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Emergency Preparedness and Response: The Big Picture

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Title: Emergency Preparedness and Response: The Big Picture


1
Emergency Preparednessand ResponseThe Big
Picture
2
The National Response Framework
Doctrine, organization, roles and
responsibilities, response actions and planning
requirements that guide national response
Mechanisms to group and provide Federal resources
and capabilities to support State and local
responders
Emergency Support Function Annexes
Support Annexes
Essential supporting aspects of the Federal
response common to all incidents
Incident Annexes
Incident-specific applications of the Framework
Partner Guides
Next level of detail in response actions tailored
to the actionable entity
www.fema.gov/nrf
3
Applying the Framework
  • Most incidents managed entirely locally
  • Some require additional support
  • Small number require Federal support
  • Catastrophic requires significant Federal support
  • State Governor must request Federal support
  • Minor event might just be start of larger threat
  • Could rapidly grow larger
  • Need to accelerate assessment and response
  • Federal Department/Agency acting on own authority
    may be initial Federal responder
  • Integrated, systematic Federal response intended
    to occur seamlessly

4
Effective, unified national response requires
layered, mutually-supporting capabilities
  • Local officials have primary responsibility for
    community preparedness and response and are
    responsible for ensuring the public safety and
    welfare of their jurisdiction.
  • The local emergency manager has the day-to-day
    authority and responsibility for overseeing
    emergency management programs and activities.

5
Effective, unified national response requires
layered, mutually-supporting capabilities
  • States are sovereign entities. The Governor is
    responsible for public safety and welfare.
    States are the main players in coordinating
    resources and capabilities and obtaining support
    from other States and the Federal government.
  • A primary role of State government is to
    supplement and facilitate local efforts before,
    during, and after incidents. Governors, State
    homeland security advisors, State emergency
    management directors, and tribal leaders have key
    roles and responsibilities in incident management.

6
Effective, unified national response requires
layered, mutually-supporting capabilities
  • The Private Sector supports community response,
    organizes business to ensure resiliency, and
    protects and restores critical infrastructure and
    commercial activity.
  • Government works with private sector groups as
    partners in emergency management. Major portions
    of the nations critical infrastructure are
    operated and maintained by the private sector.

7
Effective, unified national response requires
layered, mutually-supporting capabilities
  • NGOs (non-governmental organizations)
  • Assist individuals who have special needs
  • Coordinate volunteers
  • Interface with government response officials at
    all levels
  • Perform other vital missions

For example, NGOs provide sheltering, emergency
food supplies, counseling, and other vital
services to support response and promote the
recovery of disaster victims.
8
Effective, unified national response requires
layered, mutually-supporting capabilities
  • Individuals and Households are key starting
    points for emergency preparedness and support
    community efforts.

Though not formally part of emergency operations,
they play a key role in the overall emergency
management strategy.  They can contribute by
reducing hazards in and around their homes,
preparing emergency supply kits and household
emergency plans, and carefully monitoring
emergency communications.
9
Emergency Support Functions / Annexes
  • ESF 1 - Transportation
  • ESF 2 - Communications
  • ESF 3 - Public Works and Engineering
  • ESF 4 - Firefighting
  • ESF 5 - Emergency Management
  • ESF 6 - Mass Care, Emergency Assistance,
    Housing and Human Services
  • ESF 7 - Logistics Management and Resource
    Support
  • ESF 8 - Public Health and Medical Services
  • ESF 9 - Search and Rescue
  • ESF 10 - Oil and Hazardous Materials Response
  • ESF 11 - Agriculture and Natural Resources
  • ESF 12 - Energy
  • ESF 13 - Public Safety and Security
  • ESF 14 - Long-Term Community Recovery
  • ESF 15 - External Affairs

10
Emergency Support Functions / Annexes
  • ESF 1 - Transportation
  • ESF 2 - Communications
  • ESF 3 - Public Works and Engineering
  • ESF 4 - Firefighting
  • ESF 5 - Emergency Management
  • ESF 6 - Mass Care, Emergency Assistance,
    Housing and Human Services
  • ESF 7 - Logistics Management and Resource
    Support
  • ESF 8 - Public Health and Medical Services
  • ESF 9 - Search and Rescue
  • ESF 10 - Oil and Hazardous Materials Response
  • ESF 11 - Agriculture and Natural Resources
  • ESF 12 - Energy
  • ESF 13 - Public Safety and Security
  • ESF 14 - Long-Term Community Recovery
  • ESF 15 - External Affairs

11
ESF 6 in Gwinnett County
  • The Department of Human Resources (DHR) Division
    of Family and Children Services (DFCS) has
    primary government agency responsibility. The
    American Red Cross (ARC) has primary volunteer
    organization responsibility. Supporting roles
  • East Metro Health District (EMHD) - Personnel,
    environmental inspections
  • Georgia Baptist Convention - Child care, food,
    personnel
  • The Salvation Army - Donated goods, food
  • Local Law Enforcement - Security
  • Local Departments of Education and others -
    Facilities

12
Note roles of entities
  • State Dept. of Human Resources (DHR) Div. of
    Family and Children Services (DFCS)
  • NGO American Red Cross (ARC), Georgia Baptist
    Convention, The Salvation Army
  • State and Local Gov East Metro Health District
    (EMHD)
  • Local Gov Law Enforcement, Department of
    Education
  • Private Sector Businesses assisting in other
    ways
  • Re NGOs American Red Cross, GA Baptist
    Convention, Salvation Army, American Radio Relay
    League, many others are members of National
    and/or Georgia Voluntary Organizations Active in
    Disaster (VOAD).

13
Emergency Support Functions / Annexes
  • ESF 1 - Transportation
  • ESF 2 - Communications
  • ESF 3 - Public Works and Engineering
  • ESF 4 - Firefighting
  • ESF 5 - Emergency Management
  • ESF 6 - Mass Care, Emergency Assistance,
    Housing and Human Services
  • ESF 7 - Logistics Management and Resource
    Support
  • ESF 8 - Public Health and Medical Services
  • ESF 9 - Search and Rescue
  • ESF 10 - Oil and Hazardous Materials Response
  • ESF 11 - Agriculture and Natural Resources
  • ESF 12 - Energy
  • ESF 13 - Public Safety and Security
  • ESF 14 - Long-Term Community Recovery
  • ESF 15 - External Affairs

14
ESF 8 in Gwinnett County
  • Under ESF 8, Public Health
  • Coordinates and/or delivers medical,
    environmental health, and mental health services
  • Accesses and/or seeks health-related private
    resources
  • Supplements disrupted or overburdened health
    service delivery personnel and resources
  • Coordinates rehabilitation support

15
Support Annexes
Incident Annexes
  • Critical Infrastructure and Key Resources
  • Financial Management
  • International Coordination
  • Private Sector Coordination
  • Public Affairs
  • Tribal Relations
  • Volunteer and Donations Management
  • Worker Safety and Health
  • Biological Incident
  • Catastrophic Incident
  • Cyber Incident
  • Food and Agriculture Incident
  • Mass Evacuation Incident
  • Nuclear/Radiological Incident
  • Terrorism Incident Law Enforcement and
    Investigation

16
Support Annex A14 Volunteer Programs Management
  • Addresses how the Medical Reserve Corps program
    integrates with emergency response
  • Describes where volunteers might be used in a
    healthcare emergency
  • Provides forms that must be completed to address
    liability issues
  • Provides job action sheets that can be used for
    just-in-time training

17
Support Annex A15 Modular Emergency Medical
System
  • Addresses medical surge options in support of
    hospitals
  • Defines Neighborhood Emergency Help Center
  • Defines Acute Care Center
  • Defines staffing requirements based on given
    configuration
  • Does not address specific alternative standards
    of care protocols

18
Support Annex A16 Strategic National Stockpile
  • Criteria for and how to request the SNS
  • Mass dispensing/vaccination procedures
  • Manpower requirements
  • Just-in-time training materials for using
    volunteers
  • Medication control procedures
  • Patient education

19
What is the Strategic National Stockpile ?
  • A large CDC-managed stockpile of medicine and
    medical supplies to protect the American public
    if there is a public health emergency severe
    enough to cause local supplies to run out.

You can learn more about the Strategic National
Stockpile at http//www.bt.cdc.gov/stockpile
20
Strategic National Stockpile Components
  • Push Pack/12 Hours
  • Vendor Managed Inventory/ 24-36 hours

21
SNS Responsibilities
  • SNS
  • Send medications / vaccines
  • Provide technical assistance
  • State and Local governments
  • Demonstrate need for supplies
  • Receive, stage and store supplies
  • Dispense at community PODs
  • Hospitals
  • Dispense to at hospital PODs

22
What is a POD?
  • Point of dispensing (POD) - a place where a
    vaccine, antibiotic or other medication is
    dispensed quickly to a large group of people.
  • First Responders
  • Hospital staff patients
  • Community members

23

Why would a POD be activated?
  • Usually To prevent disease in those exposed to
    an infection but who are not yet sick
  • Possibly To treat an infectious disease
  • The treatment offered would be limited to
    dispensing a specific medication.

24
What Kinds of Emergencies Might Require a POD?
  • Natural disaster
  • Influenza pandemic
  • Bioterrorism attack

25
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