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Earlier this week, the Federal Emergency Management Agency (FEMA) announced the release of a report, 20 Years of the National Incident Management System.
The National Incident Management System (NIMS) was established in 2004 to provide stakeholders across the whole community with the shared vocabulary, systems and processes to successfully deliver the capabilities described in the National Preparedness System.
The NIMS community includes emergency responders and other emergency management personnel, federal partners, non-governmental organizations, the private sector, and elected and appointed officials responsible for making decisions about incidents.
Before NIMS, the emergency response community had long recognized the need for standardized incident management guidance, particularly when responding to major incidents that required collaboration among multiple organizations and jurisdictions. Key incidents such as Southern California’s 1970 wildfire season, the terrorist attacks on September 11, 2001 (9/11), and Hurricane Katrina in 2005, served as pivotal points for the nation to both recognize and reaffirm the need for a shared multijurisdictional, multiagency incident management system.
Since 2004, NIMS evolved through numerous iterations of guidance, resources, and tools. Now, more than 20 years after the tragic terrorist attacks on September 11th that drove the creation of NIMS, the threat of human-induced disasters also has only become more complex. As these hazards and threats evolve, the NIMS model continues to offer communities a flexible system for unified response to incidents of any type, level, or scope.
The 35-page report highlights the evolution of NIMS and showcases success stories from across the nation. The report can be accessed at: https://www.fema.gov/emergency-managers/nims
(Source: FEMA)
Each year on Sept. 25, the Department of Homeland Security (DHS) observes #SeeSayDay, the If You See Something, Say Something® campaign’s annual national awareness day. This year’s theme, “Spot the Signs. Report the Activity,” highlights the crucial role of public vigilance in national security and counter-terrorism efforts within the current threat environment. The #SeeSayDay call-to-action urges individuals to spot and report suspicious activity to help prevent terrorism-related crime – on September 25, and year-round.
For first responders, the National Counterterrorism Center’s Joint Counterterrorism Assessment Team (JCAT) developed a First Responder’s Toolbox, Enhancing Bystander Reporting to Prevent Terrorism, released earlier this month.
Bystanders enhance terrorism prevention when they recognize, intervene, and report concerning behaviors and indicators to authorities. However, some bystanders face barriers to reporting these indicators. This First Responder’s Toolbox highlights considerations for engaging with bystanders to overcome those barriers. It expands on a First Responder’s Toolbox, Bystanders Are Key to Countering Terrorism, that was released in 2020.
Access these First Responder’s Toolboxes on ODNI.gov, within the JCAT First Responder Toolbox library.
(Source: JCAT)
One of the latest threats to public health is Mpox—a rare but potentially serious viral disease that has emerged in countries where it’s not normally found, including the United States. To ensure early detection and isolation of those affected, emergency medical services (EMS) clinicians must understand the disease and be on alert for signs of infection.
EMS clinicians have been transporting patients with suspicion of Mpox since July 2022, when the World Health Organization declared the first Public Health Emergency of International Concern (PHEIC) for Mpox. The 2022 PHEIC was declared due to a global outbreak of the Clade IIb subtype of Mpox. That PHEIC was declared over in May 2023 after there had been a sustained decline in global cases, although this Clade of Mpox is still actively being spread through human-to-human contact in the United States.
In December 2023, the Centers for Disease Prevention and Control (CDC) issued a health advisory about the emergence of a new clade of Mpox, Clade 1, which was spreading via human-to-human contact in the Democratic Republic of the Congo (DRC) with potential to spread to the United States through anyone who may have recently traveled to DRC.
On Aug. 7, 2024, the CDC released an update to its December 2023 Health Advisory, warning that, while clade I Mpox is endemic, or naturally occurring, in DRC, the current outbreak is more widespread than any previous DRC outbreak and has resulted in clade I mpox transmission to some neighboring countries. In late July 2024, Burundi, Rwanda, and Uganda, which sit on the eastern border of DRC, reported confirmed cases of mpox, with some cases having linkages to DRC. Since January 2023, over 22,000 suspected cases and more than 1,200 suspected deaths were reported, marking a significant increase compared to previous years.
On Aug. 8, 2024, the National Emerging Special Pathogens Training and Education Center (NETEC) released a situation report about the latest Mpox spread in Africa.
On Aug. 14, 2024, the WHO declared a second PHEIC for Mpox due to concern about the continued rapid spread of this new virus strain in DRC, clade 1b, into countries neighboring the DRC, mainly through sexual networks.
Earlier this week, on Sept. 23, 2024, the CDC issued another Health Alert Network (HAN) Health Update on the latest Mpox outbreak,. The CDC reports that states continues to be affected by the ongoing global outbreak of clade II mpox that began in 2022, but that no domestic cases of clade I mpox have been identified in the United States at this time.
On Sept. 24, the U.S. Department of Health and Human Services (HHS), through the Administration for Strategic Preparedness and Response (ASPR), announced actions to increase the supply of mpox vaccine, supporting the U.S. Government commitment to make over a million combined doses of mpox vaccines available to the global mpox response. This is the largest international donation of the JYNNEOS mpox vaccine to date, which just received regulatory approval from WHO last week.
The National Highway Traffic Safety Administration’s Office of EMS will hold a webinar in its EMS Focus series, Navigating Mpox: Latest Updates and Strategies for EMS Clinicians. The webinar is scheduled for Wednesday, Oct. 2 at 1 p.m. EDT.
The webinar will explore the latest updates on the Mpox outbreak and its impact on EMS operations. Panelists will review current epidemiological data on the new respiratory transmissible clade in Africa, along with essential guidance for emergency responders.
Webinar panelists will also discuss:
- Vaccine eligibility.
- Response and strategies to prevent further spread.
- Available treatments and therapeutics.
Register for this webinar on Zoom.
(Sources: NHTSA OEMS, CDC, WHO)
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