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Healthcare Response to a No-notice Incident: Lessons Learned from Las Vegas Festival Shooting

Author: Melissa Harvey, RN, MSPH, Director of the Division of National Healthcare Preparedness Programs, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
Published Date: 4/24/2018 3:48:00 PM
Category: Hospital Preparedness; Public Health Preparedness; National Health Security;

On October 1, 2017, during the Route 91 Harvest Music Festival on the Las Vegas Strip, a gunman opened fired from the 32nd floor of a nearby hotel on the crowd of concertgoers. He fired more than 1,100 rounds leaving 59 dead and 527 injured.

Recently, ASPR staff spoke with responding agencies from the Las Vegas shooting to help identify lessons learned that can help other communities, specifically members of the nation’s 476 health care c  Read more…

Hospital Preparedness Program: Celebrating 15 Years of Health Care Preparedness and Response

Author: Melissa Harvey, RN, MSPH, Director of the Division of National Healthcare Preparedness Programs, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
Published Date: 4/16/2018 11:38:00 AM
Category: Hospital Preparedness; Public Health Preparedness; National Health Security;

Whether from devastating hurricanes, terrorist attacks, or deadly disease outbreaks, the United States regularly faces crises that threaten the health and safety of Americans. Saving lives during these events requires thorough planning and dedicated coordination to ensure the nation’s health care system is ready when disaster strikes.

Health care readiness is at the heart of ASPR’s Hospital Preparedness Program (HPP). As the only source of federal funding to prepare the nation’s mostly private healt  Read more…

Decontamination Decoded: Disrobing, Dry Wiping Removes 99% of Chemical Contaminants

Author: Judith Wolfe Laney, PhD, Chief of Chemical Medical Countermeasures, Division of Chemical, Biological, Radiological and Nuclear Countermeasures within BARDA at the Office of the Assistant Secretary for Preparedness and Response
Published Date: 4/11/2018 9:31:00 AM
Category: Exercises & Trainings; Medical Countermeasures; Public Health Preparedness; Response & Recovery; Innovations;

Last month, a truck carrying 4,400 gallons of hydrochloric acid collided with a train in Centerville, PA. For several hours, a column of white vapor floated above the wreckage. Emergency responders acted quickly to evacuate residents in the area and clean up the spill.

On a daily basis, thousands of businesses use our nation’s roads and railways to transport hazardous chemicals used for industrial or household purposes. Whether a chemical is released by accident, such as the case in Centerville, or intentionally by rogue assailants, terrorist organizations, or non-state acto  Read more…

Returning to Readiness: Strengthening Psychological Resilience by Building Behavioral Health Coalitions

Author: CDR Aimee Williams, DHSC, LCSW-C, BCD, PhD, United States Public Health Service, Office of Policy and Planning, HHS Office of the Assistant Secretary for Preparedness and Response and Frankie Catalfumo, MPH, Jr. Management Analyst, Aveshka Inc. in service of the Office of Policy and Planning, HHS Office of the Assistant Secretary for Preparedness and Response
Published Date: 3/29/2018 9:31:00 AM
Category: Response & Recovery; Public Health Preparedness;

The 2017 Atlantic hurricane season was one of the most destructive in recent history. During the recovery phase of a disaster, all impacted areas strive to stabilize, rebuild, recover, and be ready for the next emergency. Returning to readiness is a slow pivot and a relentless fight to re-establish broad public health and medical care services. The challenges and issues following a large-scale disaster are often too complex for any one agency or organization to address. Assembling a coalition of community stakeholders can be an effective strategy to determine what health care suppo  Read more…

Texas Moves Full-Speed Ahead to Implement Health and Social Service Projects to Improve Resilience and Build Sustainability

Author: C. Kaleinani Lau, MPH, Field Coordinator, Health and Social Services Recovery Support Function (RSF), U.S. Department of Health and Human Services (HHS), and Public Health Analyst, Health Resources and Services Administration, Bureau of Primary Health Care
Published Date: 3/19/2018 4:48:00 PM
Category: National Health Security; Public Health Preparedness; Response & Recovery;

More than six months after Hurricane Harvey made landfall, Texas is still recovering. But, with so many people and organizations in need of help, where is the best way for the state of Texas and its partners to focus their health and social services recovery efforts?

Six teams of recovery specialists, led by the HHS Office of the Assistant Secretary for Preparedness and Response, worked with representatives from the Texas Health and Human Services Commission and the Texas Department of State Health Services to identify projects as a part of the Read more…

Fighting microscopic threats through international collaboration: Health ministers use lessons learned from the 1918 influenza pandemic to strengthen pandemic preparedness and global health security

Author: Division of International Heath Security
Published Date: 3/19/2018 4:37:00 PM
Category: National Health Security; Observances; Public Health Preparedness; Response & Recovery;

One hundred years ago, the 1918 influenza pandemic caused massive devastation, ultimately infecting over 500 million people and killing between 50 and 100 million individuals worldwide. During recent outbreaks of influenza, Ebola, and other emerging infectious diseases, we have learned how critical collaboration among countries and international organizations is for an expedited and more effective response. Working together with our partners to strengthen global health security is crucial to protect Americans from pandemics and other health security threats despite whether they sta  Read more…

Lessons from Fukushima: New guide provides answers to save lives and improve emergency medical response

Author: John F. Koerner, MPH, CIH, Senior Special Advisor - Chemical, Biological, Radiological, Nuclear, High-Yield Explosive (CBRNE) Science and Operations, HHS ASPR Immediate Office
Published Date: 3/12/2018 2:22:00 PM
Category: Public Health Preparedness; Innovations; Exercises & Trainings; Hospital Preparedness; National Health Security; Response & Recovery;

Quick questions: A nuclear incident has occurred in your community and people are going to come to you for help. Do you know which medical issues you should focus on first? Or which steps need to be taken immediately after an incident to best protect the public? Or what resources might be available to help?

Before you answer “no” to any of those questions, download a copy of the newly released Decision Maker’s Guide: Medical Planning and Response for a Nuclear Detonation.

An e  Read more…

Aging and Disability Task Force: An Access and Functional Needs Approach to Addressing the Unmet Disaster Needs Following Hurricanes Irma and Maria

Author: Cheryl A. Levine, Ph.D., Senior Policy Analyst & Team Lead for At-Risk Individuals; Jose Velasco, MSW, Public Health Analyst for At-Risk Individuals; and Amit Zigelman, MPH, Jr. Management Analyst, Aveshka, Inc. in support of the ASPR Division for At-Risk Individuals, Behavioral Health & Community Resilience
Published Date: 2/21/2018 4:42:00 PM
Category: Response & Recovery; Public Health Preparedness; Innovations;

The recent impacts of Hurricanes Irma and Maria left Puerto Rico and the U.S. Virgin Islands (USVI) in complete devastation. Buildings and homes were destroyed. Hospitals, dialysis centers, and pharmacies that weren’t destroyed were closed due to water and wind damage or a lack of electricity. Transportation services were lacking or, in some areas, non-existent. These issues affected everyone; however, people with access and functional needs – including older adults and people with disabilities – were particularly vulnerable in the hurricanes’ aftermath.

In response, the Off  Read more…

ASPR’s New Vision for a Regional Disaster Health Response System Will Help Prepare Nation for 21st Century Health Security Threats

Author: Robert Kadlec, MD, Assistant Secretary for Preparedness & Response, U.S. Department of Health and Human Services
Published Date: 2/15/2018 5:45:00 PM
Category: Public Health Preparedness; National Health Security;

Early this week, I had the opportunity to discuss with colleagues at the University of Maryland Medical Center-Shock Trauma the concept of a regional disaster health response system that is capable of responding more effectively and efficiently to the ever-increasing array of 21st century health security threats.

  Read more…

“One Team. One Mission. A Lot of Perseverance and Ingenuity” Keeps One HHS Hurricane Recovery Specialist Focused and Motivated to Serve

Author: C. Kaleinani Lau, MPH, Recovery Coordination Analyst, HSS RSF, U.S. Department of Health and Human Services, and Public Health Analyst, Health Resources and Services Administration, Bureau of Primary Health Care
Published Date: 2/13/2018 11:47:00 AM
Category: Response & Recovery;

Greetings from Puerto Rico! I arrived on the island more than two months ago – my first deployment as part of the Department of Health and Human Services (HHS), Office of the Assistant Secretary for Preparedness and Response (ASPR) Health and Social Services (HSS) Recovery Support Function (RSF) team. The team consists of experts from different agencies within HHS working together for a common purpose: to restore and improve Puerto Rico’s health and social services. Being here is inspiring, and I am glad I have the opportunity to serve on this mission.

Working To  Read more…

Recovering from a Major Disaster is a Marathon, Not a Sprint: Lessons Learned from One Texas Family

Author: HHS Office of the Assistant Secretary for Preparedness and Response
Published Date: 2/9/2018 4:50:00 PM
Category: Response & Recovery;

Disasters upend the lives of countless families – they not only destroy homes, businesses, schools, and roads, but they also can throw disaster survivor’s lives into chaos. Local leaders are suddenly confronted with decisions on a scale they’ve never encountered before and families must quickly learn how to support themselves and those who rely on them.

When homes are destroyed and the systems that people depend on every day – from water and sewer to roads and schools – are not functioning, it can be difficult if not impossible for some people to recover. When community and  Read more…

Inside the Texas Catastrophic Medical Operations Center: An Interview with Lori Upton

Author: by Lori Upton, RN, BSN, MS, CEM, Director of Preparedness, Southeast Texas Regional Advisory Council.
Published Date: 1/31/2018 10:30:00 AM
Category: Hospital Preparedness; Response & Recovery; Public Health Preparedness;

During Hurricane Harvey, SETRAC’s Catastrophic Medical Operations Center, or CMOC, acted as a clearinghouse – overseeing information management, brokering requests for assistance and supplies, coordinating patient movement, and providing situational awareness across emergency response disciplines. We spoke with Upton to learn more about the CMOC’s structure and day-to-day functions.

Q: How many members are in the Catastrophic Medical Operations Center?
A: A fully staffed CMOC has 13 members. During Harvey we expanded the CMOC to   Read more…

Responding to Harvey: How a Houston-area Healthcare Coalition Modeled Success

Author: Dan Hanfling, Special Advisor, Hospital Preparedness Program, Office of the Assistant Secretary for Preparedness and Response
Published Date: 1/31/2018 10:28:00 AM
Category: Public Health Preparedness; Hospital Preparedness;

On Aug. 27, 2017, at the height of Hurricane Harvey’s catastrophic winds and rain, a 54-year-old man with a serious head injury arrived at the Harris Health System’s Lyndon B. Johnson (LBJ) Hospital Emergency Department in Houston, Texas. As a Level III trauma center, the hospital needed additional personnel and resources to treat the man; he needed to be transported to a Level I trauma center for neurosurgery.

Hospital officials asked for transport assistance, but the weather conditions were so severe that roads were impassable and helicopter transports were grounded. A col  Read more…

What Happens Next? Federal, State & Local Partners Work Together to Identify and Address Public Health and Social Services Needs in Texas following Hurricane Harvey

Author: CDR Betty Hastings,Texas Federal Health and Social Services Recovery Field Coordinator, Office of Emergency Management, HHS Office of the Assistant Secretary for Preparedness and Response
Published Date: 12/26/2017 12:27:00 PM
Category: Response & Recovery;

The response to Hurricane Harvey was rapid and robust. In the days and weeks after the storm, over 1,000 public health and medical responders deployed to protect residents’ health and save lives. HHS worked alongside state agencies, disaster relief organizations and other federal partners as part of the response.

But what happens now?  How can communities across Texas recover?

To answer these questions, state and local health and human services officials needed more information and a better understanding of the health and social services needs cre  Read more…

Keeping Facilities Open: Stabilizing and Restoring Puerto Rico’s Health Sector Following the Island’s Worst Hurricane Season Ever

Author: Laura Wolf and Steve Curren, Division of Resilience, Office of Emergency Management, Office of the Assistant Secretary for Preparedness and Response, HHS
Published Date: 12/14/2017 10:38:00 AM
Category: Response & Recovery;

In the aftermath of Hurricane Maria, the Department of Health and Human Services (HHS) immediately deployed thousands of staff members and health care providers to Puerto Rico. Almost daily, the national media highlighted work HHS Disaster Medical Assistance Teams did to save lives. Less known are the activities and programs HHS put in place that went beyond direct patient care. Hundreds of personnel, from logistics experts to security personnel, worked behind the scenes to help restore Puerto Rico’s health sector. Their mission: to assist local hospitals, dialysis facilities,   Read more…

Filling the Gaps: Planning for the Disaster Health Needs of Patients Taking Opioids and People Using Illicit Drugs

Author: Rachel Kaul, Senior Policy Analyst, ASPR Office for At-Risk individuals, Behavioral Health and Community Resilience, and Frankie Catalfumo, MPH, Jr. Management Analyst with Aveshka, Inc. in support of the ASPR Division for At-Risk Individuals, Behavioral Health & Community Resilience
Published Date: 12/1/2017 10:17:00 AM
Category: National Health Security; Public Health Preparedness; Response & Recovery;

When a disaster strikes public health and medical responders need to be ready to treat recreational users of opioids who are suffering from withdrawal, opioid patients who are in recovery, and patients who rely on opioids for pain management. Public health and health care professionals need to include the management of issues related to opioid use and addiction as part of their overall disaster preparedness, response and recovery plans.

Amid this year’s historic hurricane season, for example, some of the health care facilities, including opioid treatment centers, in the impa  Read more…

BARDA Supports a Rapid, Deployable, Sensitive Diagnostic Platform to Diagnose Anthrax

Author: HHS/ASPR Biomedical Advanced Research and Development Authority
Published Date: 11/20/2017 1:55:00 PM
Category: Medical Countermeasures; Innovations; Public Health Preparedness;

In the wake of an anthrax attack, medical responders need to quickly determine who has been infected so that they can be effectively treated. A rapid, accurate diagnostic test is an essential tool for doctors and other health professionals to effectively triage people who may be infected with anthrax. Such a tool has been long requested by medical responders as a critical component of anthrax preparedness.

On September 27, 2017, BARDA awarded a $3,199,221 base period of a contract to Tangen BioSciences Inc. of Branford, CT to further advance and expand the ability to combat  Read more…

Local Students, DJ Help NDMS Connect and Communicate with Puerto Rico Communities

Author: HHS Office of the Assistant Secretary for Preparedness and Response
Published Date: 11/3/2017 5:57:00 PM
Category: Response & Recovery;

In Fajardo, Puerto Rico, Hima-San Pablo Fajardo Hospital was severely damaged due to Hurricane Maria. Power was lost and the primary and acute care needs of patients in and around the community were not being met. The U.S. Department of Health and Human Services immediately deployed several Disaster Medical Assistant Teams (DMAT) from the National Disaster Medical System (NDMS) to the area. Setting up tents just outside HIMA-San Pablo Fajardo Hospital, the nurses, physicians, paramedics, pharmacists, and other healthcare professionals immediately began providing services. Read more…

The Needs after A Disaster Are Many: Alabama DMAT Jumps into Action, Responding to Half Dozen Missions During 20 Day Deployment

Author: HHS Office of the Assistant Secretary for Preparedness and Response
Published Date: 11/3/2017 4:12:00 PM
Category: Response & Recovery;

On September 27, a team of Gulf Coast medical personnel deployed to Puerto Rico as members of the National Disaster Medical System’s (NDMS) Disaster Medical Assistance Team (DMAT). Although DMATs typically deploy for 14 days, the Alabama 3 DMAT stayed in Puerto Rico for 20 days and carried out a half dozen missions. The extended deployment saved many lives and forever changed the lives of those who received the care and those providing it.

Upon arrival, DMAT AL 3 was assigned to Ryder Memorial Hospital in Humacao, Puerto Rico. Their task was to set up a temporary medical si  Read more…

With Help from HHS More than 6,000 Dialysis Patients Get Life-Saving Treatment after Hurricanes Irma and Maria in Puerto Rico and the U.S. Virgin Islands

Author: HHS Office of the Assistant Secretary for Preparedness and Response and HHS Centers for Medicare & Medicaid Services
Published Date: 10/31/2017 9:57:00 PM
Category: Response & Recovery;

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