Pandemic Influenza Planning Update by HC120807114644


									Pandemic Influenza
Preparedness in Fairfax County

Gloria Addo-Ayensu, MD, MPH
Director of Health, Fairfax County
November 17, 2006
History of Influenza

   Three influenza pandemics in the 20th
       1918 (H1N1) – 40 million deaths
       1957 (H2N2) – 2 million deaths
       1968 (H3N2) – 700,000 deaths
       Differed in type of virus, impact and
        populations most affected
Pandemic Flu Today

Despite . . .
  – Expanded global and national surveillance
  – Better healthcare, medicines, diagnostics
  – Greater vaccine manufacturing capacity

New risks:
  –   Increased global travel and commerce
  –   Greater population density
  –   More elderly and immunosuppressed
  –   More daycare and nursing homes
What to expect during a
   2 or 3 waves of disease outbreak over period of
    a year or more; outbreak in a community
    lasting about 2 – 3 months
   Possibly as many as 35% of the population
    affected, with large numbers of deaths
   Enormous demands on the health care system
   Delays and shortages in available vaccines and
    antiviral drugs
   Possible disruptions in usual services
   Simultaneous outbreaks throughout the country
Why plan now?

   Being proactive to ensure adequate measures
    are taken in advance will lessen the potential
   Preparedness will strengthen the capacity to
    respond to seasonal flu epidemics and other
    infectious disease threats
   “Any community that fails to prepare, with the
    expectation that the federal government will
    come to the rescue will be tragically wrong.”
              HHS Secretary Michael O. Leavitt, April 10, 2006
Pandemic Influenza
   Occurring at all levels
    – Global, Federal, State, Regional, County
   Fairfax County
    – All Hazards Approach to emergency preparedness
    – Planning activities began in Fall 2005
    – Involves ALL county agencies, surrounding cities,
      private sector groups and partner organizations
    – Deputy County Executives for Human Services &
      Public Safety leading planning efforts
          Public Health
          Critical Infrastructure and Resource Mgt.
Public Health

   Multi-disciplinary workgroups
    –   Laboratory and Surveillance
    –   Communication and notifications
    –   Vaccine and antiviral distribution
    –   Community disease control and prevention
    –   Legal
    –   Essential needs
    –   First Responders
    –   Surge capacity*
    –   Mass Fatality Management*
Critical Infrastructure and
Resource Management
   Strategies to lessen impact on critical
    – Continuity of Operations Planning (COOP)
    – Provision of critical services
    – Policies to protect the workforce
          HR, Risk Management,
    – Increase capacity for telecommuting
    – Workforce communications and public
    – Private sector planning
        Fairfax County’s Pandemic Flu
        Planning Structure
                                           Pandemic Flu Planning Initiative Structure
      Fairfax County
      Pandemic Flu
    Plan Coordinators
       John Burke                                                                         Executive Team
   (Deputy Fire Chief)                   (provides    oversight, sets direction and insures appropriate internal and external communication)
     Amanda McGill                                                       Co-Chairs: Verdia Haywood, Rob Stalzer
  (Program Manager)
Laura Suzuki, R.N. MPH
 (Public Health Nurse)
                                                                                 Leadership Team (EMCC) 1
                                                             (ensures coordination and integration of coordinating committees)
                                                                                 Chairperson: Rob Stalzer

                         Public Health Coordination
                                                                                                                           Critical Infrastructure and Resource Management
           (responsible for planning, response and recovery for
                            public health efforts)
          Co-Chairs: Dr. Gloria Addo-Ayensu, Dr. Raja’a Satouri                                                        (responsible for planning, response and recovery for infrastructure
                                                                                                                         and resource management efforts and private sector planning)
                                                                                                                                    Co-Chairs: Doug Bass, Merni Fitzgerald

                                                                                                                           Critical Infrastructure and Resource Management
                        Public Health Work Groups 2
                                                                                                                                              Work Groups 3

                    •Vaccine and anti-viral distribution                                                                                      •Policy Support
                    •Community disease prevention                                                                                             •Operational Support
                    •Surge Capacity                                                                                                           •Public Safety
                    •Laboratory and Surveillance                                                                                              •County Infrastructure
                    •First Responders and mass casualty                                                                                       •Private Sector Planning
                    •Legal Considerations
                    •Communications and Notification
                    •Essential Needs

1 The Em ergency Managem ent Coordinating Comm ittee will s erve as the Leaders hip Team for this effort
2 Steering Comm ittee: Dr. Gloria Addo-Ayens u, Dr. Raja’a Satouri, Barbara Antley, Holly Clifton, Kim berly Cordero, Zandr a Duprey, Marilyn Mc Hugh, Michelle Milgrim, John Niem iec
3 Steering Comm ittee: John Burke, Carol Lamborn, Amanda Mc Gill, Becky McKinney, Larry Moser

                                                                                                                                                                                         Updated August, 2006
Fairfax County Pandemic
Influenza Response Plan
   Available on County website
   Describes the coordinated local strategy to
    prepare for and respond to an influenza
   Supplements state and federal pandemic
    influenza response plans
   Health Department plays a critical role in
    overall response activities
Goal of Fairfax County
Response Plan
   Contain and control disease outbreak
   Limit the number of illnesses and
   Preserve continuity of essential
    government functions
   Minimize social disruptions
   Minimize economic loss
  Impact of Planning





          Adapted from HHS
County Pandemic Preparedness
   Develop or enhance disease surveillance programs
   Ensure mass vaccination plans are in place and
    ready to be implemented
   Establish guidelines for using antiviral medications
   Develop methods to implement non-medical
    measures to decrease the spread of illness
   Educate public and partners on the consequences
    of pandemic flu and how to prepare
   Assist partners with pandemic preparedness
    planning aimed at maintaining health care and
    other essential services
Pandemic Influenza Community
   Public education on pandemic preparedness
    with special outreach to ethnic community,
    elderly and hard to reach populations
   Self care guide to be distributed to all
   Hand washing and Cover Your Cough
   Physician education and N-95 fit testing
   Summits and presentations
Engaging Business and
Community Partners
   Town hall meeting: April 18, 2006
   Business summit: May 26, 2006
   Physician summit: August 10,2006*
   Child-care summit: August 21, 2006*
   Long-term care facilities: Nov. 29, 2006
   Human Services partners summit:
    December 1, 2006
   Future Summits in planning phase:
    – Small businesses, Ethnic communities, Faith
      community, Home Owners Associations
Fairfax County’s Hand Washing Campaign
  “Your Health is in Your Hands: WASH”
Are you prepared?

   Do you have a home disaster preparedness
   Do you get a flu shot each year?
   Are you staying informed?
   What are you doing to stop germs from
          Cover coughs and sneezes
          Frequent and proper hand washing
          Stay home when sick
   Remember to check the CDC website for
    travel advisories if you plan to travel.
Thank You
   Fairfax County Hand washing Sign
    – English:
    – Spanish:
   Fairfax County Flu Season Sign

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