Rockwall Cri Update1


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Rockwall Cities Readiness Initiative Update Overview Fall 2009

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Rockwall Cri Update1

  1. 1. Rockwall County Cities Readiness Initiative David M. Schwartz, DPM, RPh 30 th of July 2009 Program Update
  2. 2. Cities Readiness Initiative <ul><li>Purpose : Strategic National Stockpile deployment and Point of Dispensing Site community preparedness. </li></ul><ul><li>Community Preparedness </li></ul><ul><ul><li>Training: Exercises: Planning, </li></ul></ul><ul><ul><li>Table Top, Functional </li></ul></ul><ul><ul><li>Volunteer Involvement and Awareness </li></ul></ul><ul><ul><li>POD Site Preparation and Readiness </li></ul></ul><ul><li>Public Education : Risk Mitigation </li></ul><ul><ul><li>Reduce the risk of spread and severity of disease or exposure. </li></ul></ul>
  3. 3. Strategic National Stockpile Multiple stockpiles of drugs, vaccines, and other medical supplies Requested in a public health disaster when local resources have been exhausted
  4. 4. SNS Delivery Procedure <ul><li>Texas Dept of Public Safety provides for transportation security of all SNS assets </li></ul><ul><li>Local jurisdictions receive and guard drugs, and medicate local populations </li></ul>
  5. 5. <ul><li>PODs are large scale clinics designed to enable public health and the community to rapidly administer vaccinations or give medications to a large number of the civilian population. </li></ul><ul><li>The POD is a community effort to run the clinics. </li></ul><ul><li>Public health supports the preparation and implementation of the clinics and provides needed medication resources. </li></ul>What is a POD Site?
  6. 6. Why do we Need POD Sites? <ul><ul><li>Biological agents associated with terrorism: </li></ul></ul><ul><ul><ul><li>Anthrax </li></ul></ul></ul><ul><ul><ul><li>Tularemia </li></ul></ul></ul><ul><ul><ul><li>Pneumonic Plague </li></ul></ul></ul><ul><ul><ul><li>Smallpox </li></ul></ul></ul><ul><ul><li>Natural biological events : </li></ul></ul><ul><ul><ul><li>Pandemic Influenza / H1N1 * </li></ul></ul></ul><ul><ul><ul><li>Measles </li></ul></ul></ul><ul><ul><li>Chemical / Radiation Occurences: Industrial or Terrorist </li></ul></ul>
  7. 7. Rockwall County CRI Exercises <ul><li>Drive Through POD Site: Rockwall High School Parking Lot: March 2009 </li></ul><ul><li>Goals: </li></ul><ul><ul><li>Measure through-put </li></ul></ul><ul><ul><li>Just in Time training </li></ul></ul><ul><ul><li>Operational Lessons </li></ul></ul><ul><li>Goals Met! </li></ul>
  8. 8. POD Organization
  9. 9. Pandemic Flu : POD Role <ul><li>Dispense Antivirals (pills / inhalants) </li></ul><ul><li>Dispense Antibiotics (pills / suspensions) </li></ul><ul><li>Provide Vaccinations once vaccine is available </li></ul>
  10. 10. POD Volunteer Positions <ul><li>Medical </li></ul><ul><ul><li>Clinic Manager </li></ul></ul><ul><ul><li>Triage </li></ul></ul><ul><ul><li>Dispensers </li></ul></ul><ul><ul><li>Screeners </li></ul></ul><ul><ul><li>Evaluators </li></ul></ul><ul><ul><li>Triage </li></ul></ul><ul><li>Non-medical </li></ul><ul><ul><li>Greeters </li></ul></ul><ul><ul><li>Educators </li></ul></ul><ul><ul><li>Mental Health </li></ul></ul><ul><ul><li>Supply Manager </li></ul></ul><ul><ul><li>Volunteer coordinator </li></ul></ul><ul><ul><li>Translators </li></ul></ul><ul><ul><li>Maintenance personnel </li></ul></ul>
  11. 11. Personal/Family Preparedness <ul><li>Discuss with your family where your children will go, how to communicate when an event does occur….. </li></ul><ul><li>Prepare for the worst by </li></ul><ul><ul><li>Making contact numbers available </li></ul></ul><ul><li>Cough / Sneeze Etiquette </li></ul>
  12. 12. Educational Tool for Keeping Kids Healthy from Sesame Street © <ul><li>When both grown-ups and children practice simple everyday actions, it leads to staying healthy and keeping germs away, especially those that can lead to the flu. Young children may not understand exactly how germs spread, but they will understand that there are certain things that they can do to stay healthy, especially when they do them with the adults who care for them during their everyday routines! (Rockwall CRI not afiliated with Sesame Street © ) </li></ul>
  13. 13. CDC <ul><li>H1N1 Flu (Swine Flu) </li></ul><ul><li>H1N1 Flu Situation Update Site last updated July 24, 2009, 2:00 PM ET </li></ul><ul><li>A Pandemic Is Declared </li></ul><ul><li>On June 11, 2009, the World Health Organization (WHO) signaled that a global pandemic of novel influenza A (H1N1) was underway by raising the worldwide pandemic alert level to Phase 6 . This action was a reflection of the spread of the new H1N1 virus, not the severity of illness caused by the virus. At the time, more than 70 countries had reported cases of novel influenza A (H1N1) infection and there were ongoing community level outbreaks of novel H1N1 in multiple parts of the world. </li></ul><ul><li>Since the WHO declaration of a pandemic, the new H1N1 virus has continued to spread, with the number of countries reporting cases of novel H1N1 nearly doubling. The Southern Hemisphere’s regular influenza season has begun and countries there are reporting that the new H1N1 virus is spreading and causing illness along with regular seasonal influenza viruses. In the United States, significant novel H1N1 illness has continued into the summer, with localized and in some cases intense outbreaks occurring. The United States continues to report the largest number of novel H1N1 cases of any country worldwide, however, most people who have become ill have recovered without requiring medical treatment. </li></ul>
  14. 14. Online H1N1 Updates <ul><li>H1N1 Update: Flu Cases Expected to Rise with Start of School Published in Physician's First Watch July 20, 2009 </li></ul><ul><li>Cases of novel influenza A (H1N1) are expected to increase in the fall — &quot;perhaps earlier than what we see with seasonal influenza&quot; — Dr. Anne Schuchat said at a CDC press briefing on Friday. She added that &quot;every year in the fall, there's an increase in respiratory illness, not just influenza, when kids go back to school and people get back together and the germs [are] getting shared.&quot; </li></ul><ul><li>The CDC will update its guidance for schools, according to Dr. Schuchat. </li></ul><ul><li>H1N1 Update: CDC &quot;Full-Out&quot; Recommends Seasonal Flu Vaccination for Children Over 6 Months    (posted 28 JULY 09) </li></ul><ul><li>In contrast to last year, when seasonal flu shots for those between 6 months and 18 years were &quot;encouraged,&quot; this season it's a &quot;full-out recommendation,&quot; according to Dr. Anne Schuchat, director of the CDC's center for immunization. The CDC's Advisory Committee on Immunization Practices (ACIP) simultaneously released its recommendations for seasonal influenza online in MMWR. </li></ul><ul><li>Schuchat said, in a press briefing, that the agency recommends &quot;strongly&quot; that healthcare workers receive the seasonal vaccine. In addition, she expects that &quot;when [novel] H1N1 vaccine recommendations come out, it's very, very likely healthcare workers will be in that group that ought to get vaccines as well.&quot; </li></ul><ul><li>The ACIP meets later this week and will make recommendations for which groups should have priority for receiving H1N1 vaccine, which, according to Schuchat, will be available in &quot;reasonably large numbers of doses&quot; by mid-October. </li></ul>
  15. 15. <ul><li>Swine flu could hit up to 40% in U.S. this year </li></ul><ul><li>and next without vaccine . </li></ul><ul><li>By Mike Stobbe, AP Medical Writer 29JULY09 </li></ul><ul><li>ATLANTA — In a disturbing new projection, health officials say up to 40% of Americans could get swine flu this year and next and several hundred thousand could die without a successful vaccine campaign. </li></ul><ul><li>The estimates by the Centers for Disease Control and Prevention are roughly twice the number of those who catch flu in a normal season and add greater weight to hurried efforts to get a new vaccine ready for the fall flu season. </li></ul><ul><li>The estimates are based on a flu pandemic from 1957, which killed nearly 70,000 in the United States but was not as severe as the infamous Spanish flu pandemic of 1918-19. </li></ul><ul><li>The World Health Organization says as many as 2 billion people could become infected in the next two years — nearly a third of the world population . The estimates look at potential impacts in a two-year period because past flu pandemics have occurred in waves over more than one year. </li></ul><ul><li>Friday, WHO's flu chief told the AP the global epidemic is still in its early stages . </li></ul><ul><li>&quot;Even if we have hundreds of thousands of cases or a few millions of cases ... we're relatively early in the pandemic,&quot; Keiji Fukuda said at WHO headquarters in Geneva. </li></ul><ul><li>Associated Press writer Frank Jordans in Geneva contributed to this report. </li></ul>
  16. 16. We Need YOU! <ul><li>To make all of this possible </li></ul><ul><li>Because you… </li></ul><ul><ul><li>Understand your community </li></ul></ul><ul><ul><li>Dedicated to the health of your family and friends </li></ul></ul>
  17. 17. Rockwall Cities Readiness Initiative <ul><li>Contact : </li></ul><ul><ul><li>Dave Schwartz, DPM, RPh Rockwall County CRI Vol. Coordinator For information: http://www. rockwallcri .com e-mail: </li></ul></ul><ul><ul><li>THANK YOU!! </li></ul></ul>