Flood Incident Annex...professionals, environmental health measures, and non-pharmaceutical...

Flood Incident Annex

Arizona Department of Health Services

Bureau of Public Health Emergency Preparedness

August 2017

Flood Incident Annex August 2017 2

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Table of Contents Record of Distribution ...............................................................................................................................................4

Record of Changes ..................................................................................................................................................... 5

Purpose ........................................................................................................................................................................ 7

Scope ............................................................................................................................................................................ 7

Situation Overview ..................................................................................................................................................... 7

Planning Assumptions .............................................................................................................................................. 8

Concept of Operations ............................................................................................................................................. 8

Preparedness Activities............................................................................................................................................... 9

Activation and Initial Response ................................................................................................................................ 9

Ongoing Response ........................................................................................................................................................ 9

Demobilization/Recovery ........................................................................................................................................... 9

Public Health Impacts/Indicators and Potential Actions ................................................................................. 10

ADHS HEOC Operations in a Flood Response ....................................................................................................... 11

Organization and Assignment of Responsibilities ............................................................................................. 13

Direction, Control, and Coordination.................................................................................................................... 14

Authority to Initiate Actions ..................................................................................................................................... 14

Information Collection, Analysis, and Dissemination ........................................................................................ 15

SEOC Coordination ..................................................................................................................................................... 15

Public Information and Joint Information Systems ........................................................................................... 15

Common Sources of Information............................................................................................................................ 15

Communications ......................................................................................................................................................... 16

Administration, Finance, and Logistics................................................................................................................. 17

Plan Development and Maintenance.................................................................................................................... 17

Authorities and References .................................................................................................................................... 18

Appendix A: HEOC PHIMS Template .................................................................................................................... 20

Appendix B: Flood Response Message Map ....................................................................................................... 21

Appendix C: Arizona County Flood Control Districts ......................................................................................... 22


Record of Distribution Date: Recipient: Platform:


Record of Changes Date: Change: Location 07/2016 Aligned position titles to current PHIMS structure

Created plan activation levels for scalability Further defined response activities through the phases

(Preparedness, response, recovery) Added potential Public Health impacts from flooding events Updated external partner list Added County Flood District contacts

Throughout entire document

11/2016 Updated layout and format of the document Throughout entire document


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Purpose This document serves as a hazard-specific annex to the Arizona Department of Health Services (ADHS) Emergency Response Plan (ERP), and any applicable roles of ADHS defined in the State Emergency Response and Recovery Plan (SERRP). The overall goal of this annex is to identify and limit the adverse public health effects from a flood, and to protect the public from sources of contaminated food and water.

This annex provides guidance to ADHS, describing the operational and organizational coordination required for a response to flooding in Arizona. With the development of this annex, ADHS will:

Identify and limit the adverse public health effects of flooding Identify conditions and/or events that would trigger activation of the Flood Response Incident

Annex Provide a framework for coordinating the efforts of divisions within ADHS, counties, tribes,

cities, and other stakeholders and agencies that provide services to support the citizens of Arizona. This includes necessary considerations for the special populations of Arizona, including but not limited to the:

o Homeless o Seniors o Medically “at-risk” o Those with access and functional needs; to reduce the health risks associated with

flooding and get information out to these populations in a timely manner Provide a list of prevention and educational resources that may mitigate adverse effects

and/or deaths from flooding Coordinate the sharing of critical information with state and local partners as described in the

ADHS Crisis and Emergency Risk Communication (CERC) Plan

Scope This annex describes how ADHS will utilize the Public Health Incident Management System (PHIMS) to manage a flood response impacting the public health and medical sector through the concept of operations, roles and responsibilities, information sharing and supporting operations such as environmental health, behavioral health and hospital & healthcare systems.

PHIMS utilizes concepts from the National Incident Management System (NIMS) as set forth by Homeland Security Presidential Directive (HSPD)-5. The PHIMS structure has been developed to support scalability in order to adapt to expanding incidents of all sizes. PHIMS has been developed to be compliant to those guidelines mandated by NIMS.

Situation Overview Despite its generally dry climate, many places in Arizona are at risk of flooding. As heavy rainfall drains off steep terrain, flash flooding downstream is inevitable. In the deserts, the heavy rainfall hits dry, hardened ground and quickly runs off into normally dry washes which are generally un-bridged. An example of a flood risk would be the summer monsoon season thunderstorms. These storms drop large volumes of rain in thirty (30) minutes or less statewide. (Situation Overview excerpt from the Vulnerability Assessment for Flooding in Arizona, 2016, ADHS Climate and Health Program)


There are multiple strategies that ADHS uses to identify and provide support for vulnerable critical facilities (e.g., nursing homes, schools, childcare centers, hospitals, long term care centers and other healthcare facilities). Primarily, ADSH utilizes a licensed facility interactive GIS map which shows a street-level view of all ADHS licensed facilities and gives key facility information.

Planning Assumptions ADHS will coordinate ESF 8 Health and Medical Operations for the State Emergency Operation

Center (SEOC) The Arizona Department of Emergency Management and Military Affairs (AZDEMA) will be the

lead agency for statewide flood response The roles and responsibilities that are described in this plan are designed to support the State

Emergency Response and Recovery Plan (SERRP), which is maintained by the Arizona Department of Emergency and Military Affairs (DEMA)

This incident annex supports the ADHS Emergency Response Plan (ERP) and the AHDS Health Emergency Operations Standard Operating Procedures (HEOC SOP)

ADHS personnel will support statewide operations by activating the Health Emergency Operation Center (HEOC)

ADHS will provide support to local health departments providing public health and medical support to their local communities

Activation of this annex will occur when local public health capabilities are exceeded during a flood response

This plan applies to all flood types (e.g., flash flood, over bank (river/stream) flooding, urban, ground failures/dam breaks, and fluctuating lake levels) as well as all severity of floods (e.g., localized flash flooding, 100-year floods, and 500-year floods)

ADHS will coordinate the development and dissemination of crisis and emergency risk communication (e.g., educational resources that may mitigate adverse effects and/or deaths from flooding and its consequences) with federal, state, county and tribal flood response partners through a Joint Information System

Concept of Operations The activities and steps listed in this annex will be used to support statewide public health and medical response efforts for flooding. This document may be used in whole or in part to guide smaller non-declared flood responses, as well as large declared disasters. Under this plan, the Department will utilize its NIMS compliant incident command system called the Public Health Incident Command System (PHIMS) to manage the incident. See the ADHS ERP, the ADHS HEOC SOP, and/or the ADHS CERC Plan for more information on public health emergency operations.

As a support agency for statewide flood response, ADHS will work with local, tribal, and state public health and emergency management partners to determine the need for HEOC activation and the activation of public health support systems (e.g., medical supplies and materiel, volunteer health professionals, environmental health measures, and non-pharmaceutical interventions).

This concept of operations (CONOPS) section provides an overview of the public health and medical response to flooding based on the following phases 1) Preparedness, 2) Activation and Initial Response, 3) On-Going Response, and 4) Demobilization


Preparedness Activities ADHS preparedness personnel regularly monitor reports and receive alerts for severe weather

from the National Weather Service (NWS), Department of Transportation and other sources ADHS preparedness staff regularly monitors WebEOC for events related to flooding hazards The ADHS Office of Environmental Health continuously works with state, local, tribal, and

community partners to promote extreme weather and flood preparedness The ADHS Bureau of Public Health Emergency Preparedness maintains situational awareness

with county, tribal, and healthcare partners during extreme weather events The ADHS Hospital Preparedness Program (HPP) works with health care coalitions, which

include hospitals, clinics, long term care facilities and other healthcare access points, to improve preparedness and response capabilities for all types of hazards (including flooding)

ADHS maintains a cache of durable medical equipment that can be used to support persons with basic to moderate healthcare needs in a general population shelter

Activation and Initial Response The ADHS Director or designee may activate all or part of this annex based on input from local

health departments, emergency management, or other partners Activation may be triggered by a county or tribal health department request for support, or a

health care coalition partner request for resources The HEOC may be activated physically or virtually to support the response based on the scale

and scope of the incident Notification and activation procedures for HEOC staff are documented in the HEOC SOP

Ongoing Response HEOC staff will maintain situational awareness with emergency management, public health,

emergency medical services, and health care coalition partners Healthcare facility capacity and capability (i.e., medical surge) will be monitored throughout

the response Environmental health staff in the HEOC will work with partner agencies (e.g., environmental

quality) to assess health impacts and develop public messaging ADHS will coordinate with state, tribal, and local partners to address considerations for access

and functional needs populations affected by flooding HEOC staff will work with the Arizona Health Care Cost Containment System (AHCCCS) to

coordinate behavioral health services

Demobilization/Recovery HEOC demobilization may coincide with SEOC demobilization or may occur when local public

health and healthcare system capacity is restored Certain response components (e.g., environmental health, behavioral health) may continue

after the HEOC is demobilized- these activities will become part of the recovery phase (see the ADHS Recovery Plan for more information)

Once the life safety and public health concerns have been resolved, recovery operations will become the primary focus

The HEOC Manager, in consultation with the ADHS Director, will initiate demobilization of the HEOC staff and resources


Efforts will focus on the restoration of public health infrastructure and healthcare system capacity and capability including monitoring and coordinating response to ongoing public health, medical and mental/behavioral health system recovery needs

Recovery efforts may continue long after demobilization of the HEOC

Public Health Impacts/Indicators and Potential Actions Three levels have been created to describe the increasing complexity and severity of a public health and medical flood response.

Each level includes indicators for public health, healthcare system, environmental health, sheltering operations, and behavioral health impacts (see Table 1). The indicators listed below are intended for response escalation and may serve to prompt some of the action and tactics included in Table 1 below.

Plan Activation

Level Indicators/Impact Potential Actions/Tactics

Leve

l 1

Reported flood watch (conditions are favorable for flooding and flooding is possible)

No activation Local, tribal and state public health monitoring

any increase in flood-related illness or injury Public health staff on standby for possible

activation of HEOC Healthcare facilities on stand by for shelter-in-

place or evacuation Establish situational awareness for healthcare

facilities in the impacted areas Local and state sheltering staff (ESF 6) on

standby to activate shelters Shelters on standby for evacuees

Leve

l 2

Reported flood warning (flooding is imminent or occurring)

Transportation systems disrupted (specifically EMS)

Increase in flood-related illness/injury

A single well or water system contaminated (sewer or drinking water)

Healthcare facility evacuation occurring

Local/tribal health requested state support for flooding impacts (medical surge, sheltering, others)

Activation of shelters Need for behavioral health

support services

Activation of annex Virtually activate HEOC Provide liaison to SEOC (if activated) Provide PIO for SEOC Joint Information Center

(JIC) as requested Assess need for durable medical equipment Coordinated public health messaging

disseminated


Plan Activation

Level Indicators/Impact Potential Actions/Tactics

Leve

l 3

Reported flood warning Multiple facility

evacuations/shelter in place plans activated

Evacuations of AFN/SMI/medically fragile populations

Disruption of transportation systems (specifically EMS)

Multiple systems (sewer or drinking water) impacted

Activation of annex Virtual/physical HEOC activation (dependent on

incident scope)

Dem

obili

zati

on/R

ecov

ery

Immediate life safety and public health concerns have been resolved

HEOC capability reduced Inform, staff, media and public that emergency

no longer poses a significant threat to public health or safety

Verify all systems, technology and communications systems are accounted for

Ensure any resources deployed to support response operations are tracked and returned

Conduct after-action conferences and follow up with partner agencies and organizations (local public health, hospitals, healthcare facilities, behavioral health systems/providers and emergency management)

ADHS HEOC Operations in a Flood Response A variety of PHIMS chart positions are detailed in the HEOC SOP, along with job action sheets. The positions listed below provide an overview of some of the roles and responsibilities for HEOC staff in a flood response with a public health impact:

PHIMS Position/Title Responsibilities Epidemiology Branch Director

Draft environmental and public health messages for the public and healthcare practitioners

Track epidemiological data

Environmental Health Branch Director

Provide technical advice and consultation to local health departments, health care providers, ADEQ, food and water entities and others for the following environmental and public health issues:

o general sanitation o safe food o water supply o re-entry o mold/contamination issues o carbon monoxide poisoning


PHIMS Position/Title Responsibilities Provide public health information related to public

health issues such as maintaining sanitary conditions, a source of potable water and the decontamination of food

Give guidance and recommendations on food storage and food safety to the State Prison kitchens as well as Assisted Living and Group Homes

Lend assistance to the local health departments for shelters, restaurants, retail food establishments and application of vector control measures as needed

Ensure inspection of various shelters for sanitation and cleanliness

Provide support to the Arizona Department of Environmental Quality and the local health departments to advise on safe drinking water and community water systems

Epidemiology Branch Director - Human/Zoonotic Surveillance Supervisor

Provide technical advice on vectors and animals as they relate to public health

Immunization Branch Director

Provide technical advice and consultation to local health departments, health care providers, first responders and the general public regarding tetanus and other vaccine administration

If requested by the county public health department(s), provide assistance in the ordering and receipt of appropriate vaccines

Public Health Messaging Branch Director

Coordinates messaging to healthcare providers and the public

Develops provider messaging to be distributed through the Health Alert Network

Develops public messaging to be distributed through the JIC

Develops fact sheets and talking points for internal ADHS staff and for external use by local health

May develop other materials, as needed. Letters, toolkits, social media messaging, etc.

Coordinates Spanish translation of materials, as needed. Provides news and media updates Provides guidelines as they are updated by CDC and

other agencies Local/Tribal Health Branch Director

Helps to coordinate support of local AND tribal health departments for resources and staff time

Hospital and Healthcare Branch Director

Provide coordination and guidance to the Licensing Supervisor

Act as the liaison to other PHIMS to ensure consistency and continuity as appropriate

Hospital and Healthcare Branch Director/Licensing Supervisor

Support group homes, assisted living facilities, hospitals, community health centers, and other healthcare providers regarding environmental, public health and evacuation issues


Organization and Assignment of Responsibilities Primary Agencies Roles and Responsibilities

State

Arizona Department of Health Services

Health Emergency Operations Center (HEOC)

Division of Behavioral Health Services (BHS) Division of Public Health Services (PHS) Bureau of Public Health Emergency Preparedness (PHEP) Bureau of Epidemiology and Disease Control (EDC) Bureau of Emergency Medical Services and Trauma System Bureau of State Laboratory Services Public Health Licensing

Activate HEOC to provide emergency operations coordination of health and medical services

Provide liaison to SEOC for public health representation if needed

Provide assistance to county and tribal public health organizations in identifying additional emergency medical services

Identify licensed care facilities in affected and/or evacuated areas

Provide epidemiologist and laboratory support

Identify and share EMS support resources Provide interpretation of water quality data

relating to public health Provide ESAR VHP/Volunteer Coordination Provide a Public Information Officer (PIO) to

craft (in conjunction with the local health departments) various health messages for the SEOC Joint Information Center (JIC)

Coordinate with the Centers for Disease Control and Prevention (CDC)

Coordinate resource requests from local and tribal and healthcare system partners

Liaison with AHCCCS and provide a connection with RHBAs and TRHBAs and local/tribal health departments to coordinate behavioral health services

Arizona Division of Emergency and Military Affairs (AZDEMA)

State coordination of flood response Coordinate operations of JIC/JIS Coordinate information sharing to maintain a

common operating picture

Secondary/Support Agencies Roles and Responsibilities

State

Arizona Department of Environmental Quality (ADEQ)

Environmental impact assessment (activated through HEOC) Provide data on water quality

Arizona Department of Transportation

(ADOT)

Infrastructure Assessment (activated through HEOC) Provide status reports and reporting on road closures, bridge

issues, loss of transportation routes Damage assessment of critical infrastructure organizations


Arizona Department of Economic Security

(DES)

Identification of access and functional needs populations Social services assistance

Arizona Department of Water Resources

(ADWR)

Assess and coordinate critical flood data from various federal, state and local agencies

Other State Agencies Additional information and state agency support may be

requested from various agencies depending in the size, scope and nature of the incident

County/Tribal

County Emergency Management Assess need for shelter Coordinate resource requests from local public health Work with ARC to coordinate shelter operations

County/Tribal Public Health Monitor the medical and behavioral health needs of the community, including those in shelters

Local

Flood Control Districts Flood plain data and projections Floodplain management Storm water quality and management

Federal

Centers for Disease Control and Prevention (CDC)

Fulfill Strategic National Stockpile (SNS) requests if needed/requested

National Weather Service (NWS)

Provide weather data and future forecasting as well as Incident Meteorologist

Issue hydromet forecasts, watches and warnings. Only NWS can issue official flood watches and warnings

Non-Governmental Organizations (NGOs)

Private Utility Companies Provide situational awareness on infrastructure status Assist in responder/public safety and health through

deactivation of utilities to affected areas

American Red Cross (ARC) Provide sheltering support (ESF #6 Mass Care)

AzCHER Central Healthcare Coalition Healthcare systems monitoring/HEOC Liaison

Arizona Volunteer Organizations Active in Disaster (AzVOAD) Provide personnel and resource support as needed

Regional Behavioral Health Authority

(RBHA)

Provide behavioral health outreach and identification of behavioral health populations

Direction, Control, and Coordination Authority to Initiate Actions

1. The Agency Director of the Arizona Department of Health Services, or designated appointee, holds primary responsibility for activation of the Health Emergency Operation Center (HEOC) and the Public Health Incident Management System (PHIMS). This power is also vetted to the


Assistant Director of Public Health Preparedness Services and the Bureau Chief of the Bureau of Emergency Preparedness.

2. Implementation of the Flood Response Incident Annex will come from the HEOC Manager or appointed official.

3. Incident Command System - As an agency that receives federal funding, ADHS incorporates elements of the National Incident Management System (NIMS) into emergency operations. The Department’s incident command structure, the Public Health Incident Management System (PHIMS), is NIMS compliant. PHIMS integrates multiple department-wide program activities into a cohesive, modular emergency response structure capable of expanding or contracting to fit the size of the emergency or disaster. ADHS utilizes after action items and lessons learned from real-world emergencies, drills and exercises to continually improve response direction and operations coordination.

Information Collection, Analysis, and Dissemination Information will be collected, analyzed, and disseminated through the HEOC. The Planning Section is primarily responsible for information collection, subject matter experts across the HEOC will perform information analysis, and the Logistics Section and the joint information system (JIS) is responsible for information dissemination. In keeping with ICS guidelines, a number of standard reports, meetings, and systems are used to manage information. These include the incident action plan, situation reports, command staff meetings, and joint information systems.

SEOC Coordination ADHS and the HEOC will coordinate with the SEOC and the Joint Information Center (JIC), if activated, through WebEOC and with the Health and Medical Branch Director for all response needs and to maintain situational awareness of the incident.

Public Information and Joint Information Systems During a response, ADHS will be working with partner agencies to coordinate a joint information system (JIS), either virtual or in person. The JIS will work closely with the ADHS Public Information Officer (PIO) and the Information Dissemination Lead to develop and disseminate public messaging related to the health and medical components of the response. (See Appendix B for the Flood Response Message Map)

Additionally, the information gathering and media monitoring functions of the JIS will be very important for all response partners, including public health and medical responders. Information from the media and the general public (including online sources) will help HEOC personnel and public information officers tailor messaging and response strategies to address hot-topic issues in a timely manner.

See the ADHS Crisis and Emergency Risk Communication Plan for additional information on public information and messaging.

Common Sources of Information During a flood response, ADHS will access various sources of information in order to maintain situational awareness throughout the response and into recovery. Some of those sources of information include:


System/Information Source Capability

Arizona Department of Transportation (ADOT) Infrastructure awareness and resources Arizona Flood Warning System (www.afws.org) Coordinated flood data between federal, state

and local agencies Intermedix EMResource™ Statewide healthcare system statuses and surge

capacity Intermedix EMTrack™ Provides patient tracking for mass casualty

incidents. Assists in gauging medical surge status

Local/Tribal Emergency Management Situational awareness updates National Weather Service (NWS) Weather and alert information SEOC – WebEOC™ Allows for information sharing between

jurisdictions and maintaining situational awareness with statewide partners

SEOC – Liaison Provides HEOC with real time information from SEOC briefings; Faster collaboration with partner agencies

700/800 MHz Radio System Provides ADHS a direct link to Hospitals (Central Region) and Phoenix and Mesa Fire Alarm centers in the event of telephone and cellular systems failure

Communications ADHS will utilize these means to disseminate information to the media, the public and stakeholder groups. The table below lists various systems and platforms along with the target audiences reached.

Communication System/Platform Media Public Stakeholder

WebEOC™ X

Ariz. Emergency Information Network X X X

Arizona Health Alert Network (AzHAN) X

Arizona Health Services Portal (HSP) X

Call center X

Conference calls X X

Email X X

Emergency Alert System (Phone, Radio, TV) X

Intermedix EMResource™ X

Low tech (e.g., flyers, door-to-door) X

News conferences, briefings X

Press Releases x

http://www.afws.org/


Communication System/Platform Media Public Stakeholder

Social media (Twitter, Facebook, etc.) X X X

State Emergency Call Center X

Telephone X X X

Town halls & community meetings X X X

700/800 MHz Radio System (base and handheld)

X

24-hour Information Line (ADHS) (602) 364-4500 or (800) 314-9243

x

Administration, Finance, and Logistics During declared emergencies, impacted jurisdiction(s) and other responding agencies are responsible for maintaining records of all expenditures incurred during response operations for possible federal reimbursement.

ADHS manages expenditure of funds to provide reasonable accountability and justification for federal reimbursement in accordance with established guidelines.

During emergencies, ADHS-PHEP Finance works with counties, tribes, hospitals and clinics to ensure the best use of funds for the CDC and HPP Grants by keeping detailed records of all expenditures, for example:

Creating reports for facilitation of spending Developing contracts for government to government and government to vendor Managing the budgeting and implementation of funds through contracts, purchase orders, and

forecasting monthly reports to management Working with staff to develop better, faster, easier reporting systems and turn-around time

Plan Development and Maintenance Review and maintenance of this plan should be done on a yearly basis, headed by the ADHS Bureau of Public Health Emergency Preparedness (BPHEP) with partnership from all involved agencies to ensure accurate and timely information. Information gathered through real-life and training events will be used in the plan review process by adapting lessons learned through After-Action Reports (AAR) and Improvement Plans (IP), as recommend through the Homeland Security Exercise and Evaluation Program (HSEEP) to ensure continuous process improvement.

Revisions will be produced and reviewed by the Senior Advisory Council for approval. This plan will be housed in the ADHS BPHEP Office as well as posted on-line through HSP for access to PHEP and HPP partners to aid in the development of their own planning. Furthermore, this plan will be open to public review on the ADHS public website with the ability for comment through a web based survey.


Authorities and References Note: The summary is intended as a basic reference guide – for a comprehensive listing of Arizona Revised Statutes visit the Arizona State Legislature website http://www.azleg.gov/ArizonaRevisedStatutes.asp

Under ARS § 26-303, the Governor:

During a State of Emergency, shall have complete authority over all state agencies and the right to exercise all police power vested in the state by the constitution and the laws of the state; and may direct all state agencies to utilize and employ state personnel, equipment and facilities for the performance of activities designed to prevent or alleviate damage due to the emergency.

During a State of War Emergency, shall have all authorities as with a State of Emergency; may suspend the provisions of any statute prescribing the procedure for the conduct of state business if the governor determines strict compliance with provisions of any statute would hinder mitigation of the effects of the emergency; may commandeer and utilize any property or personnel deemed necessary in carrying out the responsibilities of the governor and thereafter the state shall pay reasonable compensation.

May confer to the Adjutant General the powers of the Governor prescribed under a State of Emergency.

ARS § 36-104: Powers and Duties (of the Department)

This section is intended to be a statement of powers and duties in addition to the powers and duties granted by section 36-103. The director shall:

1. Administer the following services:

(b) Public health support services, which shall include at a minimum:

(i) Consumer health protection programs that include at least the functions of community water supplies, general sanitation, vector control and food and drugs

(ii) Epidemiology and disease control programs that include at least the functions of chronic disease, accident and injury control, communicable diseases, tuberculosis, venereal disease and others

(iii) Laboratory services programs

(iv) Health education and training programs

4. Determine when a health care emergency or medical emergency situation exists or occurs within the state that cannot be satisfactorily controlled, corrected or treated by the health care delivery systems and facilities available. When such a situation is determined to exist, the director shall immediately report that situation to the legislature and the governor. The report shall include information on the scope of the emergency, recommendations for solution of the emergency and estimates of costs involved.

ARS § 36-132: Department of health services; functions, contracts

17. License and regulate health care institutions according to chapter 4 of this title.

http://www.azleg.gov/ArizonaRevisedStatutes.asp


19. Participate in the state civil defense program and develop the necessary organization and facilities to meet wartime or other disasters.

ARS § 36-136: Powers and duties of director; compensation of personnel

G. Notwithstanding subsection H, paragraph 1 of this section, the director may define and prescribe emergency measures for detecting, reporting, preventing and controlling communicable or infectious diseases or conditions if the director has reasonable cause to believe that a serious threat to public health and welfare exists. Emergency measures are effective for no longer than eighteen months.

H. The director, by rule, shall:

1. Define and prescribe reasonably necessary measures for detecting, reporting, preventing and controlling communicable and preventable diseases. The rules shall declare certain diseases reportable. The rules shall prescribe measures, including isolation or quarantine, reasonably required to prevent the occurrence of, or to seek early detection and alleviation of, disability, insofar as possible, from communicable or preventable diseases. The rules shall include reasonably necessary measures to control animal diseases transmittable to humans

Appendix A: HEOC PHIMS Template

Appendix B: Flood Response Message Map Scenario: Flood Preparedness Stakeholder: General public

Concern: What can we do to prepare for a

flood?

Key Message 1 Key Message 2 Key Message 3

Follow the guidance provided in broadcasted

flood warnings. Prepare a family plan, and have emergency

telephone numbers available.

Identify and talk with neighbors, friends, and

family that may be especially at risk during a

flood.

Support Point 1.1 Support Point 2.1 Support Point 3.1

Obtain a National Weather Service (NWS)

Emergency Band Radio or portable radio. Have

extra batteries.

Assemble a disaster supply kit with enough

non-perishable food, water, and other

supplies for at least 72 hours.

Some people may face extra challenges

during a flood


Visit www.azein.gov for update information on

flooding.

Within your plan, Identify points of contact

outside of the flood zone that you can check

in with.

Those living alone may be isolated and

unaware of the dangers posed by flooding


Be sure to follow evacuation orders for your

area even if water levels haven’t reached you.

Encourage others to make an emergency plan

and disaster kit.

http://www.azein.gov/

Appendix C: Arizona County Flood Control Districts

Coconino County, Engineering Department

2500 N. Fort Valley Rd., Building #1 Flagstaff, AZ 86001 (928) 679-8850 (800) 559-9289

Cochise County, Highway and Floodplain Department

1415 Melody Lane, Bldg F Bisbee, AZ 85603 (520) 432-9300 [email protected] [email protected]

Gila County Flood Control District 107 W. Frontier St. Suite A Payson, AZ 85541 (928) 474-1076 [email protected]

Flood Control District of Maricopa County 2801 W. Durango St. Phoenix, AZ 85009 (602) 506-1501 (Main) (602) 506-2419 (Floodplain Information) (602) 506-6762 (Media Inquiries) (602) 506-4723 (Citizen Advocate)

Mohave County Flood Control District 3250 E. Kino Ave. Kingman, AZ 86409 (928) 757-0925 [email protected]

Pima County Regional Flood Control District 201 North Stone Ave., 9th Floor Tucson, AZ 85701 (520) 724-4600

mailto:[email protected]




Santa Cruz County Flood Control District

Gabilondo-Zehentner Building 275 Rio Rico Dr. Rio Rico, AZ 85648 (520) 375-7830

Yavapai County Flood Control District 1120 Commerce Dr. Prescott, AZ 86305 (928) 771-3197 weather.ycflood.com

Yuma County Flood Control District Department of Development Services 2351 W. 26th St. Yuma, AZ 85364 (928) 817-5000 [email protected]


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