OPHPR_overview_May_2016_v2.pptx

Office of Public Health Preparedness and Response (OPHPR) Overview

Centers for Disease Control and Prevention

OPHPR Mission Committed to strengthening the nation’s health security by saving lives and protecting against public health threats (at home, abroad, natural, or man-made)

OPHPR Priorities

RESPOND

Respond quickly and effectively to public health emergencies wherever they occur

Maximize our ability to respond and make the most of investments

Continuously improve our efficiency and effectiveness with internal and external partners

PREPARE

PARTNER

(A) = Acting OPHPR Organizational Chart

Stephen C. Redd Director

Bob Ruiz Deputy Director

Division of Emergency Operations Jeff Bryant (A)

Division of Select Agents and Toxins Dan Sosin (A)

Division of State and Local Readiness Chris Kosmos

Rita Helfand (A) Deputy Director and Chief Medical Officer

Division of Strategic National Stockpile Greg Burel

FY2016 PHPR Total Funding

Total: $ 1,304,872,481* *Funding levels reflect assessments (SBIR, Secretary Transfer, WCF, PHS Evaluation) **Total includes SNS

National Centers, including SNS is $83,213,720 – without SNS the total is $73,225,845 This is the total allocation to OPHPR after assessments have been removed – PHS Eval, SBIR, Sec Transfer, WCF

PHPR (6%), [VALUE]

National Centers (6%)**

[VALUE]

Strategic National Stockpile (39%) [VALUE]

Public Health Emergency Program (PHEP) (49%) [VALUE]

Vertical Horizontal SNS PHEP 70757377 83179220 512113620.86817682 638822263

Prepares national public health system for response to emergencies Public Health Emergency Preparedness (PHEP) cooperative agreement 62 cooperative agreement awardees (state, local, territorial) Supports and sustains the development of response-ready public health departments Funds state and local public health preparedness positions (e.g., epidemiologists, laboratorian, emergency responders)

State and Local Readiness

DSLR administers the PHEP Cooperative Agreement which supports preparedness nationwide.

CDC does not do its work alone. State and local health departments play a critical role. All disease monitoring and initial response is local. State and Local Preparedness and Response provides funding, guidance and training to the states, local health departments, territories, tribal governments and some cities to enable them to acquire the tools, personnel and skills to respond to all types of public health threats including terrorist attacks and natural disasters.

Provides guidance and funding to 62 state, local, and territorial public health departments to strengthen preparedness (including pandemic influenza)

Technical assistance and consultation

Gathers performance data on exercises

Due in part to PHEP funding, health departments in states such as New York and North Dakota have reported improved response, training, communication, and surveillance capabilities that have prevailed through disaster events.

Strategic National Stockpile Operate repository of life-saving pharmaceuticals and medical supplies

Procure, store, and deliver supplies

Provide technical support to state and local health departments

Operates and maintains the national repository of critical medical assets including antibiotics, antiviral drugs, antitoxins, other life-support medications, and supplies

Procures, stores, and delivers these assets to the site of a public health emergency

Can deploy a Stockpile Service Advance Group (SSAG) team to state and local officials during a health emergency

Technical assistance provided to state and local health departments to move medical assets from warehouses to points of dispensing

Regulate the possession, use, and transfer of select biological agents and toxins that threaten public health and safety

292 entities registered with Federal Select Agent Program (FSAP)

251 DSAT

41 USDA/APHIS

Responsible for the Etiologic Agent Import Permit Program Issue permits for the importation of agents, hosts, and vectors of human disease in the United States (e.g. Zika specimens)

Select Agents and Toxins

DSAT regulates the possession, use, and transfer of biological agents and toxins (select agents) that could pose a severe threat to public health and safety.

This regulatory activity is carried out by DSAT's Select Agent Program.

The CDC Select Agent Program currently regulates 51 of the 80 select agents, and 323 registered entities.

The Division of Select Agents and Toxins also oversees the Etiologic Agent Import Permit Program that regulates the importation of agents, hosts, and vectors of human disease in the United States.

Coordinate preparedness, assessment, response, recovery and evaluation for public health emergencies

Manage the EOC—the command center for coordinating emergency responses

EOC is staffed 24/7/365 to provide worldwide situational awareness

Central point of contact for state agencies reporting public health threats Emergency Operations

DEO is responsible for overall coordination of CDC’s preparedness, assessment, response, recovery, and evaluation prior to and during public health emergencies

CDC increased the number of quarantine stations from 8 to 20 Located at major points of entry and land border crossings (85% of international travels arrive there)

CDC and airport partners delivered 2 million T-HANs with information and recommendations for people traveling that may have been exposed to SARS Sent health alert notices to passengers arriving from 11,480 flights originating from areas with SARS

Safeguarding America from Health Threats CDC Public Health Responses

Shuttle Columbia Disaster;

SARS;

Monkeypox Virus;

Northeast Blackout;

Hurricane Isabel;

Ricin Tularemia Anthrax;

California Wildfires;

Domestic Influenza;

Bovine Spongiform Encepha-lopathy (Mad Cow Disease) Avian Influenza;

Ricin Domestic Response;

Guam Typhoon;

Cities Readiness Initiative;

G8 Summit;

Democratic National Convention;

Republican National Convention;

Summer Olympics;

Influenza Vaccine Shortage;

West Nile Virus;

Hurricanes: Charley, Frances, Ivan, and Jeanne Marburg Virus;

Hurricane Katrina;

Rita and Wilma Mumps;

Tropical Storm Ernesto;

E. Coli Spinach/ Botulism Carrot Juice;

E. coli;

Rhode Island Mycoplasma XDR/MDR

TB;

Hurricane Dean Satellite Intercept;

Salmonella and E.Coli Outbreaks;

Hurricanes: Dolly, Gustav, Hanna, and Ike, Tropical Storm Edouard Salmonella typhimuriumOutbreak;

H1N1 Influenza;

Biowatch;

Operation Earthquake;

Presidential Inauguration NH Anthrax;

Haiti Earthquake;

Deepwater Horizon Oil Spill;

Haiti Cholera Outbreak Japan Earthquake and Tsunami;

Hurricane Irene;

Polio Eradication Response (Polio) Polio;

Multistate Meningitis Outbreak;

Polio Avian Influenza H7N9 Response;

Middle East Respiratory Syndrome Coronavirus (MERS-CoV);

Multistate Cyclospora Outbreak;

Polio MERS-CoV;

Un-Accompanied;

Ebola Response;

Polio DoD Sample Investigation;

Ebola Response;

Polio Ebola Response;

Zika Virus Response Flint, Michigan Water Contamination Response;

Polio

EOC Activations in 2016 Last diagnosed case January 21, Sierra Leone Additional cases, small clusters not unexpected Deactivated Emergency Operations Center on March 31, but much work continues CDC support to highly affected countries to transition to Global Health Security Agenda

ZIKA

Protect pregnant women from Zika virus infection Working around the clock with Puerto Rico and other affected areas Provide support to women who are or who may become pregnant Reduce threat of Zika

FLINT, MI

Supporting EPA and the Michigan Department of Health and Human Services on guidance, technical assistance, and messaging

EBOLA

POLIO

January marked 5 years polio-free in India, 2 years in Syria Afghanistan and Pakistan only remaining endemic countries

Ebola Domestic Response: Building capacity within the United States to prevent the importation and spread of Ebola domestically and performing research to support development of vaccines and treatment Ebola International Response: Focus on halting the transmission of Ebola virus in three affected countries in West Africa and strengthen the ability of countries that are most at risk to prevent further spread of the epidemic The EOC was deactivated at the end of March, but much work and many people still remain working on Ebola .Global Health Security Agenda and National Public Health Institutes: Support to CDC’s implementation of the Global Health Security Agenda, preventing infectious disease threats from becoming epidemics

Questions?

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