Public Health Emergency - Leading a Nation Prepared
Federal public health medical assistance consists of medical materiel, personnel, and technical assistance. These resources may provide response capability for the triage, treatment, and transportation of victims or persons with special medical needs; evacuation of patients; infection control; mental health screening and counseling; environmental health services; and other emergency response needs. Exhibit 7-1 presents the full range of support available through ESF #8. A variety of Federal public health and medical assets may be provided, including the following:
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The NDMS is a nationwide partnership designed to deliver quality medical care to the victims of, and responders to, a domestic disaster. NDMS provides state-of-the-art medical care under any conditions at a disaster site, in transit from the impacted area, and in participating definitive care facilities. The main NDMS teams consist of the following:
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The SNS is a national repository of antibiotics, chemical antidotes, antitoxins, life-support medications, IV administration and airway maintenance supplies, and medical/surgical items. The SNS is designed to supplement and re-supply State and local public health agencies in the event of a national emergency anywhere and at anytime within the U.S. or its territories. Learn More >>
The FMS is an HHS deployable healthcare facility that can provide surge beds to support healthcare systems anywhere in the U.S. that are impacted by disasters or public health emergencies. FMS are not mobile and cannot be relocated once established.
Each FMS comes with a three-day supply of medical and pharmaceutical resources to sustain from 50 to 250 stable primary or chronic care patients who require medical and nursing services. Staffing for an FMS can be provided using displaced local, regional or EMAC providers, or can be provided by the federal government (primary federal staff are Officers of the U.S. Public Health Service Commissioned Corps). Potential roles for an FMS include the following:
Because the equipment and supply cache does not include tents, each FMS requires an appropriate building of opportunity* in which to operate. Significant preparation is needed to employ FMSs in support of local, State, Tribal, and Territorial emergency plans. An FMS must be established in a structurally intact, accessible building with adequate hygiene facilities and functioning utilities (hot and cold potable water, electricity, heating, ventilation, and air conditioning, and internet accessibility or capability).
A 250-bed FMS requires roughly 40,000 square feet of open space, while a 50-bed FMS requires about 15,000 square feet. In addition, wrap around logistical services must be coordinated and in place before an FMS can be operational. Some of these include a 10-12 person set up team, contracted support for patient feeding, laundry, ice, medical oxygen, and biomedical waste disposal. Fewer beds can be set up in smaller facilities, but building attributes and wrap around services remain the same.
Once a request for FMS has been approved, the cache of equipment and supplies will be delivered in 24-48 hours, after which 12 hours is planned for set-up. ASPR Regional Emergency Coordinators are the primary points of contact for FMS preparedness by State, local, Tribal and Territorial authorities. CDC Division of Strategic National Stockpile (DSNS) can assist with site surveys and training for receipt and set-up of FMSs.
The MRC is comprised of organized medical and public health professionals who serve as volunteers to respond to natural disasters and emergencies. The MRC program provides the structure necessary to deploy medical and public health personnel in response to an emergency, as it identifies specific, trained, credentialed personnel available and ready to respond to emergencies.
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Learn More about Medical Surge Capacity Capability (MSCC)
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