gathering information procedures for odh call takers during an overt incident

Gathering InformationGathering Information

Procedures for ODHProcedures for ODH

Call Takers during an overt Call Takers during an overt incidentincident

State of OhioState of Ohio

Bio-Terrorism ProtocolsBio-Terrorism Protocols

OVERT IncidentOVERT Incident

A threat was madeA threat was made

We know about itWe know about it

We’re going to do something about itWe’re going to do something about it

Someone wanted to make a sceneSomeone wanted to make a scene

Most involve AnthraxMost involve Anthrax

All have been hoaxesAll have been hoaxes



Understanding the Understanding the ProblemProblem

Bio-terrorism has become popularBio-terrorism has become popular

Now done in place of bomb threatsNow done in place of bomb threats

Most threats are hoaxesMost threats are hoaxes

None can be considered a hoaxNone can be considered a hoax

Information must be gathered very Information must be gathered very

accuratelyaccurately



Ohio’s ProtocolsOhio’s Protocols

Developed after numerous incidentsDeveloped after numerous incidentsLocal responders had nothing to go Local responders had nothing to go

bybyThe PlayersThe Players

ODHODH OSPOSP OEMAOEMA FBIFBI



Ohio Protocol for Bio Ohio Protocol for Bio Terrorism IncidentsTerrorism Incidents

Dispatch Dispatch ReceivesReceives

CallCall

DispatchDispatchFire/HazmatFire/HazmatPolice, EMSPolice, EMS

NotifyNotifyLocal HealthLocal Health

FBIFBICall is made to CDCCall is made to CDC

Bridge Line is EstablishedBridge Line is EstablishedAll affected parties meetAll affected parties meet

on the Bridge lineon the Bridge line



Health Department Health Department FunctionsFunctions

Local HealthLocal HealthDepartmentDepartment

NotifyNotifyODHODH

ODH NotifiesODH NotifiesCDC Bridge CDC Bridge

Line Line EstablishedEstablished



Bridge Line from CDCBridge Line from CDC

CDCCDCBridge LineBridge Line

HospitalHospital

LocalLocalHealthHealth

EMAEMAAffectedAffectedFacilityFacility



Course of ActionCourse of Action

Bridge LineBridge LineDecisionDecision

MadeMade

SpecimenSpecimenCollectedCollected

Transport toTransport toODH Lab atODH Lab at

OSHOSHResultsResults



Bridge Line from CDCBridge Line from CDC

CDCCDCBridge LineBridge Line

FireFire

PolicePoliceEMSEMS

HospitalHospital

LocalLocalHealthHealth

EMAEMAAffectedAffectedFacilityFacility



Decon / ProphylaxisDecon / Prophylaxis

If necessary, deconshould be done withwater only, in most

cases (Click for Chart) Medical Control and the local health officials should

make the decision aboutprophylaxis

Long Term Monitoringof patients may be needed

LHD should keeprecords



What Happens in What Happens in the Fieldthe Field

Responders use a tool called the Responders use a tool called the Incident Command SystemIncident Command System

Fire Department is in charge of initial Fire Department is in charge of initial responseresponse

Police is in charge of securityPolice is in charge of securityFBI is in charge of the investigationFBI is in charge of the investigation



Additional field Additional field InformationInformation

911 Dispatcher should have sent 911 Dispatcher should have sent

proper responseproper response

Fire should have set up Command Fire should have set up Command

SystemSystem

Evidence will be gatheredEvidence will be gathered

ODH Lab will accept specimen for ODH Lab will accept specimen for

identificationidentification



What we need to What we need to knowknow

Get the following informationGet the following information1. Call Back number1. Call Back number2. Who is the caller and agency2. Who is the caller and agency3. Where did the incident occur3. Where did the incident occur4. Who is in charge4. Who is in charge5. What is the threat5. What is the threat



What you need to What you need to dodo

Contact Bureau of Infectious Disease Contact Bureau of Infectious Disease The person is not important, the The person is not important, the

information is.information is. Usually it is Dr. Forrest SmithUsually it is Dr. Forrest Smith

Contact Bureau of Environmental Contact Bureau of Environmental Health and ToxicologyHealth and Toxicology Once again, the information is importantOnce again, the information is important BEHT personnel will notify the proper BEHT personnel will notify the proper

peoplepeople



Stuff to Tell the Stuff to Tell the CallerCaller

Explain to them the sequence of eventsExplain to them the sequence of events Bridge Line setupBridge Line setup Who needs to be on itWho needs to be on it Time and placeTime and place

Who the players from ODH will beWho the players from ODH will beTell them to sit tight and don’t do Tell them to sit tight and don’t do

anythinganythingFind out if they have made any other callsFind out if they have made any other calls



What Happens NextWhat Happens Next

ODH will establish a Bridge Line with ODH will establish a Bridge Line with CDC in AtlantaCDC in Atlanta

CDC will give us a number to callCDC will give us a number to callAll concerned parties at ODH and on All concerned parties at ODH and on

the scene must be given the number the scene must be given the number including proper FBI peopleincluding proper FBI people

Once the line is established, ODH will Once the line is established, ODH will coordinate proper scenariocoordinate proper scenario



Termination of the Termination of the IncidentIncident

Your notes are very importantYour notes are very importantKeep good notesKeep good notesIf there are questions, ask themIf there are questions, ask themAfter transport to ODH lab, results After transport to ODH lab, results

will be given in 4 to 6 hourswill be given in 4 to 6 hoursBridge line will be again establishedBridge line will be again establishedResults will be publishedResults will be published



Positive ResultsPositive Results

On scene responders, local health On scene responders, local health officials and medical personnel must officials and medical personnel must begin prophylaxisbegin prophylaxis

ODH might coordinate distribution of ODH might coordinate distribution of innoculantinnoculant

Locals will have a big job keeping Locals will have a big job keeping track of patientstrack of patients



Long Term Long Term MonitoringMonitoring

Must have good relationship with Must have good relationship with

hospitals and other med providershospitals and other med providers

Keep good adequate recordsKeep good adequate records

Develop a databaseDevelop a database

Establish channels with ODH and Establish channels with ODH and

CDCCDC



Covert IncidentCovert Incident

This is a totally different type of This is a totally different type of incidentincident

May not be identified immediatelyMay not be identified immediatelyYou may identify it because of the You may identify it because of the

number and type of calls being madenumber and type of calls being madeMay come from many areas of the May come from many areas of the

state or a localitystate or a localityWill then be treated as A-1 reportableWill then be treated as A-1 reportable

gathering information procedures for odh call takers during an overt incident

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