[net-gold] COUNTRIES: HAITI : DISASTERS: EARTHQUAKES: HHS Emergency Response in Haiti: Summary Report, Feb. 11 and Other United States: Health and Human Resources Reports and Documents
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
- To: Net-Gold <Net-Gold@xxxxxxxxxxxxxxx>, Temple University Net-Gold Archive <net-gold@xxxxxxxxxxxxxxxxxxx>, Temple Gold Discussion Group <TEMPLE-GOLD@xxxxxxxxxxxxxxxxxxx>, Net-Gold <net-gold@xxxxxxxxxxxxxxxx>, Sean Grigsby <myarchives1@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxxx>, K12AdminLIFE <K12AdminLIFE@xxxxxxxxxxxxxxx>, Net-Platinum <net-platinum@xxxxxxxxxxxxxxx>, "Net-Gold @ Nabble" <ml-node+3172864-337556105@xxxxxxxxxxxxx>, MediaMentor <mediamentor@xxxxxxxxxxxxxxx>, Digital Divide Diversity MLS <mls-digitaldivide@xxxxxxxxxxxxxxx>, net-gold@xxxxxxxxxxxxx
- Date: Fri, 12 Feb 2010 16:38:53 -0500 (EST)
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COUNTRIES: HAITI :
DISASTERS: EARTHQUAKES:
HHS Emergency Response in Haiti: Summary Report, Feb. 11
and Other United States: Health and Human Resources
Reports and Documents
HHS Emergency Response in Haiti: Summary Report, Feb. 11
U.S. Department of Health & Human Services -
200 Independence Avenue, S.W.
- Washington, D.C. 20201
<http://www.hhs.gov/haiti/summaryrept02112010.html>
HHS Emergency Response in Haiti: Summary Report, Feb. 11
The HHS medical teams have reported seeing more than 28,800 patients so
far, including approximately 370 yesterday, Feb. 10.
Since they began seeing patients Jan 17, HHS medical teams have performed
133 surgeries and delivered 32 babies.
HHS currently has approximately 195 people deployed in Haiti to support
relief efforts.
The International Medical Surgical Response Team continues to provide
patient care using temporary medical stations set up in a soccer field
near a GHESKIO clinic in Port-au-Prince.
Disaster Medical Assistance Team members are providing primary care at the
U.S. embassy and medical support for the recovery team at Hotel Montana.
The teams report seeing patients with chronic disease or who need basic
care, an indication that the medical need is returning to routine care
rather than emergency care.
The U.S. government is working to recover, identify and repatriate the
remains of U.S. citizens who perished in the earthquake.
A specially trained HHS Family Assistance Center (FAC) Team is working
with the U.S. Dept of State and families of U.S. citizens to gather
information that will help identify the remains of Americans who died in
the earthquake so they can be returned to their families.
HHS has provided a disaster portable morgue unit at the Port-au-Prince
airport, staffed with mortuary and forensic specialists who will work with
the U.S. Dept. of State and U.S. Dept. of Defense to identify remains of
U.S. citizens who died in the earthquake.
CDC is collaborating with national and international partners to meet
urgent public health needs and establishing liaisons and coordination
needed for successful, long range public health programs in response to
the earthquake.
CDC staff members in Haiti are helping the government of Haiti address
urgent public health threats. CDC experts participated on Initial Rapid
Assessment (IRA) teams to collect health, food, water, nutrition and
sanitation data from 224 sites across Haiti. CDC staff in Haiti and
Atlanta are assisting with data analysis from the IRAs. These data will be
released by the U.N. and used to develop and prioritize immediate
interventions.
CDC is collaborating with international partners to conduct needs
assessments as the basis for the development of long range public health
programs in Haiti. CDC staff members have assisted with pilot surveillance
of health conditions being diagnosed and treated in 52 health facilities
in Haiti. Data on communicable diseases has been collected from more than
half of the 52 sites thus far and changes daily. Working with Haitian
health officials and international partners, CDC staff are analyzing
initial data submissions. Results of the surveillance will be used to
prioritize public health interventions, project resources needed by health
care facilities as they care for patients, and assist in long-range
planning for the reconstruction of the country's health care system.
HHS has activated two Federal Coordinating Centers (FCCs) in Atlanta and
Tampa as part of the National Disaster Medical System. These two centers
are staffed by teams from the Department of Veterans Affairs who will meet
NDMS medical evacuation flights from Haiti and arrange ground transport to
place patients at appropriate hospitals. Federal Coordinating Centers in
New York, NY; Lyons, NJ; Philadelphia, PA; Washington, DC; and Boston, MA
are put on alert in case additional capacity is needed to treat patients
from Haiti who have life-threatening conditions. Additional information
can be found by visiting our Web site.
Approximately 24,422 American citizens have returned to the U.S. from
Haiti as of midnight February 11. Of these, approximately 7,365 received
Administration for Children and Families (ACF)-funded services assistance,
such as medical attention, food, short-term lodging, transportation or
logistics for their onward flights in the United States. These services
were coordinated by the state emergency repatriation team.
Unaccompanied children coming from Haiti who have been matched with an
adoptive family but who do not yet have legal guardians are placed in the
custody of the Federal government, and are the responsibility of the
Department of Health and Human Services' Office of Refugee Resettlement
(ORR). As of Feb. 11 at midnight, approximately 436 unaccompanied Haitian
children have been put under the care of ORR. Of these, 416 were released
to sponsors and 20 unaccompanied Haitian children are being cared for at
ORR-designated facilities.* Sponsors are typically prospective adoptive
parents who had already begun the process to adopt the child.
*The total number of unaccompanied Haitian children referred by DHS to ORR
only reflects those children released into ORR's care. Totals reported
before Feb. 8 included some unaccompanied Haitian children who were
immediately released into the care of their adoptive parents upon entering
the U.S.
=========================================
On the Ground at the Gheskio Field Clinic in Haiti, February 4, 2010
<http://www.hhs.gov/haiti/blogs/gheskio_field_clinic.html>
On the Ground at the Gheskio Field Clinic in Haiti
February 4, 2010
Dick Thompson, an HHS public information officer on the ground in Haiti,
reports:
The Gheskio site may hold the record as the most challenging site HHS
disaster teams have ever deployed. Here in Port-au-Prince, DMAT and IMSuRT
teams created overnight a trauma center, arguably as good as any in the
U.S. Yet, they work under conditions not seen in the U.S. in over 100
years.
This facility is located next to one of the largest Internally Displaced
Persons (IDP) camps in Port-au-Prince. It is situated in a former school
with single story buildings but more than half the facility was rendered
unsafe by the January 12 earthquake. Because of space limitations, the
tents were popped inside the schools central garden. These serve as
emergency, pre-op, surgery, and recovery. Two other tents also serve as
sleeping areas, but the overflow of team members sleep on cots under the
covered walkway. Several of these are designated as hot cots to be used by
two people as shifts rotate.
Sites like Gheskio are designed to handle a flood of emergencies. From
here, if necessary, patients are transferred to a facility that can meet
the special needs of the patients (such as neurosurgery aboard the USNS
Comfort), or even evacuated to the U.S. for more advanced life-saving
treatment that cannot be handled in Haiti.
The facility can function at such a high level because Gheskio is built on
the experience of dozens of disasters. Despite challenging conditions,
surgeons working here say that the emergency treatment provided at Gheskio
is as good as any trauma center in the U.S. In the early weeks, many of
the surgeries were amputations. By week four, they were repairing the work
done immediately after the earthquake. And now they are also delivering
babies, lots of babies, frequently following complicated, life-threatening
births. So as huge as the challenges of working at Gheskio are, the
rewards come in equal measure.
As Dr. Sue Briggs, an associate professor of surgery at Massachusetts
General said, This is not our job. This is our passion.
National Disaster Medical System Helping U.S. Hospitals Treat Survivors of
Earthquake in Haiti
<http://www.hhs.gov/haiti/ndms_ushospitals.html>
As part of the ongoing medical response to the Haiti earthquake, USAID
announced on February 1, 2010 that the U.S. Department of Health and Human
Services (HHS) will utilize additional components of the National Disaster
Medical System (NDMS) to help U.S. hospitals provide care to critically
ill survivors.
NDMS Management
NDMS is managed by HHS. Activation is by the HHS Secretary in response to
a public health or medical emergency. The U.S. Department of Defense
manages patient movement and provides medical evacuation. Using these
additional components, NDMS may reimburse participating U.S. hospitals
that treat Haitian patients evacuated with life-threatening injuries due
to the earthquake.
Patient Referral
Haitian and American patients are being referred by Haitian hospitals,
NGOs, the USNS Comfort, or other facilities if they meet criteria for
evacuation. These evacuations are reserved for the rare patients with
life-threatening conditions that cannot be handled within Haiti or by
evacuation to another country. There must also be a reasonable chance that
the patient can survive the flight and the treatment in the U.S.
Federal Coordinating Centers
To support this effort, HHS has activated two Federal Coordinating Centers
(FCCs) in Atlanta and Tampa. These two centers are staffed by teams from
the Department of Veterans Affairs who will meet the flights and arrange
ground transport of patients from Haiti to appropriate U.S. hospitals.
Under NDMS, up to 60 Federal Coordinating Centers (FCCs) can be activated
across the country, if needed, to place patients in participating
hospitals. Approximately 1600 hospitals nationwide participate in the
National Disaster Medical System. Federal Coordinating Centers in New
York, NY; Lyons, NJ; Philadelphia, PA; Washington, DC; and Boston, MA have
been put on alert in case additional capacity to treat patients from Haiti
is needed.
Participating Hospitals
Accredited hospitals, usually over 100 beds in size and located in large
U.S. metropolitan areas, are encouraged to enter into a voluntary
agreement with NDMS. Hospitals agree to commit a number of their acute
care beds, subject to availability, for NDMS patients. Because this is a
completely voluntary program, hospitals may, upon activation of the
system, provide more or fewer beds than the number committed in the
agreement. Hospitals that admit NDMS patients are guaranteed reimbursement
at 110% of Medicare rates by the federal government. NDMS hospitals submit
bills to HHS.
NDMS Components
NDMS has three components: field medical care; patient movement; and
definitive care. Field medical care is accomplished through organized
medical teams called Disaster Medical Assistance Teams (DMATs); fatalities
management teams called Disaster Mortuary Operational Response Teams
(DMORTs); National Veterinary Response Teams (NVRT); and International
Medical Surgical Response Teams (IMSuRT) of U.S. surgical specialists.
Members of the teams are civilian, non-federal professionals who are
activated as intermittent federal employees when needed in a disaster.
NDMS Activation in Response to Haiti Earthquake
HHS activated NDMS on January 13 and immediately called upon the field
medical care component, deploying 270 health and medical personnel to
Haiti as part of the international medical response. As of February 2,
these teams had seen more than 24,500 patients, performed over 100
surgeries, and delivered 28 babies since they began providing care in
Haiti on January 17.
NDMS Partnership
NDMS is a partnership between the Departments of Health and Human Services
(HHS), Defense (DoD), Homeland Security (DHS), and Veterans Affairs (VA).
It began in the 1980s as a mechanism for DoD to bring back mass casualties
from a large-scale conflict and as a way to respond to a large civilian
disaster. Over the years, the domestic disaster mission has expanded and
the military need has diminished.
Haiti - Health Guidance and Information
<http://www.hhs.gov/haiti/guidance.html>
General Information
After an Earthquake (CDC) - What to expect, what to do, and precautions to
take after an earthquake occurs
Haiti Earthquake Info & General Earthquake Info (CDC) - Information about
the January 12th earthquake in Haiti, as well as how to survive an
earthquake and reduce its health impact.
Guidance for U.S. Residents in Haiti (CDC) - General health guidance from
the CDC if injured, for food and water precautions, and other things to
avoid.
Health Professionals & Relief Workers
First Responders Resources (Office of the Assistant Secretary for
Preparedness & Response) - Information for first responders including:
working in hot environments, injuries, and psychological and stress
issues.
Guidance for Relief Workers and Others Traveling to Haiti for Earthquake
Response (CDC) - Recommended vaccines, malaria information, dengue,
tuberculosis, AIDS/HIV, and other infectious disease information, basic
first aid supplies, safe food and drinks, protection against insects and
animals, injury prevention, and psychological impact information.
Health Recommendations for Relief Workers Responding to Disasters (CDC) -
Advice specific to the needs of relief workers responding to disasters
including: prior to traveling information, immunizations, diseases, other
risks, psychological and emotional stress, and a travel health kit.
Interim Health Recommendations for Workers who Handle Human Remains After
a Disaster (CDC) - Precautions for individuals who must have direct
contact with human remains.
Mass Medical Care with Scarce Resources: The Essentials (Agency for
Healthcare Research and Quality) - Guide includes information on ethical
and legal issues, and the provision of services to address pre-hospital,
acute hospital care, and alternative care sites, and palliative care
during a public health emergency.
Injury Management (CDC) - Information for clinicians on management of
emergency wounds, crush injuries, and crush syndrome.
Disaster Alternate Care Facility Selection Tool (Agency for Healthcare
Research and Quality) - Two new interactive computer tools, Disaster
Alternate Care Facility Selection Tool and an ancillary tool, Alternate
Care Facility Patient Selection Tool, help institutions and communities
select alternate care facilities and determine which patients to send to
them.
Children's Health Issues
Important Health Information for Parents Adopting Children from Haiti
during the 2010 Earthquake Recovery (CDC) - Serious infectious diseases,
especially tuberculosis (TB), are a concern in Haiti. High rates of
malnutrition is also a serious concern. Orphans tend to be greatly
affected by these health issues. Therefore, it is very important that
children coming to the United States from Haiti are screened for such
illnesses so that they can be treated as soon as possible.
Interim Recommendations for Initial Domestic Medical Screening of Haitian
Orphan Parolees (CDC) - This medical screening should be performed as soon
as possible after arrival and consist of a general medical screening, as
well as screening for tuberculosis (TB), vaccination status, HIV,
intestinal parasites, malaria, syphilis, and mental health.
Tuberculosis (TB) Screening for International Adoptees Frequently Asked
Questions (FAQs) (CDC) - Children can spread TB to others, though the
chance of that happening is much less likely than it is for adults who
have TB. There have been several cases in which a child was found to be
infectious and spread TB to others. These cases highlight the need to use
caution when assuming that children with TB cannot spread the disease.
Coping with Disasters
Mental Health and Disaster Issues (Substance Abuse and Mental Health
Services Administration) - Tips on talking with children and other
individuals, plus fact sheets for responders, adults, and seniors.
Coping with Traumatic Events (National Institute of Mental Health) -
Information and resources for parents, first responders, researchers and
others.
Food & Drug Safety
Power Outages: Key Tips for Consumers about Food Safety (FDA) - How to
prepare for and what to do when the power goes out and when the power is
restored.
Haiti Ackee Fruit (FDA) - People in Haiti with access to ackee orchards
might try to eat the fruit as a result of food scarcity. They should not
eat unripe ackee fruit, or certain parts of the ripe fruit, because
naturally occurring toxins in them can cause sickness or death.
Insulin Storage and Switching between Products in an Emergency (FDA) -
Advice for patients who may have to use insulin products different from
their usual insulin in an emergency.
Safe Drug Use After a Natural Disaster (FDA) - Provides information on
what to do with drugs that have been potentially affected by fire,
flooding or unsafe water and the use of temperature-sensitive drug
products when refrigeration is temporarily unavailable.
Impact of Severe Weather Conditions on Biological Products (FDA) -
Addresses information on the storage and use of temperature-sensitive
biological products that have been involved in a electrical power failure.
Public Health Issues
Public Health Issues and Priorities for the Haiti Earthquake (CDC) -
Public health needs, projections, and recommendations taking into account
Haiti's socio-economic and demographic situation and the health of its
people prior to the earthquake. Based on CDC's previous experience with
disasters in Haiti and earthquakes in other countries.
Photos
<http://www.hhs.gov/haiti/images/index.html>
Videos
http://www.hhs.gov/haiti/video/index.html
A Pharmacist on the Ground | LT CMDR Georges
January 28, 2010
Lieutenant Commander Georges of the U.S. Public Health Service is
originally from Haiti. Now he's a pharmacist with the HHS National
Institutes of Health working in Haiti to help get needed medications to
the Haitian people.
Haiti: Providing Care at a DMAT Hospital | Keith Lindsay
January 23, 2010
Keith Lindsay, Disaster Medical Assistance Team (DMAT) Comander MA-1, at
Gheskio Field Hospital, Haiti, as part of the National Disaster Medical
System of the U.S. Department of Health & Human Services (HHS).
Update on Developments in Haiti - Adoptions in Progress
January 20, 2010
The federal government streamlines orphan adoptions in process before the
earthquake. Agencies are working to ensure that families both get word and
get reunited as quickly as possible. Video: Dept. of State (transcript)
Haiti: Update on HHS Response Effort
January 20, 2010
U.S. Health and Human Services Secretary Kathleen Sebelius addresses the
ongoing government effort to deliver much needed medical care to the
Haitian people.
Haiti: USNS Comfort in Haiti
January 19, 2010
USNS Comfort received its first patients from the earthquake in Haiti.
Video: Dept. of Defense
Haiti: Dr. Lurie gives an overview
January 19, 2010
Dr Lurie, Assistant Secretary for Preparedness & Response, details the
current level of HHS support in Haiti.
Haiti: How You Can Help
January 15, 2010
Health professionals wishing to go to Haiti, individuals, organizations,
and companies wishing to make monetary contributions, or donate medical
supplies or equipment, should register and indicate what resources they
have at http://www.cidi.org.
For more ways to help, visit the Center for International Disaster
Information (CIDI) site.
Haiti: Initial Response from HHS
January 15, 2010
The U.S. Department of Health and Human Services (HHS) has activated the
National Disaster Medical System and the U.S. Public Health Service
Commissioned Corps. More than 250 personnel are in the process of
deploying to Haiti and over 12,000 personnel could possibly assist in the
coming days.
Haiti Reports & Blogs
<http://www.hhs.gov/haiti/reports.html>
Blogs
On the Ground at the Gheskio Field Clinic in Haiti, February 4, 2010, A
blog about the Gheskio Field Clinic in Haiti.
A Day in Haiti, January 26, 2010, A photo-rich blog about the Gheskio
Field Hospital in Port-au-Prince.
Reports
HHS Activates Additional Components of National Disaster Medical System to
Help U.S. Hospitals Treat Survivors of Earthquake in Haiti, February 1,
2010 - As part of the ongoing medical response to the Haiti earthquake,
USAID, the agency coordinating the US Government response, announced today
that the U.S. Department of Health and Human Services (HHS) has activated
additional components of the National Disaster Medical System (NDMS) to
help U.S. hospitals provide care to critically ill survivors.
Secretary Sebelius Statement on Haitian Children in Pittsburgh, January
21, 2010 - HHS has worked over the last several days to unite Haitian
children who recently arrived in Pittsburgh with their prospective
parents, who had filed for their adoption some time ago and were far along
in that process. These children are now all in the care of their new
families.
HHS Medical Teams Providing Medical Care in Haiti, January 18, 2010
First HHS Medical Teams Providing Assistance in Haiti, January 16, 2010
HHS: First Teams Hit the Ground in Haiti - New Resources on Haiti Recovery
Effort Now Available for Media and the Public, January 15, 2010
HHS Deploying U.S. Medical Personnel to Haiti, January 14, 2010
Secretary Sebelius Statement, January 13, 2010
HHS Summary Reports
Updates on the medical and humanitarian services provided by HHS
HHS Summary Report February 11, 2010
HHS Summary Report February 10, 2010
HHS Summary Report February 9, 2010
HHS Summary Report February 8, 2010
HHS Summary Report February 7, 2010
HHS Summary Report February 6, 2010
HHS Summary Report February 5, 2010
HHS Summary Report February 4, 2010
HHS Summary Report February 3, 2010
HHS Summary Report February 2, 2010
HHS Summary Report February 1, 2010
HHS Summary Report January 31, 2010
HHS Summary Report January 30, 2010
HHS Summary Report January 29, 2010
HHS Summary Report January 28, 2010
HHS Summary Report January 27, 2010
HHS Summary Report January 26, 2010
HHS Summary Report January 25, 2010
HHS Summary Report January 24, 2010
HHS Summary Report January 23, 2010
HHS Summary Report January 22, 2010
HHS Summary Report January 21, 2010
HHS Summary Report January 20, 2010
HHS Summary Report January 19, 2010
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
<http://daviddillard.businesscard2.com>
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