The following is a text alternative description for the Statement: BARDA director on emergency use authorization of the third COVID-19 vaccine.

[The video features a statement given by Dr. Gary Disbrow is the Director of the Biomedical Advanced Research and Development Authority (BARDA), a component of the Office of the Assistant Secretary for Preparedness and Response in the U.S. Department of Health and Human Services explaining the public-private collaboration and platform technologies brought together for COVID-19 vaccines.]

Dr. Gary Disbrow: The FDA's emergency use authorization of Janssen's COVID-19 vaccine - part of Johnson & Johnson - is exciting news on many fronts. A single dose vaccine stored at refrigerated temperatures... that prevents hospitalizations and deaths from COVID-19, has the potential to change the trajectory of the pandemic in the US and globally.

BARDA has partnered with Janssen since 2015, working together on influenza and an Ebola vaccine. In February of 2020, BARDA and Janssen partnered again to develop a COVID-19 vaccine utilizing the same technology behind their Ebola vaccine that was licensed in the European Union. Janssen has leveraged BARDA's Centers for Innovation in Advanced Development and Manufacturing and our fill-finish manufacturing network - resources we created after the 2009 Influenza pandemic - to manufacture this vaccine in the United States. Through the development of this vaccine, we are seeing the results of years of work on platform technologies and public-private partnerships coming to fruition.

Congratulations to Janssen and the team at the Department of Health and Human Services, BARDA, and our Department of Defense colleagues on the Emergency Use Authorization of their COVID-19 vaccine.

The response to this pandemic continues to be a coordinated response across government and private entities.

Thank you all for your support.

[The video concludes with a non-descript background followed by the Department of Health and Human Services logo, caption and voice-over narrative, "Produced at U.S. taxpayer expense by the U.S. Department of Health and Human Services."]
 

The following is a text alternative description for the Exercise: Tranquil Terminus video.

[Video begins with music and sound effects as the Department of Health and Human Services USA logo appears followed by the ASPR's logo and four pillars along with the caption "Saving Lives. Protecting Americans". Photos and brief statements about the Tranquil Terminus Exercises are made by individuals at the Spokane, Boise, and Los Angeles patient debarkation locations.]

Exercise: Tranquil Terminus, Spokane: Patient DebarkationLocation - Bob Lutz, Spokane Regional Health District: The exercise is called Tranquil Terminus.

Exercise: Tranquil Terminus, Boise: Patient Embarkation Location - Angie Heinzman, Air St. Luke's – Treasure Valley: We have 4 patients who have tested positive for Ebola.

Exercise: Tranquil Terminus, Spokane: Patient DebarkationLocation - Bob Lutz, Spokane Regional Health District: It's a neat opportunity to both prepare and practice for any kind of possible contagion.

Exercise: Tranquil Terminus, Boise: Patient Embarkation Location - Angie Heinzman, Air St. Luke's – Treasure Valley: Two patients will be received in Spokane, Washington and two in Los Angeles, where they'll be going to their treatment facilities.

Exercise: Tranquil Terminus, Spokane: Patient DebarkationLocation - Bob Lutz, Spokane Regional Health District: You know, you're looking at probably 50 different organizations that came together to make this exercise happen.

Exercise: Tranquil Terminus, Los Angeles: Patient Debarkation Location - Stella Fogleman, Los Angeles County Department of Public Health: To be able to have this opportunity to welcome the patients here, have our responders meet them and work collaboratively to get the patients safely to care at the regional Ebola treatment center. It's extremely important that we do that.

[In next segment, a United States map is shown captioned "Tranquil Terminus Key Facts". Highlighted in various colors, the key facts are listed as:

• 4 Regions

• 7 States

• 7 Ebola Patients

• 5 Originating Medical Facilities

• 5 Regional Ebola Treatment Centers

• 26 State/Local Health Organizations

• 11 Federal Government Organizations

The U.S. map reappears unmarked titled, "Participating Airports". As the animation begins, the locations of the airports are marked on the map and listed as:

• Boise Airport (BOI) – Boise, ID

• Cartersville Airport (VPC) – Cartersville, GA

• Charleston International Airport (CHS) – Charleston, SC

• DeKalb–Peachtree Airport (PDK) – Atlanta, GA

• Ellington Field Airport (EFD) – Houston, TX

• Hartsfield-Jackson Atlanta International Airport (ATL) – Atlanta, GA

• Los Angeles International Airport (LAX) – Los Angeles, CA

• Spokane International Airport (GEG) – Spokane, WA

• Will Rogers World Airport (OKC) – Oklahoma City, OK

The video zoom in on the Spokane, WA; Boise, ID; and Los Angeles, CA patient debarkation locations on the map. These locations will be featured during the video. The map disappears and video footage of the Boise International airport is shown with the caption, "Idaho: Boise International Airport (BOI). Four highly infectious disease (HID) patients embarking. Confirmed virus: Ebola." and that of a Kalitta Air aircraft arriving at an aircraft hangar captioned, "747 with containerized bio-containment system (CBCS)." Ambulances equipped to transport patients with infectious disease approach with EMT personnel wearing protective clothing. Narratives from various individuals continues.]

Caption John Smart, MPH, Regional Emergency Coordinator, HHS Office of the Assistant Secretary for Preparedness and Response: This is a patient movement capability that allows us to more patients with highly infectious disease from a rural area to a hospital that can provide services for the disease that they have.

Vance Ferebee, RN Air Mission Exercise Safety Officer – Pheonix Air Group: Since we have two that are ambulatory, they'll be faster, so you can go ahead and hit the two ambulatory and get them up.

Lisa Spanberger, MPH Disaster Preparedness Manager, St. Lukes Health System - In this situation, the patient's signs and symptoms matched with their previous travel history to the region that was having a current Ebola outbreak, and given those signs and symptoms, we quickly isolated the patients, were able to activate our Ebola protocols within the facility, and start the process of getting them transported to the treatment facility.

Raquel Hansen, System Clinical Educator, St. Luke's Health System - We transported them in an isopod and for exercise play, we'll take him out of the isopod and put him on the aircraft.

[The multiple images of the Containerized Bio-Containment System is shown and captioned "Containerized Bio-Containment System". A short explanation about this portion of the exercise is given by the Controller of the Exercise Support Team.]

Dawn Thomas, Controller, Exercise Support Team - About 15 minutes in I'm going to put an inject in, that one of the patients goes from dry to wet.

[The Ebola Stages are shown as Ebola Stages – Stage 1: influenza-like illness; Stage 2: multisystem features, including "wet" gastrointestinal symptoms (vomiting diarrhea); Stage 3: internal and external bleeding, multiorgan failure. As the video continues, a patient is shown undergoing medical procedures with the caption "Flight time: +15:00, Exercise Inject Activated". The live footage transitions back to the animated U.S. map showing the plane moving from Boise, ID to Spokane, WA location. The live video footage resume to show an patient transport aircraft landing at the airport for the next exercise with the caption "Spokane: Spokane International Airport (GEG) 2 highly infectious disease (HID) patients debarking. Confirmed virus: Ebola. One patient turned wet in-flight". On board the plane, the Medical transport team prepares for patient disembarkment while ground medical transport teams are waiting. The patient is removed from the plane with the caption "Patient Destination: Regional Ebola Treatment Center, Providence Sacred Heart Medical Center and Children's Hospital, Spokane, WA. Video footage shows the inside of an ambulance covered in plastic with the caption "Patient Destination: Regional Ebola Treatment Center Providence Sacred Heart Medical Center and Children's Hospital, Spokane, WA. More narratives are given explaining the Tranquil Terminus exercise at this location.]

Tammie Drapeau, Clinical Manager, American Medical Response - We actually have a special ambulance that we use. The ambulance is wrapped in plastic, and the only thing that ambulance is used for is special pathogens patients like you're seeing here today. Those are patients that have come in contact with some highly disease of any type, not just Ebola, but that is what we typically practice.

David Csernak, MS, Field Project Officer, HHS Office of the Assistant Secretary for Preparedness and Response - The challenge of this exercise is that every patient we're moving is highly infectious. One of our goals is to ensure the safety of not only the providers, but of the general public throughout the entire patient movement process.

[Music with full sound effects continue as the animated plane moves across the U.S. map to its next destination captioned "Los Angeles: Los Angeles International Airport (LAX). Two highly infectious disease (HID) patients debarking." Medical transport teams dressed in protective clothing approach the plane and removes the patient from the aircraft with the caption "Patient Destination: Regional Ebola Treatment Center Cedars Sinai Medical Center, Los Angeles, CA".]

Stella Fogleman, MPH Director Emergency Preparedness & Response System, Los Angeles County Department of Public Health - They have landed at LAX and then they were transported to the regional infectious disease treatment center, and that's at Cedars Sinai Medical Center, and I know they're on to Cedars Sinai and we're waiting for the announcement that they have arrived safely.

Terry Krammer, BSN HPP Manager & Chief – Disaster Services, Los Angeles County EMS Agency –[Krammer is talking on his mobile phone to an unknown party] Patient #2 is offloaded and in Cedar's care? All right. Well, congratulations; thanks for the phone call. All right, so we're going to consider this END EX.

[The video changes to non-descript background with narrative interviews of Matthew Dudley, Bob Lutz and Stella Fogleman followed by an image of the Tranquil Terminus logo surrounded by the logos of supporting local and federal government agencies, hospitals, and airports.]

Matthew Dudley, Idaho Department of Health & Welfare – For these high risk events, it's important that we get these opportunities to practice, because the day it happens, we need to be prepared.

Bob Lutz, Spokane Regional Health District – We don't know if a disease is going to present itself in our community.

Stella Fogleman, Los Angeles County Department of Public Health – I believe we are more prepared today than we were yesterday, and with the lessons learned, and building those into our plans, we'll be even more prepared tomorrow.

[The video concludes with the caption "Exercise: Tranquil Terminus" on a non-descript background followed by the Department of Health and Human Services logo and caption, "Produced at U.S. taxpayer expense" along with an audio voiceover, "Produced at U.S. taxpayer expense at the Department of Health and Human Services".]

The following is a text alternative description for the Hurricane Michael: Promoting Recovery in Bay District Schools.

[The video begins with the logos of the Department of Health and Human Services (HHS) and the Office of the Assistant Secretary for Preparedness Response (ASPR) along with the title of the video "Hurricane Michael: Promoting Recovery in Bay District Schools" shown on a non-descript background. The video continues with remarks by Denise Kelley, Assistant Superintendent, Bay District Schools - Panama City, Florida; Dr. C.J. Huff, Former Superintendent, Joplin Tornado - Missouri; Scott Dugas, Field Coordinator - U.S. Department of Health and Human Services; Darin Headrick, Former Superintendent, Greensburg Tornado - Kansas; and King Davis, Superintendent, Hurricane Harvey - Texas. The video continuously features images of the damaged schools, surrounding areas, students, teachers, the Peer to Peer Mentors meeting with the district administrators and school-based administrators at various locations as well as footage from areas effected by Hurricane Harvey in Texas.]

Denise Kelley: Hurricane Michael hit our district on October 10, 2018. In that short of time span, we lost a lot of students, like, 5,000 students left our area. We lost over 250 teachers that decided they needed to leave because there were no places to live or they could find a job in another area. Our homeless rate has increased to about 5400 students, and that includes some of our own district personnel are homeless now. We've had to lay teachers off because of funding issues. Our mental health, we did a mental health survey. We had clinical levels of anxiety, depression, and PTSD, so the mental health is very important to us in knowing that we can support our people. Today, we have the awesome opportunity to host a group of mentors from around the country. The U.S. Department of Health and Human Services, the Recovery Division, has brought in mentors to speak to our district administrators in one location and our school-based administrators in another location.

Dr. C.J. Huff: Why is it we're all now a part of an exclusive club that nobody wants to be a part of? We've been through something very traumatic.

Scott Dugas: But what these mentors from across the country have in common is they've gone through a disaster and although different scenarios and different types of disaster, there's a commonality there and that's their strength.

Darin Headrick: It's not necessarily the worse night of your life. Even with all the bad things that happened just so many blessings that pop up in different places.

Denise Kelley: People have survived these things in the past. That gives us glimpses of hope as well.

King Davis: I mean Harvey certainly devastated our community, but in the end, we were resilient and came out better for it.

Denise Kelley: We do have the opportunity to rewrite our story. We have the opportunity to make things better. So thankful to have the opportunity to speak to these leaders, these superintendents, these principals from across the country to find out the steps that they took because we haven't walked in those shoes yet and we're walking them trying to make the best decisions that we can.

[The video concludes with an image of the a sign that displays the address "Bay District Schools Administrative Offices 1311" followed by a non-descript background with the Department of Health and Human Services logo, caption and voice-over narrative, "Produced at U.S. taxpayer expense by the U.S. Department of Health and Human Services."]

The following is a text alternative description for the Mapping the Capacity of Healthcare in Puerto Rico.

[The video begins with Captain Betty Hastings, Recovery Field Coordinator for the U.S. Department of Health & Human Services, is entering the Joint Recovery Office in Guaynabo, Puerto Rico. Here, she is showing how the Office of the Assistant Secretary for Preparedness and Response (ASPR) is helping to assess the capacity and capabilities of private and public healthcare services across the island through mapping.]

Capt. Betty Hastings: I believe that the work we are doing here will set the stage for saving lives in the future. This is the first ever map of all of the healthcare facilities. Through a lot of labor and love, we have been able to map every single clinic, hospital, federally qualified health center, C-D-T (which is an urgent care on the mainland, typically); and determine their generator capacity, their bed capacity, their surge capacity, their communication capacity.

So, here we have a center for diagnostic and treatment. This circle here says the number of beds that it has and the number of additional patients they could take on for surge capacity. It just gives a great picture of the healthcare system in the island. We are able to visually see where there are communication needs, where there are generator needs, where there are fueling needs, sooner rather than later.

This red dot here tells us that they have seven (7) days of generator power should the power go out. This is the communications indicator. This is that they have a two-way radio. They have a landline, and then that they have an emergency operations plan. That's really important.

What's so exciting is they're bringing them all to the same table because — some are private, some are public, some are not-for-profit. So, bringing all of the healthcare system to the same table under the same recovery plan is the goal.

[The video concludes with a non-descript background followed by the Department of Health and Human Services logo, caption and voice-over narrative, "Produced at U.S. taxpayer expense by the U.S. Department of Health and Human Services."]