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All emergency activities are aligned at the federal level under Emergency Support Functions (ESF) 1 through 15. Federal grant funding is provided through the State of California to each county. Both Public Health and Office of Emergency Services (OES) receive allocations for local emergency preparedness activities. FEMA provides specific guidance for the use of each type of funding as it relates to developing and maintaining local preparedness. Public Health’s specific areas of focus are outlined by the 15 Public Health Capabilities.
•Communicable disease; prevention, testing, surveillance, investigation and reporting
•Pandemic influenza planning & response
•Laboratory & epidemiology contracts and coordination
•Purchase flu and pneumonia vaccine for administration through annual drive-thru flu clinics (mass vaccination prophylaxis exercises)
•Trainings for medical & health first responders
•Coordination and planning with healthcare facilities Above are tasks Public Health is good at and does on a regular basis. Logically they would be tasked with planning and practicing performing them under emergency circumstances.
The funding is provided in order to ensure these capabilities remain strong and are incorporated into the larger emergency response scenario.
OES’s specific areas of focus are outlined by the Homeland Security 31 Core Capabilities. The above referenced 15 Public Health Capabilities are enfolded within the 31 Core Capabilities.
•Buildings & infrastructure protection
•Fire fighting & prevention
•Law enforcement tools & training
•Cyber security Areas of strong collaboration between Public Health & OES:
•Public Information & Warning
•Planning for at-risk/special needs populations
•NIMS/SIMS - ICS compliance & training
•Community preparedness and recovery
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Nutritional risk is determined by a health professional such as a physician, nutritionist, or nurse, and is based on Federal guidelines. This health screening is free to program applicants.
Beginning April 1, 1999, State agencies use WIC nutrition risk criteria from a list established for use in the WIC Program. WIC nutrition risk criteria were developed by FNS in conjunction with State and local WIC agency experts. WIC State agencies are not required to use all of the nutritional risk criteria on the new list. FNS will update the list of criteria, as necessary, when new scientific evidence shows, after review by FNS and other health and nutrition experts, that the condition can be improved by providing WIC program benefits and services.
By negotiating rebates with formula manufacturers, States are able to serve more people. For fiscal year 2010, rebate savings were $1.7 billion, supporting an average of 1.9 million participants each month, or 20.5% of the estimated average monthly caseload.