Recommended procedures may include, P9: (Priority) Procedures in place for a laboratory COOP plan to ensure the ability to conduct ongoing testing on routine and emerging public health threats. Identify public information officers (PIOs), spokespersons, and trained support personnel, such as subject matter experts to implement jurisdictional public information and communication strategies. Joint Information System (JIS): Integrates incident information and public affairs into a cohesive organization designed to provide consistent, coordinated, timely information during crisis or incident operations. Task 8: Activate medical materiel management and distribution operations. S/T2: Personnel trained in volunteer management. Coordinate with response partners to conduct health screenings and identify medical, access, and functional needs such as needs related to communication, maintaining health, independence, support, safety, self-determination, and transportation (CMIST) (as defined in the CMIST framework), of the population registering at congregate locations. Task 3: Conduct after-action reviews and develop after-action reports and improvement plans. Task 1: Engage with community partners and stakeholders to coordinate preparedness efforts. Definition: Volunteer management is the ability to coordinate with emergency management and partner agencies to identify, recruit, register, verify, train, and engage volunteers to support the jurisdictional public health agency’s preparedness, response, and recovery activities during pre-deployment, deployment, and post-deployment. Recommended procedures may include. S/T2: (Priority) All LRN-B, LRN-C, and LRN-R (if LRN-R is established) laboratories able to pass LRN proficiency testing, as required by the respective LRN program. Staffing plans may include site leads, alternates, security staff, logistics support staff, and Drug Enforcement Administration (DEA) registrant(s) to sign for controlled medical countermeasures, Badging and credentialing requirements for personnel at sites, Training for response personnel and volunteers, including orientation materials, job action sheets, and other training resources or strategies, Procedures to request additional personnel from outside the jurisdiction, such as from the National Guard or Medical Reserve Corps (MRC) based on state and local mutual aid agreements in coordination with the jurisdictional emergency management agency, Procedures for immediate contracting of additional trained distribution support personnel based on state and local emergency procurement practices, Designation of security leads and contact information, Coordination within and across jurisdictional sovereignty lines for law enforcement and security agencies to secure personnel and facilities, Physical measures, such as cages, locks, and alarms to secure materiel within the distribution site, Security measures for transporting materiel, such as escorts and securing of designated roadways, Security measures at alternate distribution sites, Cybersecurity measures, such as protection of personally identifiable information and prevention of unauthorized use of social media, Response time(s) for mobilizing initial transportation resources, Warehouse characteristics, including loading dock type and quantity, staging and storage footprint, and cold chain resources, Delivery vehicle characteristics, including compatibility of the vehicle(s) with loading dock, presence of lift gate, and capacity for full pallet, Receiving site characteristics, including compatibility to receive a full pallet, loading dock type, and on-site equipment, Medical countermeasure characteristics, including the total quantity, weight, and size of the shipments, storage and handling requirements, and packaging, Distribution plan characteristics, including the number of delivery vehicles that can be allocated simultaneously, routes, and security escorts, Compliance with Inventory Data Exchange (IDE) standards or interoperability with CDC information systems, Ability to track the name of drug, quantity, National Drug Code number, lot number, dispensing/ administration site, expiration date, and unit configuration of issue, such as case, box, or bottles, Backup systems for redundancy, such as alternate inventory management software, electronic spreadsheets, or paper-based systems, Physical security measures, such as cages, locks, and alarms, Defined request triggers, indicators, thresholds, and validation strategies to guide decision-making, Identification of individuals within the jurisdiction empowered with the authority to request federal, state, local, tribal, and territorial assets, such as emergency management representatives, senior health officials, and elected representatives with statutory authority to request mutual aid, Strategies to use local circulating inventories and existing jurisdictional medical countermeasure caches, Strategies to use existing infrastructure, such as state immunization programs with experience in vaccine ordering and distribution through the Vaccines for Children Program, Special provisions that may affect medical materiel request procedures, Stafford Act vs. non-Stafford Act declarations, Declarations of a public health emergency, Procedures to coordinate with U.S. Department of Health and Human Services (HHS), as required, Procedures to request medical materiel through the Emergency Medical Assistance Compact (EMAC), Protocols to ensure compliance with regulatory standards, including, U.S. Food and Drug Administration (FDA) standards, Current Good Manufacturing Practices (cGMP), Procedures to obtain medical materiel outside of the SNS, such as pandemic influenza vaccine anticipated to be supplied in coordination with the jurisdiction’s immunization program and CDC’s centralized distributor for publicly funded vaccines, Processes to justify requests for medical countermeasures and other medical materiel, Facility characteristics, such as docks, open floor space, and climate, Maintenance of cold chain integrity according to storage and handling guidelines, Storage and access of controlled substances, Security measures, including personnel, physical security, and other security measures, Respective roles and responsibilities of public health agencies, transportation partners, and other relevant entities, Additional information about medical materiel received, including receipt date, time, and name of individual who accepted custody of materiel, Current available quantity of medical materiel, Distribution strategy, such as distribution through established channels or direct-ship from vendor, Specifics of the requested medical materiel, including item type, size, quantity, intended use, and other relevant information to aid fulfillment choices, Requestor (or other point of contact) information, Law enforcement and security agencies that secure personnel, transportation, and facilities, Incident management personnel, such as command staff or general staff, Critical information required to determine the areas of strength and areas for improvement following an incident, A timeline to ensure completion of after-action reporting and development of corrective action or IPs. Share surveillance data and communicate statistical analyses of surveillance data to the jurisdictional public health agency and other applicable jurisdictional leaders, health care providers, and data providers to assist with the prompt identification of potentially affected populations at risk for adverse health outcomes and enable rapid decision making during a natural or human-caused public health threat or incident. Task 2: Ensure product integrity of medical materiel. PART A– Staff Health & Wellbeing: Occupational Health in the Context of COVID-19. or manager and other key roles within the jurisdictional incident management structure based on the Request or obtain medical countermeasures using established procedures from federal, jurisdictional, or private partners and stakeholders to meet supply needs. In cases where you might be exposed to non-public information, you may also be required to provide proof of your identity as part of your registration. Administer: For the purposes of Capability 8: Medical Countermeasure Dispensing and Administration, this term refers to the act of a clinician or other trained provider giving a medical countermeasure to an individual according to protocols established for that incident, ensuring. Data should be shared using electronic systems when available or as possible. Since then, these capability standards have served as a vital framework for state, local, tribal, and territorial preparedness programs as they plan, operationalize, and evaluate their ability to prepare for, respond to, and recover from public health emergencies. Volunteer reception center (VRC): An operation in which spontaneous, unaffiliated disaster volunteers are registered and referred to local agencies to assist with relief efforts. Document within an after-action report (AAR) the strengths and challenges encountered during the medical materiel distribution process and develop a corresponding improvement plan (IP). out a medication to targeted individuals. Ongoing situational awareness provides the foundation for successful detection and mitigation of emerging threats, better use of resources, and better outcomes for the population. Deployment: The movement of assets, including personnel, to a specific area. Task 5: Dispose of biomedical waste or other hazardous material. Task 2: Determine response activation levels based on the complexity of the incident or event. Coordinate with partners to demobilize alternate care facilities and resources obtained through mutual aid, EMAC, and other means of assistance, as appropriate for the incident. P4: (Priority) Procedures in place for the jurisdictional public health agency to access, collect, analyze, interpret, and respond to reports of potential public health threats or incidents. Responders: Any individual responding to the public health task or mission, as determined by the jurisdiction. Task 1: Engage subject matter experts to assess exposure or transmission. P5: (Priority) Incident safety plans, such as site safety and control plan and medical plan (ICS 206 and 208) updated to reflect monitoring, exposure assessment, sampling, and surveillance findings. Support provision of just-in-time, initial, and ongoing emergency response safety and health training in partnership with jurisdictional emergency management, other agencies, and partnering organizations. Throughout the month, the Center for Preparedness and Response will publish posts that highlight the work of public health departments as it relates to personal health preparedness themes. Assess medical materiel response needs based on risk-based scenarios, identify available jurisdictional resources to support medical materiel distribution, and identify potential distribution challenges. Recommended procedures may include, P2: Procedures in place to activate call centers with community partners, as needed. Task 2: Identify volunteers. E/T1: Backup equipment and infrastructure, such as generators, facilities, and security systems in the event of system failure or power loss in the public health emergency operations center. CDC’s Crisis and Emergency Risk Communication (CERC) draws from lessons learned during past public health emergencies and research in the fields of public health, psychology, and emergency risk communication. P2: (Priority) Transportation security procedures in place that may include. Receive: For the purposes of Capability 8: Medical Countermeasure Dispensing and Administration, this term refers to taking receipt of medical materiel on behalf of the dispensing/administration site. The Stafford Act constitutes the statutory authority for most federal disaster response activities, especially as they pertain to the FEMA and FEMA programs, and gives FEMA the responsibility for coordinating government-wide relief efforts. CDC’s 2018 Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health include operational considerations that support the public health and medical components of the 32 core capabilities specified in the National Preparedness Goal. Task 6: Assess and strengthen community resilience to future disasters. E/T1: Responder registration system that is scalable, secure, and compliant with NIMS. E/T1: Electronic and non-electronic tools and methods for data collection, management, analysis, and sharing. Identify and assign necessary medical countermeasure response roles and responsibilities in coordination with partners and stakeholders. Task 1: Exchange health information. Function Definition: Support the release of volunteers based on evolving incident needs or incident action plans and coordinate with partner agencies and organizations to support the provision of any medical and mental/behavioral health support for volunteers. Task 3: Monitor transportation operations. Support the assembly of personnel and resources trained to provide mental/behavioral health services that are non-intrusive and culturally appropriate to accommodate the access and functional needs and religious or cultural practices of incident survivors, family members of the deceased, and responders. New recommendations are based on: Growing evidence of transmission risk from infected people without symptoms (asymptomatic) or before the onset of recognized symptoms (presymptomatic); The ability to achieve capability functions should be reviewed through jurisdictional demonstrations of performance and other types of evaluation. Task 2: Facilitate collaboration between government and the community to develop corrective action plans. Develop, recommend, and execute approved public health communication plans and strategies on behalf of the incident command or unified command structure based on the public health incident management role. Reference laboratories: LRN reference laboratories are responsible for investigation or referral of specimens. Definition: Emergency public information and warning is the ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management personnel. Protocols for the administration of medical countermeasures may consist of routine standard of practice guidance, such as how to give an injection, or may deviate from standard practice if involving emergency use authorizations, investigational new drug protocols, or the federal Shelf Life Extension Program. Function 4: Monitor nonpharmaceutical interventions. and private sector homeland security partners use HSIN to manage operations, analyze data, send alerts and notices, and, in general, share the information they need to do their jobs. Task 4: Implement corrective actions into recovery plans and operations. P4 (Priority): Procedures in place to designate lead authorities to request resources based on Task 6: Establish an inventory management system. (For additional guidance on chain of custody procedures, see the restricted access LRN website). Coordinate with ESF #6, #8, and #11 partners to conduct infectious disease surveillance and environmental health and safety assessments, provide support for addressing the access and functional needs of at-risk individuals, and support decontamination to assist in a mass care response, needs and capabilities. P2: (Priority) Pre-identified personnel and resources to provide mental/behavioral health services to survivors and families. Task 2: Coordinate support services for NPIs. P2: (Priority) Procedures in place to identify medical countermeasures required to respond to currentor projected incidents. The ACE team also provides training in conducting rapid epidemiologic assessments after chemical releases. Function Definition: Monitor and report or facilitate the reporting of adverse events associated with a medical countermeasure. This task is different from dispensing medical countermeasures when an individual can independently take a pill or use a device without further clinical supervision. Task 1: Coordinate public health and health care emergency management operations. Coordinate with identified stakeholders to operationalize strategies as defined in the jurisdictional fatality management procedures and share incident recommendations for managing human remains. Information may include. (See Capability 1: Community Preparedness, Capability 3: Emergency Operations Coordination, Capability 4: Emergency Public Information and Warning, Capability 6: Information Sharing, Capability 7: Mass Care, Capability 9: Medical Materiel Management and Distribution, Capability 13: Public Health Surveillance and Epidemiological Investigation, and Capability 15: Volunteer Management). Identify dispensing/administration sites to activate when responding to a public health incident. 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