May 8-9, 2013. Director Atlanta-Fulton County Emergency Management Agency Incorporated Municipalities of Fulton County AFCEMA Team 1.Alpharetta, 2.Atlanta,

Council of State and Territorial Epidemiologists (CSTE) 4th Annual National Disaster Epidemiology Workshop

May 8-9, 2013

Partners in Disaster Response—Crosscutting Collaborations in

Disaster Epidemiology

Director Atlanta-Fulton County

Emergency Management Agency

Incorporated Municipalities of Fulton County AFCEMA Team

1. Alpharetta,2. Atlanta,3. Chattahoochee Hill, 4. College Park,5. East Point,6. Fairburn,7. Hapeville, 8. Johns Creek,9. Milton, 10. Mountain Park,11. Palmetto,12. Roswell, 13. Sandy Springs14. Union City

Daily Population Surge ≈ 459,483 Daily Population Total ≈ 1,216,256

Population ≈ 949,599 (2011 US Census Bureau estimate)

Land Area ≈ 526.64 Square miles

To enhance the preparedness and resiliency of

our communities by coordinating and integrating

the activities necessary to mitigate against,

prepare for, respond to, and recover from natural

or man-made disasters.

Area 71. Fulton, 2. DeKalb, 3. Cobb, 4. Gwinnett, 5. Clayton, 6. Henry, 7. Rockdale, 8. Fayette,

and 9. Douglas

Georgia Counties Behavioral Health Nursing Homes CHCs

RCH Regions Public Health EMS Regions GEMA Regions

Common Denominator in a Disaster

How does the disaster affect 1. PEOPLE2. ENVIRONMENT

Management by Objectives

Priorities : #1: Life Safety

#2: Incident Stabilization

#3: Property/ Environmental Preservation

Incorporating Public Health in Disaster Management

Educate your partners Who are you? What do have to

offer? What is the value

added? Find a champion Someone that

understands the Return on Investment (ROI) regarding your services.

4 Phases of Disaster Management

#1: Mitigation #2: Preparedness #3: Response #4: Recovery

Mitigation Phase

Risk Reduction Key to minimizing loss and improving resilience is the

reduction of underlying risks Data is critical – Helps reduce risks and improve

response

Determining vulnerabilities THIRA (Threat and Hazard Identification and Risk

Assessment)Everyone's “Disaster” is different

Understand historical patterns (Identify causes)

Education Mutual Process – Learn from each other Internal and External partners

http://www.unisdr.org/2011/images/weinform_terminology.jpg

Preparedness Phase

Educate your team Learn the language of Emergency

Management Practice using Common Terminology Don’t have to be a specialists

Get involved in the Preparedness Cycle

Especially Planning, Training and Exercising

Preparedness Phase (cont.)

What resources do you have and how can they be requested?

Typing resources Start with a Tier II definition

(State and Local level) Remove the guessing game

Credentialing Ensure team is qualified and

trained Strike Team or Task Force

Concept?

FEMA - Tier 1 Resource Typing

Response Phase Main Goals Assisting the Incident Commander

with making an informed and educated decision regarding response objectives based upon data.

Help prioritize interventions Establish surveillance systems that

can aid in alleviating the burden of a disaster.

Use surveillance systems to determine adequacy of response. - Is what we are doing getting the results that we intended?

Response Ex. - DM932 OIL SPILL

Lower Mississippi River - New Orleans July 23, 2008, approx. 1:30

AM Barge DM932 collided with a

tanker Barge was carrying 9,983

bbls (419,286 gal) of #6 fuel oil in three compartments.

Two compartments ruptured - 6,733 bbls spilled (282,786 gal)

River was closed for 6 days $275 million impact on the first

day the river was closed

DM932 (cont.)DM932 OIL SPILL - Lower

Mississippi River, New Orleans, LAProtection of human health first concern

Downstream drinking water intakes were closed Air monitoring conducted

Health and Safety Plan was createdActivated SMEs –

Environmental Chemist Toxicologist Epidemiologist Crisis Communicator

DM932 (cont.)SMEs assisted

in: Data

interpretation Response

recommendations Proper PPE for

responders Potential short

and long term affects

Crafting health advisory messages

RecapEducate your partners (sell yourself)Find a Champion (someone to support

your efforts)Be prepared Educate your team Get involved with Planning, Training and

Exercising (Preparedness Cycle) Type your resource capability (standardize)

Response Obtain the data needed for Incident

Commanders to make informed and educated decisions

[email protected]

www.facebook.com/AFCEMA

@AFCEMA

THANK YOU

Matthew Kallmyer, MPH