Orientation to the Health Portfolio Chemical Emergency Response Plan V 4.1

1. Orientation to the Health Portfolio Chemical Emergency Response Plan V 4.1 Vancouver, British Columbia November 14th 2012

2. Orientation to the Health Portfolio Chemical Emergency Response Plan V 4.1 Agenda • Emergency Management Overview • Health Portfolio (HP) - Chemical Emergency Response • Break • Response in Action

3. Orientation to the Health Portfolio Chemical Emergency Response Plan V 4.1 Training Objectives • Understand your roles and responsibilities as part of the Health Portfolio Chemical Emergency Management framework; • Understand the Canadian framework for Emergency Management; • Comprehension of the Health Portfolio (HP) Eight Phase Response Process; • Comprehension of the HP Chemical Emergency Response Structures; • Knowledge of HP support capabilities for chemical emergencies; • Ability to navigate and use the HP Chemical ERP v4.1.

4. 1. Emergency Management Overview

5. Emergency Management Overview Section Training Objectives • Purpose of Emergency Management • The Emergency Management Framework & Continuum • Emergency Management Framework in Canada • The Emergency Management Act (2007) • Emergency Management and the Health Portfolio

6. The Purpose of Emergency Management • Save lives, protect and maintain health and safety • Preserve the environment • Protect property and the economy • Anticipate, prevent and mitigate events from happening • Prepare for responding to emergency • Timely and efficiently respond to emergency • Recover from emergencies • Learn and continuously improve capabilities to manage emergencies

7. Understanding of the Emergency Management Framework & Continuum Emergency Management Framework • Traditionally, and in accordance with the Emergency Management Framework for Canada, the responsibility to deal with emergencies is placed first on the individual and then on successive levels of government, as the resources and expertise of each are needed.

8. Understanding of the Emergency Management Framework & Continuum Emergency Management Continuum

9. The Emergency Management Act (2007) The EMA Act 2007, c.15 section 6 MINISTER’S RESPONSIBILITIES 6. (1) Identify the risks that are within or related to his or her area of responsibility. • prepare emergency management plans in respect of those risks; • maintain, test and implement those plans; and • conduct exercises and training in relation to those plans.

10. Emergency Management and the Health Portfolio Emergency Response Plans Federal & Health Portfolio The Federal Emergency Response Plan (FERP) • All-hazards plan; • Coordinating the federal response to emergencies; • Public Safety has the responsibility to coordinate the Federal Response; • Essential Support Function #5 Public Health & Essential Human Services is the primary responsibility of the Minister of Health. The Health Portfolio Emergency Response Plan: • All-hazard plan for coordination of Health Portfolio response. The Health Portfolio Chemical Emergency Response Plan: • Hazard specific annex in the Health Portfolio Emergency Response plan to coordinate response to chemical emergencies.

11. Emergency Management and the Health Portfolio

12. Emergency Management and the Health Portfolio

13. Emergency Management Review/Questions Section Recap • Purpose of Emergency Management • The Emergency Management Framework & Continuum • Emergency Management Framework in Canada • The Emergency Management Act (2007) • Emergency Management and the Health Portfolio • Questions???

14. 2. Health Portfolio - Chemical Emergency Response

15. Health Portfolio - Chemical Emergency Response Section Training Objectives • The Chemical Reality & Key Partners • HP Chemical Hazard Response Support Role & Capabilities • Health Portfolio Chemical Hazard Governance & Mandate • Navigating the Chemical Emergency Response Plan

16. The Chemical Reality & Key Partners • Chemical or hazmat incidents occur daily and are mitigated by local resources (industry technicians, first responders, hospitals ). • In the event a chemical incident overwhelms local response capability support is requested from successive levels of government. • Often chemical incidents are highly visible attracting both media and political attention.

17. The Chemical Reality & Key Partners International • Global Health Security Action Group – Chemical Working Group • World Health Organization Federal • Transport Canada - Canadian Transport Emergency Centre (CANUTEC) • Environment Canada - National Environmental Emergencies Centre • Centre for Security Science – Canadian Safety and Security Program (CSSP) • RCMP/ DND – Joint National CBRNE Response Team Provincial • Who are our key Partners?

18. HP Chemical Hazard Response Support Role & Capabilities When does the Health Portfolio provide support? The HP Chemical ERP is implemented in response to a chemical emergency, which is defined as an abnormal event where actual or potential human exposure to one or more chemicals requires prompt action to save lives, reduce personal injuries, and to protect and maintain public health. (HP Policy for Chemical Emergency Management, 2012) Response Triggers • Notification is formal or imminent request for HP support from: • Provinces/Territories • Other Federal Department/Agency or International Counterpart • Potential or actual health impacts justify increasing HP readiness • Chemical emergency is in a Federal Jurisdiction.

19. HP Chemical Hazard Response Support Role & Capabilities Support Role The role of the HP during chemical emergencies is to provide scientific and public health support to assist response and consequence management efforts. The support is primarily intended for the provinces and territories, but can extend to other federal departments and international counterparts when required.

20. HP Chemical Hazard Response Support Role & Capabilities Scientific Advice and Risk Assessment (SARA) Surge Capacity for Analytical Laboratory Support (ALS) Surge Capacity for Medical Countermeasures, Supplies and Personnel Public Health Advisories, Alerts, and Warnings • Matrix • Chemical Classes Volatile Organic Compounds Toxins • First Nations Inuit • Internationally • Protected Persons • Vulnerable/ General • Population etc. • 20 Identified HP Programs Biologicals (blood, urine, hair etc) Consumer Products • HP Chemical ERP Pharmaceuticals/ Illicit Drugs/ Natural Products • HP Support Capabilities Food HP Food Borne Illness ERP (Similar support capabilities) • ImpactedPopulations 2

21. HP Chemical Hazard Response Support Role & Capabilities Health Portfolio Support Capabilities (1/4) There are over 20 Programs with 52 Operational Units identified in the Chemical ERP that can assist with chemical emergency response. • Scientific advice and risk assessment to assist with public health consequence management of short and longer term health risks to exposed, or potentially exposed, populations;(Shared HP Responsibility) • Environmental Health Risk Assessors • Toxicologists, Pharmacologists • Chemists • Epidemiologists • Public Health Officers • Physicians

22. HP Chemical Hazard Response Support Role & Capabilities Health Portfolio Support Capabilities (2/4) • Surge capacity for analytical laboratory support to measure the level of known contaminants in various media, including human biological fluids, environmental matrices, food, drugs, health products, consumer products; (Primarily HC) • 20 Chemical Laboratories (10 in NCR + 10 in Regions) • Inventory of Laboratory Analytical Capabilities for Chemicals of Concern • Capability for method development

23. HP Chemical Hazard Response Support Role & Capabilities Health Portfolio Support Capabilities (3/4) • Surge capacity for medical countermeasures, supplies, and personnel to assist the provinces and territories . (Primarily PHAC) • Chemical antidotes and medical supplies from the National Emergency Stockpile System (NESS) • Coordination of FPT mutual aid agreements for medical practitioners via the Health Emergency Surge Capacity Unit (HESC) • Field epidemiologists • As a complement to provincial, territorial, and local medical authorities.

24. HP Chemical Hazard Response Support Role & Capabilities Health Portfolio Support Capabilities (4/4) • Public health advisories, alerts, and warnings for chemical emergency management. (Shared HP Responsibility) • Assisting Crisis and Risk Communications for varying target audiences such as health professionals, media, general public etc. • Communications planning and products • Monitoring media coverage • Liaison to the communications group within the federal coordinating agency.

25. Health Portfolio Chemical Hazard Governance & Mandate Governance - JEPC Sub Committee on Chemical Emergencies • Developed in 2004, on it’s 47th meeting • Network of over 20 organizations across Health Canada and PHAC • Develop and coordinate chemical preparedness and response activities. The Mandate of the Sub Committee includes • HP Policy for Chemical Emergency Management • HP Chemical Emergency Response Plan • Trainstaff and exercise Chemical ERP on a periodic basis • Build and maintain partnerships • Establish networks for specific preparedness needs • e.g. Chemical Laboratories Working Group

26. Navigating the Chemical Emergency Response Plan The Chemical ERP is Annex B of the HP Emergency Response Plan. The HP ERP (currently under review) provides: • Common Terminology; • Concept of Operations & Response Process; • Generic Response Structures; • Roles & Responsibilities for response functions/groups.

27. Navigating the Chemical Emergency Response Plan Key Differences from the HP ERP: • Chemical Hazard Specific; • Operational Level Plan; • Appendices contain: • Tailored standard operating procedures (SOPs) • Decision aids support tools • Forms & templates.

28. Navigating the Chemical Emergency Response Plan • Foreword (pg. iii) • Introduction (pg. 1) • HP Approach to Chemical Emergency Management (pg. 2) • Response Process (pg.3) • Response Phase Flow Charts (pg.4, 8,10,12,14, 18, 20,22) • Cross referenced to support text & • Supporting templates and decisions-aids in appendices

29. Navigating the Chemical Emergency Response Plan Operational Appendices: Support tools by function APPENDICES A: CHEMICAL EMERGENCY RESPONSE STRUCTURES APPENDIX B: DUTIES AND COMPOSITION OF EMERGENCY RESPONSE FUNCTIONS APPENDIX C: CONTACT LIST APPENDICES D: MOBILIZATION PROTOCOLS & PROCEDURES APPENDICES E: SITUATIONAL AWARENESS & DECISION SUPPORT APPENDICES F:ANALYTICAL SUPPORT APPENDICES G: EMERGENCY COMMUNICATIONS DOCUMENTS ACRONYMS

30. Navigating the Chemical Emergency Response Plan There are over 20 regional and national organizations in Health Canada and the Public Health Agency potentially involved in a chemical response, how can this be managed/ coordinated? • Traditional Governance and Management ? • An Incident Management System (IMS)? • Escalation of Response Plans?

31. Navigating the Chemical Emergency Response Plan APPENDICES A: CHEMICAL EMERGENCY RESPONSE STRUCTURES (page 27 of HP Chemical ERP) • The Incident Management System (IMS) is tailored to the needs of the Health Portfolio. • Consistent with the Federal Emergency Response Plan, HP ERP, many Provinces and Territories as well International stakeholders. • HP National Chemical Emergency Response Structure

32. Navigating the Chemical Emergency Response Plan APPENDIX B: DUTIES AND COMPOSITION OF EMERGENCY RESPONSE FUNCTIONS (page 37 of HP Chemical ERP) APPENDIX C: CONTACT LIST ( page 49 of Chemical ERP) • Specific response functions/groups are identified in the Contact List (Appendix C) • Consistent colour coding between Appendix A & C Using Appendix A, B and C where do you fit?

33. Navigating the Chemical Emergency Response Plan APPENDIX B: DUTIES AND COMPOSITION OF EMERGENCY RESPONSE FUNCTIONS (page 37 of HP Chemical ERP) APPENDIX C: CONTACT LIST ( page 49 of Chemical ERP) • Specific response functions/groups are identified in the Contact List (Appendix C) • Consistent colour coding between Appendix A & C Using Appendix A, B and C where do you fit?

34. Orientation to the Health Portfolio Chemical Emergency Response Plan V 4.1 3.

35. 4. Health Portfolio Chemical Hazard Response in Action

36. Response in Action During this session you will note that the majority of the guidance tools in the Chemical ERP provide support to the first five response phases (Surveillance and Monitoring to Implementation). • The rational for this is that it is critical to timely: • Detect and characterize a chemical event; • Assess the consequences; • Mobilize an effective response with the appropriate capabilities to provide support to our stakeholders. “The first 10 minutes drives the first hour , the first hour drives the first day…”

37. Response in Action For this session you will require: • Copy of the HP Chemical ERP V 4.1 • Appendix A: Structures • Appendix B: Duties and Composition • HP Chemical ERP V 4.1 Quick Card

38. Response in Action Significant Chemical Release: A Lead -Zinc Smelter, near a populated area and water way, is on fire. It is generating large quantities of both air and water contaminants. A First Nation community is in proximity and the site is roughly 20km from the US Boarder. The region is well known for high value fruit crops and it is close to harvest season. Fires typically create a complex mixture of contaminants that are released into the environment, to complicate this situation it is reasonable to assume that thallium, arsenic, lead, mercury, zinc and cadmium could be being released into the water way and are in the plume.

39. Response in Action – Routes of Exposure • ***WHO Manual for the Public • Health Management of Chemical Incidents

40. Response in Action • Regional EPR Coordinator receives notification from the Provincial Regional Emergency Operation Centre (PREOC) • Media interest commences – It’s on the news! • CEPRU Duty Officer receives notification from the National Environmental Emergency Coordination Centre (Environment Canada) and other sources such as Transport Canada, CSSP Chemical Cluster etc.

41. Response in Action • Regional EPR Coordinator calls the CEPRU Duty Officer and collaboration commences, information is shared, and the response is underway. • Please refer to the HP Chemical Quick Reference Card and we will commence the activity.

42. 8 Phase Response Process  Surveillance & Monitoring (pg. 4)  Early Risk Assessment (pg.8) NO HP Support Required? Conducted by CEERAT &Regional EERAT Yes  Options Development (pg. 10)  Strategy Selection (pg. 12)  Implementation (pg. 14)  Emergency Over? Modulation(pg. 18) Recovery NO YES YES  De-Escalation (pg. 20)  After Action Review (pg. 22)

43. Course Overview Course Training Objectives: • Participants understand their roles and responsibilities during a Chemical Response; • Understand importance of Emergency Management: Emergency Management Act, and Canadian Framework; • Comprehension of the Health Portfolio (HP) Eight Phase Response Process; • Comprehension of the HP Chemical Emergency Response Structures; • Knowledge of HP support capabilities for chemical emergencies; • Ability to Navigate and use the HP Chemical ERP. • Questions???