ࡱ>   M 0Xbjbj== "WW0Tl&B~B~B~B~$f~&H2ffffffff$z fffff‡ff‡‡‡fff‡f‡2 ‡*fZ d@&|B~|nR0H H H ‡&& Cotnoir 2006 PPPT-F64.DOC START OF EXERCISE SIMULATED DEVELOPMENT #1 (START OF MONTH 1 (5 months remaining until the start of the Pandemic on Marthas Vineyard) DEVELOPMENT DESCRIPTION: The World Health Organization (WHO) and the Center for Disease Control (CDC) has declared that the world has changed from Phase 3 ( no or limited human to human transmission of the H5N1 virus) to Phase 4. This means that there is now evidence of increased human-to-human transmission of an unknown pandemic flu virus. It is unclear, at this time, whether it is a strain of the H5N1 virus. Several cases of this increased human-to-human transmission have occurred in Indonesia and several cases have occurred in China. It is believed that both countries are underreporting the number of cases. News Organizations have begun to report this issue but it is a Page 2 item. Television feature programs are doing in-depth stories on the effects of a Pandemic, especially the disruptions to transportation, food supply, energy, finance, utilities, etc. from absenteeism by workers. YOUR EXERCISE CHALLENGES: 1. The Massachusetts Department of Health has communicated to your Board of Health Agents (BOH) that they estimate that there is a moderate degree of likelihood that this unknown flu will occur in the major cities of the U.S., within 4 months. The MDPH is unable to determine, at this time, if this unknown virus will affect a few random cases or if it will become a full Flu Pandemic. They are suggesting that the BOH establish a public information program to educate your citizens on good health practices in the event that the health situation deteriorates into a full flu pandemic. What information will you disseminate? How will you communicate with your non-English speaking population? 2. The Federal Emergency Management Agency (FEMA) and the Massachusetts Emergency Management Agency are suggesting to your Chief Municipal Officer (CFO) and your Emergency Management Director (EMD) that you establish a Continuity of Operations Plan. The Massachusetts Emergency Management Agency is offering special courses for the CFO and the EMD. The Government is suggesting that you put special emphasis on creating lines of succession for both your department heads and your line workers because of the expected high incidence of absenteeism of 40% from illness, sick loved ones at home, and fear of catching the flu at work. They believe that, if the virus becomes a full flu pandemic, each department will have at least 1 and in some cases 2+ absences/deaths from both the ranks of management and line workers. They suggest that this could have a significant effect the ability on your Town Government to continue to provide services due to the contagious nature of the disease. What measures will you institute to ensure that all departments have a replacement department head? [ (CONTINUITY OF OPERATIONS (COOP) ] What measures will your department heads institute to provide additional workers to continue providing services? Would you continue to provide all the services that you provide now? Where will the additional workers come from? Can you cross-train some of your existing workforce? How long will it take you to set up this system? What training will they require? What will it cost? (See Financial Worksheet) 3. From your towns citizens: The Board of Health is being asked for more information about how citizens can protect themselves. What will your answer be? Who will answer? How will the answer be disseminated? b. Your selectmen are being asked if food needs to be stockpiled. What will you tell them? Who will answer? How will the answer be disseminated? YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: SIMULATED DEVELOPMENT #2 (START OF MONTH 2) (4 months remaining until the start of the Pandemic on Marthas Vineyard ) DEVELOPMENT DESCRIPTION: The World Health Organization (WHO) and the Center for Disease Control (CDC) has declared that the world is now at Phase 5. This means that there is evidence of significant human to human transmission of the H5N1 flu virus. Large localized clusters of human to human transmission have occurred in Indonesia and China. The countries of Japan, India, and South Korea have also seen significant human to human transmission of the H5N1 virus. The World Health Organization (WHO) and the Center for Disease Control (CDC) believe that it is likely that the H5N1 virus could reach the U.S. News Organizations have begun to report this issue and are beginning to treat it with increased attention. Television feature programs are focusing on the state of preparedness of the U.S. health care system with emphasis on the shortness of supplies and trained personnel YOUR EXERCISE CHALLENGES: 1. The Massachusetts Department of Health has communicated to your Board of Health Agents (BOH) that they believe that all towns should establish a surveillance system to determine the extent of the disease in the community. How would you establish this surveillance system? Who would collect the data? Will the BOH agent be overwhelmed by the additional duties required during a pandemic? Is there an alternative to increasing the agents current workload that this situation would cause? 2. The Federal Emergency Management Agency (FEMA) and the Massachusetts Emergency Management Agency are suggesting to your Chief Municipal Officer (CFO) and your Emergency Management Director (EMD) that you educate your workers in health and work practices that will keep them from becoming infected from both their co-workers and the public that they deal with. The Government is suggesting that you start this training early before the Flu Pandemic arrives in order that your workers will feel safe enough to come to work during the pandemic. What measures will you institute to educate your workers. When will you begin? How long will it take you to set up this system? What will it cost? (See Financial Worksheet) 3. From your towns citizens a. The selectmens office, the Board of Health office, and the Police Department are being asked if their department has a plan for a Flu Pandemic. What will you tell them? 4. Both local newspapers are asking about your towns flu pandemic plan. What will you tell them? 5. A few citizens are coming forward to volunteer to help. What will you do? (See Support Document # 4) YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: SIMULATED DEVELOPMENT #3 (START OF MONTH 4) (2 months remaining until the start of the Pandemic on Marthas Vineyard ) DEVELOPMENT DESCRIPTION: International spread of the flu has begun. Several large clusters of cases have appeared in London, Paris, Moscow, and Johannesburg The World Health Organization (WHO) and the Center for Disease Control (CDC) has declared that the world is now at Phase 6. This means that the worldwide flu pandemic has begun. The World Health Organization (WHO) and the Center for Disease Control (CDC) believe that the risk of the Flu reaching the U.S., in the near future, is now certain. It is estimated by the European Union that within 5 weeks, the Pandemic will cause severe disruptions to transportation, energy production, finance, utilities, etc. from absenteeism by workers and to food supply. Transportation at border crossings and ports have slowed to a crawl due to border and port of entry screening. The News Media is now on full alert, graphically depicting scenes of frantic activity in hospitals in Europe, Asia, and Africa. Talk shows are rife with discussions by politicians of both parties on the state of US preparedness The President has addressed the nation, reassuring the country that the government is doing all that is possible and that the people should remain calm. YOUR EXERCISE CHALLENGES: 1. The Massachusetts Department of Health and the Massachusetts Emergency Management Agency has communicated to your Board of Health Agents (BOH) and your Emergency Management Directors that they estimate that there is a high degree of likelihood that this highly virulent strain of flu will occur in the major cities of the U.S., within 1 month. Both agencies believe that this will have a significant effect on the ability of your Town Government to continue to provide services due to absenteeism or death of your workers. You can expect that each department will have at least 1 and in some cases 2+ absences/deaths from both the ranks of management and line workers. The MDPH estimates that the flu Pandemic can last as long as 12 weeks (3 months) and absences can be as long as 2 to 3 weeks throughout the 12 weeks. What measures will your department heads institute to provide additional workers to continue providing services? Will you continue to provide all the services that you provide now? Where will the additional workers come from? How long will it take you to set up this system? What will it cost? (See Financial Worksheet) 2. The Federal Emergency Management Agency (FEMA) and the Massachusetts Emergency Management Agency are suggesting to your Chief Municipal Officer (CFO) and your Emergency Management Director (EMD) that schools, child day care facilities, and public gatherings may have to be closed to limit the spread of infection. What program will you institute to communicate, implement, and control this policy? 3. The Town Administrator is concerned that school and child day care closings will have a significant affect on your towns employment force as many department heads and line workers will elect to stay home to care for their children. He is not sure how hell keep the town offices manned. What plans can you make to alleviate this situation? 4. From your towns citizens: The Board of Selectmen are being asked all sorts of questions. Even though your various departments have done a very good job of informing the public on a wide range of topics, additional questions are still coming in to all departments. It is beginning to interfere with your day to day operation. How will you address this? YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: SIMULATED DEVELOPMENT #4 (START OF MONTH 5) (1 month remains until the start of the Pandemic on Marthas Vineyard ) DEVELOPMENT DESCRIPTION: Cases of the Flu have been discovered in San Francisco, Mexico City, Miami, Chicago, Toronto, New York City, and Boston. Several Deaths have been recorded in all these localities Residents of large cities are beginning to exhibit symptoms of controlled panic. European Countries have begun sealing their borders The US is beginning to limit the transit of persons into and out of the country The News Media is now showing scenes of looting and rioting in Africa and Asia News Media is graphically depicting exaggerated scenes of hospital and morgue activity in the US. Feature Programs are focusing on how individuals and families can survive a Pandemic The Federal Health and Human Services are advising the President that if a U.S. Pandemic should become established, it will take about 12 weeks (approximately 3 months to run its course). YOUR EXERCISE CHALLENGES: 1. The Federal Emergency Management Agency (FEMA) and the Massachusetts Emergency Management Agency is informing you that in 1 month, the Flu Pandemic can be expected in your town and it is expected to last for 12 weeks and will probably come again in several waves. During this first 12 week wave, you can expect disruptions to your electrical, phone, and internet service as utility workers will be in short supply and will have to concentrate on only the critical infrastructure and the utility suppliers may have to provide service on a limited time-sharing basis. Which of your town services will be most affected by disruptions in electricity service? How will phone and Internet disruptions affect your ability to provide town services? Can you institute an alternate method of supplying these services? How will you handle civil disorder? What parts of your towns infrastructure will be most vulnerable? (Water delivery systems, water purification supplies, wastewater treatment systems) What is your Command or Organizational Structure for handling these emergencies [ (See INCIDENT COMMAND SYSTEM (ICS) ] How long will it take you to set up a system to meet these challenges? What will it cost? (See Financial Worksheet) 2. The Federal Emergency Management Agency (FEMA) and the Massachusetts Emergency Management Agency is informing you that you can also expect disruptions to the transportation systems (air, truck, rail, and ferry). Slowdowns in these industries will cause delayed delivery times for food, medicines, gasoline, heating oil, and other goods. Your Board of Health Agent and your Emergency Manager are warning you that there is a high likelihood that a significant proportion of your townspeople will run out of food, gasoline, and heating fuel sometime in the next 5 weeks. What plan can you devise that will alleviate the suffering of the most dire cases? What resources do you have to alleviate this problem? 3. Your EMS and the Police Chief and the Fire Chief and are extremely worried that their gasoline supplies for police and fire vehicles and emergency generators. They are concerned that there will be insufficient gasoline to meet the needs of their departments. What plan can you set up in the remaining 1 month that will insure that these departments have sufficient fuel to their needs over the next 12 weeks? 4. The Massachusetts Department of Health is telling Your Board of Health Agent that the expected death rate in your community will be 5% to 10 % more than normal and that it will exceed the capacity of the local funereal homes. What measures will you institute to care for the human remains? 5. The Executive Office of Public Safety is telling your Police Chief that he can expect civil disruptions at grocery stores and other locations. How will your Police Chief deal with this increased workload? 6. Your Police Chief informs you that over the last 5 months, he has seen a steady increase in the number of domestic disturbances, drug related offences, and road rage incidents. These views are being substantiated by the Massachusetts Executive Office of Public Safety. Your Police Chief believes that if the pandemic were to reach your town, the number of these stress related incidents could increase to the point were his department becomes overwhelmed. How will your Police Chief deal with this increased workload? What are your behavioral health resources 7. From your towns citizens: You have had many calls to town offices from the seasonal residents of your town. It is your belief that up to 70% of these residents will flee their off-island homes to take refuge in their homes in your town. These calls also indicate that they are also bringing their extended families with them. What additional strains will this put on your towns infrastructure? How will this additional strain be contained by your town government departments? YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: SIMULATED DEVELOPMENT #5 (START OF MONTH 6) The Pandemic has arrived on Marthas Vineyard END OF WEEK 1 DEVELOPMENT DESCRIPTION: The Pandemic has now well established itself in all major US cities. The Department of Health & Human Services is reporting X % of the nations population is sick, The Marthas Vineyard Hospital YOUR EXERCISE CHALLENGES: From your towns citizens: YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: The local Board of Health will . The local Board Selectmen will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: WEEK 2 DEVELOPMENT DESCRIPTION: The Federal Government has performed the following actions: a. b. c. The State Government has performed the following actions: a. b. c. YOUR EXERCISE CHALLENGES: From your towns citizens: YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: WEEK 3 DEVELOPMENT DESCRIPTION: The Federal Government has performed the following actions: a. b. c. The State Government has performed the following actions: a. b. c. YOUR EXERCISE CHALLENGES: From your towns citizens: YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: WEEK 4 DEVELOPMENT DESCRIPTION: The Federal Government has performed the following actions: a. b. c. The State Government has performed the following actions: a. b. c. YOUR EXERCISE CHALLENGES: From your towns citizens: YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here: WEEK 5 DEVELOPMENT DESCRIPTION: The Federal Government has performed the following actions: a. b. c. The State Government has performed the following actions: a. b. c. YOUR EXERCISE CHALLENGES: From your towns citizens: YOUR RESPONSE: The local Board of Health will . The local Board Selectmen will . The local Town Administrator (or comparative official) will . The local Police Chief will . The local Emergency Manager will . Add other Departments here:  Stage 1 Challenge #1 See Workbook Page 1 Stage 1 Challenge #2 See Workbook Page 1 Stage 1 Challenge #3 See Workbook Page 1 Stage 2 Challenge #1 See Workbook Page 2 Stage 2 Challenge #2 See Workbook Page 2 Stage 2 Challenge #3 See Workbook Page 2 Stage 2 Challenge #4 See Workbook Page 2 Stage 2 Challenge #5 See Workbook Page 2 Stage 3 Challenge #1 See Workbook Page 3 Stage 3 Challenge #2 See Workbook Page 3 Stage 3 Challenge #3 See Workbook Page 3 Stage 3 Challenge #4 See Workbook Page 3 Stage 4 Challenge #1 See Workbook Page 4 Stage 4 Challenge #2 See Workbook Page 4 Stage 4 Challenge #3 See Workbook Page 4 Stage 4 Challenge #4 See Workbook Page 4 Stage 4 Challenge #5 See Workbook Page 4 Stage 4 Challenge #6 See Workbook Page 4 & 5 Stage 4 Challenge #7 See Workbook Page 5 Page 1 of 2 S T A G E 1 Page 1 of 2 Page 2 of 2 S T A G E 1 Page 2 of 2 Page 1 of 2 S T A G E 2 Page 1 of 2 Page 2 of 2 S T A G E 2 Page 2 of 2 Page 1 of 2 S T A G E 3 Page 1 of 2 Page 2 of 2 S T A G E 3 Page 2 of 2 Page 1 of 3 S T A G E 4 Page 1 of 3 Page 2 of 3 S T A G E 4 Page 2 of 3 Page 3 of 3 S T A G E 4 Page 3 of 3 Page 1 of ? 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