Emergency Preparedness Response SNS Component: Community Level

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Emergency Preparedness ResponseSNS
ComponentCommunity Level

• Saginaw Chippewa Indian Tribe
• and
• Isabella County

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Goal of Public Health Preparedness

• To provide a coordinated and quick response to
  public health emergencies, including those
  resulting from terrorist attacks and natural
  disasters.

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Mission of SNS Planning

• To promote public safety by developing a plan
  that will ensure resources are available
  including pharmaceuticals and medical supplies in
  response to a major chemical, biological or
  hazardous event.

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Beginning the Process
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In the beginning

• Isabella County approached the Saginaw Chippewa
  Tribe to begin discussion about SNS planning
• Formed a committee including all disciplines
  (Medical, Fire, Police, Risk Mgt., Nimkee Admin.,
  PR, CMDHD, State, IT, Facilities, etc.)
• Started a risk and impact analysis

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Potential Risks

• Schools
• Government
• Culture
• Community
• Business

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Impact Schools

• Shut down children not in school
• Separation of parents and children
• Children not learning
• Extended school years
• Loss of building use
• Fear going back to school

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Impact Government

• Tribal Government Impact
• Normal day to day operations shut down
• Emergency decision making
• Emergency quorum in place for immediate decision
  making
• Joint Emergency Operations Centers (EOC)
  activated

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Impact Government (continued)

• Law Enforcement
• Personnel/Staffing limitation
• Equipment requirements
• Security needs for site safety/security
• Increased complaint/case loads
• Fire Department
• Personnel/Staffing limitation
• Increased medical runs

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Impact Culture

• Culture
• Loss of life of children and the elders
• Attack on Personal Identity
• Historical Trauma for Tribal Members and Elders
• Times of Crisis tend to pull this community
  closer together
• Loss of Arts and Artifacts

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Impact Community

• Community
• Loss of human life
• Shut down of social and human services
• Vulnerability due to limited public resource
  availability

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Impact Business

• Business
• Substantial financial loss of revenue
• Fear of returning to the community or gaming
  industry
• Loss of job/income for numerous employees
• Secondary impact
• Community affected by loss of grant projects

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The Next Step

• Needs assessment was done
• Conclusions determined that

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The Next Step continued

• In the event of a large scale, particularly
  severe biological or chemical disaster,
  communities will quickly run out of essential
  drugs and medical supplies due to overwhelming
  need.
• Our planning will benefit the tribal community as
  well as serve as a resource to the larger
  community.
• The CDC (Center for Disease Control Prevention)
  is prepared to send large quantities of supplies
  and medicines to assist in local response and
  recovery.

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The Next Step

• Then the decision was made to proceed with the
  planning process
• The Health Board was consulted for approval
• The Tribal Council was presented with the initial
  plan for approval
• Then the committee was given the approval to
  begin formal planning by a motion of Council

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Formal Planning Began

• Evaluating potential sites
• Walk through of sites for CDC compliance
• See handout

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Essential Site Criteria

• Dispensing Site
• Back-up generator
• Clinic flow and security
• Least disruptive to business venue/operations
• Adequate parking and busing capacity
• Storage
• Fork-lifts
• Loading docks
• Adequate parking

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Committee Review of Findings

• Committee selected a site
• Discussed equipment and training needs
• Determined stakeholders in planning
• Set schedule for future meetings

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Tribal and County Collaboration

• Approval and signed resolution for emergency
  guidelines
• SCIT/Isabella County planning process
• Working with local EOC

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Determined Organizational Structure

• Determined how the SNS package would be activated
• Use Incident Command Principals
• Identified key positions three deep
• Identified how personnel will be notified
• Personnel start taking ICS training
• Started planning for What ifs

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Chain of Command for SNS deployment at time of
event

• Tribe or community experiences disaster/emergency
• CMDHD is contacted
• CMDHD makes appropriate contacts including MDCH,
• EOC Manager and County Board
• Governor declares state of emergency and contacts
  CDC
• SNS deployed

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Dispensing Site Command Team
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Communication

• Health Alert Network
• Emergency phone tree for tribal employees
• City Watch alerting/message system coordinated
  by Isabella County Emergency Management
• Radios public safety, and 800Mhz
• Public communication and alerting system Public
  Relations Department

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Internal Chain of Notification

• Tribe or community experiences disaster /
  emergency
• Notify key contact at Nimkee Clinic
• Subcommittee mobilizes and SNS Plan put into
  action
• Maintain continuous communication with CMDHD, CDC
  and the public

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Staff Training Needs

• Basic Incident Command System
• National Incident Management System
• National Response Plan
• Health Alert Network Training
• Smallpox Vaccination procedures
• Communication use
• Exercising of the plan

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WHAT IF ?
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What If

• This is a small sample to show how fast a disease
  may spread.

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We continue to plan
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Questions?
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Miigwetch
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(No Transcript)
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• Refrigeration - store vaccines and medications to
  be used for essential personnel and family
  (increase inventory)
• Essential personnel/volunteers and immediate
  family members to be treated first.
• Nimkee staff - 80 Police/law enforcement - 47
• Fire department - 30
• Total estimated essential personnel and family -
  480