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H1N1 Pandemic Update 2009

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H1N1 Pandemic Update 2009

  1. 1. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Emergency Management & Safety Solutions H1N1 Global Update: Where are we now? October 2009
  2. 2. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Obama Declares National Emergency – October 23 •  Allows medical officials to bypass certain federal requirements. –  Officials described the move as similar to a declaration ahead of a hurricane making landfall. www.ems-solutionsinc.com 2
  3. 3. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Novel H1N1 Virus •  A triple reassortment - three different flu viruses: –  North American avian influenza –  Human influenza –  Swine influenza virus –  Typically found in Asia and Europe •  Very little change in virus since its inception. www.ems-solutionsinc.com 3
  4. 4. Out of Danger Comes Emergency Management & Safety Solutions Opportunity 191 Countries Infected •  World Health Organization (WHO) is no longer reporting the number of cases globally as of July 16, 2009 –  “At this point, further spread of the pandemic, within affected countries and to new countries, is considered inevitable.” –  Now in 191+ countries (out of a possible 194). •  October 17 world death toll at least 5,000+ •  Numbers vary greatly by different agencies around the world –  Due to the change in testing, case numbers no longer meaningful. www.ems-solutionsinc.com 4
  5. 5. Out of Danger Comes Emergency Management & Safety Solutions Opportunity •  Southern Hemisphere – Flu Season minimal activity now •  Tropical Asia increasing rates of illness as they enter the monsoon season –  increasing cases in India, Thailand, Malaysia, and Hong Kong. •  Northern Hemisphere began October 4, 2009 –  Widespread disease reported in 46 states www.ems-solutionsinc.com 5
  6. 6. Out of Danger Comes Emergency Management & Safety Solutions Opportunity The Net Global Picture •  Remains a mild disease •  Not the same as •  H1N1 now the dominant seasonal influenza – likes virus strain younger people < 25 yrs •  Large populations •  Severe respiratory failure susceptible to infection – 40% have been healthy •  Monitoring for drug individuals resistance (36 cases of •  Humans infecting animals Tamiflu resistance to (pigs, birds & ferrets) date) •  Developing world will •  No significant mutations suffer the most (WHO) noted to date www.ems-solutionsinc.com 6
  7. 7. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Who is at greatest risk? •  Vulnerable groups –  Preferentially infects younger people (0 year to 25 years) –  Pregnant women –  Preexisting conditions – asthma, lung conditions, obesity, cardiovascular disease www.ems-solutionsinc.com 7
  8. 8. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 8
  9. 9. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 9
  10. 10. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 10
  11. 11. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 11
  12. 12. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 12
  13. 13. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 13
  14. 14. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 14
  15. 15. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 15
  16. 16. Out of Danger Comes Emergency Management & Safety Solutions Opportunity www.ems-solutionsinc.com 16
  17. 17. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Novel H1N1 Confirmed & Probable Case Rate in the US www.ems-solutionsinc.com 17
  18. 18. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Novel H1N1 U.S. Hospitalization Rate per 100,000 Population, By Age www.ems-solutionsinc.com 18
  19. 19. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Clinical Characteristics www.ems-solutionsinc.com 19 August 11, 2009 www.ems-solutionsinc.com 19 Epidemiology/Surveillance Pandemic H1N1 Hospitalizations Reported to CDC as of 19 JUN 2009
  20. 20. Out of Danger Comes Emergency Management & Safety Solutions H1N1 Vaccine Opportunity Current Status Priority List (42 million) •  45 million doses are the first •  Pregnant women “likely” shipment •  People who live with or care •  Effective at producing an for children younger than 6 immune response in 10 days months of age •  Only one shot •  Health care and emergency •  Kids under 10 get two shots medical services personnel •  Limited supply with direct patient contact •  Distribution challenging •  Children 6 months through 4 years of age •  A priority list was established as •  Children 5 through 18 years of the original list had 159 million age who have chronic medical conditions www.ems-solutionsinc.com 20
  21. 21. Out of Danger Comes Emergency Management & Safety Solutions Opportunity AMA New Online Assessment Tool www.AMAfluhelp.org www.ems-solutionsinc.com 21
  22. 22. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Your Challenge •  Remain vigilant – no one knows what will happen next. www.ems-solutionsinc.com 22
  23. 23. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Even Dilbert is into Pandemic Planning www.ems-solutionsinc.com 23
  24. 24. Out of Danger Comes Emergency Management & Safety Solutions Opportunity Thank you Regina Phelps, CEM, RN, BSN, MPA Emergency Management & Safety Solutions San Francisco, California 415-643-4300 www.ems-solutionsinc.com H1N1 pandemic flu blog - http://emssolutionsinc.wordpress.com www.ems-solutionsinc.com 24
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