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Gathering InformationGathering Information
Procedures for ODHProcedures for ODH
Call Takers during an overt Call Takers during an overt incidentincident
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
OVERT IncidentOVERT Incident
A threat was madeA threat was made
We know about itWe know about it
We’re going to do something about itWe’re going to do something about it
Someone wanted to make a sceneSomeone wanted to make a scene
Most involve AnthraxMost involve Anthrax
All have been hoaxesAll have been hoaxes
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Understanding the Understanding the ProblemProblem
Bio-terrorism has become popularBio-terrorism has become popular
Now done in place of bomb threatsNow done in place of bomb threats
Most threats are hoaxesMost threats are hoaxes
None can be considered a hoaxNone can be considered a hoax
Information must be gathered very Information must be gathered very
accuratelyaccurately
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Ohio’s ProtocolsOhio’s Protocols
Developed after numerous incidentsDeveloped after numerous incidentsLocal responders had nothing to go Local responders had nothing to go
bybyThe PlayersThe Players
ODHODH OSPOSP OEMAOEMA FBIFBI
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Ohio Protocol for Bio Ohio Protocol for Bio Terrorism IncidentsTerrorism Incidents
Dispatch Dispatch ReceivesReceives
CallCall
DispatchDispatchFire/HazmatFire/HazmatPolice, EMSPolice, EMS
NotifyNotifyLocal HealthLocal Health
FBIFBICall is made to CDCCall is made to CDC
Bridge Line is EstablishedBridge Line is EstablishedAll affected parties meetAll affected parties meet
on the Bridge lineon the Bridge line
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Health Department Health Department FunctionsFunctions
Local HealthLocal HealthDepartmentDepartment
NotifyNotifyODHODH
ODH NotifiesODH NotifiesCDC Bridge CDC Bridge
Line Line EstablishedEstablished
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Bridge Line from CDCBridge Line from CDC
CDCCDCBridge LineBridge Line
HospitalHospital
LocalLocalHealthHealth
EMAEMAAffectedAffectedFacilityFacility
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Course of ActionCourse of Action
Bridge LineBridge LineDecisionDecision
MadeMade
SpecimenSpecimenCollectedCollected
Transport toTransport toODH Lab atODH Lab at
OSHOSHResultsResults
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Bridge Line from CDCBridge Line from CDC
CDCCDCBridge LineBridge Line
FireFire
PolicePoliceEMSEMS
HospitalHospital
LocalLocalHealthHealth
EMAEMAAffectedAffectedFacilityFacility
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Decon / ProphylaxisDecon / Prophylaxis
If necessary, deconshould be done withwater only, in most
cases (Click for Chart) Medical Control and the local health officials should
make the decision aboutprophylaxis
Long Term Monitoringof patients may be needed
LHD should keeprecords
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
What Happens in What Happens in the Fieldthe Field
Responders use a tool called the Responders use a tool called the Incident Command SystemIncident Command System
Fire Department is in charge of initial Fire Department is in charge of initial responseresponse
Police is in charge of securityPolice is in charge of securityFBI is in charge of the investigationFBI is in charge of the investigation
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Additional field Additional field InformationInformation
911 Dispatcher should have sent 911 Dispatcher should have sent
proper responseproper response
Fire should have set up Command Fire should have set up Command
SystemSystem
Evidence will be gatheredEvidence will be gathered
ODH Lab will accept specimen for ODH Lab will accept specimen for
identificationidentification
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
What we need to What we need to knowknow
Get the following informationGet the following information1. Call Back number1. Call Back number2. Who is the caller and agency2. Who is the caller and agency3. Where did the incident occur3. Where did the incident occur4. Who is in charge4. Who is in charge5. What is the threat5. What is the threat
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
What you need to What you need to dodo
Contact Bureau of Infectious Disease Contact Bureau of Infectious Disease The person is not important, the The person is not important, the
information is.information is. Usually it is Dr. Forrest SmithUsually it is Dr. Forrest Smith
Contact Bureau of Environmental Contact Bureau of Environmental Health and ToxicologyHealth and Toxicology Once again, the information is importantOnce again, the information is important BEHT personnel will notify the proper BEHT personnel will notify the proper
peoplepeople
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Stuff to Tell the Stuff to Tell the CallerCaller
Explain to them the sequence of eventsExplain to them the sequence of events Bridge Line setupBridge Line setup Who needs to be on itWho needs to be on it Time and placeTime and place
Who the players from ODH will beWho the players from ODH will beTell them to sit tight and don’t do Tell them to sit tight and don’t do
anythinganythingFind out if they have made any other callsFind out if they have made any other calls
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
What Happens NextWhat Happens Next
ODH will establish a Bridge Line with ODH will establish a Bridge Line with CDC in AtlantaCDC in Atlanta
CDC will give us a number to callCDC will give us a number to callAll concerned parties at ODH and on All concerned parties at ODH and on
the scene must be given the number the scene must be given the number including proper FBI peopleincluding proper FBI people
Once the line is established, ODH will Once the line is established, ODH will coordinate proper scenariocoordinate proper scenario
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Termination of the Termination of the IncidentIncident
Your notes are very importantYour notes are very importantKeep good notesKeep good notesIf there are questions, ask themIf there are questions, ask themAfter transport to ODH lab, results After transport to ODH lab, results
will be given in 4 to 6 hourswill be given in 4 to 6 hoursBridge line will be again establishedBridge line will be again establishedResults will be publishedResults will be published
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Positive ResultsPositive Results
On scene responders, local health On scene responders, local health officials and medical personnel must officials and medical personnel must begin prophylaxisbegin prophylaxis
ODH might coordinate distribution of ODH might coordinate distribution of innoculantinnoculant
Locals will have a big job keeping Locals will have a big job keeping track of patientstrack of patients
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Long Term Long Term MonitoringMonitoring
Must have good relationship with Must have good relationship with
hospitals and other med providershospitals and other med providers
Keep good adequate recordsKeep good adequate records
Develop a databaseDevelop a database
Establish channels with ODH and Establish channels with ODH and
CDCCDC
State of OhioState of Ohio
Bio-Terrorism ProtocolsBio-Terrorism Protocols
Covert IncidentCovert Incident
This is a totally different type of This is a totally different type of incidentincident
May not be identified immediatelyMay not be identified immediatelyYou may identify it because of the You may identify it because of the
number and type of calls being madenumber and type of calls being madeMay come from many areas of the May come from many areas of the
state or a localitystate or a localityWill then be treated as A-1 reportableWill then be treated as A-1 reportable