logging in or signing up Bird Flu Pandemic Emergency Preparedness I Regina1 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: 449 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: January 30, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: dr.jawder (42 month(s) ago) Hello, Can I have a copy your splendid presentations? "Disaster Preparedness &Avian/Pandemic Awareness" and related ones please! jawder@in.com Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript California Department of Aging (CDA) Presentation on Disaster Preparedness and Avian/Pandemic Awareness March 23, 2006: California Department of Aging (CDA) Presentation on Disaster Preparedness and Avian/Pandemic Awareness March 23, 2006 By: Robert Ramsey-Lewis, Policy Manager Prepared For: California Association of Area Agencies on Aging (C4A) Materials From: California Department of Health Services, World Health Organization, US Health and Human Services, and Canadian Network for Emergency Preparedness and Response Introduction: Introduction “Any community that fails to prepare with the expectation that the federal government will, at the last moment, be able to come to the rescue will be tragically wrong. --Mike Leavitt, US Health and Human Services Secretary Slide3: When is an Emergency a Disaster? A disaster occurs when the impact on the community exceeds its normal coping resources A community’s coping resources are its people, materials, equipment, and services used to meet demand created by an incident Preparedness moves the disaster threshold. Preparedness measures, e.g., evacuating vulnerable populations, increases the disaster threshold, permitting the community to cope better. Source: Canadian Network for Emergency Preparedness and Response, 2004 Area Plan Guidance: Area Plan Guidance Appendix XI, Disaster Preparation Planning, is optional for the 2006-2007 planning period. Appendix XI will be required for the 2007-2008 planning period, in addition to an area plan objective concerning preparedness. Opportunity for input on the 2007-2008 Area Plan Guidance in the Fall, 2006. Avian and Pandemic Influenza: Avian and Pandemic Influenza Howard Backer, MD, MPH California Department of Health Services Sandra Shewry, Director Mark Horton, State Public Health OfficerWHO Lab Confirmed Human Cases: WHO Lab Confirmed Human Cases As of Mar. 21 2006 Mortality 52%Slide9: Requirements for a Pandemic Unusual type of influenza virus found in humans Little or no immunity in the population Virus can multiply and cause disease in humans Easily spreads from person to person WHO Pandemic Phases: WHO Pandemic PhasesHuman influenza transmission: Human influenza transmissionSlide12: Year Flu Virus Mortality 1918-1919 “Spanish” H1N1 20 million 550,000 US 1957-1958 “Asian” H2N2 70,000 US 1968-1969 “Hong Kong” H3N2 34,000 US Glezen WP. Epidemiol Rev. 1996;18:65. CDC. Influenza Prevention and Control. 20th Century Influenza Pandemics Which will the next pandemic resemble? Slide13: Pandemic Influenza Estimates for California *Estimates from FluAid 2.0, CDC **California Department of Finance Pop. Projections for 2003Components of CDHS Pandemic Planning: Components of CDHS Pandemic Planning Organization of response and authorities Surveillance Lab Capacity Infection control Case Management Vaccine and antiviral Community Outbreak Control--nonmedical Health care planning--surge capacity CommunicationsPlanning Assumptions: Planning Assumptions It will not be business as usual All sectors of society and government will be involved Widespread impact limits mutual aid Sustained response required Workforce will be impacted, adding to disruptionMajor response challenges: Major response challenges Health care capacity Estimates of hospitalizations and deaths vary by factor of 10, based on prior pandemics Pharmaceutical solution overly optimistic Need to maintain critical infrastructure Coordination of volunteers May introduce extreme and unusual measures Public will adopt their own measures Communication Avian H5N1 Vaccine: Avian H5N1 Vaccine Current influenza vaccine is not protective Federal government Support R&D, production capacity, and stockpile Federal HHS plans to buy vaccine for 20 million Distribute vaccine to states Estimate 6 month to produce enough vaccine CDHS Distributes to local health departments Technical assistance for mass vaccination Sets prioritization policy National Vaccination Priority Recommendations*: National Vaccination Priority Recommendations* *Approved by NVAC/ACIP committee on July 19, 2005Slide19: Single manufacturer Worldwide shortage Use for treatment or prevention Prioritization challenges Virus may develop resistance Federal and state stockpiles Anti-viral MedicationOutbreak Containment Measures vary as pandemic develops: Outbreak Containment Measures vary as pandemic develops Steps to reduce individual exposure to virus—(respiratory hygiene, masks) Isolation (confinement) of ill persons Quarantine of exposed persons Pharmaceuticals Community-based containment Cancellation of events, schools, public meetings, malls, businesses, transportation Snow days: nearly everyone stays home Surge Capacity: Surge Capacity Flexibility of health care delivery system to accommodate large number of patients Beds Emergency regulatory changes, increase in beds in existing facilities, alternative facilities, home care Personnel ESAR-VIP; Medical Reserve Corps; citizens volunteers; staffing ratios; scope of practice changes Equipment SNS; HRSA grantHOSPITAL BED CAPACITY: HOSPITAL BED CAPACITYJanuary 4, 2006 Flu outbreak in Phoenix metro area: January 4, 2006 Flu outbreak in Phoenix metro area Flood of visits to the emergency department and from illnesses on their own staff. Medical Center temporarily closed ED. Half-day waits in overcrowded EDs. Ambulance rides to other hospitals miles away. Postponements of routine elective surgeries and other medical procedures. Ambulance patients diverted to other hospitals. Staff sick calls are up 25 percent from last year.Risk Communications: Risk Communications Prepare the public with realistic scenarios and likely containment measures Inform public of actions they can take Train spokespersons at state and local levels Prepare health care and public health for their involvement Develop rapid communication channels with medical care Involve non-health sectors in preparedness activities HHS Department Collaboration: HHS Department Collaboration Identify roles and responsibilities Coordinate response in CA Partners for social distancing decisions and implementation Continuity of government and operations Communication channels Educating workforce Essential personnel for pharmaceuticals Plans for institutional populations You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Bird Flu Pandemic Emergency Preparedness I Regina1 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: 449 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: January 30, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: dr.jawder (42 month(s) ago) Hello, Can I have a copy your splendid presentations? "Disaster Preparedness &Avian/Pandemic Awareness" and related ones please! jawder@in.com Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript California Department of Aging (CDA) Presentation on Disaster Preparedness and Avian/Pandemic Awareness March 23, 2006: California Department of Aging (CDA) Presentation on Disaster Preparedness and Avian/Pandemic Awareness March 23, 2006 By: Robert Ramsey-Lewis, Policy Manager Prepared For: California Association of Area Agencies on Aging (C4A) Materials From: California Department of Health Services, World Health Organization, US Health and Human Services, and Canadian Network for Emergency Preparedness and Response Introduction: Introduction “Any community that fails to prepare with the expectation that the federal government will, at the last moment, be able to come to the rescue will be tragically wrong. --Mike Leavitt, US Health and Human Services Secretary Slide3: When is an Emergency a Disaster? A disaster occurs when the impact on the community exceeds its normal coping resources A community’s coping resources are its people, materials, equipment, and services used to meet demand created by an incident Preparedness moves the disaster threshold. Preparedness measures, e.g., evacuating vulnerable populations, increases the disaster threshold, permitting the community to cope better. Source: Canadian Network for Emergency Preparedness and Response, 2004 Area Plan Guidance: Area Plan Guidance Appendix XI, Disaster Preparation Planning, is optional for the 2006-2007 planning period. Appendix XI will be required for the 2007-2008 planning period, in addition to an area plan objective concerning preparedness. Opportunity for input on the 2007-2008 Area Plan Guidance in the Fall, 2006. Avian and Pandemic Influenza: Avian and Pandemic Influenza Howard Backer, MD, MPH California Department of Health Services Sandra Shewry, Director Mark Horton, State Public Health OfficerWHO Lab Confirmed Human Cases: WHO Lab Confirmed Human Cases As of Mar. 21 2006 Mortality 52%Slide9: Requirements for a Pandemic Unusual type of influenza virus found in humans Little or no immunity in the population Virus can multiply and cause disease in humans Easily spreads from person to person WHO Pandemic Phases: WHO Pandemic PhasesHuman influenza transmission: Human influenza transmissionSlide12: Year Flu Virus Mortality 1918-1919 “Spanish” H1N1 20 million 550,000 US 1957-1958 “Asian” H2N2 70,000 US 1968-1969 “Hong Kong” H3N2 34,000 US Glezen WP. Epidemiol Rev. 1996;18:65. CDC. Influenza Prevention and Control. 20th Century Influenza Pandemics Which will the next pandemic resemble? Slide13: Pandemic Influenza Estimates for California *Estimates from FluAid 2.0, CDC **California Department of Finance Pop. Projections for 2003Components of CDHS Pandemic Planning: Components of CDHS Pandemic Planning Organization of response and authorities Surveillance Lab Capacity Infection control Case Management Vaccine and antiviral Community Outbreak Control--nonmedical Health care planning--surge capacity CommunicationsPlanning Assumptions: Planning Assumptions It will not be business as usual All sectors of society and government will be involved Widespread impact limits mutual aid Sustained response required Workforce will be impacted, adding to disruptionMajor response challenges: Major response challenges Health care capacity Estimates of hospitalizations and deaths vary by factor of 10, based on prior pandemics Pharmaceutical solution overly optimistic Need to maintain critical infrastructure Coordination of volunteers May introduce extreme and unusual measures Public will adopt their own measures Communication Avian H5N1 Vaccine: Avian H5N1 Vaccine Current influenza vaccine is not protective Federal government Support R&D, production capacity, and stockpile Federal HHS plans to buy vaccine for 20 million Distribute vaccine to states Estimate 6 month to produce enough vaccine CDHS Distributes to local health departments Technical assistance for mass vaccination Sets prioritization policy National Vaccination Priority Recommendations*: National Vaccination Priority Recommendations* *Approved by NVAC/ACIP committee on July 19, 2005Slide19: Single manufacturer Worldwide shortage Use for treatment or prevention Prioritization challenges Virus may develop resistance Federal and state stockpiles Anti-viral MedicationOutbreak Containment Measures vary as pandemic develops: Outbreak Containment Measures vary as pandemic develops Steps to reduce individual exposure to virus—(respiratory hygiene, masks) Isolation (confinement) of ill persons Quarantine of exposed persons Pharmaceuticals Community-based containment Cancellation of events, schools, public meetings, malls, businesses, transportation Snow days: nearly everyone stays home Surge Capacity: Surge Capacity Flexibility of health care delivery system to accommodate large number of patients Beds Emergency regulatory changes, increase in beds in existing facilities, alternative facilities, home care Personnel ESAR-VIP; Medical Reserve Corps; citizens volunteers; staffing ratios; scope of practice changes Equipment SNS; HRSA grantHOSPITAL BED CAPACITY: HOSPITAL BED CAPACITYJanuary 4, 2006 Flu outbreak in Phoenix metro area: January 4, 2006 Flu outbreak in Phoenix metro area Flood of visits to the emergency department and from illnesses on their own staff. Medical Center temporarily closed ED. Half-day waits in overcrowded EDs. Ambulance rides to other hospitals miles away. Postponements of routine elective surgeries and other medical procedures. Ambulance patients diverted to other hospitals. Staff sick calls are up 25 percent from last year.Risk Communications: Risk Communications Prepare the public with realistic scenarios and likely containment measures Inform public of actions they can take Train spokespersons at state and local levels Prepare health care and public health for their involvement Develop rapid communication channels with medical care Involve non-health sectors in preparedness activities HHS Department Collaboration: HHS Department Collaboration Identify roles and responsibilities Coordinate response in CA Partners for social distancing decisions and implementation Continuity of government and operations Communication channels Educating workforce Essential personnel for pharmaceuticals Plans for institutional populations