Health Protection Preparedness and Response, Mike Catchpole (ESCAIDE 2012)
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Presentation from the European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE), published by the European Centre for Disease Prevention and Control (ECDC)
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Health Protection Preparedness and Response, Mike Catchpole (ESCAIDE 2012)
- 1. Olympics 2012 Health Protection Preparedness & Response Mike Catchpole
- 2. Mass Gatherings – Key Planning Steps Risk Analysis What might happen? Surveillance How will we know when it happens? Response What will we do when it happens?
- 3. A Proportional Response Evidence from recent Olympics suggests risk of infectious disease or other significant hazard to health is low But • Absolute increase in population and increase in population density and mixing • Population movement – potential for exposure to non-endemic disease • Target for terrorism • Changes in services and behaviour (food supply, sexual behaviour) • Low threshold for action
- 4. Core Elements of Preparedness for London 2012 • Enhanced Public Health Surveillance • ED and OOH Reporting, ITU reporting, Event Based Surveillance • Augmented international surveillance and risk assessment • Additional capacity for expert advice and information • Enhanced response to outbreaks and incidents • Revised strategic emergency plans • Revised staffing policies • Major exercise testing 4
- 5. Health Protection Agency Data Flow Chart Infectious Disease Surveillance Reports SitRep 1. NOIDS 2. Lab Reporting 3. Syndromic 4. USII 5. Mortality 6. International Olympic Venues Olympics Coordination Centre Event Based Surveillance SitRep Notification of disease / event Colindale Ops Cell 9X Regional operation Cell HPA Public Health SitRep SitRep Microbiology Services Communications / Media SitRep Environmental Hazards: Chemical, Radiation, Air quality Devolved Administrations Public Health Bodies LOC London Operations Centre COBR-OPG Coordination of all Government Activities MOC (LOCOG) Coordination of all Games operations DH Daily Health SitRep NOCC Safety and Security Coordination Other Government Departments / Organisations: Defra / EA FSA Business as usual data flows Information requests Significant public health incident HPA Olympic Surveillance
- 6. Post Olympics Reflections Key Lessons • Significant time and effort required over many months (years) • Robust but flexible planning • Teamwork (sense of humour) • Don’t reinvent the wheel – maintain normal practice as much as possible • Ensure an understanding of normal business • Early stakeholder engagement is critical • Clarify arrangements for formulating, agreeing and disseminating public health advice across partners • Learn from others (observer programme and legacy) • Testing and exercising
- 7. Proportional? • Significant investment in new system development • Significant additional burden on staff (long hours, temporary secondment to new roles) • No significant threats detected • Augmented systems provided evidence of absence… • Important legacy of new systems e.g. Emergency Department reporting • Test of systems required for response to national emergencies
Editor's Notes
- Enhanced business as usual: During the Olympic Period, a daily PH SitRep will be produced. To be able to do so, public health surveillance will be enhanced. Also microbiological diagnostics will be enhanced. Publishing a daily report will involve additional demands for expert advice and information. And during the Olympics there will be an enhanced response.