Mississippi Support Function #8- Public Health And Medical .

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Mississippi Support Function #8- Public Health and Medical Services AnnexESF #8 CoordinatorMississippi State Department of HealthPrimary AgenciesMississippi State Department of HealthUniversity of Mississippi Medical CenterMississippi State Board for Community andJunior CollegesMississippi State Board of MedicalLicensureMississippi State Board of NursingMississippi State Medical Examiner’s OfficeMississippi State Fire AcademyMississippi Veterinary Medical AssociationOther State HospitalsSupport AgenciesPrivate Sector Support AgenciesMississippi Board of Animal HealthMississippi Board of PharmacyMississippi Board of Trustees of StateInstitutions of Higher LearningMississippi Department of Agriculture andCommerce - Bureau of Plant Industry,Agricultural Theft and Consumer ProtectionMississippi Department of EducationMississippi Department of EnvironmentalQualityMississippi Department of Human ServicesMississippi Department of Mental HealthMississippi Department of Public SafetyMississippi Department of RehabilitationServicesMississippi Department of TransportationMississippi Division of MedicaidMississippi Emergency ManagementAgencyMississippi National GuardNetwork 8 IncorporatedThe Salvation ArmyFederal ESF 8 CoordinatorU.S. Department of Health and HumanServicesFederal ESF 8 Primary AgencyU.S. Department of Health and HumanServicesFederal ESF 8 Support AgenciesU.S. Department of Veterans AffairsDoD – Keesler Medical Center AFBIntroductionPurposeThe purpose of Emergency Support Function 8 is to provide state assistance and coordinate localresources in response to public health and disaster medical care needs. State agencies and healthorganizations will provide and coordinate services and resources including, but not limited to, emergencymedical treatment and prevention, inspection of food, potable water, and on-site wastewater disposal,emergency mortuary service and mass fatality management, patient rehabilitation, vector and diseasecontrol, disease surveillance, and the restoration of health and medical infrastructure.ScopeThis section of the plan is to be used to respond to incidents where threatened or actual damage or needsexceeds local response capabilities. It is also used when Mississippi’s capabilities are exceeded andfederal government response is requested.ESF #8-1Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexRelationship to the Whole CommunityThis section describes how Emergency Support Function (ESF) 8 (Public Health and Medical Services)relates to other elements of the public.Local, State, Tribal, Territorial, and Insular Area Governments While local, tribal, territorial, and insular area officials retain primary responsibility for meetingpublic health and medical needs, ESF 8 can deploy public health and medical assets to assist asneeded. In a major public health or medical emergency, demand for public health and medical resources mayexceed local, state, tribal, territorial, and insular area capability. State, territorial, tribal, or insular areajurisdictions may request assistance through the Emergency Management Assistance Compact or mayrequest Federal assistance, which may be executed with or without a Stafford Act declaration. Whenpossible, a recognized spokesperson from the affected public health and medical community (local,state, tribal, territorial, or insular area) delivers relevant health messages.Private Sector/Nongovernmental Organizations The vast majority of public health and medical activities and services are provided by the privatehealthcare sector. ESF 8 augments the support provided by the private healthcare sector whenrequested by local, tribal, territorial, or insular area governments. ESF 8 organizations works closely with the private sector (e.g., regulated industries, academicinstitutions, trade organizations, and advocacy groups), volunteer organizations (e.g., faith-based andneighborhood partnerships), and local and state agencies to coordinate ESF 8 response resources. ESF8 organizations recognize that leveraging resources from these organizations and individuals withshared interests allows ESF 8 to accomplish its mission in ways that are the least burdensome andmost beneficial to the American public and that enhance the resilience of healthcare systems todeliver coordinated and effective care during public health emergencies and mass casualty events. Nongovernmental organizations, including community-based organizations, are an important partnerin recruiting and supporting health professional volunteers and providing medical and counselingservices to victims and their families.Core Capabilities and ActionsESF Roles Aligned to Core CapabilitiesThe following table lists the Response core capabilities that ESF 8 most directly supports along with therelated ESF 8 actions. Though not listed in the table, all ESFs, including ESF 8, support the corecapabilities of Planning and Operational Coordination.ESF #8-2Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexCore CapabilitiesPublic Information andWarningCritical TransportationESF 8 - Public Health and Medical Services Coordinates the Federal public health and medical messaging withjurisdictional officials. Continuously acquires and assesses information on the incident.Sources of information may include state incident response authorities;officials of the responsible jurisdiction in charge of the disaster scene;and Emergency Support Function (ESF) 8 (Public Health and MedicalServices) support departments, agencies, and organizations. Provides public health, behavioral health, disease, and injury preventioninformation that can be transmitted to members of the general publicand responders who are located in or near affected areas in languagesand formats that are understandable to individuals with limited Englishproficiency and individuals with disabilities and other with access andfunctional needs. Supports a Joint Information Center in the release of general medicaland public health response information to the public.Patient Movement EnvironmentalResponse/Health andSafetyTransports seriously ill or injured patients and medical needspopulations from casualty collection points in the impacted area todesignated reception facilities. Coordinates the Federal response in support of emergency triage andpre-hospital treatment, patient tracking, distribution, and patient return.This effort is coordinated with Federal and local, state; tribal, territorial,and insular area emergency medical services officials. Provides support for evacuating seriously ill or injured patients thoughthe National Disaster Medical System (NDMS), an interagencypartnership between the Department of Health and Human Services(HHS), the Department of Homeland Security, the Department ofDefense (DOD), and the Department of Veterans Affairs, and theFederal Emergency Management Agency, via the National AmbulanceContract. Support may include providing transportation assets,operating and staffing NDMS patient collection points (e.g., aerial portsof embarkation), and establishing Federal Coordinating Centers thatconduct patient reception at ports of debarkation (e.g., aerial ports ofdebarkation). Federal support may also include processing and trackingpatient movement from collection points to their final destinationreception facilities.(Note: DOD is responsible for regulating and tracking patientstransported on DOD assets to appropriate treatment facilities (e.g.,NDMS hospitals). Supports the Worker Safety and Health Support Annex, providestechnical assistance, and conducts exposure assessments and riskmanagement to control hazards for response workers and the public.ESF #8-3Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexFatality ManagementServicesMass Care ServicesPublic and PrivateServices and Resources Assists jurisdictional medico-legal authorities and law enforcementagencies in the tracking and documenting of human remains andassociated personal effects; reducing the hazard presented bychemically, biologically, or radiologically contaminated human remains(when indicated and possible); establishing temporary morgue facilitiesdetermining the cause and manner of death; collecting ante mortem datain a compassionate and culturally competent fashion from authorizedindividuals; performing postmortem data collection and documentation;identifying human remains using scientific means (e.g., dental,pathology, anthropology, fingerprints, and, as indicated, DNA samples);and preparing, processing, and returning human remains and personaleffects to the authorized person(s) when possible; and providingtechnical assistance and consultation on fatality management andmortuary affairs. In the event that caskets are displaced, EmergencySupport Function (ESF) 8 (Public Health and Medical Services) assistsin identifying the human remains, recasketing, and reburial in publiccemeteries. May provide support to families of victims during the victimidentification mortuary process. Provides technical expertise and guidance on the public health issues ofthe medical needs population. Assists with applications for Federal benefits sponsored by Departmentof Health and Human Services (HHS) and ensures continuity ofassistance services in affected states and in states hosting relocatedpopulations. Provides support for the provision of case management and advocacyservices. Provides support for human and/or veterinary mass care sheltering asresources are available.Blood and Tissues Monitors and ensures the safety, availability, and logisticalrequirements of blood and tissues. This includes the ability of theexisting supply chain resources to meet the manufacturing, testing,storage, and distribution of these products.Food Safety, Security, and Defense In coordination with ESF 11 (Agriculture and Natural Resources), maytask HHS components and request assistance from other ESF 8 partnerorganizations to ensure the safety, security, and defense of federallyregulated foods.Agriculture Safety and Security In coordination with and Emergency Support Function (ESF)11(Agriculture and Natural Resources), may task ESF 8 (Public Healthand Medical Services) components to ensure the health, safety, andsecurity of food-producing animals, animal feed, and therapeutics. ESF8 may also provide veterinary assistance to ESF 11. Support willinclude the amelioration of zoonotic disease and caring for researchanimals where ESF 11 does not have the requisite expertise to renderappropriate assistance.ESF #8-4Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexPublic Health andMedical ServicesHealth, Medical, and Veterinary Equipment and Supplies Arranges for the procurement and transportation of equipment, supplies,diagnostic supplies, radiation detecting devices, and countermeasures,including assets from the Strategic National Stockpile, in support ofimmediate public health, medical and veterinary response operations.Health Surveillance Use existing all-hazards surveillance systems to monitor the health ofthe general and medical needs population, as well as that of responseworkers, and identify emerging trends related to the disaster; carries outfield studies and investigations; monitors injury and disease patterns andpotential disease outbreaks, behavioral health concerns, and blood andtissue supply levels; and provides technical assistance and consultationson disease and injury prevention and precautions. Provides support tolaboratory diagnostics.Medical Surge Provides support for triage, patient treatment, and patient movement. Provides clinical public health and medical care specialists from theNational Disaster Medical System, U.S. Public Health Service, VeteransAffairs, and Department of Defense to fill local, state, tribal, territorialand insular area health professional needs. Engages civilian volunteers, through the Emergency System forAdvance Registration of Volunteer Health Professionals, volunteerFederal employees and the Medical Reserve Corps to fill local, state,tribal, territorial, and insular area health professional needs.Patient Care Provides resources to support pre-hospital triage and treatment,inpatient hospital care, outpatient services, behavioral healthcare,medical-needs sheltering, pharmacy services, and dental care to victimsor those who suffer from chronic illnesses. Assists with isolation and quarantine measures and with point ofdistribution operations (mass prophylaxis and vaccination). Ensures appropriate patient confidentiality is maintained, includingHealth Insurance Portability and Accountability Act privacy andsecurity standards, where applicable.Assessment of Public Health/Medical Needs Supports national or regional teams to assess public health and medicalneeds. This function includes the assessment of the healthcaresystem/facility infrastructure.Safety and Security of Drugs, Biologics, and Medical Device During response, provides advice to private industry regarding the safetyand efficacy of drugs, biologics (including blood, tissues and vaccines),medical devices (including radiation emitting and screening devices),and other products that may have been compromised during an incidentand are Department of Health and Human Services regulated products.ESF #8-5Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexAll-Hazard Public Health and Medical Consultation, TechnicalAssistance, and Support Assesses public health, medical, and veterinary medical effects resultingfrom all hazards. Such tasks may include assessing exposures on thegeneral population and on children and those with disabilities and otherswith access and functional needs; conducting field investigations,including collection and analysis of relevant samples; providing adviceon protective actions related to direct human and animal exposures andon indirect exposure through contaminated food, drugs, water supply,and other media; and providing technical assistance and consultation onmedical treatment, screening, and decontamination of injured orcontaminated individuals. Provides for disaster related health and behavior health needs throughdirect services and/or referrals as necessary.Vector Control Assesses the threat of vector-borne diseases. Conducts field investigations, including the collection and laboratoryanalysis of relevant samples; provides vector control equipment andsupplies. Provides technical assistance and consultation on protective actionsregarding vector-borne diseases. Provides technical assistance and consultation on medical treatment ofvictims of vector-borne diseases.Other (VeterinaryMedical Support)Public Health Aspects of Potable Water/Wastewater and Solid Waste Assists in assessing potable water, wastewater, solid waste disposal, andother environmental health issues related to public health inestablishments holding, preparing, and/or serving food, drugs, ormedical devices at retail and medical facilities, as well as examining andresponding to public health effects from contaminated water;conducting field investigations, including collection and laboratoryanalysis of relevant samples; providing equipment and supplies asneeded; and providing technical assistance and consultation. Provides veterinary public health technical support through Departmentof Health and Human Services National Veterinary Response Teams,veterinary officers of the Commissioned Corps of the U.S. PublicHealth Service. The National Veterinary Response Teams are theprimary Federal resource for treatment of ill or injured pets, serviceanimals, working animals, laboratory animals, and livestock. Under itsown statutory authority, Department of Health and Human Services canmanage and conduct animal response to zoonotic diseases in order toprotect human health. For livestock or poultry diseases exotic to the United States that areeither not or only mildly zoonotic, supports the United StatesDepartment of Agriculture and its authority to manage a foreign animaldisease response with the resources listed above.ESF #8-6Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services AnnexPolicies The Mississippi State Department of Health (MSDH) coordinates the state Emergency SupportFunction (ESF) 8 (Public Health and Medical Services) preparedness, response, and recovery actionsin accordance with the MSDH Concept of Operations and the Mississippi Health Response Teamplans. These actions do not alter or impede the existing authorities of any department or agencysupporting ESF 8. The MSDH will establish the Public Health Command/Coordination Center (PHCC) as needed tosupport State Emergency Operations Center operations and/or forward support cells. The PHCC facilitates the overall Mississippi ESF 8 response. As necessary during activations, thePHCC will liaise with other agencies. All local and state organizations and other ESFs participating in response operations report publichealth and medical requirements to their functional counterpart in ESF 8. General medical and public health response information will be released to the public through ESF 15(External Affairs) after consultation with the MSDH Public Information Officer at the PHCC. Whenpossible, a recognized spokesperson from the public health and medical community will deliverrelevant community messages. To ensure necessary patient confidentiality, the release of medical information by Emergency SupportFunction (ESF) 8 (Public Health and Medical Services) will be made in accordance with applicablelaws. Inquiries about patients are managed by the Mississippi State Department of Health (MSDH) incoordination with the Joint Information Center when established. (See the ESF 15 - External AffairsAnnex for more details.) Individuals in all counties of the state can receive mental health services (i.e. crisis counseling)through the Regional Mental Health Center system. In the event of a disaster, the center serving theregion where the disaster occurred will have the primary role in providing services (See Appendix 3for map of Regional Community Mental Health Centers). In the event of a zoonotic or animal disease outbreak in coordination with ESF 11 (Agriculture andNatural Resources) public information may be released after consultation with the MississippiDepartment of Agriculture and Commerce, the Mississippi Board of Animal Health, and theMississippi State Department of Health. As the coordinating agency for ESF 8, the MSDH determines the appropriateness of all requests forpublic health, medical, and death information. All state licensing boards will verify official credentials of out-of-state practitioners. The PublicHealth Command/Coordination Center (PHCC) will oversee this activity through the MississippiResponder Management System. The MSDH, as the coordinating agency for ESF 8, is responsible for consulting with and organizingstate public health and medical subject-matter experts, as needed.ESF #8-7Rev. 1/2017

Mississippi Support Function #8- Public Health and Medical Services Annex All MSDH deployed field personnel or units are subordinate to the PHCC and will maintain contactwith the PHCC. The MSDH will coordinate and manage the deployment of State Medical Response System assets asdirected by mission tasks. Responsible parties at all healthcare facilities must keep the PHCC advised of unmet needs and thePHCC will advise the State Emergency Operations Center through its liaison.Mutual Aid Agreements Statewide Mutual Aid Compact (SMAC): If an emergency incapacitates local emergency medicaland/or health and medical services, or if the magnitude of the emergency exceeds local medicalresources, requests can be made to other participants for resources. Emergency Management Assistance Compact (EMAC): Requests for emergency medical and/orhealth and medical service resources obtain

Mississippi State Board for Community and Junior Colleges Mississippi State Board of Medical Licensure Mississippi State Board of Nursing Mississippi State Medical Examiner’s Office Mississippi State Fire Academy Mississippi Veterinary Medical Association Other State Hospitals Private Sector Support Agencies Network 8 Incorporated

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