LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS OFFICE OF PUBLIC HEALTH

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LOUISIANA DEPARTMENT OF HEALTH AND
HOSPITALSOFFICE OF PUBLIC HEALTH

• Public Health Preparedness
  
• And Response for Bioterrorism

Building A Successful Total Force Response
Capacity
5 February 2003
Presented by Madeline W. McAndrew

State Public Health
Official



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Keys to Building a Successful Total Force
Response Capacity
Command
Control
Coordination
Communication
Intelligence
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Public Health Awareness
Smallpox
AIDS
Ebola
Where do our weaknesses and vulnerabilities lie?
The greatest of our war
machines will not protect our forces against the
deadly pathogen. Their stealth and precision
surpass the complexity of human imagination.
Their vectors are fully competent. Their tactics
have been perfected over millennia.
Their missioninvade and destroy the
unsuspecting and unprotected .
Brian Blalock, Osan Air Base, Korea, 2001
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Securing the HomelandPublic Health is integral
to the National Security Strategy.
Enhancing Security on the Homeland
Environmental Health Initiatives
Domestic Preparedness Against Weapons Mass
Destruction
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Intelligence

• Public Health is an intelligence gathering
  agency.
• Information superiority is obtained via
  surveillance,
• collection and control of vital health
  statistics and
• parish specific disease information and
  trends.

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Intelligence

• Public Health is part of a national disease
  reporting
• and surveillance network.
• Centers for Disease Control and Prevention
• State and local laboratory network
• Hospital, EMS, physician, coroner, veterinarian
  disease reporting

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Intelligence
Law Enforcement Sensitive Criminal
Investigation Security Clearance Criminal
Surveillance
Local Law Enforcement
Military/DoD
FBI/DOJ
LSP
Coroners
Intel Link
CROSSING THE GREAT DIVIDE
Hospitals
Public Health
Laboratories
Veterinarians
CDC/DHHS
Patient Sensitive Medical Investigation
Controlled Access Disease Surveillance
Prevention and Deterrence Continuum is
Intelligence Driven
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Intelligence
CROSS POLLINATION PARADIGM
Emergency Management
State Police
Public Health
Prevention and Deterrence Continuum is
Intelligence Driven
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Public Health Incident Command Structure
State Public Health Official Public Health
Assistant Secretary Madeline W. McAndrew
DHH Emergency Response
DHH Communications
HRSA/Hospital Grant
PIO
OPH Human Resources
C2
OPH Emergency Response CDC BT Grant
Plans
Administrative Technical
Finance
Ops
Center for Health Promotion Information and Policy
Center for Community Health
Center for Preventive Health
Center for Environmental Health
Infectious Disease Epi
Environmental Epi
Bureau of EMS
Immunization Services
Laboratory Services
Sanitarian Services
Pharmacy Services
STD Services
Engineering/H2O Safety
Vital Records
Nursing Services
TB Prevention Control
Regional Offices
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State Level Public Health Command and Control
MMRS
LOEP State EOC
DHH Secretary
DHH Emergency Response
Isolation Quarantine
Dept. Environmental Quality
Louisiana State Police EOC
LSP HAZM AT Response Unit
LANG 62nd CST/WMD
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Public Health Emergency Operations Center and
Incident Command
DHH Public Affairs/PIO
DHH Emergency Response
LDHH Secretary
Emergency Action Cell
Public Health Assistant Secretary OPH Medical
Director
OPH Legal Counsel
LSP Officer
LANG Officer
OPH Human Resources
CDC BT Advisor
CH Center Director
HAN
CDC Liaison
Metro City HD Liaison
PH Center Director
BT Director
PPHI Center Director
NPS Coordinator
OPH Laboratory Director
ENVS Center Director
BT Operations Officer
PH Vet
State Epidemi- ologist
IT Director
Nursing Director
TB/STD Directors
Contracting Officer
Pharmacy Director
EOC Support
Environ Epi Director
Finance Director
EMS Director
IT Support
DHH TeleCom Agent
Immuniza- tions Director
HNBC GIS
DHH Purchasing Agent
Vital Records
Radio Com
Runner
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Public Health Command and Control
8
7
OPH
C2
6
2
9
5
4
1
3
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Public Health Command and Control Expanded
8
7
OPH
C2
6
2
9
5
4
1
3
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Statewide Command and Control Network
LANG
DHH
C2
C2
C2
CDC
DEQ
A
B
8
7
C2
LSP
State EOC
OPH
C2
C2
6
C
B
2
9
5
I
L
4
D
I
C
1
3
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Public Health Total Force Response Capacity
Communications/IT
8
8
7
7
8
Immunization Teams
7
8
8
7
7
8
7
Incident Response Teams
Regional Command/Control Teams
6
6
State Level PH Teams
6
C2
6
6
BAT
9
9
9
9
2
2
CAT
9
9
5
2
4
2
5
4
ERT
2
4
5
5
4
5
4
PIO
3
1
1
3
CET
1
3
1
3
3
1
1
3
PAT
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Regional Public Health Incident Response Team
OPH CC
State EOC
OPH Medical Director
Regional Medical Director TEAM CHIEF
Regional Public Health Command Center
Parish EOC
Regional Administrator/C2
Public Health ER Coordinator
Facility Manager/C2
Regional Nurse
Administrative Support Team
Regional Sanitarian
COMMET/IT Team
Regional Engineer
Immunization Teams (9x2)
Regional Epidemiologist
Biological Aug. Teams (3)
Disease Surveillance Spec.
Pharmacy Teams (2)
PH Nurse
Deployable Support Teams
Public Affairs (2)
PH Sanitarian
Chemical Aug. Teams (2)
Disease Intervention Spec.
Epidemic Surveillance Response Teams (2)
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Regional Immunization Teams
Regional Medical Director
Immunization Consultant
Public Health Nurse
Public Health Nurse
Public Health Nurse
Public Health Nurse
Public Health Nurse
Public Health Nurse
EMT Paramedic
EMT Paramedic
EMT Paramedic
Public Health Clerk
Public Health Clerk
Public Health Clerk
Public Health Clerk
HRSA Hospital Nurse
HRSA Hospital Nurse
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State Level Epidemic Response Teams
State Health Officer
State PH Official
DHH Public Info Officer
DHH Emergency Resp.
State Epidemiologist
OPH Medical Director
Assistant State Epidemiologist
Regional Medical Director
Regional Medical Director
Admin Support
Regional Incident Response
Regional Incident Response
Admin Support
Admin Support
ID Epi Supervisor
ID Epi Supervisor
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
ID Epidemiologist 1
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State PH Official
DHH Public Info Officer
Center Director Environmental Services
OPH Medical Director
State EOC
Env Epidemiologist
Regional Medical Director/C2
Admin Support
LSP HAZMAT
LSP HAZMAT
Regional Incident Response Team
Admin Support
LSP HAZMAT
Admin Support
LSP HAZMAT
Env Epi Supervisor
Dept. Environmental Quality
LSP HAZMAT
Env Epi Physician
LSP EOC
LSP HAZMAT
Dept. Environmental Quality
Env Epi
LSP HAZMAT
Env Epi
LSP HAZMAT
Dept. Environmental Quality
Env Epi
LSP HAZMAT
LSP HAZMAT
Env Epi
LSP HAZMAT
LSP HAZMAT
State Level Chemical Augmentation Team
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Public Health Preparedness Challenges
Preparedness and Readiness
Cultural Shift
Integration and Cross Pollination
Communication Gaps
Risk Communication and Public Info
Education and Training
Continued Funding