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Student Aid for Field Epidemiology Response SAFER

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Title: Student Aid for Field Epidemiology Response SAFER


1
Student Aid for Field Epidemiology Response
(SAFER)
  • Kristen Pogreba-Brown, MPH
  • The University of Arizona Mel and Enid Zuckerman
    College of Public Health

2
What is SAFER?
  • SAFER is made up of a group of enthusiastic
    graduate students who are interested in learning
    more about how local health departments conduct
    outbreak investigations
  • Students are available to take part in emerging
    and continuing disease investigations along with
    state public health professionals

3
Why is it Important for Students to Study
Outbreaks?
  • Important Public Health training
  • Gain real world experience
  • Assist local health departments
  • Collaborate with local health departments
  • Internship opportunities
  • Career contacts

4
Background on the Team
  • Needs assessment of local health departments
  • Summary of interview findings
  • Program development
  • Team piloted with 15 graduate students in Spring
    2005
  • Establishment of an outbreak response course tied
    to team membership

5
Needs Assessment
  • Interviews at AZ Health Departments
  • Information collected on
  • Skills needed in an outbreak investigation
  • Critical training needs
  • Student participation
  • Legal and safety issues
  • Funding possibilities

6
Summary of Interview Findings
  • Potential student activities
  • Training needs
  • Importance of having students well trained before
    taking part in a response
  • Topics on which students should be trained
  • Pre-requisite requirements
  • Concerns/Issues to Address
  • Maintaining confidentiality and HIPPA
    requirements
  • Being prepared for the field
  • Cultural competency
  • Current vaccinations
  • Personnel to perform training sessions
  • Funding issues
  • Travel and lodging costs if necessary
  • Any costs associated with training

7
Program Synopsis
  • Team membership
  • Including eligibility criteria and an application
    process
  • Required training on surveillance and outbreak
    response at ADHS
  • Student participation in outbreak response class
  • ICS 100 and ICS 700 training required
  • Advisory group
  • Steering committee with representatives from all
    partnering agencies
  • Response Notification Systems
  • Request for team participation from health
    departments
  • Response from program coordinator to health
    departments
  • Evaluations Systems
  • Student training evaluations
  • Agency evaluations of student participations
  • Student evaluation of agency and experience
    following response

8
Health Department Responsibilities
  • To make the first contact with the program
    coordinator
  • To provide training/orientation at the beginning
    of each school semester for new team members
  • (For partnering agencies only)
  • To provide some instruction and supervision to
    student volunteers when they arrive on site
  • To provide a safe working environment for student
    volunteers
  • To maintain an expectation of temporary (1-3
    days) commitments from students unless previously
    determined to be longer
  • To complete the response evaluation within 2
    weeks of student participation (This will be
    provided to the agency by team members)

9
Class Description
  • Interactive seminars that bring in public health
    professionals to share their investigation
    experiences with the students
  • Outbreak Activities/Training Sessions
  • Preparedness Activities/Training Sessions
  • Short-term projects for returning students

10
Training Sessions
  • Arizona Department of Health Services (Infectious
    Epidemiology Division)
  • Students must complete a full day training
    session covering the basics of surveillance,
    reporting procedures and how different types of
    outbreak investigations are conducted
  • Maricopa County Health Department
  • Focuses on food borne outbreak investigations and
    interviewing skills
  • Pima County Health Department
  • Introduction to local health department,
    conducting interviews from a call center, and
    Incident Command structures and the EOC

11
Activation of the Team
12
Potential Activities for Students
  • Interviews
  • Data Management
  • Communicating with the public
  • Sample collection and transportation
  • Case-control studies
  • Taking part in preparedness drills
  • Chart Reviews
  • Field Work
  • Short Term Projects

13
What SAFER Has Done
  • Norvirus, Norvirus, Norovirus
  • Grand Canyon river rafters
  • Assisted care facilities
  • Weddings, catered events, conferences, anywhere
    lots of people gather and eat
  • Pertussis outbreak
  • Hepatitis A outbreak
  • Salmonella, Shigella, MRSA Measles outbreak
  • West Nile Virus Surveillance
  • Gem Show Surveillance
  • Real-Time Syndromic Surveillance at Super Bowl
    XLII
  • Unknowns
  • POD Training and Participation

14
Real-Time Syndromic Surveillance at Super Bowl
XLII
15
Student Commitments
Total of 463 hours over 7 semesters
16
Challenges
  • Student schedules
  • Developing trust among health departments
  • Establishing protocols
  • Not enough people getting sick and reporting it
    to the health departments

17
Questions?
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