Post on 09-Feb-2022
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 1
Emergency Preparedness:
The Role of the CHC Dentist
Emanuel Finn, DDS, MSEmanuel Finn, DDS, MS
Chief, Oral Health Program
DC Department of Health
Washington, DC
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 2
City of Newburgh, NY in the Mid Hudson Valley
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 3
Today’s New Paradigm
In response to natural & man-made disasters, what is the state dental director’s role? What roles should CHC Dental Providers play?
• The New Public Health Marching Song is
(or should be): Be Prepared
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 4
History Repeats Itself
“Communities should make plans now for dealing with any recurrences. The most promising way to deal with a possible recurrence is to sum it up in a single word, ‘preparedness,’and now is the time to prepare.”
—Rupert Blue
Civilian Surgeon General, 1919
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 5
Are YOU ready?
� MITIGATION - Any action taken to reduce or eliminate the long-term risk to human life and personal property from hazards
� PREPAREDNESS - Preparedness incorporates a range of measures, actions, and processes accomplished before an incident happens
www.ready.gov
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 6
CHC Dentist’s Role
1. Preparedness/Detection
2. Surveillance
3. Diagnosis
4. Response
5. Communication
ADA’s plan is organized around 5 themes:
JADA , Vol 133, Dentistry’s response to bioterroism, A report of a consensus workshop, A.H Guay, D.M.D., September 2002
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 7
Key Questions & Concerns
� What can I do?
� Who should I contact?
� How do I get on board?
� What about additional training?
� What about certification?
� What about the availability of liability
insurance to cover actions performed
in an emergency?
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 8
How Does A CHC Dentist
Participate in these Roles?
� Being a member of the Medical Reserve Corps
� Working closely with the Department of Emergency Preparedness
� Attending trainings & planning meetings in your state or jurisdiction
� Always emphasizing and promoting the roles & impact that dentistry & oral health professionals can play in emergency responses to disasters
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 9
Dentistry's Role
� In disaster response role has yet to be defined & established
� Can fulfill several functions; education, risk communication, diagnosis, surveillance & notification, treatment, distribution of medication, decontamination, sample collection.
� Forensic dentistry’s role in other disasters (plane crashes) has been developed & proven to be fully effective
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 10
Wake Up Calls
� 9/11- Pentagon , WTC
� On the doorsteps of the Capital & DC
� There was no formal plan to involve oral healthcare professionals
� Hurricanes Katrina & Rita
� 3/03 ADA conference in Washington
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 11
That Image of Dentistry has
Changed
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 12
FloodsOHIO RIVER VALLEY FLOOD OF MARCH 1997
Credit: FEMA News Photos
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 15
Steps That Are Recommended
� Lead efforts:
-build capacity and infrastructure; and
promote the inclusion of oral health
professionals in crisis planning, response &
recovery
-Promote practices to mitigate the impact of
hazards and disasters on the availability and
accessibility of oral health services
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 16
Preparedness Leadership
� Know your state structure for planning & response and its
hazard assessment
� Identify & confirm oral health professional credentialing
and scope of practice within your state in response to
crisis events
-Illinois Public Act 49-409-modiies the scope of dental
practice*
� The dentist should be represented at emergency/disaster
planning meetings so that the role of oral health within
emergency response & preparedness may be better
understood
* The dental emergency responder: Expanding the scope of dental practice: JADA , Vol.137, April 2006
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 17
Key Action Steps
� Understand the process of generating an Action Request Form (ARF) and the Federal mission assignment
� Be familiar with the National Response Training- FEMA 700 series of courses.
� Encourage dentists to take & complete these courses
� Assist in the Coordination of oral health volunteer information & response
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 19
Identification of Emergency
Planning & Response Systems
� Be familiar with Federal, state & local systems
� Identify & communicate with leaders
of the Emergency Management Agencies (EMAs, Departments of
Health & other key stakeholders
� Develop & establish a formal liaison
plan with state & local leaders with crisis response responsibilities
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 20
Participation in State’s Hazard &
Disaster Response
� Coordinate & communicate information
� Develop oral & medical response
teams for your CHC and community
� Work with the state’s coordinator for Medical Reserve Corps (MRC)
� Know the emergency command
structure (who should you report to?)
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 21
Contingency Plans
� Create a list of responders as your team
� Prepare a phone list (tree)
� Identify mobile & portable dental units, prepare stockpile of oral health care supplies (Doctor response packs)
� Examine all central and essential services and personnel
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 22
Creation of Framework to
Participate in Crisis Planning
� Dentists should work in partnership with the Preparedness planners and the president of the state and local dental associations
� Develop fact sheets indicating dentistry’s role in emergency preparedness
� Integrate oral health professionals into training opportunities e.g. Disaster Mortuary Response Team (DMORT)
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 23
Who Is in Charge?
Bioterrorism
or
disaster event
Incident Command System
Collaboration Collaboration
No collaboration
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 24
Initial Meeting with DCDOH’s Health Emergency
Preparedness Administration (HEPRA) –8/04
� Discussed Dentistry’s & OHD’s role in a catastrophic event in Washington DC
� Proposed that OHD work with HUCD & DC Dental society's as part of a response team
� Perform outreach lectures at dental school
� Collaborate with HEPRA to prepare educational plan/curriculum for the dental school
� Attend scheduled trainings & participate in events
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 25
Familiar Territory
If you can hit this . . .If you can hit this . . . You canYou can ’’t miss this!t miss this!
Plus Plus ……
•• infection controlinfection control
•• medical historymedical history
•• prescribing and dispensing drugsprescribing and dispensing drugs
•• surgerysurgery
•• calm ing upset patientscalming upset patients
•• and much more and much more …… . . Frederick G. More, DDS, MSNYU College of Dentistry
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 26
Partnering, Planning &
Evaluating
� Join existing & emerging systems & Programs
� Partake in planning & policy
development
� Remove barriers (changing perceptions & resolving liability issues)
� Accelerate knowledge transfer
� Partner & evaluate
Dentistry’s role in responding to bioterroism and other catastrophic events: www.nidr.nih.gov/news/bioterroism.asp
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 27
New Partnerships
� Emergency management system
� Police departments
� Fire departments
� Emergency medical system
� Community health centers
� FBI
� Local public health department
� Department of Homeland Security
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 28
Family/Business Preparedness
� Get a kit
� Make a plan
� Be informed
� Get involved
www.ProtectYourFamily.ky.gov
Original Message-----
From: Sari Finn <sfinn39@hotmail.com>
To: Emanuel Finn <finn59@aol.com>
Sent: Tue, Apr 27, 2010 8:19 pm
Subject: life
hey daddy,
did you survive the tornado because mrs.kushnir and the class talked about it in class.
love ya ,
Sari
29
, , , Tornado Aftermath in St. Louis County, MO.
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 32
Make a Plan
� Develop a Family Communications Plan
� Know your region's potential disasters and how you will be notified
� Create a plan to shelter-in-place
� Create an evacuation plan
� Find out emergency plans at work, daycare, and school
� Practice your plan
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 33
Business Preparedness
WHAT'S THE PLAN, BOSS?
Source: www.ready.gov
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 34
ASTDD’s Response
� Oral Health & Medical Response Teams (OHMRT) subcommittee
� Standard Operating Manual (SOP) for dental directors on emergency preparedness & response (www.astdd.org)
� Provide a template on how state dental directors can engage with local & state jurisdictions & authorities
� Best Practice has been highlighted e.g. Illinois*
* Disaster Preparedness: The Dental Teams Role; May 18,2005 Satellite Broadcast for Dentists, Dental Hygienists & Local Health
Department Preparedness Staff, IDPH
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 35
Question OneHow prepared is your community to respond to a public health crisis?
A. Prepared to manage all aspects that can be
controlled.
B. Prepared to manage most important aspects
of a crisis.
C. Many important aspects of a crisis would not be effectively managed.
D. We had better avoid a major crisis.
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 36
Recommendations
� Leadership in state planning
� Leadership training to coordinate volunteers (mass care)
� Forensic odontology – Disaster Mortuary Operational Response Teams (DMORT)� Locate and retrieve anti-mortem dental records
� Epidemiology / surveillance
� Immunizations, triage or other health
� Involve dental school administration
Emanuel Finn, DDS, MS, DC Department of Health/ASTDD
OHMRT Committee 37
What’s Your Readiness
Quotient?
� www.whatsyourrq.org
� Test your Readiness
Quotient
� View the National Results
� Tips and Tools
� Toolbox for Oral Health
Directors
www.whatsyourrq.org