21 st Century Disaster Readiness Kevin Yeskey, M.D. March 15, 2018
21 st Century: An Increasingly Complex & Dangerous World Saving Lives. Protecting Americans. 2
New Madrid Earthquake • No notice event • Consequences eclipse Hurricane Katrina • Large impact area - 126,575 Square Miles • 44M people in eight-State region - (12M in high risk area) • Multiple jurisdictions • 4 Regions/8 states/141 counties • 86,00 casualties/20,000 hospitalized • 3,700 dead • 2.1 million in shelters • >150 hospitals destroyed • Significant infrastructure impacts • Estimated shortages: 100 DMATs/16 FMS/?? Ambulances Saving Lives. Protecting Americans. 3 3
Disaster Preparedness, Response and Recovery is a Departmental Priority Saving Lives. Protecting Americans. 4
HHS Assistant Secretary for Preparedness and Response 1. Established in the Pandemic and All-Hazards Preparedness Act of 2006 2. Leads public health and medical, preparedness, response and recovery to public health emergencies 3. Enhances medical surge capacity by organizing, training, equipping, and deploying federal personnel 4. Supports state, local, territorial and tribal health partners by coordinating federal cooperative agreements and carrying out drills and exercises 5. Oversees advanced research, development, procurement, and stockpiling of vaccines, medicines, diagnostics (e.g. BARDA, Project BioShield) Saving Lives. Protecting Americans. 5
ASPR Priorities for Building Readiness for 21 st Century Threats Strong Leadership Regional Disaster Public Health Health Response Security Capacity System Medical Countermeasures Enterprise Saving Lives. Protecting Americans. 6 6
ASPR’s Raison D’etre: “Unity of Command” Public Law 109-417 Pandemic & All-Hazards Preparedness Act Saving Lives. Protecting Americans. 7
BARDA forms unique public-private partnerships with industry to develop medical countermeasures Flexible, nimble authorities Cutting Multi-year edge funding expertise Facilitate Promote partnerships innovation Saving Lives. Protecting Americans. 8
ASPR Enhances Medical Surge Capacity Through Multiple Initiatives National Disaster Critical Medical Infrastructure System Protection Regional Medical Emergency Reserve Coordinators Corps Hospital Preparedness Program Saving Lives. Protecting Americans. 9 9
Evolving Challenges to Health and Medical Response • Impacted patient populations Chronic disease In-patient capacity Medical equipment dependent out-patients • Dependencies Utilities Transportation Just in time supply Saving Lives. Protecting Americans. 10
What are the key elements of a potential Regional Disaster Health Response System? Regional Responsive Ready RDHRS Aware Resourced Saving Lives. Protecting Americans. 11 11
Questions Saving Lives. Protecting Americans. 12
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