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90 Appendix G Checklist for Airport Communicable disease Response planning C H E C K L I S T Done Plans and Planning Goals and Objectives: 1. Protection of the public from the spread of communicable diseases. 2. Protection of workers at airport and responders. 3. Care for the care-givers. 4. Respect for the dignity and privacy of all passengers, crew, and employees. 5. Creation of a relationship among the partners who will be involved in responding to a communicable disease on an arriving flight or epidemiological investigation if a passenger passed through the airport before developing symptoms. 6. Mutual knowledge of roles, responsibilities, needs, and capabilities between the airport and the local public health preparedness coordinator. Think of this as exchanging âAirport 101â and âPublic Health 101.â 7. Minimization of operational disruptions at the airport. 8. Management (âownershipâ) of the media space. Pre-Planning Activities: 1. Identify lead or champion for communicable disease planning at airport. 2. Get senior management buy-in at the airport and at the public health agency. 3. Identify point of contact in each airport department, public health agency, or other key stakeholder. 4. Inventory resources available for a response. 5. Structure the planning process. Applies to Our Airport
91 C H E C K L I S T Planning Activities: 1. Identify the stakeholders who need to be involved in making the plan and those who need to review the draft plan. Airport operations Airport senior management Airport ARFF and EMS Airport law enforcement Airport emergency management Airport training Airport media/public relations Airport maintenance Airport planning Airport human resources Airport finance Airport IT CDC/PHACâQuarantine station/office Hospitals and clinics Ambulances/medical transport services Healthcare coalition Medical and nursing associations and societies American Red Cross/Red Cross of Canada CBP/CBSA TSA/CATSA FAA/Transport Canada/Nav Canada Air cargo companies Air charter operators Air taxi operators Local agencies Concessionaires Caterers Fuel services Mobility services (wheelchairs, carts) Non-airport law enforcement HAZMATâlocal fire department HAZMAT contractors Done Applies to Our Airport (continued on next page)
92 General aviation aircraft owners and pilots State agencies National agencies Military (if joint use) Sponsor/certificate holder (This is the owner of the airport; e.g., city, county, state, country, or authority.) Other public officials (elected officials, etc.) Public media City emergency management County emergency management State emergency management 2. Convene planning session. 3. Include a tabletop exercise (TTX) in the first planning session to communicate needs, capabilities, gaps, and roles. 4. Ensure that participants understand each otherâs roles and responsibilities. 5. Set outline for airportâs communicable disease response plan. 6. Write plan. 7. Have plan reviewed by public health partner and all other pertinent partners such as airlines and maintenance contractors. 8. Distribute plan to all partners, making separate non-SSI version if necessary. Outline for Model Airport Communicable Disease Response Plans 1. Goals and objectives of response 2. Identification of likely scenarios at the airport 3. Risk assessment 4. Trigger(s) to activate airport EOC for communicable disease or potential contagious disease 5. Staged activation of EOC and resources to track evolution of incident 6. Identification of responders and their roles for each scenario 7. Designation of points of contact 8. Notification procedures including triggers to initiate notifications C H E C K L I S T Done Applies to Our Airport
93 (continued on next page) 10. Procedure for maintaining accurate and current contact lists 11. Procedures to isolate plane 12. Procedures for screening passengers 13. Isolation procedures 14. Triage procedures and location/facilities 15. Procedure for checked baggage of passengers suspected with communicable disease 16. Procedure for carry-on items of passengers 17. Patient transport arrangements 18. Staffing plan to handle surge 19. Family Assistance Centers for communicable disease incidents 20. Procedures to communicate with and manage meeters and greeters 21. EOC procedures for communicable disease incidents incorporating public health representative and a joint information center (JIC) 22. Communications plan perhaps including prescripted social media, webpage, and press releases. For large international ports of entry, a shadow website pre-programmed for a communicable disease incident may be worth considering. 23. Security procedures (emergency temporary badging, pre-badging, escorts) to allow fast access of public health officials to patient on plane or in secure area of terminal 24. Protection of airport workers and responders including PPE, training, counseling, etc. 25. Disinfection, cleaning, and waste disposal 26. Joint training program including topics, participants, frequency/schedule, and evaluation 27. Joint drill/exercise schedule 28. Resource inventory 29. Requirement for after-action review and improvement plan for each drill, exercise, and real-world incident 9. Contact lists for airport, public health agencies, and other response partners CHECKL I ST Done Applies to Our Airport
94 32. Coordination with other major airport plans: a. Airport Emergency Plan (AEP) b. Airport Security Program (ASP) c. Comprehensive Crisis Communications Plan d. Business Continuity Plan (BCP) e. Recovery Plan (if separate from AEP) f. Human Resources policies After Plan Has Been Distributed 1. Joint training 2. Test contact lists. 3. Test the plan with exercise(s). 4. Perform after-action review (AAR) and create improvement plan (IP) to give an AAR/IP for all exercises and actual incidents. 5. Track progress on actions items in AAR/IP. 6. Revise the plan as necessary. 7. Test the revised plan. 8. Review and revise plan periodically. 9. Practice continuous improvement. 30. Schedule for regular coordination meetings at least between airport emergency management, airport operations, public health agency, and EMS 31. Schedule for review and update of plan to include public health agency and (as appropriate) other stakeholders C H E C K L I S T Done Applies to Our Airport
Abbreviations and acronyms used without definitions in TRB publications: A4A Airlines for America AAAE American Association of Airport Executives AASHO American Association of State Highway Officials AASHTO American Association of State Highway and Transportation Officials ACIâNA Airports Council InternationalâNorth America ACRP Airport Cooperative Research Program ADA Americans with Disabilities Act APTA American Public Transportation Association ASCE American Society of Civil Engineers ASME American Society of Mechanical Engineers ASTM American Society for Testing and Materials ATA American Trucking Associations CTAA Community Transportation Association of America CTBSSP Commercial Truck and Bus Safety Synthesis Program DHS Department of Homeland Security DOE Department of Energy EPA Environmental Protection Agency FAA Federal Aviation Administration FAST Fixing Americaâs Surface Transportation Act (2015) FHWA Federal Highway Administration FMCSA Federal Motor Carrier Safety Administration FRA Federal Railroad Administration FTA Federal Transit Administration HMCRP Hazardous Materials Cooperative Research Program IEEE Institute of Electrical and Electronics Engineers ISTEA Intermodal Surface Transportation Efficiency Act of 1991 ITE Institute of Transportation Engineers MAP-21 Moving Ahead for Progress in the 21st Century Act (2012) NASA National Aeronautics and Space Administration NASAO National Association of State Aviation Officials NCFRP National Cooperative Freight Research Program NCHRP National Cooperative Highway Research Program NHTSA National Highway Traffic Safety Administration NTSB National Transportation Safety Board PHMSA Pipeline and Hazardous Materials Safety Administration RITA Research and Innovative Technology Administration SAE Society of Automotive Engineers SAFETEA-LU Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (2005) TCRP Transit Cooperative Research Program TDC Transit Development Corporation TEA-21 Transportation Equity Act for the 21st Century (1998) TRB Transportation Research Board TSA Transportation Security Administration U.S.DOT United States Department of Transportation
NO N-PRO FIT O RG . U.S. PO STAG E PA ID CO LUM BIA, M D PER M IT NO . 88 TRANSPORTATION RESEARCH BOARD 5 0 0 F ifth S tre e t, N W W a s h in g to n , D C 2 0 0 0 1 A D D R ESS SER VICE R EQ UESTED ISBN 978-0-309-39008-8 9 780309 390088 9 0 0 0 0 Preparing Airports for Com m unicable Diseases on Arriving Flights ACRP Synthesis 83 TRB