Expect the Unexpected on Campus

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Expect the Unexpected on Campus Powered By Docstoc
					Expect the Unexpected on
         Campus
       Sandra Samuels, MD
Medical Director, Rutgers University
     Health Service - Newark
What is College Health?
Traditional and Public Health Roles
• Medical & Counseling Service for ill and
  injured students or employees
• Educational and preventive health
  services for the campus community
• ADD – responsibility for campus safety,
  along with police, public health officials
  and central administration
Historical Context of our Current
Public Health Concerns

• Trade Center Attack Sept 11, 2001
• Inhalation Anthrax – Nov, Dec 2001
• SARS - Feb, March 2003
• AVIAN FLU in humans since Jan 2004
  CDC warnings
• Nuclear, chemical and biological agents
Orderly Planning for Possible Threats
• Educate Health & Counseling Services
• Educate All Administrators on campus
• Training Programs - workshops, drills
• Collaboration – within the university,
  administration, student services, police
• Collaboration - with Public Health
  officials – local and state
AVIAN FLU – A LIKELY MODEL
• All about Avian Flu, the virus
• Detection, Prevention, Protection
• What if it hits our campus? Community?
  How prepared will we be?
• How well are we linked to our Public
  Health system? How will we know in
  advance?
          KNOW YOUR ENEMY
• AVIAN FLU is a likely enemy – now in phase 3
  of infectivity – will be pandemic at phase 5,
  by mutation, in <> 2yr
• Expect no one will be immune, Infectivity
  rate is 30%, death rate 50%, cycles of
  8 – 12 weeks, may last one year
• Incubation 3 – 10 days, history of travel to
  high risk zones, case contact
       FIGHT THE ENEMY
• Social distancing, Hygiene, Quarantine
• Diagnostic skills, self-protection
• Immunization – may take 8 months to
  develop vaccine
• Prophylaxis and treatment – Oseltamivir
  (Tamiflu) and Relenza (Zanamivir)
  useful – may not be useful by then
• ER, Hospitalization, respirators, nursing
Some Decision Points re Campus Life
• Organize Checklist for college campuses
• Open or close campus – distance
  learning? Public Health Officials will
  advise and guide
• Housing – international students,
  quarantine
• Who are essential personnel?
Decision Points Continued
• Communications
• Proper role for Campus Police
• Health Services – limited staff, self
  protection of staff, absences, isolation
  rooms, triage on site or by phone,
  points of distribution for vaccines,
  prophylaxis, treatment, mental health
    FLIES IN THE OINTMENT
• Absenteeism – expect 40% or more
• Effect of absenteeism on administrative
  and other support systems – physical
  plant, research, teaching, patient care,
  law and order,nourishment, fear factor
• Referral to hospitals – overcrowded ERs
  and morgues
PUBLIC HEALTH LINKS
Importance of Public Health Links
• Guidelines per CDC, State & Local
  health officials
• On-Line Early Warning System LINCS
• Relate faces to names and telephone
  numbers – personal links
• Regular contact through meetings and
  trainings, participation in drills with local
  officials
Public Health & Health Services Bond
• Public officials have access to resources
  needed in case of mass emergency –
  vaccines, medication, respirators,
  masks, knowledge and experience
• Health Services are a source of trained
  providers to extend community service
• Campus community can be recruited
  and trained as medical reserve corps
   LET US BE PREPARED
to avoid crisis and confusion!

				
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posted:10/17/2011
language:English
pages:15