Objectives Systems National Level Regional Level State Level County Level City Level CONOPS Similar Scale Different Systems Federal Emergency Management Administration FEMA Emergency Support Functions ID: 739363
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Disaster Preparedness
Ajoy Kumar, MD, FAAFPSlide2
ObjectivesSlide3
Systems
National Level
Regional LevelState LevelCounty LevelCity LevelCONOPS = Similar; Scale = DifferentSlide4Slide5
Systems
Federal Emergency Management Administration (FEMA)
Emergency Support FunctionsConcept of Operations (CONOPS) = Framework of operations
Management is everything, and communications is criticalWell organized, efficient, scalable, and portable to any type of disasterExamples: National Response Framework, National Incident Management System, National Preparedness System, Incident Command SystemSlide6
Federal Emergency Management Agency (FEMA)
President Carter’s 1979 Executive Order (EO) 12127 created FEMA
FEMA absorbed the following agencies:The Federal Insurance Administration
The National Fire Prevention and Control AdministrationThe National Weather Service Community Preparedness ProgramThe Federal Preparedness Agency of the General Services Administration The Federal Disaster Assistance Administration activities from HUDCivil defense responsibilities were also transferred to the new agency from the Defense Department's Defense Civil Preparedness Agency
Source: https://www.fema.gov/about-agency Slide7
Federal Emergency Management Agency (FEMA)
Robert T. Stafford Disaster Relief and Emergency Assistance Act of 1998, Public Law 100-707 amended
amended the Disaster Relief Act of 1974, Public Law 93-288A presidential disaster declaration of an emergency triggers financial and physical assistance through the Federal Emergency Management Agency (FEMA)
The Act gives FEMA the responsibility for coordinating government-wide relief efforts.Congress' intention was to encourage states and localities to develop comprehensive disaster preparedness plans, prepare for better intergovernmental coordination in the face of a disaster, encourage the use of insurance coverage, and provide federal assistance programs for losses due to a disaster.
Source: https://www.fema.gov/about-agency Slide8
Federal Emergency Management Agency (FEMA)
March 1, 2003, FEMA became part of the Department of Homeland Security
Department of Homeland Security/FEMA Organizational ChartSlide9Slide10
FEMA Regions
Source: https://www.fema.gov/regional-contact-informationSlide11
FEMA Region IV
Region IV = AL, FL, GA, KY, MS, NC, SC, TN
Federal Regional Center located in Thomasville, Ga.Because Region IV houses both nuclear power facilities and chemical weapon stockpiles, we have an increased risk for a manmade disaster.
Currently, there are 17 nuclear power facilities and applications for nine new sites. Those facilities supply 29 percent of the nation's electrical power output, and the addition of the new sites will increase that capacity by 51 percent. There are two chemical weapons stockpiles within Region IV.Source: https://www.fema.gov/region-iv-al-fl-ga-ky-ms-nc-sc-tnSlide12Slide13
State of Florida
Florida Division of Emergency Management
Mission: Working together to ensure that Florida is prepared to respond to emergencies, recover from them, and mitigate against their impacts. Vision: Failure is not an option.Motto: Semper Gumby - Always Flexible
Source: http://floridadisaster.org/about_the_division.htmSlide14
Source: http://www.floridadisaster.org/DEMorganization.asp
Slide15
Concept of Operations (CONOPS)
National Response Framework (NRF)
National Incident Management System (NIMS)National Preparedness System (NPS)National Incident Command System (NICS)Slide16
National Response
FrameworK
(NRF)Currently on the 3rd Edition of the NRF
The National Response Framework is a guide to how the Nation responds to all types of disasters and emergencies. It is built on scalable, flexible, and adaptable concepts identified in the National Incident Management System to align key roles and responsibilities across the Nation. This Framework describes specific authorities and best practices for managing incidents that range from the serious but purely local to large-scale terrorist attacks or catastrophic natural disasters. The National Response Framework describes the principles, roles and responsibilities, and coordinating structures for delivering the core capabilities required to respond to an incident and further describes how response efforts integrate with those of the other mission areas. This Framework is always in effect and describes the doctrine under which the Nation responds to incidents.
Source: https://www.fema.gov/media-library-data/1466014682982-9bcf8245ba4c60c120aa915abe74e15d/National_Response_Framework3rd.pdfSlide17
National Incident Management System (NIMS)
Currently under revision
The National Incident Management System (NIMS) is a systematic, proactive approach to guide departments and agencies at all levels of government, nongovernmental organizations, and the private sector to work together seamlessly and manage incidents involving all threats and hazards—regardless of cause, size, location, or complexity—in order to reduce loss of life, property and harm to the environment.
The purpose of the NIMS is to provide a common approach for managing incidents. Incidents typically begin and end locally, and they are managed daily at the lowest possible geographical, organizational, and jurisdictional level.The NIMS is the essential foundation to the National Preparedness System (NPS) and provides the template for the management of incidents and operations in support of all five National Planning Frameworks.
Source: https://www.fema.gov/national-incident-management-systemSlide18
National Preparedness System (NPS)
The National Preparedness System is intended to be used by the whole community.
1The National Preparedness System outlines an organized process for everyone in the whole community to move forward with their preparedness activities and achieve the National Preparedness Goal.
2“A secure and resilient nation with the capabilities required across the whole community to prevent, protect against, mitigate, respond to, and recover from the threats and hazards that pose the greatest risk.”Source 1: https://www.fema.gov/national-preparedness-system
Source 2: https://www.fema.gov/national-preparedness-goalSlide19
National Preparedness System (NPS)
The National Preparedness System has six parts:
Identifying and Assessing RiskEstimating Capability RequirementsBuilding and Sustaining Capabilities
Planning to Deliver CapabilitiesValidating CapabilitiesReviewing and UpdatingSource: https://www.fema.gov/national-preparedness-systemSlide20
Incident Command System (ICS)
ICS was developed in the 1970s following a series of catastrophic fires in California's urban interface.
ICS is a standardized management tool for meeting the demands of small or large emergency or nonemergency situations.
ICS is used by all levels of government—Federal, State, local, and tribal—as well as by many private-sector and nongovernmental organizations.It is normally structured to facilitate activities in five major functional areas: command, operations, planning, logistics, and finance and administration.Source: https://training.fema.gov/emiweb/is/icsresource/assets/reviewmaterials.pdfSlide21
Incident Command System (ICS)
Source: https://training.fema.gov/emiweb/is/icsresource/assets/reviewmaterials.pdfSlide22
How you can Take part
National Preparedness System’s “Whole Community”
Preparedness is a shared responsibility; it calls for the involvement of everyone—not just the government—in preparedness efforts. By working together, everyone can keep the nation safe from harm and resilient when struck by hazards, such as natural disasters, acts of terrorism, and pandemics.
Source: https://www.ready.gov/get-involvedSlide23
How you can Take part
The whole community can participate in programs and activities to make their families, homes and communities safer from risks and threats.
Community leaders agree the formula for ensuring a safer homeland consists of volunteers, a trained and informed public and increased support of emergency response agencies during disasters.
Major disasters can overwhelm first responder agencies, empowering individuals to lend support.Source: https://www.ready.gov/get-involvedSlide24
How you can take Part
Federal Disaster Medical Assistance Teams (DMAT)
https://www.phe.gov/Preparedness/responders/ndms/teams/Pages/dmat.aspxState Emergency Response Team (SERT)http://www.floridadisaster.org/Preparedness/index.htm
Community Emergency Response Team (CERT)https://www.fema.gov/community-emergency-response-teamsMedical Reserve Corpshttp://www.floridahealth.gov/programs-and-services/emergency-preparedness-and-response/disaster-response-resources/mrc/Slide25
Prepare Yourself and your Family
Get a plan
http://www.aafp.org/patient-care/emergency/disasters.htmlhttp://www.floridadisaster.org/getaplan/family.aspxRehearse the plan
Share the planHave a back-up plan, rehearse the back-up plan, share the back-up plan Slide26
Prepare Yourself and your Family
Bug out Bag (
BoB)Big enough to haul 3 days of stuff, small enough to not need a donkey to carryWater filter vs purifier, dry foods, flint/matches, lint or dryer sheets, knife (hunting or utility), axe
First aid kit, medications, toiletries, clothesTarp, rope, bivy sack, sleeping pad, flashlight/candle, solar or hand-crank charger, important documents on cloud or USBSlide27
Prepare Yourself and your Family
Bug out Bag
https://store.survivalist101.com/kits/bug-out-bags/?gclid=CIHl8sert9QCFdcvgQod3PsKuQWater Filter versus Purifierhttps://www.rei.com/learn/expert-advice/water-treatment-backcountry.html
Bivy Sackhttps://www.rei.com/search.html?q=bivy+sacks&origin=web&pagesize=90&ir=q%3Abivy+sacksSleep padhttps://www.rei.com/learn/expert-advice/sleeping-pads.htmlSolar chargerhttps://www.amazon.com/Best-Sellers-Electronics-Cell-Phone-Solar-Chargers/zgbs/electronics/2407762011Slide28
Prepare your patients and practice
Inquire with your patients if they are prepared, and if not share resources
Communicate that you have patients w/ special needs w/ patients’ local fire department and county EM, you may have to register themWork with your patients and their family members to ensure they have enough medications and DME to last 30 days
Source: http://www.aafp.org/patient-care/emergency/disasters.htmlSlide29
Prepare your patients and practice
Discuss w/ staff if they are prepared, and if not, share resource
Develop phone/text/email/WhatsApp-like communication tree w/ staffComplete a risk survey of your practice of preparedness
Ensure your practice insurance covers all hazardsSource: http://www.aafp.org/patient-care/emergency/disasters.htmlSlide30
Prepare your Community
Engage with local community by being part of CERT or MRC
Give presentations on preparednessGet to know you local Fire/EMS Department
Get to know your County Emergency ManagementGo to and share resources from Ready.gov or State of Florida’s Get a Plan https://www.ready.gov/http://www.floridadisaster.org/getaplan/Slide31
ObjectivesSlide32
Prepare, Prepare,
PRepare
“It wasn’t raining when Noah built the ark.” – Howard Ruff“By failing to prepare, you are preparing to fail.” - Benjamin Franklin“Preparation through education is less costly than learning through tragedy.” -
Max Mayfield, Director National Hurricane CenterSlide33Slide34
Thank you