what system identifies public health threats

P6: Procedures in place for the inclusion of partners to assist in the effective management of medical surge needs, such as balanced use of population-based interventions. Homeland Security Exercise and Evaluation Program (HSEEP): A capabilities- and performance-based exercise program that provides Monitor and adjust staffing and supplies to achieve and sustain throughput and coverage goals based on the remaining needs of the population, such as inventory level andremaining regimen use surge or decline. Provide education and appropriate messaging to the public, responder agencies, and other partners regarding the recommended NPIs. Imagine a world where doctors outright refuse to treat you because of your skin color - a world where the hospital bars your admittance to the ER based on your religious beliefs. and stakeholders, define the public health roles and responsibilities in supporting mass care operations. Task 3: Revise recommendations for NPIs. stakeholders according to incident requirements. Procedures may include, P5: Procedures in place to support coordination of population monitoring and external decontamination of individuals. screening questions may include. E/T1: Information systems that meet national data standards for interoperability as identified by CDC, other federal agencies, such as the Office of the National Coordinator for Health Information Technology, or other standards development organizations (SDOs). E/T2: Equipment and software to collect, analyze, and report volunteer responder safety and health data during and after an incident or response. The capabilities also support topics such as pandemic influenza, environmental health, at-risk populations, and tribal populations. S/T1: Personnel trained to manage and monitor routine surveillance and epidemiological investigation systems at the jurisdictional level and support surge requirements in response to natural and human- caused threats or incidents. Definition: Public health laboratory testing is the ability to implement and perform methods to detect,characterize, and confirm public health threats. Transparency during public health emergencies. Examples of these populations may include but are not limited to individuals with disabilities, individuals who live in institutional settings, individuals from diverse cultures, individuals who have limited English proficiency or are non-English speaking, individuals who are transportation disadvantaged, individuals experiencing homelessness, individuals who have chronic medical disorders, and individuals who have pharmacological dependency (U.S. Department of Health and Human Services definition). Organizational entities may include allied state agencies, such as emergency management, partner organizations, other jurisdictional public health agencies, health care coalitions, community-based partners, and other jurisdictional stakeholders. S/T1: Personnel trained on jurisdictional medical countermeasure tracking systems, such as immunization information systems, electronic health records, or other tracking databases. P7: Ongoing communications, community messaging, and data sharing with the health care system, health care coalitions, public safety answering points, such as 911 emergency medical dispatch systems, poison control centers, and EMS organizations. Parenting is one of the most complex and challenging jobs you'll face in your lifetime -- but also the most rewarding. Equipment and software to assess immunization status and document immunizations administered before, during, and after incident response. S/T2: Public health laboratory managers and directors, meaning those responsible for overseeing laboratory activities, who have completed the CDC/FBI Joint Criminal Epidemiology Investigations workshop, as needed. Identify lessons learned related to NPI implementation within after-action reports (AARs) and develop and implement corresponding improvement plans (IPs). Disseminate and promote accessible and culturally and linguistically appropriate information regarding mass care health services to the public. From Capability 1: Community Preparedness to Capability 15: Volunteer Management, jurisdictional public health agencies must be adaptable when responding to public health threats and emergencies within the context of their communities and in alignment with incident characteristics. P5: Procedures in place to ensure adequate supplies for packaging and shipping are available 24/7, including procedures to rapidly procure additional supplies when needed. Laboratory personnel must receive specific training in handling pathogenic and potentially lethal agents and must be supervised by scientists competent in handling infectious agents and associated procedures. Consideration should be given to, E/T1: Systems to accept, process, analyze, exchange, and share surveillance and epidemiological data across multiple disciplines. E/T1: Responder registration system that is scalable, secure, and compliant with NIMS. The emergency resources, which include approximately 8,000 medical and support personnel, come from federal, state and local governments, the private sector, and civilian volunteers. Task 1: Engage with community partners and stakeholders to coordinate preparedness efforts. SEAR events are specifically below the level of National Special Security Events. This may include assessments of the physical facility and surrounding area, security considerations, staffing information, and environmental controls, including cold chain management. DHS requests jurisdictions to submit all event data, from which an algorithm is used to rate the risk from Tier I to Tier V, with Tier I being the highest and with Tier V being the lowest. The National Preparedness System outlines an organized process for everyone in the whole community to advance their preparedness activities and achieve the National Preparedness Goal, A secure and resilient nation with the capabilities Laboratory Network. P8: Pre-identified potential locations for Federal Medical Stations (FMSs) and potential alternate care sites that have been assessed for environmental suitability in partnership with the applicable U.S. Department of Health and Human Services (HHS) Regional Emergency Coordinator(s) (RECs). Procedures may include, P3: (Priority) Jurisdictional procedures in place to identify critical information sharing requirements (situational awareness information) for partners and stakeholders. P3 (Priority): Job action sheets or equivalent documentation for incident command positions and other public health incident management roles during a public health emergency. Task 4: Track medical countermeasures that are dispensed/administered. Identification criteria may include, Other risks identified by jurisdictional stakeholders, After-action processes to identify corrective actions and lessons learned. P2: (Priority) Definition of the jurisdictional public health agency role for fatality management S/T4: Personnel who perform LRN protocols trained in LRN methods and able to demonstrate proficiency and competency in compliance with applicable regulations, such as Clinical Laboratory Improvement Amendments (CLIA) from regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS), College of American Pathologists (CAP), or other regulatory equivalent. S/T5: Personnel from LRN-C laboratories who participate in the LRN-C biannual technical meeting, formerly known as Level 1 surge capacity meeting. Inform the public about dispensing/administration site locations, operational periods (days and hours open), and populations targeted to receive medical countermeasures. In cases where you might be exposed to non-public information, you may also be required to provide proof of your identity as part of your registration. Recommended documentation includes the Incident Command System Form 211Incident Check-In List or equivalent forms. Function Definition: Direct ongoing public health emergency operations to sustain the public health and health care response for multiple operational periods and concurrent responses. S/T3: Personnel trained for the role of the public health agency programs in incident response requiring medical surge. S/T2: Personnel trained on providing care to pediatric patients and using pediatric equipment. P1: (Priority) Written agreements, such as contracts or MOUs, with partners to implement appropriate plans for NPIs, including provisions of support services, such as care for dependent children, notification of family, and provision of food, shelter, water, and communication channels, to individuals during isolation or quarantine scenarios. Test clinical specimens and food, water, and other environmental samples according to designated laboratory type and level in order to identify biological, chemical, or radiological threat agents. That means handling stress, getting good women's health care, and nurturing yourself. Account for, return, or dispose of unused and unopened medical materiel. The 2018 Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Healthrecognizes the maturity and experience jurisdictional public health emergency preparedness and response programs have gained since 2011. Incident: An occurrence, either human-caused or naturally occurring, that requires action to prevent or minimize loss of life or damage to property or natural resources. After-action report (AAR): Report that summarizes and analyzes performance in both exercises and real incidents or events. P6: Coordination of jurisdictional authorities and partner groups to support volunteer and other personnel post-deployment medical screening, stress and well-being assessment, and, when requested or indicated, referral to medical and mental/behavioral health services. It is a fundamental form of management, with the purpose of enabling incident managers to identify the key concerns associated with the incidentoften under urgent conditionswithout sacrificing attention to any component of the command system. Turn over documentation, conduct hot washes and incident debriefings, and identify final closeout requirements with responsible agencies and jurisdiction officials. Function Definition: Assess the impact of an incident on the public health system in collaboration with jurisdictional partners and stakeholders to prioritize public health, emergency management, health care, mental/behavioral health, environmental health, and applicable human services recovery needs. WHO has declared that AMR is one of the top 10 global public health threats facing humanity. (See Capability 11: Nonpharmaceutical Interventions, Capability 13: Public Health Surveillance and Epidemiological Investigation, and Capability 15: Volunteer Management). Throughput: The number of people receiving medical countermeasures at a POD during a certain period of time. Communication devices may include. Release public health and health care information through pre-identified procedures based on jurisdictional processes, such as systems and spokespersons in coordination with the JIC. P8: (Priority) Procedures in place for laboratory surge capacity based on best practices and models available through LRN programs. Task 2: Conduct final incident closeout of public health operations. Function Definition: Develop recommendations to identify and facilitate access to resources, such as personnel and subject matter experts, record keeping, and physical space to address fatality management needs resulting from an incident in accordance with public health agency jurisdictional roles and standards outlined in jurisdictional fatality management procedures. Low Resolution Video. This may include assessments of the physical facility and surrounding area, security considerations, staffing information, and environmental controls including cold chain management. P3: (Priority) Surveillance activities to assess trends in actions and practices that contribute to incident- related physical illness or injury and mental/behavioral trauma. Jurisdictional health care system or coalition responsibilities may include, P5: Procedures in place to define when the jurisdictions health care system and health care coalitions transition into and out of conventional, contingency, and crisis standards of care during an incident based on the level of stress on the health care system. P3: Culturally and socially appropriate health services needed to support identified jurisdictional risks and associated hazards. Public health agency activities for fatality incident operations, communication, and community support may include, (See Capability 4: Emergency Public Information and Warning, Capability 12: Public Health Laboratory Testing, Capability 13: Public Health Surveillance and Epidemiological Investigation, and Capability 15: Volunteer Management). Coordinate with identified stakeholders to determine routine and incident-specific essential elements of information (EEI) for each stakeholder. Recommended data elements for electronic death reporting may include. The system includes publicly available databases and online analysis tools for professionals. Task 3: Receive medical countermeasures at dispensing/administration sites. (See Capability 13: Public Health Surveillance and Epidemiological Investigation). Adverse event reporting procedures should specify, P2: (Priority) Procedures in place to generate and disseminate pertinent information related to adverse event reporting. S/T3: (Priority) Personnel trained, as appropriate for their roles, in level A, B, or C OSHA PPE standards awareness and technical response trainings. S/T2: Personnel or agencies with legal expertise authorized to advise individuals on legal or regulatory aspects of NPIs. P3: Procedures in place for demobilization operations, which may include. These assessments are made initially when such viruses are identified and are updated based on evolving virological, epidemiological, and clinical data. Provide public information and communication education and training to PIOs, spokespersons, and support personnel according to jurisdictional need. Recommended information system capabilities may include. Staffing plans may include site leads, alternates, security staff, logistics support staff, and Drug Enforcement Administration (DEA) registrant(s) to sign for controlled medical countermeasures, Badging and credentialing requirements for personnel at sites, Training for response personnel and volunteers, including orientation materials, job action sheets, and other training resources or strategies, Procedures to request additional personnel from outside the jurisdiction, such as from the National Guard or Medical Reserve Corps (MRC) based on state and local mutual aid agreements in coordination with the jurisdictional emergency management agency, Procedures for immediate contracting of additional trained distribution support personnel based on state and local emergency procurement practices, Designation of security leads and contact information, Coordination within and across jurisdictional sovereignty lines for law enforcement and security agencies to secure personnel and facilities, Physical measures, such as cages, locks, and alarms to secure materiel within the distribution site, Security measures for transporting materiel, such as escorts and securing of designated roadways, Security measures at alternate distribution sites, Cybersecurity measures, such as protection of personally identifiable information and prevention of unauthorized use of social media, Response time(s) for mobilizing initial transportation resources, Warehouse characteristics, including loading dock type and quantity, staging and storage footprint, and cold chain resources, Delivery vehicle characteristics, including compatibility of the vehicle(s) with loading dock, presence of lift gate, and capacity for full pallet, Receiving site characteristics, including compatibility to receive a full pallet, loading dock type, and on-site equipment, Medical countermeasure characteristics, including the total quantity, weight, and size of the shipments, storage and handling requirements, and packaging, Distribution plan characteristics, including the number of delivery vehicles that can be allocated simultaneously, routes, and security escorts, Compliance with Inventory Data Exchange (IDE) standards or interoperability with CDC information systems, Ability to track the name of drug, quantity, National Drug Code number, lot number, dispensing/ administration site, expiration date, and unit configuration of issue, such as case, box, or bottles, Backup systems for redundancy, such as alternate inventory management software, electronic spreadsheets, or paper-based systems, Physical security measures, such as cages, locks, and alarms, Defined request triggers, indicators, thresholds, and validation strategies to guide decision-making, Identification of individuals within the jurisdiction empowered with the authority to request federal, state, local, tribal, and territorial assets, such as emergency management representatives, senior health officials, and elected representatives with statutory authority to request mutual aid, Strategies to use local circulating inventories and existing jurisdictional medical countermeasure caches, Strategies to use existing infrastructure, such as state immunization programs with experience in vaccine ordering and distribution through the Vaccines for Children Program, Special provisions that may affect medical materiel request procedures, Stafford Act vs. non-Stafford Act declarations, Declarations of a public health emergency, Procedures to coordinate with U.S. Department of Health and Human Services (HHS), as required, Procedures to request medical materiel through the Emergency Medical Assistance Compact (EMAC), Protocols to ensure compliance with regulatory standards, including, U.S. Food and Drug Administration (FDA) standards, Current Good Manufacturing Practices (cGMP), Procedures to obtain medical materiel outside of the SNS, such as pandemic influenza vaccine anticipated to be supplied in coordination with the jurisdictions immunization program and CDCs centralized distributor for publicly funded vaccines, Processes to justify requests for medical countermeasures and other medical materiel, Facility characteristics, such as docks, open floor space, and climate, Maintenance of cold chain integrity according to storage and handling guidelines, Storage and access of controlled substances, Security measures, including personnel, physical security, and other security measures, Respective roles and responsibilities of public health agencies, transportation partners, and other relevant entities, Additional information about medical materiel received, including receipt date, time, and name of individual who accepted custody of materiel, Current available quantity of medical materiel, Distribution strategy, such as distribution through established channels or direct-ship from vendor, Specifics of the requested medical materiel, including item type, size, quantity, intended use, and other relevant information to aid fulfillment choices, Requestor (or other point of contact) information, Law enforcement and security agencies that secure personnel, transportation, and facilities, Incident management personnel, such as command staff or general staff, Critical information required to determine the areas of strength and areas for improvement following an incident, A timeline to ensure completion of after-action reporting and development of corrective action or IPs.

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