DHS-- Fusion Centers & EOCs Need to Talk

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According to the inspector general (IG) of the Department of Homeland Security (DHS), state and local fusion centers and emergency operations centers could improve the response of their jurisdictions to terrorism and natural disasters if they talked to each other more often. Many fusion centers and EOCs surveyed do not exchange information.

While Washington State’s fusion center’s near-daily briefing tends toward being a fear based police blotter, extracting news from the conservative press, it does offer periodic useful news of value to the Vashon disaster preparedness community. Read a bit more about the Washington State Fusion Center’s up and downs at the Operation Defuse website. A related activity I occasionally come across is the imageNWWarn.org site, responsible for all those “report your suspicions” notices plastered on our ferries.

The DHS IG report, Relationships Between Fusion Centers and Emergency Operations Centers sites lack of knowledge that these types of institutions should work together. "Officials at fusion centers and emergency operations centers we visited were not always aware of each other's roles, capabilities and information needs," according to the report. "In some areas, these officials had limited or no interaction, which could hinder response to natural or man-made disasters.  "Fusion center and emergency operations center officials also were not always aware of and did not always utilize federal guidance developed to address coordination and information sharing efforts. More than 83 percent of the locations visited were either unaware of or did not utilize federal guidance for fusion center and emergency operations center interaction provided in Comprehensive Preparedness Guide (CPG) 502," promulgated by the Federal Emergency Management Agency (FEMA), the report added. Both fusion centers and emergency operations centers would benefit from talking to each other as they have similar missions. They each manage the flow of information on the ground in their jurisdictions to the federal government and vice versa, the IG report said. The centers should make it a top priority to form relationships and to work together to exchange information and intelligence on a daily basis to strengthen the safety and security of state and local residents.image

www.hstoday.us/industry-news/general/single-article/dhs-ig-recommends-fusion-centers-and-emergency-operations-centers-talk-more/05dcfe6a39da4c6b8e98554508c76c25.html

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Local health officials announce new recommendations to reduce risk of spread of COVID-19

4 March 2020
Summary

Local health officials announced new guidance to King County residents aimed at reducing their risk of exposure to COVID-19. While all residents can take steps now, people with underlying health conditions are urged to follow recommendations to avoid large gatherings of people.

Story

Local health officials announced today new recommendations to King County residents aimed at reducing their risk of exposure to COVID-19. We understand these actions will have a tremendous impact on the lives of people in our community. We are making these recommendations in consultation with CDC based on the best information we have currently to protect the public's health.

This is a critical moment in the growing outbreak of COVID-19 in King County and these measures can potentially impact the spread of the disease.

Public Health is recommending, but not requiring, the following steps:
  • People at higher risk of severe illness should stay home and away from large groups of people as much as possible, including public places with lots of people and large gatherings where there will be close contact with others. People at higher risk include:
    • People 60 and older
    • People with underlying health conditions including heart disease, lung disease, or diabetes
    • People who have weakened immune systems
    • People who are pregnant
  • Workplaces should enact measures that allow people who can work from home to do so. Taking these measures can help reduce the number of workers who come into contact with COVID-19 and help minimize absenteeism due to illness
  • If you can feasibly avoid bringing large groups of people together, consider postponing events and gatherings.
  • Public Health is not recommending closing schools at this time unless there has been a confirmed case in the school. Public Health – Seattle & King County also respects an individual school's decisions about closures or postponement of activities as each school knows the needs of their community best.
  • All people should not go out when they are sick.
  • Avoid visiting hospitals, long term care facilities, or nursing homes to the extent possible. If you need to go, limit your time there and keep six feet away from patients.

More detail on these measures will be available at www.kingcounty.gov/covid

Case update:

COVID-19 test results have come back from the Washington State Public Health Laboratory confirming ten additional cases of COVID-19 in King County residents including one death. With these ten new results, the total number of cases in King County is 31. The total number of deaths is nine.

The ten new cases are in:
  • A female in her 60s, Life Care resident, hospitalized at EvergreenHealth
  • A male in his 50s, associated with Life Care, not hospitalized
  • A male in his 60s, Life Care resident, hospitalized at EvergreenHealth
  • A female in her 70s, Life Care resident, hospitalized at EvergreenHealth
  • A male in his 60s, Life Care resident, hospitalized at Evergreen
  • A female in her 90s, Life Care resident, was hospitalized at Evergreen and died on 3/3/20
  • A female in her 70s, Life Care resident, hospitalized at EvergreenHealth
  • A male in his 30s, no known exposure, not hospitalized
  • A female in her teens, associated with Life Care, not hospitalized
  • A male in his 80s, a resident of Life Care, hospitalized at EvergreenHealth
No other details about the 10 cases reported today are available currently.

21 other cases, already reported earlier by Public Health, include:

  • A female in her 40s, worked at LifeCare, never hospitalized and is recovering at home
  • A female in her 60s, family member of a confirmed case of COVID-19, not hospitalized
  • A male in his 70s, a frequent visitor of LifeCare, hospitalization status unknown currently
  • A male in his 20s, unknown exposure, hospitalized at Swedish Issaquah
  • A male in his 20s, unknown exposure, hospitalized at Swedish Issaquah
  • A female in her 80s, resident of LifeCare, never hospitalized, died on 2/26/20
  • A male in his 50s, resident of LifeCare, hospitalized at Harborview Medical Center and died on 2/26/20
  • A male in his 50s, hospitalized at Highline Hospital. No known exposures. He is in stable but critical condition. He had no underlying health conditions.
  • A male in his 70s, a resident of LifeCare, hospitalized at EvergreenHealth in Kirkland. The man had underlying health conditions, and died 3/1/20
  • A female in her 70s, a resident of LifeCare, hospitalized at EvergreenHealth in Kirkland. The woman had underlying health conditions, and died 3/1/20
  • A female in her 80s, a resident of LifeCare, was hospitalized at EvergreenHealth. She is in critical condition.
  • A female in her 80s, hospitalized at EvergreenHealth in Kirkland. This person died on 3/1/20.
  • A female in her 90s, hospitalized at EvergreenHealth in Kirkland.
  • A male in his 70s, hospitalized at EvergreenHealth in Kirkland. The man has underlying health conditions, and is in critical condition
  • A male in his 70s was hospitalized at EvergreenHealth. He had underlying health conditions and died on 2/29/20.
  • A man in his 60s, hospitalized at Valley Medical Center in Renton.
  • A man in 60s, hospitalized at Virginia Mason Medical Center.
  • A woman in her 50s, who had traveled to South Korea; recovering at home
  • A woman in her 70s, who was a resident of LifeCare in Kirkland, hospitalized at EvergreenHealth and died on 3/2/20
  • A woman in her 40s, employed by LifeCare, who is hospitalized at Overlake Medical Center
  • A man in his 50s, who was hospitalized and died 2/28/20 at EvergreenHealth
What Public Health is doing:

This is a massive undertaking and we have a talented, dedicated team digging in to learn everything we can to protect the health of our community. What we have seen with the level of community spread has raised the level of concern about the immediate threat of COVID-19, particularly for vulnerable populations such as people over 60, those with underlying health conditions or who are immune compromised.

King County Novel Coronavirus Call Center:
  • If you are in King County and believe you were exposed to a confirmed case of COVID-19, or if you're a healthcare provider with questions about COVID-19, contact our novel coronavirus call center: 206-477-3977.
  • The call center will be open daily from 8:00 AM to 7:00 PM PT.
  • For general concerns and questions about COVID-19, please call the Washington State Novel Coronavirus Call Center at 800-525-0127.
When to seek medical evaluation and advice:
  • If you have symptoms like cough, fever, or other respiratory problems, call your healthcare provider. Do not go to the emergency room. Emergency rooms need to be able to serve those with the most critical needs.
  • If you are having a medical emergency, call 9-1-1.
In addition to the recommendations listed above, the public can help:
  1. Do not go to the emergency room unless essential. Emergency rooms need to be able to serve those with the most critical needs. If you have symptoms like cough, fever, or other respiratory problems, contact your regular doctor first.
  2. Stay home when sick.
  3. Practice excellent personal hygiene habits, including handwashing, coughing into tissue or elbow, avoid touching eyes, nose, or mouth.
  4. Stay away from people who are ill, especially if you are 60 and older or have underlying health conditions such as diabetes, heart disease, lung disease, or a weakened immune system.
  5. Stay informed. Information is changing frequently. Check and subscribe to Public Health's website (www.kingcounty.gov/COVID) or blog (www.publichealthinsider.com).
Remember to take every day preventive action such as watching hands, and if you are sick stay home. During an outbreak with a new virus there is a lot of uncertainty. Our guidance and advice is subject to change as we learn more. We will continue to keep you updated.

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Is it blizzard yet?

The cat after the blizzardHave you been following the big snowstorms back east? I’ve been listening in as distant friends and family rush to prepare, then hunker down to wait out the blizzard. Supermarkets are getting low on fresh foods, as families stock up in advance of the storm. Friends and family relate how they’re getting in extra bottled water and wondering how to maintain home heat and refrigeration if the power goes out. Maybe the gas tanks of their cars aren’t full, but they live in cities where they can walk to many essential services. In a city, the household plan for staying safe and comfortable may rely on municipal services, utility companies, and emergency responders. On rural and isolated Vashon, we don’t enjoy such a robust infrastructure, so we need to prepare as best we can, and be ready to help each other if possible.

It’s even harder to imagine winter weather right now, when Vashon is experiencing an early spring of sunshine and 60-degree days! Yesterday the sunshine and warmth drew me out to the garage, where I noticed a generator that needs an oil change, a food cache that could use updating, and a tangled mess of bicycles and lawn furniture blocking access to the spare batteries and lightbulbs. How embarrassing! The foundations of a strong NERO are its households: members of a well-prepared household are far less likely to need help, and are better able to assist neighbors. Like you, I want to be part of the solution (not part of the problem), so I sorted out the mess, and shopped for some new canned foods.

January is a great time for each of us to review the basics. Find lots of helpful ideas and lists at ready.gov, and remember that kids can be a big help in preparing at home. Already this year, a number of group captains have let me know that they plan to hold meetings and revive their neighborhood preparedness activities. Watch this spot and the local papers for some fun and inspiring NERO and household preparedness events throughout 2015! Now excuse me while I go change the oil in that generator…

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Latest advice (Mar 9) from King County

Recommendations for people at high risk for complications from COVID-19 (i.e. older than 60 years, have chronic medical conditions or weakened immune systems, or who are pregnant) and families who live with them:

  • Make sure you have access to several weeks of medications and supplies. Create a household plan of action (see CDC’s home plan checklist).
  • Avoid close contact with people who are sick.
  • Avoid crowds and other congregate settings. Try to avoid being in large groups of people, especially in poorly ventilated spaces.
  • Clean your hands often. Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol.
  • Clean and disinfect your home to remove germs. Practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks) with household cleaners and EPA-registered disinfectants that are appropriate for the surface, following label instructions.
  • Pay attention for potential symptoms. COVID-19 symptoms can include fever, cough, and shortness of breath.


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