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Surge Capacity and Health System Preparedness

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Slide Presentation by Joan P. Cioffi, Ph.D.

On March 2, 2004, Joan P. Cioffi, Ph.D., made a presentation in a Web Conference entitled National Public Health Strategy for Terrorism Preparedness and Response.

This is the text version of Dr. Cioffi's slide presentation. Select to access the PowerPoint® slides (1 MB).

National Public Health Strategy for Terrorism Preparedness and Response

Joan P. Cioffi, Ph.D.
Senior Service Fellow
Public Health Practice
Program Office
Centers for Disease Control and Prevention
U.S. Department of Health and Human Services
Atlanta, GA

Slide 1

Centers for Disease Control and Prevention (CDC): National Public Health Strategy for Terrorism Preparedness and Response

  • Strategic Imperative: "a competent and sustainable workforce."
  • Implementation:
    • State and local grant program.
    • CDC-directed education/training.
    • Partnerships.

Slide 2

State and Local Grantee Education and Training

  • Grantees include: 50 States, D.C., New York City, Los Angeles, Chicago and 8 territories.
  • Education/training part of all seven focus areas.
  • 52% grantees completed needs assessments in FY 2003.
  • FY 2004—most grantees planned distinct training interventions to address needs (Range: 10 - 67).
  • Next steps:
    • Disseminate best practices.
    • Use performance indicators; exercises/drills to refine training plans.

Slide 3

Leveraging Partnerships

  • Centers for Public Health Preparedness:
    • 23 academic centers (Schools of Public Health).
    • 13 specialty centers (School of Medicine, Nursing, Veterinary Medicine, Law).
  • Clinician Outreach:
    • Association of American Medical Colleges (AAMC) and 8 specialty societies.

Slide 4

CDC Terrorism Preparedness and Emergency Response

Need for coordination of all CDC programs with roles in the science and/or service of terrorism preparedness and emergency response; all have education activities.

On the right hand side of the slide, directly underneath the above text is a listing of CDC programs. The list includes: OC, CDC Director's Office of Communication; ATSDR, Agency for Toxic Substances & Disease Registry; NIOSH National Center for Occupational Safety & Health; NCIPC National Center for Injury Prevention & Control; NCID National Center for Infectious Diseases; NCEH National Center for Environmental Health; EPO Epidemiology Program Office; NIP National Immunization Program; and PHPPO Public Health Program Practice Office. To the left of this list of CDC programs, is a wide circular arrow. At the flat end of the arrow, is the "OC," at the pointed end of the arrow is the PHPPO. Between the start and end-point of the arrow, the other departments are placed, in the order listed above. At the center of this circle is "OTPER."

Slide 5

CDC Information Development and Dissemination

Critical Health Information

This slide shows a continuum of information development and dissemination. The continuum is represented by a double-ended arrow running across the slide. At the left side of the continuum is list titled "Communication" under which are listed: Public, Media, and Other stakeholders. At the right side of the continuum is a list titled "Professional Education" under which are listed: Public health professionals, Clinicians, and Others. Under these lists is the text: "Identification, development, and dissemination of critical information to support terrorism preparedness and emergency response activities at CDC requires planning and close coordination across the agency and collaboration with a broad range of partners."

Slide 6

CDC Terrorism Preparedness and Emergency Response Information and Education Considerations

"Just in case": Information that all frontline PH professionals and clinicians will need to recognize illness caused by terrorist agents

  • Delivery: Ongoing rollout; didactic, interactive, Web-based formats; distance learning.

"Just in time": Information that can be immediately accessed by PH professional and clinicians when presented with suspect or known persons affected by terrorism events

  • Delivery Real-time; continuous updates; quick communication.

This slide also contains a photo of a person in a hazard materials outfit.

Slide 7


  • Lynn Steele, Senior Advisor for Education and Training, OTPER/CDC

Slide 8

Education and Training Includes.All Hazards Public Health Preparedness

Biological Terrorism

Chemical Terrorism

  • Choking agents (phosgene/ chlorine).
  • Blood agents (cyanides).
  • Blister agents (mustard gas).
  • Nerve agents (sarin, soman, tabun, etc.).

Radiation Terrorism

  • Dirty bombs.
  • Food/water contamination.
  • Power plants.

This slide also contains a picture of the Homeland Security Advisory System.
Low (Green): Low Risk of Terrorist Attacks
Guarded (Blue): General Risk of Terrorist Attacks
Elevated (Yellow): Significant Risk of Terrorist Attacks
High (Orange): High Risk of Terrorist Attacks
Severe (Red): Severe Risk of Terrorist Attacks

Slide 9

Identifying Information Needs and Gaps

In the event of a terrorist act or emergency, CDC needs to provide just-in-time information immediately in at least the following 5 areas.

Just-in-time Information—Ready and available

  • Guidance for first responders.
  • Immediate clinical guidance, medical management.
  • Public health response.
  • Clinical and reference laboratory protocols.
  • Basic information for the public.

Slide 10

Refining a Terrorism Preparedness Education Strategy

Questions to Consider:

  • What have we learned from the needs assessments?
  • How can we minimize redundancy of materials? Can we consolidate/standardize?
  • What actions can be taken to ensure consistent, accurate information? Quality education?
  • What is the impact of education? How do we know that learning has occurred? What evaluation programs are/should be in place?
  • Where are the content gaps in training and education materials? In audiences reached?
  • Can we better coordinate resources for development and delivery of training?

Slide 11

Desired State of Connectivity

Current as of May 2004

Internet Citation:

National Public Health Strategy for Terrorism Preparedness and Response. Text version of a slide presentation at a Web conference—Education and Training for a Qualified Workforce. Agency for Healthcare Research and Quality, Rockville, MD.

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