Medical Re-entry/Repopulation
Rick Bays – DSHS
1
MEDICAL EVACUEE REPOPULATION
“HOW TO GET THEM HOME”
2
SITUATION
The disaster event has ended and the Emergency
Management directors in evacuated areas have
authorized the return of citizens for part or all
areas within their jurisdictions.
ASSUMPTIONS
• Medical evacuees may check out of shelters at
any time but shelter residents are requested to
follow check out procedures of the shelter.
• Ambulances and aircraft may
not be immediately available
for repopulation because of
SAR support operations.
ASSUMPTIONS
• Critical infrastructure (power, water,
telecommunications) is available in evacuated
areas.
• Essential Care Services such as home health,
hospitals, 911, DME providers, dialysis, Meals
on Wheels, pharmacy need to be available
prior to return of medical evacuees.
MEDICAL EVACUEE REPOPULATION
CONCEPT OF OPERATIONS
• DDC in affected areas,
through the DDC MOC,
should work with local
jurisdictions and essential
care providers to assess
availability of critical care
services.
• Medical evacuees will receive a
medical assessment at the shelter
and cleared to return to their
evacuated area.
• Medical assessment includes:
• Medically stable for transportation
• Type of transportation needed
• Availability of infrastructure
• Essential care services needed
• Destination location
• General evacuees accompanying Medical
evacuees should repopulate together when
possible.
• Medical transportation assets should be
requested from the DDC in sheltering areas.
• May have transportation assets available
• If no transportation, contact SOC/SMOC
• Late day/night medical transports are strongly
discouraged.
• Repopulation of Medical evacuees in hospitals
will be coordinated between sending and
receiving hospitals.
• Transportation may be available by hospital
• Hospitals request transportation assets
through local EMC to DDC to SOC/SMOC
MEDICAL EVACUEE REPOPULATION
RESPONSIBILITIES OF DSHS
• Through SMOC coordinate and prioritize all
medical repopulation efforts.
• Deploy M-IST to DDC MOC to assist with
transportation assets, staging and
demobilization.
• Assist with continuing medical shelters if
medical evacuees cannot return to home.
• Coordinate and manage medical
transportation assets.
• Perform individual medical discharge
assessments of medical evacuees.
• Through MOC, validate critical infrastructure
and essential care services available .
MEDICAL EVACUEE REPOPULATION
RESPONSIBILITIES OF EVACUATING AREA DDC
• Coordinate requests from evacuating
jurisdictions for repopulation of residents.
• Coordinate assessment of critical infrastructure
and essential care services in evacuated areas
and communicate information to sheltering
DDC and SMOC.
• Submit unmet medical transportation needs
requests to SOC/SMOC.
MEDICAL EVACUEE REPOPULATION
RESPONSIBILITIES OF SHELTERING AREA DDC
• Coordinate the organized
repopulation of multiple
jurisdictions to maximize
use of transportation
resources.
• Coordinate and schedule
medical transportation
assets for repopulation.
• Coordinate with
evacuating area DDC
for all repopulation
efforts.
• Communicate
information to
sheltering jurisdictions
and SOC/SMOC.
MEDICAL EVACUEE REPOPULATION
RESPONSIBILITIES OF EVACUATING JURISDICTION
• Authorize repopulation.
• Determine availability of critical infrastructure.
• Coordinate departure and arrival times with
sheltering jurisdictions.
• Provide transportation assets when possible.
MEDICAL EVACUEE REPOPULATION
RESPONSIBILITIES OF SHELTERING JURISDICTION
• Coordinate medical transportation needs with
DDC.
• Ensure Medical evacuees are medically stable
for transport and essential care services are
available.
• When possible, provide food and water for
evacuees during transport.
• Coordinate departure and arrival times with
evacuating jurisdictions.
Questions?
VECTOR/MOSQUITO CONTROL
“MOSQUITOS CAN BITE THE POCKETBOOK TOO!”
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Vector/Mosquito Control
Background
•
Mosquito Control always becomes an issue after a big
storm along the coast or when there is significant
flooding
•
Increased mosquito populations can pose a public
health risk due to vector borne diseases and can
significantly hamper recovery activities
•
Ground based mosquito control such as ground spraying
and larvicide treatment is the most long term effective
treatment
Background (Con’t)
•
Aerial Spraying is extremely
effective for immediate treatment
but is temporary and costly
• FEMA has fairly strict guidelines for
reimbursement for mosquito
abatement costs
• To receive reimbursement, DSHS
must declare a public health risk
Background (Con’t)
• DSHS cannot declare a public health risk without data to
support the risk
– History of Vector diseases
– Species of mosquitoes in jurisdiction
– Landing rate counts
Background (Con’t)
• Even after declaring a public health
risk, DSHS must coordinate with
FEMA, CDC, EPA, and other federal
agencies before aerial spraying can
occur
• DSHS and FEMA can only support
mosquito abatement costs and
activities in populated areas, not
rural ranch or farm land
Vector Control
Response Operating Guide
www.dshs.state.tx.us/commprep/response/rog.aspx
Response Operating Guide
• Outlines responsibilities at each level of
government
• Provides data collection forms
• Provides background information on
vector diseases
• Field surveillance techniques
• FEMA policy on mosquito abatement
Mosquito Abatement
Local Jurisdiction Responsibilities
• Develop a local response plan
• Perform landing rate counts
• Trap mosquitoes for submission to DSHS
lab
• Preform ground spraying and larvicide
treatment
• Use local resources first
Mosquito Abatement
DSHS Responsibilities
• Test mosquitoes trapped for species and
aboviruses
• Collect landing rate counts
• Declare public health risk
• Coordinate with FEMA, CDC, etc
• Provide technical assistance to locals thru HSRs
• Provide additional resources for chemicals,
larvicide and aerial spraying, if warranted
Questions?