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Colorado Department of Public Health and Environment

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Colorado Continues Emergency Response Preparations

August 3, 2006, DENVER – More than 40 employees of the Colorado Department of Public Health and Environment, along with 40 volunteers, participated in a three-state emergency preparedness exercise with the Centers for Disease Control and Prevention on July 24-25. This was the largest such exercise staged by the center and involved the movement of more than 250 pallets of antibiotics from the federal government’s Strategic National Stockpile to Colorado.

The exercise was part of ongoing efforts by states and the federal government to prepare for all-hazards emergencies on U.S. soil.

In the fictitious exercise, biological and chemical terror attacks were simulated in Seattle, Denver and Richmond, Va. The Denver exercise involved a widespread exposure to anthrax detected by Biowatch air monitors in place in the Denver metropolitan area. Filters from the monitors are tested daily for several biological agents harmful to public health.

“I was very pleased with the department’s participation and response effort in this exercise,” said Dennis Ellis, executive director of the Colorado Department of Public Health and Environment. “It was a huge effort and much more successful than the statewide exercise held last year. The state continues to make progress in its preparation for a public health emergency – and that is the purpose of exercises like these.”

As part of the drill, the department activated its crisis management center and involved the Governor’s Expert Emergency Epidemic Response Committee in coordinating the state’s response to this hypothetical terrorist attack. The committee was created under legislation passed in 2000 to help the state prepare for possible emergency epidemics. The approximately 20-member committee includes representatives from state and local health agencies, as well as other state agencies, including the attorney general’s office.

The event began in the afternoon on July 23 with a staged terrorist attack in Seattle, then rolled to Richmond and Denver the following day. The crisis management center at the Department of Public Health and Environment was staffed through the night on July 24 to respond operationally to the event.

During the exercise, five million antibiotic courses – enough to cover the population of Colorado and anticipated in-state summer visitors – was flown to Denver and trucked to a secure warehouse. In the event of a real public health emergency, the medication would be further divided at the warehouse for shipment throughout the state. In this exercise, getting the drugs to the warehouse represented the end of the exercise.

In a post-exercise debriefing, participants from the department evaluated the response to identify ways to improve the state’s emergency response preparedness. Chief among the improvements identified were additional measures to ensure better:
* Communication to staff and volunteers;
* Coordination among multiple sites; and
* Sufficient staffing at multiple sites for an around-the-clock operation.

Observers from the Centers for Disease Control and Prevention were on hand throughout the exercise to monitor and evaluate not just the state’s effectiveness, but also its own. The exercise did not include involvement from county, municipal or other local health agencies, but they could be included in future exercises.

The Centers for Disease Control and Prevention expects to have its evaluation of the exercise completed by this fall.

Costs incurred by the state health department in this exercise were paid for by the Centers for Disease Control and Prevention. The approximate total cost was $800,000 for the three venues.

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