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Health Care and Public Health Cyber Threat Information Sharing: Objective I & II
From the Introduction: "In an effort to determine the needs for cybersecurity threat information (CTI) sharing in the Healthcare and Public Healthcare sector ('the Sector'), the Department of Health and Human Services (HHS) awarded a grant to Harris Health System ('CTI Sharing Grant'). The CTI Sharing Grant is HHS' first step in selecting a strategy that will enable organizations to collaborate in the information sharing process within the private sector and between the private sector and government. [...] The first objective was to gain an understanding of the Sector's CTI needs and gaps, including obtaining input from members of each of the healthcare sub-sectors. [...] The second objective of this award was to increase organizational capacity and develop a strategy to expand cybersecurity threat information sharing in the Sector."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-09-30
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Tips for Retaining and Caring for Staff After a Disaster
"When disasters strike, the ripple effects are significant. Survivors may be injured or displaced, or may have loved ones in similar situations. The emotional, physical, and financial tolls can be jarring, and no one in the community is immune. Healthcare providers and staff who maintain facility operations are no exception, and yet they are a critical component of the response phase and expected to care not only for their own loved ones, but community members and the facility, too. Leadership plays a vital role in ensuring staff feel cared for and safe. Remind your team that their jobs are important and secure. Provide regular and clear communication regarding how leadership is working to continue and restore operations. This tip sheet assumes that a facility is operational after an event and that certain pre-planning and continuity of operations considerations are already in place. Here we share general promising practices--categorized by immediate and short-term needs--for facility executives to consider when trying to retain and care for staff after a disaster."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Department of Health and Human Services
2016-09-19
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Superstorm Sandy Block Grants: Funds Benefited States' Reconstruction and Social Service Efforts, Though ACF's Guidance Could Be Improved
"Five States received almost $475 million in Social Services Block Grant funding to help cover social service and reconstruction expenses resulting directly from Superstorm Sandy. When Congress made funds available to States to help pay for their Superstorm Sandy-related expenses, it noted that such funds were 'susceptible to significant improper payments.' Therefore, the Office of Management and Budget instructed Federal agencies to establish additional oversight of the funds. This evaluation examined States' experiences using Superstorm Sandy Social Service Block Grant (Sandy SSBG) funds and Administration for Children and Families (ACF) oversight of these funds."
United States. Department of Health and Human Services. Office of Inspector General
Murrin, Suzanne
2016-09
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United States Government Zika Virus Disease Contingency Response Plan
"This plan outlines the operational response activities for the U.S. Government (USG) if confirmed local transmission or widespread transmission of Zika virus disease occurs in the United States (including the tribal areas, territories and affiliated Pacific Islands) and the President determines enhanced Federal government unity of effort is required. Planning is based on the HHS Zika Virus Disease Domestic Preparedness and Response Goals and Objectives, the CDC Zika Virus Action Plan, the CDC Interim Response Plan and the (Draft) Biological Incident Annex to the Response and Recovery Federal Interagency Operational Plans. This document is designed to complement and not repeat the actions already outlined in these foundational documents."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-09
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The Exchange, Issue 1, 2016
"This newsletter will provide insightful articles from experts and those in the field on the most pressing healthcare system and emergency preparedness issues, promising practices, and lessons learned. This year's theme is 'Critical Issues in Healthcare System Preparedness'; the first issue focuses on Crisis Standards of Care (CSC)."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-09
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Zika Virus Planning Considerations for Healthcare Facilities and Coalitions
From the Document, "The intent of this document is to highlight some of the anticipated hospital and healthcare system planning issues essential to caring for suspect Zika cases, complicated Zika cases, pregnancies associated with Zika virus infection, and children born to Zika-infected mothers who have birth defects that may be associated with Zika virus infection. This document will be best utilized in conjunction with appropriate education for providers on recognition and treatment of Zika virus and its complications, and information for the public regarding prevention and recognition of Zika virus infection. This document addresses diagnostic and acute care needs; the long term consequences and management of children and families with Zika-related complications will involve ongoing, specialized inpatient and outpatient resources. Hospitals and healthcare facilities should consider the following issues when developing a Zika virus plan and responding to potential or confirmed Zika virus cases. Sporadic travel-associated cases in a community may require a nominal response by a healthcare coalition (HCC) but sustained local transmission of cases will require enhanced coordination activities between public health and the healthcare system."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-08-25
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Environmental Assessment for Investigational Use of 'Aedes Aegypti' OX513A: In Support of a Proposed Field Trial of Genetically Engineered (GE) Male 'Ae. aegypti' Mosquitoes of the Line OX513A in Key Haven, Monroe County, Florida under an Investigational New Animal Drug Exemption
"Oxitec Ltd. ('Oxitec') has developed a mosquito control program which is an adaptation of the Sterile Insect Technique (SIT), a methodology that has successfully controlled several insect species in different countries over the last 50 years using radiation based sterilization. The Oxitec mosquito control program involves the repeated controlled release of genetically engineered (GE) male 'Aedes aegypti' mosquitoes (line OX513A), expressing a conditional lethality trait and a fluorescent marker. The line was first constructed in 2002, and a publication about it was published in a peer-reviewed scientific journal in 2007 (Phuc et al. 2007). This line has been characterized for over 10 years. Male OX513A mosquitoes mate with the wild females of their own species only, leading to a reduction in the population of the local population of 'Ae. aegypti'. Male mosquitoes do not bite humans or animals and therefore are unable to transmit or vector viruses or other saliva constituents. Oxitec mosquitoes can be used in two ways: to reduce the 'Ae. aegypti' population in an area, and/or to prevent its recurrence once control in the area has been achieved. The purpose of this proposed investigational field trial is to evaluate the mating ability of released OX513A mosquitoes with local wild-type 'Ae. aegypti' females, to assess the survival of the resultant progeny in order to estimate mortality related to inheritance of the #OX513 recombinant DNA (rDNA) construct, and to determine the efficacy of sustained releases of OX513A mosquitoes for the suppression of a local population of 'Ae. aegypti' in the defined release area in the Florida Keys, specifically an area known as Key Haven, in Monroe County, which is within the jurisdiction of the Florida Keys Mosquito Control District for mosquito control."
United States. Department of Health and Human Services; United States. Food and Drug Administration; Center for Veterinary Medicine (U.S.)
2016-08-05
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Finding of No Significant Impact: In Support of a Proposed Field Trial of Genetically Engineered (GE) Male Aedes Aegypti Mosquitoes of the Line OX513a in Key Haven, Monroe County, Florida under an Investigational New Animal Drug Exemption
"Oxitec, Ltd. (Oxitec, the sponsor) has provided data and information to the U.S. Food and Drug Administration (FDA)'s Center for Veterinary Medicine (CVM, we) for its proposed field trial of genetically engineered (GE) male 'Aedes aegypti' mosquitoes of the line OX513A, under an investigational new animal drug (INAD) exemption (21 CFR 511.1(b)). 'Ae. aegypti' is a vector for human diseases including those associated with Zika, dengue, and chikungunya viruses. OX513A have been genetically engineered to express a gene that encodes a conditional or repressible lethality trait (also known as selflimiting) and a red fluorescent marker protein to aid in their identification. The proposed investigational field trial would be carried out in Key Haven, Monroe County, Florida under Oxitec's supervision in conjunction with the Florida Keys Mosquito Control District (FKMCD)."
United States. Department of Health and Human Services; United States. Food and Drug Administration; Center for Veterinary Medicine (U.S.)
2016-08-05
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Community Response to Viral Hepatitis: Contributions Toward Achieving the Goals of the Viral Hepatitis Action Plan
"Millions of Americans from all walks of life are at-risk for or living with viral hepatitis. An estimated 3.5 million people are living with hepatitis C (HCV), the most-common type of viral hepatitis. An estimated 850,000 people are living with hepatitis B virus(HBV). Viral hepatitis is a silent and deadly disease. Hepatitis B and C often have no symptoms. So, many people do not know that they have the virus. Meanwhile, the virus is damaging their liver and they remain at risk for transmitting the virus to others. We are losing ground in the battle against viral hepatitis. Hepatitis C kills more Americans than all 60 other reportable infectious diseases. New cases of hepatitis have increased because of the opioid epidemic that is gripping communities across the United States. New hepatitis C infections increased more than 250% between 2010 and 2014. After decades of declines in hepatitis B cases, progress on hepatitis B prevention has stalled and in some areas new cases have increased."
United States. Department of Health and Human Services
2016-08
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Healthcare Organization and Hospital Discussion Guide for Cybersecurity
From the Document: "The 'Cybersecurity Discussion Guide' is intended to help participants identify issues, strengths, and weaknesses associated with response capabilities, communication and information sharing for their healthcare organization or hospital when responding to a cybersecurity incident, and prevention planning. Moreover, the 'Cybersecurity Discussion Guide' provides insight into the healthcare organization's or hospital's response to a public health emergency, including communicating and coordinating with other agencies, departments, or organizations. It also provides a catalyst for developing strategies to address the issues and weaknesses identified during the discussion-based exercise."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2016-08
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Emergency Prescription Assistance Program (EPAP): Hurricane Ike Data Fact Sheet
From the Document, "The Emergency Prescription Assistance Program (EPAP) is funded by the Stafford Act and designed to help disaster survivors access prescription medicines. EPAP can also be activated by the Public Health Service Act under the authority of the National Disaster Medical System (NDMS). The program utilizes normal business operations (e.g., electronic prescription claims processing, utilization of the normal pharmaceutical supply chain for distribution and dispensing) to pay for prescription medications for eligible persons. This fact sheet provides a summary of the EPAP data collected and analyzed following Hurricane Ike from September 12, 2008 to December 15, 2008."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-08
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Emergency Prescription Assistance Program (EPAP): Superstorm Sandy Data Fact Sheet
From the Document, "The Emergency Prescription Assistance Program (EPAP) is funded by the Stafford Act and designed to help disaster survivors access prescription medicines. EPAP can also be activated by the Public Health Service Act under the authority of the National Disaster Medical System (NDMS). The program utilizes normal business operations (e.g., electronic prescription claims processing, utilization of the normal pharmaceutical supply chain for distribution and dispensing) to pay for prescription medications for eligible persons. This fact sheet provides a summary of the EPAP data collected and analyzed following Superstorm Sandy for New Jersey and New York through October 30, 2013."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-08
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Emergency Prescription Assistance Program (EPAP): Overview Fact Sheet
From the Document, "The Emergency Prescription Assistance Program (EPAP) is funded by the Stafford Act and designed to help disaster survivors access prescription medicines. EPAP can also be activated by the Public Health Service Act under the authority of the National Disaster Medical System (NDMS). The program utilizes normal business operations (e.g., electronic prescription claims processing, utilization of the normal pharmaceutical supply chain for distribution and dispensing) to pay for prescription medications for eligible persons."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-08
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Emergency Prescription Assistance Program (EPAP): Hurricane Gustav Data Fact Sheet
From the Document, "The Emergency Prescription Assistance Program (EPAP) is funded by the Stafford Act and designed to help disaster survivors access prescription medicines. EPAP can also be activated by the Public Health Service Act under the authority of the National Disaster Medical System (NDMS). The program utilizes normal business operations (e.g., electronic prescription claims processing, utilization of the normal pharmaceutical supply chain for distribution and dispensing) to pay for prescription medications for eligible persons. This fact sheet provides a summary of the EPAP data collected and analyzed following Hurricane Gustav from September 2, 2008 to October 31, 2008."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-08
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Healthcare Coalition Involvement in Mass Gatherings July 14, 2016 [presentation]
From the Document: "At the completion of this webinar, participants will be able to: [1] Describe a mass gathering; [2] Identify ways a healthcare coalition should be involved in mass gathering planning and execution; [and 3] Identify planning considerations." Presentations in the document include: "Mass Gatherings: An Operational Federal Perspective" by Joe Lamana; "Healthcare Coalitions: Role in Mass Gatherings" by Mary Russell; and "SE PA [Southeast Pennsylvania] Healthcare Planning and Response" by Tom Grace.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
Lamana, Joe; Russell, Mary; Grace, Tom
2016-07-14
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Fact Sheet: Ransomware and HIPAA
From the Document: "A recent U.S. Government interagency report indicates that, on average, there have been 4,000 daily ransomware attacks since early 2016 (a 300% increase over the 1,000 daily ransomware attacks reported in 2015). Ransomware exploits human and technical weaknesses to gain access to an organization's technical infrastructure in order to deny the organization access to its own data by encrypting that data. However, there are measures known to be effective to prevent the introduction of ransomware and to recover from a ransomware attack. This document describes ransomware attack prevention and recovery from a healthcare sector perspective, including the role the Health Insurance Portability and Accountability Act (HIPAA) has in assisting HIPAA covered entities and business associates to prevent and recover from ransomware attacks, and how HIPAA breach notification processes should be managed in response to a ransomware attack."
United States. Department of Health and Human Services
2016-07-11?
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Operational Risk Communication and Community Engagement Plan: Responding to Local Mosquito-Borne Transmission of Zika Virus
"This plan template is provided as part of the Zika Community Action Response Toolkit (Z-CART) for state, local, and tribal, public health staff to adapt to their needs in the context of local mosquito-borne transmission of Zika virus infections. It contains updated Zika-specific content and is intended as a resource for supporting Zika response plans."
United States. Department of Health and Human Services
2016-07
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Federal Experts Security Advisory Panel: Summary of Findings and Recommendations of the Federal Security Advisory Panel on the Biennial Review of the Select Agents and Toxins List
"The mission of the Federal Experts Security Advisory Panel (FESAP) is to make technical and substantive recommendations concerning the appropriate safeguards and security standards for persons possessing, using, or transferring biological select agents and toxins (BSAT). The recommendations shall be commensurate with the risk that such agents or toxins pose to public health and safety, to animal and plant health, and to animal and plant products, including the risk of their use in domestic or international terrorism. On July 2, 2010, President Obama signed Executive Order 13546 'Optimizing the Security of Biological Select Agents and Toxins,' which created the FESAP and tasked it with addressing policy issues relevant to the security of BSAT. On January 19, 2016, the Departments of Health and Human Services (HHS) (81 FR 2805) and Agriculture (USDA) (81 FR 2762) published Federal Register Notices of proposed rulemaking regarding the select agents and toxins regulations. The Notices announced that HHS and USDA are considering amending the BSAT list by removing several biological agents. […] The FESAP was charged to provide policy and technical input for the biennial review of the BSAT list. The Biological Select Agents and Toxins Interagency Policy Committee (BSAT IPC) provided technical criteria and policy factors to inform the FESAP's deliberations."
United States. Department of Health and Human Services
2016-07
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Mass Burn Event Overview [June 21, 2016]
"This document provides guidance for healthcare coalitions, burn centers, state public health preparedness professionals, healthcare entities, and other stakeholders planning for a burn mass casualty incident (BMCI). An event that exceeds the resources of a single jurisdiction will require the use of a tiered approach beginning with the local community hospital and engaging a broad array of regional and national stakeholders depending on the scope of the incident. This document identifies the key roles of state and local responders, and those of the American Burn Association (ABA) and the U.S. Department of Health and Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR) during a BMCI."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Department of Health and Human Services
2016-06-21
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Mass Gatherings/Special Events Topic Collection
"Thousands of pre-planned mass gatherings and special events occur each year across the country and abroad. […] Unfortunately, in today's environment, special events attended by large numbers of people may be considered as terrorist targets due to large concentrations of crowds, the symbolic nature of the event, high-profile attendees, and increased media attention. Beyond the terrorist implications, there is still the inherent vulnerability of mass gatherings. The effects of a natural disasters, accidents, or disease outbreaks become amplified when they occur in a mass gathering. Further, the nature of crowds, in and of themselves, can be dangerous. Lastly, high concentrations of people may overwhelm the personnel support capacity in a given area, compromising basic human services and exacerbating existing medical conditions or creating unhealthy environments. It is for these reasons that local, state, and federal authorities should manage the public health and medical issues presented by mass gatherings and prepare for contingency response operations. Treating these events as 'planned emergencies,' including using incident management systems for planning and operating, allows a rapid transition to emergency response should an incident occur. The resources in this Topic Collection include lessons learned, case studies, research, tools, and templates designed to help emergency medical staff create robust plans for mass critical care before an incident strikes their jurisdiction."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06-08
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Post-Mass Shooting Programs and Resources Overview
"This 19-page document from TRACIE (Technical Resources, Assistance Center, Information Exchange) provides information on programs and resources available to the communities affected by the Orlando nightclub shooting. Information is organized by programs and resources, including Disaster Behavioral Health; Lesbian, Gay, Bisexual, and Transgender; Mass Violence; and Spanish Translated Disaster Behavioral Health Materials. An appendix from the American Red Cross provides information about Coping With Stress Reactions After a Mass Violence Event."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06
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Medicaid Benefits Available for the Prevention, Detection and Response to the Zika Virus
"The purpose of this CMCS [Center for Medicaid and CHIP Services] Informational Bulletin is to inform Medicaid agencies and interested stakeholders about how Medicaid services and authorities can help states and territories prevent, detect, and respond to the Zika virus, including efforts to prevent the transmission and address health risks to beneficiaries from the Zika virus. We encourage states to use the flexibilities outlined below."
United States. Department of Health and Human Services
2016-06-01
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U.S. Department of Health and Human Services Ebola Response Improvement Plan: Based on Lessons Learned from the 2014 -2016 Ebola Epidemic
"In December 2013, the Ebola virus emerged in Guinea and then spread rapidly across West Africa. The resulting epidemic caused an estimated total of 28,000 suspected and confirmed cases, and claimed over 11,000 lives. The global community responded - though slowly at first, and ultimately worked effectively together to end the epidemic. As a partner in this international effort, the U.S. Department of Health and Human Services (HHS) made significant contributions to the response, both in controlling the international epidemic abroad and safeguarding the United States from further spread of the disease. In an effort to learn from this unprecedented response effort, the Secretary of HHS asked a nonprofit research organization to review the Department's international and domestic responses to the Ebola outbreak. It convened an independent panel of subject matter experts to identify strengths and opportunities to improve the Department's preparedness and response efforts. The resulting document, 'Report of the Independent Panel on the HHS Ebola Response', was published in June 2016. To guide its work in improving preparedness for subsequent public health crises, HHS developed an Improvement Plan. This plan, developed in response to the Panel's report, describes steps the Department will take or has already taken to address issues identified by the Independent Panel."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06
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Report of the Independent Panel on the U.S. Department of Health and Human Services (HHS) Ebola Response
"To capture critical lessons from the Ebola epidemic of 2014--2016, the U.S. Department of Health and Human Services (HHS) asked CNA to convene an independent panel of public health, healthcare, emergency response, and communication experts to review the Department's international and domestic responses. This report summarizes the Independent Panel's assessment of HHS's challenges--and, where appropriate, challenges facing the broader U.S. government--and presents recommendations for addressing future urgent public health threats. The Ebola epidemic that began in West Africa was a seminal event for the global public health response community. The epidemic crystalized the importance of national disease surveillance capacities and timely multilateral coordination. The World Health Organization (WHO) and others acknowledge that investments must be made in the ability of countries to detect, report, and respond to urgent public health threats, and that reforms are needed to strengthen WHO's role as the worldwide protector of health."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-06
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High-Risk Pregnancy and Microcephaly Planning Resource
From the "Purpose" section: "The intent of this planning resource is to highlight some of the anticipated hospital and healthcare system resource needs essential to caring for high-risk pregnancies and children born with microcephaly or other birth defects that may be associated with Zika virus infection. This planning resource will be best utilized in tandem with appropriate risk communication and education for providers and the public regarding prevention of Zika virus infection and ongoing care strategies. It should be noted that while the vast majority of resource needs occur in the hospitalized setting, the long term consequences and management of these cases will involve resources that reside in the outpatient setting, as well. Healthcare systems and coalitions are not required to use this resource, but are encouraged to consider how available resources may be affected by an increase in demand for specialty services."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-05-31
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Supporting Children with Special Healthcare Needs Planning Resource
From the "Purpose" section: "The intent of this planning resource is to enhance healthcare coalition and healthcare system preparedness and response to a domestic Zika virus disease outbreak by highlighting some of the existing federal and national services and programs for supporting children with special health care needs. This planning resource will be best utilized in tandem with appropriate risk communication and education for providers and the public regarding prevention and ongoing care strategies. Healthcare systems and coalitions are not required to use this resource, but are encouraged to consider how available resources may be affected by an increase in demand for social supports and services."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-05-18
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Healthcare and Public Health Sector-Specific Plan [May 2016]
"This Healthcare and Public Health (HPH) Sector-Specific Plan (SSP) is designed to guide the Sector's internal and collaborative, cross-sector efforts to enhance the security and resilience of HPH critical infrastructure to all-hazards across its physical, cyber, and human dimensions. The SSP tailors the strategic guidance provided in the National Infrastructure Protection Plan 2013 (NIPP 2013) to the unique operating conditions and risk landscape of the vast and complex HPH Sector."
United States. Department of Homeland Security; United States. Department of Health and Human Services
2016-05
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Meeting the Needs of First Responders: Scientific Experiments to Operational Tactics for the First 100 Minutes After an Outdoor Explosive Radiological Dispersal Device [video]
In this video, Dr. Stephen Musolino from Brookhaven National Laboratory discusses the nexus of science and responding to an outdoor radiological dispersal device at the National Council on Radiation Protection and Measurements (NCRP) annual meeting. From the description found on the Radiation Emergency Medical Management website: "This outstanding video will be exceptionally helpful to local responders, with explanations of when, where, and how to measure radiation in the environment to characterize radiation levels after an incident, create response zones, and protect themselves and the public." The run time of this video is 29 minutes and 4 seconds.
United States. Department of Health and Human Services. Radiation Emergency Medical Management
2016-04
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Exercise Guide for Ebola Concept of Operations (ConOps) Planning
From the Introduction: "This 'Exercise Guide for Ebola ConOps' is a tool to aid planners in creating exercises to test Ebola Concept of Operations (ConOps). The purpose of the guide is to [1] Provide recommendations for the development of smaller exercises to evaluate key system elements in an Ebola ConOps plan and larger exercises to evaluate the overall plan. [2] Provide templates, scenarios, tools, and examples to facilitate the development of an Ebola ConOps plan exercise. [3] Provide considerations for evaluating an Ebola ConOps plan exercise. [4] Describe ways to incorporate evaluation data to improve an Ebola ConOps plan."
United States. Department of Health and Human Services; Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-04
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Discussion Guide for Ebola Concept of Operations (ConOps) Planning
From the Introduction: "This Ebola Discussion Guide is a tool to aid planners in developing an Ebola Concept of Operations (ConOps) Plan using the Ebola ConOps Planning Template that was developed, with the support of several partners, by the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC)."
United States. Department of Health and Human Services; Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-04
