HomeMy WebLinkAbout3.A. Presentation on City of Shakpee Emergency Preparedness
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Please remember to bring you...
Emergency Operations
Handbook
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Minnesota Minnesota State
State Statutory Requirements Statutory Requirements
Minnesota . State Statute -- Chapter 12 Minne~ota State Statute- Chapter 12
Political subdivisions will have an
emergency management organization; .....countyorganizationsshall... planfor the
and each such organization must have a emergency operations of county government
director appointed by the governing in cooperation with the county attorney ...and
body. with other appropriate county govermnent
officials and private sector representatives
Traditional Minnesota
)-Agric~lture Disasters Threats / Hazards (continued)
}> Civil.Disorder ~ Natural Disaster
}>. Dam Failure .. Flood, SevereW eather ,Tornado, Blizzard
}?ire(Urban,Forest, Wildfire) ~ Public Health Event
}>. Hazardous Materials Incident · Pandemic Outbreak, Environmental Health,
}> National. Security Event Biological
)- Public Utilities Failure ~ Radiological Incident
· Fixed Facility, Transportation
Traditional Minnesota Our New.. Threat
Threats/Hazards (continued)
School Crisis Event
}> Transportation Accident Terrorism
}> Terrorism Weapons of Mass. Destruction
· Chemical, Biological, Radiological, (Chemical, Biological, Nuclear)
Nuclear, Explosive
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Impact of Events of9.:.11
dn American Way of Life
~ Affect Government and
i Economy
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~ Instill Fear and Anxiety
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Terrorist Threat 1'erroristTargets
). Government Facilities
Sabotage )- CommercialFaciIities
Small Arms Attacks ). Infrastructure and Utilities
). Transportation
Biological and. Chemical. Attacks ). TheAmedcanPsyche and
(Weapons of Mass Destruction Way of Life
Potential Local Fargets Response to Threat
(Based on visibility, population and/or criticality to the
community)
> Reliance on national,state, and local
> County Courthouse threat information
)- School Districts > Heightened awareness by
)-Municipal Water Supplies government,business, and utilities
).BulkFuel/Propane > Heightened awareness by individuals
)'PowerSllbstations; Power Lines . Home... Work... Recreation I
)'NaturalGas Pipelines Travel
Principal Federal Agency Principal State Agencies
Mn Dept. of Public Safety
u.s. Department (Division of Emergency Preparedness
ana Homeland Security)
of
Homeland Security Mn Dept. of Health
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Principal Local Agencies Local Emergency Operations Plans
Law Enforcement ~ Existing Plans address most terrorist
Fire threat scenarios.
EMS ~ New annexes to address the terrorist
Public Works
Public Health threat; .andthe biological/chemical
Emergency Management threat to publicheaIth.
Post 9-11 Grants Response and RecoveryAgencies
Plans Update Law Enforcement
EOCEnhancement (Sheriff, City Police, State Patrol)
Equipmentand Training
Hazard Mitigation Fire Departments
Community Emergency Response Teams National Guard
(CERT)
Emergency Medical Services
Response and Recovery Agencies Response and Recovery Agencies
FEMA MnDOT
State Division of Emergency Public Works
Management
Local Emergency Management Red. Cross
Salvation Army
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Response and Recovery Agencies Response and Recovery Agencies \
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Dept of Commerce Office of Pipeline Safety !
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Insurance Companies Utility Companies I
Department of Natural Resources (DNR) Department of Agriculture I
Department of Health State Fire Marshall
Response and Recovery Agencies Response and Recovery Agencies
Mn Pollution Control Agency Volunteers.....
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Small Business Administration . .... : V oluo leers.....
HRA Volunteers.. ...
(Receiving, Registering Assigning,
Transporting, Feeding)
Response and Recovery Agencies Integrated Emergency
Management System (IEMS)
Law Enforcement... Fire Departments... National I
Guard... Emergency Medical Services... Red Cross...
Salvation Army... MnDOT... Public Works... Mitigation Preparedness I
FEMA... Emergency Management... Dept of
Commerce... Dept of Natural Resources... Dept of I
Health... Dept of Agriculture... Insurance
Companies... Office of Pipeline Safety... State Fire I
Marshall... Mn Pollution Control Agency... SBA...
HRA... Utility Companies... Volunteers... Recovery Response I
Volunteers... Volunteers.....
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National Incident Emergency Operations Center 1
Management System (NIMS) (EOC)
Unified Command Purpose
Operations Facilitate management of disaster;
Planning Assist those who need help;
Logistics Reduce devastating consequences;
Finance & Administration Help community return to normal.
Intel
National Incident
Management System Model Actual Occurrences
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I Snow
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Emergencies
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The New Kid on the Block!
INFW'eN;Uop~N[fgI"IC
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PRESIDENTIAL DISASTER DECLARATIONS
'",""ry/./",,,.o.-'J/./'" ____, PRESIDENTIAL DISASTER DECLARATIONS
Jalluary 1,1965 to Df'Cn1um- )1,1998 I
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FEMA
REGION V
.""'"
A'0I'LOOO
""""""
S>'''''''
. WINTER STORM
I .
OT"'E:F1 SCVIiI'li STORM
TOTAL. 149
-=':':::"::.'::::=:.":'.-::.-::::=..__.. .\litigatwn StraJrgU5 {fJT tlu NFxt A!illennium .-__m.",.__
Emeruency Management
1965-1999 0
Disaster Declarations Functions & Responsibilities
Notification and Warning
Direction and Control
Public Information
Search and Rescue
Health I Medical
Evacuation, Traffic Control, Security
Emergency Management Local Director of
Functions & Responsibilities Emergency Management
Fire Protection Functions & Responsibilities
Damage Assessment
Congregate Care Emergency Operations Plan & Exercises
" Warning Systems
Debns Clearance Emergency Services & Communications
Utilities Restoration Assist other governmental units
R d" I " IHAZMAT P " Supervises EOC
a 10 oglcal rotectlOn C d" t "th tat If d I "
oar lOa e WI see era agencies
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Chief Elected Officials I
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Responsibilities
Be Informed Elected Officials
Exercise Leadership
Personal Requirements CEO Check
Establish Legal Contacts
Maintain Political Awareness
Keep the Public Informed List
Chief Elected Officials Chief Elected Officials
Functions and Responsibilities Functions and Responsibilities
Be Informed Exercise Leadership
. Exercise leadership and policy decision-making over the
. Know your emergency operations plan and procedures emergency response organization.
. Maintain personal log.
. Receive initial incident assessments and on-going updates
. Direct staff to assess and report on problems, resource
. Receive on-going status briefings from incident command site; short falls, and policy needs and options.
. Chair assessment meetings.
resources committed and required; coordination with outside . Issue Emergency declarations as needed.
jurisdictions and media . Ensure staff maintains logs.
. Maintain liaison with other elected officials.
Chief Elected Officials Chief Elected Officials
Functions and Responsibilities Functions and Responsibilities
Take Care of Personal Requirements Establish Legal Contacts
. Establish contact with legal advisors.
. Let family know where you are.
. Review legal responsibilities and authorities.
. Take medications, toiletries and clothes as needed.
. Monitor equity of service based on needs and risks.
. Take list of peers and contact numbers.
. Review status of contract with suppliers of emergency goods
. Remember: Your role is pOlicy-making. not operational
or services.
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Chief Elected Officials Chief Elected Official
Functions and Responsibilities Functions and Responsibilities
Maintain Political Awareness Keep the Public Informed
. Check public infonnation plans.
. Recognize personal accountability for actions and decisions.
. Ensure single public information office.
. Check provisions for updating other public officials.
. Establish media center, if necessary. i
. Evaluate policy decisions throughout the incident.
. Staff and coordinate all news releases prior to approval.
. Confer with other elected officials on difficult issues.
. Establish news media update and access policy, as
. Use elected officials to circumvent unresp~nsive nonnal channels.
necessary.
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I Mutual Aid To & By I
Continuity of Government
Cities/Counties i
The preservation, maintenance or MSS 12.331 Local Assistance Between Political Subdivisions
reconstruction of government's ability to .When the public interest requires it because of an
carry out its' functions and processes. emergency, a political subdivision may request assistance
of another subdivision
Succession .Unless there is a written agreement between the political
Pre-delegation of emergency authority subdivisions establishing rules for conducting activities, the
Emergency action steps legislation shall apply.
Safeguarding essential records .Worker's Compensation cover3ae shall remain with the
i Protecting government resources sendino oolitical subdivision.
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Requesting State Assistance Requesting Federal Assistance
Minnesota Duty Officer
1-800-422-0798 Public Assistance
Minnesota National Guard Individual Assistance
Minnesota Voluntary Organizations
Active in Disaster (MNVOAD)
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Emergency Declarations and Powers State Emergency Declaration
State Declaration Enemy Attack/Hostile Action:
Local Declaration ~Governor can declare for 30 days.
I Powers and Duties Peacetime Emergency:
~Governor can declare for five days,
I unless extended by Executive Council
for 30 days.
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I Local Emergency Emergency Powers
I Declaration
I ~Can be declared by mayor of a city or ~ Activates state or local plan.
chair of a county board for three days, ~ Authorizes aid and assistance.
unless extended by the governing body. ~ May require individual services or use of
I equipment/resources (to save life and
~County Board declares emergencies for property).
I townships. ~ Expedites delivery of services without
normal legal/contractual restraints.
I Grand Forks, ND Millennium Flood
I 1997
~Sample Emergency . Home of the "Fighting
Sioux".
I Declaration . City located at the
confluence of the Red
and Red Lake Rivers.
~ Page 31 of Booklet . Red River flows north.
. Pre-Flood Population
VS. Post-Flood
Population.
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En><t_l.I_In<\iO>U
NIMSTrainingRequirements \~FEMA EMI GRAM
- .. FEMMlSf Functi~ Ames: Responsible Agencies Emergency
.First Responders: IS 700, IS N___~_ ..........bility
100 IS 200 ""'-"'" . .
, !&!Ita: IS703NIMSRESOURCE MANAGEMENT. NotIl'katloa.and A PoUee Primary
.Incident Managers: . NOW ONLINE. WalIIJDa: Fire. .', S<<ondary
~:.'l'bilintmaiV8~~JlI(IYideslhl:pcineipl.... DinI:Uonand B Mayor-.Council Support
IOIU,proce&W.lIl4,yot<tlll\lledintheNatiCllliirl<:idcnt~$ystenl(NIMS) COlltrol EmetgeaQ'Mg/lltCOOldln.tor CoonImatMIll
thalincilSenl~neodb:tUnel.YWdtcW.V8~DIIlIIge_~1lI
!","<<>.L_Pn:mo:y_~~rlIio__~'_(<<.~. EmergeDC)'Publle C CityAdlldn/m'ator Prlmaq
~~~~~~=:~~~=liIw Infllnllltlon MayororAcUogMa)'Or SuppOrt
<<RClllina:rea<lUtCef~oraft<:fintida\ll.. Searc:bIll\dResale D PIre I>rtlll.~
Tho-..~Ilur~:MllI<:ln8~-'~.paltI>l"""" - - PoUee Support
1;UppIi....af$man&gedthr<qhIbi.INlMSlI)'Itemby&dv_planniJlg.-~_
idI:otiJjcoliOl'lI.ll4~~~_of~ac:quisiliOll . Healtb/Medll:al E ScottColmtyEmergelK')'Mgmt Coordlnatkln
~manlI8cme1tinfcaa.tionl)'ltell\s,"""pr<ltOCohrocorWitrg.~(lfI
I.Il4dilJll~. EvacuatloG,TnfTk:Conlro! II' Po1ke Coonllnatillll
~To_dlO_odino",1O "SeCurity Fin Support ',,'
--. - - ......~"...,;woMo'..'lII'I_ l'IrtProted/o# G.Fin :_. PrImuy
~~)104'''- DatnageA5sessinent H BulldlngOtrklal Prim.,,-
-~~~."",,~~iaIIM_lIld._ ScottCoulltyPIE $up)lQrt
=.dlQfd-rihlJ<dit&l<1J'U>orill."'""""to......._cblr!lIf._ CoIIgI'tpteCve r &oUCouatyHnmanSen'kes SIlpptlt't
=-::...~:=s.~~=~=~~ DebmC~ J ~Worb :='<,.
-~"""""'Pltitl~lObo_odiJlo....~wolI-bao4 uuuUesae.toratlon _.'. K SPUC _ PrimlU')'
_"'-__(ort1*__.....~. Wllm....olallll._ ScottColantyHlgIl".y Suppl)rt
==-~~~~~=:~~~~,~:.1Nl, Ra4lo1oglca1JHazardOU& L FlreDepartment. PrImary
fJmfJIM;.PItM_IbtEMIC_lIlZIPt,T<IlI\\1i1bIlyIl()Olj441-l5l5<1l Material~ Scott County Em.rgel\ey'Mgmt Support
...-
AnnexA - Notification .andWarning Annex B - Direction and Control
J.~ ~
To {>rovi<D..n o.....vi....of the ..<i~pouibilitiu an<l the "!>..oeedu..u To""~baw~~wnrroIOI',..c.yotShalriopH~wa~""::,
"he"<tby the J?Otifi"..tiOD of key offi<:ial~ and the "..rnillq.<>! the acwmpIiIlIIed.
qu...u.pubh"........c<:ooplulie<l.. II. ~
n. R&SPONSI&ILITIES
A. !dn2r.. TlleMayorof~VIJIlberespon","forpnM:li1gOW<tiJ~~and
A. TheS<:ottcountYShe..iU"r.;..p..tchC.nttl.'i.tl>eScottCOllnty CClontroldcilyQOV<lIl\merlt_rcesillY()/Yedlnthllr8SPOllG6u>adisa_.TheineOl'
......ll.I./lq.l'(tillt.. ne CCUlI~y ""ullil>g p<>J.llt i, r....pcD$ilIl. 1M ~IO~"~",,~
..el..yinq.llergen~ 1IOt1t:>."..UOns (i... .ev."'Wathr,.IWIIIl&<l"
':i~.;~n.;"~b~; ~ii;i;::Bi~q ~i;::top... Poli"" DepUtBfIlt. =Mayor
11; llu.b,.....s,.ill<1u.ttiu; and..&ml>.uottb..g..n.ulpllbli",,1l<> CityAdlllinislrt\llr
~:dp~~:~~~\~~~":~~~"~~1:":~:r::":~~~:~~1 9-\-1. a. ClvE............",M."_ntc.v."'..aIor. The~kopMEmergenr;y~1
<I.t..."noi1l9 tll.t <lj>J;lcoprL.o..... ....poon "'J....cY {~<;i'Ul to tUsp.o.t"lI CIXIrdill8!ol'Yolh61Ve in. stal1capacilylOlh.tna)'OI',wiIlcarTYouIhillherlloicieUllCl
to th..c.n..ott.b......rq.ne;y. direclii...Iln4Y>i1OOoordil;1Io~C'Jma~O\lOfaliOna.L-..oIsucc:euionU>th6
~M\lnag&mentCoordi_...kllIows:
C. th.city"arn1nqpOinthn.ponSibl'for.o,u"i<>qtb"tall
;::~~i~~~~~~~~:,,;"~:,,~t..irri....~m h"DdJ.f(! prop...~y. =~~
1. ^"tiViOt<> tM dty'. out<loo.r .."rniaq dun..: II. EMFRGFNr.YO~ATlNnCENTFR t":rrvoFsHAKOPI"e
2. I4oti!yk&yeityqov.r_ntotfic1al.. OirtdiOnandConlrololSllakopoe'S~IO.d~wiIlb&carti&dO<ltatllleseatt
C<luntyfSha/o;lpeeEOC.TheEOCislo<:at6daC200FOlIlltIAveW~J,..stIakopee MN.
3. .o;uryout rOllt.. "hrUM' (hous.to.boll") \/iU,tb"U..O! ... ....... .,
~li" ~,,,.,, sy.n._.0Il1..... .lIfo..e_llt V.llicl.... A Cnmnaforr:;~gdlv.olio1>
4. ~~~frq "t:::~lI~~~:;: ::~:i~~ic::"ciHtiU includinq Thedell,"oIIlleC'ty'SEOC~v.ilIbeclelornin6dbylhe_erilyolllle~ricy.
:., N<ltitySCOttColllltyEllln9.ncyH""a9'"",ntPl.uctor. 1. TbeEOCmaybe~dllllto.~lotfeOXpropertylrom
__ItIvr,(l".tomaclo,fbodlltg,blirardJor.~matori6Is
ilI:icIantI~IhaC..controIledlelNMoI.'~bleprOduct~1$e111.
Direction & Control -cont. Command and ControI- Organizational
Structures
· Most incidents we deal with are srnall -
involve Command and Operations.
· Larger incidents. involve larger structures. -:-A I
· Terrorist incidents will. involve Jarger I ~'7'::'
structures.. ,Local, State, Federal l-~II~ ='!
Government. ':::..":' I 1--::::;;'1
National Media -:-"':::'1 -==.
.--1 1";;;:;:'1 ~~
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1997 Grand Forks, ND.Flood- Annex C__Emergency Public
Command & Control Information
. Did you have a formalized City/County wide -
~~...~~~~::.~n ~~"~; ":~.~~. ~~w .:.~;~::~:~. p"I>H", .. .. "Lor_tian
Emergency Operations Plan in operation during ,,:to. SPQK&SP,....1I0NO'1
the incident? f!~~~:~:lH~t:~~t,~~::~~~rE;::~:E~;~~:!.:~;~:~~~e::i!:~~;:=:~:r
. Was it helpful?..would it have been helpful? :~l. ~~:L:;~:~1::. ":~~~""~~.~:~~:;;"~:~"~II:i;:l, ,,:1.. '1~~"~10"~~~" th:
,,11;:y.
;UI."","PONJ!I:r"':rr:rT~I!"!I
. Who was (ultimately) in control? g~:~g~g~:-g:~g:~~g~~g:~;i;:~!~~~:g~~:gj:g:;:~::f::~~~::
. When was the EOC opened....how long was it ~~~:::~~~;~~:~~1;~;~~:~f:::::~ ~~~~!:;~:::H~f:~~;r~~:n rlt..
".1....... b.t'o".. l:1".yar...<:II."".""n,,".<I..
staffed for? IV.. POL""c:zu ......0 P"=&DUR",,,
. Which resources (police, fire, public works, A., ~~."~Sl"~:"=.;,:;:11;~~~ ;;~<:I.:;:~";:~ :"~:,,,;,,~~;:::nllN;~~'"
D. . i:<I~~.p:~:~~,,:; :::";~o:;a:~~~d d~~a~;~~/:m:~'l:~~;, .f::;~i"Y,
.ral....... wi~~. b. ieeu.d 0<\ .. ".'l<<.I..."..I>....i...
health. etc.) were the most notably stressed? c. . ~~t~o 0~:i~~:":~0:..~;~~..~~.diu.minat..<I."b"OU9h ....1:,,,,, 'rv "nd
v. "VPPOII.'UN<> ='fM~NTS
. What were the Command & Control Issues ~"';P""';'d. pul>hc .1.n.fo"~'Oo.i.~n ...upp1..;..nt.....for. ".1...... '000 "..di":, ..~;
..n<l na",..pep."",.". <>n .f1.1. in th. '3.,<>'00" C.,,,nty "'''''''lanoy
present? ....H.".",.nt O~.fio..
What Is Public Awareness? Public Education
An aware public: · Maintain ongoing public education
programs.
Understands the threat. · Build on existing programs and
· . Understands. its implications. materials.
· Takes action to assist in mitigating the . Enlist the community's help.
threat. . Target families of school children and
other special groups.
. Encourage public involvement.
Educate the public.. .Challenges. Family preparedness
. Taraet other sDecial aroulls.ldentity other · The public should be told to prepare fora
target audiences who may need tailored terrorist incident in the same way as they
information,such as:
Non-English-speaking populations. would for other disasters. . They should
Pet owners. prepare 3 days worth of food and water,
.. Residents and staff of nursing hoines, jails, prescription medicines, etc., per family
cOlley,es, and other special facilities, and member and have it packed in case
their amilies.
. Employees and visitors of shopping malls, evacuation or sheltering in place is
large industrial complexes, busmesses, and required.
entertainment and sports facilities.
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Joint Information System - JIS Public Information
. Mechanism for disseminating uniform, . Notification of how to:
coordinated, and consistent information to news . Provide the name of and gain information
media and the public. about a missing person.
. Used by multiple agencies in:
Gathering information . File for a death certificate.
.
. Claim the remains of the deceased. \
. Coordinating information I
. Preparing information for dissemination . Procedures for quarantine
. Releasing information about the response
ti-.t....~ ~
~~~~~~ i ornc.." GuM.. 10 H~ndlinl[ th.. !linn !\-1..dla
"-.........,...TIp.
SlIa.kopec Police Depanmcnl
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I Handling the News Media 1997 Grand Forks, NO Flood -
, Public Information
HtlAcll~IO''''''_.IIorl'I'IdHoAt-rMt-
Il'lfonnaClonflhyIMI_:
Oat..T......I..<><Mo>n,.nd...."'...d~ . How prepared was the community...did
-How_............II'I<I_
..N3IUteand......."'PoItee"""""".. they expect the possibility of evacuation?
-E_"'..........and~~
Inclc:l._lnvOl'VI""._
Iotfonftatlonflhy.nc........ . How much advance notice did they have?
.o.t.._,locatIon,d........nd~d.fI'IOOt.
-E~"'.........~n1.....boflllld.OWOC-bie
-lrlIo<m.t".",.........lI'I<IoorropI-aonl.'*'
.dsliiJf.fIln_,~.bot:1K.-.gphclo(.r"CII_br....upt).and_...__'" ~{I.)"'- . What challenges did the media present?
~Oonal"""IfIIo"""""'-""""PIOor_
--
lnt.......uonMl)lIM~:
.cn.._.\o<:II""".and~"''''''''''''''' . What benefits did the media provide?
~.nd"""'r;lP<'tee_~_",,~...
Cott.ulii....I~~nlia.bOnsu....__ID,.......""_tnIlow1ft<lIrlfor~~:
~r;I.or~Iof.__nce...lOcaVIg~,__m-..gpnll>Olty
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~CIl~""moIbo-...~~r;I"'-'" ~orr.c.Coro&uIlPlOorSU~
pnorl:>..lo_
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-Danol.......lI'IIo.bwI_OI-.....c.d""Y""""'"""'.~.or_l1...... O<II<lI~by""'~
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I
I
14
Annex 0 - Search and Rescue Search and Rescue
I, PURPOSE . Crime Scene
To desedb<e how seatch and r:escue wl11 be accomplished in the city · Missing Persons
fo11ow1nq adisastet.
II.RESPONSIBIL!T:!
Within the City of ShakQpee, thepLimary responsibiltty for search · Missing Children
and :!:aSClle belongs to the Fire l)epartlnent.. BaCk-up ,"ssi"tance- fQr
-,earch and rase\le may 00 aV<lllable from the Police and .$tJ;l!et
Departments and the Scott County Emer:{lency Maflagement Oftice. . Vulnerable populations
III. SUPPORTING p..GENCIES
The following qoverlU1\ent an<l volunteel: organization(,,>, ray'be . Water Rescue
available .to "..<list with a majo:: sellrch and J:escue.operation:
See Attachment 1 for thislhtillq.
IV. SUPPORTING STANnARD OPERATING PROCEDURES (SOPs) · Confine Spaces
The aPove mentioned depubllents/orqariizatlons will' have sop'" in
place for their aotivities in S\lppo::t of the over-all Search and
Iteacue project,
V. AU1'HENTICATION
Do" FireCbie!
1997GrandForks, NO Flood Annex E - Health and Medical
" PllR!?OSE
. Who was. responsible for search and To pr<:>vid. "r:, overvi..... of now the h.alth/medical carl!l' need,'-.o!
re.lidN>t~ will he _t in th.. ..vent o.t a ..ajor dhaa~r.
II. RESI'ONSIBlLITIE:S
rescue? ^, Hospital Care-Inj\lredvicd"", wl11be tunsporUdto Sco.tt
CounryHosp1t,U/s). ..-If'rhenumb..r of ,,1ct;= requlr....=...-of
. What were.the search.and rescue a<l<litiOl'lal hospitals, th.. Metro wut Phn will bEl udlize<l.
B. 1.l:ltbulltnc..S..rvic..-lfedthSpanTransportation:)ervic..:.wUI
trallS!)ort<lisast..rvicti"".Ifadditionalalfbulanc"sare
considerations/issues? n~.l;he.ll"'lxllanc"S..rvic"'''lf''t''dA.idllllr........"t...i1lb.
invoked.
C. Pn-'Ho:..pital r.....ro;l<IollCY Medi,:al <::an~lleall;hSP'>n Tunsportadon
What worked;..didn't work? Ser.dce ..111 he available to provid. i"""'dlate medical care to
dtsa"t......tctims "l1.ft....in<Jml.noJ:'/maj"'r injude".,
D. Enterglrlncy'Mortuary Operadons'-Thes.. oplrlratint;s will be,.the
responsibility of the Scott COWlty Hedlcal'E;r."ldner,
E. ff""ltl1 Thr.."t"~S-edoU" potential ar "ctud h.."ltll. prabl_
lepid..w.cs. food and/oe watee.cont"lIl1nation, eee.) a""och.ted
..ith.. disuter will.ba the e..sPollSibility of th.. Scott County
iI<oalthQfficee. Suppoeti"avall..blefrOllltheMlnne"ota
o..pact.a>entof He..lth.
F. Inquiry and R<lf.eeal Service_Tnt" aeevic. ..ill b. the
re.sp<>n3ibility of, Scott County Emergency l<<Inao;l....ent:Offic...
IU. COORDINATION
If a.aed<>tadis""tee resulting in"",ttipl"cuualti.a occura in
th<o City .of Slldkop..... ove.r..n c.:>ordi"aUon of the ..a..io~
bttalth/medicsl orga.niz"tiona'respo","" to the disuter"Ul.take
Mass care Surge Capacity-- Sarin Attacks
. Four major areas: . 5,511 people went to hospitals and clinics for treatment (688 by
ambulance and 4,823 on their own).
. Shelter . The rest-about 85 percent-were classified as "worried well,'
laCking any real physical chemical injuries.
Food . About 10 percent of the response personnel required medical
treatment for sarin exposure.
. Emergency relief supplies About 10 percent of the hospital personnel at the primary hospital
had secondary exposure problems. Exposure was far worse in
. Emergency health s.ervices poorly ventilated areas.
Victims suffered stress disorders and eye symptoms for months
afterwards.
The city of Tokyo was paralyzed for hours after the attack. After
aecontamination, seCurity precautions, and government
reassurances, subway use gradually resumed.
15
1997 Grand Forks, ND>Flood AnnexF - Evacuation, Traffic
Control & Security
I,~
. What medical issues were. present during ro outlln..' /low ."":"'<".<:.1-0'" tJO"~~.J.c' COn"r<>l, ....i>d ;"..",,--tJty ....1.1.:"- .0..
"..,,>:1.<1 Out .~L they.".. ."..qulr"d due' 100 ." dJ",""e." In. eh.. .City at
Sh..leop....
and after the flood? :1:%. REsroNSIBlt,1'r't
A. ;~:,,~:~~~~n\l oLLicUl("JW1Uba' ~.ponUbl. ~(;U: ",..commend.!.>!..
. What was the status of ambulance service in1:~~i~fet Toro," ;1~~f~~~~::..~t lal
during the flood? B, 1'n. Sh..1<op..... Flre'Oepartll\ent'w111.l>e I""""on"U.le for
'coordin""l"a ,,"<>"''''''''&<:.1<'n .Ltort.
. What after-effects from the flood were felt i~:tt~~l<~~~~r~ll';;~ ~:~:;~~~~ttl.". pr~rna"y' "'ISPo""U'UltyLoe
:tIX;.PROCEOURES
on health/medical infra-structures? A; ~"l<l.nt.. t;.o be ....,.."...."..<1 WOUldb" "",eJtled .lao at ell" neod <;0
ovaCU",,,.. 1>1' .local. Rad.lo ...nd. 'J!V. 5"-&<:1<>"".. (S.. Annex. A. ~ C)
B. ;~~..~il~~t~~~ ~;.~~:~f~~"r:~~~~:~~O~~",';:~1;~::;~~~d1,,~~,,:~"
.."d u,ver..1 O"h.", t"""o.r.~.. .?:he Pri......ry..tr..tt1c. ""te"1..", tha"
~~~i~~:~ be u",ed tor.,ova"uat1I\':!.a1l/par" ot..the.<::1ty are a",
1;. North/soUth -I\<>ad... CSAfI _11Il'lar."hal1':I\d,.'Co I\d ~3, co' ~d
79/spenc"r'St, Co I\d 15, Co fl.d 1&.
2.'. ...Ea"'''./w....t. Road"". VS Iiwy ).69/).01,.Co I\d 421'a"d' _SOO
~~~~~~~I\~o~~~:~~~l> k,~1~~~:~h:~:d U:~d t~:r ..~~~~~~~;~:.l~~~i~~"'.
O. Hob1l1tY:"impaire,{ a,,<t. other. indiVidual", ."n..b~e '1:0 ev""u.."",
i:;:~:i:':IOoi:f.,:l>~~I.~.:!~~~~~nc.. by.."..U1.ng tile Scott COunty
Mandatory . Eva~uation Mandatory Evacuation
GRAND FORKS, North Dakota (CNN)- A . Effective immediateJr' everybody trying to get
mandatory evacuation order was being enforced into the city of Gran Forks will need apass," a
, for most.of the 50,000 residents of this city, radio announcer said; reading an official
where flood waters were still rising on Sunday.A statement. Among the places beins evacuated
was the only hospital in the f/oode city along the
downtown fire that had destroyed at least seven swollen Red River.
buildings was declared under control but was not . Mayor Pat Owens said residents might have to
completely doused. stay' out of their homes for two weeks while the
But holdouts who refused to evacuate were city s water plant is repaired.
risking their lives and impeding firefighting . "Lack of services is gOin~ to make life difficult
efforts, said officials, who threatened to make and perhaps dangerous or residents thrOU%hout
arrests if they had to. the city" even those who are not inundated y
water, 'Owens said.
Mandatory'.Evacuation Mandatory Evacuation
. WASH I NGTON-A television shot of a little boy losing his . Rep. Christopher Shays, R-Conn., with Lantos a co-chairman of the
Congressional Friends of Animals Caucus, said estimates are that
dog during Katrina rescue ofeerations was the catalyst for some 60~OOO animals either died or were left without shelter as a
House passage Monday of egislation re~Uiring pets to be result of urTicane Katrina. He added that the lack of pet rescue
considered .in. future emergency prepare ness plans. plans also put many pet owners in danger.
"The dO~ was taken away.from thIS little b~, and to 'When asked to choose between abandoning their ff,ets or their
personal safety, many pet owners chose to risk their ives," he said.
watch his ce was a si~UlarlY reveali~ an tragic The Humane Societc of the United States Cited a recent Zogby
experience," said Rep.. om Lantos, 0- alif., sponsor of Intemational poll that ound that 49 percent of adults say they would
the Pet Evacuation and Transportation Standards Act. refuse to evacuate if they couldn't take their pets with them.
"This leGislation was born at that moment." Passage of the bill, Humane Society r,resident watne Pacelle
The bIll, which passed 349-24, requires that state and said, would ensure "that Americans wil never again e forced to
leave their best friends behind to face imminent da~er."
local prefcaredness offices. take into account pet owners, In the Senate, Sens. Ted Stevens, RAJaska, and rank
househo d pets and service animals when drawing up Lautenberg, O-N.J., have introduced similar legislation that also
evacuation plans. Offices that fail to do so would not would give the FEMA director authority to grant funds to state and
qualify for grants from the Federal Emergency local agencies for animal preparedness projects, including the
Management Agency. building of emergency shelters
16
'1' 'n 4 ",~ ", -< < ., -t: 1"'>' . 'c;. 1 . +)
~Vdnnesota, uepartmen~: O~ 'r ~ea~th t'ar1d{jfTHC Hlfluen.za r~ian t ~)JDD~emeD\ ,<
" ~, ..
-rechr~jcai Section t\: Cornmunications 'ill
,,-'-':. ~~'-~$S:~'~ ~~~"'o/" 1i:>>$. , ~~$"" , '''''':~~
Technical Section A: Communications
f'v11nnesota of Health Pandemic Influenza Plan (Supplement)
Technical SE Communications
;w~~~~%iJ,W.#',{lWm,W};.w.wf1.'
Roles a d Responsibilities
State and 10 al roles.and responsibilities are identified below. Regional roles are also identified when applicable. This is nofan
exhaustive Ii t. Furthermore, although roles and responsibilities are listed, the MDH rec ,~nizes that the infrastructure to support
these planni 9 efforts is evolving and may not yet be in place. "
Communications office staff
.will have primary
0) responsibility forstaffing
c:
IE Designate. ead public health PIO, ECC PIO these positions. However,
ro program staff and local public
.......
VI
Q health. may be used to .
D. provide. backup for these
roles, subject to availability of
staff resources.
Any use ofnon~MDH
. personnel tobackupMDH
PIOs or communications staff
will only be undertaken
subject to availability of staff
resources for this purpose.
Mil illesot~ Department of Health Pandemic Influenza Plan (SUpph;" 1 lent)
Technical. "'ectionC:CommunityOisease Containment
(/)
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(/) Pa icipate in discussions 0 the private sector, schools,
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C'l ca cellation of public 9 ~
C'l agencies for community
. 'C co tainment meaSl!
I- disease containment
measures. The MDH's role
is to provide epidemiologic
planning assumptions.
The Department of Public
Safety is the lead agency
(/) f'rim.ary for facilitating preparation of
c
0 MDH IDEPC the private sector, schools,
:;:: MDH Communications and other government
Q.
E Department of Public agencies for community
::::l
(/) Safety disease containment .
(/)
<( Key. Stakeholders measures. The MDH's role
is to provide epidemiologic
planning assumptions;
Minnesota [ epartment of Health Pandemic Influenza Plan (Supplement) .
TechnicalS A:;tion C: Community Disease Containment
m~~itmm.~~~~' lWimlmmll1 ~ :. i ml:iI::n~mmln:WI>'"~. ~
The Department of Public
c Safety is the lead agency
0 for facilitating preparation of
+' the private sector, schools,
en
() municate to public messages about preparing for dis and other government
'2
;j inment measures. agenciesforeommunity
E
E disease containment
0 measures. The MDH's role
U is to provide epidemiologic
planning assumptions.
11I 11I
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cu- lie Health
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CI) 0
Coo. ons
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ClIO ,CO'ntribOfor;' ",
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Mir,,'esot~~9partment of Health P~ndemiclnflu?nza Plan (SUppl~, oent)
Technical' :;:'8ction.C: Cornmum~y DIsease Contamment
, '~~W"-::-~Mt . ~.~ .lIOCj!o/., ;:..,<<< 'iIl1sem; fl~
lementand overseeplans to en~urethatspecial needs
po ulations receive appropriate assistance when community .;t.
cd tairitnent measures are implemented.
(/) The Department of Public
c
0 Safety is the lead agency
:;::
ca for implementing community
"
c disease containment
(1)
E measures. The MDH's role
E is to provide epidemiologic
0
0 recommendations.
(1)
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The Department of Public
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t>> for implementing community
c disease containment
'i:
0 measures. The MDH's role
-
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0
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MlnnesotBIJepBftmsnt of Health Pandemic Influenza Plan (Supplement)
T echnical..'C' $ction 0: Oommunity Disease Containment
fJll.'..~~~.(.,'m.~!l~i:' , ~~.$2W~ ~~~$#~~~~
C ~ ,'"0,,,.' '_; ,
~' .
,~ Go tinue diSGUSSi?I1~~ith'Tribal Leaders8ip 09 isolation,
"0 en
c"C quCi antine, ~nd communitYicontainmenfmeCisures on Indian
::::~' c
- ell la? sand~nsure that Tribal Leadership isa"{are of MDH piaL
~-I
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Technical; eet/on C: Community Disease Containment
~il'~ ~ t,::! : ,
U) In identifying a site for
'tJ.! isolation for people who
C'-
CIS(J') cannot be isolated at
C (1) Jd ntify isolation site in jurisdiction for people (non-hospitali home, MDH will work with
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.- - whcannot be isolated at nome. people from various areas
.... c
.!cu of expertise (e.g.
o a-
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In identifying a site for
isolation for people who
C) pital Preparedness cannot be isolated at
C home. MDH will work with
Ii: or
CIS rictOffice Teams people from various areas
-
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engineers, sanitation
experts).
C) Primary
C . MDIjRegional Preparedness
'i:
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apartment of Health Pandemic Influenz.a Plan (Supplement)
cHonC: CommunltyDlsBase Containment
~~4HKr~~~.@'Aff~~~~~g~I'J'.I:WIJP~~~M'~~~#~~..#$lW~~~
l/)
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'(I)
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Technical, :;"ectlonC: Community Disease Containment
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tn_ p' . ibipateln...PlanhingfCJr<s~ryices,(e.g.,staffil1g, monitor;
Cl>lU
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Tochnlcal, S:ictlonC: Community Disease Containment
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C'O ro AsS, ~t'MpH in ide~HtYing(VbJunteer 6rgadizati'()I1~andoth ,des near federal
C)L.
L. cv who can provide services atthe federal quarantine fac'Lb
0" " facility
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essential services
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Technical, sctlone: Community Disease Containment
i<f~~~~<,x~il.~ ' ~w. : l : !~' i : : ;l::11~W~:mmuwM%1!!I'fdXi':
in
(5 De elop activationprotocoLfor an isolation and quarantine
(;,)
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, Contributor
2tH~rU9car?gencies that can
'assist~i~hquarantine
location'<' ','
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Minnesota. /?partment of Health Pandemic Influenza Plan (Supp!eTnent)
TE~ch\1iGa!S. ctiorrC: CommU\1ityDisease Containment
~,**~~~~,. '~..mw.H>>ff~~ ;'KW/~~~~~iHY~~!t~:l:
I
~ ; As~ st MDHin distributing in.f~ctioncontrol recommendations
:g. .~ toP. bHc safetypersonnel,andadvise peace officers (upon
E .:0. reg estof theoffi5~r)on protective measures to protect
.E t3. ag~ nstpossibletransmi$~ion of communicable disease in:
..5 ace rdance with Minnesota:statutes.
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Miln lesot~ Depa\tment of Health Pandemic Influenza Plan (SUpplblr1Emt)
Technical! ::lectionC: Community Disease Containment
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(1)'; LPH cies
t/)C1:J Safety is the lead agency
C1:J.5 Loca Emergency managers
ID"C for facilitating preparation
t/) I- Contributor
.- 0 MDHJDEPC of the private sector,
o 0
~() , Schools schools, and other
. - .... government agencies for
c c Other local government
:J ID disease containment
E E ,entities
E .5 Businesses measures. LPH should
o C1:J provide assistance with
01: Relief and social service
0 agencies planning~
()
Minnesota .epartment of Health Pandemic Influenza Plan (Supplement)
TechnicalS ,cHonG: Comrrnmlty Disease Containment
~t.M~m'~~~"tl~-,*". W'~" ~~~%$:"<<~~, ' ~R&M
The Department of Public
Safety is the lead agency
III for facilitating preparation
-g ~ .... '.' '. . ..... ....... ............... . ofthe private sector,
CD.S! Dev lop plans, wit~the MDHOEP; to~~~weithatspeClal es sghools, and other
= ~ nee s populationsre'ceive appropriate assistance when .... rgency managers government agencies for
.~ g, co munity containment measures are implemented:, ,..:or .' disease containment
8. ~/ social servIce measures. LPH should
en provide assistance with
planning.
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T echnica! ~;ectiofl C: Community Disease Containment
~~~~";$'j,~I11~ ~~al;:::n1.'I~
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l"echnicaf Section [}: Jnfection Controi
Technical Section 0: Infection Control
Mirrnesota ,-,apart! lent of t"!ealth Pandemic Influenza Plan (Supplement)
Technical Section: : Infection Control
lmI~m>.~'w'wW~*W~~ ~~ , .m~ ; l 1;i!1 : I
I1d Responsibilities
State and I! cal roles and responsibilities are identified below. Regional roles are also identified when applicable. This is not an
exhaustive, list. Furthermore; although roles and responsibilities are listed, the rvt H recognizes that the infrastructure to support
these plan ing efforts is evolving and may not yet be in.place.
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State andl' cal roles and ~esponsibilities are identified below, Regional roles are also identified when applicable. This is not an
exhaustive, ist. Furthermore,c, although roles and responsibilities are Iisted,the ~,H recognizes that the infrastructure to support
these plann ng efforts is eVOlving and may not yet be in place,
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" CoordinatOr during the Pandemic Alert Period.
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en
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fection Control
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Technical St0ction '; Clinical Issues.
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S~ . e as case managers t9.,:
1 r: . dvisetreating'9Hnicians~bout immediate
- in~, ctioncontrol Oleasures;, ."." '. . ....
s::: 2)'dVise/directthecliniciant? informati~n on The C-ICT will direct more difficult
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(1) alt mate diagnoses); director, or as back up, the EIS
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f\'~innE')sota Deparfrq ,nt of Health Pandemic Influenza Plan (Supplement)
Technical SectionE: Clinical
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We would expect a high volume of
calls from clinicians as the
pandemic worsens concerning:
1) infection control,
2) general diagnostic/treatment
C1l recommendations
c and. supervise ''warm'' lines for cliniCia
E 3) rapidly changing epidemiologic
L. . edical Director criteria (especially if web fails or
1'0
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,'0 t faCtion Control 4) clinical advice for more difficult
clinical cases. With very high case
volume, individual case
management would no longer be
feasible for all cases.
Primary:
MOB IDE. edical Director
MOB IDE linical Coordinator
MOB IDE nfection Control
Coordinator,
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Contributor:
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MOB ITH-I 00, 0 '
MDH'IDEPCfWebmaster
Minnr;;\sota lJepartr lent of Health Pandernic Influenza Plan (Supplement)
Technical Section c, -: Clinical Issues
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C I11municatewith clinicians about
di continu~ti?h()fcaSe bas~dsurveHI~nce;new
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Minnesota lJepartrr ent of Health Pandemic Influenza Plan (SuppJement)
Technical Sectio!1[; Clinical Issues J
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1:: This would be particularly
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This will be especially important
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Technical Section F: Health care Planning
}nt of He<'Alth Pandemic lntluenza Plan (Supplernent)
feCfmical F
Roles a d Responsibilities
State and 10 al roles and responsibilities are identified below. Regional roles are also identified when applicable. This is not an
exhaustive Ii t. Furthermore, although roles and responsibilities are listed, the N,j.Jii)H recognizes that the infrastructure to support
these planni g efforts is evolving and may not yet be in place.
~1:= Regi()ns,mayaddress victim triage and
0 transport, individually. In some cases this
Q) a.. ssure each region has ide ~l! has been already determined in the regions.
c)lIl
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r echmccll SeGoem: lleatthcare Planmng
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CoordiriatE3the.tr~n$f~r;6~ victims. with, RHRC Coordinator assures that the regional
specialty ..car(3i-equirern'entsto adequately Mutual Aid Agreements are in place and
prepared and ..prbtected.'. neillthcarefaCilities. functional.
C) MDH OE? BHPP.will provide guidance and
.5 assistance to the BHPP Regional Teams on
c
c engaging Healthcare Providers in
ra
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TheMDH will clearly articulate adjustments
to standards of care during an actual event.
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Minnesota Departm mt of Health Pandernic Influenza Plan (Supplement)
Section. F Healthcare Planning
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MDH will develop a:list of the' appropdate
t/) supplies for the home environment based on
(1) efine appropriate supplie
0. the medical/environmental condition. This
c. edical supply kits in the h,;;; may include supplies necessary to support
~
U) sheltering-in-place.
MDH wilLinitiate discussion on the role of the
long-term care facility in emergency
preparedness planning.
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Technical SectlonJ : Healthcare Planning
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MDH will assure that a plan to notify
exposed personnel will be developed. MDH
will work closely with LPH and the
Healthcare Providers to assure appropriate
notification.
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Statewide system is comprised of local and
regional. MN . Responds' MRGPrograms'andH
MRC units.
Develop/implerrl~nt stan?ardized; statewide
pre-credentia['~nd emergency credential
verification process.
tn Access up-to-date educational resources on
c LMS for volunteer health personnel or (at
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MDH BHPP EMS Planner will assure that a
transport plan is developed in each region.
Minnesota Departln ,nt of Health Pandemic Influenza Plan (Supplement)
THctmlcal SectlonF "Hea!thcare Planning
li~;M"ll'm,:$:'-i~~~~{~~ ~@.ffi ;~..m'~~
" t:: 19ntifyarl~16rsel~cta re'g,i9halvictim triage
~ 0 a dtranspoti protocol for use during'an RHRG '{ViII coordinate with local EMS and.
elL Q.; in uenza pandemic. Implement victimitriage
cnlll local Medical Directors to assure existence of
C':IC a dtreatment guidelines, with recognition and
't: ~ regional triage and treatment guidelines.
1-1- e planation provided for jurisdictional-based
v' riances in practicewithinaregion. .
>> PI n for an increase in trans Each region should have a transportation
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Control local EOC and Local EMS for planning
Contributor: purposes during an event.
Local EOC
Local EMS
MitH'w.:sota Departm ;,rit of Health Pandemic Influenza Plan (Supplement)
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requires state involvement.
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Minnesota IJepartm " nt of Health Pandemic Influenza Plan (Supplement)
Technical SectionF:Healthcam Planning
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~ C ordinate the facilitation for education and
cO) tr;ining based oh regional training plans on the
o c:;:
,- .- ut IizationofMNTRAC system,and/orjust-in-' , If rollout is, completed, just-in-time MN TRA C
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w irl tial rollout of MNTRAC training.
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behavioral health needs associated with
; ,;-)::: triage of resources.
Prhna..y: > {dr, "" i,
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RHRC Coordinator
Contributor: ,', , coordinate the operational planning/response
MDHOEP BHPP foroff':"site care facilities inthe region. They
will work with MDH OEP BHPP to achieve the
MRC Coordinators necessary criteria.
MAC
Healthcare Providers
Minf1(;)sota Departm ,nt of Health Pandemic Influenza Plan (Supplement)
Technical Sedtldnf' Hea!thtare Plannin~
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"0 Reviewed by legal counsel;
< ho pita! mutualaid p!anstosupport one Signed bya responsible official;
n; an therduringtimesof crises: . communication, Define liability and
::s
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distribution of medical supply kits,
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,[PH' , ..... ....
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Healthcare provipers
MDH DistrictTeams'
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MDH Regional' patients at a mass dispensing sites will be
Epidemiologi~t.'< " defined and communicated to the necessary
'BHPP,:BH Plciuihe'r;;" partners,
Contributor:;'
Healthcare providers,
LPH
Minnesota. Depaftrri
TechnlcalSection
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C'IS 0
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'Individual healthcare facilities will develop
~ and test their own surge capacity availability,
G) .- capability, and protocols as well as testing for
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::JOe the region. LDPH may be involved with
(/)C'IS
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niO) BHPP Regional Teams will develop and
1:, I: 'coordinate Off-Site Facilities in the region.
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Technical Section : Healthcare P!anni~..... ;
~~~~~~ : :i7'~~
D velop effective behavioral health, .clinic and Mutual Aid agreements should be:
" Reviewed by legal counsel;.
< h spital mutual aid plans to support one Signed by a responsible official;
"iii a other during a pandemic influenza: .' Define liability and
::s
- c mmunication,assistance, transportation,. Detail funding and cost.arrangements for
::s
:E fi ancial reimbursement and liability. sharing equipment, services, and paid' staff.
~ Educational resources for healthcare
c tn providersare accessible on LMS (or at
o c
;:-2 http://www.health.state.mn.us/oep/trainina/bh .
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::s I...
"t-
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Professionals
Statewide system is comprised of local and
regional MN Responds MRC Programs and
MRC units.
Minnesota Departm nt of Health Pandemic Influenza Plan (Supplement)
Tect'Hlical SectlQnp;; Mealtheme Planning
~~~~(~#~ W~aw-A!W;f~@ff4'~-.@},
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Primary:
HRSALabAdvisOry
Group: f{ep;:'<. Clihicallaboratoi-iesshould. have plans to
RHRC' '.' "
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MLS Laboratories ~ilhin each region for surge capacity.
,MDI1F'HL >.:
'Healthcare Providers
M1nn~3SQta uqpartm ~nt of Health Pandemic Influenza Plan (Supplement)
Technical SectlorrF Healthcare Planning
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18 ntify receiving facilitiesforpatientsdueto
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Minnosota Departmelt of Health'P21f1demic Influenza Plan (Supp!ernent)
Section Healtncare
c. LPH will provide updated. information to
0
;; ProVi e h~althcarepetsonnel,including
lU health care providers on evolving pandemic
(,)
'2 EMS .. with early an? regularlyupdated influenza within their established
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0 responsibility .
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om
::I:
Facility Emergency Operations Plan (EOPs)
in conjunction with the regional response
plans will be developed pre-event by the
primary entities. This should be done in close
coUaJ)oratiol1with the contributing partners to
provide continuation of ambulatory and
outpatient services to increase surge
capacity .
Primary .... . ....':... ". .....
Healthcare I?rovider~. ...,' Adjusting standard of care is a last resort,
BHPP Regional Teams when no resources are available to mitigate
Contributor . the situation and/or cannot be obtained in a
LPH ... .i'.'"}''' timely manner.
Science Advisory Team
.I
Minnesota \.W>dpartrr ent or Health Pandemic Influenza Plan (Supplement)
Technical Settionr: Healthcare Planning ::: ;]
~~W;llf-:<<W.<**j~~.'" ~:l#m:~; I liJi
t As ure thatthe facility has policies in place Local facilities will assure that they have
policies in place to safely and appropriately
.~ 8. to ppropriatelytriage p~rsons with. ' transport patients exposed to infectious
en. t/1be avioralhealthcondltlonsand trrage and diseases.
. ~ '. ~ tra. sport patients with suspeCted pandemic Psychological needs may out number
I- infl enza. medical care needs.
"t:lCi) .As ure that the facility has. policies in place
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o~f >-
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..JD.
~
c: Access up-to-date educational resources for
o c: healthcare providers on LMS (at
._ 1-
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ltJ.- http://www.health.state.mn.us/oep/training/bh
UltJ
::J 10..
,,1- pplindex.html until LMS is implemented).
w
spitalized Care
Facility Emergency Operations Plan (EOPs)
in conjunction with the regional response
plans will be developed pre-event by the
primary entities. This should be done in close
collaboration with the contributing partners to
providecontinuatieribfam15ulatoryancr-- . ....
. OI,itpatient sefV1ce5 t01n-cre6S€ surge
capacity.
Primary Individual healthcare<faCilities willdevelbp a
. Health care Providers plante bperatibnalizealternative areas' of'
BHPP Regional Team care to' meefthesurge capacity needs.
~1illne:3ota IJt;r~artm ::tot of Health Pand~mic Influenza Plan (Supplement) .
l€1chmcal SectIon F HBalthcare Planrung
~;l;;((,w.~"'~~~ ,~ ~r~
....
0
"Eel> Pre are to adjust the standard of care ,Adjusting standard of care is a last resort,
C'IS '- duri g'an all;.hazardsevent that . when no resources available to mitigate the
"t:J CtJ
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C'IS
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Z. .'. ...' .,< ,f"
'~ Dev lop staffmanagement pr,otocols for
c. reca landstaging?foff-dutY,~pdpther ,"
8 surg personnel,inc:l~ding id~ntificationl
8, tran. portation, credentiaHng ,s~pervision,
5 and tilizationof volunteers.;).. .
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's .8 Individual healthcare facilities should
cu ~. establish plans to support personnel from
LL :!: their institutions.
. "",'~"';>:'
': VolLlriteerH~althprofessionals
'Primary
,LPH
Local MRC Units Statewide,system.is comprised of local and
Contributors regional MN Responds MRC Programs and
MDH MNRespondsMRC MRC units,
Team' "
Minnesota ,^,/cpartm 'ot of Health Pandemic Influenza Plan (Supplement)
Technical Section F Hea!thcare Planning : )!
w.~~~W>SI-:W ~Mw.mf. .. ~m'~("W%:( :! ::
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cu 0 Imp ement standardized, statewide pre-
+:;;
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G) U
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c LMS for volunteer health personnel or (at
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I-
fvlinnesota Department of r1eaah Pander-nip Plan (Suppi~mt3nt)
l~Bchnicat Sect~on G: Antivirais and, Vacc~nes
;:s..~~~~. , ..:i..~ "'~~ ~~~~~~~~~~~'-::"~~~~'%$~~ ~~
Technical Section G: Antivirals and Vaccines
.I
Minnesota uclpartm ntof Health Pandemic Influenza Plan (Supplement)
Technical Section .; Antivirals and Vaccines
m~~~~1(,~~~ ~~~~..mmmJr~yr<W4 ~~~Jm --
. ,
Rolesia, dResponsibilities
State and,le, al roles and res~onsibilities are identified below. Regional roles are also identified when applicable. This is not an
exhaustiveU t. Fu~hermor7;although roles and responsibilities are listed, the M H recognizes that the infrastructure to support
these planni g efforts is"evolvingandmay not yet be in place~
0)
.....= Enurnerationof state and
oii)C>c "Primary ,""" ""
.... .-" federal essential
c.-'- 0 MDH -IDEPC,OEP,
Q) Q. 3: +:: personnel will be done
E :3 C> ~ OistrictTeam, RHRCs
o.e1U C> Contributor "by the state.
o C).... E Enumeration at the local
-(/):J HSEM, State agencies
~ Z'" c level will be compiled by
Q)'i: c Q) Medical" community
0,9 C'Cl locals for the state totals.
'-
Q.
Primary
MDH-IDEPC,OEP,
DSNS'
. Contributor
Hospitals, LPH,"HSEM
:vlinno~ota De~~artme' t of Health Pandemic Influenza Plan (Supplement)
fecllrHcal Section G: Antivirals and .
~'W'~~~~. ,
Communication, and
.s:: mary coordination of the
....
.~ ~ oordinate withlocars, state healthcare and other '~, 'H - OEP, IDEPC priority grouping with the
s:: 0> take~olders to establishtheirbuy-il1tb dispen ';" ,&: b AC ' ,stakeholders will be key
o:!:!
~i:l 0 roups,and,theappropriateuse"ofantiviral ' ~' Contributor to acceptance and
CI:l.s::
s:: 0> oordinate with private entities that 'own · HSEM, LPH proper use of the
.- ~
"0 CI:l ollow the state priority group guideline " MeaicarCommunity, prioritization. Rationale
L......
000 ntivirals. for priority groups and
0 . Hospitals, Clinic System,
(J MOSs importance of
appropriate use is
critical.
..,.. High'risk groups and the
o t1) Primary
c- amount of antivirals
oe MDH IDEPC - Epi available may vary tlo
~<'>
CI:l ._ MDH DSNS Program the response. Constant
u.....
o s::: Contributor communication to the
=<
<( , MDH - OEP, IDEPC, ITIH providers will be
necessary .
'"~..--- ,-,-
Primary "
utica] caches ", '; Di~trictTearn,RHRCs
such as ' hospitals" ',' Contribut?f;' "
MAQ, Hospitals, clinics,
LPH'
i,MPH SNS, OEP
Minnesota wd'partm Ant of Health Pandemic Influenza Plan (Supplement)
Tpchnlcal Section G A.ntivirals and Vaccines
~m'~~~mw~ Wf~~~~~:(r:m
If there were large
supplies of antivirals,
.... ary other sites might be
0 ~ HrOEP;<IDEPC established to cover
C l/)
0(; Maintain SNS system in which antivirals w!U.be Contributor prophylaxis of a targeted
.- ~
.....- I state and federal caches to health care pro HSEM, LPH "cluster", HCW
:::l >
..Q .- instances, or to other sites ifindicated. population, or possibly a
'r: 1: Hospitals; Clinic System,
1;)< 'r. MOSs public clinic to give
0 treatment to early flu
(
victims.
Primary Public understanding of
s:: MOH Communications, the rationale for priority
0 IOEPC
o+:: grouping and providers
:: l'O Contributor
..Q E appropriately using
::s'~ Medical Community, MAC, antivirals'is important
0.. 0
- LPH, DistrictTeam, Media,
s:: ~~ message.
HSEM
Primary
, te and federal'" MDH.,..ITIH, DSNS, OEP
Contributor
ewide 'priority MDHcollaboration, NG,
Fed Exec Board, VA
Hospital
Minnesota f)8P~rtmel.t of Health Pandemiclnftuenza Plan (Supplement)
fechnlcal Section G: Vaccines
C MDH has the DSNS
~ 0 system to monitor the
C)+:i distribution. Will need to
C ()
.;::.! ::s (IS develop strategies to
,-,a-+J
,goQ (/) monitor the other system
.- U .... .in
c(IS 0 (1) and coordinate with
0.... 0::
~ (IS systems already in place
Q
in Minnesota.
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. kpiled antivir Primary Private caches of
tlyto a point (j LPH, District Team, MAC antivirals may exist in
, iclinic,orLPH. ' " Contributor hOspitals or other'"
e distribution or " Hospitals, physician clinics organizations. Regional'
MDH OEP/SNS caches exist, but do, not
Private distribution systems have antivirals included
at present.
!\illnnosota J..<.c:tpartm' ntofHealth Pandemlclnflu8nzaPlan {Supplement) ,
T (}chnicaL Section Antivirals and Vaccines
~ ~ Identify priority groups and numbers based on 'Minrieso~a: ~, Enumeration at the local
level will be compiled by
-g,. .g, (/).~ recommendations ,and clinical guidance to develop ,,4 ary locals and added to state
~ e: ~~, str~~irycation for antiviralu~e .for treatment:in he.. ' ~" ospitals, physician clinics, totals. Stratification of
.2 0 en E faclhtlesandfor prophylaxIs In HeWs or oth .' ", ,<' occupational health clinics types and numbers of
35 .5::s' Minnesota recommendations will be det' ',<hi'""" Contributor antiviral recipients in the
~ ~]!; stakeholder group consisting of ethicist,~, MDH - IDEPC, MDH OEP priority groupswill be
~, ; (/)' -8 business, professional groups and the , HSEM, State agencies, ' crucial to a rapid and
-c E g..- stakeholder groups accurate decision
-::S03=
c ... making at the provider
We> level.
rimary . '
,Hospitals, clinics Private caches of
LPH, District Team, MAC antivirals' may exist in
,Contributor, hospitals or other
MDHSNS; OEP organizations.
,private:distribution.systems
Dep,artme '1t of Health Pandemic Influenza Plan (Supplement)
Section
Co' rdinate\NithtK~MDHa.~'9the CDCi iralswillbedispensed for tteatmenf atthe patient
on, Hnicalgu.idelines for disp~nsing
''''' tre' tment at hospitals and. physicians' ointofcol)tact, (hospitals and clinics) and for
0
'lh din es. ' prophylaxis at clinics, occupational health c1inics'or
Ol_
C CIS Co' rdinate\viththe MDH ~lndthe CDe
.- "- worksites. Alternative sites (less. probable) might be
tIJ, .-
c.~ on 'linicalguidelines for dispensing , established to cover prophylaxis of a targeted "cluster",
<1)-
Q.C pro hylaxisathealthcare facilities. HCW population, or possibly a public health clinic to
lh<
C Util ze MDHguidarice and give treatment to early flu victims.
ree mmendations via alternat
ifn eded.
'0
c_
llS 0 lh MDH has the DSNS system to monitor the distribution.
en Ol (ij
c C.!:: Will need to develop strategies to monitor and
coordinate with systems already in, place in Minnesota.
ary PulSl,ic understanding of the rationale for priority
DH
Communications, grouping and providers appropriately using antivirals is
District Team, LPH, important message.
MAC, MDH IDEPC
. '
.I
Minnesota Department of Health Pandemic Influenza P!a-p,,,{SHp:p:lement}
Technical SectlonG: " ntivirals and Vaccines
rJffM<<:fIf@f'! " Wif~ ~. ....
Responsibilities
State and 10C I roles andrespOnsibilities ~re identified below. Regional roles are also identified when applicable. This is not an
exhaustivens. Furthermore,'aUhoughroles and responsibilities are jisted. the H recognizes that the infrastructure to support
these plannin efforts is evolying qndmay not yet be in place.
c
- Q)o Enumeration of state and
o 0.10'-
_::s_lti federal essential personnel will
CO(/) ...
CI) '- "l:l Q)
EtrlcE be done by the state.
o.';::-ctl::S Enumeration at the local level
.2 'i: 01 C
Q) 0 C CI) will be compiled by locals for
> 'i: :;: Q)
Q) 0. (/) ":-0 the state totals.
o ='~
Prirnary,".,
MDI-J'OEp
MDl-ilDEpC Communication and .
MDI-i District Team
RHRCs coordination ofthe priority
Contributor grouping will be key to
HSEM statewide acceptance and
LPH proper use of the prioritization.
Hospitals.,.
Clinic Systems
MDSs
t of Health Pamlernic Influenza Plan (Supplement)
and Vaccines
....
s::: Cl) Prepandemic vaccine maybe
Cl) s:::
E'- available via SNS program. No
Cl) (.)
....(.) . urchasing vaccine from.private sector, or definitive direction is available
~ CJ
(.) > r ceiving vaccine via the SNS program. as yet on the private sector
0-
...0 purchase.
n.
Q)
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'u
(,)
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-
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c
0 already in place or may use
:i:: the SNS distribution structure.
:::s
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f'v1innesota Dapartm fit of Health Pandemic Influenza Plan (Supplement)
Technical SectionG: Antivirals and Vaccines
"
MDH Epidemiology will identify
Decide on what amount 'of vaccine 'goes where the disease type, high-risk
.... . . . .....' . '.' , .' . '." .'. ..'
o ithin the state. Based on amounts available, groups and make the
~ ~ MDH Epidemiology staffwill make allocation allocation decision as to where
~ '8 decision on where an9~hat amounts,are/, and how much vaccine is
g ~ distributed. Appropria'tionofthevaccined distributed. The SNS program
:;( ithin the SNS program. will distribute the vaccine
based on the resources
available
c: c Statewide coordination is
,2, ~ necessary for distribution of
~ ~ ,~ .~. limited assets, use of human
~ '0 u ~ resources, and monitoring
g .,g statewide' and I.ocal numbers
> u and coverage.
Primary,
MD~..ltllj
Contributor
MDB\OEP
MDHLDistrict Team
c: A public summaning far the
., "0 am pile lists far individuals eligible far vaccine general public shauld be a
5 0>._
c:-
~ ._:' ca ccarding taMPH and HHS guidelines andwiL natianal directive and
C'3 c:(..)
N 0'1+: uidanceJrarnHHS, de~~lopsummani.ng&' cansistent everywhere. It will
+:IE:;:;
.- . c: i entificatian system fOl"gerera1puqliC require a majar public
~ E(\)
.- ::J"C andemic vaccine becomes available: infarmatian campaign.
k(J)-
0. ~
.' MOHwillhave ta make the
decision, based an
recammendations, what must
be tracked. MOH has a'
number .of tracking taals that
may be Used
Primary. .".
MOH' leE~G ,
Contributor' . .
OHS
COC
Praviders '
LPH
1\;1innesotauepartme 1t of Health Pandemic Influenza Plan (Supplement)
Technical Section G: Antivira!s and' Vaccines
I'
-" oor9ihate'~t~teWjde,.exercisesand assist in
o C c ocalizedexe[cises to address following issues;
co 0
tiI C .- SNS Exercising is ongoing
c - fh ) procurement, 2) storage; 3) col9 chain
.- 0 co C
fh ';l. c anagement,.4) security, 5)transport,6) with a full-functional planned
.- ::J ._co
~.c' (,) 'is.. istrjbution,7):xaccinatio~, 8)utilizationof: . for May 07.
(1)'- (,)
>< ~ CI:l" riority lists, 9)jmd 10)'monitoring of v~.'
wfh>
.- afety. "*'''
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c
0 Federal agencies have
(,)';l
:=CI:l stratified their essential
.c E personnel. State agencies
::J a-
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-
.5
Prima ,
MDHI'
SNS
Mp~ OEP
Contributor
, M[jR'c611~bbratjon
'NGi;~"Ft.:.......
Fed' Exec Board
V A Hospital ....
~J1innesota Departme It of t'fealth Pandemic Influenza Plan (Supplement)
r 8chnica\ Section ntivirals and
co
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fechnical Section G: ntivirals andVaccines . ~~~.mw~~~
'll"~~m~~'1im~:m'M~. " " ~MI#!~~~~; w~~~ ~
Private. sector
.... distribution, SNS
0 Set up and coordinate all activities attheRegi()~al
c program, or a
0
+i Distri ution. Node to receive, store and distribute va s combination of the two
::s to 10 al sites; MDSS,LPH, private providers, cli:!l\ emergency management may be utilized in the
.oeD
'i: C hosp tals. Security, transportation, and cold. distribution of vaccine
.... .- butor
tJ> ()
.- () man gement are key components of vacch als keeping in mind that
c co
co> man gement. evolving guidance from
C Coor inate with MDH on private safety the federal level requires
0
'0, syst msalready in place. emergency management flexibility in state and
eD local planning.
a:
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MinrH1sota Departmel.t of Health Pandemic Influenza Plan (Supp!ernent)
Ti::1Chnical Section G: lltlVirals and Vaccines
*,~$iWi$*"i:m:'):!{$zM,,*~~MW,~mm'"~,,~~~~~#M?~&%:W<W#..f",(#'$.#%{jW~~~#~~
nesota recommendations are not yet developed;
~-(J) I entifyand enumerate priority group y will be determined via an ongoing process that
o 0. ludes stakeholder groups, such as ethicists,
c. c ::J 'n mbers based on the healthcare, business, professional groups and the
.2 0 0 HS/Minnesotarecommendations,
- ._~, public.
\'\:l 10 ',.'C,!), d finitions andrarikings within the
(.) ~' Stratification of types and numbers of vaccine
q:: . ." >-
(1).... r gionsand counties.
+:; E 'C recipients in the priority groups will be crucial to a rapid
; ::J.2
'1::l c ~ distribution of vaccine as it becomes available.
-we. Although some of this work is done, additional work is
necessary once the priority groups are completed.
C)~
.5 (1)
Q) a. "0
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cu 0 0 Statewide acceptance and proper use/of the
c .c
.- ~ CD prioritization of vaccine is crucial and will depend on
l:C,!).lll::
o>-cu the/buy-in achieved by stakeholder input.
o:t:U5
U.2 N
. ;mary
ffPH'
District Team ; private sector distribution, SNS prOgram, Or a,
Contributor ic'Or11biration a.r the two may beutilizedirithe
Private' distribution ' distribution of \lac cine
systems
MDH SNS
Minnesota Departme t of Health Pandemic Influenza Plan (Supplement)
Technical SectionG: Antivirals~accines
.j;i-1til'tM-'mlml"~.im,wm-M~ ~ " .
'- ~.~ ctivate essenfialpersonnel plans
.S!CD '1: rom theSNS Regional ,Plans to riety of essential personnel plans are in place
~o
Cl 0 .- tI) accinate the persons that are cross the state which are dependent on the type of
C '-0.
.- 3: a. :J ncluded in the Prophylaxis Priority event. These plans will need to be customized to the
tI) '- 0
; ,-; CD '- roups. These will include LPH , " Minnesota vaccine priority groupings.
0. 0 ~ .C)
.- ".., Iinics; and hospital or health system
.~ :== 0
eo~ CWclinics:
0
tn= . , The amount of vaccine available will dictate the site of
c.c
.- :J
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c
CD CD ,
o..!: physician clinics.
tI)....
.- l-
e 0
u.
'It of Health Pandernic Influenza Plan (Supplement)
Vaccines
r::
0 . . singstandardiied messagingffom,
~
cu
E . testate; coordinate the directives, .
'- essages, education, clinic signage Mass dispensing site management demands public
.e
r:: ithin the regions and the. counties to information to be consistent and accurate.
-
(.) nsuref effective vaccine ii,formation
.-
:a nd MDSmanagement.
::s
0..
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Contributor " .
. These options are strategies for tracking of vaccine.
MDH OEP Further development of both options is needed.
MDH ITIH
Hospitals. . ". ..' C" ......"
healthcaresysterns;
tv1!nnesota UBpartm.nt of Health Pandemic influenza. Plan. (Supplement)
T echnic0l1 8(:1ction . Antivirals and Vaccines
m:'{~' W'~
o Identify staff for vaccination, provide
.5 :; 1II pre-vaccination training and develop
~ c ~ just-in-time training program for other
'tS Co r::E staff in MOSs. See Regional MOS
c c-
l'3 It:.2 ~ Plans
~. ~ co 0 Assist or consult with hospitals for
.- v, c
C '(3.:; staff education.
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" .,: ,
T 8chnica! Section H: Laboratory mssml1 " ~ ~' ~ 1i.-
J$:,.'SS!S;~~~'%~~~~~~~~~"l.~~~
,
Technical Section H: Laboratory
i
fl/11nnesota Departrne It of Health Pandemic Influenza, Plan (Supplement)
TEichnlcal Section H: maboratory
~~~j:IiU~~;.sw~w~~' ,
Responsibilities
State and loci I roles and r~spdflsibHities are identified 'below. RegionaJroles are also 'identified when appiicabie. This'is 'nut an
exhaustive list. Furth~rmore,although roles and responsibilities are listed, the liH recognizes that the infrastructure to support .
these plannin efforts is evolving and may not yet be inp,lace.
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Technical Section I: Poultry Worker Health
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t of Health Pandemic Influenza Plan (Supplement)
I: F Health
Responsibilities
State and loc I roles and responsibilities are identified below. Regional roles are also identified when applicable. This is not an
exhaustive list. Furthermore, although roles and responsibilities are listed, the ; H recognizes that the infrastructure to support
these plannin efforts is evolving and may not yet be in place.
Q) ,BAH reports county and type of
(,)
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0' labor tory personnel, and regulatory implementing PPE and Ie
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"0 publi hed CDC (see Attachment T) and iriitiatingactive surveillance for
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Minnesott1 t.il;Jpf:lrtment of Health Pandemic Influenza Plan (Supp!ernent)
Technical Section I: Jou!try Wor!<:erHealth
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'2 cont I precautions, and in demonstrating human influenza vaccine to willing
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Technical Section J: Care of the 'Deceased
Minnesota Departme tof r'lealth Pandemic Influenza Plan (Supplement)
fechnical SectlonJ: Care OfthB Oece:ased '
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Responsibilities
State and loca roles and responsibilities are identified below. Regional roles are also identified when applicable. ThIs is not an
exhaustive list Furthermore, although roles and responsibilities are listed, the Mi, , H recognizes that the infrastructure to support
these plannin' efforts is evolving and. may not yet be in place.
t- Plan would anticipate, a ."worst case" scenario of
D:::e: 30,000 deaths over an eight week period.
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,5 hea,lthfacilities, etc. to rollout plan.
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response.
imary '," , ,.> ...... Include national, state and local input for and
.' D-MERT CoordinatOr critique of the plan.
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MinnGsota Departmer t of Health Pandemic Influenza Plan (Supplement)
'fecllnicai SectlonJ:(
'. ake lead role in responding to a pandemic flu
Q)
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0 ; verwhelm local mortuary services.
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C) stockpiled items when purchasing in large
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~ distributed around the state to regional stockpile
0 locations and so on to the local level. Examples of
0
- items are: PPE, body bags, and temporary storage
en
containers.
Devel the ability for health care facilities to re'portdeaths
once local mortuary serVices are overwhelmed is a
key part of an effective response. The ability to
track human remains from point of collection to time
of final disposition is vitaL" Theright for next of kin
JoknowJheJocation of their loved one isvitaL-A ---
web based central data bank will help achieve this
goal.
IV1irmesQta 08partme, tOT HealthPandernic Infh.l811Za Plan (Supplement)
Tf;chnical SectkmJ: 'areofthe Deceased
rt&m~1m~~ ~ I ~ na
Primary uneral homes will have a surge of up to 5 times
Funeral home usiness at the same time as they may lose 40% of
owner/manager '. e to illness or other responsibilities. Funeral home
Q; Contributor should identify and train employees/volunteers to
e: Medical Exami . all. areas of theJuneral home operation, (excluding
e:
0 Coroners (,.,ng);. Medical Examiner/Coroner offices as well as
tIl
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Q)
a. cations in relation to deaths, MDH may seek relaxation of
ulated'activities such as,removals and arrangements
I homes, cremation approvals formedical
rs/coroners,etc.
. areas of the state, mortuaries will not be able to keep
the surge in death tolls; Hospitals, nursing homes and
oner morgueswould quickly fill to. capacity. A building to
temporary morgue and central collection point may be
or processing of the dead until such time as mortuaries
are '..,.~ to recover from the surge. MDH will offer guidance on
location requirements.
Minnf'lSota DepBrtmer t of Health Pandemic Influenza Plan (Supplement.)
T(:!chnical Section ~t 'are Deceased
Primary of the state, mortuaries will not be able to keep
City or County surge in death tolls. Temporary burial may be
~~ Emergency , .such time as final disposition can be planned by
C'll Q) Planner/Emergency . In and accomplished by the funeral home of choice.
--
0Q) Preparednes~;
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Devel p plan for non~ eathdoes not happen ina place. where ,the, decedent
"C instit tional deaths. ,er the care ofaphysician, the death is required to be
Q) to the local medical examiner or coroner in order for
,~ uleout foul play prior to movement of the body. During
~
g tIl ie, these officials may not have the manpower to
.- .c toeach and every home death or the like. An
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exarriple:- If/wnen~itemporary morgue is activated, a single
medicalexaminer/corqner could process many deaths.
Minnesota uepBrtme It of Health Pandemic Influenza Plan (Supplement)
Technical Sc;}ction ,.I: of the Deceased
~~
Dev lop plan for timely Primary emic; the timety processing of death certificates
proc ssing, of death Physicians .for families who need to carry on with their legal
J/) . .cecti Lcates' Medical examiner/ ,;dans or medical examiners/coroners are
Q) or listing a cause of death on the work sheet (death
- coroners
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It::
~ Contributors e "work sheet" which eventually becomes the death
Q) State Regist "',e Ninety-fiVe' of all Minnesota .Iicensed funeral homes are
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-
CI:l Mo icians ,Somephysicians and clinics are also able to submit
Q)
c e of death electronically For those clinics and physicians
e electronic system, causes of death are faxed into the
~gistrarfor manual data entry.
r~matibn, state law requires that approval be obtained
, medical examiner/coroner (as well as next of kin).
, pandemic, these officials may not have the manpower
, e cremations for deaths due to pandemic flu in addition
ularrequests for cremation' approval. An option may be
tha' deaths due to pandemic flu, .the requirement for medical
examiner/coroner approval be waived. All other deaths would
still require the medical examiner/coroner approval.
PPE,body bags, and temporary storage containers are
examples of items to be considered.
~v1innesota Department:of Health Pandernic Plan fSupolement)
.... . > I
T Bchnical Section Environmentai Pub~jc t-iea!th
~,~~~: 'll r.~ ,l;~~~~~~ " .~:1!W& ~~ ~~~~
i
Technical Section K: Environmental Public Health
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Minnesota 110partmer t of H€:1alth Pandemic lnHuenz.a Pltln ,(Supplement)
THchnical Section t<:: Lnvironmental Public Health
~"t,~~~mlm ~ ; ~~ .~ I ~~Ml ;~~~~U :!:
Responsibilities
-State and -IDea' roi-es cmd responsibiHties -are -idei'ltmed -below. -RegiG>na! -r-oles -ar.e -also .identif!e..d when .applicable. This is not. an
exhaustive list Fu~hermore,althou~h roles and responsibilities are listed, the M H recognizes that the infrastructure to support
these plannin; efforts is evolving ahd'may not yet be in place.
~ Work with public water supply, local public
Q) health, etc. to assure safety of water supply.
....
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otganizati<;ms"etc. to assure safety of food and
food handling.'
itylary Appropriate EH section collaborates with ADIC
H (EHS) arid PHL in any outbreak investigations resulting
EH (DWP) from loss of barriers or controls in environmental
PHL health systems
ADIC.
LPH
Minn<::sota Departme t of Health Pandemic Influenza Plan (Supplement)
T'echnical Section K:l:nvironmenta! Public Health
w.mwai.,\!f:";;:.l$?Kl,'~~~~~ . ~~,j',~AW'~ W':>%%w.J{{#P~~~ ;
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Cond ct inspections at mass feeding To tHeexteritpossible, work with EHS, volunteer
"CJZ' opera ions to assure food. safety and or~ianizaiions, ete.to assu're safety of food and
o.e perso al hygiene food handling.
o C'll
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Inves igatepotentialfobd- or water-borne To the extent possible, collaborate with
~ Q) outbr aks .'9nd implement appropriate EH section, ADIC, and PHL in any
CI:l tIl
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... 0
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.... tIl
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Pandemic Influenza Supplement
TO THE SCOTT COUNTY PUBLIC HE . . DEPARTMENT
ALL-HAZARD RESPON ....' L ..1
5/09/06
(See page Xfor record of changes)
\
I
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ScottCounty Public Health Department Pandemic Influen\za Supplement Page 2 of 17 ~~ ,
;<'@'~~...~~~~ ~:;j i;>, r' l._W:2tJ._~l:::_ll~( ~~r!" < ~~~;II'St~(: r/~~rr. ilil"l
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I
Table of Contents I
i,
I. P refa c e ...............................................................,..... J.. . .. , .. . . .. .. . .. . . . . ... P age X
\
\
\
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II. The Base Plan...................................... ..................... .',..................... Page X
I' ._
a. Purpose
b. Primary Objectives
c. Plan Organization
d. Background
e. Scope
f. Authority
g. Concept of Operations \
h. Planning Assumptions "
III. Local Public Health Pandemic
I
IV. Attachments ........... ................... ....... .............)\.............. Page X
\
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~
Scott County Public Health Department Pandemic Influenza Supplement Page 3 pf 17 -
~~~:r'f;r";):~, l;,,~:~:~n '..~' . ~~ _ '. _ ~: L ,. ~l:S.w~\
Preface
An influenza pandemic will place extraordinary and sustained demands on the public health and
medical care systems as well as providers of essential services in Scott County.
To prepare for the next pandemic, an event considered by many experts to be inevitable, th~
Scott County Public Health Department in cooperation with various state and local organizations
has developed the Scott County Public Health Department Pandemic Influenza Supplement to
the Scott County Public Health Department All-Hazard Response Plan. This plan was
developed in cooperation with local hospitals, clinics, emergency medical services (EMS),
emergency management (EM), the MDH, and other community agencies/partners to enhance
the plan as well as develop robust and comprehensive plans f r other kinds of emergencies that
may impact Scott County.
Emergency preparation is a continuum and planning effo s be evolving. As new
information arises and lessons are learned, the ScottCou ealth Department
Pandemic Influenza Supplement will be updated as necessa
The MDH Plan
In April 2006, the MDH disseminated the MDH Pandemic Influenza Plan
(http://www.health.state.mn.us/divs/idepc/diseases/flu/pandemic/mdh.html). t is divided into
three sections:
Part 1: The Base Plan: An overview 0 H planning and response to a pandemic. This
component gives background inform , cites legal authority, explains general concepts of
operation, and outlines overall fu for the MDH.
Part 2: Technical Sections: Additio' ^ tailed information organized into 11 technical sectipns
specific to an influenza pandemic:
A. Communications
B. Epidemiological Surveillanc
C. Community Disease Containm
D. Infection Control
E. Clinical Issues
F. Healthcare Planning
G. Antivirals and Vaccines
H. Laboratory
I. Poultry Worker Health
J. Care of the Deceased
K. Environmental Public Health
Part 3: Attachments: Additional resources and other supporting information.
The MDH plan serves as a blueprintfor pandemic influenza planning in the state The Scott
County Public Health Department has used this guidance in its planning and preparedness.
Ii
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Scott County Public Health Department Pandemic Influenza Supplement Page 4 of17
. . ::(!~*'*~~~~~_.t: 1.." . J! ' !U~ .ru~ ~i::..' :1:g~D'I"~
,
i
i
The 8ase Plan ,
i
I
Purpose \
i
i
The purpose of the Scott County Public Health Department Pandemic Influenza Supplement is
to provide a coordinated and comprehensive local response to an infl.uenza pandemic in order
to reduce morbidity, mortality, and social disruption and to help ensure a continuation of
governmental functions. '
Primary Objectives
The Scott County Public Health Department Pandemic Influ
objectives:
1. Maximize the protection of life and property in Sco.
2. Insure that the response effort be organized under. pident Management
System (NIMS).
3. Delineate roles and responsibilities for other localg. al and non-governmental
agencies participating in the response.
4. Assure that Scott County Public Health Department Pandem . enza Supplement is
coordinated and consistent withMDH Pandemic Influenza Plan . j e plan of other
' ,
local public health departments in the state i
5. Assure that the Scott County Public Health Department Pandemic influenza Supplement
is coordinated with the pandemic influenza response activities i(jentified in the Scott
County Emergency Operations P n.,
I,
Plan Organization
The pandemic influenza is organiz three key components: ,
1. The Base Plan: An oveNiew ing and response to a pandemic. This component
gives background information, CI al authority, explains general concepts of
operation, and outlines overall func r the Scott County Public Health Department.
I
2. LPH Pandemic Influenza Functions: This section lists specific roles and
responsibilities of the local health department in a pandemic influenza response.
A. Communications '
B. Epidemiological SUNeillance ,
C. Community Disease Containment
D. Infection Control
E. Clinical Issues
F. Healthcare Planning
G. Antivirals and Vaccines
H. Laboratory ,
I. Poultry Worker Health
J. Care of the Deceased
K. Environmental Public Health '1\
I
3. Attachments: Additional resources and other supporting informatio~.
,
"
,
.,~C?"ttpo~ntyPubl!C Hea!!~ Depart~nt Pandem!~.lnfluenza Sup~}~~~~pt Page 5 of 17 =-
~ ~. ~
Background
Influenza
Influenza is caused by viruses that infectthe respiratory tract. Influenza symptoms include rapid
onset of fever, chills, sore throat, runny nose, headache, non-productive cough, and body
aches. Influenza is a highly contagious illness andean be spread easily from one person to
another. It is spread through contact with small droplets and aerosols from the.nose and throat
of an infecte;d person during coughing and sneezing.
Influenza viruses are unique in their ability to cause sudden infecti); all age groups on a
global scal~. The importance of influenza viruses as biological thre,j' d~ to a number of
factors, including a high degree of transmissibility, the presence of' ;'servoir of novel
(new) variants (primarily aquatic birds), and the unusual properties 0 I genome.
Two types qf influenza viruses cause disease in humans: type A and type
are composed of two major antigenic structures essential to vaccines and im
hemagglutinin (H) and neuraminidase (N). The structure of these two componen
virus subty~)e.
A minor change in the' structure caused by a mut :
of a new strClin within a subtype. Mutations (ant"
influenza viruses. A major change .in the struc cause, ,
shift) results in the emergence of a novel subt~, i (Le.,
humans or adaptive mutation of an avian viru . 'ost
pandemics. This shift only occurs with influenza typ
Influenza A viruses are unique because they can in ," mans and animals thereby
causing more severe illness. Antigenic shifts in influe viruses have been the cause of the
ent history: 1918, 1957, and 1968.
18 was responsible for more than 20 million deaths
worldwi dults. Mortality rates associated with the more recent
pand nd 1968 (A1Hong Kong [H3N2]) were reduced, in part, by
antib ;~ ;rial infections and more aggressive supportive care.
Howev Ii demics were associated with high rates of morbidity and
social disr .
Pandemic Inf
Pandemic influen ,e public health emergency. The impact of the next pandemic will
likely have devastatl s on the health and wellbeing of the American public.
The Centers for Disease Control and Prevention (CDe) estimates that in the United States
alone:
. Up to 200 million people will be infected;
. Fifty million people will require outp::lticnt core;
. Two million people will be hospitalized; and
. Between 100,000 and 500,000 people will die.
I
!
Scott County Public Health Department Pandemiclnfluenza Supplement Page 6 of 17
~y 1. : : . s:;n ..!-J!:. L . ;; s;,;. ~1l ~ ~ ,i.!:'>>,i:, J~H ~L: ll:~!l~
Effective preventive and therapeutic measures- including vaccines and antiviral, agents - will
likely be in short supply, as may some antibiotics to treat seconda"ry infections. Healthcare
workers and other first responders will likely be at even higher risk, of exposure and illness than
the general population, further impeding the care of ill persons. Widespread illness in the
community will also increase the likelihood of sudden and potentially significant shortages of
various personnel who provide other essential community services.
I
Pandemic influenza is considered to be a relatively high probability! event - even inevitable;.. by
many experts, yet no one knows when the next pandemic will occur; there may be very little
warning. '
Most experts believe that we will have one to six months betwe,en the identification of a novel
influenza virus that results in human-to..human transmissio ' th~ time that widespread
outbreaks begin to occur in the United States. Outbreaks "expected to occur simultaneously
throughout much of the nation and the world thus prevent " 10 'Ii n of human and material
resources.
The effect of influenza on individual communities will be rei';" e nged - six to eight
weeks - when compared to the minutes-to-days observed in most OJ . atural disasters.
Should a pandemic occur, every community would have to rely prima 'ts own resources
as it combats the pandemic. i
Scope
As the lead public health agency in th e, the MDH is responsible for protecting, maintaining,
and improving the health of all Minna' ins. There is a strong state-local partnership where the
MDH provides leadership and dir:' " to front-line public health and private health Care entities.
Scott County Public Health Depa ' ill take the lead technical role, under the guidance of
MDH, in Scott County. Scott County , ency Management will be the lead coordinating
agency in a pandemic influenza outbre Iic health will work c1osel,y with emergency
management in Scott County to develop ,ond to a pandemic influenza in Scott County.
!
Authority
\
Chapter ,12 of Minnesota Statutes grants the Governor and HSEM overall responsibility of
preparing for and responding to emergencies and disasters. Chapter 12\directs the Governor
and HSEM to develop and maintain a comprehensive state emergency operations plan,known
as the Minnesota Emergency Operations Plan (MEOP).
Furthermore, Minnesota Statutes, including Minnesota Chapter 12 (Minn~sota Emergency
Management Act) Minnesota Chapter 144 (General Duties of the Commissioner of Health),
Minnesota Chapter 145A (Powers and Duties of a Community Health Boards) outline the
authorities of local health departments and grant the Commissioner of He!alth broad authority to
protect, maintain, and improve the health of the public. '
I
i
Scotf County Public Health Department Pandemic Influenza Supplement Page 7 of 17
;:::';~..fil"~ . '; . . ~A ~J A t&: _ ~ n ;~~s.s
Conc?ept of Operations
The SI;ott County Public Health Department Pandemic Influenza Supplement is a supplement of
the Sc'ott County Public Health Department All Hazard Response Plan. The Scott County Public
Health Department Department'sAII Hazard Response Plan will serve as the overarching
operational plan during a pandemic influenza response.
The Scott County Public Health Department All-Hazard Response Plan addresses activities
generip to any and all public health emergencies. It establishes the organizational framework for
the activation and management of department activities that may be implemented in response
to incidents having public health and/or medical implications. It also describes the capabilities
and re'sources available in the department to address a variety of public health hazards that
may arise following emergency incidents and disasters.
Furthermore, the Scott County Public Health Department' id' azar Response Plan and the
Scott County Public Health Department Pandemic Influen ~"!U' ment both follow the
Nationsllncident Management System (NIMS). They also ill'ate the MDH Pandemic
Influen'za Plan and reference or incorporate, as appropriate" County Emergency
Opera~ions Plan. During a pandemic influenza outbreak, the e used to coordinate the
respo~se.
Due to the prolonged nature of a pandemic influenza event, the Scott Co flublic Health
Department Pandemic Influenza /Supplement utilizes the pandemic phases defined by the
World ~ealth Organization (WHO) in order to facilitate coordinated planning and response.
The United States will use the global "emic phases as defined by the WHO and as
deterrllined by the secretary of HHS. ,...' ctual practice, the distinction between the various
phase~ of a pandemic due to infl ,~may be blurred or shift in'a matter of hours, which
unders'core the need for flexibility., nizing that distinctions between the phases may be
un.cle~(, theWH(), "., classifi ' ased on assessment of risk and on a range of
sCientifIc and "~ ,~ ta.
us subtypes have been detected in humans. An influenza
Phas~ 2 No new Influenza virus subtypes have been detected in humans. However, a
. circulating animal influenza virus subtype poses a substantial risk of human
disease.
Note: The distinction between hase 1 and hase 2 is a
disease resulting from circulating strains in animals. This distinction is based on various factors
and their relative importance according to current scientific knowledge. Relevant factors may
include pathogenicity in animals and humans; occurrence in domesticated animals and livestock
or only in wildlife; whether the virus is enzootic or epizootic, geographically localized or
widespread; and/or other scientific parameters.
,
i
!
:
Scott County Public Health Department Pandemic Influenza Supplement Page 8 of 17
fl-...;ll ~~J ~ _..l. .~~ ~.lL" 1:.... ] ~ Is;
Phase 3 Human infection(s) with a new subtype, but no human-to-human spread or, at
most, rare instances of spread to a close contact.:
I
Phase 4 Small c1uster(s)with limited human-to-human traosmission, but spread is
highly localized, suggesting that the virus is not w.ell adapted to humans.
I
Phase 5 Larger cluster(s) but human-to-human spread still localized, suggesting that
the virus is becoming increasingly better adapted ',to humans, but may not yet
be fully transmissible (substantial pandemic risk).l
Note: The distinction between phases 3, 4, and 5 is based on an assessment
of the risk of a pandemic. Various factors and their ,ative importance
according to current scientific knowledge may be6i:",t~,:e1t,Factors may
include rate of transmission, geographicallocatiorl a ~ tad, severity of
illness, presence of genes from human strains (if de ,E an animal
strain), and/or other scientific parameters. ,
, 'fJIJP'
Pandemic: increased and sustained transmission ip general population.
I
Planning Assumptions
For planning purposes, the worst-case scena cted. The response to
the pandemic will be adjusted if the situation rst-case scenario
projections.
The following assumptions are made: !
General Prepa ':'
The Scott Co "fe' epartment will use the National Incident Management System
(NIMS) as IS for suppo' ~esponding to, and managing plan response activities.
1. "~ ~s may:
. Occur at any time, ,
. equire significant co i1 nications and information shal-ing across jurisdictions and
een the public an, : vate sectors.
multiple geo : . ic areas.
,
itical infr ures. ,
the ': ilities of local and tribal governments.
Requir e asset coordination and response timelines.
Require p. " ,ed, sustained incident management operations and support
activities. '
2. The Scott County Public Health Department has planned and prepared for health
emergencies locally and regionally under the guidance and direction of the MDH.
3. During any health emergency, the MDH district office respon~e teams will work, as
liaisons With Lf-'H, communicating local health needs to the MDH.
Pandemic Specific Preparedness
1. Pandemic events:
a. Will have worldwide impact.
b. Generally occur everywhere at the same time.
c. Exceed the capacity of all existing support systems. i
,
I
Scott CounW PuJJlic Health Department Pandemic Influenza Supplement Pag~ 9 of1? ,
, . . ' ,~,,~ ~__ 'i ~, ~~ . .:;:,~ , _ _ _ _. ~ J:sl$l
~J. Impact everyone involved, including responders.
2. EmEfrgenay response systems will not be able to assist all individuals during a pandemic
event.
3. Pre-pande:emicevent preparedness is essential for a .successful response.
4. Assistanc~ from outside organizations will be limited if the outbreak is nationwide.
5. Up to 30 percent of the workforce will be too sick to come to work at some point during
the r)andernic. Rates of absenteeism will likely be driven to 40 percent during the peak
weeks of ~l community outbreak. Lower rates of absenteeism will occur during theweeks
before and after a pandemic when employees may stay home to care for ill family
members or out of fear of infection at work.
6. Up t~2 percent of the 30 percent who have fallen ill may die and will overwhelm
mortuary c:md burial services. Local planning for surge capacity will be needed.
7. Cri~i?al. fun~t.ions will ~ave .been identified and st~ff Will'rv.e.been cross-trained to
malqtam critical functions like law enforcement, fire," ,Jails, water systems, sewer
systt;ms, ~Iectric utilities, etc. If cross training isn' ,ption due to licensure,
merrloran(jums of understanding will be in place w','div';}, ' Is/jurisdictions with the
sam\3 certification.,
8. Isol~tionand quarantine of individuals will be establis . . . eeded by the MDH and will
be i~1plemented by local units of government.
9. The use. of quarantine as a tool for containment of pandeml
Iimit~~d (early in the pandemic).
10. Hospitals and clinics will be overwhelmed by the amount of indiv requiring care.
11. Medical standards of care for the public may be adjusted.
12. Facilities will be identified that could be used as temporary hospitals.
13. Families will need to assume responsibility for the care of family members (with mild to
modf3rate pandemic influenza) . . eir homes due to a limited availability of hospital
beds.
14. ClOSing schools and dayc ters in the area may have a significant impact on the
avail~bility of the workfor ~.
15. Employers will consider "wo om home" options, moving to shifts for population
den~ity reduction, and providin tronic methods for staff to access work systems
from offsiteduring an outbreak. .
16. Emp!oyers will consider that just-in-f: ' anufacturing and transporting will limit the
availability of supplies.
17. Employers will identify how many staff would be needed to maintain essential functions
and \NiII develop a personal protective equipment (PPE) plan.
18. Workplaces will identify how much vaccine and/or antiviral medication they will need to
obtain if available.
19. Employers will review sick leave policies and make a determination as to the use of sick
leave for employees that maywant to stay home to care for people that are not
dependents.
20. Employers will evaluate whether or not non-ill employees can be ordered to come to
work,
21. Employerswill evaluate and implement procedures (e.g., shifts, spacing, PPE) to protect
employees from increased exposure risk while still maintaining critical services.
22. Employers will encourage sick employees to stay home.
23. Administrative rule waivers Will have been developed and alternate service delivery
systems identified for critical services.
Scott County Public Health DepartmenfPandemic Influenza Supplement Page10of17
-. - -~, ~~ ~ 1 _ !:!~..tS" -
Local Public Health (LPH) Preparedness .
1. During a pandemic, LPH will be a primary conduit of information and resources from the
MDH to individuals, families, communities, and systems at the local level.
2. LPH roles will vary greatly across the state during a pand~mic. This will be due to the
vastly different capacities and capabilities at the local level.
3. LPH will be the local technical expert on pandemic influenza incoordination with local
hospitals and clinics. !
4. LPH will work with local emergency management and other public and private
organizations to institute community-based infection contrbl and disease containment
measures.
5. LPH, in an event of a pandemic, will coordinate the deliveiy of services (with support
from the MDH) for those individuals or groups placed l~J'sblation and quarantine.
6. Based on the Essential LPH Activities Framework, t, "'7 oinmunicable Disease
Prevention and Control (DP&C) Common Activitie ,"'am~work, and the CDC Public
Health Preparedness and Response Grant, LPH s ' s ;,>oss the state will include, at
a minimum:
a. Providing pandemic influenza information at
partners, and stakeholders.
b. Supporting coordinated surveillance with the MDH j
of the DP&C Common Activities Framework. .
c. Providing leadership at the local level through existing L ergency advisory
committees. .
i
d. Maintaining current essential personnel lists by county and city.
e. Planning and carrying out mass dispensing of vaccines and/or other medical
supplies to:
i. Essential personnel. Note: Determination of essential personnel priority
groups wi// be event dependent and driven ~y federal and state
guidelines.
,eral public. '.
,;opulations (e.g., non-English spea~ers, the hard of hearing).
6. o e a pan'~ influenza appendix to their local' emergency operations plans.
7. help counties?:"tl' . in revising their Emergency Operations Plans (EOP) for
''emic influenza and 'ercising those plans.
8 will coordinate either . ctly or through the local eme:rgency operations center
the following servic, i
ever/flu clinics
,~, e/institution althcare for special population~
,i' al and ssistance and support :
s 's !
e. :acilities assistance and support ,
f. Planni ',continuity of operations of critical local infrastructure
g. Recruitment and training of volunteers '
i
Scott County,Public Health Department Pandemic Influenza Supplement Page 11 of 17
~~..a r~ . :\~11.~.- ~ 1.~ ~ _ ..
Local Public Health Pandemic Influenza Functions
The table below lists functions Scott County Public Health Department will perform during an
influenza pandemic; however, this is not an all-inclusive list. This is because key topics are
addressed in detail in Scott County Public Health Department's All Hazard Response Plan.
Please note that many of the functions initiated in the beginning periods will continue in the
subsequent periods.
HAN notification will be tested quarterly.
(/) HAN lists will be updated as needed.
c .
0 A 24-hour, seven-day-a-week notification plan to notify local o;iJK,
:p .
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. Scott County Public Health Depa MDH epidemiology staff to
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. Work with local hospitals to encourage off-site care, coordin~tion and surge
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Scott Coun~y Public Health Departme.nt Pandemic Influenza Supplement Page 13 of 17 ,
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. Provi~e appropriate information to the public regarding what to expect during a
en
c . pand~mic, measures that may be used to control a pandemic, the rationale for
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:J . Disseminate messages from MDH to healthC~ganizations, essential
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CI:l . Inform MDH IDEPC of any reports of unusual
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- nd for the care of suspect AI patients in the home setting.
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Work with local health care to provide a coordinated role for Minnesota Responds
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Scott County Public Health Department Pandemic Influenza Supplement Page 14 of 17
UE ~ :~JU I.'S~~
. Follow priority group recommendations for antiviral land vaccination
-0 administration.
C en . Work with MDH to educate providers on priority grOup framework.
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; ,
. Continue consistency of messages disseminated by MDH, hotline staff, and
external partners.
. Continue to provide information to the public regarding what to expect, the
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cessation of these measures.
. Conduct school-based, long-term care and ca e-b d!!.Jrveillance as long as it
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B~ . Work with emergenc gement to carry out recommendations for social
distancing and infection , ,- I strategies.
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0
. Disseminate training materials for healthcare workers and others, as needed.
(5 . Distribute additional infection control guidance for off-site care facilities and other
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~
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recommendations.
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Scott County Public Health Department Pandemic Influenza Supplement Page 16of17
~~~:t' , , : " l!l'~ ,
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. Assist the healthcare system in patient care coordination.
0 Assist with staffing needs of the healthcare systeni with volunteer health
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Scott County Public Health Department Pandemic Influenza Supplement Page 17 of 17
~.... : . . ~ .~, -' :II - " '_', " ,TV',', "
Attachments
Add appropriate attachments necessary to your department's pandemic influenza
response.
Shakopee Police Department
Employee Personnel and Emergency Notification Form
Date Filling Out Form:
Name:
Date of Birth:
Blood Type:
Home Address:
Home Phone:
Cell Phone:
Other Phone:
Social Security Number:
Date of Hire: POST
Emergency Contact Information:
These names will be contacted, in the order listed, in the event an emergency notification is necessary:
Name Relationship Address Home Phone Other
First and Last Cell Phone Phone
I OTHER INFORMA TIONYOU WANT TO SHARE: I
H:\FORMS for police\Emergency Notification Form.doc
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r~__.__.___ ------:-.-
.
.
This handbook has been prepared by the Professional Development
Committee of the Association, of 1v1illl1~~ot~nEmergency-Managers
-.nnn(AMEM).n-ContactsfotUofder.sof copies of this handbook, as well as
comments or suggestions on its' content, may be found on the AMEM
website at www.amemminnesota.org.
Copyright <Q 1996 by Association of Minnesota Emergency Managers
(AMEM)
Revised May 2005
Revised April 2006
.
.
Notes
MESSAGE FROM
THE ASSOCIATION OF
MINNESOTA EMERGENCY MANAGERS
.
. The "Emergency Management Handbook for Government
Officials" has been published by the Association of Minnesota
Emergency Managers (AMEM) to provide local government officials
with a quick reference guide to better understand the emergency
management system. More importantly, it provides officials a ready
resource for use during an actual emergency or disaster.
This handbook provides a basic overview of emergency
management, and is intended to augment understanding by local
government officials of their more comprehensive Emergency
Operations Plan (EOP) and local response procedures. Government
officials are encouraged to familiarize themselves with their local plan
and procedures, and look to its proponent, the local emergency
management office, for assistance in further understanding and
executing their emergency management responsibilities.
We hope this handbook will be useful to you, and that it will
serve to foster the mutual mission we share in preparing for, responding
to, and recovering from unforeseen events and circumstances. In so
doing, we seek to optimize a principal function of government; that of
providing the greatest protection possible to both life and property in
the face of an emergency or disaster.
.
.
47 1
TABLE OF CONTENTS Notes
Section 1 THE INTEGRATED EMERGENCY
(pages 6-7) MANAGEMENT SYSTEM (IEMS)
Purpose
Mitigation
Preparedness .
Response
Recovery .
Section 2 RECOGNIZED HAZARDS IN MINNESOTA
(pages 8-9) - --- ~-~-----
------ ------ -,----
---- .-----
________ _n___________ ------
---Section3---NATI<iNAL-INCIDE1-U MANAGEMENT SYSTEM
(pages 10-11) (NIMS)
Command and Management
Preparedness
Resource Management
Communications and Information Management
Supporting Technologies
Ongoing Management and Maintenance
Section 4 INCIDENT COMMAND
(pages 12-14) Purpose
Incident Command
Operations
Planning
Logistics
Finance / Administration
Section 5 EMERGENCY OPERATIONS CENTER (EOC) ,
(pages 15-16) Purpose
Functions
Activation .'
Staffing
2 46
Notes Section 6 EMERGENCY MANAGEMENT FUNCTIONS /
(pages 17-19) RESPONSIBILITIES
Notification and Warning
Direction and Control
Emergency Public Information
Search and Rescue
. Health / Medical
Evacuation, Traffic Control, and Security
Health Fire Protection
Damage Assessment
Congregate Care
Debris Clearance
Utilities Restoration
Radiological/Hazardous Materials Protection
SECTION 7 LOCAL RESOURCES
(page 20)
SECTION 8 EMERGENCY MANAGEMENT DIRECTOR
(pages 21-22) FUNCTIONS AND RESPONSIBILITIES
SECTION 9 CmEF ELECTED OFFICIALS
(pages 23-25) RESPONSIBILITIES I FUNCTIONS
Be Informed
Exercise Leadership
Personal Requirements
Establish Legal Contacts
Maintain Political Awareness
Keep the Public Informed
Elected Official Checklist
SECTION 10 CONTINUITY OF GOVERNMENT
(page 26) Succession
Pre-Delegation of Emergency Authorities
" Emergency Action Steps
Emergency Operating Centers
Alternative Emergency Operating Centers
Safeguarding and Essential Records
Protection and Government Resources,
Facilities and Personnel
45 3
SECTION 11 REQUESTING STATE ASSISTANCE Notes
(pages 27-30) Minnesota Duty Officer
Minnesota National Guard
Minnesota Voluntary Organizations Active in
Disaster (MNVOAD)
Reassessment of Homestead Property
Calamity Act .
Disaster Assistance for Repair of State-Aid Roads
and Streets
Minnesota Housing Finance Agency
SECTION 12 REQUESTING FEDERAL ASSISTANCE
(pages 31-33) Federal Emergency Declaration --- --- - - - ----~ -
m ---
Individuals _~rl~ H2l.l_sehQl(lsProgram-----~----. - ". .". ,. .-- ~-------
-~ --- - -- ---- - -- -- - ..---- SmalfBusiness Admini strati on Di saster Loan
Program
Other Assistance Programs and Services
Additional Federal Emergency Declarations
Fire Management Assistance Grant
Snow Emergency Declaration
Small Business Administration Declaration
Agricultural Disaster Declaration
SECTION 13 EMERGENCY DECLARATIONS AND POWERS
(pages 34-39) State Emergency Declaration
Local Emergency Declaration
Example of Local Emergency Declaration
Example of Local Request for Presidential
Declaration
SECTION 14 TRAINING AND CERTIFICATION
(page 40)
SECTION 15 ADDITIONAL REFERENCES
(page 41)
4 44
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Section 15 Section 1
Additional References The Integrated Emergency Management System
(IEMS)
)0> Local (City/County/Tribal) Resolution/Ordinance on
Emergency Management , The IEMS is a comprehensive system that integrates and coordinates
vital agencies and resources into a program of disaster and mitigation,
)0> Local (State/City/County/Tribal) Emergency Operations Plan preparedness, response and recovery. The establishment of the IEMS
(EOP) requires a systematic process that will:
)0> Minnesota Emergency Management Director's Handbook )0> Identify risks and potential vulnerabilities.
(updated annually by the Minnesota Division of Homeland
Security and Emergency Management) )0> Inventory community resources.
)0> Disaster Response and Recovery Handbook (Minnesota ~ Identify a point of contact for resource deployment, and outline
Division of Homeland Security and Emergency Management) roles and responsibilities of municipal and county departments.
~ Minnesota State Statutes, Chapter 12, "Division of Emergency )0> Ensure strict coordination and communication among state,
Management" federal and local government, as well as businesses and
volunteer organizations.
)0> Minnesota State Statutes 299K, Hazardous Chemical
Emergency, Planning and Response Elements of the IEMS
Mitigation:
Activities that eliminate or reduce the probability of the occurrence of
an emergency/disaster. This includes long term activities such as
establishment of building codes, flood plain management, insurance and
public education programs, and all-hazard mitigation plans and
processes.
Preparedness:
Activities that serve to develop and/or enhance the response capabilities
needed in the event of an emergency/disaster. This includes planning,
exer~ising, training and developing public information programs and
warmng systems.
41 6
Response: Section 14
Activities which help to reduce casualties and damage, and which Training and Certification
expedite recovery. Response activities include warning, evacuation,
rescue and other similar operations contained in the local Emergency State Training Programs. The Minnesota Division of Homeland
Operations Plan. Security and Emergency Management (HSEM) offers a comprehensive
, Emergency Management Professional Certification Program. Its' goal
Recovery: is to provide emergency managers with the necessary knowledge and
skills to help them perform their jobs in a professional, effective and
Recovery includes both short-term and long-term activities. Short-term successful manner in order to save the lives and protect the property of
operations seek to restore critical services to the community and provide the citizens of Minnesota. Information can be obtained by visiting the
for the basic needs of the public. Long-term recovery focuses on MN HSEM website at www.hsem.state.mn.us. Classes include: ---- -
- ---_._-----
restoring the community to its normal or~~pJ:"o.Y~cl~ta.te_ofaffairs.--Theu---~~ -'- ------..-..------
----recovery-period-isanoppoftUiie-time-to institute mitigation measures, Continuity of Operations (COOP)
particularly those related to the recent emergency/disaster. Recovery Debris Management
actions include, but are not limited to, temporary housing and food, Decision Making and Problem Solving
restoration of vital and non-vital services, and reconstruction of damage Developing and Managing Volunteers
areas. Donations Management
Effective Communications
Emergency Planning
Exercise Design
Exercise Evaluation
Leadership and Influence
Mass Fatalities Incident Response
Minnesota Incident Management System
MnIMS/EOC Interface
New Director's Workshop
Principles of Emergency Management
FEMA Independent Study. Training is also available through the
FEMA Independent Study Program ( www.training.fema.gov ).
Training Conferences. MN HSEM sponsors a statewide training
conference in the spring of each year, and AMEM sponsors a training
conference in the fall of each year. Information about these training
conferences and other special training opportunities can be obtained by
visiting the HSEM website at www.hsem.state.mn.us or the AMEM
web site at www.amemminnesota.org.
7 40
The Public Assistance (Infrastructure Support) and Human Section 2
Service Programs as offered through P.L. 93-288 and 106.390. Recognized Hazards in the
2. The Hazard Mitigation Program, as offered through P.L. 93-288 and State of Minnesota
106.390.
BE IT FURTHER RESOLVED that the County Emergency The following is a list of recognized potential hazards in the. s~ate. of
. Minnesota. These hazards are used as part of the hazard mItIgatIOn
Management Director is authorized to coordinate the damage survey planning process and other planning purposes, to develop vulnerability
teams with local government, and assist in the administration of the analyses, and to develop plans and guidelines at the state, county, and
disaster recovery process, as needed. local levels of government.
Adopted thi s day of ,20_. ~ Agriculture Disasters
Signed: ~ Civil Disorder
~ Dam Failure
Chair of the Board ~ Fire
Urban
Forest / Wildfire
ATTEST: ~ Hazardous Materials Incidents
Fixed Facility / Pipeline
Transportati on
County Administrator / Auditor Rail
Highway
Air
~ National Security Event
~ Natural Disaster
Flood
Severe Weather / Thunderstorm
Tornado
Winter Storm / Blizzard
~ Public Utilities Failure (Gas, Electric, Telephone)
39 8
~ Public Health Event Resolution Requesting a
Pandemic Outbreak
Environmental Health Presidential Declaration of a Major Disaster
Biological (Example)
~ Radiological Incident , (For use by a County Board in requesting a Presidential Declaration
Fixed Facility of a Major Disaster in order to apply for federal disaster assistance)
Transportation
.
~ School Crisis Event WHEREAS the County of has sustained severe
losses of major proportion, caused by (describe event) On the date(s) of
~ Terrorism (to include Chemical, Biological, Radiological, ; and - --- - -- - ~- ----
--~---_._._--- --- - -------------- ~ ---- -- --
__~_________~~--_-_--_Nuclear-orExplosiveevent) __ .~-- - - ------ .__n m
WHEREAS County is a public entity within
~ Transportation Accident the State of Minnesota; and
Ground WHEREAS substantial damage has been sustained to (choose one or
Air Water both) public and private property, as outlined in the attached damage
assessment forms; and
WHEREAS the cost of recovery from this disaster is beyond the
resources available within the county, and state and federal resources
are necessary;
NOW, THEREFORE, BE IT RESOLVED, that the Board of
Commissioners, for and on behalf of the citizens of
County, request the Governor of the State of Minnesota to petition the
President of the United States to declare the County of ,
Minnesota, to be a major disaster area, through appropriate channels.
BE IT FURTHER RESOLVED that this request is for:
1. (Select the appropriate statement from the three choices below)
The Public Assistance (Infrastructure Support) Program only, as
offered through P.L. 93-288 and 106.390.
The Human Services Program only, as offered through P.L. 93-
288 and 106.390.
9 38
Section 3
Resolution Declaring a State of Emergency The National Incident Management System
(Example)
(NIMS)
(For use by a City Councilor County Board when extending a State
of Emergency beyond the three day period authorized for initial . NIMS was developed by the US Department of Homeland Security to
declaration by a City Mayor or County Board Chairperson)
provide a consistent nationwide approach for Federal, State, and Local
WHEREAS the (event) of (date) impacted the population of governments to work effectively and efficiently together to prepare for,
respond to, and recover from domestic incidents, regardless of cause,
County and its cities; and size, or complexity. To provide for interoperability and compatibility
WHEREAS the event caused a significant amount of public among Federal, State, and local capabilities, the NIMS includes a core
property damage; and set of concepts, principles, terminology, and technologies covering the
incident command system; multi-agency coordination systems, unified
WHEREAS the County Department of Emergency command; training; identification and management of resources
Management requests the County Board of (including systems for classifying types of resources); qualifications and
Commissioners to declare County in a STATE OF certification; and the collection, tracking, and reporting of incident
EMERGENCY for the (type event) of (date); information and incident resources.
NOW, THEREFORE, BE IT RESOLVED, that the Components ofNIMS
County Board of Commissioners declares
County in a STATE OF EMERGENCY for conditions
resulting from the (type event) of (date) . ~ Command and Management: NIMS command structures are
based on three key organizational systems:
Adopted by the County Board of . The Incident Command System (ICS) (See Section 4): The
Commissioners this day of ,20_. ICS defines the operating characteristics, interactive
management components, and structure of incident
ATTEST: management and emergency response organizations engaged
throughout the life cycle of the incident.
I, , County Administrator, hereby
attest that the foregoing resolution was duly adopted by the . Multi-Agency Coordination Systems: These define the
County Board of Commissioners on the day operating characteristics, interactive management
of ,20_. components, and organizational structure of supporting
incident management entities engaged at the Federal, State,
Local Tribal, and regional levels through mutual-aid
County Administrator agreements and other assistance arrangements.
37 10
. Public Information Systems: These refer to processes, Local Declaration of a
procedures, and systems for communicating timely and State of Emergency
accurate information to the public during crisis or emergency
situations. (Example)
~ Preparedness: This includes planning, training, exercises, (For use by City Mayor or County Board Chairperson when issuing
personnel qualification and certification, equipment acquisition .
an initial Declaration of a State of Emergency)
and certification, mutual aid, and publications management.
~ Resource Management: NIMS defines standardized mechanisms WHEREAS the (city) (county) of ,
and establishes requirements for processes to describe, Minnesota, has sustained severe losses of a major proportion, brought
inventory, mobilize, dispatch, track, and recover resources over on by (description of emergency) on
the life cycle of an incident. the date of
~ Communications and Information Management: NIMS WHEREAS (name of city/county) is a public entity within the
identifies the requirement for a standardized framework for State Minnesota.
communications, information management (collection, WHEREAS the following conditions exist in (name of
analysis, and dissemination), and information sharing at all
levels of incident management. city/county) as a result of the disaster. (Describe the conditions as they
exist as a result ofthe disaster).
~ Supporting Technologies: Technology and technological systems
provide support capabilities essential to implementing and Now, THEREFORE, BE IT RESOLVED, that the (city
continuously refining the NIMS. These include voice and data mayor) (county board chairperson) of (name of city/county), acting on
communications systems, information management systems behalf of and for the people of (name of city/county), declare(s) that a
(i.e., record keeping and resource tracking), and data display state of emergency exists within (name of city/county), with all the
systems. Also included are specialized technologies that powers and responsibilities attending thereto as provided by Chapter 12,
facilitate ongoing operations and incident management Minnesota Statutes, and (name of city/county) (resolution) (ordinance),
activities in situations that call for unique technology-based titled , dated
capabilities.
~ Ongoing Management and Maintenance: This component
establishes an activity to provide strategic direction for and
oversight of the NIMS, supporting both routine review and the
continuous refinement of the system and its components over
the long term.
11 36
Powers and Duties Section 4
Under Emergency Declaration Incident Command:
~ Activates the state or local Emergency Operations Plan (EOP) The Minnesota Incident Management System
(Section 12.29) (MnIMS)
~ Authorizes aid and assistance (Section 12.29). .
The Incident Command System is designed to provide on-scene
~ When necessary to save life and property, may (1) require any incident management during an emergency/disaster. It provides an
person, except members of federal or state military forces and organizati onal structure and operating policies for emergency
officers of the state or political subdivision, to perform services responders, and can be established, modified, or expanded depending
for civil defense purposes, and (2) commandeer, during a civil upon the changing conditions of the incident. Its purpose is to minimize
defense emergency, any motor vehicles, tools, appliances or casualties and property loss through the use of common terminology,
any other personal property, with prompt, just compensation shared goals and tactical objectives, and an understanding of the roles of
for the use thereof and all damages done to the property while others. It also allows for the combining of resources during an incident
so used for civil defense purposes (Section 12.34).
ORGANIZATION / FUNCTIONS
~ Empowers state/local government to enter into contracts and
incur obligations necessary to combat the disaster/emergency Command: Includes an Incident Commander and, as needed, a
by protecting the health and safety of persons and property, and Special Staff comprised of a Safety Officer, Liaison Officer, and Public
providing emergency assistance to the victims of such Information Officer. Functions include:
disaster/emergency (authorizes such powers without
compliance with time-consuming procedures and formalities ~ Assess incident priorities.
prescribed by law pertaining to the performance of public ~ Determine strategic goals and tactical objectives.
work, entering into contracts, incurring obligations, ~ Identify Staging Areas, as needed.
employment oftemporary workers, rental of equipment, ~ Develop and implement an incident action plan.
purchase of supplies and materials, limitations upon tax levies, ~ Develop the appropriate incident management structure.
and that appropriation and expenditure of public funds (Section ~ Assess resource needs.
12.37). ~ Coordinate the overall on-scene emergency activities.
~ Authorize public information releases to the media.
. Operations: Responsible for the overall management of tactical
operations at the incident. This function is implemented when the
Incident Commander determines that the complexity of the incident has
created major demands on planning, execution, and resources.
35 12
Section 13
Planning: Responsible for the collection, evaluation, dissemination,
and use of information concerning incident development and resource Emergency Declarations and Powers
status. The Planning Cell assesses the current situation and develops
plans for the evolving situation. Authority and powers relating to the local declaration of an emergency
Logistics: Responsible for providing facilities, servIces, and are provided by Minnesota Statutes, Chapter 12 (Division of Division of
.' Homeland Security and Emergency Management), and by local (city,
materials for the incident.
county, and tribal) emergency management ordinances and resolutions.
Finance / Administration: Responsible for tracking all incident .
costs and evaluating the financial considerations of the incident. State Declaration of Emergency
In the event of enemy attack or major disaster from enemy sabotage Of__
---------------- . __otheLhostile-acti on, .the ,Governormay declare iCcivil-defense
-...-- -----~----
~ -- ----- ------~------ emergency for a period of 30 days with powers and duties conferred by
--- - ---~ ------
section 12.31 to 12.37, Minnesota Statutes.
In the event of a peacetime emergency, the Governor may declare an
emergency for a period of not more than five days (unless extended by
resolution of the executive council up to 30 days), only when an act of
nature, industrial accident or hazardous materials accident endangers
life and property and local government resources are inadequate to
handle the situation.
Local Declaration of Emergency
A local emergency may be declared only by the Mayor of a
municipality or the chair of a county board or their legal successors,
and shall not be continued for a period in excess of three days
except by or with the consent of the governing board of the political
subdivision (Minnesota Statutes Chapter 12, Section 12.29).
Examples of both an initial declaration and full City or County
Board resolution declaring a state of emergency" are included in this
section. In addition, in order to receive Federal assistance, the
disaster must meet federal criteria and the affected local
jurisdiction(s) must also pass a "Resolution Requesting a
Presidential Declaration of a Major Disaster", an example of which
is also included in this section.
13 34
any major wildfire which is burning out of control on public or private
forest or grassland.
Snow Emergency Declaration: A snow emergency declaration can
be made ifFEMA determines that a winter storm has left a majority of 0""
'iiic
the state totally "paralyzed". If declared, FEMA will reimburse state ..=> 8~
c co>
and local governments for the cost of snow removal from certain major Ec [,5 o=>
. Eo!!
00
roadways. ~o 0
--
Glo v_v ~,'
OGl C
~(I) Gl
Small Business Administration (SBA) Declaration: The SBA , c Gl... ~~
u: Ec
I==> iP
may make their own declaration to assist businesses, homeowners, and e
Q.
renters in a county that would not be eligible for FEMA's Individual -
,~,,~'"
Assistance programs. The Governor must request the SBA declaration e .- ~~ J >- co ..,~
and he relies on data provided by the county damage assessment. After c 0.., 'Q.:!:: .!!... co...
0 Q.c ~~ :> ...-
~..... Q... Q.c o Q.c
;:; :>- :>=> _ :>::>
the SBA verifies the data, the jurisdiction may be declared. When a 0 (I) III (I) .. 0(1)
~ ~ Q) ll.
ea.. (I)
~= 2~ - '---
county is declared by the SBA, all contiguous counties are included in 00"= ~ -... ~ ,~, - ,
Ill...
::::i0 ;:;
the declaration. ~U ... .!1 Qlo.c C ii
G> Q 0"1 ,. O. g.
=- 't:l .3 ~e E5 i:5 ~~
c
= = <<I (I) III 8 ::;;
Agricultural Disaster Declaration: The U.S. Department of 6 S E T - '--- -r- -.-- '-T-
E
0
Agriculture can provide a variety of assistance to farmers adversely 6;0 0 L
...
c
affected by natural disaster. The assistance most commonly provided is Q = Gl e .g~
U .~ " 0 C u:!::
the low-interest loan program made available through the Farm Service u i 0 g:!3 0<=
.E t; 0::>
..... = Sa.. ~lii 0
Agency (FSA). County Emergency Boards, convened by the FSA = = .e~ ~.E Gl
(I)
~ ~ ell: Ill::: I:J)
Agent, provide the damage assessment necessary for the Governor's "e ~ ~o (/)0 c
:a c .. c
...- 0 Gl
request for a declaration by the Secretary of Agriculture. ::l c e- .2_
CJ Do l\l ~rc -:d"C
= ii: co::> ~::1
1-4 ~ (I)
~ ~
c ..~ ~
0 .....,
;:; oc [
(.) ~~
Gl :> ..
(I) E E .. e
1/1 0 :>
~ .. e 0
8 r- ~ 0 0>
;;;;;;;;;; ll. ..
~ .. ... II:
.. ~ .. ..
, Gl f!- 0.
~ .. iii
Q) .., c:
Q. c c: en
0
0 l! Vi
III ;;
- - c
-
33 14
Seetio n 5 Assistance (ONA). Housing Assistance provides grants to pay for rent,
Emergency Operations Center (EOC) minor repairs to make a home habitable, or replacement of a home up to
a capped amount. It can also provide direct assistance in the form of
travel trailers or mobile homes for families whose homes are
uninhabitable. Other Needs Assistance provides grant assistance for
An Emergency Operations Center (EOC) is a central location which personal property losses, disaster related medical, dental, and funeral
enables government to coordinate policy decisions, manage resources, . expenses, transportation, and other serious needs that are not met by
and respond to disasters and emergencies beyond the scope of an on- insurance or disaster loans.
scene incident commander. (Note: Emergency planning should also
include the designation of an Alternate EOC should the primary facility . Sm~ll Busin~ss Administration Disaster Loan Program:
become unavailable). ProvIdes low mterest loans to individuals and businesses for repair,
rehabilitation or replacement of damaged real and personal property not
Purpose covered by insurance. For businesses, it may<!I~Q~PfQyideJoansIor~--
---~~---------- - -- ---_.--- -- -- -- ___un n ._- economicinjurylosses.-n-------~---n---
--~-~---~ - - ---- - ----
------ The purpose of an EOC is to facilitate management of an emergency or Other Programs and Services Which May Be Offered:
disaster, assist those who need help, reduce the devastating
consequences, and help the community get back to normal by starting ~ Food coupons.
the recovery process as soon as possible.
~ Disaster unemployment assistance and job placement assistance
Functions for those unemployed as a result of the disaster.
~ Advice on legal, consumer, insurance, and tax issues.
Operations and Policy-Making: Emergency declarations, establishing ~ Crisis counseling and referrals to appropriate mental health
response priorities, and overall coordination of response activities. ~ agencies, to relieve disaster-caused mental health problems.
Social security assistance (such as death or disability benefits,
Planning: Tracking of the ongoing situation and deployed resources, pensions, insurance settlements, and adjustments to home
documentati on, techni cal assistance, damage assessment, strategy mortgages held by the Veterans Administration).
development, and demobilization. Anticipate and facilitate future Additional Federal Emergency Declarations
operations.
Logistics: EOC services, incident support. Emergency Declaration: An emergency declaration is requested
when the following two conditions exist: (1) State and local
Finance and Administration: Administrative issues, future payments, , government, along with private relief agencies have expended all of
payment of personnel costs, cost recovery, calculation of damages, their resources in response to the emergency situation; and (2) there is a
procurement, compensation and claims, documentation of resources specific or unique need that the federal government can meet which is
expended and costs. necessary to save lives, protect property, public health and safety, or to
reduce the threat of a more severe disaster.
Fire Management Assistance Grant: FEMA can provide financial
assistance to state and local governments for the purpose of suppressing
15 32
Section 12 When To Activate the EOC
Requesting Federal Assistance ~ Outside resources are needed to accomplish the work being done at
the incident.
When major catastrophic disasters occur, the federal government serves ~ Incident requires multiple agencies to be involved beyond those
as a provider of disaster recovery assistance to both public agencies and that usually work together.
private citizens. The majority of this assistance is provided through .
P.L. 93-288, "The Robert T. Stafford Disaster Relief and Emergency ~ Incident covers a large geographical area and/or involves multiple
Assistance Act", more commonly referred to as "The Stafford Act". It . locations.
is implemented by the Federal Emergency Management Agency
(FEMA), and only after the president of the United States declares EOC Staffing
a major disaster or an emergency for the affected area. This is only
done when the disaster is of such magnitude that it is clearly beyond the The needs of the incident will always dictate the level of staffing in the
state and local governments' ability to recover. Such declarations are EOC. The following personnel and departments/agencies should be
restricted to natural disasters of catastrophic proportions that require considered during an EOC activation (this list is by no means inclusive,
substantial federal support of state and local recovery efforts. and could change depending on the emergency):
Three major disaster federal assistance programs may be made available Assessor
as the result of a presidential declaration of a major disaster: Human Services
Auditor Information Technology (IT)
~ Public Assistance (financial assistance to state and local
governments, school districts, tribal governments, and certain Chief Elected Official Law Enforcement
private non-profit organizations to recover costs for performing City Manager / County Legal Advisor
emergency actions to save lives and protect property; and to Administrator
rebuild, repair, or restore damages to public property). Medical Examiner / Coroner
Communications
~ Hazard Mitigation (reduction or elimination of disaster-related Private Partners
Emergency Manager
risks). Public Health
Emergency Medical Services Public Information Officer
~ Individual Assistance (financial assistance and services to Engineer
individual disaster victims to help them recover their losses). Public Works
Environment Management Utility Representatives
Individual Assistance Programs ,
Fire
Volunteer Organizations
Because of the wide diversity of needs brought on by a disaster, state Health Care Facilities
and federal agencies have established various services, or forms of
financial aid, to assist disaster victims.
Individuals and Households Program (IHP): The IHP has two
types of assistance, Housing Assistance (HA) and Other Needs
31 16
Section 6
~ Unless there is a written agreement between the political
Emergency Management subdivisions establishing rules for conducting activities, the
Functions and Responsibilities legislation shall apply.
~ Workers' Compensation coverage shall remain with the sending
political subdivision.
. ~ Tort Liability shall remain with the receiving political
The following are functional areas of response to a disaster or subdivi si on.
emergency, and associated offices and agencies typically responsible ~ The sending political subdivision shall be responsible for any
for such response, that should be part of a local emergency operations damages to its equipment.
plan (EOP): ~ The receiving political subdivision shall reimburse the sending
political subdivision for the supplies used and the
____~ncgIl1P-~nsati on. paid to ,officers and - memberso[-forces--._. . ---- --- -
Notification and Warning - !ie>!ifyiIlK.ih.e.public_oLprobable...- ".
furnished. A claim is not allowed unless filed within 90 days
--.impending--disaster-in.ti.irie.io~take protective action. Includes the after loss.
operation of all communication services for control centers and
operational forces.
Responsibility: County Sheriff or Municipal Police Department The Emergency Management Assistance Compact
(EMAC)
Direction and Control - Management of a community's survival
recovery efforts, and the operation itself. The state of Minnesota is a member of the Emergency Management
Assistance Compact (EMAC), a national disaster relief compact
Responsibility: Chief Elected Official; County/City Manager; between the states which offers a responsive system for states to send
Director of Emergency Management personnel and equipment to help disaster relief efforts in other states.
Once conditions for providing assistance to a requesting state have been
Emergency Public Information - Providing information and established, the terms constitute a legally binding contractual agreement
direction to the public about appropriate protective actions. that make affected states responsible for reimbursement. In addition,
Government spokesperson to the media. personnel resources deployed through the state EMAC to another state
are protected under workers compensation and liability provisions of
Responsibility: Public Information Officer the compact.
Search and Rescue - Searching for and rescuing trapped, injured, or
missing people.
Responsibility: Fire; Law Enforcement
17 30
Calamity Act -
Health / Medical - Providing appropriate health and medical care or
The Calamity Act (M.S. Chapter 9.061) was enacted to provide limited services to the stricken population.
state financial assistance to local governments that have experienced a Responsibility: Department of Health and Human Services;
disaster. The Act defines a disaster as an event which represents an on-
going threat to life and property and which exceeds the financial Emergency Medical Services; Health Care Facilities
resources of the local government. It should be noted that while the Evacuation, Traffic Control, and Security - Managing movement
Calamity Act is still part of state statute, it has not been funded for ,
several years and may not be able to be invoked for that reason. of people from the path of the threat or disaster to an area of relative
, safety; protecting life and property; controlling movement of persons
Disaster Assistance For The Repair Of and emergency equipment necessary to protect persons and counteract
State-Aid roads and Streets the emergency situation.
As provided by Minnesota Statutes Chapter 161 and 162, a disaster aid Responsibility: Law Enforcement
program has been developed by the Department of Transportation to Fire Protection - Deploying firefighting resources to prevent or
provide assistance to local government for making repairs to state-aid contain fires and rescue trapped or injured people.
roads and streets. The assistance would come in the form of additional
funding for disaster damaged state-aid roads and streets. The only firm Responsibility: Fire Departments
criteria for qualifying for this assistance is that the estimated damage
must exceed 10 percent of the current annual state-aid allotment of the Damage Assessment - Assessing physical damage, and collecting
county/city. information essential to recovery efforts and future mitigation.
Minnesota Housing Finance Agency Responsibility: Assessor's Office; Building Officials
The Minnesota Housing Finance Agency (MHF A) was established to Congregate Care - Providing shelter, lodging, food, clothing and
help reduce the cost of financing the purchase, construction, and sanitation to the displaced population.
improvement of housing for Minnesota residents with low to moderate
incomes. The Agency's programs, while not designed for disaster Responsibility: Department of Health/Human Services; Red
victims, could be used to restore a disaster damaged home ifthe criteria Cross; Salvation Army
for qualifying for such a loan are met.
Debris Clearance - Removal of debris resulting from a disaster from
Statewide Mutual Aid , public roads, highways, and facilities. Removal of debris from private
property is generally the responsibility of the property owner.
Minnesota Statutes (Chapter 12, section 12.331, Local Assistance
between Political Subdivision, effective March 29, 1998), provides that Responsibility: Inside City Limits - City EngineerlPublic Works;
a political subdivision may request the assistance of another subdivision Outside City Limits - County Engineer /
when the public interest requires it because of an emergency. The main Highway Department
points of this section of Chapter 12 are:
29 18
Utilities Restoration - Restoration of public works and utilities the Minnesota Duty Officer, who will in turn contact the appropriate
damaged by an emergency/disaster. state officials in order to expedite any such requests. All requests must
be followed up in writing.
Responsibility: County/City Engineer; Utility Companies
Minnesota Voluntary Organizations
Radiological/Hazardous Materials Protection - Response to, Active in Disaster (MNVOAD)
containment of, and recovery from radiological releases and hazardous .
material accidents. Th 1 ' , . M' h 'I bl
. ere are many vo unteer orgall1ZatIOns m mnesota w 0 are aval a e
R 'bolo P' D rt t d L E fi t' t d to provide disaster response and recovery. MNVOAD was formed to
esponSI llty: Ire epa men san aw n orcemen aSSIS e " . .
b h MN D. .. f HId S '. d ensure an effectIve and efficIent response by these orgall1ZatIOns to any
y t e IVlSlon 0 orne an ecunty an d" , 0 . . . 1 d h A . R d C C"l
E M t th MN P 11 t. Isaster SItuatIOn. rgamzatIOns mc u e t e mencan e ross, IVI
mergency anagemen, e 0 u Ion. .
C 1 A d . HAZMAT T AIr Patrol, RE,A.C, ,T., SalvatIOn Army, u.~,A~l1l.~~_E9~~~~MARS,---
ontro gency an supportmg earns. . S hd-R-"" -~----D-----A- ------.. d' h h
____ '___ ----- -- -' ---Mmnesota- earc -an escue og ssocIatIOn, an vanous c urc -
~-- ~--- --------- affiliated organizations, MNVOAD services, beyond those available at
the local level, are activated through the Minnesota Duty Officer.
Additional State Assistance Programs
Although state government is not a major provider of disaster recovery
assistance, it does offer a few specialized programs for local
governments and individuals. Specific requirements and procedures for
utilizing these programs can be determined through the local office of
emergency management.
Reassessment of Homestead Property
Damaged by Disaster
Following a declared disaster or emergency, a local government may
request the state Executive Council (through the Governor) to allow it
to reduce property taxes on damaged homestead property, and to be
reimbursed for the loss in revenue. For a local government to be
eligible for this program there must be a minimum of 25 homes having
an average of $5,000 in damages.
19 28
-
Section 11 Section 7
Requesting State Assistance Potential Response Resources
When a jurisdiction is confronted with an emergency/disaster situation, The following is a list of resources that may be considered for use
it is recognized that it will respond with resources under its control and during an emergency or disaster. This list is not all-inclusive and local
through any mutual aid agreements with surrounding jurisdictions. In . resource manuals should be consulted for locally available resources.
addition, certain state and federal agencies, along with private relief
agencies, are available to provide disaster recovery assistance. Emergency Services Communications
. Fire Cellular Phones
Minnesota Duty Officer Police Pagers
Emergency Medical Services Media
Emergency Management Newspapers
Local government officials should notify the Minnesota Duty Officer in Public Works Radio Stations
Public Utilities Television Stations
the case of hazardous materials accidents, radiological incidents, Medical News Services
requests for National Guard or Civil Air Patrol assistance, natural Hospitals Individuals
disasters, or other major emergencies or disasters within their Clinics Clergy
jurisdiction. The primary purpose of the Duty Officer system is to Doctors Local Officials
Dentists Doctors
ensure the proper receipt and dissemination of emergency notifications Nursing Homes Dentists
to state and local government agencies by providing a single number for Medical Examiner/Coroner Nurses
both private and public institutions to call. Additionally, the Duty Veterinarians Pilots
Officer serves as a source of information and/or as a facilitator for Medical Associations Morticians
Morticians Amateur Radio Operators
obtaining many state resources. The Duty Officer may be contacted 24 Assembly Areas Building Contractors
hours a day, seven days a week, by calling 1-800-422-0798 (greater Parks Equipment
Minnesota) or (651) 649-5451. Shopping Centers Farm Tractors
Schools Construction Equipment
Churches Excavation Equipment
Minnesota National Guard Government Buildings Chain Saws
Warehouses Portable Power Plants
Military assistance from the Minnesota National Guard (Department of Community Centers Oxygen Tanks
Transportation Service Agencies
Military Affairs) may be requested when an emergency/disaster occurs Buses Red Cross
which is beyond the capability of local government. The primary Trucks Salvation Army
Vans Community Groups
purpose of activating the Guard is to ensure the preservation of life and 4-Wheel Drive Vehicles PTA
property and to support civil law enforcement agencies. Normally, Tractor Trailers Chamber of Commerce
military personnel are requested to furnish support for a specific task, Taxicabs American Legion
such as supplemental law enforcement or use of a specific piece of Power Boats VFW
Airplanes Churches
military equipment. Only the governor, as Commander-in-Chief of Snowmobiles Senior Citizen Groups
the Minnesota National Guard, has the authority to activate the Swamp Buggies Volunteer Agencies
Guard. All requests must be made by the county sheriff, except for Helicopters Community Service Organizations
cities ofthefirst class (population 100,000 or more), in which case the Supplies Citizen Corps
Food
mayor may submit the request. Requests will be made by contacting Clothing
Sand
27 20
Section 8 Section 10
Director of Emergency Management Continuity of Operations (COOP)
Functions and Responsibilities It is the function of government to provide law enforcement, elected
representation of the public, leadership, public sezvices, and by
Minnesota State Statutes (Chapter 12) requires political jurisdictions . extension, to provide for the protection of life and property.
(counties, cities, and tribal jurisdictions) to appoint a Director of Government provides such vital programs and sezvices as social
Emergency Management. The following are examples of this position's .' sezvices, public health, school systems, and public works. To carry out
functions and responsibilities: these responsibilities it has extensive resources, including people,
equipment, facilities and supplies. These resources may be vulnerable
~ Develops and maintains the jurisdiction's Emergency Operations to a number of hazards or threats that could impair its ability to carry
Plan and consistently tests this plan through scheduled exercises. out its responsibilities.
~ Develops and implements a public warning system. Continuity of Operations is the preservation, maintenance, or
reconstruction of government's ability to carry out its executive,
~ Coordinates jurisdictional response to emergencies/disasters, to legislative, and judicial processes under the threat or occurrence of
include coordinating emergency sezvices and communications any emergency condition that could disrupt such governmental
facilities. processes and services. Its purpose is to preserve lawful leadership
and authority, prevent unlawful assumption of authority, assure
~ Assists other governmental units within the jurisdiction III government direction and control mechanisms, and assure delivery of
developing organizational plans and training programs. government sezvices.
~ Develops standards and procedures for the Emergency Operations Elements of
Center (EOC) and supervises EOC operations. Continuity of Operations
~ Maintains inventory and utilization record of emergency equipment
secured through emergency management sources. Succession: The process established to list the order or line of those
entitled to succeed one another under emergency conditions. Identifies
~ Prepares and presents the emergency management budget to the who's in charge; ensures continued leadership (three deep).
appointing authority.
~ Pre-delegation of Emergency Authority: Allows specific
Maintains liaison with jurisdiction and state regional offices. emergency legal authorities to be exercised by the elected or appointed
leadership or their designated successors.
~ Provides direction for staff and volunteer training initiatives, and
assists local jurisdictions with development of their training Emergency Action Steps: Those actions that facilitate the ability of
program. government personnel to respond quickly and efficiently to
emergencies. Ensures that specific actions exist that senior leaders must
be prepared to take in response to emergency conditions.
21 26
Maintain Political Awareness ~ Evaluates staff performance and recommends personnel
adjustments.
~ Recognize personal accountability for actions and decisions ~ Prepares informational material for dissemination to the public.
during an emergency. ~ Meets with interested groups to explain the emergency
>- Check provisions for other public officials (periodic updates; management program and enlist their support and cooperation.
staff updates on politically sensitive issues such as life and
property losses, service interruptions, etc.). ,
>- Establish and evaluate policy decisions throughout incident.
>- Confer with other elected officials when difficult issues arise. ,
>- Use elected officials to request assistance from public and
private organizations if normal channels are not
"responsive" .
Keep the Public Informed
>- Check plans to inform the public through the media.
>- Ensure designation of a single public information officer
(avoids conflicts in official statements).
>- Ensure establishment of a media center, if needed.
>- Channel all releases through the EOC first to ensure staff
coordination and approval.
>- Ensure establishment of news media updates and access policy,
as needed.
25 22
Section 9 ~ Maintain a personal log of all key information, factors weighed,
and decisions reached.
~ Direct staff to assess and report problems, resource shortfalls,
Elected Officials policy needs and options.
Functions and Responsibilities ~ Chair assessment meetings.
A local emergency or disaster is a stern test of a political jurisdiction's Key questions to ask: Who is in charge? Where? Of What?
'. Has there been proper vesting of authority? Is the continuity of
leadership. Elected officials, whether they be governor, county government assured? What is the status of intergovernmental
commissioner, county administrator, city mayor, or city manager, bear , coordination? Availability of support from utilities, state
direct and ultimate responsibility for how well their jurisdiction agencies, private organizations? What options are open to deal
responds to and recovers from an emergency or disaster. Emergency with shortfalls? What financial issues are surfacing? What
Management is the essence of that part of government's charter "to conditions/parameters should be followed in contacting outside
maintain law and order and provide for the protection of lives and public officials? Is there ~u~~~~_!~pI,!~e~2!herp~I'~QnneLQn-----
property." The Integrated E!l:l~rg~~cYJ\1allag~ID~l1LSystemandJocaL- uu --------aleIt?WliafistnestatUs ofEOC - should it be
-emergehcy--m-ami,gemenCoffices and resources provide chief elected opened/closed/relocated?
officials with the basis for undertaking their responsibilities in this area.
The degree to which officials participate in and support these efforts ~ Issue emergency declarations as needed.
will in large measure reflect the outcome of a jurisdiction's response to ~ Ensure staff maintain logs of actions taken and financial
emergencIes. commitments made.
~ Maintain liaison with other elected officials.
Be Informed
Take Care of Personal Requirements
~ Be familiar with local Emergency Operations Plan and
procedures. ~ Develop and implement personal and family preparedness plan.
~ Receive initial assessment and updates concerning incident
type, magnitude, injuries/death, property damage, ~ Tell family members of your destination and contact numbers.
~ Take medications, toiletries, and clothes as warranted by initial
environmental damage, and economic impact.
~ Receive on-going status briefings from the incident command notification.
~ Take list of peers to contact for advice.
site, internal/external resources committed, ~ Remember that you role is policy-making, not operations.
internal/external resources required, and coordination with
other officials and jurisdictions and the media. Establish Legal Contacts
,
Exercise Leadership ~ Contact legal advisors and establish communications links.
~ During an emergency/disaster, exercise leadership and policy j ~ Review legal responsibilities and authorities (emergency
declarations, chain of succession, inter-governmental aid,
decision-making over the emergency response social controls, price controls, and other restrictions).
organizati on. ~ Monitor equity of service based on needs and risks.
Remember that your role is policy-making, not ~ Review status of contracts with suppliers of emergency goods
operational. or services, as necessary.
23 24
- ~ - - ~ -
Disaster Survival Kit Disaster Survival Kit Disaster Survival Kit
3 . legal 4 . Political 5 · Public Information
CJ Contact legal advisors rJ Hecognlr.e accountablllly CJ Check plans to Inform public and
manage media
Review legal responsibilities and Check provisions for public ofllclals: . desIgnate single PIO
authorltles:
. space at EOC ,
. emergency declarations sr, ." . evaluate media capabllilles
2.,
0-, . periodic updates 0-,
. chain of succession "" ""
0' 01 . establish medIa center
=>, =>,
'. Intergovernmental aid <0, . staff updates on pollllcally <0,
0-, 0., . channel all releases first through
. sodal conlrols (curfews) g, senslllve ISllues. such as life and g,
~: property losses. scrvlce Inlerrup. (1)' CEO In EOe
0-,
. price controls :::;;' lions. etc. =:,
=>, => . establlsh news media update and
CD (1)
. other rcslI1elions CJ Establish and evaluate polley decl. access policies
CJ Monitor equity of servlcc based on slons throughout the Incident
needs and risks CJ Confer with other selected officials
. malnlaln balance between public when problems arise
welfare and citizens rights CJ Use elected officials 10 request
CJ Have status of contracts reviewed assistance from public and prlVllte
organizations
- -- ,
ELECTED OFFICIAL CHECKLIST
(See Section 8)
(Detach, fold and keep in wallet as a ready resource)
---- --- --- - - --' -...-- -- .--r- _H - - - - - - - - - - _'- 4.- - -~_._--' - - - -
Disaster Survival Kit Disaster Survival Kit , Disaster Survival Kit
,
,
Be Informed 1 · Exercise Leadership , 2 · Personal
,
,
,
,
Notified by o Begin personal log , o Develop and implement fluuily
,
Time 1 readiness plan.
1ype of o Establish contact with Office of 1
,
Emergency Emergency Management 1 o Tell family destination and how to
1
Location 1 contact
o EO reporting point. open routes " o Direct staff to assess and report on -m
2., 2.,
and means; communications 0., problems. resources. shortfalls. pol- ~: o Take medications. toiletries and
channels 1>>1 clothes
01 icy needs and options 0'
Incident Size-up :J' :JI
CO, CO,
o 1ype 0.1 o Remember that your role is policy- 0., o Take list of peers to contact for
0, 2,1
o Magnitude ~, making. not operational <1)' advice
o Best/Worst case ~, 0.'
-I o Chair assessmcnt meeting =:-
Damage :i". :J, o Take personal tape recorder
<1) <1)
o Injuries/deaths
o Area (size) o Issue emergency declarations as o Other things to remember:
o Property damage needed
o Other Impacts
Resources o Set reporting procedures
o Incident command status
o Int./Ext. resources committed o Remind staff to keep complete logs
o lnt./Ext. resources required of actions and financial records
o Eoe status and location
o Other authorities notified? o Begin liason with other officials
1 -- --