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Preparing for Smallpox: Postevent Smallpox Response

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Vaccination is effective in preventing infection if given in advance or within 3 ... 25,000-30,000 people needed to staff 117 clinics statewide ... – PowerPoint PPT presentation

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Title: Preparing for Smallpox: Postevent Smallpox Response


1
Preparing for SmallpoxPost-event Smallpox
Response
2
Smallpox
  • Viral infection
  • Person to person spread
  • 30 death rate
  • 1949 Last case in US
  • 1972 Stopped routine vaccination in US
  • 1977 Last naturally occurring case in world

3
Smallpox
  • Vaccination is effective in preventing infection
    if given in advance or within 3 days of exposure

4
Smallpox
  • Recent intelligence indicates four countries have
    stockpiles of the virus
  • Iraq
  • North Korea
  • France
  • Russia

5
Mass Vaccination Plan
  • We must be prepared for the possibility of a
    terrorist attack in which smallpox is used as a
    biological weapon
  • The Centers for Disease Control (CDC) has
    instructed state public health agencies to
    develop and be ready to implement plans to
    immunize the entire population of the state in a
    10-day period if such an attack were to occur

6
Mass Vaccination Plan
  • Clinic demographics
  • One clinic per 50,000 population, 117 clinics
    statewide
  • Each clinic serves 5000 patients per day
  • Each clinic operates 2 shifts per day, for 10
    days straight
  • Each clinic staffed by over 200 people, over 100
    per shift

7
Mass Vaccination Plan
  • Where possible, the number of people identified
    to work in clinics should be increased by 20
    with cross-trained personnel to allow for
    no-shows, breaks, surge needs and other
    contingencies

8
Clinic Volunteers
  • 25,000-30,000 people needed to staff 117 clinics
    statewide
  • Only 4,500 public health staff in the state
  • In order to assure our ability to protect our
    families and communities, we need volunteers to
    work with public health staff to operate these
    clinics

9
KNOX COUNTY MASS VACCINATION PLAN
  • 8 Clinics planned in Knox County
  • High school sites
  • Transportation, parking, security plan
  • Administration plan
  • Two 8 hour shifts a day (16 hour days)
  • Approximately 2,000 - 3,000 volunteers needed
  • Volunteers would be vaccinated first, along with
    their family members

10
Mass Vaccination Plan
  • Clinic Flow
  • Triage
  • Forms Distribution
  • Patient Education / Informed Consent
  • Vaccination
  • Exit Review
  • Special Processes for Select Groups
  • Patients with symptoms of smallpox
  • Contacts to a case of smallpox
  • Individuals with possible contraindications to
    vaccination

11
Mass Vaccination Plan
  • Clinic Support Functions
  • Interpreter services
  • Ability of deal with medical emergencies
  • Security and traffic control
  • Vaccine preparation
  • Supply management
  • Transportation plan
  • Waste disposal plan
  • Media plan

12

13

14
Clinic Flow and Staff Functions
  • Triage
  • Screen out those individuals that may have
    smallpox (fever and rash) or contacts of a
    possible or confirmed case of smallpox and
    separate them from the mainstream clinic flow

15

16
Clinic Flow and Staff Functions
  • Ill Evaluation Area
  • Evaluate/examine triaged ill persons and provide
    back-up to Medical Screeners and/or Contact
    Evaluation Area and/or EMT
  • Possible cases of smallpox will be referred to
    hospital or other health care provider for
    diagnosis/treatment
  • Patients approved for vaccination will reenter
    mainstream clinic flow
  • Staff working in this area should be fitted for
    N-95 masks

17

18
Clinic Flow and Staff Functions
  • Contact Evaluation Area
  • One-stop shopping for the most at-risk population
  • Medical screening
  • Vaccination
  • Register for surveillance of symptoms
  • Identification of contacts
  • Education and special instructions
  • On-site data entry

19

20
Clinic Flow and Staff Functions
  • Forms Distribution
  • Put together and distribute patient forms and
    information packets
  • Direct patients to video area

21

22
Clinic Flow and Staff Functions
  • Video Areas
  • The same process takes place in staggered
    sessions in different locations where the
    patient
  • Views educational video
  • Completes informed consent
  • Staff
  • Run video
  • Review informed consent forms
  • Direct persons with all no checked boxes to
    vaccination area
  • Direct persons with any yes or maybe checked
    box to either exit the clinic or to another area
    of the clinic for further evaluation

23

24
Clinic Flow and Staff Functions
  • Special Assistance Unit
  • Patients with special needs (disability, literacy
    problem, language barrier, etc) are referred here
    for the same processes that occur in the other
    video areas
  • Interpreter(s) will be available in this area

25

26
Clinic Flow and Staff Functions
  • Medical Screening and Counseling Area
  • Patients with self-identified potential
    contraindications to vaccination are sent to this
    area if they they still desire vaccination or
    need/want further counseling
  • Patients may either exit clinic from this area or
    proceed to vaccination area

27

28
Clinic Flow and Staff Functions
  • Vaccination Area
  • Multiple vaccination stations per shift
  • 2 Trained vaccinators at each station
  • Ideally, 1 of the vaccinators at each station is
    a nurse
  • During any given time period, 1 vaccinator is
    vaccinating while the other is dealing with
    paperwork and serving as a witness. The two will
    trade off on a regular basis.
  • 1 Non-vaccinator support person at each station
    to assist in the compilation of paperwork and
    distribution of vaccine site care supplies

29

30
Clinic Flow and Staff Functions
  • Exit Review
  • Staff answer any final questions about site care,
    adverse event symptoms, non-take reporting
    procedures, or other issues following vaccination
  • Assures patients exit with all information sheets
    and instructions

31
Other Clinic Support Staff
  • Clinic Administration
  • Assure smooth clinic operation
  • Coordinate/communicate with regional public
    health office
  • Address problems as they arise
  • Supply Area
  • Assure all clinic workstations have access to
    needed supplies
  • Oversee vaccine storage and preparation

32
Other Clinic Support Staff
  • EMT to deal with medical emergencies
  • Float nurse to oversee non-medical vaccinators
  • Security / traffic control staff to maintain
    order

33
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34
Clinic Volunteers/Staff
  • Should not have any contraindication to
    vaccination if they are going to work in the
    Illness Evaluation, Contact Evaluation or
    Vaccination Areas
  • Volunteers and other members of their households
    will be the first to be offered vaccination in a
    post-event response

35
Thank you for volunteering!
  • Your help will be vital to the health and safety
    of our community.
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