The 2009 novel H1N1 epidemic identified the critical need for the emergency managers‟ knowledge of
the US public health infrastructure and core concepts. The core concepts of public health -
epidemiology, environmental health, health policy/administration, health behavior and biostatistics - that
comprise most health departments and influence emergency planning assumptions and response
mechanisms will be discussed. With over $1.35 billion in CDC administered PHER grant funding to
date, the 2009 National Health Security Strategy‟s perspective that preparedness programs are not
coordinated or efficient and significant disparities in breadth and quality of preparedness programming
exist highlights a huge area for emergency management improvement and involvement. The current US
public health preparedness infrastructure and grant programs will be outlined to identify areas for local
and State EM coordination and interaction. The health reform bill‟s impact on emergency planning
assumptions, including shifts in insurance structure and health paradigms, will also be presented. Public Health 101: What Every Emergency Manager Needs to Know
Level: Intermediate
Brian Spendley, Associate, Hagerty Consulting
Nicole Errett, Emergency Management Planner, City of Baltimore Mayor's Office of
Emergency Management
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Public Health 101: What Every Emergency Manager Needs to Know
1. Public Health 101 What Every
Public Health 101 ‐ What Every
Emergency Manager Needs to Know
Partners in Emergency Preparedness Conference
April 27, 2011
p ,
Nicole Errett
Baltimore City Mayor s Office of Emergency Management
Baltimore City Mayor’s Office of Emergency Management
Brian Spendley
Hagerty Consulting
1
PIEP 2011
2. Define Public Health and its core concepts
Describe the U.S. Public Health Preparedness
Infrastructure
Video and Discussion
H1N1
Identify implications of PPACA (Health Reform) on
emergency planning assumptions
l i i
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PIEP 2011
3. Public Health Definition
Public Health Definition
Public health definition and
Public health definition and
prevention
3
PIEP 2011
4. Definition:
Is there one?
Is there one?
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PIEP 2011
5. Definition: “Public health emergency preparedness
(PHEP) is the capability of the public health and
health
h lth care systems, communities, and individuals, t
t iti d i di id l to
prevent, protect against, quickly respond to, and
recover from health emergencies, particularly those
whose scale, timing or unpredictability threatens to
overwhelm routine capabilities. Preparedness
involved a coordinated and continuous process of
planning and implementation that relies on measuring
performance and taking corrective action.”
Source: Nelson, C., Lurie, N., Wasserman, J., and Zakowski, S. (2007) Conceptualizing and Defining Public Health Emergency
Preparedness. American Journal of Public Health, 97(S1), S9-S11.
5
PIEP 2011
9. Primary Prevention
Prevent the outcome before it occurs (e.g. planning,
hazard mitigation, gap analysis, training and exercises)
h d iti ti l i t i i d i )
Secondary Prevention
Secondary Prevention
Early detection (e.g. surveillance)
Tertiary Prevention
Prevent the outcome from getting worse (e.g.
emergency management operations)
i )
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PIEP 2011
14. Core Concepts
p
What are the major
components of a public health
t f bli h lth
education?
1
4 PIEP 2011
15. Biostatistics
Epidemiology
Health Policy and Management
Environmental Health
Health Policy and Management
Social/Behavior Health Sciences
1
5 PIEP 2011
25. Where is public
health researched?
Where is public
health practiced?
h lh d?
2
5 PIEP 2011
26. What is the foundation?
Pandemic and All Hazards Preparedness Act (PAHPA)
National Health Security Strategy (NHSS)
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6 PIEP 2011
27. Amended the Public Health Service Act to
establish a new Assistant Secretary for
Preparedness an Response (ASPR)
P d R (ASPR)
Called for a quadrennial National Health Security
Strategy (NHSS)
Strategy (NHSS)
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7 PIEP 2011
28. What is it?
National Health Security is a state in which the nation and its
people are prepared for, protected from, and resilient in the
people are prepared for protected from and resilient in the
face of health threats with potentially negative
consequences.
T G l
Two Goals
Build community resilience
Strengthen and sustain health and emergency response
Strengthen and sustain health and emergency response
systems.
No unfunded mandates. Aligns with the NRF and NSS.
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8 PIEP 2011
30. Created under PAHPA
Lead in the nation in
preventing, preparing
for, and responding to
the adverse health
the adverse health
effects of public
health emergencies
health emergencies
and disasters.
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0 PIEP 2011
31. Mi i
Mission: Collaborating
C ll b ti
to create the expertise,
information, and tools
that people and
that people and
communities need to
protect their health –
through health
through health
promotion, prevention
of disease, injury and
disability, and
disability and
preparedness for new
health threats.
3
1 PIEP 2011
32. MA: 6 State
Agencies, 1 County
HD, 4 regional HD,
HD 4 i l HD
351 municipal
board of health
MD: 6 State
MD: 6 State
Agencies, 24 local
county health
departments
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2 PIEP 2011
33. Video
H1N1 Flu in Review: The HHS
Response
3
3 PIEP 2011
34. Discussion
H1N1 Novel Influenza
H1N1 N l I fl
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4 PIEP 2011
35. Health Reform: Patient Protection and
Affordable Care Act (PPACA)
Affordable Care Act (PPACA)
What is it?
How does it affect planning
assumptions?
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5 IAEM 2010
37. Reduces uninsured by
32 million in 2019
(CBO Estimate)
(CBO E ti t )
Decreases
vulnerability
May decrease cost
IIncreases
transparency
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7 IAEM 2010