logging in or signing up pandemic flu planning Lindon Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 290 Category: Travel/ Places.. License: All Rights Reserved Like it (1) Dislike it (0) Added: March 10, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: nadiaelzeiny (35 month(s) ago) please can i download this presentation? Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Slide1: Pandemic Influenza Contingency Planning: Are You Ready? Northwestern Health Unit Lyle Wiebe, CRSP, CPHI(C), CIC Program Manager of Environmental Health Bill Limerick, CPHI(C) Director of Environmental Health Pete Sarsfield, MD, FRCP(C) Medical Officer of Health & CEOSlide3: Rural northern catchment area 166,500 sq km Serves 19 municipalities Large unincorporated areas Population ~85,000 Large Aboriginal population ~18,000 Reserve ~5,000 Off Reserve Large seasonal population Kenora – largest community – approx 15,500 Northwestern Health UnitSlide4: Understand the virus Review the history Understanding of the epidemiology Review of roles Exercise ObjectivesSlide5: Influenza is a severe respiratory illness caused by the influenza virus There are three types of influenza viruses: Types A, B, and C The viruses are transmitted among humans by respiratory secretions through sneezing, coughing and contact with contaminated articles Influenza VirusSlide6: Type A Influenza Virus Many different sub-types Various sub-types infect humans, pigs, horses, aquatic animals, birds and most recently, dogs Can change frequently and dramatically Can sweep across continents and around the world in massive epidemics called pandemics Causes excess mortality and morbidity Influenza VirusSlide7: Type B Influenza Virus Restricted to humans Can change slowly over time More stable than Influenza A Has been associated with widespread illness among humans Causes milder disease than Influenza A Influenza VirusSlide8: Type C Influenza Virus Restricted to humans Relatively stable Causes mild, sporadic illness among humans Influenza VirusEpidemic: Epidemic Affects a large population in a geographic area Abrupt onset Rapid spread Occurs at unpredictable intervals Not seasonal Massive global epidemic caused by a antigenic shift in the Influenza A virus Pandemics are usually worldwide PandemicSlide12: Our duty includes setting a personal example and creating a culture and philosophy that encourage and reward those who practice prevention. By doing so, we fulfill…our ethical responsibility “to help” our patients and “ to do no harm.” Workplace Behaviour Loreen Herwaldt, MD U. Of Iowa Infection Control & Hospital Epidemiology, Jan. 1993Slide13: Influenza is a serious and prevalent disease, highly communicable, with a pre-symptomatic transmittable phase Some are at increased risk, and these are not always identifiable Immunization against the “flu” carries minimal risk to recipients and prevents up to 85% of infections Healthcare workers are in frequent contact with “patients” and colleagues All workers are part of the community Duty of CareHistory of Pandemic Influenza : History of Pandemic Influenza Spanish Flu 1918 ½ of world population infected [ 1 billion ] At least 20 million people died Asian Flu 1957 Hong Kong Flu 1968 These are the agreed- upon pandemics They affected all age groups on all continents They caused excess mortality/death They involved the emergence of a novel virusSlide16: Swine Flu 1976 emphasized need for pandemic flu planning. Avian Flu 1997 “chicken flu” – AH5N1, chicken to human transmission 18 cases including 6 deaths As a result more than 1 million chickens were killed in Hong Kong Avian Flu 2003 2 persons with confirmed infection, two deaths. Chicken to human (AH5N1) Over 80 cases of mild disease and 1 death in the Netherlands with H7N7, human-to-human, associated with poultry farms Pandemic Influenza Recent Scares The Last Days of Okak: The Last Days of OkakSARS: March to July 2003 : SARS: March to July 2003 We Are Overdue!: We Are Overdue! Communicable disease experts predict that another pandemic will occur although the timing and pattern will be unpredictable There is no way to prevent a pandemic from occurringSlide21: Evidence suggests most epidemics emerge from China Close mingling of pigs, chickens, ducks, and humans allows reassortment of viruses Where does it start?Slide22: Influenza viruses change frequently Changes or mutations in the virus are referred to as “antigenic variation” These variations cause epidemics and pandemics Antigenic VariationSlide23: Antigenic variation is referred to as drift or shift, depending on whether the variation is small or great The drift affects both Influenza A and B viruses and occurs every 1-3 years within a subtype and can result in significant epidemics Antigenic VariationSlide24: Antigenic shift affects the Influenza A virus only and causes major changes within the virus. This can occur every 10-40 years leading to a pandemic There is no relationship between the surface antigens of the old and the new virus, therefore a new virus subtype emerges The population will have no immunity to the new subtype Antigenic VariationSlide25: A novel influenza A virus is detected as a result of an antigenic shift There is efficient human-to-human viral transmission The new virus has a capacity to cause serious clinical disease and death The population has little or no immunity to the virus Pandemic CriteriaSlide26: What is known….. An influenza pandemic will happen The timing and pattern will be unpredictable A short lead time will exist from first identification to full scale pandemic Outbreaks will occur simultaneously, in multiple waves with devastating societal impact Are You Prepared?Slide27: Young healthy people in our community will be affected There will be shortages of medical resources, equipment, supplies and personnel Are You Prepared?Slide28: Essential services will be severely disrupted due to absenteeism Media and public scrutiny will be intense and unrelenting There will be LIMITED TO NO OUTSIDE ASSISTANCE available Are You and We Prepared?Slide29: It is expected that the virus will arrive in Canada within 3 months of its detection anywhere in the world Peak incidence of illness will occur within 2 to 4 months thereafter Increases in both global travel and world population will likely contribute to rapid virus spread Pandemic Influenza: Its ArrivalSlide30: Up to 8.5 million people will be infected 1.7 – 4.3 million will be clinically ill 0.77 - 1.9 million will require outpatient care 12 - 34 thousand will require hospitalization 3,400 - 12,000 deaths Impact in OntarioSlide31: 63,750 people will be infected 32,300 will be clinically ill 6,627-21,942 will require outpatient care 47-425 will require hospitalization 18-128 deaths Impact in Northwestern OntarioSlide32: We must plan together!Slide33: Our best defense against the potentially devastating effects of pandemic influenza is to take a proactive approach and develop a comprehensive, community-specific plan that incorporates the unique needs and strengths of our communities. Our Best Defense…Slide34: All Public Health Units in Ontario have been tasked with assuming the lead role in mobilizing community members and supporting the development of community strategies to address all phases of pandemic influenza contingency planning. Community MobilizationSlide35: Education Mobilization Plan Development Global Planning Community Planning Individual Organization Planning Critical ActionsSlide36: Surveillance Vaccines & Distribution Anti-Virals & Distribution Emergency Measures Communication & Education Community Health Care Role of Public HealthSlide37: Health Care System Interventions Infection control and isolation of patients in hospital Vaccination/antiviral prophylaxis of HCWs and in LCTFSlide38: Community Interventions Travel advisories and precautions Screening travelers from areas with disease Possible quarantine of exposed persons …based on the epidemiology & transmission of infection Slide39: To promote the need for planning To communicate with/educate key stakeholders and the public regarding the implications of pandemic influenza To develop education strategies for your own organizations and community To develop your own organizational pandemic influenza emergency plans considering the unique implications for your agency What we all have to do?Slide40: Surveillance: Employee Absenteeism Hand Hygiene Face Masks Environmental Cleaning Increases Social Distancing Screening Employees for Illness Role of Private SectorSlide41: Reporting of Influenza Like Illness (ILI) Screening of employees for ILI Shortage of Resources Loss of Private Services Business Closures Key ConsiderationsSlide42: Avoid face to face meetings Use alternate methods of communication Attend only essential meetings Avoid public transit Flex work hours Pack a lunch, do not eat together If you must meet people, stay 1 meter away Wash your hands Increase Social DistancingSlide44: You live in a community where your public works department consists of three full-time and 1 part-time person. They are trained and responsible for operating the water and sewage plants and all snow removal. What, if anything, should be in your pandemic influenza plan about operating these essential services? Pandemic Influenza Contingency Planning ScenarioSlide45: You are the director of a large organization. Please describe the steps you would take to identify a respiratory outbreak within your facility. Who would be designated in your facility and to whom would they report their findings of absenteeism. Pandemic Influenza Contingency Planning ScenarioSlide46: Assume there are 600 people in your community, a health committee and two nurses working in the community clinic. What transportation issues should be addressed in your community’s plan for respiratory illness outbreaks? (think of movements of people and goods into and out of the community) Pandemic Influenza Contingency Planning Scenario Slide47: You return to your community from this workshop and lead a process to develop a respiratory illness emergency plan. You want to integrate this with the plans for fire and flood evacuations since many of the same people and processes are involved. You discover that your community’s fire and flood plan is an empty folder. Describe what you will do and who should be involved in what you propose. Pandemic Influenza Contingency Planning ScenarioSlide48: What transportation issues should be addressed in your community’s plan for respiratory illness outbreak. Please include movements of persons and goods into and out of the community. Pandemic Influenza Contingency Planning ScenarioSlide49: You are responsible for the communication part of the respiratory illness outbreak plan. From a trusted source, you learn that SARS is in Toronto again. A week later, you read on the Internet that SARS is a hoax. People in your community want to know what to do since some young people are due back from university in Toronto in a few days. Describe your communication strategy. Pandemic Influenza Contingency Planning ScenarioSlide50: Public Health Agency of Canada: Pandemic Influenza http://www.phac-aspc.gc.ca/influenza/pandemic_e.html Flu Watch http://www.phac-aspc.gc.ca/fluwatch/ Flu & SARS http://www.hc-sc.gc.ca/dc-ma/alt_formats/cmcd-dcmc/pdf/pubs/influenza-sars-sras/influenza-sars-sras_e.pdf Learning Lessons: From SARS to Influenza Pandemic Planning in Ontario http://www.wcdm.org/15wcdm/wed-basrur.ppt Web LinksSlide51: Canada Communicable Disease Report: Statement on Influenza Vaccination for the 2005-2006 Season http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/05pdf/acs-dcc3106.pdf World Health Organization: Global Influenza Preparedness Plan http://www.who.int/csr/resources/publications/influenza/WHO_CDS_CSR_GIP_2005_5.pdf Community and Hospital Infection Control Association: Influenza and Pandemic Influenza http://www.chica.org/flu.html Web Links You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
pandemic flu planning Lindon Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 290 Category: Travel/ Places.. License: All Rights Reserved Like it (1) Dislike it (0) Added: March 10, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: nadiaelzeiny (35 month(s) ago) please can i download this presentation? Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Slide1: Pandemic Influenza Contingency Planning: Are You Ready? Northwestern Health Unit Lyle Wiebe, CRSP, CPHI(C), CIC Program Manager of Environmental Health Bill Limerick, CPHI(C) Director of Environmental Health Pete Sarsfield, MD, FRCP(C) Medical Officer of Health & CEOSlide3: Rural northern catchment area 166,500 sq km Serves 19 municipalities Large unincorporated areas Population ~85,000 Large Aboriginal population ~18,000 Reserve ~5,000 Off Reserve Large seasonal population Kenora – largest community – approx 15,500 Northwestern Health UnitSlide4: Understand the virus Review the history Understanding of the epidemiology Review of roles Exercise ObjectivesSlide5: Influenza is a severe respiratory illness caused by the influenza virus There are three types of influenza viruses: Types A, B, and C The viruses are transmitted among humans by respiratory secretions through sneezing, coughing and contact with contaminated articles Influenza VirusSlide6: Type A Influenza Virus Many different sub-types Various sub-types infect humans, pigs, horses, aquatic animals, birds and most recently, dogs Can change frequently and dramatically Can sweep across continents and around the world in massive epidemics called pandemics Causes excess mortality and morbidity Influenza VirusSlide7: Type B Influenza Virus Restricted to humans Can change slowly over time More stable than Influenza A Has been associated with widespread illness among humans Causes milder disease than Influenza A Influenza VirusSlide8: Type C Influenza Virus Restricted to humans Relatively stable Causes mild, sporadic illness among humans Influenza VirusEpidemic: Epidemic Affects a large population in a geographic area Abrupt onset Rapid spread Occurs at unpredictable intervals Not seasonal Massive global epidemic caused by a antigenic shift in the Influenza A virus Pandemics are usually worldwide PandemicSlide12: Our duty includes setting a personal example and creating a culture and philosophy that encourage and reward those who practice prevention. By doing so, we fulfill…our ethical responsibility “to help” our patients and “ to do no harm.” Workplace Behaviour Loreen Herwaldt, MD U. Of Iowa Infection Control & Hospital Epidemiology, Jan. 1993Slide13: Influenza is a serious and prevalent disease, highly communicable, with a pre-symptomatic transmittable phase Some are at increased risk, and these are not always identifiable Immunization against the “flu” carries minimal risk to recipients and prevents up to 85% of infections Healthcare workers are in frequent contact with “patients” and colleagues All workers are part of the community Duty of CareHistory of Pandemic Influenza : History of Pandemic Influenza Spanish Flu 1918 ½ of world population infected [ 1 billion ] At least 20 million people died Asian Flu 1957 Hong Kong Flu 1968 These are the agreed- upon pandemics They affected all age groups on all continents They caused excess mortality/death They involved the emergence of a novel virusSlide16: Swine Flu 1976 emphasized need for pandemic flu planning. Avian Flu 1997 “chicken flu” – AH5N1, chicken to human transmission 18 cases including 6 deaths As a result more than 1 million chickens were killed in Hong Kong Avian Flu 2003 2 persons with confirmed infection, two deaths. Chicken to human (AH5N1) Over 80 cases of mild disease and 1 death in the Netherlands with H7N7, human-to-human, associated with poultry farms Pandemic Influenza Recent Scares The Last Days of Okak: The Last Days of OkakSARS: March to July 2003 : SARS: March to July 2003 We Are Overdue!: We Are Overdue! Communicable disease experts predict that another pandemic will occur although the timing and pattern will be unpredictable There is no way to prevent a pandemic from occurringSlide21: Evidence suggests most epidemics emerge from China Close mingling of pigs, chickens, ducks, and humans allows reassortment of viruses Where does it start?Slide22: Influenza viruses change frequently Changes or mutations in the virus are referred to as “antigenic variation” These variations cause epidemics and pandemics Antigenic VariationSlide23: Antigenic variation is referred to as drift or shift, depending on whether the variation is small or great The drift affects both Influenza A and B viruses and occurs every 1-3 years within a subtype and can result in significant epidemics Antigenic VariationSlide24: Antigenic shift affects the Influenza A virus only and causes major changes within the virus. This can occur every 10-40 years leading to a pandemic There is no relationship between the surface antigens of the old and the new virus, therefore a new virus subtype emerges The population will have no immunity to the new subtype Antigenic VariationSlide25: A novel influenza A virus is detected as a result of an antigenic shift There is efficient human-to-human viral transmission The new virus has a capacity to cause serious clinical disease and death The population has little or no immunity to the virus Pandemic CriteriaSlide26: What is known….. An influenza pandemic will happen The timing and pattern will be unpredictable A short lead time will exist from first identification to full scale pandemic Outbreaks will occur simultaneously, in multiple waves with devastating societal impact Are You Prepared?Slide27: Young healthy people in our community will be affected There will be shortages of medical resources, equipment, supplies and personnel Are You Prepared?Slide28: Essential services will be severely disrupted due to absenteeism Media and public scrutiny will be intense and unrelenting There will be LIMITED TO NO OUTSIDE ASSISTANCE available Are You and We Prepared?Slide29: It is expected that the virus will arrive in Canada within 3 months of its detection anywhere in the world Peak incidence of illness will occur within 2 to 4 months thereafter Increases in both global travel and world population will likely contribute to rapid virus spread Pandemic Influenza: Its ArrivalSlide30: Up to 8.5 million people will be infected 1.7 – 4.3 million will be clinically ill 0.77 - 1.9 million will require outpatient care 12 - 34 thousand will require hospitalization 3,400 - 12,000 deaths Impact in OntarioSlide31: 63,750 people will be infected 32,300 will be clinically ill 6,627-21,942 will require outpatient care 47-425 will require hospitalization 18-128 deaths Impact in Northwestern OntarioSlide32: We must plan together!Slide33: Our best defense against the potentially devastating effects of pandemic influenza is to take a proactive approach and develop a comprehensive, community-specific plan that incorporates the unique needs and strengths of our communities. Our Best Defense…Slide34: All Public Health Units in Ontario have been tasked with assuming the lead role in mobilizing community members and supporting the development of community strategies to address all phases of pandemic influenza contingency planning. Community MobilizationSlide35: Education Mobilization Plan Development Global Planning Community Planning Individual Organization Planning Critical ActionsSlide36: Surveillance Vaccines & Distribution Anti-Virals & Distribution Emergency Measures Communication & Education Community Health Care Role of Public HealthSlide37: Health Care System Interventions Infection control and isolation of patients in hospital Vaccination/antiviral prophylaxis of HCWs and in LCTFSlide38: Community Interventions Travel advisories and precautions Screening travelers from areas with disease Possible quarantine of exposed persons …based on the epidemiology & transmission of infection Slide39: To promote the need for planning To communicate with/educate key stakeholders and the public regarding the implications of pandemic influenza To develop education strategies for your own organizations and community To develop your own organizational pandemic influenza emergency plans considering the unique implications for your agency What we all have to do?Slide40: Surveillance: Employee Absenteeism Hand Hygiene Face Masks Environmental Cleaning Increases Social Distancing Screening Employees for Illness Role of Private SectorSlide41: Reporting of Influenza Like Illness (ILI) Screening of employees for ILI Shortage of Resources Loss of Private Services Business Closures Key ConsiderationsSlide42: Avoid face to face meetings Use alternate methods of communication Attend only essential meetings Avoid public transit Flex work hours Pack a lunch, do not eat together If you must meet people, stay 1 meter away Wash your hands Increase Social DistancingSlide44: You live in a community where your public works department consists of three full-time and 1 part-time person. They are trained and responsible for operating the water and sewage plants and all snow removal. What, if anything, should be in your pandemic influenza plan about operating these essential services? Pandemic Influenza Contingency Planning ScenarioSlide45: You are the director of a large organization. Please describe the steps you would take to identify a respiratory outbreak within your facility. Who would be designated in your facility and to whom would they report their findings of absenteeism. Pandemic Influenza Contingency Planning ScenarioSlide46: Assume there are 600 people in your community, a health committee and two nurses working in the community clinic. What transportation issues should be addressed in your community’s plan for respiratory illness outbreaks? (think of movements of people and goods into and out of the community) Pandemic Influenza Contingency Planning Scenario Slide47: You return to your community from this workshop and lead a process to develop a respiratory illness emergency plan. You want to integrate this with the plans for fire and flood evacuations since many of the same people and processes are involved. You discover that your community’s fire and flood plan is an empty folder. Describe what you will do and who should be involved in what you propose. Pandemic Influenza Contingency Planning ScenarioSlide48: What transportation issues should be addressed in your community’s plan for respiratory illness outbreak. Please include movements of persons and goods into and out of the community. Pandemic Influenza Contingency Planning ScenarioSlide49: You are responsible for the communication part of the respiratory illness outbreak plan. From a trusted source, you learn that SARS is in Toronto again. A week later, you read on the Internet that SARS is a hoax. People in your community want to know what to do since some young people are due back from university in Toronto in a few days. Describe your communication strategy. Pandemic Influenza Contingency Planning ScenarioSlide50: Public Health Agency of Canada: Pandemic Influenza http://www.phac-aspc.gc.ca/influenza/pandemic_e.html Flu Watch http://www.phac-aspc.gc.ca/fluwatch/ Flu & SARS http://www.hc-sc.gc.ca/dc-ma/alt_formats/cmcd-dcmc/pdf/pubs/influenza-sars-sras/influenza-sars-sras_e.pdf Learning Lessons: From SARS to Influenza Pandemic Planning in Ontario http://www.wcdm.org/15wcdm/wed-basrur.ppt Web LinksSlide51: Canada Communicable Disease Report: Statement on Influenza Vaccination for the 2005-2006 Season http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/05pdf/acs-dcc3106.pdf World Health Organization: Global Influenza Preparedness Plan http://www.who.int/csr/resources/publications/influenza/WHO_CDS_CSR_GIP_2005_5.pdf Community and Hospital Infection Control Association: Influenza and Pandemic Influenza http://www.chica.org/flu.html Web Links