Disaster Information Specialists ProgramThursday, June 12, 2014

About NACCHO

The National Association of County and City Health Officials

(NACCHO) represents the nation's 2,800 local health departments

(LHDs).

NACCHO’s Mission:

To be a leader, partner, catalyst, and voice for local health

departments in order to ensure the conditions that promote health

and equity, combat disease, and improve the quality and length of

all lives.

Governance of Local Health Departments (by State)

Local = All LHDs in state are units of local governmentState = All LHDs in state are units of state governmentShared = All LHDs in state governed by both state and local authoritiesMixed = LHDs in state have more than one governance type

Population Served by LHDs

Percentage of LHDs with Specific Sources of Revenue for Preparedness Activities for the Most Recently Completed Fiscal Year (2010 and 2013)

Federal (Passed–Through)

State (exc. Federal Pass–Through)

Local

Source Not Known

Private Foundations/Grants

Federal (Direct)

Other

0% 20% 40% 60% 80% 100%

84%

19%

16%

7%

2%

5%

3%

80%

20%

17%

8%

6%

5%

1%

2013 2010

Percentage of LHDs

Re

ve

nu

e S

ou

rce

n(2010)=500n(2013)=457

Cuts Reduce Capacity for Response

LHDs collectively lost 43,900 jobs since 2008. Workforce

losses and gains were roughly equal in 2012, with LHDs

adding 4,000 positions and reducing 4,300 positions.

Estimated Number of LHD Job Losses Over Time

Job Losses (Layoffs or Attrition)

2008 7,000

2009 16,000

2010 6,000

2011 10,600

2012 4,300

TOTAL 43,900

Success Story: El Paso Texas

The City of El Paso Department of Public Health in partnership

with the Pan American Health Organization (PAHO) Regional

Office of the World Health Organization (PAHO/WHO) and the

2-1-1 Texas Rio Grande Region will enhance access to health

and emergency preparedness information in El Paso County,

Texas.

Enhance the knowledge of librarians, special-population

healthcare providers, and Community Health Workers (CHWs)

on the functional role local emergency and disaster

organizations, and develop skills to participate and assist in

emergency and/or disaster events.

Increase awareness on local practices and methods of

information sharing, including the use of the 2-1-1, 24/7

Information and Referral system, 911, the State of Texas

Emergency Assistance Registry (STEAR) PAHO’s virtual

library, NLM, and others.

Success Story: Communications

Northeast Texas Public Health District

http://www.accessibleemergencyinfo.com/

Large Print Documents, Braille Documents, Videos

Success Example: HANDI App in Denver

• Mobile application to enhance health

department dispensing efforts

• Registers individuals, monitors

contraindications, tracks immunizations

• Goal: support efficient public health immunization and treatment activities

through rapid collection and transfer of standardized data

• Currently being considered as an adverse event tracking device through

ongoing work with the FDA and NACCHO.

Radiation Legal Project

Examining the state of legal

authorities to ensure we are legally

prepared for a radiological incident

Hurricane Katrina Dispersion Map

Legal Research Questions

1. Can jurisdictions

restrict the movement

of individuals?

Legal Research Questions Continued

2. Can jurisdictions

decontaminate

individuals?

Legal Language Categories

An emergency or public health emergency declaration may clarify/expand the authority

Restriction of MovementNon-Emergency v. Emergency

Emergency Declaration

Some jurisdictions have language limited to infectious and contagious disease

Radiation Legal 2013-2014 Activities

For the Latest Information

http://nacchopreparedness.org/