Tag public health emergency preparedness

CDC Forgot About Planning

Tim Riecker, The Contrarian Emergency Manager 2 Comments

In late February, CDC released the highly anticipated notice of funding opportunity (NOFO) for the 2024-2028 Public Health Emergency Preparedness (PHEP) grant. The general concept of the grant wasn’t a big surprise, as they had been promoting a move to their Response Readiness Framework (RRF). The timing of the new five-year grant cycle seems ideal to implement lessons learned from COVID-19, yet they are falling short.

I’ve reflected in the past on the preparedness capability elements of Planning, Organizing, Equipment/Systems, Training, and Exercises (POETE). I also often add Assessing to the front of that (APOETE). These preparedness elements are essentially the buckets of activity through which we categorize our preparedness activities.

In reviewing the ten program priorities of the RRF, I’m initially encouraged by the first priority: Prioritize a risk-based approach to all-hazards planning. Activity-wise, what this translates to in the NOFO is conducting a risk assessment. Solid start. Yet nowhere else is planning overtly mentioned. Within the NOFO some of the other priorities reflect on ensuring certain things are addressed in plans, such as health equity, but there is otherwise no direct push for planning. Buried within the NOFO (page 62) is a list of plans that must be shared with project officers upon request (under the larger heading of Administrative and Federal Requirements) but the development of any of these plans does not correlate to any priorities, strategies, or activities within the document.

As for the rest of APOETE, there is good direction on Organizing, Equipment and Systems, Training, and Exercises. While that’s all great, planning is the true foundation of preparedness and it is so obviously left out of this NOFO. Along with my general opinion that most emergency plans (across all sectors) are garbage, that vast majority of findings from numerous COVID-19 after-action reports I’ve written (which included two states and several county and local governments) noted the significant need for improved emergency plans. Further, the other preparedness elements (OETE) should all relate back to our plans. If we aren’t developing, improving, and updating plans, then the other activities will generally lack focus, direction, and relevance.

Understanding that this is the first year of a five-year grant cycle, some changes and clarification will occur as the cycle progresses, but as planning is a foundational activity, it should be immediately and directly tied to the results of the assessment this year’s grant calls for. Otherwise, the findings of the assessments are generally meaningless if we aren’t taking action and developing plans to address them. This is leaving us with a significant gap in preparedness. Someone at CDC didn’t think this through and it leaves me with a great deal of concern, especially in the aftermath of the COVID-19 response.

What are your thoughts on this?

© 2024 Tim Riecker, CEDP

Emergency Preparedness Solutions, LLC®

How BC is Acing the Pandemic Test (Guest Post)

Tim Riecker, The Contrarian Emergency Manager 2 Comments

I’m excited and honored to promote a new blog being written by Alison Poste. Alison has led major disaster response and recovery efforts in Alberta, Canada, including the 2013 floods and the Fort McMurray wildfires, and currently works as a consultant specializing in business continuity, emergency management, and crisis communications. Her new blog, The Afterburn – Emergency Management Lessons from Off the Shelf, takes a critical look at lessons learned and how they are applied.

I’ve pasted her first post below, but also be sure to click the link above to follow her blog. I’m really excited about the insight Alison will be providing!

– TR

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The pandemic has upended how those in the emergency management field have seen traditional response frameworks. Lessons learned from the pandemic response will be useful to governments and the private sector alike in the coming years.

The ICS framework for emergency response is well equipped to address the unique needs of any disaster, including a global pandemic. The rapid scalability of the structure allows the response to move faster than the speed of government. It provides the framework for standardized emergency response in British Columbia (B.C.).

The B.C. provincial government response to the coronavirus pandemic, led by Dr. Bonnie Henry, the Provincial Health Officer (PHO) has received international acclaim. It is useful therefore to learn from the best practises instituted early on in the pandemic to inform future events. 

In February 2020, the Province of B.C. published a comprehensive update to the British Columbia Pandemic Provincial Coordination Plan outlining the provincial strategy for cross-ministry coordination, communications and business continuity measures in place to address the pandemic. Based on ICS, the B.C. emergency response framework facilitates effective coordination by ensuring the information shared is consistent and effective. The Province of B.C. has provided a daily briefing by Dr. Henry and Adrian Dix, the B.C. Minister of Health as a way to ensure B.C. residents receive up to date information from an authoritative source.

While we may consider the COVID-19 pandemic to be a unique event, a number of studies have provided guidance to emergency response practitioners of today. The decisive action taken by the B.C. PHO on COVID-19, has focused on the twin pillars of containment and contact tracing. Early studies regarding the effect of contract tracing on transmission rates have seen promising results, however the tracing remains a logistical burden. As studies indicate, these logistical challenges have the potential to overwhelm the healthcare system should travel restrictions be relaxed, leading to the possible ‘importation’ of new infections. 

B.C. has instituted robust contract tracing mechanisms to reduce the spread of COVID-19 in alignment with best practises in other jurisdictions. When instituted methodically, contact tracing, consistent communication, and Dr. Henry’s mantra to “Be calm. Be kind. Be safe.” remain critical tools to ensure limited spread, a well-informed and socially cohesive population.

How has your organization helped to slow the spread of COVID-19?  As always, I welcome your feedback and suggestions for how to improve the blog.