26. The Public Health side of
Pandemic Planning
by
Mr Gavin Maguire
3rd September 2009
27. Health Service Planning to
date
HSE began planning for an Influenza
Pandemic in late 2005.
Influenza Pandemic Steering group formed
Expert Group re-established.
National plan published in January 2007.
Expert Group report published in January
2007.
Some elements of this plan were put in place
between 2007 and April 2009.
28. With the emergence of Swine Flu in April
2009 the HSE National Crisis Management
Team was convened to;-
– Refine and implement elements of the plan that
were ready.
– Review and escalate the elements of the plan not
ready.
Since its first convening on the 26th April the NCMT
has been meeting regularly to co-ordinate
preparations.
29. Regional Crisis Management Teams
have been meeting to co-ordinate
regional preparedness in accordance
with the decisions of the National Crisis
Management Team.
30. Influenza Pandemic Roles and
Responsibilities
Groups and Teams;
– Interdepartmental Committee on Public
Health Emergencies,
– National Public Health Emergency Team,
– Expert Advisory Group,
– HSE National & Regional Crisis
Management Teams.
31. The key strategic issues for
the project are;-
Mass Vaccination
– Objective is to prevent people becoming
infected with the Swine Flu Virus.
– The rate of hospitalisations, sickness,
death and absenteeism from work will
hopefully be significantly reduced by the
mass vaccination programme.
– Concern is that the virus could re-assort or
shift reducing or eliminating the vaccine
effect.
32. The key strategic issues for
the project are;-
Mass Vaccination
– 7.8m ordered - 2 Doses per person.
– Delivery to commence this month.
– Vaccinations to commence Mid October.
– Logistics are enormously complex.
– Significant staff redeployment required.
– Purpose designed IT system being put in
place.
33. The key strategic issues for
the project are;-
Mass Vaccination
– Priority groups set and under constant
review.
– Uptake of Vaccination will be important.
– Objective is to cause minimum disruption
to commerce and industry as possible
during the vaccination programme.
– Some waiting times will be unavoidable.
34. Telephone Hotline/Web based support tool
– Automated telephone and web based system to provide
support to the public.
– Required to offer support to Public and to reduce pressure
on Primary Care.
– Will be ready by end of October.
– Initially will provide diagnosis and identification as to risk
group.
– Will also offer advise regarding managing ill at home.
– Most callers who are diagnosed will be advised to stay at
home and only contact their GP if their condition does not
improve.
– At risk patients will be advised to contact their GP.
35. Flu Clinics
– A new care setting to provide face to face
diagnostic and basic treatment services for
Pandemic Patients.
– Would be activated if GP’s were becoming
overwhelmed.
– However cannot be activated at the same time as
vaccination programme is underway.
– Locations identified, staff rosters ready.
36. Critical Care Surge Capacity
– Hospital critical care capacity will be
stretched.
– Areas outside of Intensive care will have to
be used.
– More staff need to be trained in ventilation.
– Ventilation capacity to be maximised.
37. Information Management
– The MT,NCMT and RCMT’s will require
accurate and timely information on what
impact the Pandemic is having particularly
during a severe wave.
– Responsibility has been assigned for the
co-ordination of all pandemic information
required for crisis management.
38. Primary and Secondary Care Surge
Capacity and Business Continuity
– Hospitals and Local Health Office’s have
been working through Pandemic Action
Checklists for the last couple of years.
– These checklists have been updated to
reflect the recent considerations of the
NCMT.
39. - The modelling data supporting local
planning is currently being updated to reflect
emerging understanding of Swine Flu.
- All parts of the HSE will suffer staff
absenteeism and must plan accordingly.
- Disruption to supply chains may arise.
- Non essential activities may need to be
postponed to facilitate staff redeployment.