The Center for Public Health Preparedness at the DeKalb County Board of Health was established in 1999 as one of three Centers for Disease Control and Prevention-funded national Health Alert Network/Training Exemplar Projects. In 2003, the Center was selected by the National Association of County and City Health Officials to receive a grant to continue our work as an Advanced Practice Center for bioterrorism preparedness. The Center is responsible for the development, implementation, and dissemination of innovative tools, technology, and training nationally - being particularly responsive to the needs of our public health region.

Staff of the Center includes physicians, biostatisticians, epidemiologists, nurses, support staff, and environmental health professionals, as well as training and communication specialists and public health professionals.

The DeKalb County Board of Health, serving nearly 700,000 people in metropolitan Atlanta, provides public health leadership for the Center. DeKalb County is the most ethnically diverse county in the southeastern United States.

 


PROJECTS

INCIDENT COMMAND SYSTEM FOR LOCAL PUBLIC HEALTH RESPONSE
Goal: To operationalize all-hazards local public health response along principles of incident command.

Objectives

  • Organize local public health functions into appropriate response sectors (e.g., logistics, planning, operations and administration)
  • Identify job-specific duties and responsibilities
  • Create operational manuals (that include job action sheets) for each specific job category
  • Develop education programs for training staff in their job categories
  • Illustrate model effectiveness through training and evaluation

Deliverables

Organizing framework, training materials and manuals for distribution to other local health departments
Project lead
Darren Collins
Projected completion date
Fall/Winter 2004

EMPLOYEE INTERNAL PREPAREDNESS COMMUNICATIONS CAMPAIGN
Goal: To develop a communications campaign that will facilitate change within local public health agencies and emphasizes preparedness roles and responsibilities of all local public health staff.

Objectives

  • Determine theme
  • Identify campaign elements
  • Develop preparedness handbook
  • Develop an approach to roll-out campaign
  • Produce campaign materials and distribute to staff
  • Illustrate the benefits that can be realized by including the entire public health workforce in preparedness efforts

Deliverables

Preparedness handbook for employees, model approach to engage employees in preparedness activities
Project lead
Kathleen Peters
Projected completion date
Winter 2004

MENTAL HEALTH PREPAREDNESS PLANNING
Goal: To raise awareness about the critical role that mental health professionals play in responding to a public health emergency.

Objectives

  • Develop tabletop exercises highlighting the unique aspects of a mental health response to an emerging public health threat
  • Conduct tabletop exercises with mental health working group
  • Illustrate exercise effectiveness through evaluation
  • Revise exercise and disseminate to local public health agencies

Deliverables

Mental health planning framework, tabletop exercises for distribution to local public health agencies
Project lead
Dr. Scott Wetterhall
Projected completion date
Fall 2004

NEIGHBORHOOD HELP CENTER MODEL FOR ANTIBIOTIC DISTRIBUTION
Goal: Develop a scalable model for rapid delivery of critical antibiotics and vaccines to large numbers of community residents during a public health emergency.

Objectives

  • Illustrate effectiveness of the help center model by evaluating experience in conducting mock anthrax clinic exercise
  • Develop manual for line-level workers and volunteers to establish and staff neighborhood help centers

Deliverable

Manual for line-level workers and volunteers to establish and staff neighborhood help centers
Project lead
Kathleen Peters
Projected completion date
Fall 2004

STUDENT OUTREACH RESPONSE TEAM (SORT)
Goal: To develop a model program for integrating graduate public health students into local public health practice.

Objectives

  • Design program structure, including mission and objectives
  • Recruit master's of public health students into program
  • Develop and conduct trainings on a variety of local public health topics
  • After evaluating program, create manual for use by other local health departments in creating their own SORT programs

Deliverable

Manual for creating SORT program in other local public health jurisdictions
Project lead
Kathleen Peters
Projected completion date
Fall 2004

INTRODUCTION TO PUBLIC HEALTH FOR FIRST RESPONDERS
Goal: Improve collaboration between first responders and health departments by enhancing the first responders' understanding of local public health practice

Objectives

  • Identify training needs by working with training coordinators from DeKalb County fire and rescue department
  • Develop and test course curriculum by providing instruction to DeKalb first responders
  • Collaborate with fire and rescue academy staff to obtain course accreditation (for inclusion in first responder training academy core curriculum and recertification requirements)

Deliverable

Accredited course for training public safety personnel on the fundamentals of local public health practice
Project lead
Darren Collins
Projected completion date
Fall 2004

INTRODUCTION TO PUBLIC HEALTH FOR MEDICAL STUDENTS
Goal: To increase awareness of public health preparedness among medical school students and residents.

Objectives

  • Develop tabletop exercise of a community-based infectious disease outbreak for medical students and internal medicine residents
  • Train medical school faculty in conducting tabletop exercises
  • Evaluate exercise effectiveness
  • Revise exercise and teaching materials for dissemination to faculty at other medical schools

Community Networks/Partners
Emory University School of Medicine students, Emory internal medicine faculty

Deliverables

Tabletop exercise and teaching materials for distribution to medical school faculties
Project lead
Dr. Scott Wetterhall
Projected completion date
Summer 2004

MENTORING PUBLIC HEALTH WORKERS
Goal: To share a model for engaging all units of a local public health agency into a multidisciplinary team responsible for emergency preparedness

Objectives

  • Complete course curriculum
  • Conduct and evaluate course
  • Revise curriculum and training materials
  • Disseminate materials to other local health agencies

Deliverables

Course curriculum and teaching materials for dissemination to other local health agencies
Project lead
Darren Collins
Projected completion date
Fall 2004

EMERGENCY DEPARTMENT SURVEILLANCE PILOT
Goal: Develop and pilot an emergency department-based surveillance system that will enhance the DeKalb County Board of Health's ability to detect, characterize and respond to community health threats

Objectives

  • Develop, document and run a system for receiving and warehousing relevant emergency department data every 24 hours from local emergency departments
  • Develop, document and run a system for providing key stakeholders relevant statistical reports on select community health threats
  • Develop, document and pilot a system for responding to epidemics of select community health threats
  • Evaluate the entire surveillance system based on relevant indicators of success and cost

Deliverable

Report (i.e., publication) on the feasibility of this tool for conducting surveillance of emergency department patients
Project lead
Kathleen Peters
Projected completion date
Winter 2004

TABLETOP EXERCISE FOR MEDIA REPRESENTATIVES
Goal: To improve risk communications by strengthening our relationships with the media

Objectives

  • Identify media champion to co-sponsor event
  • Use exercise to raise awareness of media about unique aspects of bioterrorist events
  • Conduct moderated discussion about role of media during a public health emergency
  • Make exercise summary, tabletop exercise and discussion results available for distribution to other health agencies

Deliverables

Tabletop exercise and exercise summary for distribution to other local health agencies
Project lead
Darren Collins
Projected completion date
Winter 2004

DRILLS AND EXERCISES
Goal: To evaluate and improve our preparedness capacity

Objectives

  • Conduct multi-agency functional exercise that tests our operational readiness
  • Evaluate exercise results
  • Revise and refocus partnership, planning and training efforts
  • Conduct second multi-agency functional exercise and evaluate results

Deliverables

Revised plans for partnership, planning and training efforts
Project lead
To be determined
Projected completion date
Winter 2004-05