https://www.fema.gov/pdf/emergency/nrf/nrf-esf-08.pdf
Emergency Support Function #8 – Public Health and Medical Services Annex
January 2008 ESF #8 – Public Health and Medical Services Annex ESF #8-1
ESF Coordinator:
Department of Health and Human Services
Primary Agency:
Department of Health and Human Services
Support Agencies:
Department of Agriculture
Department of Commerce
Department of Defense
Department of Energy
Department of Homeland Security
Department of the Interior
Department of Justice
Department of Labor
Department of State
Department of Transportation
Department of Veterans Affairs
Environmental Protection Agency
General Services Administration
U.S. Agency for International Development
U.S. Postal Service
American Red Cross
INTRODUCTION
Purpose
Emergency Support Function (ESF) #8 – Public Health and Medical Services provides the
mechanism for coordinated Federal assistance to supplement State, tribal, and local resources
in response to a public health and medical disaster, potential or actual incidents requiring a
coordinated Federal response, and/or during a developing potential health and medical
emergency. The phrase “medical needs” is used throughout this annex. Public Health and
Medical Services include responding to medical needs associated with mental health, behavioral
health, and substance abuse considerations of incident victims and response workers. Services
also cover the medical needs of members of the “at risk” or “special needs” population
described in the Pandemic and All-Hazards Preparedness Act and in the National Response
Framework (NRF) Glossary, respectively. It includes a population whose members may have
medical and other functional needs before, during, and after an incident.
Public Health and Medical Services includes behavioral health needs consisting of both mental
health and substance abuse considerations for incident victims and response workers and, as
appropriate, medical needs groups defined in the core document as individuals in need of
additional medical response assistance, and veterinary and/or animal health issues.
Scope
ESF #8 provides supplemental assistance to State, tribal, and local governments in the
following core functional areas:
y Assessment of public health/medical needs
y Health surveillance
y Medical care personnel
y Health/medical/veterinary equipment and supplies
y Patient evacuation
y Patient care
y Safety and security of drugs, biologics, and medical devices
y Blood and blood products
y Food safety and security
Emergency Support Function #8 – Public Health and Medical Services Annex
ESF #8-2 ESF #8 – Public Health and Medical Services Annex January 2008
y Agriculture safety and security
y All-hazard public health and medical consultation, technical assistance, and support
y Behavioral health care
y Public health and medical information
y Vector control
y Potable water/wastewater and solid waste disposal
y Mass fatality management, victim identification, and decontaminating remains
y Veterinary medical support
Policies
The Secretary of Health and Human Services (HHS) leads all Federal public health and medical
response to public health emergencies and incidents covered by the NRF. The response
addresses medical needs and other functional needs of those in need of medical care, including
assistance or support in maintaining independence, communicating, using transportation,
and/or requiring supervision.
The Secretary of HHS shall assume operational control of Federal emergency public health and
medical response assets, as necessary, in the event of a public health emergency, except for
members of the Armed Forces, who remain under the authority and control of the Secretary of
Defense.
The Secretary of HHS, through the Office of the Assistant Secretary for Preparedness and
Response (ASPR), coordinates national ESF #8 preparedness, response, and recovery actions.
These actions do not alter or impede the existing authorities of any department or agency
supporting ESF #8.
HHS coordinates all ESF #8 response actions consistent with HHS internal policies and
procedures (e.g., HHS Concept of Operations Plan for Public Health and Medical Emergencies,
and the National Disaster Medical System (NDMS) Four Partner Memorandum of Agreement).
ESF #8 support agencies are responsible for maintaining administrative control over their
respective response resources after receiving coordinating instructions from HHS.
The Emergency Management Group (EMG), operating from the HHS Secretary’s Operations
Center (SOC), coordinates the overall national ESF #8 response for the ASPR and maintains
constant communications with the National Operations Center (NOC).
All headquarters and regional organizations (including those involved in other ESFs)
participating in response operations report public health and medical requirements to the
appropriate ESF #8 representative operating in the National Response Coordination Center
(NRCC), the Regional Response Coordination Center (RRCC), or the Joint Field Office (JFO)
when activated.
The Joint Information Center (JIC) will be established to coordinate incident-related public
information, and is authorized to release general medical and public health response
information to the public. When possible, a recognized spokesperson from the public health
and medical community (State, tribal, or local) delivers relevant community messages. After
consultation with HHS, the lead Public Affairs Officer from other JICs may also release general
medical and public health response information.
Emergency Support Function #8 – Public Health and Medical Services Annex
January 2008 ESF #8 – Public Health and Medical Services Annex ESF #8-3
In the event of a zoonotic disease outbreak and in coordination with ESF #11 – Agriculture and
Natural Resources, public information may be released after consultation with the Department
of Agriculture (USDA). In the event of an oil, chemical, biological, or radiological environmental
contamination incident, ESF #8 coordinates with ESF #10 – Oil and Hazardous Materials
Response on the release of public health information.
As the lead agency for ESF #8, HHS determines the appropriateness of all requests for release
of public health and medical information and is responsible for consulting with and organizing
Federal public health and medical subject-matter experts,as needed.