Inter-Departmental Correspondence

Health System



August 19, 2010


September 14, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Brian J. Zamora, Director, Community Health Division



Agreement with the California Department of Public Health for Centers for Disease Control, Hospital Preparedness Program, and Cities Readiness Initiative Grants



Adopt a Resolution authorizing the President of the Board to execute Agreement EPO 10-41 with the California Department of Public Health to provide public health emergency preparedness for the period of July 1, 2010 through August 9, 2011, in the amount of $1,306,574.



The attacks of September 11, 2001, brought to light the need to address certain deficiencies in local public health infrastructure. In response, federal funds have been made available through the states for the enhancement of the nations public health infrastructure. The funds are to be used for emergency planning, training, exercises and practice drills; laboratory supplies and equipment; disease and outbreak surveillance; vaccination and anti-viral distribution; and building up pharmaceutical caches and hospital emergency stockpiles.


The Health System has and will continue consulting and coordinating with the County Office of Emergency Services (OES) regarding the activities associated with this Agreement.



In July 2010 the California Department of Public Health (CDPH) awarded the Health System four grants for health emergency preparedness. Under the grants for FY 2010-11 the Health System will continue to work in key areas: general health emergency planning; enhancing epidemiological and disease surveillance; implementing technological improvements; developing an all-hazards plan; purchasing laboratory supplies and equipment; emergency training, exercises and drills for public health and clinical staff; and coordinating emergency preparedness activities for hospitals. One of the grants is specific to pandemic influenza planning, drills and exercises. The remaining three grants are for Public Health and hospital planning, drill, exercises and stockpile accumulation.


The work required by the terms of the Agreement has been undertaken by the Health System on written assurance and direction of the CDPH.


The Agreement and Resolution have been reviewed and approved by County Counsel.


Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing funds to continue to plan for public health emergency preparedness and other emerging public health threats to the County of San Mateo. It is anticipated that by the end of FY 2010-11, 50% of Health System managers will have participated in the Federal Emergency Management Agency emergency management Incident Command Structure courses.


Performance Measure:


FY 2009-10

FY 2010-11

Percentage of Health System managers who have participated in the Federal Emergency Management Agency emergency management Incident Command Structure courses.



* This is a revised measure, reflecting the total number of Health mangers; prior years measured only designated managers, i.e., the denominator has increased.



The term of the Agreement is July 1, 2010 through August 9, 2011, and the maximum amount of funding is $1,306,574 and funds have been included in the Community Health tentatively Adopted FY 2010-11 Budget. There is no Net County Cost associated with this Agreement. As required in the terms of the Agreement, all funds received will be placed in the Local Public Health Preparedness Trust Fund that was established for this purpose.