2. BIGGEST ISSUES
• Ensuring the safety of the public, health care personnel,
employees and those under medical surveillance.
• Working under national media attention
• Communication: providing correct information to media
and public, correcting misinformation and managing
panic
• Ensuring we follow County/State legal, purchasing and
operational requirements
• Tracking costs and having those cost figures available
• Keeping a good situational awareness throughout the
incident
• Managing distractions or “white noise”
3. CHALLENGES
Phase I: Thomas Eric Duncan
Identifying contacts
Addressing fear and panic (languages)
Decontaminating the home
Finding a temporary home for Louise Troh
Finding a homeless man
Disposing of biohazards
4. CHALLENGES
Phase 2: Nina Pham
Identifying additional contacts
Providing on-site community support
Transferring Nina to NIH
Putting a dog in isolation
Testing the first dog in the U.S. for Ebola
Nina and Bentley reunion
5. CHALLENGES
Phase 3: Amber Vinson
Identifying contacts
Notifying residents
Communicable disease control orders
Transporting her to Emory
Addressing healthcare workers who travel
6. STRATEGIES - OPS
EOC (breakout for County, City, State/Federal, conference rooms for meetings)
WebEOC (Used to post Sit Reps, IAP, Significant Events, Resource Requests)
Email List Distribution Created
Face To Face (EOC Briefings-Twice Per Day)
Emergency Managers Conference Call (Daily at 12 noon)
Mayor & Judge Conference Call (Daily at 6pm)
State - Regional EM Conference Call; medical conference call (Periodically)
Persons assigned to keep elected and appointed officials updated
311 staffed; Citizen Phone Bank established (Staffed by MRC)
PIOs, community health teams & police deployed to distribute flyers &
information
7.
8. STRATEGIES - COMMS
Social media allows you to communicate in real time
Twitter is your best friend during a crisis – have one primary handle
Use your website to post articles, video updates
Allows you to control the messaging – not the media
Share, Share, Share – shows that you are being transparent and allows
you to be forgiven
Press conferences when updates are needed from different
partners/agencies
Town hall meetings for public and internal employees
9.
10. LOGISTICS
OEM PIO DFR DPD
•Manages logistics
•Filters all info from
city and partners
(DSHS, CDC, county,
city, DART, DISD)
•Permits
•Contractors
•Educational
Handouts
•Reverse 911
•Transport of nurses
(Love Field)
•Permits for waste
•Home for Louise
Troh
•Door-to-door
communication
•Media relations
•Community relations
(on site)
•311 script
•Broadcast segments
•Raw video for news
•Social
media/website
•Press conferences,
interviews
•Public release of info
•KnowEbola
campaign
•Door-to-door
communication
•Medical expert –can
serve in an advisory
role and issue
communicable
disease control
orders
•Decon guidelines
•Decon ambulance
•Haz-Mat team
•Decon of common
areas
•Door-to-door
communication
•Finding homeless
man with DCSO
•Can deliver control
orders
•Social media
•Set up command
post at hot zones
•Set up staging areas
for media near hot
zones
•Provided support to
PIO
11. LESSONS LEARNED – OPS
• Have a plan for Ebola - Planning is most important part of the
process
• Train and exercise the plan; ensure you are ready
• Have pre-existing contracts ahead of the event
• Make sure all persons involved are treated with respect and
compassion
• Documentation is very important - Freedom of Information
(Pictures)
• Know the importance of legal, purchasing and media team
• Importance of medical monitoring-have a surveillance plan
• Have a situation unit that can plan, react and implement on the fly
• Keep the EOC in the operational environment…not as face of event
12. LESSONS LEARNED - COMMS
• Transparent, clear, consistent communication are key
• Communicate frequently - Have a public face of the event
• Don’t create your own emergencies
• Don’t allow media to control your messaging
• Don’t assume someone else is getting your message out
• Make sure the entity that has the most resources is the core
of the communications effort
• Media, internal employees, community, elected officials
13. POLICY IMPLICATIONS
Public release of information (mass release)
Communicable disease control orders
Medical authority
Plan for tracking those being monitored, where to house people and
pets
Plan for transporting patients
Don’t forget about your own employees who are scared or at risk
Social media
Make @#$! happen
Identifying contacts: Work with CDC and DCHHS
Fear and panic: No matter the hour, go door to door and notify residents about what is about to happen (decon/Ebola diagnosis). Maintain physical presence at each site, provide a liaison so that residents have someone they can ask questions to.
Decontamination: DFR/contractor; Immediate, coordinated and transparent
Finding a temporary home for Louise Troh: Worked with non-profits in Dallas
Finding homeless man: DPD/DCSO manage search teams; medical point-person
Disposing of biohazards: work with state and federal partners; time cannot be an issue
Transporting nurses to different hospitals: Municipal airport (Dallas Love Field)
Isolating and testing dog: state, university and city animal experts
Communicable disease control orders: state
Understand roles of state, CDC, county and city
Other partners: water, 311, EBS, DAS
External: universities, DISD, community college, CDC, county, feds (DHS), DCHHS, DSHS, Texas A&M vets, community non-profits, churches
Have a plan for Ebola - Planning is most important part of the process
Train and exercise the plan; ensure you are ready
Have pre-existing contracts ahead of the event
Make sure all persons involved are treated with respect and compassion
Documentation is very important - Freedom of Information (Pictures)
Know the importance of legal, purchasing and media team
Manage expectations - Media will attempt to drive the event
Transparency and clear, consistent communication are key
Communicate frequently - Have a public face of the event
Don’t create your own emergencies
Importance of medical monitoring-have a surveillance plan
Have a situation unit that can plan, react and implement on the fly
Keep the EOC in the operational environment…not as face of event
Have a plan for Ebola - Planning is most important part of the process
Train and exercise the plan; ensure you are ready
Have pre-existing contracts ahead of the event
Make sure all persons involved are treated with respect and compassion
Documentation is very important - Freedom of Information (Pictures)
Know the importance of legal, purchasing and media team
Manage expectations - Media will attempt to drive the event
Transparency and clear, consistent communication are key
Communicate frequently - Have a public face of the event
Don’t create your own emergencies
Importance of medical monitoring-have a surveillance plan
Have a situation unit that can plan, react and implement on the fly
Keep the EOC in the operational environment…not as face of event