Transcript Rochester Guardian Angels Presentation International Guardian

Rochester Guardian Angels Presentation
International Guardian Angels Conference 2005
Homeland Security and
Disaster Preparedness
by Denise Eggert
National Homeland Security Conference
Rochester, New York July 13, 2005
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Law Enforcement Concerns
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Biological Preparedness
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Emergency Response/Medicine
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National Preparedness
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Patriot Act and Law
Law Enforcement Concerns
James McMahon, Director of N.Y.S. D.H.S. Stresses:
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False identification is often offered for driver's license – easy
access to schools, businesses, employment, etc.
Maryland, Arizona, Florida, Mass. - easy to obtain driver's license
with minimal identification – resident states of many9/11 terrorists
Need to educate prosecutors that false identification is not a minor
offense.
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N.Y.S. - 6 points of identification needed for driver's license
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2008 Real Identification Act
Specific to N.Y.S.
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Sept. N.Y.S. Terrorism 1 Act
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16 Region Specific counter terrorism zones in N.Y.S.
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C.T.N. Advisory – London Attacks to U.N.Y. R.I.C.
Upstate New York Regional Intelligence Center –
Albany
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State Tips Line 1-866-SAFE-NY
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NYC Tips Line 1-888-NYC-SAFE
Funding
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N.Y.S. Receives direct funding from N.H.S. - $2 million – threat
based formula
Fiscal year Oct. to Oct. $250 - $500 thousand goes to higher risk
cities
Funding given for decontamination trailers, protective equipment,
and training
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Grant Hotline 1-866-837-9133
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Grant Clearing house www.securitystateny.us/grants.html
Northeast Homeland Security
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Includes 10 states, Delaware to Maine
Canada – Ontario, New Brunswick, and Quebec joined N.E. Homeland
Security
Concern regarding multiple borders – northern parts of states, bridges, and ports
Canada has one of the most liberal immigration laws in the world – need to
close entry to terrorists. P.O.E.
Operation Safeguard – 125 business members
Pinpoints businesses which sell materials which terrorists could use – i.e.
fertilizer in use of bombs
Western N.Y.S.
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P.O.E. Niagara Falls
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Niagara Falls Power Plant assessed as high risk target
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P.O.E. Fast Ferry terminals Charlotte-Rochester and
Toronto, Ontario, Canada
Ginna Nuclear Power Plant Ontario-Rochester area
assessed as high risk target
Biological Preparedness
Dr. Donald A. Henderson notes:
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Conquest of world infectious diseases 1860 – 1960
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Then – 1981 AIDS diagnosed, 1984 HIV identified
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2005 AIDS pandemic 4th leading cause of death
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1989 conference on Emerging Infections
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Multiple new infections and manufacturing of old
infectious agents
Emerging Infections
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SARS – China
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Money Pox – Africa
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T.S.E. - Mad Cow Disease – U.K.
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West Nile Encephalitis – Eurasia
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H5N1 Influenza among poultry workers – 50% mortality
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Increase in hemorrhagic illness worldwide – e.g. Ebola
Why Increase in Widespread Infection Now?
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Growth in urban populations
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International travel
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Growth in hospitals in endemic areas
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Low staff and low resources in hospitals actually help to
transmit disease
C.D.C. Class A Bioterrorism Agents/Diseases
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Anthrax (Bacillus Anthracis)
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Botulism (Clostridum Botulinum Toxin)
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Plague (Yersinia Pestis)
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Small Pox (Variola Major)
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Tularemia (Francisella Tularensis)
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Viral Hemorrhagic Fevers (Ebola, Marburg, Lassa, and
Machupo)
Class A Agents
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Pose risk to national security
Can be easily disseminated or transmitted from person to
person
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Result in high mortality rates
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Cause public panic and social disruption
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Require special action for public health preparedness
Noteworthy Class B Agents/Diseases
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Salmonella species, Escherichia Coli, Shingella are
associated with food safety threats
Vibrio Cholerae, Cryptosporidium Parvum are
associated with water safety threats
Food supplies are internationalized and industrialized
Biological Agents
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Watershed event 1995 Shirinkyo – religious cult leader –
Tokyo subway Japan
Intelligence reports regarding 46 laboratories worldwide
offer anthrax
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Increase in aerosolization devices
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Increase in information access – internet
Specific Threats
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1973 – Secret Bioweapons Program began in U.S.S.R.
And over 50 laboratories involved
Soviet Deputy Director defected to U.S. and full scope
of program disclosed in 1995
Fall of U.S.S.R. Closed labs and scientists went to other
countries to continue their work
Plant exists above Moscow which makes small pox with
a stabilizer
Recent Events
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Speaker George W. Bush voices concern of risk of biological
agents to White House Staff in 1999
Notes increase in biotechnology
Dark Winter exercise June 2001 at Andrew's Air Force Base re
smallpox scenario
October 2001 anthrax attacks 22 cases – 5 People died – but panic
much larger
Covert disaster drills for anthrax done across America. Recently,
disaster drill done in Rochester area on August 9, 2005
Response to Exposure
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Early detection is critical but difficult
Incubation time can allow infection to spread rapidly before
detected (with some diseases)
First responders should include emergency room personnel,
doctor's offices, and Health Department
Alert emergency room providers should be trained in infectious
disease epidemiology and 24 hour reporting system with D.O.H.
is a must
There needs to be isolation suites and decontamination areas set
up in emergency departments
Impact on Society
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There is a financial burden/cost to supply health services
and widespread medicines during a potential/actual
exposure
Widespread panic causes increased use of mental health
and medical facilities. Slow down of services and
businesses may occur e.g. anthrax alert at U.S.P.S. to
sensor area and decontaminate as needed. Quarantine
may occur.
Emergency Response/Medicine
Dr. Tener Goodwin Veenema
Associate Professor of Nursing and Emergency Medicine
University of Rochester School of Nursing and School of
Medicine and Dentistry
Program director for Disaster Nursing and Strategic
Initiative Center for Disaster Medicine and Emergency
Preparedness
University of Rochester Health Sciences Center
Current Status Hospital Preparedness
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Hospitals have invested millions in preparing for catastrophic
public health emergencies
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Communication systems
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Disease surveillance and reporting using tracking systems
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Protective equipment for medical and nursing staff
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Drug and Pharmaceuticals supplies
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Training and drills
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Vaccination efforts
Transformation of Public Health and Hospitals
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Hospitals historically specialized in trauma and medical
diseases
Public health (D.O.H.) historically specialized in
communicable diseases
They must now engage in internal and external
community level planning with the threat of
terrorism/mass causality incidents
Planning at the regional level has become imperative
Finger Lakes Regional Resource Center
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Rochester is part of nine county region F.L.R.R.C.
Center is University of Rochester – Strong Memorial
Hospital
Centralized effort to develop bioterrorism preparedness
and response plans among hospitals in an identified
region and receives funding from the C.D.C.
Work together to improve the “bed surge capacity” of
the health care system, including hospitals, home care,
and long term care facilities.
Advanced Disaster Life Support at U of R
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First in nation to develop 2 courses in A.D.L.S.
Certificate program for Master's and Post-Master's
Degree Programs
Curriculum for stand alone 15 hour chemical, biological,
radiological, nuclear, and explosive course for nurses,
other medical personnel, and paramedics.
Use of U of R Regional Trauma and Burn Center at
Strong Memorial Hospital in training medical, nursing,
and E.M.S. Personnel.
National Preparedness
Michael S. Beeman, Director of the National Preparedness
Division and Acting Chief of External Affairs for the
Department of Homeland Security's Federal Emergency
Management Agency Region II
Changes
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Recent restructuring of Department of Homeland
Security
Development of new National Response Plan
which was 1 week old as of 7/13/05
New strategies and concerns in counter-terrorism
National Incident Management System
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Started 9/1/01 to standardize training, equipment, and
communication
NIMS Integration Center sets up national standard
curriculum and national credentialing
Courses are called ICS – incident command structure –
200, 300, and 700 considered prerequisites to be
considered NIMS compliant to qualify for federal and
urban initiative funds for first responders
Check FEMA website and EMI website
NIMS Disaster Response
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Incident management team comprised of federal
officer (deputy) and 30 people are sent out.
Use NIMS CAST (Capability Assessment
Support Tool) in assessing extent of loss, need,
and resources needed. Check NIMS website.
National Response Plan
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Developed 7/7/05 and covers command and management
operations
Crosses jurisdictions and functional agencies
Emergency Alert System – especially for Nuclear Power Plants –
developing chips to turn on TVs and cellphones and give
instructions in event of emergency
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Credentialing emergency management personnel
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Mutual Aid Agreement
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Contact [email protected]
New Concerns in Homeland Security
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Over concern with security of air travel
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Not enough concern with other possible targets
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Soft targets are hospitals, schools, colleges, and
shopping malls. Unprotected and could cripple an area
and disrupt an entire population
Little or no security in transportation of goods,
especially international shipping of goods at
harbors/ports. Need for corporate/industry protocols.
Patriot Act
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Uniting and Strengthening America by Providing Appropriate
Tools Required to Intercept and Obstruct Terrorism Act of 2001 –
October 26, 2001
Increased surveillance and investigate powers of law enforcement
agencies in U.S.
E.P.I.C. submitting request to F.B.I. to ask how agency has used
expanded investigative powers under sunsetting provisions –
provisions are due to expire at the end of the year unless renewed
Legislation introduced to permit F.B.I. to demand health, library,
and tax records in intelligence investigations without judicial
approval.
Operational Realities
Professor Laurence W. Feason stresses that:
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Terrorists have to succeed once. We need to succeed
every time.
Terrorists challenge values (nothing is sacred). They are
a force of anarchy
Our transparency and openness becomes a source of
vulnerability
Terrorism is borderless – defense has borders.
Community of Monroe Citizen Corps for Homeland
Security
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Comprised of official and volunteer agencies
Primary partners are the American Red Cross, Monroe County
Office of Emergency Preparedness, and the Rochester Business
Alliance
Council plans coordination of readiness (disaster) groups and
support groups
Major groups are C.E.R.T. - Community Emergency Response
Teams, Medical Reserve Corps, Volunteers in Police Service
(VIPS), and V.O.
Monroe County C.E.R.T. Program
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Funded by Monroe County O.E.P. and training done on site at
Public Safety Training Facility, utilizing the Fire Grounds
8 week course providing training in the following areas: Disaster
Preparedness, Disaster Fire Suppression, Disaster Medical
Operations, Light Search and Rescue, C.P.R. and A.E.D., Disaster
Psychology, and Team Organization.
Final Exam, Disaster Simulation, and Graduation
C.E.R.T. Volunteers provide emergency support to first responders
following a catastrophic natural disaster or terrorist attack
Websites
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Citizen Corps (N.Y.S.) http://www.nysemo.state.ny.us/nyscitizencorps.htm
Citizen Corps (National) - http://www.citizencorps.gov
Community Emergency Response Teams http://training.fema.gov/emiweb/CERT