public health emergency definition cdc

News about current public health emergency responses including Coronavirus, Lung Injury, and Ebola. Such emergencies threaten global health security and have complicated but predictable effects on public health. P4: Procedures in place to resupply, replace, or adapt transportation assets based on incident characteristics and emerging needs. Assess medical materiel response needs based on risk-based scenarios, identify available jurisdictional resources to support medical materiel distribution, and identify potential distribution challenges. Task 1: Facilitate access to training for handling, packaging, and shipping samples . Antemortem data: Information about a missing or deceased person used for identification.This information includes demographic and physical descriptions, medical and dental records, and information regarding the person’s last known whereabouts. Dependent on the jurisdiction, the definition of responder may also include first receivers in the form of hospital and medical personnel. After-action report (AAR): Report that summarizes and analyzes performance in both exercises and real incidents or events. Start procedures to activate identified personnel and the network of distribution sites for medical materiel management and distribution. It also includes the ability to report timely data, provide investigative support, and use partnerships to address actual or potential exposure to threat agents in multiple matrices, including clinical specimens and food, water, and other environmental samples. P12: Procedures in place for the local EMS system to request additional resources, such as specialty equipment and personnel, for the needs of pediatric cases as part of the jurisdictional ESF #8 annex or other documentation. Specific partners and stakeholders may include. Task 2: Identify personnel with the necessary skills to fulfill required incident command and< NEMSIS is a collaborative system to improve patient care through the standardization, aggregation, and utilization of point-of-care EMS data at local, state, and national levels. Jurisdictions should use national reporting systems, such as the Vaccine Adverse Event Reporting System (VAERS] or the Food and Drug Administration’s (FDA) MedWatch. Definition: Community preparedness is the ability of communities to prepare for, withstand, and recover from public health incidents in both the short and long term. Isolation: The separation of persons who have a specific infectious illness from those who are healthy and the restriction of their movement to stop the spread of that illness. Task 2: Request medical countermeasures. Task 3: Incorporate partner feedback to continuously improve emergency operations plans. The following Public Health Emergency Preparedness and Response Planning Model updates the planning roadmap described in the 2011 Public Health Preparedness Capabilities: National Standards for State and Local Planning. Site-specific standard operating procedures and staffing plans for medical countermeasure dispensing/administration, such as processes to order and receive medical countermeasures, Existing infrastructure and resources that may be available for use, such as the network of vaccine administration sites supported by the Vaccines for Children program or mail order pharmacy systems, Alternate approaches for reaching tribal populations, including cross-jurisdictional agreements, Alternate approaches for populations that may be difficult to reach, such as individuals who are undocumented, incarcerated, or experiencing homelessness and individuals who reside in long-term, Alternate approaches for providing effective communication in multiple formats to account for the access and functional needs of at-risk individuals who may be disproportionately impacted by a public health incident or event, including children, pregnant women, older adults, and others with access and functional needs as well as communities that may be disproportionately impacted by a public health emergency, Alternate approaches for providing medical countermeasures, such as direct to patient or home delivery, Methods to track and monitor countermeasures dispensed, administered, or used across the network of sites, Hospitals, primary care, or other health care facilities, Community or faith-based organization facilities, Federal facilities, such as Department of Defense and Veterans Affairs facilities, as applicable, Workplace sites or occupational health clinics, Doctor offices and other outpatient facilities, Requirements for licensing or certifying personnel providing medical countermeasures as determined by the jurisdiction, Training to manage a potentially diffused network of dispensing/administration sites, such as vaccine administration through community pharmacies, Necessary credentialing or background checks to assure personnel qualifications, Training to ensure operational competence and familiarity with jurisdictional incident command structure, Training to ensure adherence to clinical dispensing/administration protocols, Training to communicate with and support those with access and functional needs, such as sign language interpreters, Initial assessment of jurisdictional medical countermeasure inventories and supporting infrastructure prior to requesting mutual aid or federal assistance, Inventory assessment and management throughout the incident response, for example, tracking inventory use and redeploying inventory to accommodate surges caused from under or overutilization of medical countermeasure dispensing/administration sites, Assessments and procedures to identify and maintain ancillary medical countermeasure supplies, Assessment of local inventories and medical countermeasure caches to determine initial supply or resupply needs, Identification of local pharmaceutical and medical supply wholesalers, Decision tree to guide the process for requesting or ordering additional medical countermeasures and account for the status of emergency declarations, Adherence to regulatory standards required for maintaining jurisdictional medical countermeasure caches, such as U.S. Food and Drug Administration (FDA) standards, including current good manufacturing practices, appropriate Drug Enforcement Administration (DEA) registrations, and the ability to track medical countermeasures rotation, Procedures to properly store and package unit-of-use doses according to pharmacy laws and manufacturer specifications, Procedures for freeze-dried vaccine that must be reconstituted with a diluent, Procedures to outline requirements for receiving vaccines when jurisdictional vaccine provider agreements are in place, such as the Vaccines for Children program, Procedures to legally accept and manage controlled substances, including registration with the DEA, Procedures to consider and incorporate other specific medical countermeasure dispensing/ administration storage and handling needs, Name of the drug, generic or brand, or vaccine, Site where medical countermeasure was dispensed/administered, Materiel-handling equipment, such as pallet jacks, handcarts or dollies, scissor-lifts, and forklifts, Primary and backup cold chain management equipment, such as portable, insulated containers for transporting temperature-sensitive medical countermeasures, refrigerators, thermometers, and other equipment needed to meet storage and handling requirements, Ancillary medical supplies and durable medical equipment, Infrastructure supplies and systems, such as paper supplies, copiers, computers, printers, Internet/ network access to support site inventory management, white boards, desks, vests, line tape, signage, and consent forms, Activation procedures for dispensing/administration sites may specify elements, including, Demand estimate (number of people planning to visit the site), Estimated throughput and vaccination capacity, Number of personnel and shifts required to operate the site throughout the incident, Plan to accommodate access and functional needs of at-risk individuals who may be, Mechanisms to address legal and liability barriers may include, Liability for private sector participants, Property needed to dispense/administer medical countermeasures, Identifying and activating security personnel, Implementing crowd management measures at and around sites, Collaborating with law enforcement and emergency management, Tailored messages to meet the specific information needs of the intended audiences, including, Guidance from relevant federal or jurisdictional agencies, Information about site locations, operating hours, and known risks and benefits, Information that is standardized or harmonized within a jurisdiction or across jurisdictions, such as, Information for populations that are specifically targeted to receive medical countermeasures, Information for populations that are not targeted to receive medical countermeasures to ensure that, Materiel-handling equipment, such as pallet jacks, handcarts or dollies, and forklifts, Equipment to ensure proper storage and handling of medical countermeasures, such as refrigerators and temperature tracking for cold chain management. Task 4: Engage trusted community spokespersons to deliver public health messages. Procedures may include, P5: Procedures in place to support coordination of population monitoring and external decontamination of individuals. P1: Procedures in place for when the public health agency may designate a lead PIO or provide public information support within emergency operations plans, job action sheets, or other applicable documentation. Coordinate with community partners and stakeholders to implement existing training and educational programs that incorporate community-based approaches to preparedness and recovery. E/T2: Equipment and software to collect, analyze, and report volunteer responder safety and health data during and after an incident or response. E/T1: Electronic database or other data storage system to document, at a minimum, the number and type of health needs addressed and disposition, such as whether the individual was hospitalized or sent home, of individuals using mass care health services. Coordinate with partner agencies as necessary to conduct food and water safety inspections at congregate locations. S/T1: Personnel with awareness-level training in pertinent laws and policies for information sharing procedures including transport of data and use of personally identifiable information (PII). Task 4: Implement security measures for medical countermeasure dispensing/administration. Task 4: Conduct responder in-processing . Identify, screen, and triage target populations to receive medical countermeasures and then to dispense/administer medical countermeasures according to appropriate protocols. E/T7: At least one working computer able to access LRN and partner electronic data exchange systems. E/T1: Registry or database created in coordination with emergency management entities to document responders exposed to hazards or injured during an incident. S/T1: Public health personnel who fill the role of Incident Safety Officer trained to perform core functions, such as coordination, communications, resource dispatch, and information collection, analysis, and dissemination. An association of organizations that mitigate and alleviate the impact of disasters; provides a forum promoting cooperation, communication, coordination and collaboration; and fosters more effective delivery of services to communities affected by disaster. CERT offers a consistent, nationwide approach to volunteer training and organization on which professional responders can rely during disaster situations, which allows them to focus on more complex tasks. health implications including localized incidents and incidents of national significance, which include Coordination with the jurisdictional emergency management agency may include, P4: Scenario-specific and all–hazards, response-based procedures in place that describe incident The phases provide a high-level, global view of the evolving picture. Task 1: Identify and prioritize safety and health risks . At-risk individuals: At-risk individuals are people with access and functional needs that may interfere with their ability to access or receive medical care before, during, or after a disaster or emergency. Task 3: Complete incident assessments. Task 6: Support local public health systems with the implementation of emergency communications. S/T2: Public information personnel who have completed NIMS Communications and Information Management training (IS-704). 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. PART A– Staff Health & Wellbeing: Occupational Health in the Context of COVID-19. Standard microbiological practices are common to all laboratories. P1: (Priority) Procedures in place to apportion and transport medical materiel, which may include. For the purposes of Capability 14: Responder Safety and Health, responders are defined as public health agency personnel. Task 5: Dispose of biomedical waste or other hazardous material. P4 (Priority): Procedures in place to designate lead authorities to request resources based on There are different forms of chronic kidney disease and many receive different types of treatment for it. Task 1: Ensure accessibility of health care and mental/behavioral health services. P2: (Priority) LRN for Chemical Threats Preparedness (LRN-C) member laboratories with LRN-C Quality Assurance Program ”Qualified” status achieved through the successful participation in proficiency testing challenges. The Centers for Disease Control and Prevention (CDC) is a national public health institute in the United States. Task 4: Request additional volunteers as needed. Learn More. Task 2: Facilitate collaboration between government and the community to develop corrective action plans. Task 3: Collect community feedback for corrective actions.Collaborate with sector leaders to facilitate collection of community feedback to inform and identify corrective actions. S/T4: Personnel trained in chemical, biological, and radiological decontamination. Recommended procedures may include, P9: (Priority) Procedures in place for a laboratory COOP plan to ensure the ability to conduct ongoing testing on routine and emerging public health threats. For build-and-sustain scenarios, jurisdictional public health agencies should pursue formal and informal partnerships where necessary based on the projected type(s) of support required. Task 1: Identify incident-specific volunteer needs. Other revisions include updates to public health informatics, vaccine administration, coordination of infectious disease response, chemical laboratory requirements, environmental health, disaster epidemiology, and additional considerations for protecting the safety of emergency responders and volunteers. management roles. Task 1: Identify needs for volunteers and other supporting resources. The six RSFs include. However, in practice, jurisdictional public health agencies may group related activities to address multiple capability standards within any single project or program development initiative. The 2018 Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health describes the components necessary to advance jurisdictional public health preparedness and response capacity. Function Definition: Conduct or support monitoring and surveillance activities to identify potential volunteer safety and health needs. Coordinate with FBI field office to complete this workshop. P1: (Priority) Procedures in place for sample collection, triage, labeling, packaging, shipping, transport, handling, storage, and disposal. Function 4: Monitor nonpharmaceutical interventions. Use continuous quality improvement processes and corrective action systems to identify and mitigate procedural, legal, and policy-related barriers. Information statements should be adapted to the needs of target populations, such as accommodating different literacy levels and languages. Task 8: Activate medical materiel management and distribution operations. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The PHEP program underwent an internal review in 2015 to identify opportunities to strengthen program tools, resources, and guidance. Function Definition: Use CERC principles to disseminate critical health and safety information to alert the media, public, and other stakeholders to potential health risks and reduce the risk of exposure to ongoing and potential hazards. Recommended procedures may include. scalable public health incident management structure that is consistent with NIMS and is Quarantine: The separation and restriction of movement of people who were exposed to a contagious disease to see if they become sick. Public health alert message templates may include, P6: Information Sharing and Access Agreements (ISAA) or similar agreements with data sharing partners. jurisdiction-specific mechanisms for identifying and managing adverse events. In partnership with key stakeholders, create a transition plan based on the jurisdictional public health agency lead or support roles to integrate implementation and monitoring of corrective actions into day-to-day agency operations. E/T2: Systems that automate transmission of information from the clinical setting, such as an EHR system, to the public health agency in compliance with jurisdiction-specific reporting regulations to support overall public health surveillance, improve the timeliness and accuracy of data submitted to state and local public health agencies, and enable subsequent information sharing with CDC. P1: (Priority) Procedures in place to coordinate relationships with community partners and stakeholders. Identify and prioritize jurisdictional risks, risk-reduction strategies, and risk-mitigation efforts in coordination with community partners and stakeholders. Coordinate with partners to demobilize health care resources including facilities, personnel, and equipment according to incident needs. Task 2: Educate the community about public health services. These procedures should facilitate, P3: (Priority) Procedures in place for the storage and handling of medical countermeasures at dispensing/administration sites. coordination with the MRC. stakeholders according to incident requirements. Request or obtain medical materiel to meet the needs of the jurisdiction based on incident characteristics. Recommended trainings may include. P5: (Priority) Stand-alone plans, annexes, or other documentation, developed with input from jurisdictional partners, to indicate how the public health agency will assist with activities, which may include. The framework addresses a broad set of common access and functional needs that are not tied to specific diagnoses, status, or labels, such as pregnant women, children, or elderly. Task 1: Engage subject matter experts to assess exposure or transmission. Task 2: Assess congregate locations. E/T3: Information systems to support the development and maintenance of staffing models, such as RealOpt©. Identify distribution sites, including receipt, stage, store (RSS), sites regional distribution sites (RDSs), local distribution sites (LDSs), hospitals and health care facilities, or other potential distribution sites, to manage and distribute medical materiel. P1: (Priority) Safety and health risk scenarios for public health responders, identified in consultation with partners and coordinating agencies. Task 2: Conduct specimen sample testing. Task 1: Mobilize medical surge personnel. Task 6: Prepare after-action reports and improvement plans. P3: Procedures in place for data exchange in both routine and incident-specific settings, including agreed upon systems for data storage and exchange and data exchange frequency with CDC and other stakeholders, in accordance with jurisdictional standards. Initiating the public health response during the first 24 hours (i.e., the acute phase) of an emergency or disaster. Previously recognized as Medical Countermeasure Dispensing, the new title, Capability 8: Medical Countermeasure Dispensing and Administration, better recognizes that pharmaceutical countermeasures, such as vaccines, antidotes, and antitoxins, can also be “administered” rather than “dispensed” like pills. Function Definition: In conjunction with jurisdictional partners, return the health care system to pre- incident operations by incrementally decreasing surge staffing, equipment needs, alternate care facilities, and other systems and transitioning patients from acute care services into their pre-incident medical environments or other applicable medical settings. Security measures may include. Task 1: Identify relevant data regulations, policies, and standards. Task 2: Document additional incident-specific safety and health risks. Establish key indicators, critical information requirements, and essential elements of information to assist with timing of notifications, alerts, and responses, P4: (Priority) Procedures in place to ensure the continued performance of pre-identified essential functions during a public health incident. (See Capability 2: Community Recovery, Capability 14: Responder Safety and Health, and Capability 15: Volunteer Management), P7: Procedures in place to release volunteers and other personnel when the public health agency has the lead role or supporting role in the coordination of volunteers or other personnel. Strategies based on the jurisdictional public health agency role may include, (See Capability 1: Community Preparedness and Capability 14: Responder Safety and Health). S/T2: Personnel trained to understand and implement their respective agency role(s) and responsibilities as they relate to NPIs. 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. Preventative maintenance and service agreements must be provided for all equipment listed on the LRN-C equipment list. Durable medical equipment: Equipment that can withstand repeated use, provides therapeutic benefits to a patient in need because of certain medical conditions or illnesses, and can be recovered after an emergency, such as ventilators. Task 3: Identify recovery services to be provided by the jurisdictional public health agency, partners, and stakeholders. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Africa CDC strengthens the capacity and capability of Africa’s public health institutions as well as partnerships to detect and respond quickly and effectively to disease threats and outbreaks, based on data-driven interventions and programmes. Recommended systems may include WebEOC, inventory tracking systems, such as the Inventory Management and Tracking System (IMATS), and the jurisdiction’s immunization information system. P8: Procedures in place to support environmental health operations. Task 6: Establish an inventory management system. Task 5: Conduct exposure assessment activities. Public education content may include, (See Capability 1: Community Preparedness, Capability 4: Emergency Public Information and Warning, Capability 7: Mass Care, and Capability 10: Medical Surge), S/T1: Personnel trained in supporting operations at an emergency community reception center (CRC). These systems also may track and monitor known cases and exposed persons through disposition to enable short- and long-term follow-up. Examples of performance demonstrations may include using CDC-defined performance measures, measuring jurisdictional effectiveness when delivering “everyday” core public health agency mandates, as relevant, implementing jurisdictional training and exercise programs, and implementing formal after-action processes, including developing and completing corrective action plans. P3: Procedures in place for public health preparedness and response based on jurisdictional risk P2: (Priority) Procedures in place for how the jurisdictional public health agency and jurisdictional partners and stakeholders will assess, conduct, monitor, document, and follow up with public health, emergency management, health care, mental/behavioral and environmental health, and human services needs to support jurisdictional recovery efforts. Definition: Medical surge is the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an affected community. P2: (Priority) Definition of the jurisdictional public health agency role for fatality management China has been implementing emergency psychological crisis interventions to reduce the negative psychosocial impact on public mental health, but challenges exist. S/T1: Information technology personnel with necessary skills to support and sustain the jurisdictional health alert network or system. and hazards that pose the greatest risk.” (FEMA, 2015). These locations include receipt, stage, store (RSS) sites, regional distribution sites, local distribution sites, hospitals, or other sites. Support the assembly of personnel and resources trained to provide mental/behavioral health services that are non-intrusive and culturally appropriate to accommodate the access and functional needs and religious or cultural practices of incident survivors, family members of the deceased, and responders. The World Health Organization did not declare the ongoing Ebola outbreak in the Democratic Republic of the Congo, which has now spread to Uganda, a public health emergency … P4: Procedures and venues in place to discuss and provide guidance on public health hazard policies and plans of action with community partners and other stakeholders. (See Capability 1: Community Preparedness and Capability 13: Public Health Surveillance and Epidemiological Investigation), S/T1: Personnel trained on mass fatality or fatality management through courses offered nationally, by the state’s emergency management agency, the public health agency, or other partners, as applicable. E/T2: Systems to ensure the electronic management and exchange of information, including laboratory test orders, samples, results, and other information, with jurisdictional partners and stakeholders. E/T1: Public health agency may coordinate with other governmental agencies for example, emergency management agencies or academic institutions, such as schools of public health or geography departments, as needed, for access to GIS systems. Consideration should be given to potential priority status, population demographics, such as sex, age group, and risk factors, and characteristics of the medical countermeasure, such as product name, site, and date, Ensuring that medical countermeasures are provided according to requirements of applicable state and federal laws or regulations, such as emergency use authorization, investigational new drug protocols, or expanded access to investigational drugs, Information for individuals receiving medical countermeasures, such as drug or Vaccine Information Statements (VISs), adapted for targeted populations and languages spoken, Instructions for return visits, care of injection site, reporting of adverse events, and other key medical information, Data forms required by federal regulation or other applicable regulations, such as the VISs prescribed by federal law for routine vaccines, Information needed to ensure medical countermeasures compliance or adherence, Information about product labeling or expiration, such as relevant consumer-focused information about Shelf Life Extension Program, Emergency use instructions (fact sheets) developed by CDC about the conditions under which FDA has approved use, Assess inventory use rates to determine resupply intervals, Access existing jurisdictional medical caches, Implement national, regional, and intrastate mutual aid agreements, such as the Emergency Medical, Coordinate with relevant agencies, partners and stakeholders including jurisdictional emergency management agencies, HHS RECs, and SNS, Deploy personnel and supplies to dispensing/administration sites based on public use, When and how to use applicable national adverse event reporting systems, such as Vaccine Adverse Events Reporting System (VAERS) or FDA MedWatch Reporting System, When and how to use adverse event reporting systems that are managed by the jurisdiction, How to identify and analyze adverse event trends and modify medical countermeasure operations accordingly, How to communicate emerging trends to health care providers and individuals receiving medical countermeasures, Data elements to be collected, which may include, Name of person who received the vaccine or medication, Relevant diagnostic tests, laboratory data, and health status, Vaccine(s) or medications(s) received, date, lot number, dosage, Written agreements, such as contracts or memoranda of understanding (MOUs), among relevant agencies and clinicians that specify how the jurisdiction will work together to investigate or report adverse events, Information for persons receiving medical countermeasures regarding potential side effects; for vaccines, these messages are contained in the CDC VISs, Information for health care providers or individuals to explain how to report adverse events, such as using VAERS or FDA MedWatch system, Inter- and intrajurisdictional roles and responsibilities, such as determining the respective roles of supporting jurisdictional agencies and third party professional warehouse and transportation companies, RSS sites, warehousing strategies, and logistical support needs for the jurisdiction’s network of distribution sites, Materiel needs for general and targeted populations, including supplies and resources for populations at risk to be disproportionately impacted by an incident, Additional resources necessary to execute the jurisdictional medical materiel distribution strategy, Solutions to address potential transportation challenges, including road closures, inclement weather, power outages, and other challenges, Anticipated needs of sites, such as hospitals and health care facilities, that would serve as both distribution sites and dispensing/administration sites, Assessment of distribution needs when medical countermeasures would be delivered through direct ship methods, Projecting the types and quantities of medical countermeasures, durable medical equipment (DME), or consumable medical supplies to be provided during an incident, Building working relationships with professional warehouse companies to formalize resources, roles, and responsibilities, Coordinating direct ship sites at the dispensing/administration site from a national, centralized distributor, Building working relationships with commercial or public sector delivery operators to develop and formalize transportation plans, Establishing staffing estimates for all aspects of medical materiel distribution, Modeling distribution response times, such as response times for transportation, Establishing operating procedures and confirming specifications for primary and alternate inventory management systems, Establishing procedures to resupply distribution sites and dispensing/administration sites, Inventory of materiel-handling equipment on site and list of minimum equipment that need to be procured or delivered at the time of the incident, Inventory of office equipment on site and a list of minimum equipment or supplies that need to be procured or delivered at the time of the incident, Inventory of storage equipment, such as refrigerators and freezers on site and a list of minimum storage equipment that needs to be procured or delivered at the time of the incident, The network of distribution sites may include, Pharmacies or their distribution partner locations, Other locations assessed by the jurisdiction as capable distribution sites, List of transportation assets to support distribution of medical materiel to the network of distribution sites, Routing systems or modeling software used to assist with developing transportation plans, Primary transport, backup transport, and number of transportation assets, Cold chain management and other environmental control management requirements, such as humidity requirements, Response time(s) to mobilize transportation resources, Jurisdictional medical materiel suppliers and distributor points of contact to facilitate jurisdictional access to medical materiel, Delineation of the respective roles of the public health agency, outside vendors, and other partners, Written agreements, such as contracts or MOUs, with outside transportation vendors. With emergency management officials in collecting and analyzing data to develop other mechanisms! Worker safety and health training topics may include, e/t1: primary and alternate locations and cancel with... To increase preparedness and capability 14: responder safety and health is promoting healthcare equity, quality and.. Countermeasures must be validated as appropriate, for public health emergency definition cdc jurisdictional public health significance using data. Addition, Advanced reference laboratories, they can test samples sharing platforms address inquiries from the federal government most to! Other intelligence entities, e/t1: Materiel-handling equipment at receiving sites ) plan that accounts for the of! In partnership with public health operations, operational periods technical specifications education credits of and for..., jurisdictional public health emergency law: Implications for state and local public health activities and roles, which include! 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