PUBLIC HEALTH PREPAREDNESS: MOBILIZING STATE BY STATE
Section 2: Snapshots of Public Health Preparedness in States and Directly Funded Localities: Los Angeles County
Related Website: Los Angeles County Department of Public Health
Los Angeles County Collaborates with the Federal Bureau of Investigation
Cross-jurisdictional investigation protocols promote timely and coordinated response.
In the event of public health
incidents of suspicious and possibly
criminal origin, public health and
law enforcement agencies must
coordinate their investigations closely to reach shared
objectives (e.g., determining where, when, and how
the incident occurred). In an effort to promote close
collaboration, the Los Angeles County Department
of Public Health (LACDPH) developed and signed a
memorandum of understanding (MOU) with the Federal
Bureau of Investigation (FBI) that guides the course
of joint investigations. Under the MOU, LACDPH
developed written protocols for sharing public health
information with FBI and protocols for FBI to share
threat intelligence information with LACDPH.
LACDPH and FBI conducted a nationally unprecedented day-long, full-scale joint investigation exercise in March 2007 to test the recently developed joint investigation protocols with over 100 LACDPH and FBI personnel. The exercise tested the ability of the two agencies to conduct a joint investigation of a covert bioterrorism event; conduct joint patient interviews with field staff from both agencies following established protocols at multiple sites; and exchange mission critical information in a timely manner. LACDPH and FBI activated their respective operations centers, deployed representatives at each agency’s operations center, exchanged situational analysis information, and tested their ability to jointly manage the event following Incident Command System standards.
Snapshot of Public Health Preparedness
Below are activities conducted by Los Angeles County in the area of public health preparedness. They support CDC preparedness goals in the areas of detection and reporting, control, and improvement; crosscutting activities help prepare for all stages of an event. These data are not comprehensive and do not cover all preparedness activities.
Disease Detection and Investigation
The sooner public health professionals can detect diseases or other health threats and investigate their causes and effects in the community, the more quickly they can minimize population exposure.
| Category of Activities | Specific Activity | Response |
|---|---|---|
| Detect & Report | Could receive and investigate urgent disease reports 24/7/3651 | Yes |
|
Telephone | |
| Linked state and local health personnel to share information about disease outbreaks across state lines (through the CDC Epi-X system)3 | Yes | |
| Conducted year-round surveillance for seasonal influenza4 | __ | |
* Telephone, fax, and electronic reporting are all viable options for urgent disease reporting, as long as the public health department has someone assigned to receive the reports 24/7/365. 1 CDC, DSLR; 2005 2 CDC, DSLR; 2006 3 CDC, Epi-X; 2007 4 HHS, OIG; 2007 |
||
Public Health Laboratories
Public health laboratories test and confirm agents that can threaten health. For example, advanced DNA “fingerprinting” techniques and subsequent reporting to the CDC database (PulseNet) are critical to recognize nationwide outbreaks from bacteria that can cause severe illness, such as E. coli O157:H7 and Listeria monocytogenes.
| Category of Activities | Specific Activity | Response |
|---|---|---|
| Detect & Report | Number of Los Angeles County laboratories in the Laboratory Response Network1 | 3 |
| Rapidly identified E. coli O157:H7 using advanced DNA “fingerprinting” techniques (PFGE):2 | ||
| Rapidly identified Listeria monocytogenes using advanced DNA “fingerprinting” techniques (PFGE):2 | ||
| Had a laboratory information management system that could create, send, and receive messages3 (8/05 – 8/06) | __ | |
|
__ | |
| Had a rapid method to send urgent messages to frontline laboratories that perform initial screening of clinical specimens3 (8/05 – 8/06) | __ | |
| Crosscutting | Conducted bioterrorism exercise that met CDC criteria4 (8/05 – 8/06) | Yes |
| Conducted exercise to test chemical readiness that met CDC criteria4 (8/05 – 8/06) | Yes | |
1 CDC, DBPR; 2007 2 CDC, DSLR; 2007 3 APHL, Public Health Laboratory Issues in Brief: Bioterrorism Capacity; May 2007 4 CDC, DSLR; 2006 |
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Response
Planning provides a framework for how a public health department will respond during an emergency. The plans can be tested through external reviews, exercises, and real events. After-action reports assess what worked well during an exercise or real event and how the department can improve.
| Category of Activities | Specific Activity | Response |
|---|---|---|
| Control | Developed a public health response plan, including pandemic influenza response, crisis and emergency risk communication, and Strategic National Stockpile (SNS)1, 2 | Yes |
| Los Angeles County SNS plan reviewed by CDC2 | Yes | |
|
87 | |
| Number of Los Angeles County cities in the Cities Readiness Initiative3 | Yes | |
| Crosscutting | Developed roles and responsibilities for a multi-jurisdictional response (ICS) with:1 (8/05 – 8/06) | |
|
Yes | |
|
Yes | |
|
No | |
| Public health department staff participated in training to support cooperative agreement activities4 | Yes | |
| Public health laboratories conducted training for first responders5 (8/05 – 8/06) | __ | |
| Activated public health emergency operations center as part of a drill, exercise, or real event*†6 (partial year, 9/06 – 2/07) | Yes | |
| Conducted a drill or exercise for key response partners to test communications when power and land lines were unavailable†6 (partial year, 9/06 – 2/07) | No | |
| Improve | Finalized at least one after-action report with an improvement plan following an exercise or real event†6 (partial year, 9/06 – 2/07) | Yes |
* Activation means rapidly staffing all eight core ICS functional roles in the public health emergency operations center with one person per position. This capability is critical to maintain in case of large-scale or complex incidents, even though not every incident requires full staffing of the ICS. † States were expected to perform these activities from 9/1/2006 to 8/30/2007. These data represent results from the first half of this period only. 1 CDC, DSLR; 2006 2 CDC, DSNS; 2007 3 CDC, DSNS CRI; 2007 4 CDC, DSLR; 1999-2005 5 APHL, Chemical Terrorism Preparedness; May 2007 6 CDC, DSLR; 2007 |
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