Mission Areas: Prevention

  • Agriculture surveillance and food safety/security (from source to consumer)
  • All-hazards threat identification and characterization—natural and manmade, including aging and deteriorating infrastructure, technological threats, and climate change
  • Animal disease surveillance, investigation, and response
  • Assessment of community health resilience demographics (geography and climate, population factors, housing characteristics, economic and environmental factors, jurisdictions within the community, and cultural and political (e.g., home rule) issues and human factors of relevance to community health
  • Assurance of lifelines and essential disaster supply chains (e.g., food, water, fuel) and services (e.g., wastewater and solid waste disposal, power generators, transportation)
  • Broad stakeholder involvement in planning and implementation, includes identification of key stakeholder groups and constituencies (includes public health, healthcare services, at-risk, ethnic, and faith-based groups)
  • Continuous and sustainable process and strategy for community, organizational, and individual health resilience improvement
  • Creating public support and securing financial resources for mitigation
  • Cross-sector, jurisdiction/national border, and discipline information sharing
  • Cross-sector, jurisdiction/national border, and discipline information sharing
  • Cross-sector/multi-jurisdiction (regional) and cross-national border coordination and understanding of roles and responsibilities
  • Effective prophylaxis and non-pharmaceutical interventions to control disease, including countermeasures planning and dispensing
  • Effective prophylaxis and non-pharmaceutical interventions to control disease, including countermeasures planning and dispensing
  • Environmental health management
  • Forensics and attribution
  • HAZMAT management (response, removal)
  • Health resilience assessment and measurement approaches for facilities, assets, and communities
  • Health, Emergency Services workforce recruitment, availability, maintenance, occupational health and safety, and certification
  • Identification and understanding of critical assets and dependencies/interdependencies
  • Identification of needs and assistance for at-risk populations (economically-stressed, homeless, elderly, disabled, pregnant women and children) and ethnic groups
  • Indicators for proactive alerts and warning; triggers for response, and on-going monitoring
  • Integration of Federal civilian and military support to state and local authorities into planning, response, and recovery
  • Intelligence collection, analysis, and dissemination
  • Interdiction and disruption (delaying, stopping, or securing threats and hazards)
  • Laboratory testing capacity (public health clinical, environmental)
  • Legal, liability, and regulatory issues, constraints/waivers
  • Mental health services under normal conditions and post-event behavioral health management and monitoring
  • Mitigation of hazards to health and healthcare facilities and systems with focus on identifying effective
  • Ongoing medical care, such as dialysis, medical resource availability, palliative health, and access to routine care, especially for children and pregnant women.
  • Population-based preparedness and resilience, particularly for at-risk populations and for women and infants
  • Protection/security for health delivery facilities, systems, supply chains, and infrastructure (includes hardening, retrofitting, remote or redundant siting; and facility access control measures)
  • Public health surveillance and epidemiological investigation
  • Public outreach, information, and education
  • Public outreach, information, and education
  • Risk communication (includes managing public expectations and de-escalation)
  • Screening, search, and detection for all-hazards health threats, including chemical, biological, radiological, nuclear, and explosives
  • Security training of healthcare facility personnel.
  • Situational awareness for organizations, jurisdictions, regions
  • Training and regional and targeted exercises and drills (for range of stakeholder groups—including health and human service organizations and media)
  • Use of traditional media and social networks for communications, including identification of users and their preferred communications methods
  • Ebola Planning and Response
  • Enterovirus Planning and Response
  • Emerging Infectious Disease Planning and Response
  • Children and Disasters – Preparedness, Planning, Response and Recovery Efforts
  • Hurricane Harvey Toolset
LinkTool/Resource NameHow the Tool is UsefulKey CapabilitiesFunctional Capability Sets
Presidential Policy Directive/PPD-21: Critical Infrastructure Security and ResilienceThe Presidential Policy Directive (PPD) on Critical Infrastructure Security and Resilience advances a national unity of effort to strengthen and maintain secure, functioning, and resilient critical infrastructure. This directive establishes national policy on critical infrastructure security and resilience. This endeavor is a shared responsibility among federal, state, local, tribal, and territorial (SLTT) entities, and public and private owners and operators of critical infrastructure. The directive identifies 16 critical infrastructure sectors, including Healthcare and Public Health. Critical infrastructure must be secure and able to withstand and rapidly recover from all hazards. Achieving this will require integration with the national preparedness system across prevention, protection, mitigation, response, and recovery. The directive specifies that U.S. efforts shall address the security and resilience of critical infrastructure in an integrated, holistic manner to reflect.
  • Screening, search, and detection for all-hazards health threats, including chemical, biological, radiological, nuclear, and explosives
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
  • Plans and Integration
Introduction to Program Evaluation for Public Health Programs: A Self Study GuideThis document is a “how to” guide for planning and implementing evaluation activities. The manual is based on CDC’s Framework for Program Evaluation in Public Health, and is intended to assist state, local, and community managers and staff of public health programs in planning, designing, implementing, and using the results of comprehensive evaluations in a practical way. The strategy presented in this manual will help assure that evaluations meet the diverse needs of internal and external stakeholders, including assessing and documenting program implementation, outcomes, efficiency, and cost-effectiveness of activities, and taking action based on evaluation results to increase the impact of programs.
  • Broad stakeholder involvement in planning and implementation, includes identification of key stakeholder groups and constituencies (includes public health, healthcare services, at-risk, ethnic, and faith-based groups)
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
Disaster Resistant Communities GroupThe Disaster Resistant Communities Group was established to provide a host of disaster planning and preparedness, response, recovery and mitigation services to local government agencies and departments as well as community and faith based organizations. In particular the site implements meaningful exercise opportunities to America's health systems that provide a comprehensive approach for assessing varuios disaster preparedness, response and recovery capabilities. This source adds value to community health resilience by providing healthcare officials the resources to train staff on how to respond to various events including active shooter, hurricanes, dispensing shortages, evacuations, and more.
  • Training and regional and targeted exercises and drills (for range of stakeholder groups—including health and human service organizations and media)
  • Communications, Critical IT Systems, Information Sharing, and Health Data Issues
  • Education, Training, and Exercises
  • Hurricane Harvey and Irma Toolset
  • Plans and Integration
Drive-Thru Flu Shots: A Model for Mass ImmunizationThis resource provides a thorough explanation of the coordination and oragnization required to start a Drive-Thru Immunization program along with a description of the benefits and the need for such programs. It is intended for government and health officials as a means for them to discuss the viability of a program especially in the face of an influenza pandemic. Along with a description of coordination and organization, choosing a location, vaccines, staffing, patient safety and security, there are appendices that provide sample forms and checklists. This resource provides value to community health resilience by explaining a non-traditional form of vaccination that could help prevent future influenza outbreaks or mitigate their effects.
  • Effective prophylaxis and non-pharmaceutical interventions to control disease, including countermeasures planning and dispensing
  • Education, Training, and Exercises
  • Plans and Integration
Public Health Workbook: To Define, Locate, and Reach Special, Vulnerable, and At-risk Populations in an Emergency To maintain consistency with the Pandemic and All-Hazards Preparedness Act (PAHPA), this workbook uses the term “at-risk populations” to describe individuals or groups whose needs are not fully addressed by traditional service providers or who feel they cannot comfortably or safely use the standard resources offered during preparedness, response, and recovery efforts. These groups include people who are physically or mentally disabled (e.g., blind, deaf, hard-of-hearing, have learning disabilities, mental illness or mobility limitations), people with limited English language skills, geographically or culturally isolated people, homeless people, senior citizens, and children.
  • All-hazards threat identification and characterization—natural and manmade, including aging and deteriorating infrastructure, technological threats, and climate change
  • Assessment of community health resilience demographics (geography and climate, population factors, housing characteristics, economic and environmental factors, jurisdictions within the community, and cultural and political (e.g., home rule) issues and human factors of relevance to community health
  • Read More
  • Education, Training, and Exercises
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
  • Plans and Integration
  • Public Engagement, Empowerment, and Information, including Media
Forensic Epidemiology: Joint Training for Law Enforcement and Public Health Officials on Investigative Responses to BioterrorismA primary goal for the training module is to enhance the joint effectiveness of law enforcement and public health when both disciplines conduct concurrent investigations in response to a threat or attack involving possible biological weapons. The module addresses this goal by bringing law enforcement and public health officials together while working through fact-based case scenarios involving biological weapons attacks or threats.
  • Cross-sector, jurisdiction/national border, and discipline information sharing
  • Cross-sector/multi-jurisdiction (regional) and cross-national border coordination and understanding of roles and responsibilities
  • Forensics and attribution
  • Education, Training, and Exercises
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
  • Plans and Integration
  • Response Challenges
National Infrastructure Protection PlanProtecting and ensuring the resiliency of the critical infrastructure and key resources (CIKR) of the United States is essential to the Nation’s security, public health and safety, economic vitality, and way of life. Attacks on CIKR could significantly disrupt the functioning of government and business alike and produce cascading effects far beyond the targeted sector and physical location of the incident. Direct ter-rorist attacks and natural, manmade, or technological hazards could produce catastrophic losses in terms of human casualties, property destruction, and economic effects, as well as profound damage to public morale and confidence. Attacks using components of the Nation’s CIKR as weapons of mass destruction could have even more devastating physical and psychological consequences. Risk in the 21st century results from a complex mix of manmade and natu-rally occurring threats and hazards, including terrorist attacks, accidents, natural disasters, and other emergencies. Within
  • All-hazards threat identification and characterization—natural and manmade, including aging and deteriorating infrastructure, technological threats, and climate change
  • Continuity of Business and Operations, and Supply Chain Management
  • Critical Infrastructure and Associated Interdependencies; Risk Assessment, and Mitigation
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
  • Read More
Fundamental Concepts of Public Health Surveillance and Foodborne DiseasePublic health surveillance is the foundation of communicable disease epidemiology and an essential component of a food-safety program.40 Surveillance data can reveal the burden of a particular disease in the community or the presence and scale of a possible outbreak.
  • Public health surveillance and epidemiological investigation
  • Human Factors; Physical & Mental Health for Community, Family, Individual, & At Risk Group Issues
  • Plans and Integration
Future of Emergency Managementlikelihood of a major natural disaster, flood, hurricane, or earthquake, affecting our communities was inevitable. As emergency management systems focus their efforts on preparing for and responding to terrorist events, these efforts should not diminish their capabilities or capacity for dealing with natural hazards
  • Screening, search, and detection for all-hazards health threats, including chemical, biological, radiological, nuclear, and explosives
  • Coordination and Collaboration across Jurisdictions, Sectors, and Disciplines
  • Critical Infrastructure and Associated Interdependencies; Risk Assessment, and Mitigation
  • Hurricane Harvey and Irma Toolset
Animal Health Policy and Implementation Evident Plan. Policy protfolio: Animal Health and Welfare: Disease Control. Policy area within portfolio: Aniaml Health Policy and ImplementationA current Defra Business Plan priority is to "support and develop British farming and encourage susttainable food production". The key policy outcomes associated with this priority are to "enchance the competiveness and resilience of the whole food chain including farms and the fishing industry, to ensure a secure, envirnomentally sustainable and healthy supply of food with improved standards of animal welfar". Ministers have identified that controlling animal disease is a key priority for Defra. The need to proactively safeguard animal health by monitoring animal disease threats and increasing the UK's resilience to deal with disease outbreaks is recongised as a priority for Defra to deliver economic growth.
  • Agriculture surveillance and food safety/security (from source to consumer)
  • Animal disease surveillance, investigation, and response
  • Environmental Health, Food, Agriculture, and Veterinary Medicine
HHS Pandemic Influenza PlanThis plan developed by the U.S. Department of Health and Human Services (HHS) serves as a blueprint for all HHS pandemic influenza preparedness planning and response activities. It outlines federal plans and preparation for public health and medical support, identifies key roles of HHS and its agencies, provides planning assumptions for federal, state and local governments, and provides guidance to state and local health departments in 11 key areas. The plan adds value to community health resilience by providing a thorough plan for influenza pandemic response across a variety of stakeholders.
  • Cross-sector, jurisdiction/national border, and discipline information sharing
  • Communications, Critical IT Systems, Information Sharing, and Health Data Issues
  • Continuity of Business and Operations, and Supply Chain Management
  • Education, Training, and Exercises
  • Plans and Integration
Alabama Healthcare Disaster Planning GuideThe Alabama Healthcare Disaster Planning Guide is the result of many discussions with healthcare organizations across the state. This guide was developed to help healthcare organizations in Alabama coordinate and create emergency operations plans (EOP) specific for their organization.
  • Training and regional and targeted exercises and drills (for range of stakeholder groups—including health and human service organizations and media)
  • Education, Training, and Exercises
  • Healthcare and Related Public Health and Emergency Preparedness Plans and Resource Issues
THRIVE: Community Tool for Health and Resilience in Vulnerable EnvironmentsPrevention Institute has updated its Community Approach to Addressing Disparities in Health with the revision of THRIVE: Toolkit for Health and Resilience in Vulnerable Environments. A centerpiece of THRIVE is a set of community level factors that are linked to Healthy People 2010 Leading Health Indicators. It now features a simplified list of 13 factors to facilitate use of the tool at the local level.
  • Agriculture surveillance and food safety/security (from source to consumer)
  • All-hazards threat identification and characterization—natural and manmade, including aging and deteriorating infrastructure, technological threats, and climate change
  • Read More
  • Communications, Critical IT Systems, Information Sharing, and Health Data Issues
  • Public Engagement, Empowerment, and Information, including Media
Rapid Visual Screenings (RVS) of Buildings for Potential Seismic HazardsThis handbook is intended for trained personnel in order to identify potentially hazardous buildings before an earthquake. The RVS procedure comprises a method and several forms that help users quickly identify, inventory, and rank such buildings accorded to expected safety and usability during and after earthquakes. The target audiences for this guide are building officials, engineers, architects, building owners, emergency managers, and interested citizens. This handbook provides value to community health resilience by providing a way to collect data about the potential seismic hazards of health care facilities in order to better plan for earthquakes and the health care reponse.
  • Protection/security for health delivery facilities, systems, supply chains, and infrastructure (includes hardening, retrofitting, remote or redundant siting; and facility access control measures)
  • Education, Training, and Exercises
  • Plans and Integration
Medical Surge Plan ExampleThis 42-page plan was developed in order to guide the orderly response to a medical surge incident (including pandemic influenza) in a small rural/urban California county. In particular, the plan is intended to provide the Emergency Operations Center (EOC) Medical/Health branch staff with information and guidance to effectively plan for, organize, and manage the medical response to a surge incident.
  • Situational awareness for organizations, jurisdictions, regions
  • Training and regional and targeted exercises and drills (for range of stakeholder groups—including health and human service organizations and media)
  • Education, Training, and Exercises
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