Veterinary Services • Plant Protection and Quarantine • Support Units • MRPBS • Animal Care • Wildlife Services • Biotechnology • Investigative and Enforcement Services, etc

    28. Skills Certificate Type: II I Training Experience Putting it All Together Resource: Position: Planning Section Chief Can be Individual Resources or Team Resources This is taken & tracked in AgLearn Order System Order Status Outbreak

    29. New END Infected Premises vs. Total Surveillance VisitsBy Week of Outbreak, 2002-2003 Number of New Infected Premises * Number of Surveillance Visits ** Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul * Based on sample collection date ** All premises contacts

    30. Resource Requirements

    31. United States Department of Agriculture Animal and Plant Health Inspection Service Veterinary Services Emergency Management Avian Influenza (AI) Response Plan

    32. Sections of the Plan • Background information on AI • Surveillance & Preparedness Plans • Procedures for Lab Testing and Reporting • National Animal Health Emergency Management System (NAHEMS) • Field Operational Response Guidelines • Personal Protection & Safety

    33. Surveillance & Preparedness Plans

    34. USDA’s International Activities • USDA is collaborating with the U.S. Agency for International Development, the World Organization for Animal Health, and numerous other international entities to control the spread of H5N1 • USDA will deploy in-country train-the-trainer exercises and seminars for H5N1 in 7 targeted Asian countries

    35. USDA Domestic Activities Among other activities, USDA is: • Leading interagency effort to detect HPAI in wild birds • Expanding the National Poultry Improvement Plan to enhance surveillance of the live bird marketing system (LBMS), backyard poultry, waterfowl, and broiler industry • Conducting risk-management and anti-smuggling activities to prevent unlawful entry/distribution of animals/products that may harbor harmful diseases • Providing support (through NVSL) to the National Animal Health Laboratory Network for processing samples

    36. USDA Domestic Activities, cont. • Expanding “Biosecurity for the Birds” program • Developing computer-generated HPAI scenarios using an enhanced version of the North American Animal Disease Spread Model • Acquiring, configuring, and maintaining critical supplies for the National Veterinary Stockpile to ensure systemic measures are in place to eradicate HPAI (resources will be deployed within 24 hours) • Assisting States to organize, train, and equip State Incident Management Teams and Vet Reserve Corps

    37. Response Framework

    38. National Response Plan: a comprehensive approach to enhance our ability to manage large-scale domestic emergencies National Incident Management System: a comprehensive national framework for preparedness, incident management, & response Emergency Support Function #11: specifically addresses the protection of agriculture and natural resources An Integrated National Approach

    39. National Animal Health Emergency Management System (NAHEMS) Guidelines for Response

    40. Specific Response Actions • Immediate formation of an AI Task Force • Quarantine and movement control • Biosecurity • Humane euthanasia of affected flocks • Appraisal & indemnity for lost animals/property • Disposal • Cleaning & disinfection • Vaccination, when appropriate • Wildlife management

    41. Personal Protection & Safety

    42. Protecting Responders • USDA has plans in place to protect poultry workers and incident responders from the virus. • Strategic Safety Stockpile for AI ensures equipment and supplies are ready • Veterinary Services Memorandum 580.18 details procedures for all personnel on the use of Personal Protective Equipment (PPE) • Operational Guidelines for PPE are in place

    43. LPAI Task Force in Virginia Incident Command System In Action

    44. Low Path Avian Influenza Incident Command Post (ICP), Harrisonburg, VA

    45. ICP Medical Unit and Meeting Rooms

    46. ICP Medical Unit and CDC VA Public Health Study