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Operation POD Squad Functional Exercise Inject Responses – April 30 2013

InjectEssex Response Regional Health Commission Report Livingston New Jersey

Operation POD Squad – Point of Dispensing Functional Exercise

April 30, 2013

Disaster Resistant Communities Group LLC www.drc-group.com Operation POD Squad Functional Exercise Inject Responses – April 30 2013

This report contains the inject responses from the Operation POD Squad – A Point of Dispensing Functional Exercise. These responses are unedited and are directly exported from the information typed into the ONX System during the exercise. The purpose of this report is to provide documentation for your organization’s records of exact responses captured during the exercise. www.drc-group.com – [email protected]

Operation POD Squad - B - # 001

Team # 1 - Rich Colabelli

An outbreak of unusually severe respiratory illness has been identified in a small village in southern China. At least 25 cases have occurred affecting all age groups; 20 patients have required hospitalization, five of whom have died to date.

Day 11

Surveillance in surrounding areas has been increased resulting in new cases being identified throughout the province. Viral cultures collected from several of the initial patients are positive for type A influenza virus.

Samples of the virus have been sent to the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) for further characterization. The CDC has determined that the samples are type A H7N3, a subtype never before found in humans. Part 1 Day 29

The findings from the CDC have been transmitted back to the Ministry of Health in China and throughout the WHO network. The CDC, in collaboration with the WHO, has dispatched a team of epidemiologists and laboratory personnel to further evaluate the outbreak. The CDC also disseminates a Health Alert Network (HAN) advisory notifying clinicians and public health agencies in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia where the human cases occurred.

Samples of the H7N3 influenza virus are sent to the United States Food and Drug Administration (FDA), Novartis, Sanofi Pasteur, MedImmune and GlaskoSmithKline so that work can begin on vaccine production.

Identify the name and title of the individual at the health department that would receive the HAN advisory. Part 2 Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff? Part 4 Yes

If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. Part 6 PIO's, internet, LINCs agency If the above answer is no. – Briefly explain why the information in the HAN would Part 7 not be shared at this time. Part 8

Team # 2 - Vaidehi Dave

Day 11

Identify the name and title of the individual at the health department that would receive the HAN advisory.

Part 2 Health Officer/Director Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff? Part 4 Yes If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. Health Departments will disseminate the info. through Local Infomation Network Communication Center (LINCS) and through local meetings. Part 6 Daily talking points received from the DHSS will be shared with the internal staff. If the above answer is no. – Briefly explain why the information in the HAN would Part 7 not be shared at this time. Part 8

Team # 3 - Keith Costello

Part 1 Day 1

Day 11

Samples of the virus have been sent to the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) for further characterization. The CDC has determined that the samples are type A H7N3, a subtype never before found in humans.

Day 29

The findings from the CDC have been transmitted back to the Ministry of Health in China and throughout the WHO network. The CDC, in collaboration with the WHO, has dispatched a team of epidemiologists and laboratory personnel to further evaluate the outbreak. The CDC also disseminates a Health Alert Network (HAN) advisory notifying clinicians and public health agencies in the

United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia where the human cases occurred.

Identify the name and title of the individual at the health department that would receive the HAN advisory. Part 2 Sue Portuese, Health Officer Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff? Part 4 Yes If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. Part 6 The Health Officer will email all Nursing Staff and the Information Officer. If the above answer is no. – Briefly explain why the information in the HAN would Part 7 not be shared at this time. Part 8

Team # 4 - Jean Walker

Day 11 Part 1 Surveillance in surrounding areas has been increased resulting in new cases being identified throughout the province. Viral cultures collected from several of the initial patients are positive for type A influenza virus.

Samples of the virus have been sent to the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) for further characterization. The CDC has determined that the samples are type A H7N3, a

subtype never before found in humans.

Day 29

Identify the name and title of the individual at the health department that would receive the HAN advisory. nwk: marsha mcgown and lincs team; east orange = rochelle evans, east orange Part 2 general and dave williams oem; irvignton - atif na Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff? Part 4 Yes If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. east orange v. kutyei epi would also receive the han.

Part 6 irv & east orange: the han would go via email and most staff have access to the han vai previous enrollment and clearance;; newark : would notify surveillance team and dr. wenger and have a meeting w/surveillance subcommittee. If the above answer is no. – Briefly explain why the information in the HAN would Part 7 not be shared at this time. Part 8

Team # 5 - Sandy Harris

Part 1 Day 1

Day 11

Samples of the virus have been sent to the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) for further characterization. The CDC has determined that the samples are type A H7N3, a subtype never before found in humans.

Day 29

Identify the name and title of the individual at the health department that would receive the HAN advisory. Part 2 health officer Joe Blowr Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff? Part 4 Yes If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. Part 6 staff meeting, supervisory staff, email , etc. Part 7 If the above answer is no. – Briefly explain why the information in the HAN would

not be shared at this time. Part 8

Team # 6 - Stephen Rufolo

Day 11

Identify the name and title of the individual at the health department that would receive the HAN advisory. Part 2 Tom Restaino; Public Health Coordinator Nutley Health Dept. Assuming that the chance of health department staff encountering patients that Part 3 may have been exposed to the virus is very remote will the information contained in the HAN be shared with all of the health department’s staff?

Part 4 No If the above answer is yes. – Briefly explain how this information will be Part 5 disseminated to all of the health department’s staff. Part 6 . If the above answer is no. – Briefly explain why the information in the HAN would Part 7 not be shared at this time. In order to prevent panic and avoid the dissemination of misinformation until all Part 8 correct facts are known, HAN information will be shared with only those staff deemed necessary.

Day 37

The WHO has issued a Phase 4 Pandemic Alert.

Influenza vaccine manufactures have been placed on alert and have begun to prepare for the production of a vaccine to combat the H7N3 influenza virus.

The outbreak caused by the novel influenza virus is headlined in every major newspaper and has become the lead story on CNN, MS-NBC and Fox News.

Day 46

Part 1 Key United States government officials continue to be briefed on a daily basis as surveillance is intensified throughout Southeast Asia and the Pacific Rim.

The CDC has issued a Travelers Health Warning for those traveling to and from China and Indonesia, and a Travel Health Precaution for most of the other Southeast Asian countries.

Human cases of the H7N3 influenza virus have been reported in Thailand, Hong Kong, Singapore, South Korea and Japan.

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 No

If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. Part 4 EOP NOT ACTIVATED,BUT CONTINUE TO MONITOR INCOMING INFO If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP. Part 6

Day 37

Day 46

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 No If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. Part 4 If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP.

The Health Department would wait for notification from the State Health Part 6 Department before activating any of the components of the EOP.

Day 37

Day 46

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 No If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. Part 4 If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP. Part 6 It is not in this country yet

Part 1 Day 37

Day 46

Key United States government officials continue to be briefed on a daily basis as surveillance is intensified throughout Southeast Asia and the Pacific Rim.

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 No If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. Part 4 If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP. Roseland-internal communication and pre-planning will take place briefing everyone about the novel virus. initiate basic Public Health annex within agency.

West Caldwell-will brief the Office of Emergency about what's going on. brief Part 6 stakeholders (local municipal dept. heads, large businesses, fixed facilities, school superintendents, hospitals, etc.)

Livingston/Millburn-will brief stakeholders and internal staff

Part 1 Day 37

Day 46

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 Yes If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. Part 4 Public education of specifics of disease based on community need; If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP. Part 6

Part 1 Day 37

The outbreak caused by the novel influenza virus is headlined in every major

newspaper and has become the lead story on CNN, MS-NBC and Fox News.

Day 46

Based on the current information from the CDC and WHO would the health department activate any of the components of its Emergency Operations Plan (EOP)? Part 2 No If the above answer is yes. – Identify the components of the EOP that would be Part 3 activated and briefly describe the actions that would be underway at this time. newark: notification via subcommittees. put hospitals on notice. reach out to herc to coord with state doh for risk. Part 4 east orange: &

irvington: pulls staff together for updates; review plan at this time; If the above answer is no. – Briefly explain why the health department would not Part 5 activate any of the components of its EOP. nwk has learned to look at vaccine contracts now - preferably interpandemic.

no - because it is too early to cause potential panic. to control panic the eop is followed but not officially activated as yet. there is no vaccine as yet. Part 6 this can still be labeled as the public info and education phase. good info now will help later on.

irv: agrees. continue monitoring and sharing appropriate info w/public.

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. STATE HEALTH MONITORING CDC BEGIN SOCIAL DISTANCING AND Part 2 CANCELLING SOCIAL EVENTS

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. The Nursing Staff have access to CDRSS and will monitor for new cases of H7N3. We would coordinate our data with the epidemiologist. The nursing staff Part 2 will also reach out to the school nursing staff to find out if there is an increase in absenteeism. The health department will also contact Nursing Homes to see if they have any residents who show signs of respitory infection.

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. Surveillance and reporting from schools, LTHC facilities, physicians, daycares, Part 2 ERs, hospitals, urgent care centers and coordination through epis using CDRSS and EpiWatch

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. Monitor CDRSS reports; work with Essex Regional Health (County Part 2 Epidimeiologist) to enhance communication, surveilance of media centers, schools, clinics health care facilities

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. social networking- press release on social distancing, handwashing, education campaign

stay home if you are sick

emphasize infection controls strategies

All surveillance will be conducted through Medical Coordinator Centers.

Enhanced surveillance will be conducted by the regional epidemiologists and Local Health Depts with hospitals, schools, Long term care centers, and other Part 2 community partners.

Board of education will provide absenteeism data to Local Health Departments.

ADP-hotline will be established for the employees to report flu-like illness and keep track of data.

Regional epidemiologist will coordinate enhanced surveillance efforts (developed by the DHSS).

Security for the anticipated SNS supplies

Day 91 Part 1 Briefly describe the enhanced health surveillance processes and procedures that would be employed by the health department due to current health emergency. Part 2 east orange: enhance school nursese to send ili students home. eo hd will coord to deliver meds to the home, but please don't come to er. stay home if sick;;

nwk: outreach to school nurses and hospitals, er's icp's. public info for hand washing, cover coughs, distibute purell;

irv: agrees.

epi protocolswriteen for enhanced surveillance. weekly goes to daily

survaeillance is enhanced ot. daily surveillances go to twice daily.

irv: cdrss is in use and following the written protocols for enhanced surveillance. language barriers must be dealt with to make the prevention points. universal precautions are advised = social distancing, stay home if sick. health departments may be accessing the shelf kits.

Day 92

With guidance from the state’s department of health the decision has been made Part 1 to fully activate the health department’s EOP.

Will the health department utilize the Incident Command System to effectively and efficiently manage the response to this health emergency? Part 2 Yes (Note: At this point the decision to open Points of Dispensing (POD) has not been made.)

If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that would be staffed for this incident. Part 3 (Note: Some roles will need to be filled with secondary or tertiary level personnel.)

(Example: Incident Commander – John Harper – Environmental Health Coordinator) INCIDENT COMMANDER COUNTY HEALTH OFFICER MIKE FESTA LEPC ACTIVATED IN SOUTH ORANGE VILLAGE Part 4 OPERATIONS CHIEF -ALEX TORPEY VILLAGE PRESIDENT If the above answer is no. – Briefly explain why ICS would not be used and Part 5 describe in detail how the health department will manage this incident. Part 6

Day 92

(Example: Incident Commander – John Harper – Environmental Health Coordinator) Incident Commander, Health Officer Bob Roe

PHNS-Lolita Hollaway

Part 4 PIO

REHS-Michael F

clerical staff-Sue Jones If the above answer is no. – Briefly explain why ICS would not be used and Part 5 describe in detail how the health department will manage this incident. Part 6

Day 92

Will the health department utilize the Incident Command System to effectively and efficiently manage the response to this health emergency?

Part 2 Yes (Note: At this point the decision to open Points of Dispensing (POD) has not been made.)

(Example: Incident Commander – John Harper – Environmental Health Coordinator) Incident Commander--Sue Portuese--Health Officer

Part 4 POD Manager--Peggy Brodowski--Nursing Director

Information Officer---Erica Abbruzzese--Health Educator If the above answer is no. – Briefly explain why ICS would not be used and Part 5 describe in detail how the health department will manage this incident. Part 6

Day 92

Will the health department utilize the Incident Command System to effectively and efficiently manage the response to this health emergency? Part 2 Yes Part 3 (Note: At this point the decision to open Points of Dispensing (POD) has not been made.)

If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that would be staffed for this incident.

(Note: Some roles will need to be filled with secondary or tertiary level

personnel.)

(Example: Incident Commander – John Harper – Environmental Health Coordinator) Tom Restaino; Public Health Coordinator Nutley

Patty Cruz, Public Health Nursing Supervisor Nutley Part 4 Meredith Blank; POD Manager Nutley

Captain Tom Nicolette, OEM Coordinator If the above answer is no. – Briefly explain why ICS would not be used and Part 5 describe in detail how the health department will manage this incident. Part 6

Day 92

(Example: Incident Commander – John Harper – Environmental Health Coordinator) Part 4 Livingston-

Incident Commander-Lou Anello, Health Officer

Logistic Chief-Michelle Meade, Town Manger, Local OEM

Janet Traettino, PHN

Finance Chief-Bill Nadloyn, CFO

Roseland-

IC-Carlo Dilizia, HealthOfficer & John Matheis, OEM Coordinator

Logistic chief-Police Chief, Richard Mcdonoull

Finance Chief-CFO, Maureen Scumacas

Fairfield/West Caldwell/north Caldwell

IC-Larry Peter, OEM & Mike Romhill, BAck up

Logistics-John Madena

Finance-Nicole Monrig

PH Coordinator-Bill Wallace

POD Manager-Katie Millie & Sandy Barari

POD Safety officer-Richard Arabine, Mark Watkin

Human Resource Manager-Elly white

PIO-Administrator, John Watkin

IT Coordinator-Walter Rodriguez If the above answer is no. – Briefly explain why ICS would not be used and Part 5 describe in detail how the health department will manage this incident. Part 6

Part 1 Day 92

With guidance from the state’s department of health the decision has been made to fully activate the health department’s EOP.

(Example: Incident Commander – John Harper – Environmental Health Coordinator) 1command

nwk: health officer mcgowan; pio, and safety.

east o: ho, evans

irv: ho, nazir

2logistics: tqnya fraser mmrs coord.

3finance Part 4 4operations

5 planning:

nwk - ho is pulled in to the

eo - ho evans; oem williams. expand as needed. city admin would engage the additional staff as reommended requested

irv - ho atif. would expand as needed. Part 5 If the above answer is no. – Briefly explain why ICS would not be used and

describe in detail how the health department will manage this incident. Part 6 xxxx

Day 93

The health department fully understands that it will need the support of various government agencies as well as community and faith based organizations (Community Partners) to successfully respond to the current health emergency.

Identify each of the Community Partners in which the health department plans Part 1 to rely upon in the days and weeks to come. In identifying each partner, list point of contact (POC) information (name and phone number) for the partner, then list the support that the health department expects to receive from the identified partner.

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) ACTIVATE MRC CERT ,LEPC OEM POC ADAM LERNER 973-378-7715 Part 2 NOTIFY SO POLICE FOR SECURITY FOR POD JIM CHELEL 973-325-0654 Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

Begin the conversation with “THIS IS AN EXERCISE” and end the Part 3 conversation with “THIS IS AN EXERCISE”.

(Note: Continue to call Community Partners until you actually talk with the identified POC.)

Identify the first Community Partner called. Part 4 Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes

Part 7 Identify the second Community Partner called. Part 8 Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Day 93

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) Red Cross-Sue Jones-sheltering

faith-based based-sheltering, information dissemination, counseling

State DOH-guidance, emergency

Part 2 OEM-MRC activation, CERT on standby

Bd of Education-sheltering, communications

ERHC-use of epi and support functions

local physicians-vaccinators, medical guidance Part 3 Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the first Community Partner called. Part 4 cert coordinator at the OEM in West Orange Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes Part 7 Identify the second Community Partner called. Part 8 Maplewood Town Clerk Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Day 93

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) Part 2 Tom Nicolette; OEM Coordinator: 973-727-2925 (spoke with Tom Nicollete) (In contact with Nutley Police; Parks & Rec, Fire, DPW, Red Cross, First Aid)

Nutley Police: 973-284-4950 (Tom Nicollete)

Nutley Fire Dept: 973- 284-4937 (spoke with Maryanne Romas)

DPW: 973-284-4948 (Joe Scarpelli; Director)

Red Cross 973-667-3818 (Lisa Zitola)

First Aid: 973-667-7487 (Rich Budris Essex Regional )

Parks & Rec: Harry Kirk Supervisor 973-735-4938 Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

Identify the first Community Partner called. Part 4 Tom Nicollete; OEM Coordinator Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes Part 7 Identify the second Community Partner called. Part 8 Maryanne Romas; Fire Dept Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Part 1 Day 93

Identify each of the Community Partners in which the health department plans to rely upon in the days and weeks to come. In identifying each partner, list point of contact (POC) information (name and phone number) for the partner,

then list the support that the health department expects to receive from the identified partner.

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) Board of Education

The Red Cross--John Thomas--973-296-0579. They could supply cots and water if needed.

Police Department--David Sabagh--Montclair Police Cheif---973-744-1234

Fire Department---Kevin Allen---Montclair Fire Cheif--973-509-4771

First Aid Squad

The United Way--POD site--973-746-4040

The Salvation Army Part 2 Montclair State University---Donna Barry--973-655-7470--POD site

The Montclair Library--Tom Flowers--973-744-0500 x2221---POD site

Verona Community Center--Jim Cunningham--973-857-4830---POD site

Cedar Grove High School---Dr. Gene Polles---973-239-1551 x117---POD site

Nutley Parks and Rec--Harry Kirk---973-725-4938---POD site

Montclair Department of Public Works---Stephen Wood--973-509-5711-- Logistical support

Belleville High School--Vinny Fiscella--973-450-3500 x3431--POD site Part 3 Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

(Note: Continue to call Community Partners until you actually talk with the

identified POC.)

Identify the first Community Partner called. Part 4 Donna Barry Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes Part 7 Identify the second Community Partner called. Part 8 Jim Cunningham Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Day 93

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) Part 2 irv:

school system, churches, = assist with public info distribution

block associations & cert teams - assist with public info as well as help assess neighborhoods for numbers of ill and people remaining home as sick; ,

chamber of commerce: assist with pubkic info distribution

county oem: same

housing authroity; public info.

tv channel: will put out public info.

community based = ironbound, cases de don pedro, north ward - public info and also help with translation.

eo = ymca-for need of space, temp quarters for distribution, prefer not the hospital. set up if needed.

community center gym for distribution, cots.

nursing homes: keep patients at the nursing homes and set up a unit there to handle . Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

Identify the first Community Partner called. Part 4 nwk: myra from ironbound community corp - yes can do; Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes Part 7 Identify the second Community Partner called. eo:ymca director slader message w/sec. ; Irv: housing authority, Norma Cordy, Part 8 asst director; Rosie Griggs, block association Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Day 93

(Example: Community Partner: County Sheriff’s Office / POC: Thomas Highsmith – 555-555-5555 / Support: Provide site security for the POD once it has been opened.) Part 2 Livingston

-St. Barnabas Medical Center, POC: Eileen Yaney 973-322-6561/support: epidemiological follow up and investgiation of suspect and hospitalized cases

-MRC, POC: Police Chief, Creg Handschut/support: POD staffing

-OEM, POC: Michelle Meade/support: provide security and staffing

-fixed facilities: Care One and Inglemore Long term care facilities, provide prophy to seniors

Roseland

-MRC, POC: Cindie Bella/support: Medical, nursing staffing, surveillance

-OEM, POC: Mark Curcio & John Matheis, Roseland OEM, provide security

-CERT, POC: Craig Perill, 70 members and provide resource allocation and provide logistic support

Fairfield/WC/NC

-MRC, Larry Peter & OEM/Fire, Jim Albine; provide POD staffing and security

-Health officer is part of Fire Dept. and can utilize the staff.

-County CERT, POC: ?

ADP-following staff will be involved with the POD operation internally and will have protocols in place to provide mass prophy to staff on site.

Jim Carpenter, Chief Security officer

Tom Goldrick, Security

Dr. Weinberger & Diana Spangenberg, Medical Director and Nurse Practitioner

Ann Marie, Nurse Using the phone contact two of the Community Partners identified above to confirm that they fully understand their role in supporting the health department during the current health emergency.

Identify the first Community Partner called. Livingston-Chief Of Office, OEM Coordinator; Roseland-John Methis, OEM Part 4 Coordinator; Fairfield/WC/NC-John Madina, OEM; ADP-Tom G. Did the Community Partner’s POC fully understand their role in supporting the Part 5 health department during a health emergency? Part 6 Yes Part 7 Identify the second Community Partner called. Livingston-Michelle Meade, Town Manager; Roseland-Maureen chumacas, Part 8 Town Admin/CFO; Fairfield/WC/NC-Chief Albine; ADP-Dr. Weinbe Did the Community Partner’s POC fully understand their role in supporting the Part 9 health department during a health emergency? Part 10 Yes

Team # 1 - Rich Colabelli The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.) Part 2 SHOW JITT VIDEO,TRAIN ON SITE When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 Yes Part 5 Workers Compensation Insurance? Part 6 Yes Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. VOLUNTEERS WOULD BE DEPLOYED INSIDE THE POD Part 8 CERT WOULD ASSIST WITTH SECURITY

Team # 5 - Sandy Harris The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.) health officer will involvehealth educator to perform JIT training and ERHC will be Part 2 asked

When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 Yes Part 5 Workers Compensation Insurance? Part 6 No Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. Part 8 call MRC Coordinator to get MRC volunteers

Team # 3 - Keith Costello The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.) The Health Depts. Health Educator/Risk Communicator in conjunction with the Part 2 Nursing Director has developed just in time training for POD volunteers and staff. When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 No Part 5 Workers Compensation Insurance? Part 6 No Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. Part 8 We have volunteer rosters which include their skill sets and availabilities.

Team # 6 - Stephen Rufolo The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.) Health Dept. would contact interested volunteers or staff members; Health educator would conduct an introductory education and briefing; sepearte out Part 2 volunteers into specific stations and tasks; just in time training would be conducted at specific stations based on the supervisor of stations expertise. When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 Yes Part 5 Workers Compensation Insurance? Part 6 No Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. After each volunteer is assigned to his or her own specific station that individual Part 8 would report directly to the station supervisor with any questions or issues, and receives direction from only that supervisor

Team # 4 - Jean Walker The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.)

nwk: first jit is done at the hd w/staff that will be mgrs and supervisors; one at th e pod, the full pod staff is trained. written materials are handed out. (sample provided for viewing at the table )

Part 2 irv: 1st "training" q/hd staff and other muni dapts as apprpropriate, meeting style. then, at the pod, all the intended workers are pulled together and briefed on their duties and what to expect.

eo: same. and if mayor calls an emergency, it is all hands on deck meeting. When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 Yes Part 5 Workers Compensation Insurance? Part 6 Yes Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. municipal policies and emergency public health powers act sections 18, 19 and Part 8 33 and 34.

Team # 2 - Vaidehi Dave The health department’s Community Partners are ready to step-up and assist during this health emergency. However most indicated that their paid and volunteer staff members do not have the training to assist with response activities such as helping to open and manage a POD. Part 1 Explain in detail how the health department will provide just in time training for individuals that would like to assist but have no training.

(Note: Access a set of POD - Just In Time Training Videos.) Part 2 Livingston, Roseland-Health Educator at Local Health Dept. will provide JIT training for the POD Staff; if time permits, training will be conducted in advance otherwise on site training will be provided.

Fairfield/WC/NC-Safety Officer will provide Safety; POD manager will be responsible for POD operations; all the depts. have been trained but on site training will be conducted by the Incident Commander.

ADP-fixed facility using the internal staff to mass prophy employees on site. When paid and volunteer staff members from Community Partners assist the health department during a health emergency are they covered by the health Part 3 department’s:

Liability Insurance? Part 4 Yes Part 5 Workers Compensation Insurance? Part 6 Yes Briefly explain how the health department will effectively manage volunteers from Part 7 the community that are willing and able to assist. Roseland-CERT handles official volunteers and other MRC volunteers who have been trained officially and have been provided with the volunteer role info. also use non essential township employees.

Livingston-non essential township employees (managed by the Health Officer)will be used and CERT volunteers. Part 8 Fairfield/WC/NC-Volunteer manager (Gabe) who will manage the official volunteers.

LHDs do not have any plans of using non official community volunteers from the community.

Part 1 Day 97

Based on current information and the health department’s POD Plan develop an Incident Action Plan (IAP) that focuses on INITIAL RESPONSE ACTIVITIES associated with opening and staffing PODs.

Ensure that all objectives are completed using SMART methodology.

In preparing the IAP list the actions to be taken, identify any resources that will be needed to undertake each listed action and prepare a timeline for completing

each action.

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) IAP FIRST SET UP POD SECURITY

ACTIVATE POD PLAN

Part 2 STAFF NOTIFIED TO RESPOND TO POD FOR 12 HOUR WORK BLOCK

REQUEST ANTI-VIRALS

REQUEST ASSISTANCE FROM THE COUNTY

Day 97

Ensure that all objectives are completed using SMART methodology. Part 1 In preparing the IAP list the actions to be taken, identify any resources that will be needed to undertake each listed action and prepare a timeline for completing each action.

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) Part 2 first step-notify Mayor/elected officials-immediate notifications for call

notify OEM-second step

call POC for POD site and notify them

call BOE superintendent

3rd step:notify DPW, Fire and Police

prepare public education campaign/website/reverse 911-several hours

4th step-prepare script for public information

prepare to prophylax first responders and families-as soon as supplies- 1 day to prepare

Day 97

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) Part 2 1) Contact POD Managers and let them know the State Health Dept. wants PODs open.// 1 hour

2) Information Officer will develop press release and emergency messaging stating location and time of PODs. Reverse 911, METS system, social media, cable t.v.

3) Call POD site facilitators to ensure they are available to open the POD sites. // POD contact list// 2 hour.

4) Contact OEM to arrange police escort to pick up medications and POD supplies. //1 hour

5) Pick up medication and POD supplies.// Township Vehicles// 2 hours

6) Set up POD site stations.// Health Dept. Staff, Township Vehicles, Communication equipment// 3 hours

7) Contact MRC volunteers and Red Cross to staff PODs.// 1 hour

8) Call Montclair Police and Fire Dept. to keep on standby.// 10 minutes

9) Set up POD staff and volunteers for specific stations in POD// 2 hours

Day 97

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) Action -- State contacts Susan Portuese, Health Officer of Montclair Health Dept. to inform her of the decision to activate the PODs

Action: Susan Portuese will contact Tom Restaino, Public Health Coordinator for Nutley to inform him of the decision to open the POD at the Parks and Rec building in Nutley. Timeline 10min

Action: Tom Restaino will contact Patty Cruz, Incident Commander, and Meredith Blank, POD Manager in order to activate the POD. Timeline: 10min

Action: Patty Cruz and Merdetith Blank will contact staff and gather POD Part 2 supplies. Resources -- POD contact list; supplies located at Montclair Health Dept. Timeline 1.5 hr

Action: Ms. Cruz and Ms. Blank will contact Tom Restaino and Joe Petti, REHS, along with a uniformed oficer to pick up supplies at the Montclair Health Dept. 10 min

Action: POD location is opened; pre-POD and other locations are set up by station supervisors Timeline: .5 hr

Action: Mandatory vaccination of staff and first responded. Timeline: 35 min

Day 97

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) Part 2 irv: -for ics there would be an iap. provides common terminology.

provides guidelines.

12 hours periods

develop an iap for the upcoming 12 hours.

who is security?

nurses?

who is picking up? and dropping off? (pre-authorized pick up list is reviewed)

recommends-to have back-ups for each position; list people by titles and positions; standardisz elements that are common to all pod incidents.

nwk: calls it site activation at this time. site activation includes id of staff.

security sweep is done at this time.

who signs for the pharmaceuticals?

who brings the MHE to the site?

how to store materials? where?

materials request from hospitals?

id inventory staff

repackaging staff

communications equipment is identified.

refering to the RSS/RDS plan. use tear-outs that guide the activities.

radio usage is in there.

Day 97

(Example: Action – Call the POC for each of the locations to be used as a POD to ensure they are available and to make arrangements to use the facility. / Required Resources – POD contact list. / Timeline – 2 Hours.) Part 2 Livingston-Livingston Community Center POD site, Mike Anello; will open within 2 hrs.

Livingston High School, Brad Tragder; depending on the time of the day it could be between 2-7 hrs.

Roseland-East Hanover Rec Center, POD: Marc Macaluso; open within 12 hrs

Roseland Fire house, POD: Michael Pitzlkr; open within 12 hrs.

Both sites won't be open simultaneously depending circumstances (e.g. road closure)

Use of pre-developed shift protocol to activate staffing; all staff would be pre warned in order for them to take care household related issues. 3 days

sheltering for POD staff available on site and off site.

Fairfield-contact Frank Ennis at James Caldwell High School; depending on population being prophylaxed, the layout of the POD site will be set up by Frank. Frank Ennis has a back up.

Next phone call to Police Chief, security assessment for the POD plan, will make arrangements in terms fo security at the POD site and POD staffing

call to Police Chief who will alarm to Fire staff, 150 staff available; provide internal security and neighborhood watch

Security Officers are provided with their job duties at teh POD site

call to LHDs staff

refer to pg. 37 of 170 POD Plan for the details.

ADP-Security Officer, Jim Carpenter will receive a call from the Health Officer, Carlo Dilizia regarding POD activation and mass prophy being recommended.

depending on how many employees are on site on a given day (need to know?), the medical dept. and security chief will set up the prophylaxis methods.

extra security staff (few are employees but others are agency's so not sure if we will have enough)

Business continuity is a major concern

ADP will distribute antivirals to on site employees and their household members.

protocol in place for CHAIN of Custody to receive the antivirals from ? (county RSS site or directly from DHSS).

Team # 1 - Rich Colabelli Has the health department entered into written agreements with the owners / Part 1 operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes

(Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 JUNE 10,2012 If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place. Part 6 Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD. Part 7 Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the facility contacted: Part 8 BAIRD REC CENTER 5 MEAD STREET Part 9 Was the facility available? Part 10 Yes Did the facility POC fully understand what was involved in using the facility as a Part 11 POD? Part 12 Yes

Team # 5 - Sandy Harris Has the health department entered into written agreements with the owners / Part 1 operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes (Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 1 year ago or less If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place.

Part 6 Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD. Part 7 Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the facility contacted: Part 8 west orange-buildings manager for WO Bd of Ed Part 9 Was the facility available? Part 10 Yes Did the facility POC fully understand what was involved in using the facility as a Part 11 POD? Part 12 Yes

Team # 3 - Keith Costello Has the health department entered into written agreements with the owners / Part 1 operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes (Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 2 weeks ago If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place. Part 6 Part 7 Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD.

Identify the facility contacted: Part 8 Donna Barry Part 9 Was the facility available? Part 10 Yes Did the facility POC fully understand what was involved in using the facility as a Part 11 POD? Part 12 Yes

Team # 6 - Stephen Rufolo Has the health department entered into written agreements with the owners / Part 1 operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes (Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 Updated 4/23/2013 If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place. Part 6 Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD. Part 7 Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the facility contacted: Part 8 Harry Kirk; DPW Supervisor Part 9 Was the facility available? Part 10 Yes Part 11 Did the facility POC fully understand what was involved in using the facility as a

POD? Part 12 Yes

Team # 4 - Jean Walker Has the health department entered into written agreements with the owners / Part 1 operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes (Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 annually. 2013. If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place. Most municipalities are using municipal facilities so the MOA is a formality Part 6 mostly. Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD. Part 7 Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the facility contacted: irv: ralph diepl, bldgs super for chris gaitling ctr; eo: ymca, e. bryant; nwk: elaine Part 8 bowser, jfk rec center. Part 9 Was the facility available? Part 10 Yes Did the facility POC fully understand what was involved in using the facility as a Part 11 POD? Part 12 Yes

Team # 2 - Vaidehi Dave Part 1 Has the health department entered into written agreements with the owners /

operators of the locations that have been identified as POD host sites for the use of their facilities? Part 2 Yes (Note: Access and example of a POD Facility Usage Agreement.) Part 3 If the above answer is yes. – When was the agreement last reviewed and / or up-dated? Part 4 Jan. 2013 If the above answer is no. – Briefly explain why such written agreements are not Part 5 in place. Part 6 Using the phone call the POC for one of the facilities that is designated as a POD. Once contact is made ask if the facility is available and if the POC fully understands what is involved in using the facility as a POD. Part 7 Begin the conversation with “THIS IS AN EXERCISE” and end the conversation with “THIS IS AN EXERCISE”.

Identify the facility contacted: James Caldwell High School, Livingston community Center, Livingston HS, Part 8 Roseland Fire house Part 9 Was the facility available? Part 10 Yes Did the facility POC fully understand what was involved in using the facility as a Part 11 POD? Part 12 Yes

Team # 1 - Rich Colabelli Part 1 Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan.

(Example: Job Description: POD Clinical Team Leader / Staff Member: Sara

Williams – Community Health Nurse) POD CLINICAL TEAM LEADER SISTER MARYELLEN VERNON MSN

PUBLIC HEALTH NURSE KATHLEEN HYNES Part 2 OVERFLOW POD MANAGER BILL KYLE

POD SECURITY POLICE CHIEF

Team # 5 - Sandy Harris Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan. Part 1 (Example: Job Description: POD Clinical Team Leader / Staff Member: Sara Williams – Community Health Nurse) Part 2 owest orange-Theresa DeNova health officer

Susan Iovino, L Osaias nurses

Joe Blow, Police Dir.-security

health education- ERHC

social worker-Pat Duffy

Kim Orlando-line item

Jim Montgomery-POD supervisor

Joe Blow-reigistration

J Fox-registration

Translator Sharon White

E Bianchi-registration

P Webb-dispensing

J Brown-dispensing

J Irons-dispensing

B Gist-dispensing

C Davenport-dispensing

Team # 6 - Stephen Rufolo Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan. Part 1 (Example: Job Description: POD Clinical Team Leader / Staff Member: Sara Williams – Community Health Nurse) Incident Commander: Patty Cruz

POD Manager: Merdith Blank

Medical Director: Dr. Allessio Part 2 POD Safety Officer: John Holland Chief of Police

Inventory Controller: Joe Petti

POD Communication Officer: Eric Abbruzzese

Team # 3 - Keith Costello Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan. Part 1 (Example: Job Description: POD Clinical Team Leader / Staff Member: Sara Williams – Community Health Nurse) Part 2 Primary Town Official/Staff Member: Sue Portuese--Health Officer

Town OEM/Staff Member: Kevin Allen--Fire Chief

POD Manager/Staff Member: Peggy Brodowski--Nursing Director

Information Officer/Staff Member: Erica Abbruzzese--Health Director

POD site Facility Contact/C.P.: David Hinckly--Library Director

POD site Security Contact/C.P.: Tom Flowers--Security Director

POD staff 1 & 2/Staff Members: Mary Tistler-Nurse and Barbara Prichard-Nurse

POD staff 3/Staff Member: Bob Jernick-REHS

Support Staff for POD/C.P.: Annette Karn--MRC Volunteer and Nancy Wands-- MRC Volunteer

Team # 4 - Jean Walker Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan. Part 1 (Example: Job Description: POD Clinical Team Leader / Staff Member: Sara Williams – Community Health Nurse) eo: physician dr. hoskins jane; staff nurses- dispensing, marie niassi, sharon bland plus 2 hospital nurses; public works-earl coleman cleanup and maintenance; security=police officer chief robinson/designee; inventory=dave williams; pod mgr=ho/evans/epi v.kutyei;

irv: mgr=ho/nazir; phns=dispensing=tnya moore, monserat salvador; security=joe santiago pd, 8 shift officers; dec of emergency allows for increased officers so Part 2 could staff up as needed; inventoyr=bafour asare; health ed=mary martinez;

nwk: mgr=brian harris, hd dp oem coord; inventory=tanya fraser, mmrs coord; dispensing benjamin, nurses=pharmacist russ ruck, poison control, nursing staff ros&ruby= using an agency so staff nurses would fill dispensing stations; security=nwk pd 7 staff officers; Material Handling =cortland benjamin, anthony cooper, greg arvay, todd or greg fraser.

Team # 2 - Vaidehi Dave Based on the various job descriptions found in the health department’s POD Plan prepare a staff roster which identifies a specific health department staff member or Community Partner staff member to fill each role listed in the plan. Part 1 (Example: Job Description: POD Clinical Team Leader / Staff Member: Sara Williams – Community Health Nurse) List of staffing for POD plan is available in municipal POD Plan (Livingston, Part 2 Millburn, Roseland, WC, NC, and Fairfield)

Team # 1 - Rich Colabelli Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. PIO ADAM LERNER INTERFACES WITH THE MEDIA IN ACCORDANCE OF Part 2 THE MUNICIPAL EOP ALERT WARNING ANNEX Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency. MESSGES AND TALKING POINTS COME FROM NJDOH AND ARE MODIFIED FOR LOCAL USE Part 4 LOCATION AND HOURS OF PODS Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed? Part 6 No Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. Part 8

Team # 5 - Sandy Harris Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. Providing timely , credible and accurate information to the public and continuous Part 2 updates until resolution of the evnt. Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency. Provide symptomatology and basic education of pandemic and who are vulnerable populations in this emergency and allaying public fears and Part 4 disseminating accurate informaton on preventive strategies and health department actions/POD activities Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed?

Part 6 Yes Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. Part 8 cable station, web page, emergency notification system, reverse 911,email blast

Team # 6 - Stephen Rufolo Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. PIO's role is to disseminate pertinent information to various media outlets in a Part 2 timely fashion. Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency. General information regarding pandemic

Actions to take in order to prepare Part 4 Ways to protect yourself and public from disease

Direct individuals to websites and other forms of information Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed? Part 6 Yes Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. Part 8 IT specialist will work in conjunction with PIO in order to disemminate information

Team # 3 - Keith Costello Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. The Public Information Officer will prepare news releases for local media, cable Part 2 t.v., township website and social media. She will also prepare and disseminate METS messages. Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency.

She will discuss POD site locations and times. Respiratory and hand washing Part 4 etiquette, social distancing, sick employees and students should stay home. Encourage vaccination and/or preventative medicine. Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed? Part 6 Yes Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. Part 8 METS system, Facebook and Twitter.

Team # 4 - Jean Walker Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. typically HD's do not have PIO.

irv: PIO in health emergency is the HO.

PIO is speaking for the incident commander, and providing info to the public, whether IC is the HO or Mayor or other. if IC doesn't assign PIO, then the IC has to handle the PIO themselves. technical info is being gathered by HO and fed to the city IC. HO is tech advice. Fire Commissioner and Police Commissioner are Part 2 also providing input for PIO.

nwk: pio is bottom to top - herc gets info from state doh, presents to city. city admin decides how and what to do with the public info messaging. mayor's PIO waits for input from HD HERC. lessons learned have learned to use HD HERC info as it is coorded w/state DOH.

EO: uses city PIO, who is reporting to the mayor. HO inputs to PIO. Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency. Part 4 where the pods are

who goes

hours of operation

info to bring with to the pod

let them know there is enough med to go around

assure that you can go to your "local" pod - it is close by.

also get the city council people to be at the pods and ready to assist/deliver needed services.

provid info on the outbreaks in the city, how many cases, and re-inforce universal precautions.

provide national statistics.

adivse to go to pods not hospitals

***review shelf kit info*** Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed? Part 6 Yes Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. eo: yes. use eo facebook account. hasel lucas, hiv coord maintains the facebook info. as well as karen johnson laruso. Part 8 irv: police have facebook account and would maintain the pod/public info

nwk: mayor's office has twitter and HD/HO feeds info to mayor office for twitter.

Team # 2 - Vaidehi Dave Briefly explain the role of the health department’s Public Information Officer (PIO) Part 1 during this health crisis as it pertains to monitoring and interfacing with local television and radio stations along with newspapers. Part 2 Messages to be consistent with the DOH guidance as it comes from the DOH.

Routine prevention (hand washing, cover cough/sneezes, social distancing, stay home if sick) message out through local 911, websites, newspapers, etc.

info. about antivirals contraindications and contact physician if needed will be provided.

Swiftreach communication method by which all the public is notified of the

POD sites where teh mass prophy will be distributed.

Social media coordiantor, Judith Hella at livingston provides briefing and public education to community Identify and briefly describe the key messages in which the health department’s Part 3 PIO will focus in an effort to keep the public informed regarding the current health emergency. stay home if sick

seek medical care if meet the case-definition

routine prevention messages Part 4 info about antiviral contraindication

one message with one voice

distribute and share 'talking points' as provided by the DOH. Will the health department utilize the internet and social media tools such as Part 5 Facebook and Twitter as part of its plan to keep the public informed? Part 6 No Part 7 If the above answer is yes. – Briefly explain how this will be accomplished. Part 8 LHDs will utilize the the local municipal websites and refer to DOH's website.

Team # 1 - Rich Colabelli In preparing to open individual PODs the health department’s staff begins the process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs. Part 1 Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.)

MASKS-100

GLOVES-100

Part 2 GOWNS-100

RADIOS-10

SIGNAGE10 Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Part 6 PPE EQUIPMENT Part 7 Briefly explain how the additional material resources will be obtained. Part 8 COUNTY OEM

Team # 5 - Sandy Harris In preparing to open individual PODs the health department’s staff begins the process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs. Part 1 Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.) clipboards, pads, pens, walkie talkies, cell phones, badging, information sheets, Part 2 informed consent,s,hand trucks, tissues, water, cups, masks, gloves, hand sanitizer, tensa barriers, cones Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes

If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Part 6 garbage bags, fact sheets, coffee, water, food Part 7 Briefly explain how the additional material resources will be obtained. Part 8 LHDs will stockpile them

Team # 6 - Stephen Rufolo In preparing to open individual PODs the health department’s staff begins the process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs. Part 1 Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.) Health Dept has access to the following supplies in sufficient quantity to accommodate 26,000 residents:

Cleaning supplies, computer supplies, communication supplies, clinic supplies, Part 2 cots, vblankets, smockes, PPE, educational materials, patient information materials, registatrion forms. printer supplies, alcohol wipes, bandages, gloves, masks, gowns, emergency first aid kits, bags, sharps containers, thermpometers, syringes, garbage cans &bags, water proof table coverings, electrical generator. Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Part 6 Hospitality supplies (food and water) Part 7 Briefly explain how the additional material resources will be obtained. Part 8 Obtained from local stores

Team # 3 - Keith Costello Part 1 In preparing to open individual PODs the health department’s staff begins the

process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs.

Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.) Drug Fact sheets, Agent fact sheets, dispensing/medical supplies, NAPH forms, Part 2 office equipment, command/control vests, communication equipment, signs, crowd control equipment. Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Part 6 Gloves and PPE, first aid kit Part 7 Briefly explain how the additional material resources will be obtained. Part 8

Team # 4 - Jean Walker In preparing to open individual PODs the health department’s staff begins the process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs. Part 1 Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.) Part 2 pod supplies list is maintained in appendix f of the cri pod plan. Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes

If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Part 6 incident specific supplies would be identified by IC and procured by logistics. Part 7 Briefly explain how the additional material resources will be obtained. HD would request items from OEM. national/county and/or local resource Part 8 database may be accessed.

Team # 2 - Vaidehi Dave In preparing to open individual PODs the health department’s staff begins the process of determining what consumable supplies and equipment are currently available within the department as well as preparing a list of resources that will be needed to effectively establish and manage PODs. Part 1 Prepare an inventory of consumable supplies and equipment, to include medical supplies, administrative supplies, communications devices, etc. in which the health department currently has direct access.

(Note: List the items and the quantity of each item.) POD supplies with quantity are included in the municipal POD plan. POD kits Part 2 are provided by the county in case of emergency. Other than the antiviral medications which are being shipped to the health Part 3 department are there additional consumable supplies and equipment that will be needed to operate individual PODs? Part 4 Yes If the above answer is yes. – Develop a list of additional material resources that Part 5 will be needed to establish and manage individual PODs. Additional Material resources have been identified, listed in the municipal Part 6 POD plan. Part 7 Briefly explain how the additional material resources will be obtained. Part 8 Material Resources are in house for use.

Team # 1 - Rich Colabelli Part 1 As the health department moves forward with its plan to open, staff and operate

PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide a timeline for completing the identified action.

(Example: Action – Transport available consumable supplies and equipment to POD host locations. / Required Resources – Truck. / Timeline – 2 Hours.)

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) TRANSPORT SUPPLIES TO POD -BAIRD REC CENTER 2 HOURS

FIRST RESPONDERS PRE-PROPHALAXED-2 HOURS Part 2 STAFF MUSTER UP 2-HOURS

SECURITY IN PLACE 2HOURS

Team # 5 - Sandy Harris As the health department moves forward with its plan to open, staff and operate PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide a timeline for completing the identified action. Part 1 (Example: Action – Transport available consumable supplies and equipment to POD host locations. / Required Resources – Truck. / Timeline – 2 Hours.)

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) 1. pick up from RSS site-truck-DPW-2 hrs

2. prophylax first responders-PD, Fire, OEM, DPW-1 days-set up prophyaxis Part 2 services-miniPOD. public information campaign-2-3-days

4. open pod for public-needs, card, trucks, handtrucks-1 day

Team # 6 - Stephen Rufolo Part 1 As the health department moves forward with its plan to open, staff and operate PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide

a timeline for completing the identified action.

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) Action: Joe Petti loads supplies and delivers to PODS Timeline: .5hr

Action: POD manager and staff ensure each station has required supplies and locates backup supplies Timeline: .5hr Part 2 Action: Incident Commander ensure that Police Dept provides security Timeline: .5hr

Action: Incident Commander ensures that each station manager has been briefed regarding their rle. Timeline: .5hr

Team # 3 - Keith Costello As the health department moves forward with its plan to open, staff and operate PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide a timeline for completing the identified action. Part 1 (Example: Action – Transport available consumable supplies and equipment to POD host locations. / Required Resources – Truck. / Timeline – 2 Hours.)

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) 1) Transport and unload available supplies and equipment to POD site.// 3 Trucks// 3 hours. Operational Concern: If paid staff are sick, transporting equipment will be difficult and may take a lot longer.

2) Contact Police department for security at POD, especially Triage area. Part 2 Operational Concern: Hysterical and sick people standing outside of POD site.// Half hour

3) Set-up POD stations.// Paid and Volunteer staff, tables, chairs, stantions, communication equipment, megaphone.// 1 hour

Team # 4 - Jean Walker Part 1 As the health department moves forward with its plan to open, staff and operate

PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide a timeline for completing the identified action.

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) set up the clinic flow: security and police will set up the pod w/the custodial staff and hd staff.

perform security sweep

identify manpower - nwk has to do 5 pods. can staff 3 hands down. will have trouble staffing the 2 extra pods Part 2 irv: will use fire dep staff initially for distribution and staffing in the initial stages. phn's are heading up the pod, fd staff is assisting w/crowd mgt. also uses rec dep to set up. sr. citizens bldg uses their staff. pod facility staff is used to set up and break down. public works are also on hand to assist.

nwk - uses rec staff to set up and break down. also use meals on wheels approach and deliver meds.

Team # 2 - Vaidehi Dave As the health department moves forward with its plan to open, staff and operate PODs it has been decided to develop an Incident Action Plan (IAP) focusing solely on POD operations. In preparing the IAP list the actions to be taken, identify the resources that will be needed to accomplish each action and provide a timeline for completing the identified action. Part 1 (Example: Action – Transport available consumable supplies and equipment to POD host locations. / Required Resources – Truck. / Timeline – 2 Hours.)

(Note: Access a list of some of the Operation Concerns that will need to be addressed in developing this IAP.) Part 2 Municipal POD addresses the resources, POD staffing, security, POD supplies.

Team # 1 - Rich Colabelli The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Upon meeting with the school’s principle the team learns that the only concern in Part 1 which the principle has is that the media center housing the school’s computers not be used.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes (Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. Part 4 FACILITY SURVEY COMPLETED WITH HAND HELD SCANNER DEVICES Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 5 - Sandy Harris The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes (Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. Part 4 POD security Plans and POD surveys and walk-through before opening POD

Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 6 - Stephen Rufolo The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes (Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. In accordanec with the CRI POD plan, the local HO reviews the site using the Part 4 POD Site Survey checklist Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 3 - Keith Costello The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes

(Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. Part 4 We already conducted a facility survey with the POD site facility's manager. Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 4 - Jean Walker The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes (Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. in accordance with the cri pod plan, the local ho reviews the site using the pod Part 4 site survey list annually. Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 vvv Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 2 - Vaidehi Dave Part 1 The team assigned to set-up the POD has just arrived at the school that will be used to house the POD.

Upon meeting with the school’s principle the team learns that the only concern in

which the principle has is that the media center housing the school’s computers not be used.

Is there a process in place which the team assigned to set-up the POD will utilize to pre-inspect the school prior to utilizing the facility to house a POD? Part 2 Yes (Note: Access an example of a Facility Survey that can be utilized to conduct such an inspection.) Part 3 If the above answer is yes. – Briefly explain the pre-inspection process. Municipal Health Departments have facility survey completed for each of their Part 4 POD site and same will be done for the aforementioend POD facility. Part 5 If the above answer is no. – Briefly explain why there is not such a process. Part 6 Using the floor plan for the school develop a plan for utilization of the available Part 7 space to support the needs of a POD.

Team # 1 - Rich Colabelli Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

The impact of these regional outbreaks is being felt in earnest as evidenced by a noticeable increase in worker absenteeism.

Part 1 The health department is currently experiencing a 9% absenteeism rate, up from a daily average of 2%. It is expected that the absenteeism rate will increase in the days to come. Some staff members are calling in sick while others have notified their supervisor that they have to stay home to take care of sick family members.

Briefly describe how the health department will cope with this staff shortfall. CERT VOLUNTEERS Part 2 MRC

Team # 5 - Sandy Harris Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

Briefly describe how the health department will cope with this staff shortfall. Part 2 pull from other departments or other divisions,call upon school nurses

Team # 3 - Keith Costello Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

Briefly describe how the health department will cope with this staff shortfall. We contacted our MRC members and nurse per diem services to help fill the Part 2 voids in staffing.

Team # 6 - Stephen Rufolo Part 1 Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

The health department is currently experiencing a 9% absenteeism rate, up from a daily average of 2%. It is expected that the absenteeism rate will increase in

the days to come. Some staff members are calling in sick while others have notified their supervisor that they have to stay home to take care of sick family members.

Briefly describe how the health department will cope with this staff shortfall. Recruitment and education of additional volunteers; cross training of existing staff Part 2 to take on multiple tasks; merging of duties; ensure that existing staff has adequate respite; staff rotation;

Team # 4 - Jean Walker Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

Briefly describe how the health department will cope with this staff shortfall. irv: keep staff that does show up on hand. move to shift work. reach out to private sector and national guard. muni resources first, then county, then state.

eo: cancel regular clinics that are not life-saving, and/or minimize; consolidate inspections that are not life-threatening. curtail or cancel routine non-life savings Part 2 activities. no need for swimming pool at this time. go back to that later.

nwk: rely on agency staffing.

***this can be expanded in the plans.

Team # 2 - Vaidehi Dave Part 1 Local outbreaks of the H7N3 influenza virus have been reported throughout the region.

The health department is currently experiencing a 9% absenteeism rate, up from

a daily average of 2%. It is expected that the absenteeism rate will increase in the days to come. Some staff members are calling in sick while others have notified their supervisor that they have to stay home to take care of sick family members.

Briefly describe how the health department will cope with this staff shortfall. Consolidate shelters from other towns sharing resources.

Part 2 Mutual aid agreements in place within Essex County municipalities so use that.

use Red Cross, County OEM for resources.

Team # 1 - Rich Colabelli Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

Part 1 Identify and list the non-essential functions that will be curtailed until conditions improve.

(Example: Vital Records (Birth / Death Certificate) Requests.) FOOD INSPECTION

Part 2 PUBLIC POOLS INSPECTIONS

VITAL RECORDS

Team # 5 - Sandy Harris Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

(Example: Vital Records (Birth / Death Certificate) Requests.) Part 2 stop stop routine clinics and functions and respond to emergencies as needed

Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

(Example: Vital Records (Birth / Death Certificate) Requests.) Food inspections, environmental complaints, nursing audits, screenings, Part 2 childhood lead investigations, etc.

Team # 6 - Stephen Rufolo Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

(Example: Vital Records (Birth / Death Certificate) Requests.) Non-emergency complaints

Recreational functions

Part 2 Recycling

Limited hours for vital statistics

Retail food inspections etc

Team # 2 - Vaidehi Dave Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

(Example: Vital Records (Birth / Death Certificate) Requests.) Part 2 Health depts. won't be doing inspections

no CHC clinics

Health Dept. shuts day to day function

congregations and gathering will not be allowed.

Registrar vital records still be processed.

reallocate resources.

recreational group activities and library programs will be halted until conditions improve.

Team # 4 - Jean Walker Almost all of the health department’s staff members are now engaged in responding to the current health emergency.

(Example: Vital Records (Birth / Death Certificate) Requests.) Part 2

Day 99

The POD set-up team was able to fully prepare the host facility.

It is early in the morning on the first day of POD operations. The staff is in place Part 1 and area residents are waiting calmly for the POD to open. Describe in detail the processes that will be used to effectively and efficiently dispense the antiviral drugs to area residents.

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) CRI POD PLAN HAS INSTRUCTIONS FOR EACH POD

Part 2 SWITCH TO JUSTIFIED EMERGNCY MASS IF NECESSARY

INSTUCTIONS FOR JEM ARE ALSO USED IN CRI-POD PLAN

Day 99

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) use mass prophylaxis approach with education campaign and pre-POD and Part 2 follow established POD plan with main and fast track lines

Day 99

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) Triage outside

Part 2 Registration

Distribution (Fast Track and possibly drive-through dispensing)

Part 1 Day 99

It is early in the morning on the first day of POD operations. The staff is in place

and area residents are waiting calmly for the POD to open.

Describe in detail the processes that will be used to effectively and efficiently dispense the antiviral drugs to area residents.

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) The CRI POD plan has instructions for each station in the POD. If a decision is made to use/ switch to Justifed Emergency Mass Prophylaxis clinic set-up in Part 2 order to increase throughput, we will do so. Instructions for JEM are also in the CRI POD plan.

Day 99

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) use 'JEM Model' developed by the Dept. of Health

Registration/Triage

Dispensing Part 2 Education

Special Needs

Risk Communications/debriefing

Part 1 Day 99

It is early in the morning on the first day of POD operations. The staff is in place and area residents are waiting calmly for the POD to open.

Describe in detail the processes that will be used to effectively and efficiently dispense the antiviral drugs to area residents.

(Note: Access a list of some of the Operation Concerns that will need to be addressed during the dispensing process.) the cri pod plan has instructions for each station in the pod (reception/triage, special needs, dispensing, medical consultations, runners, inventory control, public information and education, etc.). if a decision is made to switch to Part 2 Justified emergency mass prophylaxis" (collab of lho, oem, lincs and njdoh) in order to increase thru put, we will do so, instructions for jem are also in the cri pod plan.

Day 101

Health department staff members, along with the paid and volunteer staff from various Community Partners have been doing an outstanding job over the past Part 1 two days as large numbers of residents have received antiviral medications.

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. THE HEALTH CARE PROVIDERS WOULD REPORT THE ADVERSE EVENTS Part 4 TO MEDWATCH THE FDA'S ADVERSE EVENT REPORTING SYSTEM If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6

Day 101

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. Part 4 by screening carefully, by phone call, by personal visit, personal physician If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6

Day 101

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. Part 4 We would set-up a hotline for residents to call with adverse reactions. If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6

Part 1 Day 101

Health department staff members, along with the paid and volunteer staff from various Community Partners have been doing an outstanding job over the past two days as large numbers of residents have received antiviral medications.

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. The Health Care providers would report the adverse events to MEDWatch. The Part 4 FDA's adverse event reporting program. If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6

Day 101

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. The Health Care Providers would report the adverse events to MedWatch The Part 4 FDA's adverse events reporting program. If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6

Part 1 Day 101

Health department staff members, along with the paid and volunteer staff from various Community Partners have been doing an outstanding job over the past two days as large numbers of residents have received antiviral medications.

As POD operations continue at a steady rate will the health department need to monitor area residents for possible adverse reactions associated with the medications being dispensed? Part 2 Yes Part 3 If the above answer is yes. – Briefly describe how this will be accomplished. health care providers wold report adverse events to medwatch which is the fda's Part 4 adverse events reporting program. If the above answer is no. – Thoroughly explain why the health department would Part 5 not undertake such an important public health mission. Part 6 vvv

Part 1 Day 119

It is the morning of the twentieth day of POD operations and the activity level has been dropping for the past three days.

As the POD operations closes for the day the health department is receiving reports that the number of residents that were provided with antiviral medications for the day was negligible.

The decision is made to transition all of the dispensing operations back to the health department’s primary office and discontinue POD operations.

Based on current known conditions and the health department POD plan develop an Incident Action Plan (IAP) that focuses on activities associated with DISCONTINUING POD OPERATIONS. In preparing the IAP list the actions to be taken, identify any resources that will be needed to undertake each listed action and list the expected timeline to complete each action.

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources –

Facility Survey. / Timeline – 1 Hour.) DEMOBILZE STAFF-1 HOUR

COMPLETE NECESARY PAERWORK AND TIMETRACKS BY SUPERVISING Part 2 NURSE-1 HOUR

CLEAN AND INSPECT FACILITY TO RETURN BACK TO OWNER/OPERATOR-2 HOURS

Day 119

The decision is made to transition all of the dispensing operations back to the Part 1 health department’s primary office and discontinue POD operations.

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources – Facility Survey. / Timeline – 1 Hour.) 1. PIO gets word out that POD will be closing-use email, signage, reverse 911. - 1 day

2.Announce new location back at LHD-one hour Part 2 3. Demobilize and bring back med and records and suppplies back to LHD to get filed.-1 day

4. File info appropriately 1 week

Day 119

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources – Facility Survey. / Timeline – 1 Hour.) We would send out information stating the PODs would be discontinued on a certain date and would continue at the local health office. This would be done through local media, social media and township website. Part 2 We would then dismantle all POD sites and return equipment wherever we picked it up.

Part 1 Day 119

Based on current known conditions and the health department POD plan develop an Incident Action Plan (IAP) that focuses on activities associated with DISCONTINUING POD OPERATIONS. In preparing the IAP list the actions to be

taken, identify any resources that will be needed to undertake each listed action and list the expected timeline to complete each action.

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources – Facility Survey. / Timeline – 1 Hour.) An IAP for demobilizing a POD should focus on compiling and completing all necessary paperwork and time-tracks by the Supervising Nurse at the POD and Part 2 the facility should be cleaned and inspected to ensure the facility is returned to the operators in working condition

Day 119

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources – Facility Survey. / Timeline – 1 Hour.) Livingston will coordinate with Public Works to demobilize the POD site. Part 2 If ADP decides to go with the local Fire house POD site, they won't have to worry about demobilizing.

Part 1 Day 119

(Example: Action – Conduct an inspection of the host facility to ensure it is returned to the owners / operators in good conditions. / Required Resources – Facility Survey. / Timeline – 1 Hour.) The IC/HO assigns demobilization to planning. meds are returned to the rds/rss. a critique of the incident is conducted by department heads. Part 2 *public health will develop an expanded IAP for demobilization and include it in the cri pod plan next update.

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