April 15 – 21, 2019

The Northwest Region Healthcare Coalition’s next meeting is Thursday May 9th beginning at 9:00 am. This meeting will be at Bridgewater Rescue Squad (10 Volunteer Dr, Bridgewater, VA 22812). We will conduct our annual exercise instead of the usual monthly meeting. Overflow parking is located on Don Litten Parkway which is beside the Rescue Squad. 



Upcoming exercises: We will conduct the annual regional exercise May 9th in-place of our regional coalition meeting. For questions regarding the upcoming exercises, please contact our Exercise and Training Specialist, Matt Cronin. 


Click here to access our website. Don’t forget to visit the Events calendar for upcoming training and exercise events.

We have developed a one page understanding of the regional coalition that can be shared between coalition partners. Please click here to view the regional “one-pager”.

 Virginia Hospital & Healthcare Association

Virginia Department of Health

1. Virginia Department of Health Community Based Emergency Response Seminar

The Virginia Department of Health Office of Emergency Preparedness will be conducting the Community Based Emergency Response Seminar (CBERS) this spring throughout the state.  This year’s topic will be an overview of the CHEMPACK Program. This Seminar is designed to provide attendees an overview of the CHEMPACK Program, recognition of nerve agent exposures, and awareness of the state plan in which attendees will be encouraged to return to their agencies to assist in reviewing and editing their local plan(s), assist in further developing their local training and protocols/plans. Please take time to review and share the attached flyer with dates, locations and registration information with coworkers and partners.

The location in our region for this year’s CBERS is Augusta County Fire-Rescue, Preston L. Yancey Station, 2015 Jefferson HWY, Fishersville, VA 22939. There are two different dates and times for the training.
Click here for the CBERS 2019 Flyer.
*Continuing Education credits are awarded for the program.
To register:  https://www.eventbrite.com/o/virginia-department-of-health-18596986991 
For more information see http://www.vdh.virginia.gov/emergency-preparedness/cbers-2019/   .
Questions: Adreania Tolliver adreania.tolliver@vdh.virginia.gov

2. Virginia Department of Health Weekly Influenza Activity Report

To view the weekly report, click here. This link will be provided each week until we are no longer in flu season for the 2018-2019 reporting period. To view the map of the US for the influenza summary, click here.

 Assistant Secretary for Preparedness and Response


Assistant Secretary for Preparedness and Response Technical Resource,                                                                                                                             Assistance Center, and Information Exchange

Hospital Preparedness Program



1. National Disaster Pediatric Initiative

The U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR) is seeking input from a wide variety of stakeholders on a new initiative that will increase capability to provide a high level of consistently applied pediatric specialty care wherever disaster strikes.

Children represent 25 percent of the U.S. population and face specialized medical issues due to their unique developmental and physiologic characteristics. Particularly challenging is the management of children’s exposure to infectious diseases, trauma, and other hazards. Pediatric care requires specialized training, equipment, supplies, and pharmaceuticals. While pediatric hospitals and community-based providers deliver excellent care for children on a day-to-day basis, a nationwide approach is needed to manage the overwhelming and unique medical needs of children after disasters beyond the highly capable system of care available on a daily basis.

ASPR will issue a Funding Opportunity Announcement (FOA) in the coming months to address the first phase of the National Disaster Pediatric Initiative (NDPI) with a pilot project for two Pediatric Disaster Care Centers of Excellence. The goal is to ensure that all children receive the best possible care during disasters. The FOA will be developed by ASPR and implemented through the National Disaster Medical System (NDMS). This initiative will be part of the NDMS and complementary to the Hospital Preparedness Program and the Regional Disaster Health Response System. 

We are seeking general concepts and specific ideas from those in the health care and, more specifically, the pediatric care community about a vision for an archetype of a more comprehensive, enhanced, national capability for pediatric care during disasters.  Ideas should not only be limited to augmentation of current systems, but can also include novel approaches that comprehensively address pediatric disaster care. Please provide your vision of a framework for this initiative to ASPR in two pages or less no later than Friday, April 26, 2019. Submissions should include:

  • Proposed development of a pediatric subject matter expert panel that could assist with the development of specialty care treatment protocols, training curriculum and platforms for the care of pediatric patients with focus on management of pediatric patients exposed to infectious diseases, trauma, and other hazards,
  • Considerations of the use of telemedicine to support deployment team(s) in providing onsite care, and

Specialty equipment necessary to meet the unique health care needs of saving the lives of pediatric patients in disasters.

For more information, please review the National Disaster Pediatric Initiative frequently asked questions (FAQs).

2. The Healthcare and Public Health Sector Highlights

Cybersecurity Edition

The HPH Sector Highlights – Cybersecurity Edition is a weekly email produced by the HHS ASPR Division of Critical Infrastructure Protection (CIP) on behalf of the HPH Sector Partnership. It provides updates on threat information, resources, and situational awareness related to healthcare cybersecurity. 

Healthcare and Public Health Sector Joint Cybersecurity Working Group Holds Annual Meeting

The Joint Cyber Security working group (JCWG) of the Health Sector Coordinating Council held its Spring 2019 all hands meeting in San Diego, CA on April 3th and April 4th. This content-packed event was attended by 98 individuals from 85 organizations including from private and public organizations. Some of the highlights of the event were:

  • Leadership Updates by the JCWG leadership on the major achievements of the team in 2018 and a review of major initiatives in 2019
  • Update on the rollout of the Health Industry Cybersecurity Practice (HICP) 
  • Review of the project rollout of MedTech and Health IT Joint Security Plan Task group updates
  • A Clinician’s view by Dr. Christian Damef, UC San Diego Medical School Department of emergency medicine
  • Identification of next steps and recommendations for new task groups for the remainder of the 2019.

The all hands also included a ½ Cyber Security Tabletop Exercise intended to provide a forum for members of the Cyber Working Group to exercise response to a simulated complex, cross-sector incident; establishing a holistic view of cyber incident response. 

The next JCWG all hands is scheduled to be held in Austin, TX in October of this year. Additional information will be shared soon.

HICP Five Threats Webinar Series: Attacks against Connected Medical Devices

The HICP: Five Threats Weekly Series hosted by the 405(d) Initiative presents the final threat in a series of five, Attacks against Connected Medical Devices.   This portion of the threat series covers the risk that medical devices connected over a network face when a cyberattack occurs.  Imagine this, a cyber-attacker gains access to a care provider’s computer network through an e-mail phishing attack and takes command of a file server to which a heart monitor is attached. While scanning the network for devices, the attacker takes control (e.g., power off, continuously reboot) of all heart monitors in the ICU, putting multiple patients at risk. 

The intent of this series is to provide continued education leveraging the recently released publication. This Ninety Minute Presentation will allow the community to dive deeper into this threat individually and corresponding mitigation practices.

Date: Tuesday, April 16 and Thursday, April 18 
Time: 2:00 p.m. ET 
To join: Use this link  
Dial: 202-774-2300
Passcode: 998 898 726 followed by two ‘#’ signs

If you have any additional questions or comments, please email us at CISA405d@hhs.gov.

For more information on this effort and to download a copy of the publication, please visit the 405(d) website at www.phe.gov/405d.

Credit: Centers for Disease Control and Prevention


Credit: U.S. Food & Drug


Credit: Centers for Medicare and Medicaid Services


         U.S. Department of Homeland Security 

Federal Emergency Management Agency


Virginia Department of Emergency Management

Course Offerings

Individual Assistance Workshop
A two-day workshop will be held at the Office of the Chief Medical Examiner in Manassas May 1st and 2nd. Please see the flyer for details.

1. Memorandum of Understanding
We are pleased to announce that the Northwest Region Healthcare Coalition has begun receiving requests to sign a Memorandum of Understanding (MOU) between the coalition and non-hospital facilities. The MOU is designed for healthcare facilities that are not classified as an Acute Care or Critical Access hospital, and it is good for five (5) years before it will need to be renewed. If your your organizations resides with the Northwest Region and has not signed the MOU, you can contact either the Regional Coordinator or the Medically Vulnerable Populations Coordinator to find out more details.

We are expanding our outreach to healthcare agencies within the region as a way of offering assistance to you and your organization. We ask for everyone’s help to spread the word by talking with your colleagues about the Northwest Region Healthcare Coalition. You can contact us by clicking the Contact Us tab on our website.

2. Dialysis During Disasters – Webinar

Wednesday, May 22, 2019
2:00 PM — 3:00 PM EST

The Kidney Community Emergency Response (KCER) Program would like to invite you to attend an informational webinar titled Dialysis During Disasters. Presentation objectives include:  

  • Provide a basic understanding of end stage renal disease (ESRD) and dialysis treatments
  • Provide an overview of the ESRD Network Program
  • Provide an overview of the KCER Program
  • Provide an overview of how KCER collaborates with ESRD Networks, patients, providers, and other renal stakeholders
  • Discuss key considerations for ESRD community planning, response, and recovery
  • Discuss ways to build partnerships within the ESRD community

This event is open to the public and is geared towards professionals in the fields of Emergency Management, Public Health (ESF-8), Healthcare Coalitions, and additional stakeholders responsible for disaster response and recovery.

Please click here to register for this event. Space is limited, reserve your spot immediately!

3. NYC orders mandatory measles vaccinations for some zip codes

New York City declared a public health emergency April 9 amid an ongoing measles outbreak and ordered mandatory vaccinations for residents in some zip codes, reports The Washington Post.

Three things to know:

1. Health officials have confirmed 285 measles cases in the boroughs of Brooklyn and Queens since October 2018. The outbreak has primarily affected the area’s Orthodox Jewish community, many of whom choose not to vaccinate their children.

2. As part of the emergency declaration, New York City leaders are ordering residents across four zip codes in the Williamsburg neighborhood to get vaccinated. Of the city’s 285 confirmed measles cases, 228 have occurred in Williamsburg.

3. The mandate applies to all unvaccinated people in the neighborhood, including children 6 months or older. Individuals who do not receive the measles vaccine could face a $1,000 fine.

“This is the epicenter of a measles outbreak that is very, very troubling and must be dealt with immediately,” New York City Mayor Bill de Blasio said at a news conference, according to The Washington Post. “The measles vaccine works. It is safe. It is effective. It is time-tested. … The faster everyone heeds the order, the faster we can lift it.”

Source: Mackenzie Bean of Becker’s Clinical Leadership & Infection Control

4. Patient shoots South Carolina hospital employee

An employee of the Regional Medical Center-Orangeburg (S.C.) is in critical condition after a patient opened fire in the hospital’s emergency department the morning of April 10, according to local news station WCSC.

The suspect, whose name was not released, was a patient who initially came to the hospital for treatment around 7:30 a.m., left an hour later and returned with a weapon, according to the report. One person, a hospital employee, was injured and immediately went into surgery. Police arrived on the scene as the suspect was surrendering to hospital security.

Law enforcement told WCSC the gunman will face a charge of assault and battery with intent to kill.

The hospital resumed normal operations within two hours of the shooting, but kept the emergency department closed until 3 p.m.

Source: Emily Rappleye of Becker’s Clinical Leadership & Infection Control

5. UN says Congo’s Ebola outbreak not yet a global emergency

The ongoing Ebola outbreak in Congo does not yet warrant being declared a global emergency but is of “deep concern,” the World Health Organization said Friday.

Following a meeting of its expert committee, the U.N. health agency called for efforts to be redoubled to stop the deadly virus, noting that the recent spike in Ebola cases raises the risk of spread to other countries.

The outbreak announced on Aug. 1 has become the second-deadliest in history, behind the West African one from 2014-16 that killed more than 11,300 people. Congo’s health ministry on Thursday reported 1,206 confirmed and probable cases, including 764 deaths.

This is the second time the expert committee has decided this outbreak is not yet a global emergency. Committee chair Robert Steffen called Friday’s decision unanimous and said the experts had feared making the declaration might even hurt response efforts. He did not give details but said experts were “moderately optimistic” the outbreak could be contained within a “foreseeable time.”

To read the rest of the report, please click here

Source: Maria Cheng and Jamey Keaten of Associated Press