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1. OUTCOME
No further harm to any first responder due to preventable exposure to secondary explosions, chemical release,
contagious disease, or stress after the initial event
2. CAPABILITY DESCRIPTION
The capability to protect the health of on-scene first responders and hospital personnel through:
Effective decontamination
Infection control
Adequate work schedule relief
Psychological support
Appropriate self-protection
3. ESF/ANNEX: ESF#8 Public Health and Medical Services
4. CAPABILITY MEASURES
Yes/No
Worker operating guidelines and standards are in place that incorporate health and safety
concerns
Number
Of trained and equipped personnel to perform worker decontamination
Number
Of personnel trained to provide psychological support to workers during and following a
mass casualty event
5. CAPABILITY ELEMENTS
5.1 Personnel
Health and safety officers
Mental health personnel
Decontamination personnel
5.2 Planning
Worker safety plans
First responder prophylaxis plans (including family members)
5.3 Equipment
Interoperable communications equipment
First responder pharmaceutical stockpile
Personal protective equipment (PPE)
5.4 Training
Medical training for safe handling of contaminated patients
Training in use of PPE
HAZMAT training
Training in mental health services related to mass casualties
5.5 Exercises, evaluations, and corrective actions
Exercises incorporate worker safety plans
System for incorporating lessons learned into plans and procedures
6. PERFORMANCE METRICS
Yes/No
Workers successfully protected
Number
Of personnel exposed to hazard
Number
Of persons adequately decontaminated
Number
Of first responder households that received prophylaxis
Number
Of emergency workers who developed mental health symptoms
Number
Of first responders served by support services
7. CRITICAL TASKS
IPR 8.8
Provide for Worker Health and Safety
IM 8.2
Develop public health and recovery worker management guidelines
8. LINKED CAPABILITIES
Environmental Protection and Vector Control (ESF#8)
Isolation and Quarantine (ESF#8)
Worker Health and Safety
17 December 2004
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transport, there will be many workers over a large region to protect. In the pandemic influenza scenario, tens of thousands
of health care workers will require vaccination as it becomes available, as well as protection from droplets. The length of
the outbreak and the large numbers of sick people (42.2 million outpatient visits and 733,800 hospitalizations with an
attack rate of 15%) will likely lead to stress and fatigue in the medical community. In the plague scenario where there are
7,348 sick individuals, exposed health care providers will require prophylaxis.
In the natural disaster scenarios, the primary issues will be the significant amount of recovery work that will go on for
many days and weeks. In the earthquake scenario, there are 20,000 missing people trapped in collapsed structures. In the
hurricane scenario, there are hundreds of thousand of gallons of extremely hazardous substances spilled into floodwaters.
These environmental hazards pose a significant risk to responders.
In the nuclear scenario, the damage caused by the explosion will provide immense challenges to protection of workers in
the debris, and contaminated areas. Recovery efforts will go on for a long period of time. The scale of destruction (total
damage within radius of 0.5 to 1.0 miles from blast site) and the large numbers of casualties (over 100,000) will likely lead
to severe stress and fatigue.
In the radiological scenario, there is a large area of contamination (over 36 city blocks at each of three sites) and
responders would have to remove victims from damaged or collapsed buildings.
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