Los Angeles County Department of Public Health - PowerPoint Presentation

Slide1

Los Angeles County Department of Public Health Emergent Disease Annex BriefingSlide2

Emergent Disease Annex2

All-Hazards

Emergency Plan

(Feb. 2013)

Overarching Departmental emergency plan and response framework

Not specific to any hazard

Emergency Operations Annex

(Feb. 2014)

Preparation, response and recovery from emergent disease threat

Courses of Action (COAs) and Options

Activation and operation emergency management system (ICS)

Not specific to any hazard

Emergent Disease Response Playbooks

(Fall 2014)

DOC and Field Specific

ICS section specificKey objectives, policies, COAs and decision points

Emergent Disease Annex

(Sept. 2014)Slide3

Situation and Scenario 3Emergent Disease

Could be caused by a number of organisms

Unique disease transmission and severity profile

No vaccine or treatment

Sustained, human-to-human transmission

Scenario (p.3)A novel, SARS-like coronavirus has emerged on the global stage. Early epidemiology and clinical reports from the country/region of origin suggest high transmissibility (R

o~3.0), and there is limited information on disease severity (i.e. hospitalizations, mortality)

The disease rapidly progresses from emergence in a foreign country to some other major metropolitan areas in the U.S. before reaching Los Angeles County. Local outbreaks first occur at a school and hospital. Additional clusters then quickly emerge within the County. Each cluster is characterized by high severity in certain populations. The outbreak rapidly evolves through widespread transmission of the disease throughout the County. Slide4

Mission Areas4DPH

Mission

(

p.6) Save and sustain human life, minimize disease transmission, support public health and healthcare infrastructure and support community recovery.

Mission AreasOperational planning in nine (9) key focus areas of responsibilities - Epidemiology and Surveillance - Non-Pharmaceutical Interventions- Public Health Lab - Healthcare Support

- Public Information and Warning - Fatality Management- Emergency Management - Mass Care- Intel and Information Management

Based on PHEP (CDC), HPP (ASPR) and FEMA CapabilitiesSlide5

Timeline5Timeline (p.12)

Key

operational response actions

Phase 1a:

Pre-Incident

(Level Green)

Phase 1b:

Minimal Cases

(Level Yellow/Orange)

Phase 2a:

Initial Response

(Level Orange/Red)

Phase 2b:

Continued Response

(Level Black)

Phase 3:

Recovery

(Level Yellow/Orange)

No Cases

<10 Cases

<100 Cases

>100 Cases

<100 Cases

Monitor

Situation

Investigate Possible Cases

Distribute CDC GuidanceInvestigate Possible Cases Isolate CasesAssess SeverityDistribute CDC GuidanceIsolate Cases Quarantine ContactsCommunity NPIsAssess Severity & Transmissibility Distribute CDC GuidanceCohort CasesCommunity NPIs Distribute CDC Guidance DemobilizationSupport Community Recovery  Slide6

Objectives and Key Actions Epi & Surveillance [Appendix B1]

Develop critical information and inform DPH/DOC decision making

Cases; Efficacy of interventions/COAs; Forecast potential impacts

Public Health Lab

[B2]Facilitate rapid detection and confirmation of cases Emergency Public Info & Warning [B3]

Develop, coordinate and disseminate warnings and notificationsMany audiences: Healthcare, First responders, Media, CommunityAt-risk, vulnerable populations

6Slide7

Objectives and Key Actions Emergency Management

[B4]

Manage, sustain DPH response

Coordinate with local, state and federal response agencies

Intelligence and Information Management [B5]

Collect, analyze and depict incident information Non-Pharmaceutical Interventions [B6]

Control spread, limit effect of diseaseCenterpiece of AnnexIsolation, Quarantine, Community NPI

Efficacy v. Resources7Slide8

Objectives and Key Actions Healthcare Support

[B7]

Coordination; Communication; Facilitation

Guidance; PPE; Infection control

practicesMass Care

[B8]Support health, medical, mental health and social needs of impacted individualsCoordination of services with partner agencies

Fatality Management [B9]Support recovery, identification and handling of decedents

Surge in death certificatesSupport in family assistance centers8Slide9

Mission Area Responsibilities9

Mission Area

Public Health

CEO/Emergency Management

Sheriff’s Department

Fire Department

Health Services

Mental Health

Social Services

Coroner

Epi and Surveillance

P

S

Public Health Lab

P

S

  Public Information and Warning

S

S

P

S

R

Emergency Management

S

P

S

S

Intelligence and Information Management

P

S

S

S

R

R

R

Non-Pharmaceutical Interventions

P

S

R

S

S

Healthcare

S

R

S

P

R

Mass Care

S

R

S

S

S

P

Fatality Management

S

R

S

S

R

P

P = Principal Agency

S = Support Agency

R = Resource AgencySlide10

10

Assess & Prioritize Hazards

Determine Goals & Objectives

Develop the

Annex

-Planning Directive

-Form Core Planning Team

-Define Scenario, Assumptions, Goals and Mission Area Objectives

-Form Dept. planning workgroups

-Develop and

analyze

COAs and tasks

-Write Annex

-Vet with Executives for approval

Prepare, Review & Approve

Annex

-Present plan to:

-Key government agencies

-Healthcare partners

-Community stakeholders

-Approval by DPH Executives

-

Submit approved plan to ECO/OEM for County inclusion & adoption

Train, Exercise and Maintain

Annex

Engage the Community

-Develop and conduct trainings-Develop and conduct exercises-Review/revise approved plan (every 3 years) Whole Community: FEMA Process in LACDPH