Health and Human Services ERP for the Public Health Division – Agency Responsibilities - 2020
Emergency Support Function #1 Evacuation and Transportation Resources
Purpose
The purpose of ESF #1 is to provide coordination of ground transportation and resources, county agency response, and designation of traffic routes for mass evacuation for a significant natural or man-made event.
Responsibilities and Tasks Supporting Agency: County Health and Human Services Department – Public Health Division
Mitigation and Preparedness Phase
□ Maintain Public Health Emergency Plan □ Maintain HHS facilities database
Response Phase
□ Report to EOC □ Liaison with the ARC for services addressed in ESF # 6 □ Coordinate with appropriate agencies to recommend evacuation or shelter-in- place □ Request environmental agencies to monitor and evaluate the risks and hazards associated with the incident as needed □ Provide or arrange for immunizations for evacuees and emergency response personnel, as needed □ Compile status report to assist ongoing incident action planning □ Assign Environmental Health staff to ensure assessment of licensed facilities as needed
Recovery Phase
□ Assist with re-entry and recovery procedures with the EOC □ Provide incident specific information for re-entry to homes □ Provide educational materials relevant to the hazard □ Supervise the re-entry and start up for licensed facilities □ Conduct outreach activities and coordination for health related issues □ Participate in Long-Term Recovery Committee □ Participate in the debriefing and After Action Review (AAR) Emergency Support Function #5 Emergency Management
Purpose
This Emergency Support Function (ESF) identifies the procedures and resources for providing emergency management functions in support of responding agencies during the response and recovery phases of a disaster and ensures logistical support. ESF #5 coordinates all phases of emergency management and the “Chief Elected Official’s” requests for local and/or state assistance.
Responsibilities and Tasks Supporting Agency: County Health and Human Services Department – Public Health Division
Mitigation Phase
□ Coordinate and participate on the county/local hazard mitigation planning team
Preparedness Phase
□ Participate in training, drills and exercises □ Update/maintain HHS facility database
Response Phase
□ Provide a representative to the EOC □ Coordinate public and environmental health information activities and resources □ Provide advice to the Incident Commander and EOC on public health issues (Ref ESF #8) (i.e. toxic exposure, sector control, evacuation, sheltering and prophylaxis) □ Provide health related guidance and information to the local Haz-Mat Team □ Coordinate with the Department of Health Services and Department of Agriculture, Trade and Consumer Protection (DATCP) to identify health exposures and determine appropriate follow up to those exposed □ Maintain regular contact with State and Local Health Agencies
Recovery Phase
□ Coordinate public and environmental health recovery activities □ Assist the EOC and the Incident Commander in the coordination of response personnel and resources □ Disseminate recovery information, plans and reports to County EOC □ Provide support for disaster recovery □ Evaluate resource needs and activate or deactivate as ordered by the Incident Commander or EOC □ Participate in the debriefing and After Action Review (AAR) Emergency Support Function #6 Mass Care, Housing and Human Services
Purpose
This ESF describes how the County will support municipal efforts with delivering human services in a disaster or terrorism event and in conjunction with the Wisconsin Emergency Human Services Response Plan.
Responsibilities and Tasks Supporting Agency: County Health and Human Services Department – Public Health Division
Mitigation and Preparedness Phase
□ Assist in maintaining this Emergency Support Function (ESF) □ Attend emergency preparedness meetings with the American Red Cross and Emergency Management □ Coordinate planning with regional public health partners □ Participate in Voluntary Organizations Active in Disaster (VOAD) meetings
Response Phase
□ Respond to the EOC □ Coordinate with other divisions of Health and Human Services □ Work with appropriate agencies to coordinate evacuations and sheltering for all affected people including those with access and functional needs groups □ Provide healthcare services (i.e. – vaccinations) for evacuees and emergency workers as appropriate □ Upon opening a shelter, conduct an Environmental Health Shelter Assessment in accordance with the American Red Cross MOU □ Assist with the coordination of re-entry activities for people including those with access and functional needs □ Educate the public about appropriate pharmaceutical and non-pharmaceutical interventions by utilizing pre-scripted emergency messages
Recovery Phase
□ Participate in long-term recovery committee with VOAD and Emergency Management for housing and recovery (refer to ESF #14) □ Participate in the MARC or Disaster Reception Center if opened □ Participate in the debriefing and After Action Report (AAR) Emergency Support Function #8 Public Health, Medical and Mortuary
Purpose
This Emergency Support Function identifies how the County will provide public health, medical and mortuary services in a disaster. Communicable diseases will be assessed and handled by the individual public health agencies. Animal disease cases will be assessed and handled by the individual public health agencies, UW- Extension Office, and is additionally addressed in ESF #11.
Responsibilities and Tasks Primary Agency: County Health and Human Services Department – Public Health Division
Mitigation and Preparedness Phase
□ Maintain resource lists for response □ Maintain contact lists for response (Attachment 3) □ Maintain the Public Health Emergency Plan □ Participate in maintenance of the Outagamie County Mass Fatality Plan (Attachment 8) □ Identify those populations that may be at a higher risk for adverse health outcomes
Response Phase
□ Public Health will respond to disease, vectors, and foodborne illnesses according to the Wisconsin Department of Health Services recommendations □ Report to or send a representative to the EOC □ Utilize Act 186 to request assistance from other public health departments as needed □ Provide access to laboratory services and pharmaceutical and non- pharmaceutical interventions □ Assure services to people with access and functional needs through coordination with HHS and the American Red Cross □ Ask the hospitals and other home health agencies to contact their clients to assess their status and needs □ For suspicious substances follow the protocol addressed in Attachment 1 □ Create a line list of exposed victims if chemical or radiological incident □ Coordinate with 2-1-1 for individuals with access and functional needs to call if they need additional assistance □ Request HHS contact their client list to assess their status and needs □ Assist in operation of shelters, reception centers, and family assistance centers as appropriate and as addressed in ESF #6 □ Coordinate with Emergency Management, Law Enforcement, DNR, and local water utilities for water contamination issues □ Conduct public health surveillance and epidemiological investigations as appropriate in response to incidents of public health significance □ Coordinate with Wisconsin Department of Health Services and volunteer agencies regarding public health functions utilizing – (Ref: Public Health Emergency Plan located in the OCPH Division and the Appleton Health Department) □ Identify and monitor public health system recovery needs □ Identify local pharmaceuticals and request Strategic National Stockpile (SNS) if required □ Inspect food, water, drugs, and other consumables that were exposed to the hazard for purity, usability, and quality; work with county ingestion plans □ Ensure that adequate sanitary facilities are provided in non-American Red Cross emergency shelters and for response personnel as needed □ If additional potable water, portable latrines, or hand washing stations are needed, follow any internal policies and utilize resources addressed in Attachments 6 and 7 □ Request environmental agencies to monitor and evaluate the risks and hazards associated with the incident as needed □ Develop public health related messages □ Work with UW-Extension Office pertaining to animal/pest control as addressed in ESF #11 □ Support the activation of the Outagamie County Mass Fatality Plan as appropriate
Recovery Phase
□ Based on County ordinance, coordinate the disposal of unburied dead animal carcasses (Ch. 26, section 26-213 (1)) and contaminated food items □ Ensure the quality and safety of septic systems and potable water (Attachments 6 and 7) □ Assure licensed facilities impacted are operating according to licensed requirements □ Coordinate with the EOC on a re-entry plan for evacuees □ Provide advice on monitoring exposed victims for health concerns □ Provide well water testing as appropriate □ Support in the activation of the Outagamie County Mass Fatality Plan as appropriate □ Participate in the debriefing and After Action Report (AAR) Emergency Support Function #10 Hazardous Materials
Purpose
ESF #10 – Hazardous Materials is used to describe the risks and response resources and capabilities, and to define methods, roles, responsibilities, and inter/intra-organizational relationships of governments and private organizations to support the response to and recovery from hazardous substance releases in accordance with the requirements set forth in Title III of the Superfund Amendment and Reauthorization Act of 1986 (SARA Title III), PL 99-499, and WI Act 342, with the ultimate intent to ensure the protection of individuals, property and the environment of Outagamie County from the harmful effects of such releases, whether man-made or natural. ESF #10 also refers to incidents involving the use, storage, production, and transportation of hazardous materials.
Responsibilities and Tasks Supporting Agency: County Health and Human Services – Public Health Division
Mitigation and Preparedness Phase
□ Maintain their respective policies and procedures □ Participate in facility drills and exercises
Response Phase
□ Provide guidance on health-related issues □ Consult with appropriate agencies pertaining to evacuation or shelter-in-place □ Inform and educate the public about appropriate health-related protective actions □ Assure public health functions are being coordinated during and after an event □ Coordinate with State agencies to conduct assessment/testing of substances/surfaces that may have been impacted □ Assign Public Health staff to perform assessment of licensed facilities □ Assess and implement surveillance of victims and responders as appropriate
Recovery Phase
□ Participate in the debriefing and After Action Report (AAR) Emergency Support Function #11 Agriculture and Natural Resources
Purpose
The purpose of ESF #11 is to coordinate and support County, local, and tribal authorities’ efforts to respond effectively to an incident involving agriculture, food, or natural resources and provide a process to integrate State and Federal ESF #11 response/recovery actions.
Responsibilities and Tasks Primary Agency: County Health and Human Services Department – Public Health Division
Mitigation and Preparedness Phase
□ Maintain contact lists for response □ Maintain internal policy and procedures and Public Health Emergency Plan
Response Phase
□ Send representative to EOC □ Coordinate with the appropriate agencies in the overall assessment, response and recovery □ Support WI Dept of Health Services and DATCP activities □ Coordinate services to protect the human food supply □ Monitor food and agricultural resources □ Coordinate for mass care, housing and mass feeding (ESF #6) □ Assist in the provision of the epidemiology services dealing with zoonotic diseases, as related to the food supply □ Provide inspection services of various toxic, agrichemical, exotic plant incidents which may occur due to a release or an outbreak □ Coordinate and provide recovery information and health education to affected populations □ Refer to Attachments 2, 3, 4, and 5 for actions relating to specific incidents □ Reference County Ordinances Chapter 26 and State Administrative Codes □ Assist WIC families as appropriate
Recovery Phase
□ Participate in the Long-Term Recovery Committee □ Participate in the debriefing and After Action Report (AAR) Emergency Support Function #14 Long-Term Community Recovery
Purpose
The purpose of ESF #14 is to provide recovery and mitigation efforts to enable communities to recover from the effects of a major disaster. This ESF includes, but is not limited to, post-incident assessments, plans and activities.
Responsibilities and Tasks Primary Agency: County Health and Human Services – Public Health Division
Mitigation and Preparedness Phase
□ Provide preparedness information to licensed establishments during license renewal or during routine inspections □ Educate and consult licensed establishments about damage assessments after a disaster □ Maintain partner contact information □ Maintain HHS facility data base and licensed establishment database
Response Phase
□ Distribute safety information to those under alternate living conditions because of the disaster (i.e. without electric service) □ Utilize network of community partners to distribute Outagamie County Emergency Resource Information Cards to residential properties that have been impacted or sustained damage. This informational resource may be distributed to others as the need arises. □ Environmental Health would provide key messages (food safety, generator safety and flooding) to affected licensed establishments and residences □ Coordinate public health messages with the PIO □ Assist with WIC clients in lost WIC benefits □ Provide general safety information to the public □ Coordinate with UW-Extension in distributing information □ Partner with Emergency Management in their business damage assessment regarding licensed establishments □ Receive reports of unmet needs and share with the HHS/EOC staff representatives □ Environmental Health will conduct inspections of licensed establishments as needed □ Participate in the MARC if activated
Recovery Phase
□ Participate in the debriefing and After Action Review (AAR) □ Participate in the long-term recovery committee Emergency Support Function #16 Radiological/Ingestion Zone
Purpose
The purpose of ESF #16 is to provide specific coordination to identify resources and responsibilities for agencies who will respond to accidents involving radioactive materials within the nuclear power plants’ 50-mile ingestion zone that lies in Outagamie County.
Responsibilities and Tasks Supporting Agency: County Health and Human Services Department – Public Health Division
Mitigation and Preparedness Phase
□ Participate in exercises and drills as scheduled by WEM and FEMA in accordance with the four-year exercise cycle and implement any corrective actions identified in the exercise
Response Phase
□ Utilize the IC/UC Systems as per NIMS to organize the necessary response and to request and manage additional resources as necessary □ Document personnel who have been exposed □ Coordinate with DHS to educate the public to understand their exposure and how to access care as needed □ Assist with relocation of individuals from affected areas as appropriate