Example Documentation for PHAB Domain 2 Standard 4 Measure 4

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Document Connecticut Department of Public Health Crisis and Emergency Risk Communication Title: Plan Document 1/2006 – revised 7/2015 Date: Version of Standards and Measures Used: 1.5 Related PHAB Standard and Measure Number Domain: 2 Standard: 4 Measure: 4 Required 2 Documentation: Short description of how this document meets the Standard and Measure’s requirements:

The Connecticut Department of Public Health (DPH) Crisis and Emergency Risk Communication plan (the plan) provides a framework for timely and accurate risk communication and information dissemination to the people of Connecticut before, during, and after a public health emergency or other disaster. Submitting Connecticut Department of Public Health Agency: Staff Contact Melissa Touma Name: Staff Contact Accreditation Coordinator Position: Staff Contact Email: [email protected] Staff Contact 860 509 7179 Phone:

Connecticut Department of Public Health

Crisis and Emergency Risk Communication Plan

“Be First. Be Right. Be Credible.”

January 2006

Revised July 2015

TABLE OF CONTENTS

Preface 4 Key Objectives and Assumptions 5 Overall Management a. Incident Command System…………………………………………………. 6 b. Line and Staff Responsibilities…………………………….……………….. 7 Standard Procedures 7 a. Internal Clearance & Approval…………………………….……………….. b. Data Disclosure……………………………………………….…………….. c. News Media Communications……..……………….………………………. d. Criteria for Authorizing Interviews………………………………………… e. News Dissemination Methods……………………………………………… f. News Conference…………………………………………………………… g. Spokespersons………………………………………………………………. h. Interagency Communication Coordination….……………………………… i. Channels and Formats………………………………………………………. j. Special Populations…………………………………………………………. k. Disseminating information during a power outage or other communication disruption . Preparedness Phase 17 a. Definition of Preparedness Phase b. Messages……………………………………………………………………. c. Training …………………………………………………………………….. d. Equipment, Supplies, and Other Resources………………………………… Mitigation Phase 20 a. Definition of Mitigation Phase …………………………….……… b. Communication Protocols……….………………..………………………… Response Phase 21 a. Definition of Response Phase ……………………………… b. Verify the Situation…………………………………………………………. c. Conduct Notifications………………………………………………………. d. Assess Level of Crisis………………………………………………………. e. Organize and Give Assignments……………………………………………. f. Prepare Information and Obtain Approvals………………………………… g. Release Information to the Public….….…….……………………………… h. Monitor, Maintain, and Make Adjustments……….……….………………..

Recovery Phase 27 a. Definition of Recovery Phase ……………………………… b. Post-Incident Review……………………………………………………….. c. Measures of Success…………………..………….………………………… Plan Maintenance……………………………………………………………. 28 Drills and Exercises………….……………………………………………..… 28 Plan Integration….…………………………………………….…………….. 28

Appendixes A. Staff Planning Worksheet B. Team/Function Master Assignment Checklist C. C.G.S. 19a-25 and corresponding regulations D. Media List Planning Worksheet E. WebEOC Login F. Sending messages via Everbridge to LHDs and Media G. How To Post a Press Release Online H. Directory of Authorized DPH Spokespersons/Subject Matter Experts I. Spokespersons Tips J. Notification Directory of Emergency Response Partners K. Public Call Tracking Form L. Training Resources for Risk Communication M. Equipment and Supplies Checklist N. Risk Communication Resources O. Message Development Worksheet P. Prescripted, Immediate Response to Media Inquiries (Template) Q. How To Write a Press Release R. Template for Press Statement S. Anticipated Q & A Worksheet T. Healthcare Organization PIOs and Clinical Subject Matter Experts U. Media Contact List V. Ethnic Media Contacts W. Public Information Agency Contacts X. Public Message Reporting Form

Plan Creation Information

Created On: March 2005

DPH Lead: William Gerrish, Director Office of Communications

Last Modified On: July 2015

Next Plan Review Date: January 2017

PREFACE

Crisis and Emergency Risk Communication (CERC) planning is essential for successful emergency response and preparedness. Risk communication in such events can have multiple purposes. These may include informing and instructing widely divergent audiences (e.g., the public, health care providers, news media); minimizing panic or fear; encouraging the adoption of appropriate protective actions by individuals; building trust; and minimizing or dispelling misinformation or rumors.

The Connecticut Department of Public Health (DPH) Crisis and Emergency Risk Communication plan (the plan) provides a framework for timely and accurate risk communication and information dissemination to the people of Connecticut before, during, and after a public health emergency or other disaster. It is based on a coordinated approach between DPH, local health departments, state agencies, hospitals, and others involved in the emergency response network. Risk communications under this plan has the four-fold purpose of:

 Educating the public  Promoting informed decision-making  Persuading individuals and communities to modify their behavior as needed, and  Eliciting cooperation among all involved parties

The department’s risk communication planning efforts are designed to cover a wide range of community concerns about the cause, magnitude, and consequences of specific public health emergencies and deliver messages through the appropriate channels to provide timely and accurate information that supports Connecticut’s overall public health response.

The plan is intended to systematically address all of the roles, lines of responsibility, and resources needed to provide information to the public and partners during a public health emergency. An effective, well thought out plan will save precious time when a crisis hits. Lines of authority and relationships with response partners are built before the crisis; not during the crisis.

This CERC plan takes an all-hazards approach, and is based on principles, guidelines, and protocols in the CDCynergy tool. It was developed in conjunction with the CERC committee (formerly Focus Area F subcommittee on Risk Communication and Health Information Dissemination). It is integrated into the department’s overall emergency response plan.

4 Key Objectives and Assumptions

Objectives

 Ensure an efficient flow of accurate and consistent information during a public health emergency  Facilitate communication among key internal and external partners  Provide a system of information to the general public through the media and other information channels

Assumptions

 Dissemination and sharing of timely and accurate information among state and local public health and government officials, medical care providers, the media and the general public will be one of the most important facets of emergency response.  Different types of information will have to be communicated, often to different audiences.  There will be widespread circulation of conflicting information, misinformation, and rumors. Communication must be coordinated among all relevant agencies to ensure consistent messages to the general public.  Public education will be an important part of the risk communication response.  Certain groups will be hard to reach, including people whose primary language is not English, people who are homeless, people who are hearing and visually impaired, and other vulnerable populations.  Demand for information by health care providers will be high.  Negative consequences may affect those who experience a disaster either first hand as survivors or observers. The effects include anxiety, depression, family disruption and violence, substance abuse, absenteeism, and other related physical and mental health symptoms. These consequences can adversely affect public health and DPH should be a leader in helping to educate the public and address people’s anxiety and fear to help prevent such negative health outcomes following large-scale public health threats and emergencies.

5 Overall Management

Incident Command System DPH has adopted the Incident Command System (ICS) structure to respond to emergency situations. Under the ICS structure, the agency’s Public Information Officer (PIO) is a member of the Command Staff and coordinates risk communication and information dissemination activities. Such activities are conducted in concert with local health authorities and others in the emergency response network. The PIO (Communications Director or designee) reports to the DPH Emergency Command Center (ECC) Incident Commander, consistent with the ICS structure. Activities include:

 Press Briefings  Press Releases  Postings to the DPH website  Monitoring of media reports  Initiating rumor control  Other duties as assigned

Role of the Public Information Officer (PIO) The Public Information Officer (PIO) gathers, verifies, coordinates, and disseminates accurate, accessible and timely information on the incident’s cause, size and current situation; resources committed; and other matters of general interest for both internal and external use. All information in the field must be cleared by the Incident Commander (IC) prior to release. In the event that a Joint Information Center is established, the DPH PIO will be responsible for messaging related to public health and work under the direction of the Governor’s PIO team.

Joint Information Center (JIC) In certain circumstances, such as in the event of a statewide emergency or a situation involving multiple state agencies, the State Emergency Operations Center (SEOC) is activated. The SEOC is located in the Hartford State Armory at 360 Broad Street, Hartford. Staff will be notified by a call down list established by the Governor’s Office if they must report to the SEOC. Statewide emergency public information activities are coordinated through a Joint Information Center (JIC) designed to disseminate a variety of information and instructions to the general public, government officials and the news media through press briefings, news releases and advisories. Public and news media queries are also coordinated through the JIC. Statewide Emergency Public Information activities may initiate from the State Emergency Operating Center until the situation dictates otherwise.

The Governor’s Public Information Officer team, which staffs the JIC at the SEOC, coordinates all press inquiries, briefings, interviews, releases, rumor control activities, and all other media relations functions for the state of Connecticut. If the SEOC is activated, all press inquiries to the Department of Public Health must be referred to the JIC. All public information is released through the JIC.

A JIC may also be established by the DPH or by a federal, state, or local agency. Once a JIC is established, DPH must: 6  Identify a lead public health spokesperson to participate in the JIC and to serve as a liaison with the health department  Assure that the JIC is staffed during all operational hours (potentially 24-hours/day)

Important Notes on the JIC:  The media will not come to the JIC unless they can speak with decision-makers; they will go where the story is.  It is generally helpful to locate the JIC as close as possible to the scene of the crisis.  Every participating response agency with a public information officer should send a representative to the JIC.  Every participating response agency should refer journalists and other media representatives to the JIC, rather than attempt to deal with them directly.  It may be necessary to make arrangements at the JIC to credential the press and to route lay people who want information.  At least one JIC representative must be available round-the-clock to report to the incident command or unified command center.

Line and Staff Responsibilities: Crisis and Emergency Risk Communication Team Line and staff responsibilities include the assigned roles and immediate tasks to be performed by DPH communication team members as defined and documented during the preparedness phase. Identified staff will be trained for their assigned roles prior to an incident. The core communications team consists of high-level individuals from the areas of science, administration, and communication and may include representatives from state/local health departments, partners, volunteers, contractors, and other government agencies such as the Centers for Disease Control and Prevention (CDC).

Tools For Use Appendix A: Staff Planning Worksheet Appendix B: Team/Function Master Assignment Checklist Appendix H: Directory of DPH Spokespersons/Subject Matter Experts

Standard Procedures

Protocol In the event that DPH is the first to learn of a crisis or an emergency, the following procedure should be followed:

1. Program staff must notify the Office of Communications regarding the matter. If the Office of Communications is the first to learn of the event, then the Office of Communications must notify all relevant DPH program staff. The Director of the Office of Communications must also be informed. 2. Meet with DPH program staff to be briefed on the incident and discuss DPH’s response. 3. Brief the Commissioner on the incident. It is a good idea for DPH program staff and a representative of the Office of Communications be present at this briefing to respond to any questions the Commissioner may have.

7 4. If necessary, the Commissioner will directly notify the Governor’s Office of the situation. The Commissioner may also request that the Office of the Communications contact the Governor’s Office. 5. Notify the Office of Government Relations and the Office of Local Health Administration of the situation.

Activation of Joint Information Center (JIC) In the event that the JIC is activated, staff may be asked to report to the State Emergency Operations Center (SEOC), the Department of Public Health Emergency Command Center (ECC) or other location. The ECC is located on the second floor of DPH in 410 Capitol Avenue, Hartford. Upon activation of the SEOC, staff will be notified by a call down list established by the Governor’s Office if they must report to the SEOC. Staff will be notified via telephone or email by JIC staff or through the Everbridge Emergency Notification System if they must report to the ECC or other location. If necessary, staff will be informed of where and when to report upon notification of the incident. Should a “virtual JIC” be activated, staff will be notified and will coordinate and disseminate messaging from a remote location following protocols and methods described below.

Upon reporting to the JIC, staff will notify the PIO of their arrival. Staff will then be assembled and briefed on the incident and assigned a role or task.

In the event that the SEOC and/or ECC are activated, messages will be sent via the Everbridge Emergency Notification System by the Office of Local Health Administration to alert local health directors of the activation and where to call with questions or to request support. In the event that the SEOC has been activated, messages should also be sent to the DPH desk at the SEOC at [email protected].

Internal Clearance & Approval All information released to the public and to partners will be internally cleared and provided in a timely manner. In a crisis that may be accomplished in a matter of hours for what would normally take several days to get the proper clearances, cross clearances, and to coordinate with other agencies.

Important Notes about Internal Clearance and Approval  In a crisis it is important that the information be paired up into pieces or chunks of what is clearable, what is confidential, and what is probably questionable so that you can release what is cleared.  It is always more important to go with some information than to wait and go with more information. The media will be more grateful for some information rather than waiting for lots of information later on.

Approval Procedures Only the DPH PIO or designee will release information to the media. The following DPH staff will approve information before it is released to the public through the media. When possible, this clearance will be completed simultaneously and in person.

DPH Commissioner Jewel Mullen, M.D., M.P.H., M.P.A. or

designee Subject matter expert Varies as to the nature of the crisis (see Appendix F for a list of Approved DPH spokespersons/subject matter experts Public Information Officer William Gerrish or designee Incident Commander If in ICS

Some releases, especially those that deal with administration policy, should be cleared by the Governor’s Office. The Office of Communications designee will maintain contact with the Governor's Communication Office and have access to Governor’s Communications Office 24/7 contact numbers.

If the state JIC is activated, the Governor’s lead PIO will release information to the media. The above referenced staff will clear information provided to the Governor’s PIO team for release to the media.

Public disclosure of Non-Identifying, Individual Data Disease reports that are received by the Department of Public Health contain identifiable health data. Pursuant to Section 19a-25 of the Connecticut General Statutes and the associated regulation - Section 19a-25-3 of the Regulations of Connecticut State Agencies - identifiable health data shall not be disclosed by the department, except as noted.

Given these restrictions, the DPH evaluates the personal information it has in the context of what is the minimum amount necessary that should be released for public health purposes and to whom, if anyone, it is necessary to share the information to accomplish that purpose. This release of information will vary depending on the disease, how it is acquired, who may be at risk of contracting it, and how much interest there may be at the time in determining who the individual is.

Tools for Use Appendix C: C.G. S 19a-25-1 through 4/Disclosure of Health Data

News Media Communications 1. Unless the agency is participating in a Joint Information Center (JIC), the DPH Office of Communications is responsible for coordinating the agency’s response to press inquiries. 2. All media inquiries to the agency must be referred to the DPH Office of Communications at (860) 509-7270 during business hours. 3. All requests for media interviews (e.g. public affairs programs, appearances, etc.) must be coordinated through the DPH Office of Communications. 4. DPH Office of Communications staff will arrange an interview with appropriate DPH staff, or refer the reporter to another source. 5. All DPH press releases and news conferences will be issued, called or authorized by the DPH Office of Communications. Programs that wish to issue a press release should submit draft releases with Branch Chief approval to the DPH Office of Communications for review and distribution to the media. 6. Information will be released via email and fax through the Everbridge Emergency Notification System simultaneously to all Connecticut media. 9 7. If the State Emergency Operations Center (SEOC) has been activated, all press releases should be emailed to the DPH desk at the SEOC at [email protected]. The health desk can also be reached by calling (860) 920-3289.

Tools for Use Appendix D: DPH Media List; Media Planning Worksheet Appendix E: WebEOC Login Appendix F: Sending messages via Everbridge to LHDs and media Appendix U: Media Contact List Appendix V: Ethnic Media Contacts

Criteria for Authorizing Interviews Decisions regarding the authorization of an interview are made by the DPH Office of Communications in consultation with designated spokespersons/subject matter experts and are based on:

 Appropriateness of interview, topic and venue  Availability of selected key DPH staff in light of primary responsibilities  Potential for exacerbating versus calming public fear or anxiety  Potential for relating information that is non-disclosable  Impact information conveyed could have on other agencies, offices and professions  Assessed intent of reporter or other media representative

News Dissemination Methods Several options for disseminating information to the public via the news media may be used:

Individual Interviews. Used to respond to individual media requests for information

News Releases. Used to disseminate important information to news media throughout the state (Distributed by via e-mail and fax through the Everbridge Emergency Notification System.)

Updates. Posted to the DPH web site (www.ct.gov/dph) under “Latest News” as an efficient way of responding to repetitive requests for the same information. May also be distributed as news releases.

News Conferences. Held only when major developments occur or major announcements need to be made, to convey information to all interested news media at once.

Media Briefings. Similar to news conferences but held daily (or regularly scheduled throughout the day) to provide information to all interested news media at once. Rarely held, except in times of extensive and continuing media interest in developing situations.

Other. Video news releases, audio news releases, and news features also may be used, typically to provide background or more in-depth information

News Conference Should a confirmed bioterrorism or other public health emergency occur, it will be important to get factual and appropriate information to the public as quickly as possible, including via the news media. Getting this information out will likely include the need to conduct a news conference, providing reporters with a compact opportunity to get the facts of the events, including public health protection steps being taken, and to ask questions of the authorities. It is important to note that if such an event would occur, it is likely that the JIC will be activated and all communication activities will be coordinated through the JIC.

Such a news conference could be called by DPH or by another federal, state or local government entity, depending on the location of the event, the availability of local resources and subject to instructions from other state and federal officials.

Basic elements of a news conference agenda generally would include:

What Happened? Opening remarks to provide confirmed and appropriate facts of the event. (Governor, Chief Public Health Official, Chief Law Enforcement Official, etc.)

What’s Being Done – Criminal Investigation? Any steps law enforcement agencies are taking, as appropriate to discuss (Chief Law Enforcement Official)

What’s Being Done – Health Perspective? Steps taken and planned to implement disease treatment and control measures; steps public should take (DPH official; local health official; hospital official)

The Organism/Agent. Laboratory results; characteristics of the organism/agent; symptoms; conditions it causes; incubation period; and treatments available. (Public health expert, infectious disease physician or other expert)

Questions and Answers. Person opening news conference should moderate, directing any undirected questions to appropriate participant and should close with a repeat of additional steps the public should take, if any.

Possible handouts  Agenda with names and title of participants  Situation Fact Sheet  Disease Fact Sheet

Spokespersons

1. The DPH Office of Communications will select spokespersons from the pre-approved media authorization list (unless an alternative or preferred spokesperson has been designated by the Commissioner and Branch Chief/Office Director with cognizance over the media issue).

11 2. When an approved agency staff member responds to a press call, a media response form must be initiated and distributed notifying appropriate parties. 3. Once an interview is completed, the interviewed staff member should promptly send a brief update via email to the DPH Office of Communications (provide reporter’s name, media name, city, phone number, general topic and any unique questions or responses). Interviewed staff should immediately call the DPH Office of Communications (860) 509- 7270) if post-interview questions concerns are urgent. 4. If agency staff are contacted by a reporter after-hours on a department issue, the staff person should direct the reporter to the on-call Communications staff at ((860) 509- 8000).

Tools for Use Appendix H: Directory of Authorized DPH Spokespersons/Subject Matter Experts Appendix I: Spokespersons Tips

Inter-Agency Communication Coordination Coordination of communications between DPH and its partners is extremely important to foster consistent messages to the public. A primary purpose for centrally coordinating information dissemination to the news media is to improve the chances that DPH information is credible, consistent, and accurate. Information released to the media through several sources (local, state, and federal) also must be coordinated to assure that information released is most beneficial to the public and is not confusing.

To facilitate this coordination, the DPH Public Information Officer will issue public health advisories and other health information to key partners (via the JIC if activated.) DPH will also share press releases and media advisories with select partners in advance of their release to the media. These communications will occur over the Health Alert Network (HAN).

If DPH has overlapping jurisdiction with response partners, such as local health authorities, health care organizations, law enforcement (see Appendix I for media protocol with U.S. Department of Justice), or other organizations, DPH will coordinate the release of information to the news media and other public information prior to release with appropriate partners. Media inquiries about any criminal investigation will be referred to the appropriate law enforcement agency or legal authority.

Local Health Departments/Districts If a public health crisis involves multiple towns or is of statewide interest, DPH will issue news releases and respond to media inquiries. Local health departments (LHD) will issue news releases and respond to media inquiries as they relate to their jurisdiction. If the LHD issues press releases, copies of releases should be sent to the DPH Office of Communications when released to the media. DPH will notify all LHDs and partners mentioned in any news release before it is sent to the media.

The DPH Office of Communications is available to assist LHDs with media issues. Office staff can be reached at (860) 509-7270 or (860) 509-8000 after-hours.

It will be necessary for the LHD to be in frequent contact with DPH, both to report local situations and to receive helpful information. Frequent reports should be coming to the LHD from an enhanced local surveillance network activated during the emergency. At the same time, health alerts should be going out of the LHD to local medical facilities or emergency medical services. DPH will generate updated health alerts to LHDs and to select medical providers, but LHDs are responsible for guaranteeing all health care personnel in their own jurisdiction are receiving these updates.

Local health departments should contact the DPH Office of Communications if they have questions, need advice on how to respond or want to discuss the advisability of granting a specific news media request.

Tools for Use Appendix J: Notification/Coordination Roster Appendix T: Healthcare Organization PIOs and Clinical Subject Matter Experts Appendix W: Public Information Agency Contacts

Channels and Formats DPH’s communications channels can be utilized before, during, and after a public health emergency, and include:

Health Alert Network DPH has established the Health Alert Network (HAN), a communications system based on rapid fax and computer network capabilities that link DPH with local health departments and other partners, such as hospitals. Through the HAN, alerts and health information will be exchanged on a 24/7 basis between key preparedness partners in the public health system. Messages for the HAN will be sent through the Everbridge Emergency Notification System.

DPH Website DPH maintains a public access web site (www.ct.gov/dph) including a Public Health Preparedness and Response page that provides the public, health practitioners, and other agencies with information pertinent to preparedness issues. The DPH web team will post press releases, fact sheets, advisories and articles, and other information in a timely fashion as it becomes available to the public. Web use can be evaluated by using Google Analytics (http://www.google.com/analytics/), a web-based software that analyzes websites for use, including number of visits, downloads and other information.

Hotline Services DPH has the following capacities for a public inquiry call center (hotline). DPH will access capacity needs to address public inquiries and activate one or more of the following options:

Main DPH Line DPH utilizes a public access telephone line (860-509-8000) during normal working hours, where calls are screened (via an automated phone system and staff who cover the line) and referred to the appropriate program or individual. After business hours the public access telephone number is forwarded to an answering service and calls are triaged

13 and referred to the DPH on-call Duty officer or other appropriate staff on a 24/7 basis. Duty officers triage calls to subject matter experts as appropriate.

DPH Hotline Call Center DPH can stand up its own internal call center, providing a toll free number (1-800-830- 9426) to Connecticut residents. The call center, operating out of the DPH Emergency Command Center, provides approximately ten (10) incoming telephone lines. To increase the agency’s capacity, additional telephone lines were added to Conference Room “C” at 470 Capitol Avenue that increase the agency’s surge capacity by another twenty (20) telephones.

In the event that DPH receives a large volume of calls from the public, providers, partners, or others, it may be determined that a hotline be activated. If the call center is activated, the Public Information Officer will designate a staff person to be the call center leader. (The duties of the call center leader are described under “Hotline” in Appendix B: Team/Function Master Assignment Checklist.) The call center leader will work with the Public Information Officer and JIC staff to develop messaging, assess and track call trends, and train and manage call center staff.

The hotline will have a recorded greeting message with basic information regarding the incident with an option to speak with a live call center operator. Call center operators will use Appendix K: Public Call Tracking Form to assist in tracking calls.

The hotline’s Public Call Tracking Forms will regularly be assessed for call trends to determine if the call center will need to be increased or de-escalated. Based on the call trends, frequently asked questions will be pre-recorded on the hotline’s recorded greeting message to reduce call volume to live call center operators.

Call center telephone scripts will be developed based on call trends and frequently asked question and provided to call center staff.

To stand up the hotline, the Public Information Officer must contact the Administrative Assistant for the Administration Branch (Maureen Williams, ext. 7215) to contact the phone vendor (Altura) for technical support.

If the DPH hotline’s call volume exceeds the ability of DPH’s resources, the DPH Communications Director should contact United Way of Connecticut to activate the 211 Information Referral System.

211 – Information & Referral Systems

 211 – Information & Referral Systems can be activated by the DPH Communications Director to answer calls on behalf of the department.  To ensure messaging consistency, United Way of Connecticut has the ability to record and update messages scripted by DPH for frequently asked questions. Callers who still have questions or prefer to speak with a live person, may opt out

14 of the pre-recorded messages to speak with a member of the United Way of Connecticut staff.  United Way of Connecticut has protocols for staff training, maintaining and updating information for public dissemination, record keeping, and call trend analysis through its established 211 – Information & Referral Systems “Hotline” service.  This statewide Information, Referral and Crisis line operates on a 24/7/365 basis. Its staff of trained professionals can be accessed by dialing 2-1-1 from anywhere in Connecticut, toll free, with services available in multiple languages and is TTY accessible.  As a central contact point, situational information can be disseminated to the public regarding safety issues, dispensing locations and times.  211 can act as an after hours or overflow back-up to the DPH Emergency Hotline.  Through call screening, the public can be directed to other entities allowing public health agencies to direct their energy to issues they need to address.  A formal feedback mechanism can track and enhance risk message delivery and report on trend analysis.

Social Media DPH regularly uses social media (including Twitter, Facebook, and YouTube) to disseminate messages to the public and partners. The DPH web team will post short messages and links to press releases, fact sheets, advisories and articles, videos, and other information in a timely fashion as it becomes available to the public. Shortening links using bit.ly (http://bit.ly), will allow DPH to abbreviate links for use on Twitter and Facebook and to analyze how many users accessed the posted link. Monitoring Twitter and Facebook for mentions, retweets, comments, likes and sharing will also allow for evaluation of social media.

To keep participants engaged, messages should be posted on Twitter and Facebook regularly. For guidance on posting messages and getting appropriate clearance please review the CDC’s Social Media Guidelines and Best Practices document: http://www.cdc.gov/socialmedia/tools/guidelines/pdf/microblogging.pdf.

Other Communication Channels and Mechanisms  Third-Party Spokespersons  Community/Public Meetings  Open House  Small Group Meeting  Flyers  Mass Mailings  Health Campaigns

Tools For Use Appendix K: Public Call Tracking Form

Special Populations

15  Local health departments have been tasked with identifying and reaching out to special populations in their jurisdiction in the event of an emergency. In order to reach these special populations, local health departments should have plans in place to disseminate information to special population leaders who will in turn disseminate the information to their special population communities.  Local health departments should include special population leaders in their emergency preparedness planning and develop plans with the special population leaders regarding information dissemination including methods and translation.  In addition to pre-approved translated fact sheets and materials, the DPH Crisis and Emergency Risk Communication website (www.ct.gov/dph/cerc) has a page with suggested special population resources to provide guidance to local health departments on special population outreach.  DPH will work with its partners to communicate risk communication information to audiences who are likely not to receive these messages through mass media channels.  DPH has contracts in place with vendors that can provide translation services.  Conventional and foreign language media outlets as well as culturally specific outlets (religious organizations, newsletters, flyers, etc.) will be utilized.

Disseminating information during a power outage or other communication disruption In the event of disrupted communication technology, available communication channels would be used to inform the public and partners. For example, recent storms in Connecticut lead to widespread power outages in the state. DPH found that the use of social media continued to be an effective means of pushing risk information out to the public and the media.

Communications options include, but not limited to:

 Media briefings at the State EOC  2-1-1  Distribution of hard copy information staged at local distribution points (e.g. municipal centers to receive food, take a shower, etc).  Social media (Facebook, Twitter, Text messages)  Website postings  The Health Alert Network includes MEDSAT, a satellite phone system, Iridium satellite phones, two separate VHF radio systems, cellular phones, and other capabilities which allow for 24/7 communication between DPH and its key emergency response partners during disruptions to routine communication systems. (for more information refer to the Public Health Emergency Response Plan: http://www.ct.gov/dph/lib/dph/php/planning/pherp_base_plan.pdf

16 Preparedness Phase

Definition of Preparedness Phase The preparedness phase is an ongoing process to prepare the DPH for providing timely and accurate communications to its partners and Connecticut residents so that they can make informed decisions during a public health emergency or crisis. Planning for the preparedness phase occurs under the guidance of the CERC committee (formerly the Focus Area F committee on Risk Communication and Health Information Dissemination).

Activities for the Preparedness Phase include the following:

 Conduct a needs assessment for crisis and emergency risk communication  Develop a crisis/emergency risk communication plan  Determine the functions needed to carry out the plan  Determine the resources needed to carry out the plan  Prepare the team to carry out the plan

Messages Messages (fact sheets, news releases, frequently asked questions, web sites) relating to general infectious disease prevention, specific critical agents, other public health threats and emergency situations should be prepared in advance and posted on the DPH website. These materials also should be available for distribution to regional and local health departments, targeted media outlets, community groups, and special needs populations. Attention should be given to providing information conveniently for non-English speaking audiences.

The DPH Office of Communications has established a CERC website (www.ct.gov/dph/cerc) for use by local health departments/districts, hospitals, and other partners. The website includes message templates on various public health threats, translated materials, risk communication resources, and other information to assist with message development. In the event of an incident, this website will be updated and serve as a resource for public health partners.

Evaluating Print Materials for Literacy Levels Effort should be made to create print materials that are easy to read for those with low literacy. Print materials that are developed for the general public ideally should not be higher than a fifth- grade reading level if possible. Online readability calculators or readability calculators built in document processing programs should be used to estimate the document’s reading level. The following formula can also be used to determine the Flesch-Kincaid grade level for reading:

Other resources for developing easy-to-understand materials are available under the Risk Communication Resources link on the DPH Crisis and Emergency Risk Communication website: www.ct.gov/dph/cerc.

Translation Messages should be translated by state agencies using an approved vendor from the Department of Administration Services contract for “In Person Interpretation and Translation including Document Translation” available online at http://www.biznet.ct.gov/SCP_Search/ContractDetail.aspx?ID=5440. Documents should be submitted to the vendor electronically. Once the document has been translated, it should be reviewed by a native speaker of the language for accuracy to ensure the messages are effective.

Approved, translated fact sheets for various public health emergencies are also available on the DPH Crisis and Emergency Risk Communication website: www.ct.gov/dph/cerc.

Communicating with People Who are Deaf and Blind In the event of an emergency, it is important that messages reach all of the state’s populations, including those who are hearing and visually impaired.

Communicating with People who are Deaf and Hard of Hearing The state of Connecticut has a Department of Rehabilitation Services, which includes Hard of Hearing Services. Emergency interpretation services are available through the commission by calling (860) 231-8756 during normal business hours and (860) 231-7623 during evenings and on weekends. An interpreter for people who are deaf and heard of hearing should be available for all televised press conferences and media briefings.

Communicating with the Visually-Impaired The state of Connecticut has a Department of Rehabilitation Services, which includes the Board of Education and Services for the Blind (BESB). In the event of an emergency, information should be forwarded to the BESB Program Director so that it may be forwarded to CRIS Radio, the National Federation of the Blind of Connecticut, the Southeastern Connecticut Community Center of the Blind and the Chairs of the Agency Board, State Rehabilitation Council, and the Statewide Committee of Blind Vendors and Consumer Advisory Committee. In addition, BESB will record emergency information on their agency voice mail system which can be accessed by calling (800) 842-4510 toll-free, and post information on their agency website (www.ct.gov/besb) for public access.

Materials that require translation into Braille can be obtained by providing an electronic text version (email or diskette) to the Board of Education and Services for the Blind (BESB) by calling (860) 602-4100.

Tools For Use Appendix O: Message Development Worksheet Appendix P: Prescripted, Immediate Response to Media Inquiries (Template) DPH Crisis and Emergency Risk Communication website: www.ct.gov/dph/cerc

Training Training resources and opportunities for public and local health partners (e.g. publications, periodicals, website based resource tools) have been identified and made available to support training and education of spokespersons and those involved in risk communication.

18 Tools For Use Appendix L: Training Resources for Risk Communication

Equipment, Supplies and Other Resources Space, equipment, supplies and other resources have been identified and secured to support crisis and emergency risk communication activities.

Tools For Use Appendix M: Equipment and Supplies Checklist Appendix N: Risk Communications Resources

19 Mitigation Phase

Definition of Mitigation Phase The Mitigation Phase is defined as the steps taken, from a communications perspective, to reduce the chance of a public health emergency or to reduce the negative impact should there be one. It describes the routine release of public health information, and assumes that DPH is NOT in Incident Command System operations or that the State Emergency Operations Center is activated.

Communications Protocols The following are DPH communications protocols for this phase: 1. The Office of Communications is responsible for coordinating the agency’s response to press inquiries. All press inquiries to the agency must be referred to the Office of Communications at (860) 509-7270 during business hours. Agency staff contacted by a media representative off-site or after-hours on a department issue should contact on-call communications staff at (860) 509-8000 before responding to the media inquiry.

2. The Office of Communications will select spokespersons from the pre-approved media authorization list (unless an alternative or preferred spokesperson has been designated by the Commissioner’s Office and Branch Chief with cognizance over the media issue.) After an approved agency staff member responds, a legislative/media response form must be initiated and distributed notifying appropriate parties.

3. The following will be coordinated through the Office of Communications

 All requests for media interviews (e.g. public affairs programs, appearances, etc.)  DPH press releases or quotations in other agency/organization’s publications  DPH press conferences or requests for staff participation in other agency/organization’s press conferences  Scientific papers, OP-EDs, letters to the editor, or other opinion pieces on behalf of DPH or submitted by individuals representing themselves as DPH staff  Development and placement of agency public service announcements and paid media placements.  Release of agency newsletters, fact sheets, brochures, banners, and other DPH materials.

4. Information posted to the DPH website should be cleared through the appropriate Branch Chief, and coordinated through Branch web coordinator. A courtesy copy of the posted materials should be provided to the Office of Communications.

5. Coordination of communications and messages between the Department of Public Health and its partners is extremely important to foster consistent messages to the public. To facilitate this coordination, DPH will issue public health advisories and other health information to key partners (via the JIC if activated.) DPH will also share press releases and media advisories with select partners in advance of their release to the media. These communications will occur over the HAN.

Response Phase

Definition of Response Phase The Response Phase is defined as the steps taken, from a communications perspective, during a crisis or emergency. It assumes that DPH is in Incident Command System operations, but does not assume that the State Emergency Operations Center is activated.

The Response Phase has two parts:  Activities that are critical during the first 12 hours of an emergency/crisis  Activities that must be conducted during the remaining life of the event

Communication Objectives during the first 12 hours 1. Acknowledge the event with empathy 2. Explain and inform the public, in simple, reasonable terms, about the risk 3. Establish organization/spokesperson credibility 4. Provide emergency courses of action (including how and where to get more information) 5. Commit to stakeholders and the public your continued communication

Verify the Situation DPH will determine whether the event is real or based on rumor as quickly as possible, and determine the scope and severity in order to begin formulating communication about its impact.

Key Checkpoints Verifying the Situation 1. Get the facts 2. Was the information obtained from additional sources to put event in perspective? 3. Was the information’s origin ascertained? 4. Was the information source’s credibility ascertained? 5. Is the information consistent with other sources? 6. Is the characterization of the event plausible? 7. If necessary, was the information clarified through a SME (subject matter expert)?

Conduct Notifications At this step, those individuals who were identified during the Preparedness Phase to be on the front lines are now called to duty. Those individuals within and outside of the organization who need to know about the event must be briefed and easy access channels to communicate with those individuals must be secured.

 Immediately prepare to brief your core team of scientific, administrative, and communication personnel. This is the core decision-making team for the event. Inform your top management group.

21  Determine intervals for the decision-making team to get back together during the day to update each other (e.g. every hour, every two hours).  Communicate face-to-face (preferred if possible) or by phone, and then follow-up by e- mail to facilitate accurate interpretation of information by all.  Eliminate any layers or barriers between you and the other members of the core team (e.g. assistants should know that when you call, they must find the other person for you).

Key Checkpoints Conduct Notifications 1. Have notifications/contacts been made to the appropriate persons in your organization? 2. Has your core team been notified? 3. Has senior management been notified? 4. Has the ICS Liaison officer been notified? 5. Has your communication team been notified? 6. Have the elected officials been notified? 7. Have the appropriate local and regional agencies been notified? 8. Have the appropriate state agencies been notified? 9. Have the appropriate federal agencies been notified? 10. Have other groups been notified?

Assess Level of Crisis Every emergency, disaster, or crisis evolves in phases and the communication must evolve along with it. The degree and intensity of the crisis and longevity will impact required resources and staff. It is important to know the level of crisis intensity you are dealing with, the intensity of public reaction and media response.

Criteria for evaluating the need to communicate risk information or any other information about the event to the public include:  Is the event and/or risk to the public contained in one small locale or spread across multiple jurisdictions?  Is the biological agent highly infectious or relatively difficult to transmit?  Is the biological agent extremely deadly, relatively benign or dangerous only for specific, vulnerable subgroups?  Is there any indication of criminal/terrorist activity?  What is the extent of media coverage, if any? Are media reports accurate?  Have there been inquiries from the public about the event?

Key Checkpoints Assess Level of Crisis 1. Has a crisis level (A,B,C,D) been identified that corresponds to the event characteristics? 2. Have the hours of operation for the communication team been established? 3. Has jurisdiction over information been established? 4. Were specific audience concerns addressed? 5. Will federal agencies release information or will states?

If it is determined that additional resources (e.g., personnel and equipment) are necessary, the Public Information Officer must request the necessary resources via WebEOC, from the Logistics Chief or from the Incident Commander.

Organize and Give Assignments Activate the CERC plan, starting with the functions and individuals identified to lead each function.

Key Checkpoints Assess Level of Crisis 1. Are the functional teams activated? 2. Are the spokespeople activated? 3. Were specific assignments given to each team or function? 4. Do all those involved know their role and their immediate tasks?

Prepare Information and Obtain Approvals

In this step you will develop the information and have it approved for release. Before you begin developing the information, it is important to know what your audience will be expecting. The receiver of your communication will be judging the content of the information, the messenger, and the method of delivery.

The public’s perception of government is heightened during a crisis and emergency risk event. You want to calm fears and enhance social unity by recognizing the possible audiences and what their concerns are, how the audience will judge the message and messenger in order to craft the best message possible.

Your audience will use three criteria to judge your communication:

 The speed of communication  The accuracy of information  How well the message conveys empathy and caring

In the event that the State Emergency Operations Center or the Joint Information Center has been activated, all messaging must first be cleared with the Governor’s Office and/or the lead agency for the event.

Tools to Use: Appendix O: Message Development Worksheet Appendix P: Prescripted, Immediate Response to Media Inquiries (Template) Appendix Q: How To Write a Press Release Appendix R: Template for Press Statement Appendix S: Anticipated Q & A Worksheet

Key Checkpoints Conduct Notifications 1. Have you planned for a timely release? 2. Has the accuracy of all information been checked? 3. Does the message show compassion? 4. Were the specific audience concerns addressed? 5. Does the message meet the criteria of good message development? (see Message Development Worksheet) 6. Have you anticipated media questions and developed answers? 7. Has the message been cleared for release?

Release Information to the Public Depending on the perceived severity of the threat and the level of independent media activity, health officials must determine the need for and scope of risk communications. Communication activities at this point may include:

 Brief Media  Publish information to the website  Give information to the hotline team  Send information to employees  Send information to or brief partners, and  Send information to legislators/special interest groups

Key Checkpoints Conduct Notifications 1. Have you released information as quickly as possible? 2. Was the same information given to all media at the same time? 3. Was the information released to other groups as planned? (partners, legislators, special interest groups) 4. Was the information released through other channels as planned? (web, 800 #, mailings, meetings, etc.)

Monitor, Maintain, and Make Adjustments Communication activities at this point may include:  Monitoring the event for new information  Monitoring the media coverage of the event  Maintaining your plan, and  Making adjustments to your procedures as necessary

After 48 hours into the crisis, the public and media will begin to focus harder on the question of why this event happened. At the same time, coverage of the disaster starts to become more mixed – good news versus bad news. Hero stories start to emerge while “what ifs” and negative images from the event day start to compete for the public’s imagination. The media will begin

24 more in-depth analysis of what happened and why. Media competition may intensify to keep the story going with new angles.

At this stage, it is important to stick to the plan, adjust procedures as necessary, and provide information as it is available. Pay attention to local media. Once the dust starts to settle, the local media will still be there. If the local media is ignored, they will be less receptive in the future.

It may be necessary to conduct additional risk communication activities such as providing new or additional information about the event, dispelling false rumors, correcting any misinformation reported by the media (damage control), communicating new or additional risk information to the public, or issuing an “all clear” news release if the emergency is contained.

Key Checkpoints Conduct Notifications 1. Are investigators saying anything about the event potentially getting worse? 2. Are event changes resulting in more intense public/media interest? 3. Have rumors or points of conflict been identified? How should the organization respond to these issues? 4. Is it an appropriate time for some of the issues being addressed by your organization to be handled by other government entities, such as at the local or federal level? 5. Are the teams operating with more intensity? Are there ways to improve efficiency? Do we need to make reassignments? 6. Are additional resources needed? 7. Should the organization continue holding daily/weekly SME briefings? 8. Are supplemental resources needed to meet public/media demand for information?

Stakeholder/Partner Communications Stakeholders are people or organizations with a special connection to your agency’s involvement in an emergency. Stakeholders will be interested in how the incident will affect them and will expecting to something from you. You must provide timely, accurate information to audiences and key stakeholders. Depending on the incident, stakeholders may vary.

Steps in Responding to Stakeholders

1.) Identify them. 2.) Determine whether they are advocates, adversaries or ambivalents. 3.) Note what they will want to know and their likely reactions. 4.) Project the impact/effect of their reactions. 5.) Identify the stakeholders whose reactions will have the greatest impact if the crisis escalates. 6.) Determine the best way to communicate with each stakeholder. (Develop webpage, telephone calls from management, background or periodic updates, mailing, electronic messages, Everbridge, etc.)

Potential Stakeholders:  Employees  Hospitals  Families  Nursing homes  Board members  Clinics  Clients/Consumers  Community health centers  Local residents  Day cares  Businesses and community  Schools leaders  Parents  Employers  Healthcare providers/workers  Elected officials  EMS providers  Consumer action/advocacy  Local health departments groups  Public water supplies  Media  Food service establishments  Public  Special populations

Methods of outreach:  Electronic message, email, or Everbridge message (employees, media, hospitals, nursing homes, clinics, community health centers, healthcare providers, ambulance services, local health departments, public water supplies)  Website (employees, families, businesses, employers, healthcare providers)  Hotlines/recorded voice messages  Telephone calls  Mailing  Direct outreach through local partners (food service establishments, local residents, special populations)

Tools for Use Appendix J: Notification/Coordination Roster

Recovery Phase

Definition of Recovery Phase

Once the crisis has been resolved and things begin to resume to normal, the recovery phase takes place. In this period, there may be a need to respond to media scrutiny of how the event was handled. This is also a time when you can reinforce any public health messages. Research has shown that communities respond most to risk avoidance and mitigation education immediately after an incident because they have been sensitized. In this phase, your goals are to: improve public response to future emergencies, examine problems and reinforce what worked in recovery and response efforts, persuade the public to support public policy and resource allocation to the problem, promote the activities and capabilities of the organization.

Post Incident Review

In the event this plan has been activated DPH will conduct a post incident appraisal. Participants involved in the various stages of the incident will be canvassed to determine the following:

 Was the plan effective, clear and easy to use, did it work?  Was the plan current, had recent changes to risk communication processes and practices been included?  Were all contact details in the plan current?  Were key personnel familiar with and comfortable in, their roles during and after the incident?

Amendments to the plan will be completed and communicated to all relevant parties.

Measures of Success

It will be beneficial to discuss DPH crisis and emergency risk communications efforts with external organizations - partner agencies and community leaders - to find out how people "on the street" perceived the team’s efforts.

 Was the team readily accessible to answer questions and address public concerns?  Did people feel that DPH demonstrated leadership in managing and controlling the crisis?  If not, what hindered this perception?

In discussing these and other issues, DPH Communications will be better equipped to identify:

 The messages that resonated with the audience (e.g., informational, action- oriented)  Primary channels used to disseminate messages to the public about the crisis  Which channels, messages, activities, and events were effective in affecting positive change in the public's knowledge and attitudes about the crisis

27  Ways to improve information dissemination about a future crisis

DPH will:

 Work with the CERC committee to discuss crisis communication efforts  Provide the committee with the results of the data analysis and discuss how the team and other partner organizations' communications efforts either helped or hindered crisis resolution  Develop a list of recommendations, lessons learned, successes, things needing improvement with panelists

Plan Maintenance

The plan must be consistently and continuously reviewed, practiced, and modified as needed. In addition, training exercises should be scheduled so that everybody who has an identified role and responsibility under the plan can practice carrying out their function.

Additional activities to help DPH improve its Crisis and Emergency Risk Communication efforts and implement changes to the plan, may include:

 Request that each of its units or departments (involved in risk communications) review their strategy for implementing risk communications.  Work with other internal divisions and external partners to incorporate changes to their strategies based on feedback received from your evaluation efforts.  Incorporate these changes into a revised plan and distribute to all members of the communications team so each department knows who is responsible for what. Doing so will help to facilitate better communication between departments, and will potentially reduce the occurrence of task duplication. Save the final document in a format that is easy to access and navigate in the event of a crisis.  Conduct training sessions, as necessary, to assist DPH and partners with implementing changes to the plan.

DPH Communications will review this plan on a regular basis to check that:

 All contact details are current (quarterly basis).  Where new initiatives or risks are identified these will be assessed and included in the revised plan (as needed).  Changes to risk communications policies, practices or procedures are addressed and included in the revised plan (as needed).

Drills and Exercises

DPH Communications will ensure tests are carried out regularly on the elements of this plan to confirm that DPH is prepared to respond effectively to a public health emergency or disaster.

Plan Integration 28

Review the DPH technical communications plan and integrate the technical communications plan with the Risk Communications Plan.

APPENDIX A Staffing Planning Worksheet

Site Name ______Date ______

When assigning tasks, it is important that all assignments are given by the appropriate authority following the ICS structure.

Team / Function Qualifications/Skills # of Potential Staff Member Needed Staff (Contact Information) Needed Leadership (Command . Decision-making Staff: William Gerrish and Control) authority Office: . Management Cell: skills Home: . Spokesperson Staff: Chris Stan skills Office: Cell: Content and Clearance . Senior Science Staff: William Gerrish Officer Office: . Senior Cell: Administrative Home: Officer Staff: Chris Stan . Senior Office: Communications Cell: Officer Staff: Elizabeth Conklin . Message Office: Development Cell: Home: Clinician . Knowledge of Staff: Elizabeth Conklin Communications clinician Office: environment Cell: . Analytical skills Home: Staff: Jennifer Squires Office: Cell: Home: Communication Staff: Elizabeth Conklin Monitoring and Office: Research Cell: Home:

30 Team / Function Qualifications/Skills # of Potential Staff Member Needed Staff (Contact Information) Needed Staff: Jennifer Squires Office: Cell: Home:

Government/Legislative Staff: Jill Kentfield Communications Office: Cell: Staff: Jennifer Squires Office: Cell: Hotline Consult list of staff Staff: Elizabeth Conklin who have completed Office: “Fundamentals of Cell: Crisis and Emergency Home: Risk Communications Media Staff: William Gerrish Office: Cell: Home: Staff: Chris Stan Office: Cell: Web Staff: Chris Stan Office: Cell: Staff: Elizabeth Conklin Office: Cell: Home: Staff: Danny White Office:

31 Team / Function Qualifications/Skills # of Potential Staff Member Needed Staff (Contact Information) Needed Spokespersons . Risk See approved communication spokesperson/subject matter principles expert directory . Message development . Communication skills

Partner Staff: Elizabeth Conklin Communications Office: Cell: Home: Staff: Danny White Office:

APPENDIX B

Team/Function Master Assignment Checklist

PUBLIC INFORMATION OFFICER (Command and Control)

Assigned To:

Tasks: Done 1. Determine from the Incident Commander (IC) if there are any limits ______on information release. 2. Develop material for use in media briefings. ______3. Obtain IC approval of medial releases. ______4. Inform the media and conduct media briefings. ______5. Arrange for tours and other interviews or briefings, as required. ______6. Evaluate the need for and, as appropriate, establish and operate a Joint ______Information System (JIS). 7. Establish a Joint Information Center (JIC), as necessary, to coordinate ______and disseminate accurate and timely incident-related information. 8. Maintain current information summaries and/or displays on the ______incident. 9. Provide information on the status of the incident to assigned ______personnel. 10. Maintain an Activity Log (ICS 214). ______11. Manage media and public inquiries. ______12. Coordinate emergency public information and warnings. ______13. Monitor media reporting for accuracy. ______14. Ensure that all required agency forms, reports, and documents are ______completed prior to demobilization. 15. Have debriefing session with the IC prior to demobilization. ______

LEADERSHIP (Command and Control)

Assigned To:

Tasks: Done 1. Meet with decision-making team (science, administrative, ______communication). Within less than two hours, determine known information, what more will be coming in, and what can be said based on what you know now. 2. Activate the plan based on careful assessment of the situation and the ______expected demands for information by the public, media and partners. 3. Bring in needed resources (human, technical and mechanical supplies ______as specified in your pre-planning activities.) Activate added personnel and contractors. 4. Bring together communication team; brief them on event, advise on ______what can be communicated now, and delegate assignments. 5. Meet with upper management to advise on what communications are ______being done, and when you anticipate releasing information in accordance with the organization’s role in the response. 6. Make telephone contact with other governmental agencies involved ______to learn what communication they are planning, and coordinate response, and timing of release of information. 7. Line up your designated spokesperson or get ready to be the ______spokesperson. Let them know that you will need them available to the media in two hours, and that you want to brief them on the messages prior to that time. Let them know what background material on the event you can provide to update them, and when they can expect it. 8. Prepare your clearance team as well as review and approve materials ______yourself for release. 9. Determine the operational hours/days for the communication team ______throughout the emergency response.  Reassess after 12 hours  Reassess after 24 hours  Reassess after 36 hours  Reassess after 48 hours 10. Make certain to fully communicate and update your staff decision- ______making team and other agency communicators several times during the first 24 hours.

CONTENT AND CLEARANCE

Assigned To:

Tasks: Done 1. Determine your key messages and information based only what is ______currently known about the event. Use these as the basis for all communication materials. 2. Express empathy and caring in the first lines or first 30 seconds of ______your communications. 3. Answer what the public wants to know: magnitude, immediacy ______duration, control/management of emergency, timely/accurate information

 Are my family and I safe?  What have you found that will affect my family and me?  What can I do to protect my family and me?  Who (what) caused this problem?  Can you fix it?

4. Prepare to answer what media and communities want answered: ______

 Who is in charge here?  How are those who got hurt getting help?  Is this thing being contained?  What can we expect?  What should we do?  Why did this happen? (Don’t speculate. Repeat facts of the situation, describe data collection effort, and describe treatment from fact sheets).  Did you have forewarning this might happen?  Why wasn’t this prevented from happening (again)?  What else can go wrong?  When did you begin working on this (e.g. were notified of this, determined this had occurred)?  What does this data/information mean?  What bad things aren’t you telling us? (Don’t forget to tell them the good things.)

5. Line up your clearance personnel and give everyone the ground ______rules.

If you are the main clearance officer, be sure that you are set up to get clearance from your higher authority if that is required. But, be certain that they know you must release within a set period of time (usually if the event is critical, you have a one to two hour time frame before you should have information released). 6. Prioritize incoming information for clearance and dissemination. ______Activate your three people to clear information. Clear simultaneously and in person when possible.

It is best if you can get the primary clearance authorities in one room with the door closed and no interruptions allowed. This allows for questions/comments about the information, discussions, and resolutions quickly. Make sure everyone would be comfortable seeing this information as the headline of the local paper the next day or on CNN within the hour. Remind everyone that the information you’ve compiled and are attempting to clear either: (1) answers important questions from the public, media, and partners; or (2) is in response to troubling trends from your own analysis about where the event is heading and that you are trying to mitigate effects. 7. Develop a quick fact sheet or Q&A sheet on the event based on what ______is currently known.

You will update this constantly in the next 48 hours. Pull any fact sheets on the incident that have been prepared in advance and are in your database (e.g. on the disease, on the type of crisis, etc.). 8. Make sure all communications functions (e.g. web team, hotline ______personnel) have the communication material and key messages. 9. Get information out as soon as possible. ______

Explain to responsible authorities that “no release” is worse than an “incomplete” release. Get “need to know” information out the door fast. Get “want to know” information released as soon as possible without straining relationships with authorities who must clear new information.

CLINICIAN COMMUNICATION

Assigned To:

Tasks: Done 1. Identify critical groups and channels to reach them. ______2. Arrange for routine briefings to key clinician networks. ______3. Prepare information in appropriate formats for clinicians. ______

COMMUNICATION MONITORING AND RESEARCH

Assigned To:

Tasks: Done 1. Activate enhanced media monitoring systems. This could be through ______overnight clipping service, people assigned to watch TV news, an online surveillance to survey media several times daily or other means. 2. Determine which media are most important to monitor and be sure to ______assess coverage several times during the first 48 hours. Messages about the event on radio news, or television news, or daily newspapers’ online editions can change quickly. 3. Analyze what messages are appearing on the event. ______

o Determine what messages are needed, o Determine what misinformation needs correcting. o Identify concerns, interests and needs arising from the crisis as it is being reported.

4. Prepare short analysis of this for the triage decision-making team. This ______should not be more than a page or two. Update it as frequently as needed during the first 48 hours.

5. Research whether there have been similar events to the one you have, and ______whether there is anything in the communication to be used from it. 6. Set up daily mechanisms to capture and do short analysis reports of ______information needs from hotline reports and Web site or special Web page hits. 7. Determine whether you can bring together representatives from the affected ______populations quickly to test messages. Identify whether the event is of such magnitude that attitudes need to be measured quickly. If so, mount a quick survey. 8. Monitor public inquiries and media contact logs to look for information ______gaps and needs.

GOVERNMENT/LEGISLATIVE COMMUNICATION

Assigned To:

Tasks: Done 1. Activate the legislator/special interest group log and identify those in ______the affected event area, or with oversight responsibility for your organization. Make certain they are contacted first. Then, contact the others on your list. 2. Distribute all communication developed to legislator/special interest ______group list via fax or e-mail. 3. Offer to conduct special briefings for the legislative and special interest ______groups. 4. Determine whether legislative/special interest group will be actively ______involved in the event and provide recommendations for involvement.

HOTLINE

Assigned To:

Tasks: Done 1. Obtain all communication being developed and brief hotline operators ______on the content, and how to respond. 2. Obtain FAQ’s and use them as scripts for operators in responding to ______public calls. 3. Provide the public with the Web site or special Web page information if ______they want to have frequent updates. 4. Report all information about the event coming from the public to the ______communication team. This lets them know the concerns of the public about the event and will assist in message development. 5. Update the communication team frequently on callers’ questions that do ______not have answers and work up a suitable response.

MEDIA

Assigned To:

Tasks: Done 1. Assess media needs and organize mechanisms to fulfill media needs ______during crisis (e.g. determine whether you will do daily briefings in person, how you will handle media that are camped out there, and when might you use web site updates for media). 2. Develop triage for response to media requests and inquiries. Make sure ______that this team knows what you will do and won’t do with the media. 3. Activate media contact lists and call logs. ______4. Begin logging all media calls and types of inquiries. ______5. Produce and distribute immediate information materials (e.g. press ______releases, media alerts, press statements, fact sheets, and Q&As).

6. Prepare B-roll or slides, if possible, for television use. ______7. Prepare graphics to illustrate the incident or what is being done. ______8. Translate and test messages for cultural and language requirements of ______special populations. 9. Review with spokesperson, tips for personal demeanor and message ______content, prior to media contact. (Refer to Spokesperson's checklist.) 10. Get with director for frequent updates of the information coming in ______about the event. Prepare further communication materials as new information comes in (it may be that in the first 48 hours, depending on the severity of the event and media response, that you will need to produce and release new information many times).

PUBLIC HEALTH COMMUNICATION/PARTNERS

Assigned To:

Tasks: Done 1. Identify critical groups and channels to reach them. Use Stakeholder/Partner ______Reaction Assessment Worksheet to assist you in framing your responses. 2. Work on message dissemination through HAN and EPI-X. ______3. Provide specific background materials. ______

SPOKESPERSON

Assigned To:

Tasks: Done 1. Be the organization, act like the organization. Embody its identity, ______especially if your organization is about caring and protecting health and people’s lives. Be real. 2. Express empathy and caring about the situation immediately. ______3. Describe the health and safety impact on individuals and ______communities – what is the risk. 4. Describe the incident and its magnitude – what happened: ______

o What o Where o When o Why o How

5. Describe the process in place to respond to the incident – what we ______are doing. 6. Give anticipatory guidance (e.g. side effects of antibiotics). ______7. Be regretful, not defensive. Say “We feel terrible about…” or “We ______are very sorry that…” to acknowledge the incident. 8. Acknowledge the shared misery (people are frightened, feeling a ______lack of control) from the event. Give them the actions your organization is taking or that they can take themselves. 9. Express wishes. “I wish we knew more right now.” “ I wish our ______answers were more definitive about…” 10. Be willing to answer the questions everyone wants to know: ______

o What has happened? o What is the impact? o What is being done? o Are my family and I safe? What will affect us? o What can I do to protect my family and me? o Who (what) caused this problem? Can you fix it? o Who is in charge here?

o How are those who got hurt getting help? o Is this thing being contained? o Why did this happen (Don’t speculate. Repeat facts of the situation, describe data collection effort, and describe treatment from fact sheets)? o Why wasn’t this prevented from happening (again)? o What else can go wrong? o When did you begin working on this (e.g. were notified of this, determined this had occurred)? o What does this data/information mean? o What bad things aren’t you telling us (Don’t forget to tell them the good things)?

11. Ask people to share the risk with you. Show your caring and ______determination as a role model for them. 12. Don’t over reassure. Reassurance can backfire. Acknowledging to ______people how scary the situation is, even though the actual numbers affected are small, can make them calmer about the situation.

WEB

Assigned To:

Tasks: Done 1. Format content materials developed by the communication team and ______publish on the organization’s Web site.

Expect to start publishing information within one to two hours of activating the crisis action plan for the event. Make sure everything published has been released first. 2. Create links to other governmental agency Web sites that also will ______have information about the event. 3. Prepare to update your Web site as frequently as information changes. ______This could be hourly. 4. Release information to other partner Web site operators as you have it. ______

5. Begin developing special Web pages for the event, if the emergency ______warrants it.

APPENDIX C

Department of Public Health Public Health Code 19a-25-1. Definitions

Disclosure of Health Data

19a-25-1. Definitions As used in Sections 19a-25-1 through 19a-25-4, inclusive, of the Regulations of Connecticut State Agencies: (1) "Aggregate health data" means health data that is obtained by combining like data in a manner that precludes the identification of the individual or organization supplying the data or described in the data. (2) "Anonymous medical case history" means the description of an individual's illness in a manner that precludes the identification of the individual or organization supplying the data or described in the data. (3) "Commissioner" means the commissioner of the Department of Public Health. (4) "Department" means the Department of Public Health. (5) "Disclosure" or "disclose" means the communication of health data to any individual or organization outside the department. (6) "Health data" means information, recorded in any form or medium, that relates to the health status of individuals, the determinants of health and health hazards, the availability of health resources and services, or the use and cost of such resources and services. (7) "Identifiable health data" means any item, collection, or grouping of health data that makes the individual or organization supplying it, or described in it, identifiable. (8) "Individual" means a natural person. (9) "Local Director of Health" means the city, town, borough, or district Director of Health or any person legally authorized to act for the local director of health. (10) "Medical or scientific research" means the performance of activities relating to health data, including, but not limited to: (A) describing the group characteristics of individuals or organizations; (B) characterizing the determinants of health and health hazards; (C) analyzing the inter-relationships among the various characteristics of individuals or organizations; (D) the preparation and publication of reports describing these matters; and (E) other related functions as determined by the commissioner. (11) "Organization" means any corporation, association, partnership, agency, department, unit, or other legally constituted institution or entity, or part thereof.

(12) "Studies of morbidity and mortality" means the collection, application, and maintenance of health data on: (A) the extent, nature, and impact of illness and disability on the population of the state or any portion thereof; (B) the determinants of health and health hazards, including but limited to, (i) infectious agents of disease, (ii) environmental toxins or hazards, (iii) health resources, including the extent of available manpower and resources, or (iv) the supply, cost, financing or utilization of health care services. (C) diseases on the commissioner's list of reportable diseases and laboratory findings pursuant to section 19a-215 of the Connecticut General Statutes; or (D) similar health or health related matters as determined by the commissioner. (Effective October 30, 1998.)

19a-25-2. Disclosure of aggregate health data, anonymous medical case histories, and reports of the findings of studies of morbidity and mortality (a) The department may, at the discretion of the commissioner, publish, make available, and disseminate aggregate health data, anonymous medical case histories, and reports of the findings of studies of morbidity and mortality, provided such data, histories, and reports: (1) Are prepared for the purpose of medical and scientific research; and (2) Do not include identifiable health data. (b) No individual or organization with lawful access to such reports shall be compelled to testify with regard to such reports. Publication or release of such reports shall not subject said report or related information to subpoena or similar compulsory process in any civil or criminal, judicial, administrative or legislative proceeding. Effective October 30, 1998.

19a-25-3. Disclosure of identifiable health data (a) The department shall not disclose identifiable health data unless: (1) The disclosure is to health care providers in a medical emergency as necessary to protect the health, life, or well-being of the person with a reportable disease or condition pursuant to section 19a-215 of the Connecticut General Statutes; (2) The disclosure is to health care providers, the local director of health, the department, another state or public health agency, including those in other states and the federal government, or other persons when deemed necessary by the department in its sole discretion for disease prevention and control pursuant to section 19a-215 of the Connecticut General Statutes or for the purpose of reducing morbidity and mortality from any

cause or condition, except that every effort shall be made to limit the disclosure of identifiable health data to the minimal amount necessary to accomplish the public health purpose; (3) The disclosure is to an individual, organization, governmental entity in this or another state or to the federal government, provided the department determines that: (A) Based upon a written application and such other information as required by the department to be submitted by the requesting individual, organization or governmental entity the data will be used solely for bona fide medical and scientific research; (B) The disclosure of data to the requesting individual, organization or governmental entity is required for the medical or scientific research proposed; (C) The requesting individual, organization, or governmental entity has entered into a written agreement satisfactory to the department agreeing to protect such data in accordance with the requirements of this section and not permit disclosure without prior approval of the department; and (D) The requesting individual, organization or governmental entity, upon request of the department or after a specified date or event, returns or destroys all identifiable health data provided by the department and copies thereof in any form. (4) The disclosure is to a governmental entity for the purpose of conducting an audit, evaluation, or investigation required by law of the department and such governmental entity agrees not to use such data for making any determination as to whom the health data relates. (b) Any disclosure provided for in this section shall be made at the discretion of the department, provided the requirements for disclosure set forth in the applicable provisions of this section have been met. For disclosures under this section to governmental entities, the commissioner may waive the requirements of this section except for the requirements of subdivision (A) of subsection (3). (c) Notwithstanding any other provisions of this section, no identifiable health data obtained in the course of activities undertaken or supported under this section shall be subject to subpoena or similar compulsory process in any civil or criminal, judicial, administrative, or legislative proceeding, nor shall any individual or organization with lawful access to identifiable health data under the provisions of this section be compelled to testify with regard to such health data. (Effective October 30, 1998.)

19a-25-4. Use of health data for enforcement purposes (a) Notwithstanding any provisions of sections 19a-25-1 to 19a-25-3, inclusive of the Regulations of State Agencies, the department may utilize, in any manner, health data including but not limited to aggregate health data, identifiable health data, and studies of morbidity and mortality, in carrying out and performing its statutory and regulatory responsibilities and to secure compliance with or enforcement of any laws. Where such data is used in an enforcement action 46

brought by the department or any other state agency, disclosure to parties to the action of such data shall be permitted only if required by law and said parties may not further disclose such data except to a tribunal, administrative agency or court with jurisdiction over the enforcement action. Disclosure under this section does not constitute a waiver or release of the confidentiality that protects such data. (Effective October 30, 1998.)

DPH FACT SHEET Connecticut Department of Public Health

Public disclosure of Non-Identifying, Individual Data

Disease reports that are received by the Department of Public Health contain identifiable health data. Pursuant to Section 19a-25 of the Connecticut General Statutes and the associated regulation, Section 19a-25-3 of the Regulations of Connecticut State Agencies (see Appendix), identifiable health data shall not be disclosed by the department, except as noted.

Of note, DPH has extraordinary authority to collect personal medical data without consent from the affected individuals. Along with that authority come some strict confidentiality requirements that enable the department to collect the data without compromising the health, safety or well-being of the individuals whose information is reported to us. Such requirements enable physicians, hospitals and laboratories to report to us in good conscience and not try to withhold information that they fear could jeopardize their patients. They also minimize the potential for threat of disclosure of personal information to be a barrier to patients seeking care for conditions that are reportable to DPH.

Pursuant to Connecticut General Statutes, Section 19a-25, the department may publish, make available, and disseminate reports of the findings of studies of morbidity and mortality (which include case and outbreak investigations such as occurred after the discovery in 2001 of an anthrax case in Connecticut). Such reports are prepared for the purpose of medical and scientific research and shall not include identifiable health data or any item, collection or grouping of health data that makes the individual or organization supplying it or described as identifiable. In addition, in principle, DPH can share information with other agencies as may be necessary for disease prevention and control.

The department cannot produce reports in response to specific requests that would result in linking the report to an identifiable individual or organization except in accordance with the provisions set forth in Reg. Conn. State Agencies Sec. 19a-25-3. Where the purpose of the disclosure is for disease prevention and control, the regulations require that “every effort shall be made to limit the disclosure of identifiable health data to the minimal amount necessary to accomplish the public health purpose.”

Furthermore, such reports shall not be subject to subpoena or similar compulsory process in any civil or criminal, judicial, administrative, or legislative proceeding, nor shall any individual or organization with lawful access to such reports be compelled to testify with regard to such reports.

Given these restrictions, the DPH evaluates the personal information it has in the context of what is the minimum amount necessary that should be released for public health purposes and to whom, if anyone, is it necessary to share some of this information to accomplish that purpose. This will vary depending on the disease, how it is acquired, who may be at risk of contracting it from a given individual, and how much interest there may be at the time in determining who the individual is.

APPENDIX D

Media List Planning Worksheet

Site Date______Name______

Use this worksheet to identify the media serving the community and plan your communications with them. Be sure to consider the media’s coverage in the past of the site during the planning process.

Media Contact Information Past Coverage History of the Site

Newspapers

Radio Stations

Television Stations

Other Media

APPENDIX E

WebEOC Login

1. Go to https://www.webeoc.ct.gov/eoc7/

2. In the top menu of Internet Explorer, select “tools” then select “Pop-up Blocker” and “Pop-up Blocker Settings”

3. In the top box, type in https://www.webeoc.ct.gov/eoc7/ and click on “Add”

4. Once it has been added, click “Close”

5. This will bring you to the Tier I Login. Enter in Account and Password. Account is CTDEMHS. Password is 169t8C5r. Please note that the Account and Password are case-sensitive. Your computer may ask you to save passwords. DO NOT SAVE YOUR PASSWORDS. This makes the system vulnerable to hackers. Select “no” if you are prompted to save passwords.

6. In the drop down menu under Jurisdiction select “CT DPH ECC”. Under User select “CTDPH ECC PIO” and for the password type “coM65s”. There are no 1 (ones) or 0 (zeroes) in the password and it is case-sensitive.

7. You will get a pop-up window that says WebEOC 7.0 on the top and has a listing that includes “Boards”, “Position Log”, “Menus” and other options. Leave this window open and close out the other window.

APPENDIX F

Sending messages via Everbridge to LHDs and Media

IMPORTANT: For security purposes, please be sure that all documents have been converted to PDF before sending.

For media:

1. Go to https://www.everbridge.net/nns/Login1.do 2. Type in Member ID and Password and click “GO” 3. Under “Send Notification” click on “Standard Message”. 4. In the first box “Message to be distributed to groups” click on “Add”. 5. A pop-up window will open up. Click on the group “MEDIA”. You only need to click once. The group will load into the box. Click “Close Window.” The window will close and bring you back to the first window. 6. Click “Next” at the bottom of the page. 7. In “Message Title” type in “DPH Press Release:” and then copy and paste the press release title. You are limited to the number of characters so put as much as you can fit. 8. In the box that says “Type your message” copy and paste the first paragraph of the press release and then type in “Please see attached for more information.” 9. To upload the press release, click on “Browse”, find the press release and click “Open.” MAKE SURE THE PRESS RELEASE IS A PDF. 10. Click “Next.” 11. In the drop down menu where it says “Send Attachment(s) to:” select “E- Mail and Fax”. 12. In the gray box labeled “Delivery Methods” UNcheck “SMS TXT Ph#” and check “Fax”. Leave all other options as they are and click “Send Message.”

For Local Health Departments:

5. A pop-up window will open up. Click on the group “LHAB” (local health administration branch) and “LHD-LHS” (local health directors and staff). You only need to click once. The groups will load into the box. Click “Close Window.” The window will close and bring you back to the first window. 6. Click “Next” at the bottom of the page. 7. In “Message Title” type in “DPH Press Release:” and then copy and paste the press release title. You are limited to the number of characters so put as much as you can fit. 8. In the box that says “Type your message” copy and paste the first paragraph of the press release and then type in “Please see attached for more information.” 9. To upload the press release, click on “Browse”, find the press release and click “Open.” MAKE SURE THE PRESS RELEASE IS A PDF. 10. Click “Next.” 11. In the drop down menu where it says “Send Attachment(s) to:” select “E- Mail Only”. (In the event of a true emergency, select “E-Mail and Fax”.) 12. In the gray box labeled “Delivery Methods” UNcheck “SMS TXT Ph#”. (In the event of a true emergency, check “Fax” as well.) Leave all other options as they are and click “Send Message.”

APPENDIX G

How to Post a Press Release Online

IMPORTANT: In order to post the press release you will need to have the press release open in Word format.

1. Go to www.ct.gov/dph/admin 2. Log in using your Username and Password and click “Login” 3. Scroll down to “Press Releases – [YEAR]” 4. Select the folder of the month the release is being posted. 5. Click on “Create A New Page” 6. Under “Title” copy and paste the headline of the release (in Word format). If the headline is more than one line, you will have to copy and paste each line separately. 7. Under “Teaser” copy and paste the first paragraph of the release (minus the dateline). Make sure that the box next to “Show Teaser” is selected. 8. Towards the top of the page you will see four buttons: “Title”, “HTML Editor”, “Display Setting”, “More Info”. Click on “HTML Editor”. 9. Copy and paste the ENTIRE release from “For Immediate Release” to the end. 10. DELETE the headline. {The headline is in the title and therefore will appear automatically so you can delete it from the body of the release.) 11. Leave two spaces from the top to “For Immediate Release.” (This is to give some space between the title and the release.) 12. At the bottom of the page click on “Save as Staged Version.”

13. Towards the top of the page on the left hand side you will see . Click on the icon next to “Current Version.” This will open a new window and allow you to see the press release as it would appear online. Make sure the font and the top of the press release are properly formatted. Often the font may be altered or “Connecticut Department of Public Health” (at the top of the page) will be broken into two lines. To fix the “Connecticut Department of Public Health” problem at the top, delete some space between “For Immediate Release” and “Connecticut Department of Public Health”. Make sure the contact name and phone number are vertically aligned with “Connecticut Department of Public Health” below. If there are issues with formatting, make the changes in the editor and click on “Save as Staged Version.” Repeat this until the preview version is correct. 14. Click on “Display Setting” (one of the four buttons at the top.) 15. On the first line under, “Limit the time this page appears on the site”, change the end date year to 2099.

16. Below this line you will see a box with “Show this content on the homepage also” grayed out. Click on the box to activate this. 17. For the end date of showing the page, enter in the date three weeks from the date the press release was posted. 18. At the bottom of the page click on “Save as Staged Version.” 19. At the bottom of the page click on the box next to “Active/Inactive” to activate the page. 20. Click “OK” in the pop-up window that appears. 21. Click on “Publish”

APPENDIX H DIRECTORY OF DPH SPOKESPERSONS/SUBJECT MATTER EXPERTS

Administration – M. Harward

Subject Area Authorized Staff Contact Information All Branch issues Mary Ann Harward W – C – Contracts Management Bruce Wallen W – Human Resources Michael Carey W – H – C – Informatics/Information Technology Vanessa Kapral W – Fiscal Susan Maheux W – C –

Reporting to Deputy Commissioner Davis

Office of Healthcare Access – K. Martone

Subject Area Authorized Staff Contact Information All Issues Kim Martone W – C – Certificate of Need Hospital Financial Data

Population Health Statistics & Surveillance – D. Aye

Subject Area Authorized Staff Contact Information All Issues Diane Aye W –

BRFSS School Health Survey Health Information Systems and Reporting Healthcare Quality Statistics Lloyd Mueller W – Statistics H – Vital Statistics C – Tumor Registry Lou Gonsalves Vital Records Jane Purtill Adoptions Paternity

Public Health Laboratory - J. Fontana

Subject Area Authorized Staff Contact Information All Laboratory Issues John Fontana W – H – C – Scientific Support & Bioterrorism Response Gregg Herriford W – C – Quality Assurance Jeffrey Curran W – C – Biological Sciences Philip Sommers W – Newborn Screening Environmental Chemistry & Chemical Jack Bennett W – Terrorism

Reporting to Deputy Commissioner Lewis Infectious Diseases – M. Cartter

Subject Area Authorized Staff Contact Information Infectious Disease– All Issues Matthew Cartter W – H – C – Epidemiology & Emerging Infectious Matthew Cartter W – Diseases H – C – Immunizations Vincent Sacco W – H – Mick Bolduc W – C – Influenza Healthcare Associated Infections Richard Melchreit W – (HAI) C – Vector-borne diseases (West Nile Randall Nelson W – virus, EEE, Lyme Disease) C – HIV/AIDS Healthcare & Support Christian Andresen W – Services C – HIV/AIDS Prevention HIV/AIDS Surveillance Sexually Transmitted Diseases Heidi Jenkins W – Tuberculosis Lynn Sosa W – C – Viral Hepatitis Christian Andresen W – C –

Family Health – R. Biaggi

Subject Area Authorized Staff Contact Information Family Health – all issues Rosa Biaggi W – C –

Community Health and Support Birth Defects Registry Marcie Cavacas W – Karin Davis W – Community Health Centers Early Hearing Detection and Amy Mirizzi W – Intervention Intimate Partner Violence Sexual Violence Prevention Sickle Cell Disease State Systems Development Initiative Primary Care Office Mehul Dalal W – Oral Health Linda Ferraro W – Maternal, Infant and Child Health Action Learning Collaborative Case Management for Pregnant Women Family Planning Fetal and Infant Mortality Review Healthy Choices for Women and Children Healthy Start Maternal, Infant and Early Childhood Home Visiting Pregnancy Risk Assessment Monitoring System (PRAMS) Child and Adolescent Health Autism Spectrum Disorder Children and Youth with Special Health Care Needs School Based Health Centers Janet Brancifort W –

Community Health & Prevention – R. Coleman-Mitchell

Subject Area Authorized Staff Contact Information Community Health & Prevention – all issues Renee Coleman-Mitchell W – H – C –

Asthma Comprehensive Cancer Lisa McCooey W – Breast & Cervical Cancer WISEWOMAN Colorectal Cancer Comprehensive Cancer Diabetes Prevention and Control Cindy Kozak W – Genomics Beverly Burke W – Heart Disease and Stroke Prevention Injury Prevention Multicultural Health Angela Jimenez W – Nutrition, Physical Activity and Obesity Prevention Supplemental Nutrition Assistance (SNAP-Ed) Coordinated School health (CSH) Community Transformation Grant (CTG) Preventive, Health and Health Services Block Grant (PHHSBG) Tobacco Use Prevention and Control Barbara Walsh W – Women, Infant and Children Supplemental Food (WIC)

Regulatory Services – E. Blaschinski

Subject Area Authorized Staff Contact Information All Branch issues Ellen Blaschinski W – H – C –

Drinking Water – all issues Lori Mathieu W – C – C – Michael Hage W – Environmental Health – all issues Suzanne Blancaflor W – C – Asbestos Ron Skomro W – 58

Environmental & Occupational Brian Toal W – Health (toxic hazards, hazardous H – waste sites, indoor air, carbon C – monoxide, mold, fish advisories, asbestos, pesticides, etc) Gary Ginsberg W – H – C – Environmental Engineering Robert Scully W – H – C – Environmental Laboratories Environmental Practitioner Licensing Food Protection Tracey Weeks W – H – C – Christine Applewhite W – Hazardous Waste Sites Healthy Homes Francesca Provenzano W – H – C – Lead Francesca Provenzano W – H – C – Meth Labs Sharee Rusnak W – Occupational Health Thomas St. Louis W – Private Wells Public Beaches Jon Dinneen W – Public Swimming Pools Pamela Scully W – Radon Francesca Provenzano W – H – C – Recreation School Environmental Health (Tools for Schools Program) Subsurface Sewage Robert Scully W – H – C – Toxicology All Community-based Program Debra Johnson W – Licensing and Investigations H – C – Day Cares Youth Camps Local Health Juanita Estrada W –

C –

Health Care Quality & Safety – W. Furniss

Subject Area Authorized Staff Contact Information All Branch issues Wendy Furniss W – C –

Legal Office Matthew Antonetti W – Facility Licensing & Inspections Barbara Cass W – C – Assisted Living Facilities Hospitals Nursing Homes Practitioner Licensing & Investigations Jennifer Filippone W – C – EMS Licensing Ray Barishansky W – C – Environmental Health Licensing All Other Healthcare Practitioner Stephen Carragher W – Licensing EMS Ray Barishansky W – C –

Other Areas

Subject Area Authorized Staff Contact Information Public Health Preparedness & Response Jonathan Best W – C – C – Strategic National Stockpile Research and Development Genomics Stem Cell Research Health Information Exchange Laboratory Relocation

APPENDIX I

SPOKESPERSON TIPS

Introduction

The spokesperson gives your organization human form. One area of control that must be exerted by the organization's public information officer is to insist that its spokespersons be trained because we know that few are born. No one should represent the entire organization unless he or she has invested time and energy in developing the skills of an effective spokesperson. It is not about the color of a tie or scarf one wears on television, but the ability to effectively connect with the audience, either through the media or in person. The importance of being well prepared as a spokesperson can be seen in the example of a town meeting about a possible link between cancer incidence and a major corporation's activities.

Spokespersons must be trained and familiar with the basic principles of crisis and emergency risk communication. They should play a role in developing messages so they can "own" them and deliver them well.

Role of Spokesperson In An Emergency

It is the task of the spokesperson to do the following.

 Take your organization from an "it" to a "we".  Build trust and credibility for the organization.  Remove the psychological barriers within the audience.  Gain support for the public health response.  Ultimately, reduce the incidence of illness, injury, and death by getting it right.

Recommendations For Spokespersons

Spokespersons should remember the following.

 Do not over reassure.  Acknowledge uncertainty.  Express that a process is in place to learn more.  Give anticipatory guidance.  Be regretful, not defensive.  Acknowledge people's fears.  Acknowledge the shared misery.  Express wishes, "I wish we knew more."  Stop trying to allay panic (Panic is much less common than we imagine)

At some point, be willing to address the "what if" questions. These are questions that every person is thinking about and for which they want expert answers. If the "what if" could happen and people need to be emotionally prepared for it, it is reasonable to answer this type of question. If you do not answer the "what if" questions, someone with much less at stake regarding the outcome of the response will answer these questions for you. If you are not prepared to answer the "what if" questions, you lose credibility and the opportunity to frame the "what if" questions with reason and valid recommendations.

Ask more of people by giving them things to do. Perhaps the most important role of the spokesperson is to ask people to bear the risk with you. You can then ask the best of them, to bear the risk during the emergency, and work toward solutions.

General recommendations for spokespersons in all settings:

 Know your organization's policies about the release of information.  Stay within the scope of your responsibilities. Unless you are authorized to speak for the entire organization or a higher headquarters, do not do it.  Do not answer questions that are not within the scope of your organizational responsibility.  Tell the truth. Be as up-front as possible.  Follow up on issues.  Use visuals when possible.  Illustrate a point through examples, stories, and analogies. Ensure that they help you make your point and do not minimize or exaggerate your message. Test the stories on a small group first.

When Emotions And Accusations Run High In An Emergency Public Meeting

The following table lists actions that a Spokesperson should take in dealing with emotional or accusative individuals at an Emergency Public Meeting.

 Do not show inappropriate hostility. You can be angry at the organisms or natural disasters that cause illness and death but do not show outrage or become indignant toward your detractors.

 Ask for ground rules. To avoid the appearance of biases, ask a neutral third party to express ground rules.

 Hire a facilitator or moderator. An organization is usually better off to hire a facilitator/moderator for the meeting from the beginning. (NOTE: this person should be neutral.)

 Acknowledge the anger up front. Acknowledge any expressions of anger up front and explain what you hope to accomplish. Refer back to your objectives if the communication deteriorates.

 Do not react with temper. Do not lose your temper when confronted with accusations.

 Practice self-management. Remind yourself of your greater purpose. Display confidence and concentration. Visualize a verbal attack and mentally rehearse a temperate response. Do not be caught off guard. Anticipate the attack and practice not feeding the anger.

 Exhibit active listening. Active listening (http://www.colorado.edu/conflict/peace/ treatment/activel.htm) is exemplified by the ability to express the other person's point of view. Concentrate on what the person is saying instead of thinking about what you will say next when it is your turn to respond.

 Do not say, "I know exactly how you feel." Refrain from using expressions such as, "I know exactly how you feel," since the audience is not likely to believe that you do. Instead, acknowledge the feeling.

 Avoid interrupting, but set limits. If a hostile speaker dominates, appeal to him or her that you want to address the concerns of others in the room.

 Do not overreact to emotional words. Remember, you are the professional. Others have a totally different investment in what is happening. Words you interpret in one way may mean something else to others. Give them the benefit of the doubt.

 Use open body language. Sit or stand with your arms relaxed by your sides. Do not cross your arms or put your hands on your hips. Make eye contact when possible.

 Modulate your voice. Use a slightly lower tone and volume of voice than the angry individual.

 Do not take personal abuse. A certain amount of anger and negative emotion directed at you is understandable. If it becomes personal, however, you have a right to express the inappropriateness of that behavior and ask the person to join with you in getting back to the issues. You are your organization. You are not alone. You are not the true focus of the attack. If you know that the audience will be hostile, bring along a neutral third party who can step in and defuse the situation.

 State the problem, then the recommendation. When explaining your position, state the problem before your answer. For example, rather than saying, "Exposed persons should take Cipro for 60 days," say, "To 64

eliminate the risk of respiratory anthrax, CDC recommends that exposed persons take Cipro for 60 days."

 Commit to a response. Write down people's comments, issues, inquiries, and get back to them.

 Do not promise what you can not deliver. Explain the limitations of the situation and express that you are doing everything you can to keep the response on track.

 Look forward, not back. Acknowledge past mistakes: "I wish we had met with you sooner to hear your concerns." Then talk about where you want to go in resolving problems rather than where you have been.

 Do not search for the single answer. One size may not fit all. Consider many possible solutions and do not view a negotiation as an either/or proposition.

Remember the credibility of the spokesperson is important, too. Spokespeople allow the public to put a face to the act of investigating and resolving a crisis or big event. How a spokesperson handles public and media inquiry, in addition to what he or she says, helps establish credibility for an organization, and contributes to the public's transition from the crisis stage to resolution and recovery. An organization should choose carefully the individual(s) who will be charged with the role of spokesperson based not only on the individual's familiarity with the subject matter, but also on his or her ability to talk about it in a way that communicates confidence and is understandable. He or she should not be a new face. A good example of this is Brentwood anthrax incident. This example shows the importance of frequent public appearances by spokesperson to help establish credibility for your organization.

Pitfalls For Spokespersons During An Emergency

The following are points that a spokesperson should remember.

 Remember that jargon obfuscates communication and implies arrogance. If you have to use a technical term or acronym, define it. If you can define it, do you need to use it? Jargon and euphemisms are security blankets. Try to give yours up.  Use humor cautiously. Humor is a minefield. Soft, self-deprecating humor may be disarming for a hostile audience, but be careful.  Refute negative allegations without repeating them. Don’t own the negative by repeating the accusation.  Use positive or neutral terms whenever possible.  Don’t assume you have made your point. Ask whether you have made yourself clear.

 Money will become an issue. During the early stage of an emergency, don’t lead with messages about money.  Avoid one-liners, cliches, and off-the-cuff comments at all costs. Any statement that trivializes the experience of the people involved by saying something such as "there are no guarantees in life" kills your credibility.  Discuss what you know, not what you think.  Do not express personal opinions.  Do not show off. This is not the time to display an impressive vocabulary.

What spokespersons should know when communicating through the media

The media are important during the first hours or days of an emergency. The media are the fastest and, in some cases, the only way to talk to the public during an emergency. Media professionals do accept their community responsibilities; however, your job is not their job. Respect the differences and look for mutual goals.

Remember to go into any media interview with a purpose. Have a specific message to deliver. Also, make sure the reporter gets your name and title right, to avoid later confusion and lack of reliability.

The following lists actions that a spokesperson can take to avoid general media interview pitfalls.

 Stick to your message. Do not let a reporter put words in your mouth; use the words of your previously developed message.

 Reframe leading or loaded questions. If the question contains leading or loaded language, reframe it to eliminate the language and then answer the questions.

 Do not react to new information that a reporter gives you. Do not assume the reporter has it right if he or she claims that someone has lodged an allegation. Do not react to new information that a reporter gives you. Instead, say, "I have not heard that" or "I would have to verify that before I could respond."

 Don't answer a question a second time or add to your answer. If a reporter leaves a microphone in your face after you have answered the question, stop. Do not answer the question again or add on to your answer.

 There is no such thing as "off the record." Background and deep background do not mean you would not be quoted. Do not say anything before, during, or at the conclusion of an interview that you are not prepared to see in print the next day.

 Anticipate questions. List as many expected questions as possible and draft answers.

 Make your point first. Have prepared message points. Try to say it in 30 seconds and in fewer than 90 words.

 Do not fake it. If you do not know the answer, say so. If it is not in your area of expertise, say so. Commit to getting the answer.

 Do not speak disparagingly of anyone. Never speak disparagingly of anyone, not even in jest.

 Do not react to hypothetical questions. Do not buy in to hypothetical questions.

 Record sensitive interviews. Be sure the reporter knows you are doing so.

 Do not ask to review articles or interviews. To avoid a perception that you are trying to edit a message, or their reporting, do not ask reporters to allow you to review their articles or interviews.

 Break down questions. Break down multiple-part, or complex, questions into manageable segments. Answer each part separately.

 Do not raise unwanted issues. Do not raise issues you don't want to see in print or on the news.

 Do not say "no comment" to a reporter's question. Never just say "no comment" to a reporter's question. Instead, state why you can not answer that question. Say that the matter is under investigation, that the organization has not yet made a decision, or simply that you are not the appropriate person to answer that question.

 If you deal with sensational questions, answer as briefly as possible, then return to your key messages. If you have to deal with sensational or unrelated questions, answer in as few words as possible without repeating the sensational elements. Then return to your key messages. Here are a few recommended "bridges" back to what you want to say:

o "What I think you are really asking is . . ." o "The overall issue is . . ." o "What is important to remember is . . ." o "It is our policy to not discuss this issue, but what I can tell you is . . ." o "What I am really here to discuss . . ." o "Your readers/viewers need to know . . ."

It is important to note that questions should only be ignored if they are truly off target. Be careful not to ignore valid or relevant questions, or questions many people are thinking about, because you want to talk about a different topic.

For more information on effective bridging techniques, see Dr. Vincent Covello's article, Bridging.

APPENDIX J

Notification/Coordination Roster Use this worksheet to identify organizations and individuals who should be contacted/coordinated with in the event of an emergency. Be sure to include both day and evening contact information. Group Notifications Contact (check those that apply) Who How (Day/Evening) Local  City / health department officer

 City /health department public information officer

 City mayor or public information officer

 City / hospital public information department head

 City /fire, police public information office

 Other

State  State health director Government

 State health director's public information officer

 Governor’s office, press officer

 Elected officials

 Other

Federal  Elected officials Government

Centers for Disease Control and Prevention (notification chain)

 Center level, associate director of communication

 Director, Media Relations Division

 Director, CDC office of the director, office of communication

 CDC, Washington

 Office of Legal Counsel

 HHS Assistant Secretary for Public Affairs

Within CDC (depending on event)

 Associate director for minority health

 Associate director for science

 Freedom of Information Act office

 Information resources management office

 Management analysis and services office

 National Vaccine Program Office

 Office of Global Health

 Office of Health and Safety

 Office of Women’s Health

 Epidemiology Program Office

 National Center for Chronic Disease Prevention and Health Promotion

 National Center for Environmental Health

 Office of Genetics and Disease Prevention

 National Center for Health Statistics

 National Center for HIV, STD, and TB Prevention

 National Center for Infectious Diseases

 National center for Injury Prevention and Control

 National Immunization Program

 National Institute for Occupational Safety and Health

 Public Health Practice Office

 Other

(depending on  National Institutes for Health event)

 Food and Drug Administration

 Health Resources Services Administration

 Centers for Medicare and Medicaid Services

 National Public Health Information Coalition

 WHO Press Office

 Federal Bureau of Investigation

 Environmental Protection Agency

 (Through Health and Human Services) U.S. Department of Agriculture, State Department, Interior Department, Department of Justice and Homeland Security

 Other

 ______

 Other

Other  Employees

 Families

 Retirees

 Board Members

 Advisors

 Clients

 Customers

 Residents

 Business leaders

 Consumer groups

 Unions

 Competitors

 Legal advocates

 Other

 Employers

 Media

 Public

 Special Populations

 Hospitals

 Nursing homes

 Clinics

 Community health centers

 Day cares

 Schools

 Parents

 Healthcare providers/workers

 EMS providers

 Local health departments

 Drinking water companies

 Food service establishments

 Other

APPENDIX K

Public Information Emergency Response Call Tracking

Time of Call:______a.m. p.m.

Nature of call: Specific information contained in stock materials:

Disease or illness-related Treatment-related Prevention-related Clarify recommendations Current status of the incident Hot topic 1______ Hot topic 2______  Request for referral: For more health information For medical attention Other ______  Feedback to agency: Complaint about specific contact with agency Complaint about recommended actions Concern about ability to carry out recommended action  Report possible cases or markers (e.g., dead birds for West Nile or increased absences from place of employment) Rumor or misinformation verification (briefly describe) ______Outcome of call:   Calmed caller based on scripted information Referred caller to: Health expert outside the department Personal doctor or health care professional  Emergency room Red Cross or other non-government organization FEMA or state emergency management agency ______76

Action needed:   None Return call to: Caller’s name: ______Telephone number: ______Gender: M F Return Call urgency: Critical (respond immediately)  Urgent (respond within 24 hours)  Routine ______

Call taken by: ______Date: ______

APPENDIX L

Training Resources for Risk Communication

Training Resources

 TRAIN: www.train.org

 National Incident Management System Online Courses: http://training.fema.gov/IS/NIMS.asp

 CDC Crisis and Emergency Risk Communication Webinars and Training: http://www.bt.cdc.gov/cerc/

Messaging Templates

Message Template for the First Minute for all Emergencies: http://www.emergency.cdc.gov/firsthours/resources/messagetemplate.asp

Articles and Advice

Risk Communication, the West Nile Virus Epidemic, and Bioterrorism: Responding to the Communication Challenges Posed by the Intentional and Unintentional Release of a Pathogen in an Urban Setting

Vincent T. Covello, PhD, Richard G. Peters, DrPH, MBA, MSc, Joseph G. Wojtecki, MA, Richard C. Hyde, MSc

The intentional or unintentional introduction of a pathogen in an urban setting presents severe communication challenges. Risk communication - a science-based approach for communicating effectively in high concern situations - provides a set of principles and tools for meeting those challenges. A brief overview of the risk communication theoretical perspective and basic risk communication models are presented here, and the risk communication perspective is applied to the West Nile Virus epidemic in New York City in 1999 and 2000 and to a possible bioterrorist event. The purpose is to provide practical information on how perceptions of the risks associated with a disease outbreak might be perceived and best managed.

Journal of Urban Health: Bulletin of the New York Academy of Medicine, Volume 78, No. 2, pg. 382-391, June 2001

The Determinants of Trust and Credibility in Environmental Risk Communication: An Empirical Study

Richard G. Peters, DrPH, Vincent T. Covello, PhD, David B. McCallum, PhD

This study examines a key component of environmental risk communication: trust and credibility. The study was conducted in two parts. In the first part, six hypotheses regarding the perceptions and determinants of trust and credibility were tested against survey data. The hypotheses were supported by the data. The most important hypothesis was that perceptions of trust and credibility are dependent on three factors: perceptions of knowledge and expertise; perceptions of openness and honesty; and perceptions of concern and care. In the second part, models were constructed with perceptions of trust and credibility as the dependent variable. The goal was to examine the data for findings with direct policy implications. One such finding was that defying a negative stereotype is key to improving perceptions of trust and credibility.

Risk Analysis. 1997; 17(1):43-54.

Anthrax, Bioterrorism, And Risk Communication: Guidelines For Action (Twenty-Six Recommendations) The Twenty-Six Recommendations for risk communication about a bioterrorist attack are from the larger article - Anthrax, Bioterrorism, and Risk Communication: Guidelines for Action. Written by Peter M. Sandman and originally published in article form to The Peter Sandman Risk Communication Web Site. http://www.psandman.com/col/part1.htm

Assessing And Communicating The Risks Of Terrorism Baruch Fischhoff's examination of the psychology of risk, risk analysis, and risk communication. Also, looks at special considerations in the domain of terrorism and how these perspectives apply to bioterrorism. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/FischhoffAAAS.pdf

Beyond Panic Prevention: Addressing Emotion in Emergency Communication A discussion of how to address emotions that may be expressed in emergency situations: outrage, panic, denial, rage, and depression through effective risk communication. Written by Peter M. Sandman for the ERC CDCynergy CD. Available via web: http://www.psandman.com/articles/beyond.pdf.

Bridging A discussion of effective bridging techniques for emergency risk communication. Written by Dr. Vincent T. Covello for the ERC CDCynergy CD. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/Covello_bridging.pdf

Dilemmas in Emergency Communication Policy A discussion of ten dilemmas of emergency communication policy:

 Candor versus secrecy  Speculation versus refusal to speculate  Tentativeness versus confidence  Being alarming versus being reassuring  Being human versus being professional  Being apologetic versus being defensive  Decentralization versus centralization  Democracy and individual control versus expert decision-making  Planning for denial and misery versus planning for panic  Erring on the side of caution versus taking chances.

Written by Dr. Peter Sandman for the ERC CDCynergy CD. Available via web: http://www.psandman.com/articles/dilemmas.pdf

EPA's Seven Cardinal Rules Of Risk Communication Pamphlet drafted by Vincent T. Covello and Frederick W. Allen dealing with seven suggestions to aid in successful risk communication. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/EPA_Seven_Cardinal_Rules.pdf

Message Mapping A discussion of effective message development using the technique of message mapping. Written by Dr. Vincent T. Covello for the ERC CDCynergy CD. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/Covello_message_mapping.pdf

Obvious or Suspected, Here or Elsewhere, Now or Then: Paradigms of Emergency Events A discussion of six different emergency event situations, why they are important, how they differ, and what can be done through emergency risk communication to address them. Written by Peter M. Sandman for the ERC CDCynergy CD. Available via web: http://www.psandman.com/articles/obvious.pdf

Risk Communication and the War Against Terrorism: High Hazard, High Outrage A discussion of risk communication issues in a post 9/11 world. http://www.psandman.com/col/9-11.htm

Risk Communication: Evolution and Revolution Study of Risk Communication, where it came from and what it is composed of, by Vincent T. Covello and Peter M. Sandman. Available via web: http://www.psandman.com/articles/covello.htm

Six Rules For Government And Press On Terrorism: Undercutting Fear Itself Six principles to incorporate into reporting of terrorism and into government announcements about terrorism to undercut fear. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/EP_six_principles.pdf

APPENDIX M

Equipment and Supplies Checklist

Yes No

  Equipment

Fax machine (number that’s pre-programmed for broadcast fax releases to media and partners)

Web site capability 24/7. Attempt to have new information posted within 2 hours (some say within 10 minutes).

Computers (on LAN with e-mail listservs designated for partners and media)

Laptop computers

Printers for every computer

Copier (and backup)

Tables—lots of tables

Cell phones/pagers/personal data devices and e-mail readers

Visible calendars, flow charts, bulletin boards, easels

Designated personal message board

Small refrigerator

Paper

Color copier

A/V equipment

Portable microphones

Podium

TVs with cable hookup

VHS VCR

CD–ROM

Paper shredder Yes No    Supplies

  Copier toner   Printer ink   Paper   Pens   Markers   Highlighters

  Erasable markers   Overnight mail supplies   Sticky notes   Tape (be creative)   Notebooks   Poster board   Standard press kit folders   Organized B-roll in beta format (keep VHS copies around for meetings)   Formatted computer disks   Color-coded everything (folders, inks, etc.)   Baskets (to contain items you’re not ready to throw away)   Organizers to support your clearance and release system   Expandable folders (with alphabet or days of the month)   Staplers (lots of them)   Paper punch   Three-ring binders   Organization’s press kit or its logo on a sticker   Colored copier paper (for door-to-door flyers)   Paper clips (all sizes)

APPENDIX N

Risk Communication Resources

The following is a list of online resources and documents-or their relevant sections-that may be useful for planning purposes. When appropriate, relevant excerpts are included.

WEB SITES

General:

 Connecticut Department of Public Health Crisis and Emergency Risk Communication webpage www.ct.gov/dph/cerc Provides local health departments, hospitals, and other partners in public health related to risk communication with important information and resources so that they will be prepared to communicate effectively in an emergency. Includes fact sheets, templates, and risk communication resources on different types of emergencies. Also includes resources on health literacy and for outreach to special populations.

 CDC Communicating in the First Hours/First Hours Resources: http://www.emergency.cdc.gov/firsthours/resources/index.asp CDC has developed and gathered resources to aid health officials as they communicate with the public in the first hours of an emergency.

 CDC Communicating in the First Hours/Terrorism Emergencies: http://www.bt.cdc.gov/firsthours/terrorist.asp CDC has developed and gathered resources to aid health officials as they communicate with the public in response to a terrorist attack.

 CDC Risk Communicator Newsletter http://emergency.cdc.gov/ercn/ CDC newsletter on risk communications providing information and resources to help emergency risk communicators prepare and effectively respond in the event of a crisis.

 CDC-INFO www.cdc.gov/metrics/cdc-info/ The CDC-INFO National Contact Center is your single source for accurate, timely, consistent, and science-based information. Representatives are available 24/7 to answer your questions in English and Spanish. Includes social media resources.

 National Foundation for Infectious Diseases www.nfid.org In addition to information on NFID activities and publications, this site provides general information on infectious diseases and fact sheets on numerous specific diseases. Has useful links to other sites.

 NIH, National Institute of Allergies and Infectious Diseases www.niaid.nih.gov This site is most useful for information on NIAID-sponsored research. Browse the news releases for timely research news or click on the Division of Microbiology and Infectious Diseases for information on infectious disease research activities.

Bioterrorism:

 CDC Bioterrorism Preparedness & Response Network www.bt.cdc.gov This site provides information about chemical and biological agents, press releases, training, contacts, and other important information dealing with the public health aspects of bioterrorism preparedness and response.

 Federal Bureau of Investigation www.fbi.gov Provides links to FBI field offices and contains copies of FBI press releases, as well as information on major ongoing investigations.

Data:

 Morbidity and Mortality Weekly Report www.cdc.gov/mmwr Provides information on disease trends, access to MMWR publications from 1982 to the present, and hotlinks to all state health departments and several other sites of interest.

 National Center for Health Statistics www.cdc.gov/nchs Provides (mostly national) data about a number of infectious diseases using the “FASTATS” option. (For example, in 1997 there were 720 deaths attributable to influenza.) Also provides a search function, tabulated state data, and information and/or links to a number of federally-supported surveys and data collection systems.

Emergency Management:

 Federal Emergency Management Agency www.fema.gov Provides extensive information on emergency management of all types of disasters, including large-scale infectious outbreaks and bioterrorist incidents. Contains information on the Federal Response Plan (FRP), the document that provides guidance to more than two dozen Federal agencies that provide emergency assistance to state and local entities in times of disasters.

 National Emergency Management Association www.nemaweb.org NEMA is the professional association of state emergency management directors. This site contains NEMA policy statements, links to state emergency management contacts, and emergency management information and assistance resources for state officials.

Food-Borne Disease:

 CDC FoodNet www.cdc.gov/foodnet The website for the CDC Foodborne Diseases Active Surveillance Network (FoodNet). FoodNet is a collaborative project among CDC, several state and local Emerging Infections Program sites, the U.S. Department of Agriculture and the U.S. Food and Drug Administration. The site provides a network for responding to new and emerging foodborne diseases of national importance, monitoring the burden of foodborne diseases, and identifying the source of specific foodborne diseases.

 Food Safety Fight BAC! Campaign www.fightbac.org The web site of the Partnership for Food Safety Education, a unique coalition of industry, government and consumer groups created to reduce the incidence of foodborne illness by educating Americans about safe food handling practices. Provides general information, educational materials (including a chart of least wanted foodborne pathogens), prevention tips, and useful hot links.

 U.S. Department of Agriculture www.usda.gov Click first on “Agencies” and then “Food Safety and Inspection Service” to access resources for food safety educators, consumer information (including a listing of product recalls), news releases, USDA food safety publications, the Food Safety Virtual University, and more.

 U.S. Food and Drug Administration www.fda.gov The US FDA provides general information on food safety, information about the National Food Safety Initiative, links to other helpful sites, and special information for kids and educators, including a downloadable food safety coloring book.

Immunizations:

 CDC Immunization Hotline The CDC provides anonymous, confidential information and referrals to the general public on a number of health issues of which immunizations is one. Hotline numbers are 1-800-232-2522 for English speakers and 1-800-232-0233 for Spanish speakers.

 CDC: Vaccines and Immunizations www.cdc.gov/vaccines From this site you can download the current recommended immunization schedules for children and adults and access additional vaccine-related reference materials and publications.

 Vaccines for Children Program www.cdc.gov/vaccines/programs/vfc/default.htm This site lists detailed information about the VFC program and the Advisory Committee on Immunization Practices. It includes several maps and tables with VFC program information broken out by state.

PROFESSIONAL ASSOCIATIONS

 Assn. for Prof’s in Infection Control & Epidemiology www.apic.org Contains information on infectious diseases and hospital settings, including a “Bioterrorism Readiness Plan.” The plan provides a general overview of what hospitals and other health care delivery entities need to consider when developing emergency response procedures for bioterrorism incidents.

 Association of Public Health Laboratories www.aphl.org This site announces meetings and conferences relating to infectious and other diseases. The site provides links to most state public health laboratories.

 Council of State and Territorial Epidemiologists www.cste.org Contains lists of those diseases and conditions which health care providers and laboratories are required to report in each U.S. state. Also contains CSTE position statements and copies of The CSTE Washington Report, which relates political news of public health relevance. 87

 National Public Health Information Coalition www.nphic.org

American Hospital Association www.aha.org

American Public Health Association www.apha.org

American College of Physicians www.acponline.org/clinical_information/resources/bioterrorism/index.html

Anthrax Vaccine Implementation Program www.anthrax.osd.mil

Army Public Health Command http://phc.amedd.army.mil/

Army Surgeon General (nuclear, biological, chemical defense) www.nbc-med.org

Association for Professionals in Infection Control and Epidemiology, Inc. http://www.apic.org/

Association of State and Territorial Health Officials (ASTHO) www.astho.org

Environmental Protection Agency, Water http://water.epa.gov

FEMA Guide for all-hazard emergency operations planning http://www.fema.gov/about/divisions/cpg.shtm

Johns Hopkins Centers for Civilian Biodefense 1-410-223-1667 http://www.hopkins-biodefense.org/

Center for Infectious Disease Research and Policy http://www.cidrap.umn.edu/

National Association of County and City Health Officials http://www.naccho.org

Public Health Preparedness http://www.naccho.org/topics/emergency/

National Library of Medicine: Resource Guide for Public Health Preparedness http://www.phpreparedness.info/

NACCHO: Strategic National Stockpile: http://www.naccho.org/topics/emergency/SNS/index.cfm

Partners in Information Access for the Public Health Workforce http://phpartners.org/workforcedevelopment.html

Pharmaceutical Research and Manufacturers of America (PhRMA) www.phrma.org

Public Health Foundation: TRAINNational www.Train.org

Public Health Grand Rounds http://www.publichealthgrandrounds.unc.edu/

The Scientist in association with BioMed Central http://www.the-scientist.com/news/20011122/03/

RISK COMMUNICATION ORGANIZATIONS

Institute for Risk Analysis and Risk Communication (IRARC) The Institute for Risk Analysis and Risk Communication (IRARC) strives to improve risk assessment methods and the scientific foundation behind risk assessments. IRARC emphasizes science’s contribution to understanding biological processes and their perturbation by chemicals. IRARC also stresses the essential role science must play in improving risk assessment methods. For example, IRARC research combines results from molecular and cellular laboratory work to develop mechanistic models of developmental toxicity. IRARC investigators also focus on developing new methods applicable to both cancer and non-cancer risk assessment. (Posted August 2000.) http://depts.washington.edu/irarc/

Institute of Risk Research (IRR) The Institute of Risk Research (IRR) of the University of Vienna was founded with the aim to support interdisciplinary, independent and critical scientific discussion of societal risks create an academic institution willing to manage relevant interdisciplinary projects, for which no other single discipline feels sufficiently competent. The Institute consists of a small but international team of scientists from different fields, who form the nucleus of research projects involving scientists from all over Europe and from abroad. Networking experts, coordinating research projects, setting up a documentation system for grey literature on relevant topics, and providing risk and safety information to specialists as well as non-scientists have been the main tasks of the last few years. Originally research focused on topics concerning nuclear safety, but has lately evolved towards more fundamental questions of risk research and more general aspects of risk. (Posted September 2000.) *website in German http://www.irf.univie.ac.at/

Institute of Scientific & Technical Communicators (ISTC) ISTC's mission is to set and improve standards for communication of the scientific and technical information that support products, services or business. (Posted August 2000.) http://www.istc.org.uk/

The Risk Communication Network The Risk Communication Network is a project initiated by the World Health Organization Europe (WHO Europe) and coordinated by the CERM, the Centre for Environmental and Risk Management. The network staff produces RISKOM, a regular newsletter outlining developments in risk communication throughout Europe and beyond. Network membership is free as is the newsletter. RISKOM is available either as hard copy, via e-mail, or on the World Wide Web. The Risk Communication Network will enable specialists from all fields of risk management to share risk communication knowledge and experience, give and

take advice on risk communication problems, and establish principles and working guidelines for the practice of risk communication. http://www.uea.ac.uk/menu/acad_depts/env/all/resgroup/cerm/rcninfo.htm

RISKPERCOM RISKPERCOM is a risk perception and risk communication project oriented toward radiation risk perception and nuclear power. "The project aims at establishing a network of interacting researchers in Europe who are interested in risk perception and risk communication," stated project coordinator Lennart Sjöberg of the Stockholm School of Economics’ Center for Risk Research. "The purpose is to understand how various groups perceived risks and to put them in a wider context of many other types of hazards of current concern." Five countries are participating: France, Norway, Spain, Sweden, and the United Kingdom. (Posted December 6, 1996.)

Society for Chemical Hazard Communication (SCHC) SCHC is a nonprofit society organized to promote the improvement of the Society for Chemical Hazard Communication (SCHC) business of hazard communication for chemicals; to educate SCHC members on hazard communication issues; to provide a forum for exchange of ideas and experiences; to enhance the awareness of members and the general public of new developments in hazard communications; and to provide guidance or technical expertise to private, nonprofit groups and to government. (Posted September 2000.) http://schc.org/

SELECTED READINGS

1. Chess C, Hance BJ, Sandman PM. Planning Dialogue with Communities: A Risk Communication Workbook. New Brunswick, NJ: Rutgers University, Cook College, Environmental Communication Research Program; 1989.

2. Covello VT, Sandman PM. Risk communication: Evolution and revolution. In: Wolbarst A, ed. Solutions to an Environment in Peril. Baltimore, MD: John Hopkins University Press; 2001 (in press):164-178.

3. Fischhoff B. Helping the public make health risk decisions. In: Covello VT, McCallum DB, Pavlova MT, eds. Effective Risk Communication: The Role and Responsibility of Government and Nongovernment Organizations. New York, NY: Plenum Press; 1989:111-116.

4. Fischoff B, Slovic P, Lichtenstein L, Read S, Combs B. How safe is safe enough? A psychometric study of attitudes towards technological risks and benefits. Policy Sciences. 1978;9:127-152.

5. Hance BJ, Chess C, Sandman PM. Industry Risk Communication Manual. Boca Raton, FL: CRC Press/Lewis Publishers; 1990.

6. Johnson BB, Covello V. The Social and Cultural Construction of Risk: Essays on Risk Selection and Perception. D. Reidel Publishing; 1987.

7. Kahnemann D, Tversky A. Prospect theory: An analysis of decision under risk. Econometrica. 1979;47(2):263-291.

8. Krimsky S, Plough A. Environmental Hazards: Communicating Risks as a Social Process. Dover, MA: Auburn House; 1988.

9. Lofstedt RE, Renn O. The Brent Spar controversy: An example of risk communication gone wrong. Risk Analysis. 1997;17(2):131-135.

10. McGuire WJ. Attitudes and attitude change. In:. Lindzey G, Aronson E, eds. The Handbook of Social Psychology. Reading, MA: Addison-Wesley; 1985.

11. Morgan G, Fischhoff B. Risk Communication: A Mental Models Approach. Cambridge University Press; 2001.

12. Morgan G, Fischhoff B, Bostrom A, Lave L, Atman CJ. Communicating risk to the public. Environmental Science and Technology. 1992; 26(11): 2048-2056.

13. National Research Council. Understanding Risk: Informing Decisions in a Democratic Society. Washington, D.C .:National Academy Press; 1996.

14. Peters RG, Covello VT, McCallum DB. The determinants of trust and credibility in environmental risk communication: An empirical study. Risk Analysis. 1997;17(1):43- 54.

15. Powell D, Leiss W. Mad Cows and Mother’s Milk: The Perils of Poor Risk Communication. Montreal, Canada: McGill-Queen’s University Press; 1997.

16. Renn O, Bums WJ, Kasperson JX, Kasperson RE, Slovic P. The social amplification of risk: Theoretical foundations and empirical applications. Journal of Social Science Issues. 1992;48,137-6.

17. Rodgers EM. Diffusion of Innovation. 3rd ed. New York, NY: Free Press; 1983.

18. Rosenstock IM, Stretcher VJ, Becker MH. Social learning theory and the health belief model. Health Education Quarterly. 1988;15(2):175-184.

19. Sandman PM. 1989. Hazard versus outrage in the public perception of risk. In: Covello VT, McCallum DB, Pavlova MT, eds. Effective Risk Communication: The Role

and Responsibility of Government and Nongovernment Organizations. New York, NY: Plenum Press; 1989:45-49.

20. Siegrist M, Cvetkovich G, Roth C. Salient value similarity, social trust, and risk/benefit perception. Risk Analysis. 2000;20(3): 353-361.

21. Slovic P, Krauss N, Covello V. What should we know about making risk comparisons. Risk Analysis. 1990;10: 389-392.

22. Weinstein ND. Unrealistic optimism about future life events. Journal of Personality and Social Psychology. 1980;39:106-120.

23. Weinstein ND. Unrealistic optimism about susceptibility to health problems. Journal of Behavioral Medicine. 1982;5: 441-460.

24. Wildavsky A, Dake K. Theories of risk perception: Who fears what and why. Daedalus. 1990;112:41-60.

25. Wildavsky A, Douglas M. Risk and Culture: An Essay on the Selection of Technological and Environmental Dangers. University of California Press; 1983.

JOURNALS

 Journal of Health Communication  Journal of Risk Analysis

Risk Communication Web Sites

ASTHO Web site - The Association of State and Territorial Health Officials Web site whose mission is to formulate and influence sound national public health policy and to assist state health departments in the development and implementation of programs and policies to promote health and prevent disease, including risk communication. http://www.astho.org

ATSDR Evaluation Primer - Agency for Toxic Substances and Disease Registry's primer for facilitating planning evaluations for health risk communication programs.

Connecticut Department of Public Health Crisis and Emergency Risk Communication Provides local health departments, hospitals, and other partners in public health related to risk communication with important information and resources so that they will be prepared to communicate effectively in an emergency. Includes fact

sheets, templates, and risk communication resources on different types of emergencies. www.ct.gov/dph/cerc

Center for Risk Communication - Information dealing with the development and use of advanced communication methods. http://www.centerforriskcommunication.com

Current Bibliographies in Medicine: Health Risk Communication - National Library of Medicine bibliography listing for Health Risk Communication. http://www.nlm.nih.gov/archive/20061214/pubs/cbm/health_risk_communication. html

Peter Sandman Risk Communication Web Site - Articles and advice on risk communication issues. http://www.psandman.com Risk Communication, the West Nile Virus Epidemic, and Bioterrorism: Responding to the Communication Challenges Posed by the Intentional or Unintentional Release of a Pathogen in an Urban Setting - Center for Risk Communication overview of the risk communication theoretical perspective and basic risk communication models. http://www.centerforriskcommunication.com/pubs/crc-p1.pdf Risk Communication Bibliography - Center for Environmental Communication Studies bibliography listing for Risk Communication. http://excellent.com.utk.edu/~mmmiller/bib.html

APPENDIX O

Message Development Worksheet

Step 1: Determine Audience, Message Purpose, and Delivery Method by checking each that applies:

Audience: Purpose of Message: Method of delivery:  Relationship to event  Give facts/update  Print media release Web  Demographics (age,  Rally to action release language, ducation, culture)  Clarify event status  Through spokesperson (TV  Level of outrage (based on  Address rumors or in-person appearance) risk principles)  Satisfy media requests  Radio  Other (e.g., recorded phone message)

Step 2: Construct message using Six Basic Emergency Message Components:

1. Expression of empathy: ______

______

2. Clarifying facts/Call for Action:

Who______

What______

Where______

When______

Why______

How______

3. What we don’t know: ______

______

4. Process to get answers: ______

______

5. Statement of commitment: ______

______

6. Referrals:

For more information ______

Next scheduled update______

Does your message use… Yes No

positive action steps?

an honest/open tone?

risk communication principles?

simple words, short sentences?

Does your message avoid…

jargon?

judgmental phrases?

humor?

extreme speculation?

MESSAGE MAP TEMPLATE

ISSUE:

STAKEHOLDER:

QUESTION OR CONCERN:

Key Message 1 Key Message 2 Key Message 3

Supporting Fact 1-1 Supporting Fact 2-1 Supporting Fact 3-1

Supporting Fact 1-2 Supporting Fact 2-2 Supporting Fact 3-2

Supporting Fact 1-3 Supporting Fact 2-3 Supporting Fact 3-3

Source: Message Mapping: A discussion of effective message development using the technique of message mapping. Written by Dr. Vincent T. Covello for the ERC CDCynergy CD. Available via web: http://www.wvdhhr.org/bphtraining/courses/cdcynergy/content/activeinformation/ resources/Covello_message_mapping.pdf

APPENDIX P

Template for Prescripted, Immediate Response to Media Inquires

Use this template if the media is "at your door" and you need time to assemble the facts for the initial press release statement. Getting the facts is a priority. It is important that your organization not give in to pressure to confirm or release information before you have confirmation from your scientists, emergency operations center, etc. The following are responses which give you the necessary time to collect the facts. Use "Template for Press Statement" for providing an initial press release statement after the facts are gathered.

NOTE: Be sure you are first authorized to give out the following information.

Date: ______Time: ______Approved by: ______

Prescripted Responses:

If on phone to media:

 “We’ve just learned about the situation and are trying to get more complete information now. How can I reach you when I have more information?”

 “All our efforts are directed at bringing the situation under control, so I’m not going to speculate about the cause of the incident.” How can I reach you when I have more information?”

 “I’m not the authority on this subject. Let me have (name) call you right back.”

 “We’re preparing a statement on that now. Can I fax it to you in about two hours?”

 “You may check our web site for background information and I will fax/e- mail you with the time of our next update.”

If in person at incident site or in front of press meeting:

This is an evolving emergency and I know that, just like we do, you want as much information as possible right now. While we work to get your questions answered as quickly as possible, I want to tell you what we can confirm right now:

At approximately (time) , a (brief description of what happened).

At this point, we do not know the number of (persons ill, persons exposed, injuries, deaths, etc.) .

We have a (system, plan, procedure, operation) in place for just such an emergency and we are being assisted by (police, FBI, EOC) as part of that plan.

The situation is (under) (not yet under) control and we are working with (local, State, Federal) authorities to (contain this situation, determine how this happened, determine what actions may be needed by individuals and the community to prevent this from happening again).

We will continue to gather information and release it to you as soon as possible. I will be back to you within (amount of time, 2 hours or less) to give you an update. As soon as we have more confirmed information, it will be provided.

We ask for your patience as we respond to this emergency.

Source: CDC Public Health Training Network satellite and web broadcast CDC Responds: Risk Communication and Bioterrorism December 6, 2001, Barbara Reynolds, CDC Crisis Communication Plan, Draft 1999.

APPENDIX Q

How to Write a Press Release

1. Your release should go on your organization’s letterhead, preferably with your logo or seal and contact information pre-printed. In the top left-hand corner, under your organization’s information or logo, put “FOR IMMEDIATE RELEASE”. It should be in all capital letters. You can also bold it if you’d like.

2. A couple spaces below or justified to the right of “FOR IMMEDIATE RELEASE” indicate a contact name and phone number that reporters may call for additional information. This contact person should be your organization’s public information officer or spokesperson. It is a good idea to have your subject matter expert on the topic available when the release goes out in case you get media calls.

3. Below “FOR IMMEDIATE RELEASE” (or the contact information) put the date.

4. A couple of spaces below the date is your headline. Your headline should be bold, in a larger font, and centered. It should be a brief summary (no more than two lines) of what your press release is about. It needs to be informative and grab the attention of the reporter or editor. Keep in mind that the media receives many press releases each day. It should be clear, to the point, and encourage the reader to read the rest of the release. You can include a subheading to provide more information and entice the reader to go on. Here are examples::

“Bethel Opens Mass Dispensing Site for Vaccine Distribution”

“Waterbury Health Department Holding Health Fair on Cardiac Health Free Blood Pressure Screenings and Educational Sessions Will Be Provided”

5. A couple of spaces below, include the town or city where the release is coming from followed by a dash. This is called the dateline. You can bold the city if you choose. (Example: New Britain - )

6. After the dateline is where your release begins. The first paragraph of your release should be brief and include all of the important information: Who, What, Where, When, and Why. Everything the reader needs to know should be in this paragraph.

7. The rest of the release should include any necessary details. You should provide enough information for the reader to be interested, but you should not overwhelm them.

8. Your last paragraph should be similar to your first paragraph and include a call to action (example: “for more information call...” or “visit our website at www….”). You should drive the reader to a resource where they can get more information on the topic for their article.

9. A couple of spaces below your final paragraph, centered on the page, put “###”. This signifies the end of your release.

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Tips On Writing A Press Release

 At the end of the release (after your last paragraph and before the ###), include a couple of sentences about your organization. This can include what your organization’s mission is or what your organization is tasked with. At the end of the description, point the reader to your organization’s website. This is free advertisement for your agency.  Try to keep your sentences short with an occasional longer sentence to break the monotony.  Keep the press release brief (try to keep it to one page) and to the point. Point readers to a phone number or website that they can go to for additional information.  Clearly present the facts and leave out any editorializing.  Stay away from acronyms and jargon.  If it’s a local event or topic, indicate the name of the town or city in the headline. This will increase the likelihood that a local newspaper will pick up the story.  When first responding to an emergency or crisis, you should use statements of empathy. A good way to do this is to include it in a quote from an elected official or your health director. (Example: “Our thoughts and prayers go out to the victims and their families,” stated First Selectman Jones. “As a community we can make it through this difficult time.”)  Make sure your release is clear, simple, and to the point.  Proofread your release several times. Have somebody else look at it as well. A pair of “fresh” eyes may catch mistakes that you missed. A typo or mistake can discredit your release.  Make sure that your release gets all of the clearances and approvals as outlined by your organization’s communications plan. For example, all press releases sent out by the Department of Public Health must be approved by the Director of the Office of Communications, a subject matter expert and the Department of Public Health Commissioner as prescribed in the agency’s communications plan. You can view samples of press releases on the Department of Public Health website at www.ct.gov/dph and clicking on “News Room” on the left-hand menu. For tips on working with the media, please visit the “CDC Influenza Awareness Campaign: Media Relations Toolkit” at www.cdc.gov/flu/nivw/pdf/toolkit.pdf.

Reference: theMatrix (2006). Media relations 101: How to write a good press release. Retrieved April 4, 2008 from http://www.associatedcontent.com/article/27390/media_relations_101_how_to_write_a.html?cat=3. 101

APPENDIX R

Template for Press Statement

If the media is "at your door" and you need time to assemble the facts for this initial press release statement, use " Template for Prescripted, Immediate Response to Media Inquiries.” (see Appendix M) Getting the facts is a priority. It is important that your organization not give in to pressure to confirm or release information before you have confirmation from your scientists, emergency operations center, etc.

The purpose of this initial press statement is to answer the basic questions: who, what, where, when. This statement should also provide whatever guidance is possible at this point, express the association and administration’s concern, and detail how further information will be disseminated. If possible, the statement should give phone numbers or contacts for more information or assistance. Please remember that this template is meant only to provide you with guidance. One template will not work for every situation.

FOR IMMEDIATE RELEASE CONTACT: (name of contact) PHONE: (number of contact) Date of release: (date)

Headline—Insert your primary message to the public

Dateline (your location)—Two-three sentences describing current situation ______

Insert quote from an official spokesperson demonstrating leadership and concern for victims. "______”

Insert actions being taken. ______

List actions that will be taken. ______

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List information on possible reactions of public and ways citizens can help. ______

Insert quote from an official spokesperson providing reassurance. ______

List contact information, ways to get more information, and other resources. ______

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APPENDIX S

Anticipated Questions and Answers Worksheet

Use these worksheets to write anticipated questions about a specific event; then develop appropriate answers for the public and sound bites for the media.

Step 1: Review the following list of questions commonly asked by the media. The spokesperson should have answers to these questions prepared and change/update as necessary throughout the duration of the crisis:

Questions Commonly Asked by Media in a Crisis (Covello, 1995)

 What is your (spokesperson’s) name and title?

 What effect will it have on production and employment?

 What happened? (Examples: How many people were injured or killed? How much property damage occurred?)

 What safety measures were taken?

 When did it happen?

 Who is to blame?

 Where did it happen?

 Do you accept responsibility?

 What do you do there?

 Has this ever happened before?

 Who was involved?

 What do you have to say to the victims?

 Why did it happen? What was the cause?

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 Is there danger now?

 What are you going to do about it?

 Will there be inconvenience to the public?

 Was anyone hurt or killed? What are their names?

 How much will it cost the organization?

 How much damage was caused?

 When will we find out more?

Step 2: Using the Answer Development Model below, draft answers for the public and sound bites for the news media in the space provided below the model. Then go back and check your draft answers against the model. Don’t forget that sound bites for the news media should be 8 seconds or less and framed for television, radio or print media.

Answer Development Model

In your answer/sound bite, you By… should… 

1. Express empathy and caring in Using a personal story your first statement Using the pronoun “I” Transitioning to the conclusion

2. State a conclusion (key message) Limiting the number of words (5- 20) Using positive words Setting it apart with introductory words, pauses, inflections, etc.

3. Support the conclusion At least two facts An analogy A personal story A credible 3rd party 105

4. Repeat the conclusion Using exactly the same words as the first time

5. Include future action(s) to be taken Listing specific next steps Providing more information about - Contacts - Important phone numbers

Questions:

______

Response for Public: ______

______

Sound Bit for Media: ______

______

Questions:

______

Response for Public: ______

______

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Sound Bit for Media: ______

______

Questions:

______

Response for Public: ______

______

Sound Bit for Media: ______

______

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Appendix T - Healthcare Organization PIOs and Clinical Subject Matter Experts

The following list of Connecticut hospital public information and clinical contacts has been prepared as a reference. In the event that a disaster event has occurred, primary calls to the hospital should be directed to the Administrator-on-Call through the main hospital number.

HOSPITAL NAME: William W. Backus Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE

Keith Fontaine, 860-889-8331 860-889- PIO [email protected] VP x 6539 8331

INFECTIOUS Robin Heard, 860-889-8331 860-889- [email protected] DISEASE RN x 2485 8331

Phillip 860-889-8331 860-889- RADIATION Kohansky, MD x 4285 8331 [email protected]

James O’Dea, 860-889-8331 860-889- MENTAL HEALTH [email protected] PhD x 4410 8331

CHEMICAL / Timothy 860-889-8331 860-889- TOXICOLOGY Shizume x 6308 8331 [email protected]

Lisa Bazinet, 860-889-8331 860-889- PEDIATRICS RN x 6885 8331 [email protected]

860-889-8331 860-889- TRAUMA/BURN Gillian Mosier [email protected] x 7807 8331

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HOSPITAL NAME: Bridgeport Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Administrator-On- [email protected] PIO John Cappiello 203-384-3637 Call 203-384-3000 Administrator-On- [email protected] INFECTIOUS Dr. Zane Saul 203-383-4466 Call DISEASE 203-384-3000 Administrator-On- [email protected] RADIATION Dr. Nick Dainiak 203-384-3470 Call 203-384-3000 Administrator-On- [email protected] MENTAL Dr. Charles Morgan 203-384-3897 Call HEALTH 203-384-3000 Administrator-On- [email protected] CHEMICAL / Dr. Young Choi 203-384-3025 Call TOXICOLOGY 203-384-3000 Administrator-On- [email protected] PEDIATRICS Dr. Mary Lou Gaeta 203- 581-7036 Call 203-384-3000 Administrator-On- [email protected] TRAUMA / Burn &Trauma: 203-384-3890 Call BURN Dr. John Schulz 203-384-3000

HOSPITAL NAME: Connecticut Children’s Medical Center

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Robert J. (860) 545-9000 and ask [email protected] PIO Fraleigh 610- for the PIO on call 5707 (pager) (860) 220- 1619

Dr. Peter 545- 545-9000 and ask INFECTIOUS Krause 9000 for the ID physician DISEASE on call 545-9000 and ask MENTAL for the psychologist HEALTH on call Dr. Jim 545- 545-9000 and ask CHEMICAL / Wiley 9000 for the toxicologist TOXICOLOGY on call PEDIATRICS Dr. 545- 545-9000 and ask Englander 9000 for the IMT physician on call TRAUMA/BURN Dr. Weiss 545- 545-9000 and ask 9300 for the Trauma physician on call

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HOSPITAL NAME: The Charlotte Hungerford Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Tim LeBouthillier 860-496-6544 tlebouthillier@hungerford. PIO org

Chairperson of 860-496-6666 NA INFECTIOUS Infection Control DISEASE Committee William Handleman MD Elizebeth Whalen MD 860-489-6718 NA [email protected] RADIATION

Department 860-496-6355 NA [email protected] MENTAL Chairperson HEALTH Steven Singer MD Chairperson of the 860-496-9669 860-496-9669 NA CHEMICAL / Pharmacy Committee 860-496-6666 (answering TOXICOLOGY Richard Krinsky DO service off hours) Karen Dettmer MD 860-489-4144 NA NA PEDIATRICS Maurice Defina MD 860-496-6319 [email protected] TRAUMA/BURN Medical Director ED

HOSPITAL NAME: WESTERN CONNECTICUT HEALTH NETWORK (DANBURY AND NEW MILFORD HOSPITALS)

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Andrea Rynn (203) 739-7000 (203) 739- PIO Public & Government (Hospital [email protected] 7919 Relations Operator) Gary Schleiter, MD (203) 739-7000 INFECTIOUS (203) 797- Chief, Infectious (Hospital [email protected] DISEASE 7413 Diseases Operator) (203) 739-7000 William Johns, MD (203) 739- RADIATION (Hospital [email protected] Radiation Safety Officer 7222 Operator) Charles Herrick, MD (203) 739-7000 MENTAL (203) 739- [email protected] Dept. of Psychiatry (Hospital HEALTH 7443 g Chair Operator) (203) 739-7000 CHEMICAL / Paul Fiedler, MD (203) 737- (Hospital [email protected] TOXICOLOGY Dept. of Pathology Chair 7338 Operator) Raul Arguello, MD (203) 739-7000 (203) 739- [email protected] PEDIATRICS Chair, Dept. of (Hospital 7027 Pediatrics Operator) Elizabeth Denby- (203) 739-7000 TRAUMA / (203) 739- Elizabeth.Denby- Callahan, RN (Hospital BURN 7901 [email protected] Trauma Program Coord Operator)

NOTE: OFF-DUTY contact should be vetted through the hospital operator who will then direct the call through the on-duty Clinical Administrator and the Administrator-On-Call. 110

HOSPITAL NAME: Greenwich Hospital POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE

PIO George Pawlush (203)863-126 [email protected]

( ) INFECTIOUS Dr. James (203) 863-3271 [email protected] DISEASE Sabetta

RADIATION Dr. Domenico (203) 863-3742 [email protected] Delli Carpini

Dr. Anatoliy MENTAL (203) 863-3300 [email protected] Yanouskiy HEALTH CHEMICAL / Dr. Stephen (203) 863-3322 [email protected] TOXICOLOGY Gray Dr. Toni Lyn (203) 863-3971 [email protected] PEDIATRICS Salvatore

TRAUMA/BURN Dr. Kevin Brown (203) 863-3632 [email protected]

HOSPITAL NAME: Griffin Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Ken Roberts (203) 732- (203) 735- [email protected] PIO 7432 7421 Dr. Howard (203) 732- (203) 735- [email protected] INFECTIOUS Quntzel 7439 7421 DISEASE Christine (203) 732- (203) 735- [email protected] RADIATION Cooper 7266 7421 Kate Powel, (203) 732- (203) 735- MENTAL LCSW 7550 7421 [email protected] HEALTH Dr. Gregory (203) 732- (203) 735- [email protected] CHEMICAL / Boris 7324 7421 TOXICOLOGY Dr. Anthony (203) 734- (203) 735- N/A PEDIATRICS Wayne 1644 7421

TBD (203) 735- N/A TRAUMA/BURN 7421

All off-duty personnel can be reached through the Griffin Hospital switchboard which is staffed 24/7.

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HOSPITAL NAME: Manchester Memorial Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE

PIO Andrew Beck (860) 647- [email protected] 4751

INFECTIOUS Dr. A. Murcia (860) 646- [email protected] DISEASE 1222 ext. 2155

RADIATION Robert Macchi (860) 646- [email protected] 1222 ext. 2353

MENTAL Thomas King (860) 646- [email protected] HEALTH 1222 ext. 1103

CHEMICAL / Dr. James (860) 647- [email protected] TOXICOLOGY Castellone 6479 PEDIATRICS Dr. James (860) 647- [email protected] Castellone 6479 TRAUMA/BURN Dr. Robert (860) 647- [email protected] Carroll 4738

HOSPITAL NAME: Middlesex Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Peg Arico 860-344-6980 [email protected] PIO Randy A. OFFICE: 860- Randy_Goodwin_MD@mi INFECTIOUS Goodwin 344-6878 dhosp.org DISEASE M.D. ID BEEPER: Associates 860-587-3581 of Middlesex Hospital Joan Merton 860-344-6470 [email protected] RADIATION g Bob Grillo, 860-344-6760 Grillo_md_robert@midhos MENTAL MD p.org HEALTH Michael 860-344-6691 Saxe_md_michael@midho CHEMICAL / Saxe, MD sp.org TOXICOLOGY PEDIATRICS Cliff 860-463-2445 [email protected] O’Callahan, [email protected] MD TRAUMA/BURN Michael 860-344-6691 Saxe_md_michael@midho Saxe, MD sp.org 112

HOSPITAL NAME: Milford Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Ken Warren (203) 876- [email protected] PIO 4060

Jackie (203 )876- Jackie.Dellacamera@milfordhospital INFECTIOUS Dellacamera 4001 .org DISEASE Jim Ingarra (203) 876- [email protected] RADIATION 4249

Marcy Winkel (203) 876- [email protected] MENTAL 4070 HEALTH Will Jones (203) 876- [email protected] CHEMICAL / 4264 TOXICOLOGY

HOSPITAL NAME: Norwalk Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Maura 203-852- [email protected] PIO Romaine 2251 Dr. Arthur Yee 203-852- [email protected] INFECTIOUS 1241 DISEASE Dr. Edward 203-852- [email protected] RADIATION Strauss 2715 Dr. Richard 203-852- [email protected] MENTAL Maiberger 2748 HEALTH Dr. Saraswathi 203-852- [email protected] CHEMICAL / Nair 2652 TOXICOLOG Y PEDIATRICS Dr. Harrison 203-966- [email protected] Pierce 4628 TRAUMA / Dr. Michael 203-852- [email protected] BURN Carius 2281

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HOSPITAL NAME: Sharon Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Jill 860-364- [email protected] PIO Mussleman 4444

Cell 860.201.3192

Dr. 860-364- 860-364- [email protected] INFECTIOUS Douglas 4141 4141 – ask DISEASE Finch for administrator – on-call Dawn 860-364- Call 860-364- MENTAL Tree 4288 4141 ask for HEALTH administrator on -call CHEMICAL / Brian 860-364- As above [email protected] TOXICOLOGY Croghan 4171 TRAUMA/BURN Dr. Rich 860-364- As above Bennek 4111

HOSPITAL NAME: Hospital For Special Care

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE

PIO Susan Gates 860-827-1958 [email protected] (day) ext 4019; 832- [email protected] Vicky Golab (off 6285 duty)

INFECTIOUS Dr. Brenda Nurse 860-827-1958 [email protected] DISEASE ext 2900 N/A N/A N/A N/A RADIATION John Stanwood MENTAL PHd, Chief of 860-827-1958 [email protected] HEALTH Psychology ext 2411

PEDIATRICS Pediatrics-John Pelegano, Chief 860-827-1958 [email protected] of Pediatrics ext 4838

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HOSPITAL NAME: Stamford Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Scott Orstad 203-276- [email protected] PIO 5933

Dr. Michael 203-276- [email protected] INFECTIOUS Parry 7487 DISEASE Answering Service: 203- 353-1427 Dr. Harvey 203-325- [email protected] RADIATION Hecht 7882

Dr. Draupathi 203-276- [email protected] MENTAL Nambudiri 7472 HEALTH Dr. Robert 203-276- [email protected] CHEMICAL / Babkowski 4067 TOXICOLOGY Dr. Gerald 203-276- [email protected] PEDIATRICS Rakos 7085

Dr. Kevin 203-276- [email protected] TRAUMA/BURN Dwyer 7476

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HOSPITAL NAME: St. Francis Hospital and Medical Center

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE 860-714- PIO Tina Varona 1076 Administrator- [email protected] On-Call 860-986- (AOC) 9263 (cell) 860-714-7883 860-714- Administrator- INFECTIOUS Dr. Robert 4903 On-Call [email protected] DISEASE Lyons 860-714- (AOC) 4532 860-714-7883 860-714- Administrator- RADIATION Dr. Ellen 5925 On-Call [email protected] Wilcox (AOC) 860-714-7883 860-714- Administrator- MENTAL Dr. Surita Rao 3506 On-Call [email protected] HEALTH (AOC) 860-714-7883 860-714- Administrator- CHEMICAL / Maria Summa 7983 On-Call [email protected] TOXICOLOGY Mary Inguanti 860-714- (AOC) [email protected] 7036 860-714-7883 860-714- Administrator- PEDIATRICS Dr. Hema 4355 On-Call [email protected] DeSilva 860-714- (AOC) 4404 860-714-7883 860-714- Administrator- TRAUMA/BURN Dr. William 4694 On-Call [email protected] Marshall 860-595- (AOC) 7152 860-714-7883

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HOSPITAL NAME: Saint Mary’s Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Joe Connolly 203-709-6369 [email protected] PIO

Michael 203-709-6402 [email protected] INFECTIOUS Simms, MD DISEASE Rui Dasilva 203-709-7795 [email protected] RADIATION

Denise Murry 203-709-3332 denise.murryboyle@stmh. MENTAL Boyle org HEALTH Peter Jacoby, 203-709-6079 [email protected] CHEMICAL / MD TOXICOLOGY Vicki 203-709-8679 [email protected] PEDIATRICS Smetak,MD

Michael 203-709-6315 [email protected] TRAUMA/BURN Ajemian, MD g

HOSPITAL NAME: Hospital of Saint Raphael

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Cindy vonBeren 203-789-4133 [email protected] PIO

Marjorie P. 203-789-3566 [email protected] INFECTIOUS Golden, MD DISEASE Edward Prokop, 203-789-3135 [email protected] RADIATION MD

Marshall 203-789-3239 [email protected] MENTAL Mandelkern, M.D. HEALTH

Irwin Nash, MD 203-789-3085 [email protected] CHEMICAL / TOXICOLOGY Maryellen 203-789-3661 [email protected] PEDIATRICS Flaherty-Hewitt, MD Gary J. Kaml, MD 203-776-4677 [email protected] TRAUMA/BURN

117

HOSPITAL NAME: St. Vincent’s Medical Center

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Noreen (203) 576- Contact 576- [email protected] PIO McNicholas 5800 6000 and request Nursing Manager for information Marjorie (203) 576- Contact 576- [email protected] INFECTIOUS Keegan 5530 6000 and DISEASE request Nursing Manager for information Dr. Joe (203) 576- Contact 576- [email protected] RADIATION Gagliardi 6322 6000 and request Nursing Manager for information Vickie Weiss (203) 576- Contact 576- [email protected] MENTAL 5492 6000 and HEALTH request Nursing Manager for information Dr. Mort (203) 576- Contact 576- [email protected] CHEMICAL / Salomon 5438 6000 and TOXICOLOGY request Nursing Manager for information PEDIATRICS Dr. Ben Tsang (203) 576- Contact 576- [email protected] 6342 6000 and request Nursing Manager for information TRAUMA/BURN Dr. Mort (203) 576- Contact 576- [email protected] Salomon 5438 6000 and request Nursing Manager for information

118

HOSPITAL NAME: Hospital of Central Connecticut – New Britain Campus

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE

Helayne 860 PIO [email protected] Lightstone 224-5470

860 INFECTIOUS Joseph Garner, 224-5510 [email protected] DISEASE MD

Stuart Korchin, 860 RADIATION PHD Radiation 224-5900 [email protected] Safety Officer x2150 Michael 860 MENTAL Balkunas, MD 224-5900 [email protected] HEALTH Chief of X2656 Psychiatry 860 Ask for CHEMICAL / Charlotte 224-5581 supervisor [email protected] TOXICOLOGY Ramseur x2338 or or Charge x2326 Tech

Antoinetta 860 PEDIATRICS [email protected] Caprigleone, MD 224-5691

Jeffrey

Finkelstein, MD, 860 TRAUMA/BURN [email protected] Chief ER 224-5675

Physician

HOSPITAL NAME: John Dempsey Hospital/University of Connecticut Health Center

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Maureen 860-679- 860-679-2000 [email protected] PIO McGuire 4523 Main hospital number Nancy Dupont 860-679- 860-679-2000 [email protected] INFECTIOUS 4376 Main hospital DISEASE Dr. Trini number [email protected] Mathew 860-679- 4155 Kenneth Price 860-679- 860-679-2000 [email protected] RADIATION 2250 Main hospital number Dr. Victor 860-679- 860-679-2000 [email protected] MENTAL Hesselbrock 4282 Main hospital HEALTH number [email protected] Elizabeth 860-679- Robinson 3098 Steven Jacobs 860-679- 860-679-2000 [email protected] CHEMICAL / 2723 Main hospital TOXICOLOGY number PEDIATRICS Laurie Papacs 860-679- 860-679-2000 [email protected] 5439 Main hospital

119

number HOSPITAL NAME: Waterbury Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Matt Burgard 203-573-6718 [email protected] PIO Dr. Steven 203-573-7228 [email protected] INFECTIOUS Aronin or 203-573- DISEASE 7229 Dr. Jeffrey 203-575-5555 RADIATION Bitterman Doreen 203-573-6288 [email protected] MENTAL Elnitsky HEALTH Anne Lemelin 203-573-7267 [email protected] CHEMICAL / or – Ask for Anne TOXICOLOGY Colleen or Colleen. If Butcher unavailable ask for Team Leader in chemistry dept. PEDIATRICS Dr. Joseph 203-573-6534 [email protected] Tuggle

Dr. Peter 203-757-1587 [email protected] TRAUMA/BURN Zdankiewicz

HOSPITAL NAME: Yale New Haven Hospital

POSITION NAME ON-DUTY OFF-DUTY EMAIL PHONE PHONE Rob 688-2488 Administrator- [email protected] PIO Hutchison on-Call 688-4242 Louise-Marie 688-4634 Administrator- [email protected] INFECTIOUS Dembry on-Call DISEASE 688-4242 Mike Bohan 688-4242 Administrator- [email protected] RADIATION on-Call 688-4242 Seth 688-2222 Administrator- MENTAL Powsner on-Call HEALTH 688-4242 Don 786-4710 Administrator- [email protected] CHEMICAL / MacMillan on-Call TOXICOLOGY 688-4242 PEDIATRICS Pediatric ED 688-2222 Administrator- on-Call 688-4242 TRAUMA/BURN Kimberly 785-2572 Administrator- [email protected] Davis on-Call 120

688-4242

121

APPENDIX U – Media Contact List

Television Telemundo (Spanish) 2290 West 8th Avenue Fox 61 WTIC-TV Hialeah, FL 33010 One Corporate Center (305) 884-8200 Hartford, CT 06103 860-527-6161 Connecticut: Assignment Desk: (860) 727-0082 (860) 956-1303 News Room FAX: (860) 293-0178 Fax: (860) 956-6834 [email protected] [email protected]

NBC 30 Univision (Spanish) 1422 New Britain Ave. One Constitution Plaza, 7th Floor West Hartford, CT 06110 Hartford, CT 06103 (860) 521-3030 (860) 278-1818 Assignment Desk: (877) 847-3030 Fax: (860) 278-1811 News Room FAX: (860) 521-4860 [email protected] Radio

News 12 Connecticut WCBS 880 (AM) 28 Cross Street (212) 975-2127 Norwalk, CT 06851 Fax: (203) 966-2057 203-849-1321 News Room: 1-800-824-9002 WNPR (FM) News Room FAX: 203-849-1327 1049 Asylum Ave. [email protected] Hartford, CT 06105 Phone: (860) 278-5310 WFSB 3 Newsroom: (860) 275-7300 333 Capital Boulevard Newsroom Fax: (860) 275-7482 Rocky Hill, CT 06067 [email protected] 860-244-1700 Fax: 860-728-0263 Sirius Satellite Radio [email protected] [email protected]

WTNH / WCTX WTIC 1080 (FM) 8 Elm Street 10 Executive Drive New Haven, CT 06510 Farmington, CT 06032 WTNH Phone: (203) 784.8888 Phone: 860-677-6700 Main FAX: (203) 789.2010 [email protected] Newsroom FAX: (203) 787.9698 [email protected] WELI 930 (AM) 495 Benham Street WCTX Phone: (203) 782.5900 Hamden, CT 06514 Main FAX: (203) 782.5995 (203) 288-WELI Fax: (203) 2817640 Connecticut Public Affairs Network Capitol Place, Suite 605 21 Oak Street Hartford, CT 06106 (860) 246-1553 fax: (860) 246-1547

122

Newspapers Identidad Latina (Spanish) P.O. Box 330295 Hartford Courant West Hartford, CT 06133 285 Broad St. Phone: (860) 231-9891 Hartford, CT. 06115 Fax: (860) 523-8224 Phone: 860-241-6200 [email protected] Newsroom Fax: (860) 241-3865 [email protected] La Voz Hispana (Spanish) 35 Elm Street New Haven Register New Haven, CT 06510 40 Sargent Drive (203) 865-2272 New Haven, CT 06511 Fax: (203) 787-4023 203-789-5200 [email protected]

Associated Press Norwich Bulletin 10 Columbus Blvd., 9th Floor 66 Franklin Street Hartford, CT 06106-1976 Norwich, CT 06360 (860) 246-6876 860-887-9211 fax: (860) 727-4003 (860) 887-9666 [email protected] [email protected] Stamford Advocate Connecticut Post 9A Riverbend Drive South 410 State Street P.O. Box 9307 Bridgeport, CT 06604 Stamford, CT 06907 Main Switchboard (203) 333-0161 203-964-2200 Main Editorial FAX (203) 367-8158 (203) 964-2345 [email protected] [email protected]

The Day Waterbury Republican-American 47 Eugene O'Neill Drive 389 Meadow Street P.O. Box 1231 P.O. Box 2090 New London, CT 06320-1231 Waterbury, CT 06722-2090 News Desk (day): (860) 701-4334 (203) 574-3636 News Desk (evening): (860) 701-4354 Fax: (203) 596-9277 [email protected] [email protected]

123

APPENDIX V: Ethnic Media Contacts

Spanish African American

Telemundo (Television) Inquiring News (Newspaper) 2290 West 8th Avenue PO Box 400776 Hialeah, FL 33010 Hartford, CT 06140 Phone: (305) 884-8200 Phone: (860) 983-7587 Fax: (860) 206-7587 Connecticut: [email protected] Phone: (860) 956-1303 Fax: (860) 956-6834 Northend Agent (Newspaper) [email protected] PO Box 2308 Hartford, CT 06143 Univision (Television) Phone: (860) 522-1888 One Constitution Plaza, 7th Floor [email protected] Hartford, CT 06103 Phone: (860) 278-1818 West Indian American (Newspaper) Fax: (860) 278-1811 1443 Albany Ave Hartford, CT 06120 El Registro (Newspaper) Phone: (860) 293-1118 Registro [email protected] 40 Sargent Drive New Haven, CT 06511 WZMX (Radio) Phone: (203) 789-5337 10 Executive Drive Fax: 203-789-5309 Farmington, CT 06032 [email protected] Phone (860) 284-9295 Fax: (860) 678-3952 Identidad Latina (Newspaper) [email protected] P.O. Box 330295 West Hartford, CT 06133 Portuguese Phone: (860) 231-9891 Fax: (860) 523-8224 Tribuna Connecticut (Newspaper) [email protected] 8 West Street, Suite 201 Danbury, CT 06810 La Voz Hispana (Newspaper) Phone: (203) 730-0457 35 Elm Street Fax: (203) 778-8974 New Haven, CT 06510 [email protected] (203) 865-2272 Fax: (203) 787-4023 WFAR FM (Radio) [email protected] 25 Chestnut St. Danbury, CT.06810 WCUM-AM 1450 (Radio) Phone: (203)748-0001 1862 Commerce Drive Fax:(203) 746-4262 Bridgeport, CT 06605 Phone: (203) 335-1450 Comunidade News (Newspaper) Fax: (203) 337-1220 155 Main St., Suite 202 Danbury, CT 06810 WPRX AM 1120 (Radio) Phone/Fax: (203) 748-0123 81 West Main Street [email protected] Bristol, CT 06050 Phone: (860) 826-4996 Fax: (860) 826-4999

124

French-Creole

Connecticut Haitian Voice (Newspaper) 800 Summer St, Suite 514 Stamford, CT 06901 Phone: (203) 653-5104 Fax: (203) 653-2981 [email protected]

Polish

Polski Express (Newspaper) 274 Broad Street New Britain, CT 06053 Phone: (860) 826-5477 [email protected]

Polonijna Gazeta Katolicka z Connecticut (Newspaper) PO Box 486 Rocky Hill, CT 06067 Phone: (860) 571-8656 [email protected]

White Eagle Media LLP (Newspaper) 129 Kingston St. 4th Floor Boston, MA 02111 Phone: (617) 350-3001 Fax: (617) 350-3099 [email protected]

Chinese

Chinese & American Business Network LLC (Magazine) John Wong c/o ANDY 494 Kitemaug Road Uncasville, CT 06382 Phone: (860) 848-3386 Fax: (860) 848-3587

125

APPENDIX W: Public Information Agency Contacts

Governor’s Office USDA

Andrew Doba Justin DeJong Governor’s Deputy Press Secretary Press Secretary Office: (860) 524-7308 Phone: (202) 720-4623 Mobile: Fax: (202) 720-5402 Email: [email protected] BB: Email: [email protected] David Bednarz Governor’s Communications Aide Chris Mather Office: (860) 524-7315 Director of Communications Mobile: Phone: (202) 720-4623 Email: [email protected] Fax: (202) 720-5402 BB: Lieutenant Governor’s Office Email: [email protected]

Steve Jensen US Postal Service Phone: (860) 524-7377 Mobile: Christine Dugas Email: [email protected] Phone: (401) 276-3915 Mobile: Martin Heft [email protected] Phone: (860) 524-7317 Mobile: CT Innovations Email: [email protected] Amy Hourigan Federal Bureau of Investigations Vice President of Marketing and Communications Special Agent Daniel Curtin Phone: 860-257-2337 Office: (203) 503-5347 Email: [email protected] Email: [email protected] CT Agricultural Experiment Station US EPA Nancy Grantham Theodore Andreadis Phone: (617) 918-1107 Phone: (203) 974-5810 Email: [email protected] Email: [email protected]

126

CT Development Authority Dept. of Children and Families

Lori Granato Gary Kleeblatt Phone: (860) 258-7872 Phone: (860) 550-6305 Mobile: Fax: (860) 566-7947 Fax: (860) 257-7582 Home: [email protected] Mobile: Email: [email protected] Melanie Hoben Kriedel Phone: (860) 258-7877 Josh Howroyd Mobile: Phone: (860) 550-6329 Email: [email protected] Email: [email protected]

Dept. of Administrative Services Dept. of Construction Services

Jeffrey Beckham Jeffrey Beckham Office: (860) 713-5694 Office: (860) 713-5694 Mobile: Mobile: Fax: (860) 713-7459 Fax: (860) 713-7459 Email: [email protected] Email: [email protected]

John McKay Dept. of Consumer Protection Office: (860) 713-5197 Mobiel Claudette Carveth [email protected] Office: (860) 713-6022 Mobile: Dept. of Agriculture Home: Fax: (860) 706-1220 George Krivda Email: [email protected] Office: (860) 713-2573 Mobile: Dept. of Corrections Email: [email protected] Andrius Banevicius Dept. of Banking Office: (860) 692-7675 Mobile: Jim Heckman Email: [email protected] Phone: (860) 240-8105 Home: Michelle Altomare Mobile: Office: (860) 692-7815 Email: [email protected] Mobile: Email: [email protected] Kathleen Titsworth Phone: (860) 240-8176 Email: [email protected]

127

Dept. of Developmental Services Dept. of Emergency Services & Public Protection Joan Barnish Phone: (860) 418-6044 State Police Fax: (860) 418-6001 Mobile: 24 hr Agency Phone: (860) 685-8190 Email: [email protected] Lt. Paul Vance Comm. Terrence Macy Office: (860) 685-8230 Phone: (860) 418-6011 Pager: Mobile: Mobile: Email: [email protected] Fax: (860) 685-8301 Email: [email protected] Dept. of Economic and Community Development Dept. of Energy &Environmental Protection Jim Watson Phone: (860) 270-8182 Dennis Schain Home: Office: (860) 424-3110 Mobile: Mobile: Email: [email protected] Email: [email protected]

David Treadwell Cyndy Chanaca Phone: (860) 270-8086 Office: (860) 424-3219 Fax: (860) 270-8188 Mobile: Email: [email protected] Email: [email protected]

Dept. of Education Dwayne Gardner Office: (860) 424-3938 Kelly Ann Donnelly Mobile: Office: (860) 713-6525 Home: Fax: (860) 713-7005 Email: [email protected] Mobile: Email: [email protected] Dept. of Higher Education

Dept. of Emergency Services & Public Constance Fraser Protection Phone: (860) 947-1801 Cell: Div. of Emergency Management Email: [email protected] Scott Devico Phone: (860) 685-8246 Jane Ciarleglio Mobile: Phone: (860) 947-1803 Email: [email protected] Mobile: [email protected]

128

Dept. of Insurance Dept. of Motor Vehicles

Donna Tommelleo William Seymour Phone: (860) 297-3958 Phone: (860) 263-5020 Mobile: Mobile: Email: [email protected] Email: [email protected]

Debra Korta Ernie Bertothy Phone: (860) 297-3864 Phone: (860) 263-5024 Mobile: Mobile: Email: [email protected] Email: [email protected]

Dept. of Labor Dept. of Revenue Services

Nancy Steffens Sarah Kaufman Main: (860) 263-6535 Phone: (860) 297-5610 Phone: Home: (860) 747-0425 Home: Mobile: Mobile: Email: [email protected] Email: [email protected] David Barry Anita Cox Phone: (860) 541-4581 Office: (860) 263-6538 Email: [email protected] Email: [email protected] Dept. of Social Services Paul Oates Office: (860) 263-6539 David Dearborn Email: [email protected] Phone: (860) 424-5024 Fax: (860) 566-2022 Dept. of Mental Health and Addiction Mobile: Services Email: [email protected]

James Siemianowski Kathleen Kabara Phone: (860) 418-6810 Phone: (860) 424-5068 Mobile: Fax: (860) 566-2022 Email: [email protected] Mobile: Email: [email protected] Steve DiLella Phone: (860) 418-6845 Mobile: [email protected]

129

Dept. of Transportation Office of Policy and Management

Judd Everhart Gian-Carl Casa Office: (860) 594-3062 Phone: (860) 418-6362 Mobile: Fax: (860) 418-6487 Email: [email protected] Mobile: Email: [email protected] Kevin Nursick Office: (860) 594-3003 Meagan Cowell Mobile: Phone: (860) 418-6381 Email: [email protected] Mobile: Email: [email protected] Division of Criminal Justice Office of Protection & Advocacy Mark Dupuis Phone: (860) 258-5997 James McGaughey Mobile: Phone: (860) 297-4308 Email: [email protected] Mobile: Email: [email protected] Dept. of Veteran’s Affairs Office of the Claims Commissioner Tammy Marzak Phone: (860) 616-3603 Tara DuPont Email: [email protected] Phone: (860) 566-2024 Email: [email protected] Comm. Linda Schwartz Phone: (860) 721-5818 Office of the Healthcare Advocate [email protected] Victoria Veltri Military Department Phone: (860) 331-2441 Mobile: Col. John Whitford Email: [email protected] Phone: (860) 524-4857 Home: (860) 889-4146 Comptroller’s Office Mobile: Email: [email protected] Tara Downes Phone: (860) 702-3308 Office of the Attorney General Email: [email protected]

Susan Kinsman Phone: (860) 808-5324 Mobile: Fax: (860) 808-5387 Email: [email protected]

130

Secretary of the State’s Office University of Connecticut

Av Harris Stephanie Reitz Phone: (860) 509-6255 Phone: (860) 486-0871 Mobile: Mobile: Email: [email protected] Email: [email protected]

Shannon Wegele David Martel Phone: (860) 509-6228 Phone: (860) 486-2997 Mobile: Mobile: Email: [email protected] Email: [email protected]

Dept. of Rehabilitation Services University of Connecticut Health Center After hours (860) 679-2000 (ask for on-call) Amy Porter Phone: (860) 424-4864 Maureen McGuire Email: [email protected] Phone: (860) 679-4523 Mobile: Teacher’s Retirement Board Email: [email protected]

Louis Laccavole Carolyn Pennington Phone: (860) 241-8429 Phone: (860) 679-4864 Email: [email protected] Mobile: Email: [email protected] Treasurer’s Office Christopher DeFrancesco Christine Shaw Phone: (860) 679-3914 Phone: (860) 702-3211 Fax: (860) 679-1323 Email: [email protected] Email: [email protected]

Worker’s Compensation Commissioner United Way 2-1-1

John Mastropietro Tanya Barrett Phone: (860) 493-1514 SVP 2-1-1 HHS Mobile: Office: (860) 571-6062 Email: [email protected] Mobile: Email: [email protected]

131

Draft Plan – Do Not Circulate or Quote

Appendix X:

Public Message Reporting Form Name of Event: Date of Event: Brief Description:

1. Was the message dissemination part of a: Click for options 2. If reporting data from a real incident: What was the incident type when the first message was approved for dissemination: Click for options 3. Type of real incident or event/incident upon which exercise scenario was based (select all that apply):

Biological outbreak/exposure (Specify type) Chemical exposure (Specify type) Infrastructure Mass casualty scenario Mutual aid incident Natural disaster (Specify type) Nuclear incident Planned event Radiological incident Strategic National Stockpile exercise/response Transportation disaster Other - (Specify)

4. Number of federal and state agencies involved in the exercise or real incident (including DPH): 5. Number of local or tribal agencies involved in the exercise or real incident: 6. Did your agency act in a lead or an assisting role? Click for options 7. Did you partner with any other private, public, or voluntary sector agencies during this exercise or real incident? Private Sector. What was the total number of Private Sector partners? Public Sector. What was the total number of Public Sector partners? Voluntary Sector. What was the total number of Voluntary Sector partners? 8. Was the message developed from a pre-drafted template? Yes/No 9. Was the message written either at or below a 6th grade reading level? Yes/No 10. Who was the intended audience of the message? General Population Population(s) with special needs. Specify

- 132 - Draft Plan – Do Not Circulate or Quote

11. In which language(s) was the message developed? List all 12. Who was the immediate recipient of the approved message? (The first group(s) to receive a message approved within the health department prior to dissemination.) List all. 13. Start Time (date and time that a designated official requested that the first risk communication message be developed): Date and time 14. Stop Time (date and time that a designated official approved the first risk communication message for dissemination: Date and time 15. If reporting data from a real incident: approximate date and time the message was disseminated to the public: Date and time (if real incident) 16. Does this exercise or incident represent the best demonstration of your agency’s capability to develop an Emergency Public Information and Warning Message? Yes/No 17. Please select the reason why this exercise or incident was chosen as the best demonstration of the development of a risk communication message for dissemination to the public (select the primary/most significant reason): Context of the Public Health Response – Potential for substantial public health impact Real Incident Agency was the lead responder Complexity of the demonstration/response – Scale of the demonstration/response required staffing all or most of the incident management lead roles Multiple partners in a coordinated demonstration/response Duration of the demonstration/response Required the mobilization of resources outside of the affected area Quickest time Only example/demonstration available Other - (Specify) 18. Was this your quickest time? Yes/No

- 133 - 8t11r.!015 DPH: PIIJiic Health PI ep11 aci I8U Clpabilitiee: RaP reel Trairinga

Dr. Jewel Mullen Crisis and Emergency Risk Communication Commissioner PrfN!hf• VDM

<<<'-k!IMJ.-.1 Public Health Preparedness Capabilities: Required Trainings

I.MmtDU...~ Plllnnl"' for •n capability 4: Emergency Public Infonnatlon and warning !~ Plllnnl"' for PeepIa wllfl I'Unctllln 1: .Adlntlllhe emergency public: lnt'annatlan synem PUnclloMI NMdl Wh.lt eo Do If •n Skills end Training 1 (Prtcntty): Public Information stafl' should complete the following lllddent !IMI'f'IIICJ KliPP IIIII Management System Training Mltu,_ID...... • Introduction to Incident Command Syst2m (IS-lOO.b) *ayp!lpble onUne* llloJotllall !II'MII'fMdM • Incident Command System tor Single Resource.s and Initial Action ll'lcldents (IS-200.b) CIMimlall !"*''llftdM *pii!II!Bbre online* lll~r •nd bdtotoglol • Emergency Support FUnction 15 Exbernal Affairs: A New Approach tD Emergency !n....,....dM Communication and Information DistribUtion (IS-250) *aypllab!e online• Drtnllfng W.W • National Incident Management System, An Introduction (IS.700.a) •avp!lable gnnne• !II'MII'fMdM • National Incident Management System Public Information Systems (IS-702.a) •ayallablc P•ndemlcPiu ~· !IMI'f'll'ldM • National Response Framework, An Introduction (IS-BOOb) •available onnne• ,__.,.,...,.. Skills and Training 2 (PI'Iortty): Deliver key messages ustng principles or ct1sts and emergency 1t0w C.n 1 Kelp? 11sk communication. To ensure tilts the following training must be taken within six monllls or hire date and at least once every nve years thereafter by public Information starr wllllln llle PUbllcl'lfollll ln.,_.,..,. jUrisdiction: • CDC Crisis and Emergency Risk Communication Baste •available online or In-penon• • CDC Crisis and Emergency Risk Communication for Pandemic Influenza •available onnne*

Free Summer Meals 1 1. Klduallln!IS.,unllr , 1 Function 2: Det:ennine tbe neecl for a joint public information eptem

Skills end Training 1: Determine the need for a joint public: information system

------• Public health agency steff or volunteers for partner agencies, who will support llle media, H.I.P.A.A NOTICE research, or administrative support functions during an incident should have awareness ------level training specific to media operations during an incident (e.g., IS-702.a). HealthCare Reform Functllln 3: E1tablllb and pal't1c1pate In lntannatlan -..m operation• ~Check the Calendar Skills end Training 1: Public information staff should be trained in the following: l\ Jr' \ ~ ~ • National Incident Mel'lllgement Systems (IS-701.a) *available gnllne* {;j7ieceive Updates y by E·mail • Emergency Mal'lllgement Institute G291 - Joint Information System/Joint ll'lfonnallon Sign ·Up for E·aferts Center Planning for Trlbll!l, State and Local Public Informlltlon Offlce1'11

Functllln 4: E1tablllb aw-ror public: lntel'llctlan and lnlbrmatian mu:hanga Skills end Tralnln!l 1: Public Information staff should be trained In usa of social media and health commun1C8IIons. (e.lj., JS-42 - Social Media In Emergency Management) Connecticut Skills end Trelnln!l 2: Public Information staff should complete the following tralnln11: still revolutionary • Netloneiincldent Mal'lllgement System Communications and Information Management (JS- • ./REGISTER 704) •available online• ~~Online to ? =VOTE I'Unctllln 5: :r..-IR*fll: lntvnnatlan, alal'tll, wamlnp, and natlftc:llUona Regulations of CT State Agencies Skills and Tralnln!l 1: Information technology skill set tD support haalth alert system. Iaccess health;~:'"'~: I Skills and Tralnln!l 2: Training health communiC8tlon staff In health communlcallon and a.rltural sensitivity (e.g., Cultural Competgncy Currrcylym for prs;nter prgparedngss and 01s!s Response. Elcplgr!ng Qpss Cyltural COmmunrr,atlon) htlp:/Jwww.clpJdphlcwp/YiM.IIBp'la=3115&q=4111192 112 Q/1112015 DPH: Public Health Preplnchlss Capabilities: Reqlired Tninirvs

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