18. Disasters have the potential to raise stress levels in survivors and emergencyresponders, which may negatively affect their mental and emotional well being.19. If an incident generates a large number of fatalities, the need for emergency mortuaryservices, victim identification and other mass fatalities actions, such as theestablishment of a Family Assistance Center (FAC), will be critical.20. During emergency incidents involving hazardous materials <strong>ESF</strong>-8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong>and <strong>ESF</strong>-10 Oil and Hazardous Materials will need to ensure that response activities thatoverlap the two <strong>ESF</strong>s are coordinated and responsibilities are determined for all participatingagencies.CONCEPT OF OPERATIONS1. The various organizations involved in public health and medical services response willrespond to disasters according to their organizational policies and procdures.2. Organizations responsible for public health and medical emergency response (JC Med‐Act, JC <strong>Public</strong> <strong>Health</strong>, JC Mental <strong>Health</strong>, JC Coroner, hospitals, etc.) will keep JohnsonCounty Emergency Management & Homeland Security (JCEMHS)informed of health andmedical situations with the potential to require activation of the Johnson CountyEmergency Operations Center (EOC). Once notified, JCEMHS will activate the EOC ifnecessary.3. The Biological Incident Appendix (BIA) to this annex establishes how public healthresponse activities will be coordinated to meet the needs generated by disasters inJohnson County. As described in the BIA, the Johnson County <strong>Health</strong> Deparment isresponsible for:a. the investigation of disease reports, establishing control measures, andnotifying appropriate authorities to ensure preventative measures arecarried out,b. providing accurate information to the public and other authorities regardingpublic health,c. maintaining records & cumulative data related to immunizations andcommunicable disease,d. ensuring appropriate vaccine supply, source of drug and antidotes, andsupply in collaboration with hospitals/pharmacies, KDHE and the Center forDisease Control and Prevention (CDC),e. coordination of distribution and administration of these drugs, andf. epidemiological monitoring and investigation,g. maintaining an inventory of supplies and equipment that may be needed inthe event of a public health emergency or incident.h. the activation and management of Strategic National Stockpile assets, andmass prohylaxis and vaccination procedures.<strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> <strong>Services</strong> Page 6
4. As described in the Emergency <strong>Medical</strong> System (EMS) Appendix to this annex, JohnsonCounty Med‐Act is responsible for the provision and coordination of emergency medicalresponse activities. The Emergency <strong>Medical</strong> System Appendix establishes howemergency medical response activites will be coordinated to meet the needs generatedby disasters in Johnson County.5. As described in the Mental <strong>Health</strong> Appendix to this annex, Johnson County Mental <strong>Health</strong>Center is responsible for the provision and coordination of emergency mental healthresponse activities. The Mental <strong>Health</strong> Appendix establishes how mental healthresponse activites will be coordinated to meet the needs generated by a disaster inJohnson County.6. As described in the Mass Fatality Appendix to this annex, the Johnson County Coroner isresponsible for the provision and coordination of mass fatality response activities inemergencies/disasters. The Mass Fatality Appendix establishes how mass fatalityresponse activities will be coordinated to meet the needs generated by a disaster inJohnson County.7. Hospitals in Johnson County will provide medical services in accordance with theirpolicies, procedures, and agreements and coordinate with partner organizations (JC<strong>Public</strong> <strong>Health</strong>, JC Med‐Act, cities, first responders, etc.) as needed. When hospitalsrequire assistance from Johnson County, they will notify Johnson County <strong>Public</strong> <strong>Health</strong>,Johnson County Med‐Act, or the <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> Team in the CountyEOC when activated.8. Adult care facilities (e.g. nursing homes, assisted living facilities, adult day care,boarding care, etc.) will respond to emergencies/disasters according to their statemandated emergency management plans (Nursing Facilities KSA 2839163, AssistedLiving Facilities KSA 2641104, Intermediate Care Facilities for the Mentally Retarded &Nursing Facilities for Mental <strong>Health</strong> KSA 39932, Home Plus KSA 2642104, Adult DayCare Facilities KSA 2643104, Boarding Care Homes KSA 2839409). When adult carefacilities require assistance from Johnson County, they will notify Johnson County<strong>Public</strong> <strong>Health</strong>, Johnson County Med‐Act, or the <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> Team inthe County EOC when activated.9. Due to the broad scope of <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong>, the role of CoordinatingAgency for the <strong>ESF</strong> is shared between the JC <strong>Public</strong> <strong>Health</strong> Department, JC Med‐Act, JCMental <strong>Health</strong>, and the JC Coroner. When the <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> Team isactivated, JC <strong>Public</strong> <strong>Health</strong>, JC Med‐Act, and JC Mental <strong>Health</strong> respond to the EOC. Theseagencies will collectively assess the situation and determine which department (JC<strong>Public</strong> <strong>Health</strong>, JC Med‐Act, or JC Mental <strong>Health</strong>) will serve as the Coordinating Agencyfor the <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> Team during the activation. The otherdepartments will continue to serve as <strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> Team Membersin support of the Coordinating Agency and the <strong>ESF</strong>‐8 mission. In mass fatality incidents,<strong>ESF</strong>‐8 <strong>Public</strong> <strong>Health</strong> and <strong>Medical</strong> <strong>Services</strong> Page 7