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Disaster Preparedness Ajoy Kumar, MD, FAAFP Disaster Preparedness Ajoy Kumar, MD, FAAFP

Disaster Preparedness Ajoy Kumar, MD, FAAFP - PowerPoint Presentation

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Disaster Preparedness Ajoy Kumar, MD, FAAFP - PPT Presentation

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

www national fema preparedness national www preparedness fema system emergency gov https source management response federal prepare disaster incident community agency framework

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Slide1

Disaster Preparedness

Ajoy Kumar, MD, FAAFPSlide2

ObjectivesSlide3

Systems

National Level

Regional LevelState LevelCounty LevelCity LevelCONOPS = Similar; Scale = DifferentSlide4
Slide5

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 ChartSlide9
Slide10

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-tnSlide12
Slide13

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 CenterSlide33
Slide34

Thank you