figure 1. henrico zika unified command … supplemental...smart objective(s): ... incident action...
TRANSCRIPT
FIGURE 1.
HENRICO ZIKA UNIFIED COMMAND ORGANIZATIONAL CHART 2016
Henrico Zika Unified Command Org Chart 2016
POSITION ACRONYMS:PIO = Public Information OfficerLOFR = Liaison OfficerOSC = Operations Section ChiefPSC = Planning Section ChiefLSC = Logistics Planning ChiefFSC = Finance Section ChiefDOCL = Documentation Unit Leader
FIGURE 2. HENRICO ZIKA PREPAREDNESS AND
RESPONSE PLAN/INCIDENT ACTION PLAN (IAP) PHASE 2
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
HENRICO ZIKA PREPAREDNESS AND
RESPONSE
Henrico County Health Department
Operational Period: (Phase 1: Preparedness and Phase 2: Mosquito Season) Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
Date and Time Prepared: 22 June 2016 1530
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
INCIDENT OBJECTIVES (ICS 202)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
3. SMART Objective(s):
Provide for the safety of Henrico County residents and responders
Reduce the impact of Zika in Henrico County
Maintain constant situational awareness using scientific resources from local and regional partners, VDH and the CDC
Educate the Henrico community about Zika disease transmission and prevention
Enhance outreach to vulnerable populations
Support integrated mosquito management efforts
4. Operational Period Command Emphasis:
Develop comprehensive communications strategy, addressing internal and external efforts to share information and resources.
Identify potential areas that are at high-risk for developing vector habitats to shape communications and response efforts.
Develop response model for addressing reported habitats or high-risk locations, including legal implications and restrictions.
Maintain situational awareness as knowledge of Zika virus changes and mosquito season progresses.
General Situational Awareness:
Be sensitive to the fear and emotion that surround this virus, particularly for young or developing families.
Consistent and accurate information are the best tools to combat Zika. A unified message is critically important during this phase of the incident.
Mosquito season, in general, begins around May 1. However, it is expected that the Asian Tiger mosquito population will begin to grow around June 1.
5. Site Safety Plan Required? Yes No X
Approved Site Safety Plan(s) Located at:
6. Incident Action Plan (the items checked below are included in this Incident Action Plan):
ICS 203
ICS 204
ICS 205
ICS 205A
ICS 206
ICS 207
ICS 208
Map/Chart
Weather/Tides/Currents
Other Attachments:
ICS 230 Schedule of Events
ICS 214 Activity Log
ICS 201 Map/Briefing
_215, 215A________________________
7. Prepared by: Name: A.
Oughton/D. Calkins Position/Title: DPSC/PSC Signature:
8. Approved by UC – Health : S. Fischer Davis, MD Signature:
ICS 202 IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ORGANIZATION ASSIGNMENT LIST (ICS 203)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
3. Incident Commander(s) and Command Staff: 7. Operations Section:
IC/UCs Susan Fischer Davis, M.D. (HCHD) Chief Lane Carr (HCPW)
Randy Buchanan (Henrico County Public Works) Deputy Paul Johnson (Community Maintenance)
Group Public Outreach and Education
Safety Officer Supervisor Jasmin Johnson (HCHD)
Public Info. Officer Steve Knockemous (Henrico Public Relations & Media Services) Karen Carter, Ext. Office
Asst. PIO Cari Tretina, Henrico County
Liaison Officer Rob Rowley (HMRC), Anna McRay (HFD)
4. Agency/Organization Representatives:
Group Surveillance/Investigation
Supervisor Laura Young (HCHD)
5. Planning Section:
Chief David Calkins (HCHD)
Deputy Alec Oughton (HFD)
Situation Unit Group Mosquito Control
Documentation Unit Jernelle Hilliard (HCHD) Supervisor Wes Robertson (HCPW)
Resources Unit Leader
6. Logistics Section:
Chief Anne Powell (HCHD)
Deputy
Supply Unit Leader
Facilities Unit Leader
8. Finance/Administration Section:
Chief Charlie Lintecum (HCHD)
Deputy
Procurement Unit
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 203 IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ASSIGNMENT LIST (ICS 204)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016 Time From: 0700 Time To: 0700
3.
Public Information Officer (PIO)/Assistant PIO
4. Personnel: Name Contact Number(s)
Public Information Officer: Steve Knockemus 804.501.4476
Assistant Public Information Officer: Cari Tretina 804.501.4276
5. Resources Assigned:
# o
f
Pers
ons
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader
6. Work Assignments:
Develop Zika “Pick-a-Day to Fight-the-Bite” flier for distribution to Henrico County residents.
Translate Zika “Pick-a-Day to Fight-the-Bite” flier into Spanish and Arabic.
Develop Zika “Pick-a-Day to Fight-the-Bite” poster (see additional information below). Coordinate with Department of General Services to distribute.
Translate Zika posters into Spanish and Arabic.
Develop Talking Points (3-5) to be distributed to inspectors and call centers, as appropriate.
Approve press release developed by Mosquito Control Group.
Coordinate with VDH Regional PIO to create Henrico Zika speaking team.
Update Henrico County website, to include link to Health Department and/or a dedicated Zika page, with instructions for making Zika pregnancy kits. Links to CDC and VDH should be accessible on this site.
Develop “press kits” for first confirmed locally-transmitted case.
Coordinate with VDH Central Region PIO and RIC Airport marketing manager to display Zika-related information on display screens at Richmond International Airport.
Use social media to promote Zika resources on Henrico County website.
Coordinate display of Zika information on bulletin board on first floor of County Administration building during the month of August.
Work with Zika Unified Command and Zika Working Group to write an article for publication in “County Connection.”
7. Special Instructions:
Coordinate with Unified Commanders and Zika Working Group to develop Zika “Pick-a-day to Fight-the-Bite” flier
Zika posters should be one-sided and should use information from both sides of the flier.
“Press kits” for first confirmed locally-transmitted case should include pre-scripted messaging and/or press release to quickly share accurate information with the media when a case of locally-transmitted Zika has been confirmed.
The press release developed by the Mosquito Control Group should include a link to the updated Henrico County website.
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
Steve Knockemus, PIO Office: 804.501.4476 Cell: 804.370.6072
Cari Tretina, Assistant PIO Office: 804.501.4276 Cell: 804.456.8906
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 204 IAP Page Date/Time: 3 June 2016 3:30 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ASSIGNMENT LIST (ICS 204)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016 Time From: 0700 Time To: 0700
3.
Liaison Officer (LOFR)
4. Personnel: Name Contact Number(s)
Liaison Officer: Rob Rowley 804.363.2930
Liaison Officer: Anna McRay 804.501.7183
5. Resources Assigned:
# o
f
Pers
ons
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader
6. Work Assignments:
Serve as point of contact for Unified Command members and partner agencies.
Share information with and facilitate dialogue between Unified Command and partner agencies or organizations.
Identify appropriate points of contact (POCs) for - and facilitate dialogue with - organizations and resources, such as faith-based or community groups, that will become involved in Zika preparedness and response.
Reach out to Henrico County Public Schools and Henrico County Recreation & Parks for involvement in Zika education and outreach.
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
Rob Rowley, LOFR Phone: 804.363.2930
Anna McRay, LOFR Phone: 804.501.7183 (office) 804.822.6201 (cell)
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 204 IAP Page Date/Time: 8 June 2016 4:30 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ASSIGNMENT LIST (ICS 204)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016 Time From: 0700 Time To: 0700
3.
Group: Public Outreach & Education
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief: Lane Carr 804.727.8359
Deputy Ops Chief: Paul A. Johnson 804.501.7622
Group Supervisor: Jasmin Johnson 804.912.4827
5. Resources Assigned:
# o
f
Pers
ons
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader
Medical Reserve Corps (MRC) Volunteers
Jasmin Johnson 25+ Cell: 804.912.4827
6. Work Assignments:
Identify Medical Reserve Corps (MRC) volunteers interested in participating in Zika outreach and education.
Recruit volunteers from other organizations, including CERT, to participate in Zika outreach and education.
Develop Train-the-Trainer program for MRC, CERT, Master Gardeners, and other volunteers with emphasis on training the Neighborhood Leader
Implement the Train-the-Trainer/Neighborhood Leader program by training volunteers to provide a pre-scripted Zika presentation to communities throughout Henrico County.
Track events where Zika information was provided to the public, including presentations and/or events involving or led by volunteers.
Identify community groups, faith-based groups, homeowners associations, civic associations, and other groups for public outreach and education opportunities.
Distribute door hangers in at-risk neighborhoods as directed by Unified Commanders.
Distribute Zika pregnancy tool kits through HCHD maternity clinic, Family Planning Clinic, and WIC clinics.
Support the distribution of Zika “Pick-a-day to Fight-the-Bite” fliers to Henrico County residents through mail and other means.
Work with Master Gardeners to set up Zika booth at Henrico Community Day (July 30, 2016).
Set up and staff a table with Zika information during WIC clinics at West WIC office of Henrico County Health Department.
Assist with operating a Zika point of dispensing (POD) clinic.
Assist with development of Zika messaging for Kroger pharmacy bags (this task has been completed by Finance Section Chief)
7. Special Instructions:
Maintain a spreadsheet to track Zika education and outreach events in Henrico County to include the name of the event, the date and time, the number of people reached (estimated if necessary), and the number of MRC or other volunteers that participated.
A Zika POD may involve dispensing mosquito repellant, condoms, and prevention information.
Coordinate with Standing Water Initiative to develop and implement the Zika Train-the-Trainer program.
As applicable, incorporate the use of social media, such as “Next Door,” in the Zika Train-the-Trainer program to help volunteers organize and empower their neighbors.
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
Jasmin Johnson, Group Supervisor Cell: 804.912.4827
Karen Carter Office: 804.501.5160
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 204 IAP Page Date/Time: 22 June 2016 3:19 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ASSIGNMENT LIST (ICS 204)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016 Time From: 0700 Time To: 0700
3.
Group: Surveillance/ Investigation
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief: Lane Carr 804.727.8359
Deputy Ops: Paul A. Johnson 804.501.7622
Group Supervisor: Laura Young 804.339.1929 (cell)
5. Resources Assigned:
# o
f
Pers
ons
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader
District Epidemiologist Laura Young 1 804.339.1929 (cell) 804.501.5216 (office)
6. Work Assignments:
Respond to calls from citizens and providers with questions about testing and possible exposure
Approve or deny testing requested by providers per VDH testing algorithm
Coordinate specimen submission to the state laboratory o Ensure paperwork is complete and correct o Pick-up and/or delivering specimens from providers offices to DCLS, as needed
Maintain a line list and hardcopy file on patients for whom Henrico HD has submitted specimens and on patients who are Henrico residents submitted by other districts.
Enter information into VEDSS for patients for whom Henrico HD has submitted specimens
Ensure that providers and other districts receive results in a timely manner
Conduct patient interviews/investigations in the event of any positive lab results for Henrico residents. 7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
Laura Young, Group Supervisor Cell: 804.339.1929
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 204 IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
ASSIGNMENT LIST (ICS 204)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016 Time From: 0700 Time To: 0700
3.
Group: Mosquito Control 4. Operations Personnel: Name Contact Number(s)
Operations Section Chief: Lane Carr 804.727.8359
Deputy Ops: Paul Johnson 804.501.7622
Group Supervisor: Wes Robertson 804.727.8358
5. Resources Assigned:
# o
f
Pers
ons
Contact (e.g., phone, pager, radio frequency, etc.)
Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information Resource Identifier Leader
Standing Water Initiative Randy Buchanan
3 804.349.3201 (Cell)
6. Work Assignments:
Create consent form for permission to access to analyze, neutralize, and treat, if necessary, the patient’s property.
Distribute Zika “Pick-a-Day to Fight-the-Bite” flier to 93,000 Henrico County households through public utility bills.
Work with Community Maintenance to distribute Zika flier to additional households as well as libraries.
Coordinate with PIO to develop door hangers using Zika “Pick-a-Day to Fight-the-Bite” fliers. These door hangers will be strategically distributed in at-risk neighborhoods prior to a confirmed locally-transmitted case.
Prepare and print door hangers for targeted outreach to Zika-affected neighborhoods. These door hangers will be used during the next operational period (if and when a locally-transmitted case is confirmed, and if and when the patient agrees to share address with Mosquito Control).
Develop language for a press release to be used if and when a locally-transmitted case is confirmed.
Work with Community Maintenance to develop GIS map with layers showing neighborhoods most at risk. Continue mosquito trapping and collection activities. Continue answering calls from citizens. Conduct property inspections as requested and provide treatment as necessary. 7. Special Instructions:
The press release mentioned above should include a link to the new Henrico County website and should be approved and distributed to media by PIO.
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
Wes Robertson, Group Supervisor Phone: 804.727.8358
9. Prepared by: Name: David Calkins Position/Title: PSC Signature:
ICS 204 IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
COMMUNICATIONS LIST (ICS 205A) Incident Name: Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
3. Basic Local Communications Information:
ICS Position Name (Alphabetized) Method(s) of Contact
(phone, pager, Phone, etc.)
UC – Health Susan Fischer Davis Phone: 804.382.2908 / [email protected]
UC – Public Works Randy Buchanan Phone: (c) 804.349.3201 / [email protected]
Pub Info Officer Steve Knockemus Office: 804.501.4476 / Cell: 804.370.6072 / [email protected]
Asst. PIO Cari Tretina Phone: 804.501.4276 / [email protected]
Liaison Officer Anna McRay Phone: 804.822.6201 / [email protected]
Liaison Officer Rob Rowley Phone: 804.363.2930 / [email protected]
Planning Chief David Calkins Phone: 804.338.4424 / [email protected]
Dep Plans Chief Chief Alec Oughton Phone: 804.332.4955 / [email protected]
Doc Unit Leader Jernelle Hilliard Phone: 804.380.0050 / [email protected]
Operations Chief Lane Carr Phone: 804.727.8359 / [email protected]
Deputy Ops Chief Paul Johnson Phone: 804.501.7622 / [email protected]
Pub. Outreach Group Supervisor
Jasmin Johnson Phone: 804.912.4827 / [email protected]
Pub. Outreach Group Karen Carter Phone: 804.501.5160 / [email protected] ; [email protected]
Surv./Inv. Group Supervisor
Laura Young Phone: 804.339.1929 / [email protected]
Mosquito Control Group Supervisor
Wes Robertson Phone: 804.727.8358 / [email protected]
Fin-Admin Chief Charlie Lintecum Phone: 804.432.7075 / [email protected]
4. Prepared by: Name: D. Calkins Position/Title: PSC Signature:
ICS 205A IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
FOR OFFICIAL USE ONLY (FOUO)
3. Organization Chart
INCIDENT ORGANIZATIONAL CHART (ICS 207)
1. Incident Name: Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
ICS 207 IAP Page 4. Prepared by: Name: D. Calkins Position/Title: PSC Signature: Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
SAFETY MESSAGE/PLAN (ICS 208)
1. Incident Name:
Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
3. Safety Message/Expanded Safety Message, Safety Plan, Site Safety Plan:
Ensure that responders, volunteers, and other personnel participating in breeding site elimination efforts take all necessary precautions to avoid mosquito bites.
4. Site Safety Plan Required? Yes No X
Approved Site Safety Plan(s) Located At:
5. Prepared by: Name: D. Calkins Position/Title: PSC Signature:
ICS 208 IAP Page Date/Time: 6/22/2016 3:35 PM
FOR OFFICIAL USE ONLY (FOUO)
1. Incident Name: Henrico Zika Preparedness and Response 2. Operational Period (Date/Time)
From: 4/1/2016 0700
To: 10/31/2016 0700
ICS 230
3. Schedule of Events (Meetings & Operational Schedule)
Date/ Time Meeting Name Purpose Attendees Location
2/18/2016 1400-1600 Zika Technical Information Meeting
Situational Awareness, Sharing Information
HCHD, VDH Entomologist, HCPW
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
3/3/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
3/17/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
3/31/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
4/14/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
4/18/2016 1030-1200 Zika Unified Command Objectives Meeting
Identify UCs, agree to UC org structure, develop incident objectives, identify key tasks for UC
HCHD, OEM, HCPW, Henrico Fire
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
4/28/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
5/6/2016 1430-1630 UC Tactics Meeting Develop tactics and strategies for meeting incident objectives
HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
5/12/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
FOR OFFICIAL USE ONLY (FOUO)
5/26/2016 1430-1630 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
DPW Woodman Road Maintenance Building Training Center 10431 Woodman Road, Henrico, VA
6/2/2016 Zika Unified Command Planning Meeting
Develop and finalize IAP; obtain approval of IAP from UC
HCHD, VDH, OEM, Extension Office, HCPW, HC PR&MS
HCHD Large Conference Room, Human Services Building 8600 Dixon Powers Drive Henrico, VA 23228
6/9/2016 Zika Working Group Meeting
Zika Tabletop Exercise, Situational Awareness
HCHD, VDH, OEM, HCPW, HC PR&MS
DPW Woodman Road Maintenance Building Training Center 10431 Woodman Road, Henrico, VA
6/23/2016 Zika Working Group Meeting
Situational Awareness HCHD, VDH, OEM, HCPW, HC PR&MS
DPW Woodman Road Maintenance Building Training Center 10431 Woodman Road, Henrico, VA
4. Prepared by: D. Calkins Date/Time: Position/Title: PSC Date/Time: 6/22/2016 3:35 PM
5. Approved by: S. Fischer Davis Position/Title: UC - Health Date/Time:
FOR OFFICIAL USE ONLY (FOUO)
ACTIVITY LOG (ICS 214)
1. Incident Name: Henrico Zika Preparedness and Response
2. Operational Period: Date From: 4/1/2016 Date To: 10/31/2016
Time From: 0700 Time To: 0700
3. Name:
4. ICS Position:
5. Home Agency (and Unit):
6. Resources Assigned:
Name ICS Position Home Agency (and Unit)
7. Activity Log:
Date/Time Notable Activities
8. Prepared by: Name: Position/Title: Signature:
ICS 214, Page Date/Time:
FIGURE 3. PICK-A-DAY TO FIGHT-THE-BITE
ZIKA VIRUS FLYER
Zika Virus Disease (Zika)
What is it?Zika is a disease spread primarily by mos-
quitoes. Some infected people get mild symp-toms such as fever, rash, red eyes or joint pain for about a week. However, four of every five people who get Zika won’t have symptoms and won’t know they have it. There is no vac-cine or medicine for Zika.
Where is it? Zika is widespread in South and Central
America, Mexico and the Caribbean. It has the potential to become established in the United States.
One of the mosquitoes that is capable of spreading the virus, the Asian tiger mosquito, is found throughout Virginia and Henrico County.
Special concerns for pregnant women
Zika can be spread from mother to child if a woman becomes infected with the virus while pregnant. Infection during preg-nancy has been linked to micro-cephaly, a serious birth defect, and other problems in babies. Zika also can be transmitted through unpro-tected sex with an infected man.
If you or your partner is preg-nant and you have traveled to a Zika-affected area, please talk to your doctor or call the Henrico County Health Department at (804) 501-5216.
Info: search "Zika" at henrico.us
Step 3: Wear insect repellent!
Use Environmental Protection Agency (EPA)-registered products.
Step 1: Pick-a-Day to Fight-the-Bite!
Once a week, inspect your property and empty, dump, turn over or throw out items that hold water such as tires, tarps, buckets, birdbaths and toys.
Pick-a-Day to Fight-the-Bite!
Step 2: Cover up!
Wear long-sleeved loose fitting shirts and long pants.
Zika potentially could be spread by the Asian tiger mosquito, the most common nui-sance mosquito in Henrico County. For this to happen, a local mosquito would need to bite a person infected with Zika.
Asian tiger mosquitoes, marked by distinc-tive black and white striping, prefer to bite during the day and will enter homes through open doors and windows or holes in screens. They lay eggs only in containers of water, not in ponds, puddles, ditches or swamps.
If Asian tiger mosquitoes are biting you, they likely hatched on or near your property. Take steps to control their spread and prevent bites.
Info: (804) 226-6453 or search "mosquito" at henrico.us
FIGURE 4.
KROGER PHARMACEUTICAL BAG
FIGURE 5. FIGHT-THE-BITE TODAY EVENT ADVERTISEMENT
FIGURE 6. HENRICO ZIKA UNIFIED COMMAND
SITUATION REPORT
Revised 9/30/2016
Henrico County Zika Unified Command SITUATION REPORT #20
Time: 1100 Date: 10/28/2016
Incident: 2016 Zika Preparedness and Response Operational Phase 2 – Mosquito Season
New information in bold
Item #
Item As of 10/28/2016
Location/brief synopsis of issue (elaboration to be
located in NOTES)
1 Confirmed and probable cases of Zika
In U.S.
In Virginia
In VDH Central Region
4,091 (+75)*
87 15
*139/4,091 (+2) are locally-acquired cases in Florida
2 Requests approved for testing in Virginia
Pregnant
Non-pregnant
1,859 (+55) 1,395 (+45) 464 (+10)
3 Specimens submitted for testing
By HCHD based on provider location
For Henrico County residents
158 (+2) 95 (+1) 63 (+1)
4 Zika Outreach Events/Efforts 61 (+2) See notes below
5 MRC Volunteers Participation 92 (+8)
410 hours
$10,696.90
This number reflects the number of times MRC volunteers have participated in outreach events. Individual volunteers may be counted multiple times. This is the number of hours MRC volunteers worked on Zika outreach and education efforts. This number reflects the monetary value of MRC volunteer support. This total is calculated using an hourly rate of $26.09 over a total of 410 volunteer hours.
6 Asian Tiger Mosquitoes Collected 17,808 (+307)
Report filed by: David Calkins, Planning Section Chief NOTES:
146 pools of mosquitos from Henrico have been delivered to date to DCLS for Zika testing. All have come back negative. One pool will be retested next week because of invalid sample processing.
Supplemental dispensing of mosquito repellant continues. Standing Water Initiative will be providing insect repellant free-of-charge to Henrico residents that file mosquito complaints.
This will be the final situation report for this operational period.
Revised 9/30/2016
As noted in #4 and #5 above, Henrico County has coordinated or participated in the following Zika Outreach Events/Efforts:
No. Date Event/Effort Audience
Materials Disseminate
d
Approx. Population Reached
MRC Volunteers Participati
ng
4 Ongoing Zika Train-the-Trainer MRC/CERT Outreach PPT 36
5 Ongoing Zika Outreach for Henrico WIC – East End
Henrico County WIC Clients – East HHD (Laburnum Ave.)
Zika Flyers and Education
80 2
6 Ongoing Zika Outreach for Henrico WIC – West End
Henrico County WIC Clients – West WIC Office (Shrader Road)
Zika Flyers and Education
80 2
Ongoing Supporting Chickahominy Health District
Chickahominy Health District partners
Outreach PPT
60 10/22/2016 Health Fair for Asian American Society of Central Virginia
Henrico County residents
Zika Flyers, Education, and mosquito repellant
100 6
61 10/25/2016 Zika Presentation at Marywood Apartments
Residents of Marywood Apartments
Zika Presentation and Flyers
2 2
TOTALS Est. 331,381*
92**
*Total may include overlap among various outreach events and efforts. **This number reflects the number of times MRC volunteers have participated in outreach efforts. Individual volunteers may be counted multiple times.
FIGURE 7.
HENRICO COUNTY ZIKA TASK FORCE PERMISSIONS AND LOGISTICS
TABLETOP EXERCISE
Henrico County Zika Task Force (ZTF) Permissions and Logistics Tabletop
Exercise
Presented by: Standing Water Initiative July 1, 2016
1 | P a g e
In order to meet the overall expectations and goals of our Zika Response Plan, clear,
consistent, and frequent communication with our citizens must be a top priority. To ensure
public safety and prevent further spread of Zika, due to local transmission, citizens living within
a 150-to-200 yard radius of an infected person’s home must receive and understand information
as well as the control procedures necessary to reduce Asian tiger mosquito numbers and
limit/eliminate any risk of further transmission. A large part of this equation is ensuring that the
mosquito control operations team has access to as many homes within the risk radius without
violating local directives, laws, or constitutional rights.
The Henrico County Zika Task Force (ZTF) Permissions and Logistics Tabletop Exercise is
designed to address how the operation teams can safely, efficiently, and effectively gain access
to individual properties, conduct inspections, and abate target mosquito populations all within
the virus’s viremic phase (See Appendix I pg. 7).
The goals of this exercise are as follows:
A. Determine the most efficient way to gain permission from citizens to access their
property following a confirmed locally-transmitted case of Zika virus.
B. Identify procedures, materials, and information needed to canvas targeted
neighborhood.
C. Investigate how to maintain team, volunteer, and resident safety during the permission,
inspection, and treatment phases of response.
D. Test the handling of questions, concerns, complaints, and requests for service from
outside the target response area.
E. Determine Response Team deployment procedures.
F. Identify gaps in the Response Team structure and supervision.
Projected definitions of Mosquito Control Response Teams based on Zika Task Force
outline:
(Number of volunteers/interns & supervisors is subject to change)
Permission Team A team composed of ~5 volunteer/interns and ~1 SWI supervisor whose responsibility
will be to disseminate agreement and authorization forms (See sample on page 3) for
private property access following confirmation of a target area. Each team member will
be provided with reference and literature based materials to justify the need for
authorization.
Inspection Team A team comprised of ~10 volunteers/interns and ~1 SWI supervisor whose responsibility
will be to conduct mosquito (Asian tiger) site inspections. Inspections will follow normal
SWI inspection protocol with the caveat that all potential egg-laying habitat (i.e.
containers) will be removed or dumped during the time of the inspection.
2 | P a g e
Treatment Team A team comprised of ~3 certified pesticide applicators and/or contractor teams whose
responsibility will be to provide mosquito abatement via chemical applications on
predetermined and qualifying residential/business/community properties. Treatments
will be based on permissions and Centers for Disease Control (CDC) recommendations.
Scenario 1: Confirmed Local
Transmission Part A: Developing Permissions Protocol
A case of locally transmitted Zika virus has been confirmed. The infected household
grants consent for the Henrico Department of Health to share his/her address with Henrico
County Standing Water Initiative. The resident also allows full access to their property.
However, in order to effectively begin CDC based protocol the Zika Task Force (ZTF) is
charged with determining a target radius surrounding the infected resident’s home and
obtaining property access permissions for all houses within the target radius. In order to
identify a target radius Geographic Information Systems (GIS) is used. The resulting map
portrays a radius which intersects corners and/or bisects some properties. The ZTF
Permission Team begins distribution and collection procedures in order to gain property
authorization.
3 | P a g e
1. Does ZTF include all properties touched by the target radius? What about
properties outside the target radius but in the same neighborhood?
2. How are authorization forms disseminated and collected? How are permissions
posted and collected for absent residents? Or those unwilling to grant immediate
permission? (i.e. indecisive)
3. What materials and information will each resident be provided to justify the need for
authorization? How will residents be able to ask questions or find out more
information?
4. What forms of identification will ZTF staff be required to present to residents?
5. How will the ZTF begin mobilization?
6. Are there enough team volunteers/interns and supervisors provided in the
Permission Team definition to handle authorization dissemination and collection? If
not how will ZTF determine the necessary number?
4 | P a g e
Part B: Vacant Properties
During community canvassing it is suspected there are some vacant homes.
7. How does the ZTF handle inquires, inspections, treatments, and complaints
regarding abandoned homes, facilities, businesses, and properties where quick
authorization is not feasible? Do you adopt a treat now deal with repercussions later
attitude?
8. What message will be conveyed to concerned citizens of adjacent properties
regarding ZTF’s pursuit of corrective action? What message will be provided to
citizens if abandoned property owner refused cooperation?
9. Should the ZTF have an active call center during operations to aid in the contact of
property owners?
Part C: Inquiries from Residents Outside the Target Area
A ZTF staff member is approached by a citizen living outside the target area. The citizen heard
from a neighbor within the target area that the county is looking to conduct inspections and/or
provide treatments of properties for Asian tiger mosquitoes. The citizen questions why ZTF
members have only targeted houses across the street. After a brief explanation, and despite
being outside the target area, the resident becomes nervous and requests a permission form to
have his/her property inspected and treated if necessary. The resident claims that his/her close
proximity to those houses receiving inspections is reason enough to warrant addition to the
inspection schedule.
10. What message will be provided to curious and/or concerned citizens living adjacent
to, within, or across from target area homes? Should this message be a unified
response or specific to resident proximity or situation?
11. How does ZTF staff handle citizens (outside the target area) who insist on an equal
and immediate provision of services?
Part D: Safety Concerns
After the formation of the target radius, ZTF Command indicates a history of criminal activity
within the target boundaries. Command confirms this speculation through communication with
the Henrico County Police Department. Given the time of day or length of time required to
canvas the area several ZTF staff become concerned about potential safety issues.
12. What safety protocols are necessary to ensure the protection of all working ZTF
Teams within the target area?
13. What personal protection equipment (PPE) will be necessary to increase visibility
and safety during team operations in the field? How many PPE units will be
available? Where will teams and staff pick up PPE units? What will be provided in
each PPE unit?
14. What steps will the Police and other public safety departments take in order to
ensure adequate coverage during Zika operations? How will ZTF communicate with
public safety departments and personnel during operations?
5 | P a g e
Part E: After Hours
Local transmission has been confirmed at 5pm on a Friday. ZTF Command begins mobilization
procedures. However, over the course of these procedures it becomes apparent that a majority
of the ZTF volunteers and interns are unavailable. It is also realized that several supervisors
have left town for the weekend.
15. How will after hours and/or weekend events be initiated and mobilized?
16. What additional resources does ZTF have in terms of manpower? Are there reserve
volunteers?
17. What protocol is in place to substitute for absent supervisors and/or members of the
command structure?
Part F: Refusal
Community canvassing also revealed several homes where residents granted authorization and
agreed to inspections but during those inspections refused dumping and treatments. One such
resident is a hoarder and has hundreds of containers in their backyard. Actively perusing a
citation is not part of the ZTF protocol nor is it feasible in terms of time. Educational materials
passed out during the permission phase of operations informed neighbors that excessive
containers can exacerbate the threat of transmission via harboring Asian tiger mosquitoes
therefore, several residents demand immediate action.
18. At this point, are there any further options for addressing the resident hoarding
containers?
19. What messages are provided to concerned citizens when a neighbor cannot be
forced to eliminate egg-laying habitat?
20. How do you address residents who insist they should not have to spend personal
money for protection from someone who is presenting an obvious public health risk?
Part G: Language Barriers
The Permission Team begins canvassing the neighborhood and initial reports indicate that
some residents were unable to be reached due to language barriers. ZTF staff reports that while
a majority of the foreign residents speak Portuguese, there are also several other households
which appear to speak Russian and Japanese. Homes which are affected by language barriers
equate to approximately 25% of the community. These homes are scattered throughout the
community. The ZTF has no authorization forms translated in these languages.
21. How does ZTF make decisions about which residents require access to translation?
22. Does the ZTF pursue friends and family who could potentially translate?
23. What access does Henrico County have to quick field translation resources? If so
how much time will it take to mobilize or how much advanced notice is required prior
to mobilization?
24. How many translators are accessible?
25. How many languages will the authorization forms cover? Will any of these be pre-
printed?
26. How many regular and translated forms will be required prior to responding to a
locally transmitted case?
6 | P a g e
27. Is there an attempt to contact the HOA to gain permission? Are community meetings
needed to address large complexes such as townhomes and/or apartments?
28. Can ZTF protocol and operations be conducted within a 24 hours window? If not
what level of service, if any, is provided?
29. What is the cutoff point for allocating resources to a particular situation? How do you
prioritize one situation (e.g. local outbreak) over another?
7 | P a g e
Appendix I
From: West, Angela (VDH)
Sent: Tuesday, June 28, 2016 2:26 PM
To: Gaines, David (VDH)
Subject: mosq control questions
Hey David,
As we are starting to recevie emails about doing home visits for patients who have Zika symptoms but
where we do not have lab+ results yet and/or patients who are lab+, a few questions have come up:
1) If the patient is no longer viremic (past 7 days), is there still an expectation to do a home visit and look
for breeding habitats after the viremic time frame has passed?
Yes. If the patient was viremic last week and was bitten by a mosquito at that time, the mosquito
would not be ready to transmit the virus for several more weeks because there is an extrinsic
incubation period of several weeks from when the mosquito took in an infectious blood meal to
when it could actually transmit the virus. Therefore, one would need know whether that infected
mosquito was still around and whether mosquito control would be necessary (i.e., were there
any mosquitoes there in the first place).
2) Will mosquito source reduction after the 7 day viremic time period help to curb potentially infected
mosquitoes or Zika activity?
Yes
3) If yes to #2, then for how long? What is the typical life span of the Asian tiger mosquito? Should home
visits be done for up to 4 weeks after an infected person is identified or just 1 week?
I would say that up to four weeks or one month would be recommended.
4) We are getting emails about doing home visits when someone is symptomatic but testing is still
pending, most people want to know their test results before agreeing to a home visit. But this puts us
back to Q1 above where then it’s often more than 7 days after the viremic period. Any suggestions for
dealing with this time lag for testing vs need for immediate mosquito assessment?
Don’t worry if it is more than seven days after the viremic period. Let us know and we will come
out. If you can’t get the patient to agree to a home visit until lab results are in, we can wait.
David Gaines
Thanks, Angie
FIGURE 8. PICK-A-DAY TO FIGHT-THE-BITE MOSQUITO INSPECTION FORM
Facts about the Asian tiger mosquito
that can transmit the ZIKA VIRUS:
They lay eggs in containers and other man-made items that
collect water
They DO NOT lay eggs in ponds, ditches, streams or swamps
They are persistent daytime biters
They have a short flight range, about 100-200 yards
Homeowners play a primary role in controlling them
If they are biting you, they are breeding nearby
They develop into adults in about 10 days, therefore...
From May through October
PICK ONE DAY A WEEK
to check for breeding sites
on your property!
Over
Boat and Cover Recycling Bins Buckets Drain Pipes
Flower Pots/Trays Items behind your Shed Items under your Deck Rain Gutters Any other man-made items that hold water
For items that cannot be dumped, use an environmentally friendly product labeled for killing mosquito larvae.
Protect yourself from mosquito bites:
Use mosquito repellent Carefully follow the directions
EPA-registered active ingredients include: DEET, Picaridin, IR3535
Wear long-sleeved loose fitting shirts and long pants
For more information, search “mosquito” at henrico.us or call 226-6453 to request a complimentary mosquito inspection.