NOVA SCOTIA HEALTH SYSTEM   PANDEMIC INFLUENZA PLAN Health Information Flow By Sunil Nair Abel Medhanie Geb
Agenda <ul><li>Pandemic Influenza </li></ul><ul><li>Avian Flu – Threat?  </li></ul><ul><li>NS Pandemic Influenza Plan </li...
Acknowledgements <ul><li>Ms. Susan Baikie, RN/BN  </li></ul><ul><ul><li>Public Health Informatician, NS Health Promotion a...
Influenza Facts <ul><li>3 types  </li></ul><ul><ul><li>Type A  (Avian, Bovine, Humans, Animals),  </li></ul></ul><ul><ul><...
Avian Flu – Threat? <ul><li>Bird-Human transmission </li></ul><ul><li>Consequence of mass outbreak – disaster </li></ul><u...
Flu pandemics then and now >50 million Estimated Death >20 million AntiViral Treatments Bed Rest, Aspirin Vaccines Prevent...
Avian Flu Journey <ul><li>1997-first human victim in Hong Kong </li></ul><ul><li>Across Country transmission  </li></ul><u...
 
Pandemic Flu hypothetical scenario <ul><li>STAGE 1 </li></ul><ul><ul><li>Emergence of Virus </li></ul></ul><ul><ul><li>Dri...
Pandemic Predictions <ul><li>Strike without Warning </li></ul><ul><li>Severity will depend on </li></ul><ul><ul><li>Emergi...
NS Pandemic Influenza Plan <ul><li>Communications </li></ul><ul><li>Surveillance </li></ul><ul><li>Public health measures ...
Key Players
Interoperability <ul><li>Between: </li></ul><ul><ul><li>Information (sharing) </li></ul></ul><ul><ul><li>Different Systems...
Communication
Surveillance -  Flu Watch
Pandemic Management team Nova Scotia Communicable Disease Manual
Emergency Management Plan
School Response
Pandemic Model Of Care
Problems / Solutions <ul><li>Plan not tested and Drilled  </li></ul><ul><ul><li>Pandemic Simulation & Response Drill; </li...
The role of Health Informatics Professional is Significant. <ul><li>Connect </li></ul><ul><ul><li>Integration of Systems <...
 
Important Links <ul><li>http:// www.gov.ns.ca/govt/pandemic/pandemic_plan.asp   </li></ul><ul><li>http:// www.gov.ns.ca/go...
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Pandemic Flu Health Information and Work Flow Project - Sunil Nair Health Informatics Dalhousie University

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Pandemic Flu Health Information and Work Flow Project - Sunil Nair Health Informatics Dalhousie University

  1. 1. NOVA SCOTIA HEALTH SYSTEM PANDEMIC INFLUENZA PLAN Health Information Flow By Sunil Nair Abel Medhanie Geb
  2. 2. Agenda <ul><li>Pandemic Influenza </li></ul><ul><li>Avian Flu – Threat? </li></ul><ul><li>NS Pandemic Influenza Plan </li></ul><ul><li>Key Players </li></ul><ul><li>Flow of Information </li></ul><ul><li>Problems / Solutions </li></ul><ul><li>? </li></ul>
  3. 3. Acknowledgements <ul><li>Ms. Susan Baikie, RN/BN </li></ul><ul><ul><li>Public Health Informatician, NS Health Promotion and Protection </li></ul></ul><ul><li>Ms. Gertrude Oliver, RN </li></ul><ul><ul><li>Communicable Disease Nurse Consultant </li></ul></ul><ul><li>Ms. Dee Mombourquette, RN </li></ul><ul><ul><li>Communicable Disease Prevention and Control Coordinator </li></ul></ul>
  4. 4. Influenza Facts <ul><li>3 types </li></ul><ul><ul><li>Type A (Avian, Bovine, Humans, Animals), </li></ul></ul><ul><ul><li>Type B (Humans), </li></ul></ul><ul><ul><li>Type C (Humans and Animals) </li></ul></ul><ul><li>Symptoms- Fever, cough, sore throat, headache and lethargy </li></ul><ul><li>Mode of Transmission – </li></ul><ul><ul><li>Droplets, </li></ul></ul><ul><ul><li>Touching contaminated surfaces </li></ul></ul><ul><li>Annual Hospitalizations – 20,000 Canadians; ~4000 die of complications </li></ul><ul><li>Epidemic – Prevalence of disease within a community </li></ul><ul><li>Pandemic – Outbreak, rapid transmission, affects large population </li></ul>
  5. 5. Avian Flu – Threat? <ul><li>Bird-Human transmission </li></ul><ul><li>Consequence of mass outbreak – disaster </li></ul><ul><li>Experts predict up to 50 million deaths </li></ul><ul><li>No definitive vaccine </li></ul><ul><li>However, mortality rate could decline as the virus mutates. </li></ul><ul><li>Can we eat chicken? </li></ul>
  6. 6. Flu pandemics then and now >50 million Estimated Death >20 million AntiViral Treatments Bed Rest, Aspirin Vaccines Preventive measures Gauze Masks, Disinfectants 4 Days Time for Transmission 4 months Jets Transportation Ships & Trains >6.5 billion World Population 1.8 billion 2006/2007 Year 1918 NOW THEN
  7. 7. Avian Flu Journey <ul><li>1997-first human victim in Hong Kong </li></ul><ul><li>Across Country transmission </li></ul><ul><li>348 confirmed Human cases of H5N1; 218 deaths (WHO January 2008) </li></ul>
  8. 9. Pandemic Flu hypothetical scenario <ul><li>STAGE 1 </li></ul><ul><ul><li>Emergence of Virus </li></ul></ul><ul><ul><li>Drift & Shift </li></ul></ul><ul><ul><li>No immunity </li></ul></ul><ul><li>STAGE 2 </li></ul><ul><ul><li>Replication of mutated stain </li></ul></ul><ul><li>STAGE 3 </li></ul><ul><ul><li>Sustained virus transmission H H </li></ul></ul>
  9. 10. Pandemic Predictions <ul><li>Strike without Warning </li></ul><ul><li>Severity will depend on </li></ul><ul><ul><li>Emerging Strain </li></ul></ul><ul><ul><li>Extend & Ease of spread </li></ul></ul><ul><ul><li>Number & Groups of people affected/exposed </li></ul></ul><ul><li>Estimated that up to </li></ul><ul><ul><li>35% Nova Scotia population could be ill </li></ul></ul><ul><ul><li>165,000 individuals may need hospitalization </li></ul></ul><ul><ul><li>1300 deaths </li></ul></ul><ul><li>Estimated Costs (National) </li></ul><ul><ul><li>Up to $1.4 billion in Healthcare expenditures </li></ul></ul><ul><ul><li>Up to $28 billion in Economic loss </li></ul></ul>
  10. 11. NS Pandemic Influenza Plan <ul><li>Communications </li></ul><ul><li>Surveillance </li></ul><ul><li>Public health measures </li></ul><ul><li>Vaccines </li></ul><ul><li>Anti-viral </li></ul><ul><li>Health services </li></ul><ul><li>NSPIP </li></ul>
  11. 12. Key Players
  12. 13. Interoperability <ul><li>Between: </li></ul><ul><ul><li>Information (sharing) </li></ul></ul><ul><ul><li>Different Systems </li></ul></ul><ul><ul><li>Programs & activities </li></ul></ul><ul><ul><li>Managements & Processes </li></ul></ul>“ Sharing the right information with the right people at the right time”
  13. 14. Communication
  14. 15. Surveillance - Flu Watch
  15. 16. Pandemic Management team Nova Scotia Communicable Disease Manual
  16. 17. Emergency Management Plan
  17. 18. School Response
  18. 19. Pandemic Model Of Care
  19. 20. Problems / Solutions <ul><li>Plan not tested and Drilled </li></ul><ul><ul><li>Pandemic Simulation & Response Drill; </li></ul></ul><ul><li>Collaboration with other Govt. Depts. like Agriculture, Airports etc; </li></ul><ul><li>Need for structured data collection, collation & analysis </li></ul><ul><ul><li>Business Intelligence </li></ul></ul><ul><li>Unclear Roles & Responsibilities </li></ul><ul><ul><li>Clear Communication to decision makers; </li></ul></ul><ul><li>Ethical Issues </li></ul><ul><ul><li>Clearly understand rationing of care </li></ul></ul><ul><ul><li>Prioritization of access to vaccines/drugs </li></ul></ul>
  20. 21. The role of Health Informatics Professional is Significant. <ul><li>Connect </li></ul><ul><ul><li>Integration of Systems </li></ul></ul><ul><li>Share- High value Data </li></ul><ul><ul><li>Data </li></ul></ul><ul><ul><li>Knowledge </li></ul></ul><ul><ul><li>Policy </li></ul></ul><ul><li>Data Analysis </li></ul><ul><ul><li>Surveillance </li></ul></ul><ul><li>Innovation </li></ul><ul><ul><li>New Services </li></ul></ul><ul><li>Healthcare Project Management </li></ul><ul><ul><li>IT Systems realization </li></ul></ul>
  21. 23. Important Links <ul><li>http:// www.gov.ns.ca/govt/pandemic/pandemic_plan.asp </li></ul><ul><li>http:// www.gov.ns.ca/govt/pandemic/canada.asp </li></ul><ul><li>http:// www.chica.org / </li></ul><ul><li>http://www.phac-aspc.gc.ca/fluwatch/index-eng.php </li></ul><ul><li>http:// www.safecanada.ca/link_e.asp?category =10&topic=193 </li></ul><ul><li>http://www.phac-aspc.gc.ca/influenza/pandemic_e.html </li></ul><ul><li>http://www.phac-aspc.gc.ca/cpip-pclcpi/index-eng.php </li></ul><ul><li>Thank you! </li></ul>

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