Public Health Assessment Tool

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1 Public Health Assessment Tool Purpose: The Public Health Assessment Tool (PHAT) is meant to be used as a guide in performing a hazard analysis in response to an incident. Public Health officials report to EOC Report to incident commander Obtain situational briefing Initiate public health assessment Human: Are there any current/potential hazards to human health? Body System affected/potentially affected: Neurological Respiratory Gastrointestinal Skin Integrity Illnesses presumptive and/or diagnosed: (Infectious, communicable, mental health, etc.) Potential Illness risk(s): Can the hazard(s) be mitigated or eliminated: YES NO Are local resources available and adequate to manage hazard: YES NO If no, what resources are required? Prophylaxis Specimen collection/testing Vaccination Shelter-in-place Quarantine Isolation Exclusion Responder Information Monitoring

2 Surveillance Investigation Points of distribution o Coordinate with hospitals and other health/medical care facilities in the investigation of a bioterrorist event. o Implement assessment and surveillance procedures to assess the numbers of persons and area affected to determine the potential public health impact. o Provide technical assistance and guidance for the monitoring of private citizens and emergency workers for exposure to chemical, radiological, or biological contaminants. (Note: Most local public health or emergency management groups will not have the capability to monitor for all chemical, radiological, and biological agents.) o Provide for administration of preventive measures, such as vaccines and antibiotics. o Provide appropriate protection, prophylaxis and treatment for citizens and emergency workers. o Provide advice and guidance for monitoring exposed individuals for health concerns. o Provide for injury and illness assessment and surveillance activities. Air: Are there any current/potential hazards to air quality? YES NO List: Can the hazard be mitigated and/or eliminated: YES NO Are local resources available and adequate to manage hazard: YES NO If no, what resources are required? Evacuation Shelter-in-place Responder Information Monitoring

3 Food: Are there any current/potential hazards involving food? YES NO (Restaurants, Grocery, Home, Shelter, Processing, etc.) List: Can the hazard be mitigated and/or eliminated: YES NO Are local resources available and/or adequate to manage hazard: YES NO If no, what resources are required? Inspection Closure Operator Information Disposal Monitoring o Provide for the inspection of food service establishments or those temporarily established for emergency workers or disaster victims to ensure the safety of food products prior to distribution and consumption. Water: Are there any current/potential hazards involving water? YES NO [Drinking (Public/Private), Wastewater (Public/Private), Recreational, etc.] List: Can the hazard be mitigated and/or eliminated: YES NO Are local resources available and/or adequate to manage hazard: YES NO

4 If no, what resources are required? (PPE, specimen collection kits, etc) Inspection/Sampling Closure Operator Information o Provide advice and guidance on the monitoring of public and private water sources, and request the issuance of appropriate public health warnings, if necessary. o Provide advice and guidance on the monitoring of public and private sewage disposal systems. Vectors: Are there any current/potential hazards involving vectors? o Ensure that proper vector control and pest management activities are in place. (The Section Representative may want to list possible measures that may be ordered and implemented.) Waste: Are there any current/potential hazards involving waste? o Work with waste haulers to arrange for special pickup and disposal of waste items to minimize prolonged exposure of potential health and safety hazards. o Prioritize and coordinate enforcement of nuisance abatement ordinances to keep debris from becoming a health hazard. Advise the EOC of the need for such emergency ordinances, if necessary. (The Section Representative may wish to list existing local ordinances.) Shelter Sanitation: As part of overall incident response are shelters being utilized? Are there any current/potential hazards involving food?

5 Terrorist Incident: Examples of possible tasks include: o Coordinate information sharing with all Federal, State, and local public health and medical officials, and with EOC personnel. o Request issuance of appropriate public health warnings, if necessary. o Work with the PIO to issue advisories on food preservation, disposal of contaminated or spoiled products, or consumption of homegrown and other potentially contaminated products. o Provide advice and guidance to the local animal control unit to protect public health. o Ensure that emergency workers are aware of the availability of crisis counseling. o Ensure that medical care facilities are capable of relocating patients in the event that an evacuation is ordered. o Establish a registry system to provide for the ongoing monitoring and follow up of exposed persons, including emergency workers. o Notify health service institutions of special mass casualty treatment requirements. o Monitor patient care capacity of casualty-receiving hospitals, and provide for forward transportation of overflow patients to surrounding regions, using the NDMS structure. o Provide supervision for decontamination and other exposure reduction methods. (Refer to the appropriate SOP for specific information according to the type of incident.) o Work with the Medical Examiner in providing for a mass fatality mortuary service. o Assist with site identification for a temporary morgue. o Implement Mass Casualty Standard Operating Procedures detailing the identification of the deceased, release of remains to next of kin, collection and storage of personal property, etc.

6 ICS 214 UNIT LOG 1. Incident Name 2. Date Prepared 3. Time Prepared 4. Unit Name/Designators 5. Unit Leader (Name and Position) 6. Operational Period 7. Personnel Roster Assigned Name ICS Position Home Base 8. Activity Log Time Major Events 9. Prepared by (Name and Position)

7 Environmental Health Strike Teams Assessment Form County Name of Facility: Lat/Long: Address: Contact Person: Phone Number: Type of Facility (please circle): Shelter / Comfort Station/ Mobile Kitchen / Staging Area / Nursing Home/ Hospital / Retail Food Establishment / School / Daycare/Other: Number of Occupants / Residents present: Is facility open: yes no Does the Facility have power: yes no Water: Municipal Supply Name of System: Private Well Aware of Boil Water Notice: yes no System Operational: yes no # Samples Taken: Chlorine Residual (ppm): Pressure(psi) Sewage: Municipal System Septic Tank Name of System System Operational: yes no Overall Structure Condition: Structure sound Minor repairs needed/structure sounds but usable Major Damage/unsafe structure Bathroom Facilities Operational: Toilets yes no Showers/Tubs yes no Hand sinks yes no Condition: Sanitary Nuisance Present: Rodents Flies Roaches Mosquitoes Sewage Odors Solid Waste Garbage Other: Explain Needs: # Portable Toilets / Hand washing / Garbage Pickup, type / Visit by PH/ EH Follow-Up / Building Dept / # DEET / Other: Conditions Found and Action Taken: Date/ Health Official/Team:

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