WritinganEnvironmentalHealthEmergencyResponsePlan寫一個環(huán)境衛(wèi)生應(yīng)急預(yù)案(-50)

Writingan

EnvironmentalHealthEmergencyResponsePlanLesson2–DetailedRolesandResponsibilitieswhenEHPRespondtoaDisaster/EmergencyEnvironmentalHealthSkillsAssessmentManagement

CommunicationEnvironmentalHealthSkills(Cont.)AssessmentInformationGatheringDataAnalysisEvaluationEnvironmentalHealthSkills(Cont.)ManagementProblemsolvingProjectManagementReportingEnvironmentalHealthSkills(Cont.)CommunicationEducationRiskCommunicationConflictresolutionEHRolesAssessInterveneEducate/CommunicateEHFunctionalorTopicAreasFood/WaterOutbreakInvestigationWatersafetyFoodsafetyWastewaterMasscareVectorcontrolSolidwasteHazardouswasteHouseholdhazardouswasteMedical/infectiouswasteChemicalincidentRadiologicalincidentFloodTornado/WindstormFood&Waterborne

OutbreakInvestigationAssessmentConductinspectionofthefacilityIdentifybasicfoodsafetyissuessuchasproperfoodtemperatures,foodstorage,cross-contamination,cleaningandsanitizing,handwashingandpersonalhygieneAssistindevelopmentofasamplingplanandcoordinatesamplingandanalysisoffood,waterorothermaterialsAssistwithinterviewingpatronsand/oremployeesAssistinthedeterminationoffitnessoffoodsforconsumptionFood&Waterborne

OutbreakInvestigation(Cont.)InterventionAssistotherdisaster-responseagencieswithfoodtransport,storageanddistributionlogisticsAssistwithsorting,condemnation,anddisposalofcontaminatedfoodatcommercialestablishmentsDeterminecorrectiveactionsandmakerecommendationstofacilitymanagers,homeowners,andpublichealthofficialsorotheragencyofficialsFood&Waterborne

OutbreakInvestigation(Cont.)Communication/EducationMaintainfrequentcommunicationwithallpartiesProvidecollectedinformationtoepidemiologistsProvidethepublicandbusinesseswithinformationregardingtheprotectionofperishablefood,aswellasproperpreparation,storage,anddisposaloffoodsunderemergencyconditionsVectorControlAssessmentAssessconditionsinthedisasterarea(e.g.,standingwater,uncollectedandexposedsolidwastecontainingfoodwaste,damagedsewersystem)thatmaypromoteincreaseinvectorpopulationsAssistinconductingenvironmentalrelateddiseaseinvestigationsrelatedtowaterandotherdiseasevehicles/vectorsAssist/collectvectorsforlabanalysisAssistlocalmosquitocontrolagencyasneededVectorControl(Cont.)InterventionProvideassistanceandoversightrelatedtoimplementationofcontrolmeasuresDeterminecorrectiveactions,reportfindingsandrecommendationstopublicworksandhealthauthoritiesWorkwithprivateandpublicrefusehaulerstoreinstateregularcollectionorarrangeforspecialcollectionsContactlocalmosquitocontrolagencyapplyingvector-controlmeasuresintheaffectedareaVectorControl(Cont.)Communication/EducationProvideinformationtothepublicregardingvector-bornediseasecontrolmeasuresDrinkingWaterSupply

andSafetyAssessmentAscertainexposurepathwaysAssistwithpreparationofasamplingplanCollectwatersamplesAssistandcoordinatesamplingactivitieswithotheragenciesQualitativelyassesstheimpactonwaterresourcesintheimpactedareaAssistwithpublicwatersysteminspectionsanddocumentdamageConductpublichealthassessmentsofcommunityandnon-communitywatersystemsandprivatewellsConductdamageassessmentsofcommunityandnon-communitywatersystemsandprivatewells-documentdamageDrinkingWaterSupply

andSafety(Cont.)InterventionDeterminecorrectiveactionsandproviderecommendationsandinformationtowatersystemoperators,facilitymanagers,homeowners,andothersPrioritizespecialneedsofsusceptiblepopulationsatriskfromdehydration,waterbornediseaseandcontaminationCoordinatedeliveryofbulkandbottledpotablewatersuppliesEnsuredisinfectionofdistributionsystems,storagetanksandwaterhaulingtankersAssistwithpublicwatersysteminspectionsanddocumentdamageConductpublichealthassessmentsofcommunityandnon-communitywatersystemsandprivatewellsAssistandcoordinateemergencyrestorationorreplacementoftreatment,storageanddistributionsystemsDrinkingWaterSupply

andSafety(Cont.)Communication/EducationCommunicatewithpublic-waterutilitiesaboutextentofdamageNotifypublicaboutconditionofwaterandneededactionsNotifypublicaboutavailabilityandlocationofpotablewaterDisseminateinformationaboutwaterneedsandrationing

ProvideinformationtothepubliconwaterdisinfectionandstorageProvideinformationtothepublicdescribingwelldisinfectionWastewaterAssessmentAssesstheimpactsofreleasedwastewaterongroundwater,surfacewater,drinkingwatersuppliesandrecreationalwatersConductsurveysordamageassessmentsofwastewatersystems,includingprivateon-sitesystems,andtemporaryoremergencysystemsfordisasterareasDevelopasamplingplanandcoordinatesamplingandanalysisConductsurveysorassessmentsoffacilitiesandpracticesregardinghygieneanddisposalofhumanwasteWastewater(Cont.)InterventionCoordinateprovisionofemergencywastedisposalfacilitiesOverseetheplacementand/orconstructionofalternativesystems(e.g.,chemicaltoilets,“port-apotties,〞&latrinesMonitorfunctioningandmaintenanceofalternativesystemsPreventormitigatepublichealthnuisanceissues(e.g.,odors,vectors)Determinecorrectiveactionsandmakerecommendationstowateroperators,facilitymanagers,thepublic,andotherpartiesWastewater(Cont.)Communication/EducationProvideinformationtothepublicregardingproperemergencysewagedisposalmethodsProvidepublicinformationrelatedtodiseasepreventionPosthazardwarningsPromotehealthybehaviorsuchashand-washingtechniquesMassCareAssessmentProvideadviceonsheltersiteselection,andorganizationandlayoutAssistbuildingofficialsandstructuralengineersindeterminingthehabitabilityofpre-identifiedsheltersEvaluateshelterfacilitiesfor:potablewater,managementofwastewaterandsolidwaste,foodsanitation,personalsafety,airquality,vectorcontrol,andpersonalhygieneamenitiesMassCare(Cont.)InterventionAssistwithand/orconductinspectionsofmasscaresitesAssistotherrespondingagenciesintheplanninganddevelopmentoftemporaryhousingsitesProvidehousingsanitationguidanceandoversightindisasteraftermathIdentifyandaddressproblemsrelatedto:pestinfestations,livingrequirements(e.g.,lighting,temperature,solid/liquidwastedisposal,sleepingarrangements,housekeeping,personalhygiene),andinfectiousmedicalwastemanagementMassCare(Cont.)Communication/EducationPromotehealthybehaviorsandencouragesafetytopeoplelivingatashelterAdvisedecisionmakersregardingpublichealthconcernsatsheltersSolidWasteManagementAssessmentCheckwith

appropriatecontactstodetermineextentofsolidwastemanagementsystemdisruptionCountyenvironmentaland/oremergencymanagementstaffSolidwastefacilityoperatorsWastehaulers–privateandmunicipalRecyclersSolidWasteManagement(Cont.)InterventionEnsurethatsolidwasteisproperlyandpromptlystored,collectedanddisposedoftopreventvectornuisances(e.g.,fliesandrodents),odorproblems,orpotentialcontaminationoffoodandwaterServeasliaisonwithfunctioningfacilitiesandcollectionservicestotryandensurecontinuityofsolidwastemanagementservicesWorkwithappropriatecontactstopublicizetheavailabilityofemergencydisposaland/ortransfersitesServeasliaisonbetweendisastersitecleanupoperations,wastehaulersanddisposalfacilities.Determineifexistingdisposalsitesarecapableofacceptingandproperlydisposingofwaste.SolidWasteManagement(Cont.)Communication/EducationProvideinformationandguidancetobusinessesandthepublicaboutchangesinthesolidwastemanagementsystemresultingfromthedisasterProvidepublicinformationaboutseparationandstorage,collection,andsitesavailableforthedisposalofsolidwasteProvidepublicinformationregardingdiseaseprevention,vectorcontrolandsafetyHazardousWasteAssessmentDetermineifhazardousgenerators/facilitiesarecausingthedisasterorcouldbeaffectedbythedisasterPerformhazardassessmentofhazardouswasteorreleasedmaterialtoidentifypossiblehealthaffects(acuteandchronic)HazardousWaste(Cont.)InterventionProvidetechnicalconsultation,trainingandplanningtoIC,emergencyresponders,publichealthofficialsandothersregarding:ImpactsofdecisionsoractivitiesonpublichealthSamplingtechniquesandstrategiesRe-entryintocontaminatedareasLong-termmonitoringoftheenvironmentLong-termmonitoringofexposedpopulationConductenvironmentalsamplingMonitorhowthewasteisdisposedoftoensureitcomplieswithregulationsPotentiallyprovideoversight/directionofthehazardouswasteincidentresponseandclean-upHazardousWaste(Cont.)Communication/EducationProvidepublicinformationonthehealtheffectsoftoxicsubstancesProvidepublicinformationtominimizetheriskofexposureintheeventofareleaseHouseholdHazardousWasteAssessmentAssessnatureofprogramdisruptionDeterminetimelineforreestablishedserviceHouseholdHazardousWaste(Cont.)InterventionWorkwithexistingcontractorstoassesstheircapacitytomanageincreasedvolumesofhouseholdhazardouswasteEvaluateoptionsforprovidingalternativehouseholdhazardouswastecollectionservicetothepublicDiscouragewashingordisposingofhazardousmaterialsintothesewers,drainsorsoilInspecthouseholdhazardouswastedrop-offfacilitiesHouseholdHazardousWaste(Cont.)Communication/EducationProvideinformationaboutwastecollectionactivitiesforhomeowners

Medical/InfectiousWasteAssessmentCheckwithappropriatecontactstodetermineextentofdisruptiontomedical/infectiouswastemanagementsystemDetermineavailabilityofinfectiouswastehaulersDeterminetheoperationalstatusofinfectiouswastetreatment/processingfacilitiesservingtheaffectedareaMedical/InfectiousWaste(Cont.)InterventionEnsurethatmedical/infectiouswasteisproperlyandpromptlystored,collectedandmanagedServeasliaisonwithfunctioningfacilitiesandcollectionservicestotryandensurecontinuityofmanagementservicesDeterminetheoperationalstatusofmedicalwastereceivingfacilitiesandavailabilityofmedicalwastetransportersDetermineifemergencypublichealthauthorityisneededtoensureproperstorageandmanagementofmedicalwastesInspectmedicalwastefacilitiesMedical/InfectiousWaste(Cont.)Communication/EducationProvidetechnicalassistancetofacilities,ifneeded,inseparatingwastesrequiringdifferenttypesofdisposal,andindeterminingcapacityandlocationofwastesthatmayneedtemporarystorageProvideinformationforhealthcarefacilitiesregardingchangesinthewastemanagementsystemduetothedisasterProvideregulatoryoversightasneededChemicalIncidentAssessmentQualitativelyassesstheimpactoftheincidentonairquality,andfoodandwaterresourcesnearthereleaseConductand/orassistwithenvironmentalinjury,illnessorexposureinvestigationsMonitorextentofcasualtiesandalertdistanthealthcarefacilitiesConductinterviewsofpeopleexposedtochemicalagentPrepareorassistwithsamplingplanContactregulatedestablishmentsintheaffectedareatoassesstheiroperationChemicalIncident(Cont.)InterventionWorkwithappropriateemergencyrespondersandgovernmentalagenciesregardingpublicsafetyMonitorresponsepersonnel’shealthandsafetyEnsuresafeconditionsexistatemergencysheltersAssistwithandcoordinatetheavailabilityofimmediatemedicaltreatmentforthosewhoneeditCoordinateandassistwithfood,water,soilorvegetativesamplesChemicalIncident(Cont.)Communication/EducationProvideinformationtothepublicabouttheincident;measurestakentocontaintherelease;healtheffectsofexposure;andwhatthepubliccandotoprotectthemselvesProvideaccidentandemergencydepartmentswithinformationaboutthenatureofthechemicalagentandprecautionstobetakenProvideinformationandtechnicalguidancetothepublicandothersregardingclean-upanddecontaminationRadiologicalIncidentAssessmentConductand/orassistwithenvironmentalinjury,illnessorexposureinvestigationsMonitorextentofcasualtiesandalertdistanthealthcarefacilitiesConductinterviewsofpeopleexposedtoradiologicalagentPrepareorassistwithsamplingplanContactregulatedestablishmentsintheaffectedareatoassesstheiroperationRadiologicalIncident(Cont.)InterventionWorkwithappropriateemergencyrespondersandgovernmentalagenciesregardingpublicsafetyEnsuresafeconditionsexistatemergencysheltersAssistwithandcoordinatetheavailabilityofimmediatemedicaltreatmentforthosewhoneeditCoordinateandassistwithfood,water,air,soilorvegetativesamplesAssistwithandconductpersonalmonitoringatadesignatedreceptioncenterAssistwithepidemiologicalsurveillanceandmonitorindividualsforlong-termhealtheffectsduetoexposureRadiologicalIncident(Cont.)Communication/EducationProvideinformationtothepublicabouttheincident;measurestakentocontaintherelease;healtheffectsofexposure;andwhatthepubliccandotoprotectthemselvesProvideaccidentandemergencydepartmentswithinformationaboutthenatureoftheradiologicalagentandprecautionstobetakenProvideinformationandtechnicalguidancetothepublicandothersregardingclean-upanddecontaminationFloodsAssessmentConductcommunity-wide,rapidqualitativeassessmenttodeterminestatusof:buildinghabitability(heat,electricity,sanitaryandsepticsystems,potablewater,mold&sedimentresidue)forhomeownersandregulatedestablishments,vulnerablepopulations,debris,hazardousmaterialsanddeadanimalsContactaffectedregulatedestablishmentsandinstitutionstoarrangeforon-sitevisitsFloods(Cont.)InterventionCoordinateresponseeffortswithothergovernmentalandnon-profitagenciesCollaboratewithotheragenciestodeveloparecoveryplanConductinspectionsofemergencysheltersandmassfeedingsitesandprovideadviceWorkwithandprovidetechnicaltechnicalassistancetoaffectedhomeowners,establishmentsandinstitutionsMonitorandtrackaffectedareasregardingresumptionandavailabilityofpotablewater,electricalservice,sanitaryandsepticsystems,andgarbagecollectionFloods(Cont.)Communication/EducationProvidefactsheetsand/ortechnicalguidancetoaffectedestablishments,institutionsandhomeownersdealingwith:debris,properclean-upstrategiesandtechniques,salvaginganddiscardingfoodandbeverages,mold,sewage,privatewellsanddisinfection,hazardoushouseholdchemicals,andvectorandwaterbornediseaseissuesTornados/WindDamageAssessmentConductcommunity-wide,rapidqualitativeassessmenttodeterminestatusof:buildinghabitability(heat,electricity,sanitaryandsepticsystems,andpotablewater)forhomeownersandregulatedestablishments,vulnerablepopulations,debris,hazardousmaterialsanddeadanimalsContactaffectedregulatedestablishmentsandinstitutionstoarrangeforon-sitevisitsTornados/WindDamage(Cont.)InterventionCoordinateresponseeffortswithothergovernmentalandnon-profitagenciesCollaboratewithotheragenciestodeveloparecoveryplanConductinspectionsofemergencysheltersandmassfeedingsitesandprovideadviceWorkwithandprovidetechnicaltechnicalassistancetoaffectedhomeowners,establishmentsandinstitutionsMonitorandtrackaffectedareasregardingresumptionandavailabilityofpotablewater,electricalse