Emergency Preparedness and Response: The Big Picture 1

Emergency Preparednessand Response:

The Big Picture

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Doctrine, organization, roles and responsibilities, response actions and planning requirements that guide national response

The National Response Framework

IncidentAnnexes

Incident-specific applications of the FrameworkIncident-specific applications of the Framework

Support Annexes

Essential supporting aspects of the Federal response common to all incidentsEssential supporting aspects of the Federal response common to all incidents

Emergency Support Function Annexes

Mechanisms to group and provide Federal resources and capabilities to support State and local responders

Mechanisms to group and provide Federal resources and capabilities to support State and local responders

Partner Guides

Next level of detail in response actions tailored to the actionable entity Next level of detail in response actions tailored to the actionable entity

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Core Document

www.fema.gov/nrf

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Applying the Framework

Most incidents managed entirely locally: Some require additional support Small number require Federal support Catastrophic requires significant Federal support State Governor must request Federal support

Minor event might just be start of larger threat: Could rapidly grow larger Need to accelerate assessment and response Federal Department/Agency acting on own authority may be initial

Federal responder Integrated, systematic Federal response intended to occur

seamlessly

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Effective, unified national response requires layered, mutually-supporting capabilities

NRF

State & Tribal Governments

LocalGovernments

FederalGovernment

Private Sector & NGO

Local officials have primary responsibility for community preparedness and response and are responsible for ensuring the public safety and welfare of their jurisdiction.

The local emergency manager has the day-to-day authority and responsibility for overseeing emergency management programs and activities.

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NRF


LocalGovernments

FederalGovernment


States are sovereign entities. The Governor is responsible for public safety and welfare. States are the main players in coordinating resources and capabilities and obtaining support from other States and the Federal government.

A primary role of State government is to supplement and facilitate local efforts before, during, and after incidents. Governors, State homeland security advisors, State emergency management directors, and tribal leaders have key roles and responsibilities in incident management.

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NRF


LocalGovernments

FederalGovernment


The Private Sector supports community response, organizes business to ensure resiliency, and protects and restores critical infrastructure and commercial activity.

• Government works with private sector groups as partners in emergency management. Major portions of the nation’s critical infrastructure are operated and maintained by the private sector.

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NRF


LocalGovernments

FederalGovernment


NGOs (non-governmental organizations):Assist individuals who have special needsCoordinate volunteersInterface with government response officials at all levelsPerform other vital missions

For example, NGOs provide sheltering, emergency food supplies, counseling, and other vital services to support response and promote the recovery of disaster victims.

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NRF


LocalGovernments

FederalGovernment


Individuals and Households are key starting points for emergency preparedness and support community efforts.

Though not formally part of emergency operations, they play a key role in the overall emergency management strategy. They can contribute by reducing hazards in and around their homes, preparing emergency supply kits and household emergency plans, and carefully monitoring emergency communications.

Emergency Support Functions / Annexes

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• ESF #1 - Transportation• ESF #2 - Communications • ESF #3 - Public Works and Engineering • ESF #4 - Firefighting• ESF #5 - Emergency Management• ESF #6 - Mass Care, Emergency Assistance, Housing and Human Services• ESF #7 - Logistics Management and Resource Support • ESF #8 - Public Health and Medical Services• ESF #9 - Search and Rescue• ESF #10 - Oil and Hazardous Materials Response • ESF #11 - Agriculture and Natural Resources• ESF #12 - Energy• ESF #13 - Public Safety and Security• ESF #14 - Long-Term Community Recovery• ESF #15 - External Affairs


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ESF #6 in Gwinnett County The Department of Human Resources (DHR) Division of

Family and Children Services (DFCS) has primary government agency responsibility. The American Red Cross (ARC) has primary volunteer organization responsibility. Supporting roles:

East Metro Health District (EMHD) - Personnel, environmental inspections

Georgia Baptist Convention - Child care, food, personnel

The Salvation Army - Donated goods, food

Local Law Enforcement - Security

Local Departments of Education and others - Facilities

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Note roles of entities

State: Dept. of Human Resources (DHR) Div. of Family and Children Services (DFCS)

NGO: American Red Cross (ARC), Georgia Baptist Convention, The Salvation Army

State and Local Gov: East Metro Health District (EMHD)

Local Gov: Law Enforcement, Department of Education

Private Sector: Businesses assisting in other ways

Re NGOs: American Red Cross, GA Baptist Convention, Salvation Army, American Radio Relay League, many others are members of National and/or Georgia Voluntary Organizations Active in Disaster (VOAD).

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ESF #8 in Gwinnett County

Under ESF #8, Public Health:

Coordinates and/or delivers medical, environmental health, and mental health services

Accesses and/or seeks health-related private resources

Supplements disrupted or overburdened health service delivery personnel and resources

Coordinates rehabilitation support

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Support Annexes

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• Critical Infrastructure and Key Resources

• Financial Management• International Coordination• Private Sector Coordination• Public Affairs• Tribal Relations• Volunteer and Donations

Management• Worker Safety and Health

• Biological Incident• Catastrophic Incident• Cyber Incident• Food and Agriculture Incident• Mass Evacuation Incident• Nuclear/Radiological Incident• Terrorism Incident Law

Enforcement and Investigation

Incident Annexes

Support Annex A14 Volunteer Programs Management

Addresses how the Medical Reserve Corps program integrates with emergency response

Describes where volunteers might be used in a healthcare emergency

Provides forms that must be completed to address liability issues

Provides job action sheets that can be used for just-in-time training

Support Annex A15 Modular Emergency Medical System

Addresses medical surge options in support of hospitals

Defines Neighborhood Emergency Help Center

Defines Acute Care Center

Defines staffing requirements based on given configuration

Does not address specific alternative standards of care protocols

Support Annex A16 Strategic National Stockpile

Criteria for and how to request the SNS

Mass dispensing/vaccination procedures

Manpower requirements

Just-in-time training materials for using volunteers

Medication control procedures

Patient education

What is the Strategic National Stockpile ?

A large CDC-managed stockpile of medicine and medical supplies to protect the American public if there is a public health emergency severe enough to cause local supplies to run out.

You can learn more about the Strategic National Stockpile at http://www.bt.cdc.gov/stockpile

Strategic National Stockpile Components

Push Pack/12 Hours

Vendor Managed Inventory/ 24-36 hours

SNS Responsibilities

SNS

Send medications / vaccines

Provide technical assistance

State and Local governments

Demonstrate need for supplies

Receive, stage and store supplies

Dispense at community PODs

Hospitals

Dispense to at hospital PODs

What is a POD?

Point of dispensing (POD) - a place where a vaccine, antibiotic or other medication is dispensed quickly to a large group of people.

First Responders

Hospital staff & patients

Community members

Usually: To prevent disease in those exposed to an infection but who are not yet sick

Possibly: To treat an infectious disease

The treatment offered would be limited to dispensing a specific medication.

Why would a POD be activated?

What Kinds of Emergencies Might Require a POD?

Natural disaster

Influenza pandemic

Bioterrorism attack

Documents

Emergency Preparedness and Response: The Big Picture 1