What Threat, What Capability, What Resources? –And Why is Community so Important?

1. What Threat, What Capability, What Resources? –And Why is Community so Important? 2012 Whole Community Pandemic and All-Hazards Readiness Summit David E. Persse, MD City of Houston Health Authority

2. Houston Hazards

3. Houston Hazards

4. Houston Hazards

5. Houston Hazards

6. What will be the next Public Health Emergency for the Houston Area? Hurricane/Tropical Storm Biological Terrorism (Communicable) Hazardous Materials Incident (Fixed Facility) Tornado Biological Terrorism (Non-Communicable) Hazardous Materials Incident (Transport.) Pandemic Influenza Conventional Terrorism Chemical Terrorism Storm Surge Flood Biological Disease Outbreak Mass Population Surge Wildfire Sewer Failure Power Failure Food Borne Disease Radiological Terrorism (RDD) Fires (Large-Scale) Windstorm Water Supply Contamination Mass Casualty Incidents Air Quality Agro-terrorism Extreme Heat Cyber/Technical Incident Supply Disruption Lightning Drought Civil Disorder Hailstorm Severe Winter Storm Agricultural/Animal Disease Extreme Cold Communications Failure Nuclear Incidents Earthquake Dam Failure Dust Storms Radiological Incident (Fixed Facility) Radiological Incident (Transportation)

7. What do we need to be able to do as a community? Monitor and Detect Disease Surveillance and Investigation Evacuate Shelter-in-Place Distribute food, water, and ice Dispense or administer medications Quarantine & Isolation Mass care Triage Medical care Information and direction Volunteer management Transport victims and survivors Expectation management Coordinate resources Messaging Social media Rumor control/misinformation control Resource allocation Non-Pharmaceutical Interventions Medical Surge Lab Testing Identify At-Risk Populations Meet the needs of At-Risk Populations

8. What resources do we need ? All-Hazards Emergency Kits Ambulances Behavioral and Mental Health Services Buses Catastrophic Medical Operations Center (CMOC) Child Care CIKR Assets Commercial Sector Assets Community Coalitions Decontamination Equipment Distribution Sites and Supplies Drills and Exercises Emergency Medical Services Assets Pet Shelters Pharmaceutical Stockpiles Plans Public Health Assets Public Works Assets Radio, Television, Internet, and Print Media Resources For Individual Challenges Schools Shelter Cots Shelter Sites Sign Language Interpreters Training Transportation Assets Urgent Care Centers Health Care System Assets Home Health Hospitals Houses of Worship Industrial Sector Assets Joint Information Center Language Interpreters Law Enforcement Assets Medications Messaging and Notification Systems Nursing Homes Organizational Readiness Personal and Family Readiness Personal Protective Equipment

9. Why is community important? Resources + Capabilities Pet Shelters Pharmaceutical Stockpiles Plans Public Health Assets Public Works Assets Radio, Television, Internet, and Print Media Resources For Individual Challenges Schools Shelter Cots Shelter Sites Sign Language Interpreters Training Transportation Assets Urgent Care Centers All-Hazards Emergency Kits Ambulances Behavioral and Mental Health Services Buses Catastrophic Medical Operations Center (CMOC) Child Care CIKR Assets Commercial Sector Assets Community Coalitions Decontamination Equipment Distribution Sites and Supplies Drills and Exercises Emergency Medical Services Assets Emergency Operation Centers Fire Department Assets Access Control and Identity Verification Assessment Child Care Community Resilience Coordinate Resources Crisis Communication Critical Transportation Cybersecurity Debris Removal Decontaminate Disease Surveillance and Investigation Dispense Or Administer Medications Distribute Food, Water, and Ice Economic Recovery Environmental Medical Surge Monitor and Detect Threats Non-Pharmaceutical Interventions Pet Care Pre-Hospital Transport and Care Public and Private Services and Resources Public Health and Medical Services Public Information and Warning Quarantine and Isolation Regional Coordination Resource Allocation Risk and Disaster Resilience Assessment Risk Management For Protection Programs and Activities Rumor Control/Misinformation Control Screening, Search, and Detection = Resilience Evacuate Fatality Management Services Fire Fighting Forensics and Attribution Health and Social Services Housing Information and Direction Infrastructure Systems Intelligence and Information Sharing Interdiction and Disruption Lab Testing Long-Term Vulnerability Reduction Manage Expectations Mass Care Services Medical Care Health Care System Assets Home Health Hospitals Houses of Worship Industrial Sector Assets Joint Information Center Language Interpreters Law Enforcement Assets Medications Messaging and Notification Systems Nursing Homes Organizational Readiness Personal and Family Readiness Personal Protective Equipment Shelter-In-Place Situational Assessment Social Distancing Social Media Messaging and Monitoring Supply Chain Integrity and Security Syndromic Surveillance Threats and Hazard Identification & Reporting Transport Victims and Survivors Triage Volunteer Management