Pandemic Influenza Sub-task

Pre-Scripted Mission Assignments and Sub-Taskings for the Emergency Support Function #8 (ESF-8) Pandemic Influenza Response

Under the National Response Framework (NRF), Health and Human Services (HHS) is the lead Federal agency for ESF-8 (Public Health and Medical Services), which confers upon HHS the responsibility for coordination during an influenza pandemic.  Because of the nature of the HHS mission and its lead role in the public health and medical response to an influenza pandemic, a number of Federal agencies and departments would be supporting ESF-8 mission assignments related to pandemic influenza.  The following is a listing of the ESF-8 mission assignments and sub-taskings likely to be used during pandemic influenza.

ESF-8 Pre-Scripted Mission Assignments (PSMAs):

1. Provide Public Health and Medical Staffing Support
   1. Provide public health and medical staffing to support disaster response operations as directed by FEMA in the State of _________ affected by _________.  This staffing may include, but is not limited to, physicians, mid-level practitioners, nurses, pharmacists, behavioral health specialists, veterinarians and the required administrative support staff.  All activities will be coordinated with the appropriate state and local officials as well as other federal agencies.  All personnel requirements must be coordinated with and authorized by FEMA in conjunction with ESF-8 and the affected state(s).  Specific tasks under this mission assignment will be requested by Mission Assignment Task Orders.
2. Provide medical supplies, pharmaceuticals, vaccines and equipment.
   1. Provide medical supplies, pharmaceuticals, vaccines and equipment as directed by FEMA to support disaster response operations in the State of _______________ affected by _________. All activities will be coordinated with the appropriate state and local officials as well as other federal agencies.  All medical supply, pharmaceutical, vaccine and equipment requirements must be coordinated with and authorized by FEMA in conjunction with ESF-8 and the affected state.  Specific tasks under this mission assignment will be requested by Mission Assignment Task Orders. All property purchases must be coordinated with FEMA Operations and Logistics and a copy of the invoice or receiving report for purchased property provided to the Accountable Property Officer for FEMA within 30 days of receipt of the property. All accountable property purchased under this mission assignment must be returned to FEMA to be eligible for reimbursement.
3. Provide pharmaceuticals, and medical equipment
   1. All activities will be coordinated with the appropriate state and local officials as well as other federal agencies. All pharmaceutical and medical equipment requirements must be coordinated with and authorized by FEMA in conjunction with ESF-8 and the affected state.
   2. Specific tasks under this mission assignment will be requested by Mission Assignment Task Orders. All property purchases must be coordinated with FEMA Operations and Logistics and a copy of the invoice or receiving report for purchased property provided to the Accountable Property Officer for FEMA within 30 days of receipt of the property. All accountability property purchased under this mission assignment must be returned to FEMA to be eligible for reimbursement.

HHS Subtaskings

The three HHS PSMAs are further divided into and delegated to responsible agencies and departments. 

Department of Defense (DoD)

1. Deploy available personnel to provide technical assistance and/or medical support, including home healthcare, to workers in the highest priority critical Federal healthcare infrastructure/key resources that must be maintained to protect the integrity and continuity of the nation.
2. Deploy available personnel to provide augmentation support for hospitals and PODS.
3. Deploy available public health and medical personnel to support highest priority declared critical Federal healthcare infrastructure areas.

Department of Homeland Security

1. Deploy and track available DHS mass fatality response assets.
2. Deploy available personnel to provide technical assistance and/or medical support, including home healthcare, to workers in the highest priority critical infrastructure/key resources that must be maintained to protect the integrity and continuity of the nation.
3. Deploy available personnel to provide augmentation support for hospitals and PODS.
4. Deploy available public health and medical personnel to support highest priority declared critical Federal healthcare infrastructure areas.

HHS Office of the Surgeon General (OSG)

1. Deploy available PHS CC to staff the Emergency Management Group (EMG) and Incident Response Coordination Teams.
2. Deploy available PHS Commission Corps (CC) to staff ESF 8 positions in the five regional Joint Field Office (JFOs) and other multi-agency coordination elements (e.g. NRCC).
3. Deploy available Rapid Assessment Team to determine epidemiological situation and assess local capabilities and resources.
4. Deploy available Rapid Response Public Health and Medical (Tier I, II, and Tier III) assets to support containment efforts.
5. Deploy available PHS CC to support exit screening at airports and other major transit hubs in affected countries.
6. Deploy available PHS CC to support screening and secondary assessment at selected domestic points of entry to prevent domestic importation of disease.
7. Deploy available PHS CC personnel to support quarantine and isolation operations at ports of entry.
8. Deploy available PHS CC to support highest priority declared critical Federal healthcare infrastructure areas.
9. Deployment available Tier I RDF assets to provide staffing for FMS.
10. 10. Deploy available PHS CC to provide technical assistance and/or medical support, including home healthcare, to workers in the highest priority critical Federal healthcare infrastructure/key resources that must be maintained to protect the integrity and continuity of the nation.
11. Deploy available PHS CC to provide augmentation support for hospitals and PODS.

HHS Centers for Disease Control and Prevention (CDC)

1. Deploy Rapid Assessment Team to determine epidemiological situation and assess local capabilities and resources.
2. Deploy Rapid Response Public Health and Medical assets to support containment efforts.
3. Deploy FMS caches.
4. Deploy medical material and pharmaceuticals from SNS. (awaiting funding answer from SNS)

HHS Substance Abuse & Mental Health Services Administration (SAMHSA)

1. Provide psychosocial support to responders and affected communities through institutionalization of psychosocial support services and development of workforce resiliency program.

DHS Federal Emergency Management Agency (FEMA)

1. Provide [Base/Location Name] as a FEMA MOB center to support forward distribution of supplies / equipment to affected area. Provide billeting (barracks facilities are acceptable) and life support, to include meals and hygiene facilities, for  [Number]  personnel; marshalling area for up to  [Number]  trucks and trailers;  [Number]  sq. feet of covered storage; office and desks space for  [Number]  personnel; and  Materiel Handling Equipment (MHE)/lift capability to offload (type of supplies/equipment) from (type vehicles/aircraft).
2. Provide (base name) as an Operational Staging Area to support forward distribution of supplies / equipment to affected area. Provide marshalling area for up to [Number] trucks and trailers; [Number]  sq. feet of covered storage; and Materiel Handling Equipment (MHE)/lift capability to offload [type of supplies/equipment] from [type vehicles/aircraft].
3. Provide capability to conduct retail fuel distribution operations at [Number] different points.  Each point must provide the capacity to issue [Number] gallons of diesel fuel and/or [Number] gallons of unleaded gasoline. Fuel points must have appropriate nozzles to provide retail re-supply to first responders and commercial ground vehicles. Points must be operational [date/time] at [Location Name].
4. Provide, all non-medical logistic and base operating support for deployed medical personnel and support personnel to include food, shelter, fuel, ground transportation, and line item resupply for (location) from ( Start Date) to (End Date).
5. Provide site preparations if required for deployed Federal Medical Station at (location).  Each site will be cleared and leveled to allow construction of the FMS

Department of Transportation (DOT)

1. Department of Transportation to provide on demand transportation to support federal teams and resources as directed by FEMA Region [Number] for [Name].  Any tasks will include duration and cost estimate and POCs, and will be on a FEMA task order form.

Department of Justice (DOJ)

1. Provide 24 hour security in support of Federal Medical Stations and medical base operating camps at (location) from (Start date) to (End Date).

Department of Labor (DOL)

1. Request monitoring of occupational health effects to ensure the safety of federal responders providing are or otherwise rendering assistance at (Location) from (Start Date) to (End Date).

Department of Veterans Affairs (VA)

1. Request VA staff and operate a Federal Medical Station level, to include the following quantities and types of medical personnel: (X#) of (specify types of physicians), (X#) of (specify types of registered nurses), (X#) of LPNs, and (X#) of (specify types of other ancillary or support personnel) to support patient care at [Location Name] from (Start date) to End Date).  Request that VA identify available personnel within 24 hours, and coordinate transportation so ensure that these personnel arrive at [Location Name] within 48 hours.
2. Request VA provides assistance in the interment of (X#) of human remains.
3. Deploy available personnel to provide technical assistance and/or medical support, including home healthcare, to workers in the highest priority critical infrastructure/key resources that must be maintained to protect the integrity and continuity of the nation.
4. Deploy available PHS CC to provide augmentation support for hospitals and PODS.