After reviewing the current threat environment, the Department of
Homeland Security last week reissued its National
Terrorism Advisory System Bulletin. According to the
department, foreign terrorist organizations continue to exploit
the internet to inspire, enable and direct individuals in
the U.S. to commit terrorist acts. The department encourages
those who observe suspicious activity to report it to law
enforcement and to be prepared for security threats.
California is just entering the warmer months of the year and
already 65% of the state is experiencing some level of drought in
the first week of May 2018. The
U.S. Drought Monitor shows the range of conditions throughout
Extreme climate phenomena have become more common in recent
decades. An action plan is needed to both slow climate change and
also adapt to these changes to protect our wellness and way of
Adaption in Action Part 2 shares a brief history of climate
change, the need for adaption, and an overview of the CDC BRACE
program (Building Resilience Against Climate Effects) followed by
16 states individual action plans, using BRACE, to help their
On March 22, FEMA released the Continuity Guidance Circular (CGC)
following a nationwide, whole community effort to review and
revise the guidance. The CGC guides efforts to develop and
maintain the capability to ensure continuity of operations,
continuity of government, and enduring constitutional government
during an emergency that disrupts normal operations.
For the past 25 years, the World Meteorological Organization
(WMO) has published yearly the Statement
on the State of the Global Climate, sharing
scientific information about the global climate, significant
weather and climate events occurring around the world.
A yellow fever outbreak that began a year and a half ago in
Brazil is spreading further, with additional cases since last
July in the Brazilian states of Sáo Paulo, Minas Gerais and Rio
de Janeiro, plus several cities in Bahia State.
The World Health Organization began recommending yellow fever
vaccination for all travelers and residents of these areas in
January, but since then, 10 travelers have contracted the
disease—all unvaccinated—and four died.
Wildfires, landslides and influenza surge are only some of the
incidents to hit California hospitals this past year. The
initial response to an emergency begins with recognition that an
incident may (or has) occurred.
In cases where the incident is likely to impact or disrupt
routine operations, and may require coordination of efforts and
response involvement among hospitals, Health Care Coalition
partners, EMS, public health, and environmental health.
Key management issues involving situational status, incident
characteristics and resource capabilities must be quickly
determined and communicated amongst response partners in order to
establish a common operating picture.
The Substance Abuse and Mental Health Services Administration has
updated its resources
on substance use disorders and disasters. The resources
include brochures and tip sheets to help disaster survivors avoid
increasing alcohol and drug use, a mobile app to guide health
care practitioners in medication-assisted treatment, screening
tools, fact sheets and manuals on helping people with addictions.
The CMS Rule for Emergency Preparedness activated in 2016 applies
to nearly every healthcare provider in the nation. Read this new
article by domesticpreparedness.com,
which shares key elements of the rule along with a table of
the 17 types of providers.
Read about the experiences of Dr. Josh Weil, Skip Skivington, and
Mitch Saruwatari during and after the North Bay Fires as ASPR
TRACIE interviewed these Kaiser staff members about their
personal encounter with the wildfire and professional ordeal
evacuating a hospital in the midst of one.
Seasonal influenza is an acute viral infection that spreads
easily from person to person. Seasonal
influenza viruses circulate worldwide and can affect people
in any age group. … Seasonal influenza is a serious
public health problem that causes severe illness and death in
high risk populations.
Governor Edmund G. Brown Jr. has issued an
executive order to further assist recovery efforts in
Southern California related to the Thomas Fire and subsequent
mudslides. The order helps ensure there’s the staffing and
resources needed to continue to respond to the ongoing disaster
and expedite debris removal.
National Center for Disaster Medicine and Public Health
[Uniformed Services University of the Health Sciences].
This 57-minute webinar provides an overview of the Stop the Bleed
campaign’s potential impact on mass casualty events, and how
combat casualty care science served as the foundation for Stop
the Bleed’s creation. It discusses blast injuries, Tactical
Combat Casualty Care, and Stop the Bleed’s current and next
How ready is your facility to handle a Paris-style, multi-venue,
terrorist attack? This year’s annual Statewide Medical and
Health Exercise (SWMHE) did just that. With attacks coming
from every angle, hospitals tested the organization’s readiness,
plans, policies and procedures internally, and with local,
regional and state partners.
The Centers for Medicare & Medicaid Services (CMS) has approved
The Joint Commission’s updated emergency management standards,
which were created in response to the CMS final rule on emergency
preparedness. According to The Joint Commission, the most
significant changes are to home health settings — with 39 new
performance elements — and ambulatory health care, with 29
new performance elements. Hospitals and critical access hospitals
each have 21 new requirements. The Joint Commission will begin
surveying to the updated emergency management requirements as of
the final rule’s Nov. 15 implementation date. For more
The Joint Commission website.
The Centers for Disease Control and Prevention (CDC) and the
California Department of Public Health have issued Health
Advisories and travel alerts on the Zika Virus. The Zika virus is
spread to people through mosquito bites. The most common symptoms
of Zika virus disease are fever, rash, joint pain, and
conjunctivitis (red eyes). The illness is usually mild with
symptoms lasting from several days to a week. Severe disease
requiring hospitalization is uncommon. In May 2015, the Pan
American Health Organization (PAHO) issued an alert regarding the
first confirmed Zika virus infection in Brazil. The outbreak in
Brazil led to reports of Guillain-Barre syndrome and pregnant
women giving birth to babies with birth defects and poor
pregnancy outcomes. For more