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Exposure Rostering : Population Tracking Following a Disaster

Exposure Rostering : Population Tracking Following a Disaster. Melissa E. Powell, MPH Michelle F. Barber, MS Preparedness, Surveillance & Epidemiology. PUBLIC HEALTH DIVISION Office of Disease Prevention & Epidemiology. The Public Health Approach to Disaster Response.

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Exposure Rostering : Population Tracking Following a Disaster

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  1. Exposure Rostering:Population Tracking Following a Disaster Melissa E. Powell, MPH Michelle F. Barber, MS Preparedness, Surveillance & Epidemiology PUBLIC HEALTH DIVISIONOffice of Disease Prevention & Epidemiology

  2. The Public Health Approach to Disaster Response • Population-based information is critical to public health action • Rapidly assess the needs of affected populations • Conduct studies and surveys (e.g., injury rates) • Conduct surveillance and investigate outbreaks • Implement, monitor and evaluate public health programs and disease/injury control efforts • Data collection/analysis are linked to decision-making processes • Evaluation can improve future planning efforts

  3. Post-Disaster Surveillance • When, how, and why to surveil? • Who should be included? • Recruitment? • Which data are important? • Who will gather the data? • Who will maintain data? • When to switch to a registry? • Who will do long-term follow-up?

  4. Public Health Emergency Preparedness in Oregon • Public Health Emergency Preparedness Program (PHEP) • Improved state and local capacity to respond to health emergencies • Anticipate, detect, assess, and understand health risks • Develop and test plans • Train and collaborate between communities • Preparedness, Surveillance and Epidemiology Team (PSET) • Collaborate with PHEP, Communicable Disease and Environmental Health • Practice routine epidemiology • Maintain systems to provide timely and accurate information to decision makers • Train, consult and provide tools

  5. Chemical Stockpile Emergency Preparedness Program (CSEPP) • Annual exercise for accidental release of chemical warfare agents • 2008: Post-Disaster Surveillance Registry tools (modified ATSDR Rapid Registry, Post-Disaster Registry System) • 2010: The Exposure Rostering and Laboratory Sampling Plan

  6. Background Assumptions • A hazardous material event may occur • HazMat teams are in place to provide support • Responders are trained to decontaminate • Local hospitals/providers have limited resources • Local Public Health Departments (LPHD) maintains a vulnerable populations self-registry of persons within 15 mile radius

  7. Exposure Roster Plan

  8. Roster vs. Registry • Quickly gather info about many individuals • Early assessment tool • Identify health problems • Can populate future registries • Limited utility in the immediate aftermath • Long-term follow-up of affected populations • Study health problems

  9. Roles and Responsibilities – Planning • LPHD/Tribes • Identify personnel for Exposure Roster Task Force • Create job-action sheets and maintain “go-kits” • Exercise/train staff • State • Consult on plan development • Draft and exercise tools (i.e., forms, database) • Feds (CDC/ATSDR/NIOSH) • Consult on plan development • Partners (Red Cross, Private Sector) • Consult on plan development

  10. Roles and Responsibilities – Response • LPHD/Tribes • Activate mutual aid agreement with state to implement plan • Organize Exposure Roster Task Force • Activate data and specimen collection sites • State • Provide guidance on collecting exposure data and specimens • Provide tools for data collection; assist when appropriate • Conduct outreach to self-evacuees • Provide guidance on data management • Feds • Provide guidance on specimen collection • Partners • Cooperate/Facilitate rostering at shelter sites

  11. Exposure Roster Task Force

  12. Who is Rostered? • First responders • Decontaminated persons • Evacuees at Assistance Centers • Symptomatic hospitalized locally • Those who sought treatment from their health care provider • Those exposed at the site (or through secondary exposure) and do not seek medical care

  13. Roles and Responsibilities – Recovery • LPHD/Tribes • Assist state/federal partners with tracking rostered persons if determined that registry is warranted • State/Feds • Determine need for registry • Collaborate to compile a registry that links exposure roster and long-term data with clinical lab results

  14. Conclusions • The Exposure Roster and Laboatory Sampling Plan has been included in State All Hazard Response Plan • Next Steps • CSEPP National Annual Conference in PDX in June • Exercise the Exposure Rostering Plan at frequent intervals • Pilot Exposure Rostering Form • Identify effective means to notify local jurisdictions about rostering • Develop means to track affected individuals in transit • Refine public information messages

  15. Questions? Melissa.E.Powell@state.or.us 971-673-1111

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