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2010 Hurricane Playbook
This U.S. Department of Health and Human Services, 2010 Hurricane playbook provides guidance for decision makers in the event of a hurricane. It outlines key measures and options essential to effective decision making and directing in response to a hurricane.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010-07-09
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Public Health Emergency Medical Countermeasures Enterprise
"The Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) coordinates Federal efforts to enhance chemical, biological, radiological and nuclear threats (CBRN) and emerging infectious diseases (EID) preparedness from a medical countermeasure (MCM) perspective. The PHEMCE is led by the HHS [Health & Human Services] Office of the Assistant Secretary for Preparedness and Response (ASPR) and includes three primary HHS internal agency partners: the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA) and the National Institutes of Health (NIH), as well as several interagency partners: the Department of Defense (DoD), the U.S. Department of Veterans Affairs (VA), the Department of Homeland Security (DHS) and the U.S. Department of Agriculture (USDA)."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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Healthcare and Public Health Cybersecurity Primer: Cybersecurity 101
"Understanding the evolving role of cybersecurity in healthcare and public health is a crucial first step to managing cyber risks to the HPH [Healthcare and Public Health] sector. The Healthcare and Public Health Cybersecurity Primer is a tool intended for use by sector members, owners and operators, as well as Federal, State and local partners who may not be cyber experts, but wish to improve the sector's level of understanding of cybersecurity. The scope of this document contains concepts and common practices of security as they pertain to the cyber component of healthcare and public health. This document will: [1] Provide a basic definition of cybersecurity; [2] Discuss qualities of a secure cyber environment; [3] Present a high level examination of cyber threats and consequences and vulnerabilities; and [4] Discuss preventative measures and recommended risk management activities."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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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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2017-2022 Health Care Preparedness and Response Capabilities
"The U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) leads the country in preparing for, responding to, and recovering from the adverse health effects of emergencies and disasters. This is accomplished by supporting the nation's ability to withstand adversity, strengthening health and emergency response systems, and enhancing national health security. ASPR's Hospital Preparedness Program (HPP) enables the health care delivery system to save lives during emergencies and disaster events that exceed the day-to-day capacity and capability of existing health and emergency response systems. HPP is the only source of federal funding for health care delivery system readiness, intended to improve patient outcomes, minimize the need for federal and supplemental state resources during emergencies, and enable rapid recovery. HPP prepares the health care delivery system to save lives through the development of health care coalitions (HCCs) that incentivize diverse and often competitive health care organizations with differing priorities and objectives to work together. ASPR developed the '2017-2022 Health Care Preparedness and Response Capabilities' guidance to describe what the health care delivery system, including HCCs, hospitals, and emergency medical services (EMS), have to do to effectively prepare for and respond to emergencies that impact the public's health. Each jurisdiction, including emergency management organizations and public health agencies, provides key support to the health care delivery system."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-11
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Solar Eclipses: Planning Resources
"On August 21, 2017, a total solar eclipse will be visible in a path across the U.S. from Oregon to South Carolina, from early morning through the afternoon. It is expected that millions will travel to locations across the country to view this rare event. […] Many of these locations are rural with limited healthcare infrastructure, and since these sites are not (yet) officially sponsored, the typical augmentation of resources that accompanies planned mass gatherings will not take place. To address planning and response concerns and help local emergency healthcare providers plan for these gatherings, the ASPR TRACIE [Assistant Secretary for Preparedness and Response; Technical Resources, Assistance Center, and Information Exchange] team collected the following fact sheets, checklists, locally-developed guidance documents, and news articles on eye safety, injury treatment, and planned mass gatherings in rural and urban areas. Resources in sections I through V are specific to the eclipse event; the rest of the sections include resources related to planned mass gatherings."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-07
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Hospital Surge Capacity and Immediate Bed Availability: Topic Collection
"Hospitals and healthcare coalitions are faced with challenges that multiply after natural or human-caused events or disasters. Surge planning-and immediate bed availability in particular-are critical components of every healthcare facility's emergency plan and response ability. These resources highlight recent case studies, lessons learned, tools, and promising practices for planning and improving capabilities for a surge event."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-11-09
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Hospital Preparedness Program (HPP) Healthcare Preparedness Capability Review National Call Capability 10: Medical Surge and Immediate Bed Availability (IBA) Meeting Summary
From the document: "…welcome everyone to the HPP Medical Surge/IBA [Immediate Bed Availability] call to discuss HPP's[Hospital Preparedness Program] innovative approach to implementing HPP Healthcare Preparedness Capability 10. HPP welcomes representatives from the Hospital Associations, State and territorial HPP directors, Hospitals/Healthcare Organizations (HCOs), Healthcare Coalition Executive Working Group (HCEWG) members, State/ territorial public health representatives, and CDC [Center for Disease Control and Prevention] Public Health Emergency Preparedness (PHEP) colleagues to the call. The intent of this call is to share information about Capability 10: Medical Surge across a wide spectrum and to operationalize that capability by discussing IBA."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2013-05-30
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Ebola Response Improvement Plan: Progress Report
"In response to the 2014-2016 Ebola Epidemic, the Secretary of the U.S. Department of Health and Human Services (HHS) asked a contractor to convene an outside expert panel to review the HHS Ebola response and provide recommendations on improving the Department's preparedness and response efforts. The expert panel released its findings in a report titled, 'Report of the Independent Panel on the U.S. Department of Health and Human Services (HHS) Ebola Response', in June 2016. Shortly thereafter, the Department released the 'U.S. Department of Health and Human Services Ebola Response Improvement Plan (ERIP)', outlining how the expert panel's findings and recommendations from the aforementioned report would be addressed. HHS Operating and Staff Divisions (Op/StaffDiv) have invested effort and made progress on each of the distinct corrective actions as described below. Responsible Op/StaffDivs are in brackets at the end of each corrective action, with the designated lead marked with bold font. Each corrective action is followed by a description of the HHS response to date. In addition, lessons learned from the Ebola virus outbreak response implemented in the HHS response to the 2016 Zika virus outbreak are highlighted in the appropriate sections. The Assistant Secretary for Preparedness and Response is pleased to provide this status report, outlining the progress toward addressing key recommendations made by the expert panel. In addition, the report provides a pathway for strengthening the planning and response to future outbreaks of Ebola virus and other emerging infectious diseases."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-01
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Responder Safety and Health Topic Collection
"Protecting the safety and health of disaster responders is critical for obvious reasons, but a safe and healthy workforce is better able to provide the community with an effective, comprehensive response and recovery. The resources in this Topic Collection focus on safety strategies (e.g., preventing fatigue, ensuring the availability and correct use of personal protective equipment) and maintaining behavioral health (e.g., working through stress and preventing/addressing compassion fatigue). Each resource in this Topic Collection is placed into one or more of the following categories in alphabetical order by author (click on the category name to be taken directly to that set of resources). Resources marked with an asterisk (*) appear in more than one category."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2016-01-08
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Learning More About the 2017-2022 Health Care Preparedness and Response Capabilities
From the web annotation: "This 59-minute webinar from TRACIE (Technical Resources, Assistance Center, Information Exchange) discusses the background and intent of the 2017-2022 Health Care Preparedness and Response Capabilities, a guidance to describe what the health care delivery system has to do to effectively prepare for and respond to emergencies that impact the public's health. Speakers provide an overview of the evolution of the capabilities, each capability, and what each means to participants; and discuss challenges and next steps."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-01-11
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Utility Failures Topic Collection
"Losing power or potable water after a critical incident can have serious and significant effects on both healthcare facilities and patients. Either situation could lead to facility evacuation, as the utilities are significantly interdependent within healthcare facilities. [...] The resources in this Topic Collection include lessons learned from recent disasters, case studies, and toolkits designed to help healthcare planners prepare to respond to, continue functioning during, and recover from post-disaster utility failures."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-02-06
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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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2017-2022 Hospital Preparedness Program: Performance Measures Implementation Guidance
"ASPR [Office of the Assistant Secretary for Preparedness and Response] developed the '2017-2022 Health Care Preparedness and Response Capabilities' to describe the high-level objectives that the health care delivery system, including HCCs [health care coalitions], hospitals, and emergency medical services (EMS), should undertake to prepare for, respond to, and recover from emergencies."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017?
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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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Delivering Gender-Informed Health Services in Emergencies [2017]
"In emergencies, the physical and mental health of girls, women, boys, and men can be affected in a variety of ways. Differences are correlated to gender in terms of exposure to and perceptions of risk, preparedness, response, and physical and psychological impact, as well as capacity to recover. Gender groups may also experience trauma in different ways."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017?
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U.S. Government Zika Vaccine Strategy
From the introduction: "To address the Zika virus public health threat, the Departments of Health and Human Services and Defense are coordinating efforts to help accelerate the development of Zika virus vaccines. Given the need for a vaccine to prevent disease caused by Zika notably including Congenital Zika Syndrome (CZS), these departments and their respective agencies (hereafter referred to as U.S. Government or USG) developed this Strategy in support of the following Goal and vaccine development Aims."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-09-07
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Avian Influenza (Including Asian H7N9): Resources at Your Fingertips
"This document provides healthcare system and public health preparedness professionals, emergency managers, and other stakeholders with resources and information to consider when improving their readiness for potential human infections with avian influenza A viruses. Significant concern exists about some avian influenza A viruses, including Asian lineage A(H5N1) and A(H7N9) viruses, that have caused sporadic human infections with high mortality, but no confirmed sustained human-to-human spread. These situations highlight possible issues for providers and planners, including: [1] Sporadic cases in the US among travelers returning from affected areas; [2] The possibility of an influenza pandemic resulting from a change in one of these viruses that would allow it to infect and transmit efficiently among people."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-10-06
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2017 California Wildfires
"Wildfires are burning across much of northern California counties, threatening the lives of tens of thousands of people. The resources below can help individuals, families, communities and professionals stay safe in the face of the wildfires."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017
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Step Care for Ebola/Viral Hemorrhagic Fever Patients: Guidance for International Field Hospitals
"This document is intended to help organizations who want to provide care for Ebola virus disease (EVD)/viral hemorrhagic fever (VHF) patients determine an appropriate level of medical care that they can provide and anticipate the supplies that may be needed. This guidance may be applicable to other diseases where dehydration and electrolyte imbalance are key contributors to mortality. [...] This guidance provides suggested levels of medical care, as well as potential necessary supplies for patient care using a tiered approach. It is not designed to be comprehensive, and the resources available in the affected country, as well as supply chain integrity, will affect supply decisions. It does not account for the resources needed to support team members and suspect or convalescent isolated patients, nor does it consider the communications, command, and coordination elements that are critical to a successful mission. This guidance also does not cover infection control; training; site layout, including intake/assessment, suspect case testing, patient care (which may be organized by levels), feeding areas, convalescent care, and visiting areas; behavioral health; or other issues necessary for a safe and successful mission. The care of specialized populations, such as pediatric or obstetric patients, may require different expertise and resources, as well as specific changes to clinical care."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2017-06
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Pandemic and All-Hazards Preparedness Act (Public Law 109-417): Progress Report on the Implementation of Provisions Addressing At-Risk Individuals [August 2008]
"This report [published in August 2008] describes the activities undertaken since the passage of [the Pandemic and All-Hazards Preparedness Act] PAHPA to address the needs of at-risk individuals. It also provides a look ahead at some of the activities planned as HHS continues its implementation of the new law. The report also serves to inform members of Congress how this Department, working with Federal partners, will continue to improve the Nation's preparedness for at-risk individuals in public health and medical emergencies. Many of the actions called for in PAHPA build upon work the Department has already begun. Other actions require establishing new processes and strategies."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2008-08
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Hospital 2009 H1N1 Pandemic Influenza Readiness Review Checklist
"Hospitals have planned for an influenza pandemic for several years, but thus far the characteristics of the 2009 H1N1 pandemic are different than the high-severity pandemic that had been anticipated. The Centers for Disease Control and Prevention (CDC) and The Office of the Assistant Secretary for Preparedness and Response (ASPR) have developed this Readiness Review Checklist as a supplement to existing hospital emergency management plans. This list focuses on information hospitals can use in response to a surge in H1N1 and seasonal flu patients rather than the basic planning and regulatory considerations included in earlier checklists."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2009
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Aerosolized Anthrax Response Playbook
"The purpose of this playbook is to support the U.S. Department of Health and Human Services (HHS) decision making process in response to a terrorist attack using anthrax spores disseminated as an aerosol in a large U.S. city. It outlines key options and actions to aid the Secretary in directing the HHS response to an anthrax attack. It also provides the Assistant Secretary for Prepardness and Response (ASPR) a resource document to assist in coordinating HHS associated activities. This plan highlights key actions and decision points and is not intended to be a comprehensive list of actions required in response to an anthrax attack. It should be considered a living document as it will need to be updated and revised as new countermeasures or clinical data specific to Bacillus anthracis, the bacterium that causes anthrax, become available."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010-02-18
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Where are the Countermeasures? Protecting America's Health from CBRN Threats: A Report of the National Biodefense Science Board
"America faces grave danger from a wide range of chemical, biological, radiological, and nuclear (CBRN) weapons, and from the emergence and spread of infectious diseases. CBRN weapons can cause very large numbers of injuries and deaths, and render affected areas uninhabitable for months or years at a time. Emerging infectious diseases, like the 1918-19 influenza pandemic, have the potential to kill millions. Whether intentional or natural, CBRN agents have the power to incapacitate society and severely damage the economy. As a matter of national security, America urgently needs to develop medical countermeasures (MCMs) to counter CBRN threats. The federal MCM program to date can be characterized as a good effort conducted by talented people, but lacking in centralized leadership and with poor synchronization of the agencies within the Department of Health and Human Services (HHS). The effort has not fully tapped the talent of the Department of Defense (DoD) and the Department of Homeland Security (DHS). The combined effort is under-resourced and has largely failed to mobilize the productive skills and efforts of industry. There is no unified national strategy that prioritizes the array of threats and encompasses all aspects of responsiveness, from creating to stockpiling to distributing MCMs. Instead, development of MCMs has been too much a matter of selecting projects to fit within available budgets, instead of allocating the necessary funds to tackle a prioritized list of threats. If achieving national MCM goals is likened to climbing a mountain, then most of the mountain remains to be climbed."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010-03
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Report of the Interagency Workgroup on Pandemic Influenza and At-Risk Individuals
"This report is an introduction to planning for at-risk individuals during pandemic influenza. Limited explicit information is available to prepare emergency planners, public health agencies, and human services providers for the impact that pandemic influenza will have on the medical, behavioral health, and human services networks that provide needed functional support for at-risk individuals. Using the functional definition of at-risk (special needs) individuals in the National Response Framework (NRF); at-risk individuals may constitute as much as 62% of the U.S. population. Historically, these individuals have not been well integrated into the emergency planning process and their needs and concerns have only recently begun to be more comprehensively addressed in State and local emergency planning. The U.S. Department of Health and Human Services (HHS) Interagency Workgroup on At-Risk Individuals and Pandemic Influenza was tasked to make recommendations for integrating the needs and concerns of at-risk individuals into pandemic influenza emergency planning. This report presents these recommendations. It is intended as a resource for service providers and emergency planners. The report serves as an introduction to planning for at-risk individuals during pandemic influenza. It begins with a review of the needs and concerns of at-risk individuals, moves to key concepts and planning assumptions, and provides specific recommendations and resources for integration of at-risk individual needs into Federal, State, and local pandemic influenza response plans."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2009-08
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Listening Session on At-Risk Individuals in Pandemic Influenza and Other Scenarios: After Action Report
"On August 14, 2009 the Office for At-Risk Individuals, Behavioral Health, and Human Services Coordination (ABC) in the Office of the Assistant Secretary for Preparedness and Response (ASPR) held a Listening Session on 'At-Risk Individuals in Pandemic Influenza and Other Scenarios.' The Listening Session was designed and conducted as a 'facilitated discussion' to engage stakeholder participants in a robust open dialogue. The Listening Session brought together a diverse group of more than 35 experts and practitioners representing public health non-governmental organizations, health care providers and federal agencies involved in public health preparedness and planning, emergency response, and at-risk individuals. The group was brought together to engage and promote dialogue about the challenges and solutions needed to effectively address the needs of at-risk individuals during pandemic influenza and other emergencies in five main areas: 1) Locating and identifying at-risk individuals; 2) Unique concerns of at-risk individuals in accessing public health and medical services; 3) Best Practices in public health and medical service delivery for at-risk individuals; 4) Successful program implementation at the state, tribal and local level, and: 5) Gaps and Barriers to accessing public health and medical services for at-risk individuals."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2009-08-14
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At-Risk Individuals
"The US Department of Health and Human Services (HHS) has developed the following definition of at-risk individuals: Before, during, and after an incident, members of at-risk populations may have additional needs in one or more of the following functional areas: communication, medical care, maintaining independence, supervision, and transportation. In addition to those individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), individuals who may need additional response assistance include those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency or are non-English speaking, are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency. This HHS definition of at-risk individuals is designed to be compatible with the National Response Framework (NRF) definition of special needs populations. The difference between the illustrative list of at-risk individuals in the HHS definition and the NRF definition of special needs is that the NRF definition does not include pregnant women, those who have chronic medical disorders, or those who have pharmacological dependency. The HHS definition includes these three other groups because pregnant women are specifically designated as at-risk in the Pandemic and All-Hazards Preparedness Act and those who have chronic medical disorders or pharmacological dependency are two other populations that HHS has a specific mandate to serve."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010
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Special Medical Needs: Definitions and Related Terms
"Special medical needs populations are defined as those individuals, typically living in the community outside of a medical setting or environment, who need support to maintain an adequate level of health and independence during times of emergency. Included under this category are individuals who before, during, and after an emergency are medically dependent on uninterrupted electricity for therapies, require continual or intermittent medical care/support from a health care professional, or are not self-sufficient with the loss of adequate support from caregivers. The Venn diagram below may assist with the understanding of this population and its relationship to special needs and medical needs populations. Another way of understanding the relationship is to assume that special medical needs populations are a subset of special needs populations and medical needs populations, but not vice versa. The National Response Framework (NRF) defines special needs population as populations whose members may have additional needs before, during, and after an incident in functional areas, including but not limited to: maintaining independence, communication, transportation, supervision, and medical care. Individuals in need of additional response assistance may include those who have disabilities; who live in institutionalized settings; who are elderly; who are children; who are from diverse cultures; who have limited English proficiency or are non-English speaking; or who are transportation disadvantaged."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010
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Disaster Behavioral Health
"Following an emergency event it is common for individuals and families in and around the affected region to experience distress and anxiety about safety, health, and recovery. Previous exposure to large scale events, such as a severe hurricane or flood, may place residents and responders who experience a new disaster at greater risk for adverse stress reactions. People may display symptoms and reactions such as: 1) Emotional symptoms such as irritability or excessive sadness. 2) Cognitive dysfunction such as difficulty making decisions or following directions. 3) Physical symptoms such as headache, stomach pain, or difficulty breathing. 4) Behavioral reactions such as consuming more alcohol or interpersonal conflict. 5) Failure to adhere to needed physical or psychiatric medication needs."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010
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Behavioral Health Tips for Responders: Maintaining Calm at a POD
This Department of Health and Human Services brochure offers information regarding how to maintain a calm productive environment at a point of dispensary (POD) during an emergency.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2010
