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Rockwall County Cities Rockwall County Cities Readiness InitiativeReadiness Initiative
David M. Schwartz, DPM, RPhDavid M. Schwartz, DPM, RPh
3030thth of July 2009 of July 2009
Program Update
Cities Readiness InitiativeCities Readiness InitiativePurposePurpose:: Strategic National Stockpile deployment Strategic National Stockpile deployment
and Point of Dispensing Site community and Point of Dispensing Site community preparedness.preparedness.
Community PreparednessCommunity Preparedness • Training: Exercises: Planning, Training: Exercises: Planning,
Table Top, FunctionalTable Top, Functional• Volunteer Involvement and AwarenessVolunteer Involvement and Awareness• POD Site Preparation and ReadinessPOD Site Preparation and Readiness
Public EducationPublic Education: Risk Mitigation: Risk Mitigation• Reduce the risk of spread and severity of Reduce the risk of spread and severity of
disease or exposure.disease or exposure.
Strategic National Strategic National StockpileStockpile
Multiple stockpiles of drugs, vaccines, and other medical supplies Requested in a public health disaster when local resources have been exhausted
SNS Delivery ProcedureSNS Delivery Procedure
Texas Dept of Public Safety Texas Dept of Public Safety provides for transportation provides for transportation security of all SNS assetssecurity of all SNS assets
Local jurisdictions receive Local jurisdictions receive and guard drugs, and and guard drugs, and medicate local populationsmedicate local populations
PODs are large scale clinics designed to PODs are large scale clinics designed to enable public health and the community to enable public health and the community to rapidly administer vaccinations or give rapidly administer vaccinations or give medications to a large number of the civilian medications to a large number of the civilian population. population.
The POD is a community effort to run the The POD is a community effort to run the clinics.clinics.
Public health supports the preparation and Public health supports the preparation and implementation of the clinics and provides implementation of the clinics and provides needed medication resources.needed medication resources.
What is a POD Site?What is a POD Site?
Why do we Need POD Sites?Why do we Need POD Sites?• Biological agentsBiological agents associated with associated with
terrorism:terrorism: AnthraxAnthrax TularemiaTularemia Pneumonic PlaguePneumonic Plague SmallpoxSmallpox
• Natural biological eventsNatural biological events:: Pandemic Influenza / H1N1 *Pandemic Influenza / H1N1 * MeaslesMeasles
• Chemical / RadiationChemical / Radiation Occurences: Occurences: Industrial or TerroristIndustrial or Terrorist
Rockwall County CRI ExercisesRockwall County CRI Exercises
Drive Through POD Site: Drive Through POD Site: Rockwall High School Parking Lot: Rockwall High School Parking Lot: March 2009March 2009
Goals: Goals: • Measure through-putMeasure through-put• Just in Time trainingJust in Time training• Operational LessonsOperational Lessons
Goals Met!Goals Met!
POD POD OrganizationOrganization
Pandemic Flu : POD Role
Dispense Antivirals (pills / inhalants)Dispense Antivirals (pills / inhalants)
Dispense Antibiotics (pills / Dispense Antibiotics (pills / suspensions)suspensions)
Provide Vaccinations once vaccine is Provide Vaccinations once vaccine is availableavailable
POD Volunteer PositionsPOD Volunteer Positions
Medical Medical • Clinic ManagerClinic Manager• Triage Triage • DispensersDispensers• ScreenersScreeners• EvaluatorsEvaluators• TriageTriage
Non-medical Non-medical • GreetersGreeters• EducatorsEducators• Mental HealthMental Health• Supply ManagerSupply Manager• Volunteer Volunteer
coordinatorcoordinator• TranslatorsTranslators• Maintenance Maintenance
personnelpersonnel
Personal/Family PreparednessPersonal/Family Preparedness
Discuss with your family where Discuss with your family where your children will go, how to your children will go, how to communicate when an event communicate when an event does occur…..does occur…..
Prepare for the worst byPrepare for the worst by• Making contact numbers availableMaking contact numbers available
Cough / Sneeze EtiquetteCough / Sneeze Etiquette
Educational Tool for Keeping Kids Healthy from Sesame Street ©
http://www.sesamestreet.org/parents/topics/health/flu/http://www.sesamestreet.org/parents/topics/health/flu/
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 ©)
CDC http://www.cdc.gov/
H1N1 Flu (Swine Flu) H1N1 Flu Situation Update
Site last updated July 24, 2009, 2:00 PM ET
A Pandemic Is Declared 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.
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.
Online H1N1 UpdatesOnline H1N1 Updates H1N1 Update: Flu Cases Expected to Rise with Start of H1N1 Update: Flu Cases Expected to Rise with Start of
SchoolSchool Published inPublished in Physician's First Watch Physician's First Watch July 20, 2009July 20, 2009 Cases of novel influenza A (H1N1) are expected to increase in the fall — "perhaps earlier than what Cases of novel influenza A (H1N1) are expected to increase in the fall — "perhaps earlier than what we see with seasonal influenza" — Dr. Anne Schuchat said at a CDC press briefing on Friday. She we see with seasonal influenza" — Dr. Anne Schuchat said at a CDC press briefing on Friday. She added that "every year in the fall, there's an increase in respiratory illness, not just influenza, when added that "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."kids go back to school and people get back together and the germs [are] getting shared."The CDC will update its guidance for schools, according to Dr. Schuchat.The CDC will update its guidance for schools, according to Dr. Schuchat.
H1N1 Update: CDC "Full-Out" Recommends Seasonal Flu H1N1 Update: CDC "Full-Out" Recommends Seasonal Flu Vaccination for Children Over 6 Months Vaccination for Children Over 6 Months (posted 28 JULY 09) (posted 28 JULY 09)In contrast to last year, when seasonal flu shots for those between 6 months and 18 years were In contrast to last year, when seasonal flu shots for those between 6 months and 18 years were "encouraged," this season it's a "full-out recommendation," according to Dr. Anne Schuchat, "encouraged," this season it's a "full-out recommendation," according to Dr. Anne Schuchat, director of the CDC's center for immunization. The CDC's Advisory Committee on Immunization 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 Practices (ACIP) simultaneously released its recommendations for seasonal influenza online in MMWR.MMWR.Schuchat said, in a press briefing, that the agency recommends "strongly" that healthcare workers Schuchat said, in a press briefing, that the agency recommends "strongly" that healthcare workers receive the seasonal vaccine. In addition, she expects that "when [novel] H1N1 vaccine receive the seasonal vaccine. In addition, she expects that "when [novel] H1N1 vaccine recommendations come out, it's very, very likely healthcare workers will be in that group that ought recommendations come out, it's very, very likely healthcare workers will be in that group that ought to get vaccines as well."to get vaccines as well."The ACIP meets later this week and will make recommendations for which groups should have 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 "reasonably priority for receiving H1N1 vaccine, which, according to Schuchat, will be available in "reasonably large numbers of doses" by mid-October.large numbers of doses" by mid-October.
Swine flu could hit up to 40% in U.S. this year and next without vaccine .
By Mike Stobbe, AP Medical Writer 29JULY09
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.
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.
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.
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.
Friday, WHO's flu chief told the AP the global epidemic is still in its early stages.
"Even if we have hundreds of thousands of cases or a few millions of cases ... we're relatively early in the pandemic," Keiji Fukuda said at WHO headquarters in Geneva.
Associated Press writer Frank Jordans in Geneva contributed to this report.
We Need YOU! To make all of this possibleTo make all of this possible
Because you…Because you…• Understand your communityUnderstand your community• Dedicated to the health of your Dedicated to the health of your
family and friendsfamily and friends
Rockwall Cities Readiness Initiative
ContactContact: : • Dave Schwartz, DPM, RPh Dave Schwartz, DPM, RPh
Rockwall County CRI Vol. CoordinatorRockwall County CRI Vol. CoordinatorFor information: For information: http://www.http://www.rockwallcrirockwallcri.com.come-mail: [email protected]: [email protected]
THANK YOU!!THANK YOU!!
