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TOC December 2012  

Updates for Massachusetts
   Contract and Reporting Reminder     
   Supporting CHCs Impacted by Disasters 
   Health Center Emergency Management Assembly  
   State regulators: Hospitals may share drugs to avoid shortages
Other News   
   How to Replace Documents Lost in a Disaster  
   US-CERT warns of "backdoor" in Samsung printers  
   Crisis Counseling for Sandy Survivors  
   Volunteers are a Vital Resource in the Aftermath of Sandy  
   Emergency Preparedness and Community Coalitions   
   CERT Volunteers Support Response and Recovery Efforts 
   Did you know...    
Public Health Advisories and Updates  
   Health Concerns about Misuse of Pesticides for Bed Bug Control  
   Adult Vaccination Update
   Flu Update for Massachusetts  
New Online Tools Available   
   Disasters are stressful, especially during the holidays  
   Children's Preparedness Website  
   Suspicious Activity Reporting (SAR) Tool is now LIVE!  
   Winter Fire Safety     
   Myth vs. Fact About Registering For FEMA Aid  
   Yellow Book iPhone app now available 
Training and Education
   Upcoming Courses/Events by DelValle Institute for Emergency Preparedness 
   Weathering the Storm: Medical Response and Recovery Strategies During Hurricane Sandy
   Incident Command System and other MEMA courses  
   Disaster Behavioral Health Training Series      
   Individuals Requiring Additional Assistance 
Comings and Goings
   Job Opportunities
Calendar
Updates for Massachusetts                                                      Top
Contract and Reporting Reminder  ContractReminder 
MLCHC - Dec 7, 2012. All contracted health centers are to submit a mid-contract report no later than Dec 15. To assist in your reporting, the League has a template for your report submissions, which was emailed directly to health center EP Project Leads and Executive Directors. There will be an all CHC meeting in early February, please watch for details. 
Supporting CHCs Impacted by Disasters  SupportinCHCscall 
MLCHC - Dec 7, 2012. In response to Hurricane Sandy and efforts to support our sister agencies in New York and New Jersey, and impacted health centers, the League will host a conference call with Direct Relief International, who has been working with NACHC to create a Health Center Relief Fund. This call will offer an opportunity to learn more about Direct Relief, their health center support activities to date in NY and NJ, and how donations and offers of support through their agency go to impacted community health centers. The call will be held on Monday, December 17th at 2pm. Click here to register for the call: http://supportingchcs.eventbrite.com.
Health Center Emergency Management Assembly  HCEMassembly 
MLCHC - Dec 10, 2012. At the request of your colleagues, the League will host a Health Center Emergency Management Assembly for Executive Directors and/or EP Project Leads. The agenda is tentative at this point, so please feel free to submit additional topics for discussion, as of now topics include:
    Engaging Healthcare Coalitions
    Business Continuity for CHCs
    Financial Considerations of Emergencies
    Redundant Utilities (power, water, HVAC)
Please use the following link to enter your (or your staff's) availability for a tentative February gathering, http://doodle.com/s5tvikaht3cf7eag. More details to follow in the coming weeks.
State regulators: Hospitals may share drugs to avoid shortages  DrugShortage
Boston.com - Nov 21, 2012. Massachusetts public health regulators Wednesday adopted emergency regulations that will allow hospitals to share medications to address drug shortages created by the closure of two specialty pharmacies following a national outbreak of fungal meningitis. The rules adopted by the state's public health council, an appointed board of professors, clinicians, and public health advocates, will go into effect Dec. 1. Click here to read more.
Other News                                                                             Top

How to Replace Documents Lost in a Disaster  LostDocs  

FEMA - Dec 4, 2012. One of the dire consequences of any disaster for many people is the loss of important documents. Often, such documents are needed by the FEMA and state emergency services in order to process assistance applications for those who suffered losses or damage to their homes and belongings. To prevent further loss of vital documents, place the originals or copies in a sealable plastic bag or other watertight container and secure that container where it is best protected and can easily be located. It is also a good idea to make copies of vital and important documents and mail them to a friend or relative you can trust to keep them safe and retrievable. Learn more at: http://www.fema.gov/news-release/how-replace-documents-lost-disaster-0  

US-CERT warns of "backdoor" in Samsung printers  SamsungPrinters 

HSToday - Nov 28, 2012. The US Computer Emergency Readiness Team (US-CERT) said printers manufactured by Samsung have a backdoor administrator account hard coded into the device's firmware that could give hackers access to the device and the information it handles. Samsung printers, including those manufactured by Samsung on behalf of Dell, "contain a hardcoded account that could allow a remote attacker to take control of an affected device," the US-CERT advisory stated. The account can be accessed through the Simple Network Management Protocol (SNMP) interface on the printers, according to the advisory. http://www.hstoday.us/single-article/us-cert-warns-of-backdoor-in-samsung-printers/7b73263cc470e6ca53750683f60312d5.html  

Crisis Counseling for Sandy Survivors  CrisisCounseling   

FEMA - Nov 26, 2012. Disasters complicate the lives of survivors in many ways. Property damage is obvious, but disasters like Hurricane Sandy have less visible effects. Coping with the trauma and stress of the disaster and recovery process can be a challenge. To increase understanding of disaster related stress, go to www.fema.gov/coping-disaster where there is information on Recognizing Signs of Disaster Related Stress, Easing Disaster-Related Stress, Helping Kids Cope with Disaster and A Child's Reaction to Disaster by Age. Visit http://www.fema.gov/sandy to learn more.   

Volunteers are a Vital Resource in the Aftermath of Sandy  Volunteers  

FEMA - Nov 26, 2012. When a disaster strikes, volunteers are a vital resource. They represent the compassionate face that brings comfort to disaster survivors and provides for their immediate needs. "Working together as friends and neighbors is spontaneous after a disaster" said FEMA Volunteer Agency Liaison Manager Ken Skalitzky. "This approach is really what makes a community whole again." One group of volunteers recently was recognized when Middletown, NJ Mayor Anthony P. Fiore presented the Key to the City to Dave Karr, whose volunteer staff from the Southern Baptist Convention, Oklahoma Disaster Relief, prepared more than 1.5 million meals for disaster survivors.  http://www.fema.gov/news-release/volunteers-are-vital-resource-aftermath-sandy  

Emergency Preparedness and Community Coalitions   Epcoalitions   

HSC - Nov 15, 2012. While hospitals and first responders consistently work together to prepare for natural disasters, infectious disease outbreaks and other emergencies likely to result in many injured or ill people, other important groups-primary care clinicians and nursing homes, for example-typically do not participate in local emergency-preparedness coalitions, according to a new qualitative study** of 10 US communities by the Center for Studying Health System Change (HSC). http://www.hschange.org/CONTENT/1323/.  **The League participated in this study. 

CERT Volunteers Support Response and Recovery Efforts  CERT   

FEMA - Nov 14, 2012. Dozens of FEMA Community Emergency Response Team (CERT) members have been doing double duty in response to Hurricane Sandy- preparing communities for disasters and helping survivors with their recovery efforts. Check out just a few of the many examples below:
*    Wilton, CT: CERT volunteers manned the town's official emergency shelter, assisted in distributing drinking water to residents at the town fire department, and helped assist in traffic control at residential structure fire.
*    Cohasset, MA: CERT volunteers made phone calls to check that community members were okay and had food, water and batteries. Additionally, the team went to the homes of those individuals participating in the Visual Emergency Notification System, which requests emergency responders check on them in the event of an emergency.
*    Parma, NY: Members of Parma's volunteer Community Emergency Response Team were mobilized on Halloween, canvassing streets in various parts of the city, checking on the welfare of residents. Those without power were either offered rides by CERT members to a nearby shelter to stay warm or were directed to the shelter itself, where additional CERT members were stationed.
*    High Bridge, NJ: CERT members were operating a 24/7 warming center with ice, water, beverages and charging stations available out of a local Rescue Squad Building.
To all of the volunteers across the country who have helped during recent disasters or who continue to help after Sandy - Thank you!  

Did you know...   diduknow

... President Obama has proclaimed December 2012 as Critical Infrastructure Protection and Resilience Month to recognize the importance of protecting our Nation's infrastructure resources and enhancing our national security and resilience.
... during cold months, you should keep your car's gas tank at least half full for emergencies. This should keep the fuel line from freezing.
... that FEMA grants are not taxable income?
... TSA intends to improve and expand the use of bomb sniffing dogs in 2013 through a research project at DHS.
... five (5) people have contracted legionnaires' disease linked to the water distribution system at VA [Veterans Administration] Pittsburgh.
... a rapidly-spreading coral disease along Hawaii's Kauai North Shore may be affecting turtles, fish, and even humans? The white coral disease outbreak is believed to be caused by a new strain of cyanobacteria, unique to Kauai, which is killing corals that often take 50 years to grow at a rate of 1 to 2 inches [2.5-5 cm] per week, according to scientists. 
... that PHE.gov created a page specifically for updates on Hurricane Sandy Response and Recovery?

http://www.phe.gov/emergency/events/Pages/sandy-midatlantic-2012.aspx  

... that this is National Influenza Vaccination Week? NIVW is a national observance that was established to highlight the importance of continuing influenza vaccination. NIVW is December 2-8, 2012. http://www.cdc.gov/flu/nivw/index.htm  
Public Health Advisories                                                        Top
Health Concerns about Misuse of Pesticides for Bed Bug Control  Pesticides  
CDC - Nov 27, 2012.The Agency for Toxic Substances and Disease Registry (ATSDR) and the CDC are alerting the public to an emerging national concern regarding misuse of pesticides to treat infestations of bed bugs and other insects indoors. http://emergency.cdc.gov/HAN/han00336.asp
Adult Vaccination Update AdultVaxUpdate   
MDPH - Nov 13, 2012. Stating that "thousands of adults in the United States die each year from diseases they could have been vaccinated against and that many adults remain unvaccinated because they are unaware or misinformed about the need for vaccines beyond childhood," CDC has created a resource-rich web section titled Resources for Educating Adult Patients about Vaccines. Healthcare professionals (HCPs) are encouraged to explore the web page to find materials to educate their patient population. Materials include the following:

To access all the adult vaccination resources available, be sure to check CDC's Resources for Educating Adult Patients about Vaccines web section.

Flu Update for MassachusettsFlu
by Donna Lazorik, MDPH  

MDPH - Dec 7, 2012. National Influenza Activity 2012-2013, Influenza Season Week 48 ending December 1, 2012. 

  • Outpatient Illness Surveillance: The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%.  Three regions reported ILI above region-specific baseline levels.  Four states experienced high ILI activity, three states experienced moderate ILI activity; 6 states, experienced low ILI activity; New York City and 37 states, including Massachusetts, experienced minimal ILI activity, and the District of Columbia had insufficient data.
  • Geographic Spread of Influenza: The geographic spread of influenza in 8 states was reported as widespread; 15 states reported regional activity; 15 states, including Massachusetts, reported local activity; the District of Columbia, Guam, and 12 states reported sporadic activity, and Puerto Rico and the U.S. Virgin Islands did not report.
  • Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.
  • Influenza-associated Pediatric Deaths: Three influenza-associated pediatric deaths were reported. One of these deaths was associated with an influenza B virus and two were associated with influenza A viruses for which the subtype was not determined.
  • For more information on national influenza activity and surveillance, go to http://www.cdc.gov/flu/weekly/fluactivitysurv.htm

Flu Activity in Massachusetts - Influenza-like illness (ILI, defined by fever >100F and cough and/or sore throat), as reported by Massachusetts sentinel surveillance sites, is slightly elevated in comparison with activity levels normally seen at this time of year.   

Resources to promote flu vaccination in December and beyond:

CDC - Dec 3, 2012. US Flu Season Off To Early Start, CDC Urges Vaccination; Early Vaccine Coverage Data Shows Millions Unprotected Still. Significant increases in flu activity in the United States have occurred in the last two weeks, indicating that an early flu season is upon us. These increases in activity overlap with National Influenza Vaccination Week (NIVW) being observed Dec 2-8, 2012. According to Dr. Melinda Wharton, Acting Director of CDC's National Center for Immunization and Respiratory Diseases, "Increasing flu activity should be a wake-up call. For anyone who has put off vaccination: It's time to get your flu vaccine now."  http://www.cdc.gov/flu/spotlights/early-season-nivw.htm  

 

 

MDPH at http://www.mass.gov/flu
Boston Public Health Commission at http://www.bphc.org/flu
CDC at http://www.cdc.gov/flu
 

 

New Online Tools                                                                     Top
Disasters are stressful, especially during the holidays  DisasterStress 
FEMA - Dec 10, 2012. Emotional support and disaster mental health services are a critical piece of response services. Trained mental health and spiritual care volunteers work in affected communities to help people cope with the stress and emotional impact of the disaster. If you've been affected by Super Storm Sandy or any other recent disaster, holidays can bring times of both hope and stress. The good news is that stress after a disaster or during the holidays is common and usually temporary. Also, we all have experience coping with stressful events and can usually "bounce back" after difficult times. Here is some information on disaster reactions and tips for taking care of the emotional health of you, your family and friends during the holidays. http://www.scribd.com/doc/115811869/Coping-with-the-Holidays-Tip-Sheet
Children's Preparedness Website  ChildPrep 
CDC - Dec 3, 2012. Parents, teachers, doctors and nurses are just some of the people who can help children get ready for and cope with disasters. Check out these resources to help keep kids safe in an emergency. http://emergency.cdc.gov/children/
Suspicious Activity Reporting (SAR) Tool is now LIVE!  SAR 
HSIN - Nov 27, 2012. In support of the If You See Something, Say Something™ initiative, the Department of Homeland Security's Office of Infrastructure Protection (DHS IP) has developed a standardized means by which critical infrastructure stakeholders can report suspicious or unusual activities to the government via sector portals on the Homeland Security Information Network/Critical Sectors (HSIN-CS). The SAR tool for Healthcare and Public Health critical infrastructure owners and operators allows stakeholders to send formalized reports of suspicious activity within their sector directly to the National Infrastructure Coordinating Center (NICC). This reporting serves as a supplementary channel for internal data sharing, a new capability for the HPH sector. The tool itself and its associated processes are not intended to replace or discourage reporting of SARs to local authorities. https://cs.hsin.gov/HPH/Resources/SAR.aspx (user account required to view). Learn more at http://www.dhs.gov/if-you-see-something-say-something-campaign.
Winter Fire Safety  WinterFireSafety 
FEMA - Nov 16, 2012. Home fires are more prevalent in winter than in any other season. This is due in part to an increase in cooking and heating fires. Holiday decorations and winter storms that can interrupt electrical service and cause people to turn to alternative heating sources also contribute to the increased risk of fire in winter. Winter fires can be prevented! The following video can help you maintain a fire-safe home this winter season. http://www.youtube.com/watch?v=1UXLRvu61Gc&feature=youtube_gdata
Myth vs. Fact About Registering For FEMA Aid  MythFactFEMA 
FEMA - Nov 16, 2012. It's important to know the difference between myth and fact in the aftermath of a hurricane. Survivors need accurate information on registering for FEMA aid and on what they may be eligible to receive. The best rule of thumb: if you're unsure if you are eligible for assistance, go to www.DisasterAssistance.gov or m.fema.gov, or call 1-800-621-3362 (FEMA). Those with access or functional needs can call 1-800-462-7585, or 1-800-621-3362 if using 711 or Video Relay Service. View the myth vs. fact article at http://www.fema.gov/news-release/myth-vs-fact-about-registering-fema-aid-1.
Yellow Book iPhone app now available  YellowBookApp 
CDC - Nov 8, 2012. The Yellow Book helps travelers and their doctors prepare for international trips by providing key health information and recommendations for staying safe and healthy while abroad. For the first time, Oxford University Press and CDC are releasing a mobile app version of The Yellow Book, available on iPhone and for purchase in the App Store. http://wwwnc.cdc.gov/travel/news-announcements/yellow-book-iphone-app.htm
Training and Education                                                            Top
Upcoming Courses/Events by DelValle Institute for Emergency Preparedness  DelValle   
The DelValle Institute for Emergency Preparedness serves Eastern Massachusetts emergency preparedness and response training and education needs by offering the following opportunities for a wide spectrum of providers:  

Medical Preparedness and Response to Bombing Incidents (MGT 348/PER 233). 

Dec 12-13 in Boston, Jan 24-25 in Lowell, Feb 12-13 in New Bedford. Geared towards first receivers and first responders, this two-day course addresses medical preparedness for and response to blast effects through a combination of lectures, small group activities and tabletop participant exercises. A joint effort between New Mexico Tech's Energetic Materials Research and Testing Center (NMT/EMRTC) and the Texas Engineering Extension Service's National Emergency Response and Rescue Center (TEEX/NERRTC), the course is immensely popular and course dates are already booked through 2014.  http://www.regonline.com/builder/site/Default.aspx?EventID=1110957 

Weathering the Storm: Medical Response and Recovery Strategies During Hurricane Sandy  CHBWeatheringStorm 
Friday, Dec 14, 9:00 to 10:30 am, Boston Children's Hospital, 300 Longwood Avenue, Enders Building, Folkman Auditorium. An interactive panel discussion with Alfred Villacara, DMD, Emergency Preparedness Coordinator, New York-Presbyterian Healthcare System; Shannon Manzi, PharmD, Director, Boston Children's Clinical Pharmacogenomics Service, and Chief Pharmacist, MA -1 Disaster Medical Assistance Team; and Michele Morin, MSN, RN, Nurse Manager, Boston Children's Emergency Department, and Member of MA -1 Disaster Medical Assistance Team. Hosted by Boston Children's Emergency Management Department. To register, please email your name and contact information to emergencymanagement@childrens.harvard.edu.  
Incident Command System and other MEMA courses   ICS-mema    
The Massachusetts Emergency Management Agency's Training and Exercise Unit offers emergency preparedness trainings, seminars, workshops and exercise support to help communities of the Commonwealth prepare for, respond to, recover from, and mitigate the effects of disasters and emergency events.

Incident Command System 300 - (3-day course)
  • Barnstable County Complex on Dec 15
  • Rowley Police Department on Jan 14  
  • MEMA Region 3/4 Training Room on Jan 16
  • Worcester EMS on Jan 22 
  • MEMA Region 3/4 Training Room on Feb 26
  • MEMA Region 3/4 Training Room on Mar 27
  • MEMA Region 3/4 Training Room on May 1  
Incident Command System 400 - (2-day course)
  • North Adams Ambulance Service on Dec 12 
  • MEMA Region 3/4 Training Room on Feb 6
  • Worcester EMS on Feb 20
  • MEMA Region 3/4 Training Room on Mar 13
  • MEMA Region 3/4 Training Room on Apr 3
  • Worcester EMS on May 22 
  • MEMA Region 3/4 Training Room on May 30 

Basic Public Information Officer Course

  • MEMA Headquarters Training Room on Dec 12 

Visit our web site at  http://mematraining.chs.state.ma.us/TRS/ for more details.

Disaster Behavioral Health Training Series   DisasterBMHseries 

The Center for Multicultural Mental Health (CMMH) at Boston Medical Center (BMC) and the Emergency Preparedness Bureau at the MDPH in collaboration with the Massachusetts Department of Mental Health (DMH) is offering disaster behavioral health training for public health, healthcare, public safety, and other disaster response personnel throughout the Commonwealth.

Dates:

Jan 29 & 30 - Psychological Resilience Basic, Charlton, MA 

Feb 12 & 13 - Psychological Resilience Basic, Greater New Bedford CHC, New Bedford, MA 

Mar 12 & 13 - Psychological Resilience Basic, Northampton, MA 

Apr 23 & 24 - Psychological Resilience Train-The-Trainer, Northampton, MA 

June 6 - Psychological Resilience Refresher/Advanced, Boston, MA 

June 7 - Psychological Resilience Refresher/Advanced, Charlton, MA 

Visit http://cmmh-cmtp.org/impar.php to learn more and to register.  

Individuals Requiring Additional Assistance  IRAA     

The Center of Excellence for Emergency Preparedness Education and Training (CEEPET) is deeply committed to providing a comprehensive set of trainings to our clients. Ensuring that all hospital, EMS, long-term care facilities and community health centers workers are prepared to care effectively for Individuals Requiring Additional Assistance (IRAA) during a disaster or emergency. This course is comprised of ten modules as follows:

Introduction

People with Special Medical Needs

People with Disabilities

Bariatric Populations

People with Psychiatric Illness

People who are Homeless

Pregnant Women and Children

People who Use Service Animals

People with Cultural and Language Barriers

Elderly Populations

CEEPET invites you to complete the Introduction module, followed by any or all of the other modules.  Each explores the needs of individual populations in an in depth way. In addition to the courses, CEEPET maintains a "tool-box" of resources, scholarly work, and material that you may find helpful.  Please feel free to download these resources to the extent that they are useful to you. The toolbox is linked directly from the course website and will be updated frequently so we encourage you to check back from time to time. Click here to go to the IRAA page on our website. The course is offered free of charge. OEMS and Nursing con ed credits are available.

Comings and Goings                                                                Top
Comings and Goings ComingsGoings
The Conference of Boston Teaching Hospitals (COBTH) welcomed Mary Devine as the new Emergency Management Coordinator. In her new role, Mary acts as a liaison between healthcare institutions within the organization and MDPH. She promotes healthcare emergency preparedness initiatives and while working with government agencies to coordinate a successful response activities during an emergency. Please join us in welcoming Mary to her new role!
Job Opportunities Jobs
Logistics Management Specialist
- FEMA, Maynard, MA. This position is ideal for a candidate who has experience in planning, managing and sustaining disaster logistics support and resources at the Regional level by leveraging the national logistics partnerships that include Federal, State, Local, Non-Governmental (NGOs) and private sector. https://www.usajobs.gov/GetJob/ViewDetails/332944200

Emergency Preparedness Instructor/Exercise Planner
- Hartford Hospital Center for Emergency Medical Preparedness. Duties include instructing hospital staff and healthcare partners in ICS (Incident Command System)  and the use of Personal Protective Equipment (PPE), exercise planning and report â?? writing. Other duties as assigned by Manager. http://www.experiencedrn.com/job/17815538/indeed?utm_source=Indeed&utm_medium=cpc&utm_campaign=Indeed

Director of Environmental Health & Safety - Dartmouth is seeking applications for the position of Director of Environmental Health and Safety (EHS). The EHS Director reports to the Vice Provost for Research and has a strong working relationship with the Vice President for Campus Planning and Facilities. As Director, the successful candidate will be in charge of an office of nine professional staff members and provide strategic and administrative oversight for all aspects of environmental health and safety across the institution. http://www.indeed.com/cmp/Dartmouth-College/jobs/Director-Environmental-Health-Safety-b733c691f522f88a
Calendar Highlights                                                                        Top
Calendar
Dec 6 - Better Oral Health for Massachusetts Coalition Annual Mtg
Dec 13 - League Holiday Open House
Dec 17 - Whittier Street Health Center Annual Meeting
Dec 19 - CCHERS Annual Meeting & Holiday Reception
JANUARY 1, 2013 - HAPPY NEW YEAR!
Jan 9
- Clinical Issues Committee Meeting
Jan 14 - QI Coordinators/ Nurse Managers Forum
Jan 15 - UDS Training
Jan 15 - Medicaid Directors Forum

For more details and other health center events, visit http://www.massleague.org/Calendar/Calendar.php.
If you have any questions, comments or concerns, please do not hesitate to contact me. Thank you.
 
Tina Wright, Emergency Management Program Manager and Public Information Coordinator
Massachusetts League of Community Health Centers
40 Court Street, 10th Floor, Boston, MA 02108
617-426-2225 ext. 231 
twright@massleague.org 
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