The Big Picture

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Dec 13, 2013 (3 years and 10 months ago)

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Emergency Preparedness

and Response:

The Big Picture

1

Doctrine, organization, roles and
responsibilities, response actions
and planning requirements that
guide national response

The National Response Framework

Incident

Annexes

Incident
-
specific applications of the
Framework

Support

Annexes

Essential supporting aspects of the Federal
response common to all incidents

Emergency Support

Function Annexes

Mechanisms to group and provide Federal
resources and capabilities to support State
and local responders

Partner

Guides


Next level of detail in response actions
tailored to the actionable entity

2

Core
Document

www.fema.gov/nrf



3

Applying the Framework


Most incidents managed entirely locally:


Some require additional support


Small number require Federal support


Catastrophic requires significant Federal support


State Governor must request Federal support


Minor event might just be start of larger threat:


Could rapidly grow larger


Need to accelerate assessment and response


Federal Department/Agency acting on own authority may be initial
Federal responder


Integrated, systematic Federal response intended to occur
seamlessly



4

Effective, unified national response requires
layered, mutually
-
supporting capabilities

NRF

State & Tribal

Governments

Local

Governments

Federal

Government


Private
Sector

& NGO



Local officials

have primary responsibility for
community preparedness and response and are
responsible for ensuring the public safety and
welfare of their jurisdiction.


The local emergency manager
has the day
-
to
-
day authority and
responsibility for overseeing
emergency management
programs and activities.



5

Effective, unified national response requires
layered, mutually
-
supporting capabilities

NRF

State & Tribal

Governments

Local

Governments

Federal

Government


Private
Sector

& NGO



States

are sovereign entities. The Governor is responsible
for public safety and welfare. States are the main players in
coordinating resources and capabilities and obtaining
support from other States and the Federal government.


A primary role of State government is to
supplement and facilitate local efforts
before, during, and after incidents.
Governors, State homeland security
advisors, State emergency management
directors, and tribal leaders have key roles
and responsibilities in incident
management.



6

Effective, unified national response requires
layered, mutually
-
supporting capabilities

NRF

State & Tribal

Governments

Local

Governments

Federal

Government


Private
Sector

& NGO



The Private Sector

supports community response,
organizes business to ensure resiliency, and
protects and restores critical infrastructure and
commercial activity.


Government works with private
sector groups as partners in
emergency management. Major
portions of the nation’s critical
infrastructure are operated and
maintained by the private sector.



7

Effective, unified national response requires
layered, mutually
-
supporting capabilities

NRF

State & Tribal

Governments

Local

Governments

Federal

Government


Private
Sector

& NGO



NGOs

(non
-
governmental organizations):


Assist individuals who have special needs


Coordinate volunteers


Interface with government response officials at all levels


Perform other vital missions

For example, NGOs provide
sheltering, emergency food supplies,
counseling, and other vital services
to support response and promote the
recovery of disaster victims.



8

Effective, unified national response requires
layered, mutually
-
supporting capabilities

NRF

State & Tribal

Governments

Local

Governments

Federal

Government


Private
Sector

& NGO



Individuals and Households

are key starting
points for emergency preparedness and support
community efforts.

Though not formally part of emergency
operations, they play a key role in the
overall emergency management
strategy.


They can contribute by reducing
hazards in and around their homes,
preparing emergency supply kits and
household emergency plans, and carefully
monitoring emergency communications.



Emergency Support Functions / Annexes

9


ESF #1
-

Transportation


ESF #2
-

Communications


ESF #3
-

Public Works and Engineering


ESF #4
-

Firefighting


ESF #5
-

Emergency Management


ESF #6
-

Mass Care, Emergency Assistance, Housing and Human Services


ESF #7
-

Logistics Management and Resource Support


ESF #8
-

Public Health and Medical Services


ESF #9
-

Search and Rescue


ESF #10
-

Oil and Hazardous Materials Response


ESF #11
-

Agriculture and Natural Resources


ESF #12
-

Energy


ESF #13
-

Public Safety and Security


ESF #14
-

Long
-
Term Community Recovery


ESF #15
-

External Affairs



Emergency Support Functions / Annexes

10


ESF #1
-

Transportation


ESF #2
-

Communications


ESF #3
-

Public Works and Engineering


ESF #4
-

Firefighting


ESF #5
-

Emergency Management


ESF #6
-

Mass Care, Emergency Assistance, Housing and Human Services


ESF #7
-

Logistics Management and Resource Support


ESF #8
-

Public Health and Medical Services


ESF #9
-

Search and Rescue


ESF #10
-

Oil and Hazardous Materials Response


ESF #11
-

Agriculture and Natural Resources


ESF #12
-

Energy


ESF #13
-

Public Safety and Security


ESF #14
-

Long
-
Term Community Recovery


ESF #15
-

External Affairs



ESF #6 in Gwinnett County


The Department of Human Resources (DHR) Division of
Family and Children Services (DFCS) has primary government
agency responsibility. The American Red Cross (ARC) has
primary volunteer organization responsibility. Supporting roles:


East Metro Health District (EMHD)
-

Personnel,
environmental inspections


Georgia Baptist Convention
-

Child care, food,
personnel


The Salvation Army
-

Donated goods, food


Local Law Enforcement
-

Security


Local Departments of Education and others
-

Facilities

11



Note roles of entities


State:

Dept. of Human Resources (DHR) Div. of Family
and Children Services (DFCS)


NGO:

American Red Cross (ARC), Georgia Baptist
Convention, The Salvation Army


State and Local Gov:

East Metro Health District (EMHD)


Local Gov:
Law Enforcement, Department of Education


Private Sector:

Businesses assisting in other ways

Re NGOs: American Red Cross, GA Baptist Convention, Salvation
Army, American Radio Relay League, many others are members of
National and/or Georgia Voluntary Organizations Active in
Disaster (VOAD).

12



Emergency Support Functions / Annexes

13


ESF #1
-

Transportation


ESF #2
-

Communications


ESF #3
-

Public Works and Engineering


ESF #4
-

Firefighting


ESF #5
-

Emergency Management


ESF #6
-

Mass Care, Emergency Assistance, Housing and Human Services


ESF #7
-

Logistics Management and Resource Support


ESF #8
-

Public Health and Medical Services


ESF #9
-

Search and Rescue


ESF #10
-

Oil and Hazardous Materials Response


ESF #11
-

Agriculture and Natural Resources


ESF #12
-

Energy


ESF #13
-

Public Safety and Security


ESF #14
-

Long
-
Term Community Recovery


ESF #15
-

External Affairs



ESF #8 in Gwinnett County

Under ESF #8, Public Health:


Coordinates and/or delivers medical, environmental
health, and mental health services


Accesses and/or seeks health
-
related private resources


Supplements disrupted or overburdened health service
delivery personnel and resources


Coordinates rehabilitation support

14



Support Annexes

15


Critical Infrastructure and
Key Resources


Financial Management


International Coordination


Private Sector Coordination


Public Affairs


Tribal Relations


Volunteer and Donations
Management


Worker Safety and Health


Biological Incident


Catastrophic Incident


Cyber Incident


Food and Agriculture Incident


Mass Evacuation Incident


Nuclear/Radiological Incident


Terrorism Incident Law
Enforcement and Investigation


Incident Annexes



Support Annex A14 Volunteer Programs Management


Addresses how the Medical Reserve Corps
program integrates with emergency response


Describes where volunteers might be used in a
healthcare emergency


Provides forms that must be completed to
address liability issues


Provides job action sheets that can be used for
just
-
in
-
time training



Support Annex A15 Modular Emergency Medical System


Addresses medical surge options in support of hospitals


Defines Neighborhood Emergency Help Center


Defines Acute Care Center


Defines staffing requirements based on given
configuration


Does not address specific alternative standards of care
protocols



Support Annex A16 Strategic National Stockpile


Criteria for and how to request the SNS


Mass dispensing/vaccination procedures


Manpower requirements


Just
-
in
-
time training materials for using
volunteers


Medication control procedures


Patient education



What is the Strategic National Stockpile ?


A large CDC
-
managed stockpile of medicine and
medical supplies to protect the American public if
there is a public health emergency severe enough
to cause local supplies to run out.

You can learn more about the
Strategic National Stockpile at
http://www.bt.cdc.gov/stockpile



Strategic National Stockpile Components


Push Pack/12 Hours





Vendor Managed Inventory/ 24
-
36 hours




SNS Responsibilities


SNS


Send medications / vaccines


Provide technical assistance


State and Local governments


Demonstrate need for supplies


Receive, stage and store supplies


Dispense at community PODs


Hospitals


Dispense to at hospital PODs



What is a POD?

Point of dispensing (POD)
-

a place where a vaccine,
antibiotic or other medication is dispensed
quickly

to a large
group of people.





First Responders



Hospital staff & patients



Community members






Usually: To prevent disease in those exposed to an
infection but who are not yet sick



Possibly: To treat an infectious disease


The treatment offered would be limited to
dispensing a specific medication.



Why would a POD be activated?



What Kinds of Emergencies Might
Require a POD?


Natural disaster


Influenza pandemic


Bioterrorism attack