TAOS COUNTY BOARD OF COUNTY COMMISSIONERS

Emergency MeetingsTuesday March 17, 2020

8:45 AMTaos County Commission Chambers

NOTICE TO THE PUBLIC

Jim FambroCommissioner District 1

Mark GallegosCommissioner District II

Gabriel RomeroCommissioner District III

Tom BlankenhornCommissioner District IV

Candyce O'DonnellCommissioner District V

Notice is hereby given to the governing body of Taos County, the Board of County Commissioners, will hold aEmergency Meetings on Tuesday March 17, 2020 at 8:45 AM. The meeting will take place at the CommissionChambers at the Taos County Administrative Complex - 105 Albright Street - Taos, New Mexico 87571.

AGENDA I.. Call to Order II.. Roll Call III.. Pledge of Allegiance IV.. Emergency Matters A. Discussion, consideration and decision regarding the approval of Resolution No.

2020-22, A Resolution regarding COVID-19 Emergency/Disaster Declaration

2020-22.pdf

B. Discussion, consideration and decision regarding the Taos County's Pandemic FluAnnex

Pandemic Plan 3-17-20.pdf1

C. Discussion, consideration and decision regarding the approval of DFA ResolutionNo. 26, 2019/2020 F Y, A Resolution requesting to adjust 2020 FY Final Budget,to establish a fund and budget to monitor the expenditures in response to TaosCounty declaring a State of Emergency and; to transfer temporary cash from theGeneral Fund.

DFA 26 .pdf

V.. Adjournment If you are an individual with a disability who is in need of a reader, amplifier, qualified sign languageinterpreter, or any other form of auxiliary aid or service to attend or participate in the meeting, contact theTaos County Administration Office located at 105 Albright Street, Suite G, Taos, New Mexico as soon aspossible or call (575) 737-6300.

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AGENDA ITEM NO.Taos County-501-2019

Taos County

BOARD OF COUNTY COMMISSIONERS AGENDA ITEM REPORT DATE: March 17, 2020

SUBJECT:Discussion, consideration and decision regarding the approval ofResolution No. 2020-22, A Resolution regarding COVID-19Emergency/Disaster Declaration

2020-22.pdf

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AGENDA ITEM NO.Taos County-499-2019

Taos County

BOARD OF COUNTY COMMISSIONERS AGENDA ITEM REPORT DATE: March 17, 2020

SUBJECT: Discussion, consideration and decision regarding the TaosCounty's Pandemic Flu Annex

Pandemic Plan 3-17-20.pdf

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TAOS COUNTY EMERGENCY OPERATIONS PLAN

Pandemic Flu Annex

PRIMARY AGENCY:

Taos County Emergency Management Department

SUPPORT AGENCIES:

New Mexico Department of Health (NMDOH) New Mexico Department of Homeland Security and Emergency Management (NMDHSEM) New Mexico Department of Public Safety (NMDPS) New Mexico Environment Department (NMED) Indian Health Services (IHS) Center for Disease Control (CDC) Other Federal/State Departments as necessary Contract Technical/Clean up Support as necessary

EXECUTIVE SUMMARY

Purpose

The purpose of this attachment is to ensure that all Taos County Departments are aware of and capable of

responding to a Pandemic outbreak that may occur in the County. This appendix will describe Crisis

Management and define the policies and procedures to coordinate the response to a Pandemic outbreak.

Scope

This appendix applies to a threat that could occur because of a Pandemic Outbreak in Taos County. It will

address unique policies, situations, operating concepts, responsibilities and funding guidelines required for a

response in case of a Pandemic Outbreak.

Overall Emergency Management Goal

To coordinate emergency response efforts to save lives, protect property and restore the community.

Plan Goals

This pandemic response plan, while primarily focused on influenza, could be applied to any pandemic caused by a respiratory virus. This plan is designed to protect the life and health of the population of Taos County. It outlines preparations to ensure that Taos County is adequately equipped to deal with a pandemic of any degree of severity and to respond in a coordinated and efficient manner to minimize the impact of a pandemic on the people and infrastructure of Taos County.

Flu Terms Defined

Influenza pandemics are unpredictable worldwide events that can have health, economic, and social

consequences. Global economic interdependence, international travel and trade increase the threat of

infectious viral diseases.

An influenza pandemic occurs when new (novel) influenza A viruses emerge which can infect people easily

and spread from person to person in an efficient and sustained way. 7

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People have little or no immunity to the new virus and a vaccine may not be available. The disease spreads

easily from person to person, causes serious illness, and can sweep across the country and around the

world in a short time.

Special Considerations for Pandemic

The response to a pandemic will pose substantial physical, personal, social, and emotional challenges to

healthcare providers, public health officials, and other emergency responders and essential service workers.

Experience with disaster relief efforts suggests that enhanced workforce support activities can help responders

remain effective during emergencies.

During a pandemic, the occupational stresses experienced by healthcare providers and other responders are

likely to differ from those faced by relief workers in the aftermath of a natural disaster. Globally and nationally, a

pandemic might last for more than a year, while disease outbreaks in local communities may last 5 to 10 weeks.

Medical and public health responders and their families will be at personal risk for as long as the pandemic

continues in their community.

Special planning is therefore needed to ensure that hospitals, public health agencies, first-responder

organizations, and employers of essential service workers are prepared to help employees maximize personal

resilience and professional performance. An essential part of this planning effort involves the creation of

alliances with community-based organizations and nongovernmental organizations with expertise in and

resources for psychosocial support services or training.

Non-pharmaceutical interventions may be implemented before medical countermeasures are available. Non-

pharmaceutical interventions are the ability to implement, if applicable, strategies for disease, injury, and

exposure control.

Strategies include the following:

• Isolation and quarantine

• Restrictions on movement and travel advisory/warnings

• Social distancing

• External decontamination

• Hygiene

• Precautionary protective behaviors

I. Overall Pandemic Response Plan Priorities

The following priorities are listed in order of importance. Whenever demands for emergency resources conflict,

the operational demand that is highest on this list will prevail.

Save Lives

• Provide safety/support for responders

• Situation monitoring and assessment

• Save human lives

• Collaborate with health care systems to maintain services and handle surge

• Implement non-pharmaceutical interventions to reduce the spread of disease 8

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• Public Information Sharing and Communication

• Evacuate people from the effects of the emergency.

• Shelter and care for those evacuated.

• Save animals.

Protect Property

• Save property from destruction.

• Act to prevent further loss.

• Provide security for property, especially in evacuated areas.

Restore Services

• Restore essential utilities

• Support recovery operations for public health and related systems for the community

• Help restore economic basis of the community

• Implement corrective actions to mitigate damage from future incidents

II. State Level Actions During a Public Health Emergency

• The State Governor, by Executive Order, has mandated the use of Incident Command System (ICS) in New Mexico for all types of emergency response.

• The purposes of the Public Health Emergency Response Act [ 12-10A-1 to 12-10A-19 NMSA 1978] are to: o provide the state of New Mexico with the ability to manage public health emergencies in a

manner that protects civil rights and the liberties of individual persons; o prepare for a public health emergency; o provide access to appropriate care, if needed, for an indefinite number of infected, exposed or

endangered people in the event of a public health emergency.

• The New Mexico Public Health Emergency Response Act (PHERA) provides that the governor, after consultation with the secretary of health, may issue an enhanced public health advisory if the governor has reasonable cause to believe that a public health emergency may occur.

o The secretary of health may use powers and duties conferred under the Public Health Act [ 24-1-1 to 24-1-22 NMSA 1978] to investigate the conditions leading to the issuance of the enhanced public health advisory.

o The enhanced public health advisory shall be broadly disseminated in English, Spanish and other appropriate languages to the impacted population.

• In order to protect the health, safety and welfare of the people in the state during a public health emergency, the secretary of health, in coordination with the Secretary of Public Safety and the Emergency Management Director, may:

o utilize, secure or evacuate health care facilities for public use; and o inspect, regulate or ration health care supplies as provided in Subsection B of this section.

• If a public health emergency results in a statewide or regional shortage of health care supplies, the secretary of health may control, restrict and regulate the allocation, sale, dispensing or distribution of health care supplies.

• The state medical investigator, after consultation with the Secretary of Health, the Secretary of Public Safety and Director of Emergency Management, may implement and enforce measures to provide for

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the safe disposal of human remains that may be reasonable and necessary to respond to a public health emergency.

o The measures may include special provisions for embalming, burial, cremation, interment, disinterment, transportation and disposal of human remains.

o To the extent possible, the religious, cultural, family and individual beliefs of a deceased person or of the family of a deceased person shall be considered when disposing of human remains.

III. County Level Actions During a Public Health Emergency

This Annex provides guidance for Taos County’s response to a potential or actual pandemic incident. It outlines

an organized response of a multi-jurisdictional response system and integrates that response with state

government through the New Mexico Department of Health (NMDOH) using the following

Although the NMDOH may be designated as lead agency during a public health emergency, at the local level a Unified Command will be activated which will include all or part of:

• New Mexico Department of Health o Northwest Public Health Region

• Local Government Representatives

• Local Office of Emergency Management

• Local Hospital Coalition

• Indian Health Service

All response will integrate the National Incident Management System (NIMS) that includes using the Incident

Command System (ICS) as a structured organizational structure used to command, control and coordinate

resources and personnel who respond to the scene of an emergency.

This information augments the information contained in the County All-Hazard Emergency Operations Plan

(EOP). It builds upon the process and structure of Standard Operating Guidelines of the departments by

addressing unique policies, situations, operating concepts, responsibilities and funding guidelines required for

cleanup and/or recovery.

IV. Scope of Operations

This summary shows how the County will deal with pandemic emergencies. The key to a successful response

during the emergency depends on the following:

1. Training in ICS (NIMS) for Responders. 2. Training in support coordination at the Emergency Operations Center (EOC). 3. Training in Emergency Management Courses. 4. Training in pandemic response. 5. Training the Multi-Jurisdictional Response Team. 6. Evaluating response capability through Exercises and response to actual events. 7. Providing for an after-action Corrective Action Component. 8. Updating plans, policies, procedures and other actions as needed. 9. Provide planning for staffing and up to 40% reduction in work force.

V. Typical Sequence of Emergency Activities Assumptions:

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The local emergency response and subsequent EOC activation for a pandemic will vary from the usual

emergency response.

• It is anticipated that the State of New Mexico would declare of Public Health Emergency following Federal guidance in response to a pandemic situation.

• The Governor, in coordination with the NMDOH Cabinet Secretary, will declare a public health emergency.

• Response will be coordinated by the NMDOH Secretary and will include the Secretary of the New Mexico Department of Public Service (NMDPS) and the New Mexico Department of Homeland Security and Emergency Management (NM DHSEM) Cabinet Secretary.

• The State EOC as well as NMDOH DOC will be activated to support, collaborate and coordinate local response efforts.

• The NMDOH will coordinate with Public Health Regions, who in turn, will coordinate with the local emergency manager or the local government entities

• The local EOC will work with the NMDOH to provide resources for the pandemic response.

• New Mexico State Police, Fire and Rescue Chief, Law Enforcement and other necessary person (such as Emergency Medical Response Services), will meet to determine what the County’s (or other jurisdiction) response will be to the current threat.

• The jurisdiction’s officials or emergency manager will be notified, which will set into motion the coordination of additional resources or emergency actions as deemed necessary to save lives and protect property.

• Typical sequence of emergency activities includes three major phases of emergency management: Mobilization, Response, and Recovery.

VI. Typical Sequence of Emergency Activities

• NMDOH notifies County Emergency Manager to activate Medical Countermeasure Plans

• The local Public Safety Analysis Team (PSAT) decides if EOC activation is required or the level and type of response required.

• A member of NMDOH will be requested to assist the PSAT

• Activation of the City Readiness Initiative Plan is determined

• Activation of the CRI Annex to the County EOP is determined

• Activation of Intermediary Distribution Site

• Activation of Point of Dispensing Sites

• Coordination with Local Public Health Regional Operations Center (ROC)

• The EOC Director may activate the EOC, establish communications, issue warnings, & activate Red Cross and other EOC Staff as needed.

• Population protection and requests from the Incident Commander are considered. Initial assessment should include identifying vulnerable populations such as hospitals, schools, nursing homes and areas where large numbers of people can be found.

• Risk to emergency responders & population is factored into operations plan.

• EOC will fulfill resource requests from the Incident Command Post (ICP) only.

• EOC will anticipate problems, plan and direct plan implementation.

• Recovery plan is initiated.

• Cost recovery procedures initiated. 11

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VII. ROLES AND RESPONSIBILITIES

FEDERAL LEVEL

• Provide medical materiel; technical support: financial support; situational information, priorities and guidance.

• Deliver SNS assets to State RSS Site.

NMDOH STATE LEVEL NMDOH

▪ Coordinates receipt and distribution of medical materiel, including SNS assets, throughout the state.

▪ Coordinates and communicates with the CDC and other federal agencies regarding medical materiel logistics.

▪ Coordinates and communicates with the NMDHSEM and other state agencies regarding coordination and support issues.

▪ Coordinates and communicates with local, tribal, regional, state, and federal emergency operating centers regarding coordination and support issues.

▪ Develops and coordinates a statewide system for recovery of assets. ▪ Maintains an inventory management system. ▪ Coordinates and supports volunteer staffing issues ▪ Collects, consolidates, and distributes information to maintain a common operating picture.

NMDHSEM STATE EOC

▪ Implements and enforces emergency directives. ▪ Processes EMAC and IMAS requests for assistance from other states, agencies, and jurisdictions. ▪ Coordinates and supports emergency operations.

NMDOH REGIONAL LEVEL

ROC

▪ Coordinates and supports the regional medical response under the direction of the NMDOH ▪ Sends representatives to Local Emergency Operation Centers (LEOCs), if requested. ▪ Coordinates and supports the medical response under the direction of the NMDOH PHAC. ▪ Coordinates and communicates with local, tribal, regional, and departmental operations centers

regarding coordination and support issues. ▪ Coordinates and supports volunteer staffing issues. ▪ Collects, consolidates, and distributes information to maintain a common operating picture. ▪ Participates in a Joint Information System (JIS)

LOCAL LEVEL LEOC

▪ Coordinates with ICP/ROC/DOC/EOCR and/or the State EOC for logistics support. 12

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ICP ▪ Creates and executes Incident Action Plans ▪ Ensures the safety of responders and others ▪ Ensures the achievement of tactical objectives ▪ Ensures the efficient use of resources ▪ Gathers and reports situational information

PODs

▪ Implements Tactical Plans ▪ Distributes countermeasures ▪ Collects, records, and reports information on clients receiving countermeasures ▪ Collects, records, and reports information on POD operations ▪ Receives and manages inventory

VIII. OPERATIONS

When Strategic National Stockpile assets and materiel have been received by the State of New Mexico, there are two strategies for distributing in the Northwest Region:

o Materiel may be transported to the user facility directly from a Receipt, Storage and Shipping (RSS) site appropriately apportioned and ready for distribution or;

o Pharmaceutical resource ordering from Points of Distribution (PODs) will be directed to the Regional Operations Center / Regional Incident Command Post depending on the scale of the incident command structure.

Medical Countermeasures Distribution For operational guidance in the distribution of medical countermeasure and POD operations, refer to the NM Medical Countermeasures Operational Guide. Site-specific POD and POD Security Plans are on file at the Regional Headquarters, BHEM, Regional Public Health Offices, and local Offices of Emergency Management. State and Local Policies and Procedures to Support Mass Prophylaxis Operations Legal Considerations: During an emergency or disaster, some administrative procedures may be suspended, relaxed, or made optional. Such action will be carefully considered, and the consequences should be projected realistically. Departures from usual methods will be stated in the Governor’s State of Emergency Order and in emergency plans. Legal issues to support medical supplies management, distribution, and mass prophylaxis operations are outlined in the state SNS Countermeasure and Distribution Plan.

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REFERENCES

New Mexico All Hazard Emergency Management Act (AHEMA) §12-10-11 through 13, New Mexico Annotated (NMSA)

(1978).

PHA §24-1-15. L (3), NMSA (1978) and the New Mexico Public Health Emergency Response Act (PHERA), §12-10A-1.G and

L., and Section 12-10-11 through 13 NMSA (1978).

New Mexico Public Health Act, Sections 24-1-1, et seq., NMSA 1978 Section 24-1-15 Reporting of Contagious Diseases

An outline of the NMDOH responsibilities can be found in the:

New Mexico Department of Health All-Hazard Emergency Operations Plan March 2014

Additional Guidance can be found in the:

New Mexico Department of Health All-Hazard Emergency Operations Plan

Hazard Annex F: Outbreaks Pandemic Influenza Plan July 17, 2019

Roles Responsibilities and Response can be found in:

Medical Countermeasure Distribution and Dispensing (MCMDD) Plan Functional Annex 2 of the New Mexico Department

of Health All-Hazard Emergency Operations Plan (EOP) October 2017

Local Response Guidance can be found in the:

New Mexico Department of Health Metropolitan Statistical Area City Readiness Initiative Medical Countermeasure

Guidance February 2017

HealthCare Coalition Coordination:

NM Region 1A Albuquerque Regional Coalition for Healthcare Preparedness (ARCH-P)

January 1, 2019 – December 31, 2019 Response Plan

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AGENDA ITEM NO.Taos County-500-2019

Taos County

BOARD OF COUNTY COMMISSIONERS AGENDA ITEM REPORT DATE: March 17, 2020

SUBJECT:

Discussion, consideration and decision regarding the approval ofDFA Resolution No. 26, 2019/2020 F Y, A Resolution requestingto adjust 2020 FY Final Budget, to establish a fund and budget tomonitor the expenditures in response to Taos County declaring aState of Emergency and; to transfer temporary cash from theGeneral Fund.

DFA 26 .pdf

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