In addition to the on-line course, there are exercises, events, and resources offered that provide essential best practices information for healthcare coalition and response partners for fast paced CBRNE mass casualty event. These are available to facilitate preparedness planning, response improvements and establishing robust network of regional partners utilizing subject matter experts in situational awareness for fast paced CBRNE mass casualty events.


Burning buildings and Wildfire Toxic Air ReleasesThe 29th Annual Continuing Challenge HazMat Emergency Response Workshop

September 4 - 6, 2018Sacramento, CA More information to follow soon.


Regional Health Resilience (RHR) Workshop II

Date and Venue to be determinedMulti-sector response organizations planning committee Development Workshop will be a scenario-based tabletop using the USGS Haywired hazard data for a M. 7+ Hayward Fault earthquake affecting the San Francisco Bay Area. Workshop II will build on outcomes from the March 27, 2017 RHR Workshop I in order to go into more depth on information-sharing and coordination requirements, as well as development of associated capabilities.

Check back later for more information.

Large Scale Refinery Toxic Air Release: Essential Elements of InformationThe 28th Annual Continuing Challenge HazMat Emergency Response Workshop

September 6 - 7, 2017Sacramento, CA Large scale air releases of toxic chemicals including H2S, SO2 and aromatic carcinogens often travel rapidly downwind from refineries due to accidents and operational errors, which represent exposure hazards to first responders, as well as healthcare first receivers and the community at large. Limiting serious toxic exposures based on lessons learned incidents provides the basis for utilizing an Essential Elements of Information tool, to rapidly acquire situational awareness and actionable decision-making analysis. Tabletop Exercises were conducted to exercise essential response elements including cross-sector communication, health impact area prediction, healthcare surge, as well as exposure prevention and treatment guidance.

Check back for summary documents, which will be posted soon.

Regional Health Resilience Summit

May 13, 2016Alameda County Office of Homeland Security and Emergency Services4985 Broder BlvdDublin, CA 94568 Representatives from all-levels of government, private sector, and non-profit organizations with responsibilities in preparedness and response for large-scale toxic air release emergencies met to gain better understanding of threats and health effects from such incidents and discuss gaps in capabilities and ways to make necessary improvements. Outcomes of the Summit included 46 issues and gaps that need attention and 33 proposed recommendations and ideas by participants for actions to improve preparedness and response in these priority areas and more broadly to improve risk assessment and mitigation capabilities. Follow-on activities to the Summit include an Action Planning Workshop to enable participants to further refine, and prioritize the proposed improvement actions into a roadmap of short-term “quick wins” and longer term options and discuss how to move forward to secure the leadership and resources necessary to implement the these activities. To learn more, download the Summit outcomes paper: Preparedness & Response for Mass Casualty Toxic Air Emission Events Summary Report


Regional Health Resilience Workshop I

March 27, 2017Alameda County Office of Emergency ServicesDublin, CA Examined Essential Elements of Information (EEI) that organizations need to acquire or provide in fulfillment of roles and responsibilities in the response to mass casualty large-scale toxic air emissions. Objectives included the identification types of data sources and associated constraints that could impede rapid and timely access for critical response decisions. Explored what methods are available to share this data and what permissions are required to access sensitive and proprietary information. Investigated ways to share, integrate, analyze, and disseminate essential information for coordination and to improve regional collaboration and resilience, and build relationships with organizations with mutual interests in preparedness/response for mass casualty toxic emission releases Outcomes included a greater understanding of what information is required to enhance situation awareness, coordination, and decision-making for rapidly evolving regional mass casualty toxic air emission events. Understanding of development of capabilities through evaluating, refining, and testing them to improve regional health and healthcare resilience using USGS Haywired scenario hazard-related data that predicts impact zones for 7+ magnitude earthquake in the San Francisco Bay Area. To learn more, download the Workshop outcomes paper: Enhancing Information Sharing and Situational Awareness for Mass Casualty Toxic Air Emission Summary




Produced by the California Department of Public Health Environmental Health Laboratory Branch to help fulfill and improve CDPH-EHLB Hospital Preparedness Program (HPP) mandated responsibilities. Provides an initial set of standard operating procedures (SOP) for the development and conduct of exercises in cooperation with local Healthcare Coalitions and their partner organizations, in order to improve healthcare preparedness and response for mass casualty toxic chemical emission events. Includes supporting tools and other educational resources, including templates and examples of documentation and outcomes from exercises. Developed through the use of local and regional tabletop, functional, and full exercises and drills to help meet state needs to further identify and address regional gaps in Health Coalition preparedness and response through education and training. The Guide reflects and confirms with recent national health-related policy directives to build Community Resilience with a primary goal to strengthen healthcare security and readiness throughout the nation, as well as state and local guidelines. The Community Health Resilience Exercise Process (CHREP) described in the Guide emphasizes the importance of the healthcare sector to disaster preparedness, and the need to incorporate a broader range of stakeholders into this process to address the interdependent physical and cyber assets and associated systems that support effective, reliable, and resilient healthcare delivery.


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