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Section 1
Helping Faith-Based Organizations (FBOs)
Prepare to be Healthy
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FBOs Response to Disaster

• Hurricane Katrina
• A response of care

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A Response of Care

• Hurricane Katrina elicited
• People and resources from all levels
• Both long and short term help
• Emotional and spiritual support
• Medical, financial, and housing assistance

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A Response of Care

• The faith-based community
• Mobile kitchens and recovery sites
• Shelters
• Pop-up shelters
• Relief funds
• Medical relief efforts
• FBOs were the
• foot soldiers and the armies of compassion.

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Transition from Katrina to Pandemic Influenza

• FBOs played an important role during the
  aftermath of Katrina
• FBOs will play an important role before and
  during a pandemic

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Section 1 Goals

• By the end of this session, you will be able to
• Correctly describe pandemic-related terms
• Discuss and perform basic public health pandemic
  influenza interventions

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Objectives

• By the end of this session, you will be able to
• Identify pandemic influenza terms
• List four public health interventions
• Identify materials to use to reinforce properly
  covering coughs and sneezes

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Objectives

• Demonstrate cough sneeze etiquette
• Correctly order hand washing steps
• 6. Demonstrate hand washing steps

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Why is Pandemic Influenza Important?
Photo Credit National Museum of Health and
Medicine, Armed Forces Institute of Pathology,
Washington, D.C., Image NCP 1603
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Our Mobile Society
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Important Terms

• Influenza
• Pandemic
• Pandemic Influenza

Influenza Virus Classification Orthomyxoviridae
Structure seg., lin., ssRNA-, helical, env.
Photo Credit College of Medicine, University of
Florida
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Influenza

• Influenza (a.k.a. flu)
• A respiratory illness caused
  by a virus
• Seasonal

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Pandemic

• Pandemic
• A global disease
• outbreak

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Pandemic Influenza

• Pandemic influenza
• A global outbreak
  of influenza.
• Easily spread from
  person-to-person
  around the world.

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Pandemic Influenza

• New strain potential outbreak
• H5N1 is of concern today

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Pandemic Influenza

• More severe than seasonal flu
• Similar symptoms
• Virus more rapid and severe
• Little to no immunity

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Transmission

• Mode
• Respiratory droplets
• Touching
• Mouth
• Nose
• Eyes

• Infection time
• 1 day prior to symptoms
• Up to 5 days following onset of symptoms

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• Practice Quiz

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Practice Quiz

• Influenza is a
• global disease outbreak.
• respiratory illness, caused by a virus.
• global outbreak of a respiratory illness caused
  by a virus for which there is little or no
  immunity.

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Practice Quiz

• A pandemic is a
• global disease outbreak.
• respiratory illness, caused by a virus.
• global outbreak of a respiratory illness caused
  by a virus for which there is little or no
  immunity.

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Practice Quiz

• Pandemic influenza is a
• global disease outbreak.
• respiratory illness, caused by a virus.
• global outbreak of a respiratory illness caused
  by a virus for which there is little or no
  immunity.

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Answers to Practice Quiz

• Influenza
• Respiratory illness, caused by a virus
• Pandemic
• Global disease outbreak
• Pandemic Influenza
• Global outbreak of a respiratory illness
  caused by a virus little or no immunity

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Public Health Interventions
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Pandemic Outbreak The Wave
1
2
No intervention
Daily Cases
With intervention
3
Days since First Case
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Pandemic Outbreak 1918 Wave
1
2
City 1
Daily Cases
City 2
3
Days since First Case
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Infection Control FBOs

• FBOs serve people and communities.
• FBOs may remain open to provide some essential
  services to serve people and communities.

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Public Health Interventions

• Staying home voluntarily
• Voluntary Isolation Quarantine
• Limiting contact with others
• Social Distancing
• Covering coughs sneezes properly
• Cough and Sneeze Etiquette
• Washing hands frequently
• Hand Hygiene

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Stay Home

• Stay home when you are sick
• Stay home when someone in your household is sick
• Can reduce the spread of illness within the
  communities that you serve
• Can keep your staff healthy and
• your critical functions operating

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Stay Home

• FBO Leaders can do the following
• Encourage people to stay at home
• one-on-one conversations with individuals
• distributed materials (flyers, bulletins, and
  mass mailings)
• Establish non-penalizing sick
• leave policies

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Limiting Contact

• Social Distancing

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Limiting Contact

• Social Distancing

3-6 feet
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Limiting Contact

• Consider
• Educational and recreational events
• Worship services
• Other faith-based gatherings with large numbers
  of people
• How could they be altered to limit contact?

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Covering Coughs and Sneezes

• Pandemic Influenza
• May spread without properly covering ones mouth
  and nose.
• Use cough sneeze
  etiquette.

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Covering Coughs and Sneezes

• Cover mouth and nose with
• Tissue (best choice)
• Upper sleeve (next best choice)

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Covering Coughs and Sneezes

• Even when following the best choice
• Is it OK not to shake hands?
• Yes!

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Covering Coughs and Sneezes

• Worst choice
• Covering mouth and nose with hands
• Go directly to

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Covering Coughs and Sneezes

• Upper Sleeve Demonstration
• Click Here

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Covering Coughs and Sneezes

• Its your turn!

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Covering Coughs and Sneezes

• FBO leaders can help by
• Displaying Cover Your Cough Posters
• Placing Cover Your Cough flyers in newsletters
  and bulletins

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Covering Coughs and Sneezes

• Cover Your Cough materials
• Available at www.cdc.gov/flu/protect/covercough.h
  tm

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When should you cover your cough and sneeze?

• Every time you cough or sneeze!

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Frequent Hand Washing

• Stops the spread of germs that make you and
  others sick.

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Frequent Hand Washing

• Routine hand washing
• Protects against influenza
• Prevents the spread of
• influenza
• No soap and water?
• Use hand sanitizer.

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Frequent Hand Washing
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Frequent Hand Washing

• When should you wash your hands?
• Public Service Announcement
• Click Here

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Frequent Hand Washing

• Washing with Hand Sanitizers
• Place hand sanitizer in accessible areas
• Can you think of some areas?
• Ensure soap/hand sanitizer is in restroom
  facilities
• Encourage 20 second hand washing
• Enough time to sing the Happy Birthday song twice

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Frequent Hand Washing

• Hand Washing Demonstration
• Remember
• Clean hands save lives.

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Frequent Hand Washing

• Now, lets see you do it.
• Remember
• 
  x 2
• Pandemic Influenza Prevention

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Frequent Hand Washing

• Now, put hand washing steps in the correct order

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Hand Washing Steps

• Place steps in the correct order
• _____Dry both hands.
• _____Wet both hands with water.
• _____Rub soap into the palm of your hand.
• _____Wash all surfaces of both hands, for 20
  seconds.
• _____Turn on the water.
• _____Go to a restroom sink.
• _____ Turn the water off.
• _____ Rinse both hands under the running water.

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Hand Washing Steps

• Place steps in the correct order
• ___8__ Dry both hands.
• ___3__ Wet both hands with water.
• ___4__ Rub soap into the palm of your hand.
• ___5__ Wash all surfaces of both hands, for 20
  seconds.
• ___2__ Turn on the water.
• ___1__ Go to a restroom sink.
• ___7__ Turn the water off.
• ___6__ Rinse both hands under the running water.

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Review

• Public Health Interventions
• Staying home voluntarily
• Limiting physical contact with others
• Covering coughs sneezes properly
• Washing hands frequently

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Review
Match the interventions to descriptions

• Covering a cough or sneeze using tissue or your
  upper sleeve
• Avoid crowding
• Voluntarily staying home when you or someone in
  your home is sick
• Washing all surfaces of the hands for 20 seconds

• Voluntary Isolation Voluntary Quarantine
• Social Distancing
• Hand Hygiene
• Cough and Sneeze Etiquette

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Review
Match the interventions to descriptions

• Covering a cough or sneeze using tissue or your
  upper sleeve
• Avoid crowding
• Voluntarily staying home when you or someone in
  your home is sick
• Washing all surfaces of the hands for 20 seconds

• Voluntary Isolation Voluntary Quarantine
• Social Distancing
• Hand Hygiene
• Cough and Sneeze Etiquette

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Role of Your Organization
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Take Home Messages

• Pandemic influenza preparedness is important.
• Historically, pandemic flu has had a substantial
  impact.
• FBOs can reduce potential impacts by preparing to
  be healthy.

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Section 1 Test, Questions, Discussion
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References

• 1The White House Office of Homeland Security.
  (2006). The Federal Response to Hurricane
  Katrina Lessons Learned. Retrieved December 20,
  2006 from www.whitehouse.gov/reports/katrina-lesso
  ns-learned/
• 2Salvation Army. (n.d.). Salvation Army reflects
  on largest disaster response on the one-year
  anniversary of Hurricane Katrina. Retrieved
  January 17, 2006 from www.redshield.org/crisis/
• 3Yarbough, T. (2005). Baptists 10.5 million
  meals shatters prior relief record. North
  American Mission Board. Retrieved February 5,
  2007 from www.namb.net/site/apps/nl/content2.asp?c
  9qKILUOzEpHb227361ct1568907
• 4Office of National Drug Control Policy. (2005).
  Director Walters visits Baton Rouge, LA.
  Retrieved February 5, 2007 from
  www.pushingback.com/archives/05sep.html
• 5Kenner, L. (2005). Mayor of Kenner Recognizes
  BAPS Care International Hurricane Relief Efforts.
  BAPS Care International. Retrieved January 24,
  2007 from www.bapscare.org/mediacenter/announcemen
  ts/2005/hurricanekatrinareliefwork.htm
• 6Kauser, R., Malik, P. (n.d.). Hurricane Katrina
  Relief. The Islamic Medical Association.
  Retrieved January 24, 2007 from
  www.imana.org/mc/page.do?sitePageId21955
• 7Department of Health and Human Services. (2006).
  Historical overview pandemics and pandemic
  threats since 1900. Retrieved September 14, 2006,
  from www.pandemicflu.gov/general/historicalovervie
  w.html
• 8U.S. Department of Health and Human Services.
  (2006). Flu Terms Defined. Retrieved September
  14, 2006, from www.pandemicflu.gov/index.html
  
• 9U.S. Department of Health and Human Services.
  (2006). General information Whats happening
  now? Retrieved September 14, 2006, from
  www.pandemicflu.gov/general

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References Continued

• 10U.S. Department of Health and Human Services.
  (2006). Historical overview pandemics and
  pandemic threats since 1900. Retrieved September
  14, 2006, from www.pandemicflu.gov/general/histori
  caloverview.html
• 11U.S. Department of Health and Human Services
  (2006). Fact sheet Influenza symptoms,
  protection, and what to do if you get sick.
  Retrieved September 14, 2006.Web site
  www.cdc.gov/flu/symptoms.htm
• 12Centers for Disease Control and Prevention.
  (2007). Interim pre-pandemic planning guidance
  community strategy for pandemic influenza
  mitigation in the United States- early, targeted,
  layered use of nonpharmaceutical interventions.
  Retrieved February 9, 2006 from
  www.pandemicflu.gov/plan/community/mitigation.html
  
• 13Centers for Disease Control and Prevention.
  (2006). Faith-Based Community Organizations
  Pandemic Influenza Preparedness Checklist.
  Retrieved February 9, 2007 from
  http//www.pandemicflu.gov/plan/community/faithcom
  checklist.html
• 14Centers for Disease Control and Prevention.
  (2004). Influenza cover your cough. Retrieved
  September 18, 2006, from http//www.cdc.gov/flu/pr
  otect/covercough.htm
• 15Centers for Disease Control and Prevention.
  (2006). Infection control frequently asked
  questions hand hygiene. Retrieved September 18,
  2006, from http//www.cdc.gov/oralhealth/infectio
  ncontrol/faq/hand.htm
• 16World Health Organization Writing Group.
  (2005). Nonpharmaceutical interventions for
  pandemic influenza, national and community
  measures. Emerging Infectious Disease (2)1.
  Retrieved September 27, 2006 from
  http//www.cdc.gov/ncidod/EID/vol12no01/05-1371.ht
  m
• 17OtoRhinoLounsburgology. (2006). Why dont we do
  it in our sleeve? Retrieved November 15, 2006
  from http//www.coughsafe.com/mplayer.html
• 18Centers for Disease Control and Prevention.
  (2006). Video public service announcement hand
  washing after a disaster. Retrieved September 18,
  2006, from http//www.bt.cdc.gov/disasters/psa/vid
  eo/handwashing.asp