Smallpox PreEvent InService for Fire and Rescue Staff

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Smallpox Pre-Event In-Servicefor Fire and Rescue
Staff

• Bob Mauskapf
• State Emergency Planning Coordinator
• Virginia Department of Health

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Dedication

• To the fire and rescue professionals, paid and
  volunteer, who regularly respond to the publics
  call, and who venture into situations of great
  risk, in the hope that their work can be made
  more safe

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VDH EPR Mission

• effectively respond to any emergency impacting
  public health through preparation, collaboration,
  education and rapid intervention.

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Regional Planner

• Coordinate
• Collaborate
• Facilitate
• Liaison
• Oversight
• Represent

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Regional Planner

• Backup
• Prioritize
• Reinforce
• Plan
• Talking Head / Burning Bush / SME

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Strategic National Stockpile(National
Pharmaceutical Stockpile)Distribution Planning
Logistics

• The Strategic National Stockpile is designed to
• maintain a national repository of life-saving
  pharmaceuticals and medical material that will be
  delivered to the site of a chemical or biological
  terrorism event in order to reduce morbidity and
  mortality in civilian populations.

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The Need

• The President of the United States has identified
  a risk of Smallpox being re-introduced by a
  terrorist action
• Should a Smallpox case be identified in the
  Commonwealth, it is likely that a police, fire or
  rescue responder will have contact with that case

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Smallpox - Why a threat?

• Last case in US in 1949
• Last naturally acquired case in 1977
• Disease declared eliminated by WHO in 1980
• Stocks of Variola virus held by U.S. Russia

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Smallpox - Why a threat?

• Bio weapons programs in several countries
• Concern former Soviet Union bio weapons may have
  been sold. To whom??

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Smallpox vaccination

• Dec, 2002 President Bush announced plan to
  vaccinate civilian response teams and military
  personnel
• Pre-event smallpox vaccination
• Stage 1 Hospital and public health response
  teams
• State 2 Other health care providers, first
  responders
• Stage 3 Offer to general public when enough
  licensed vaccine available

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Smallpox Vaccination Phase 1Health Department
Responsibilities

• Education and training, providing education
  materials
• Contraindications
• Complications
• Vaccine site management
• Responsible for vaccine and vaccine administration

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Smallpox Vaccination Phase 1Health Department
Responsibilities

• Collect information and report on adverse
  vaccine events
• Identify consultants to assess and
  manage adverse events

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Smallpox Vaccination Phase 2

• To include other health care providers (not
  included in Phase 1) and first responders
• This will include much larger number of vaccinees
  than Phase 1
• Time frame and logistics not established at
  present

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Smallpox Vaccination Phase 3

• Offer vaccine to members of the general public
• Date for initiation unknown
• Adequate supply of licensed vaccine will not be
  available until early 2004
• Smallpox vaccination now available through
  clinical trials

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What About Vaccination If An Event Takes Place?

• If you are a true contact to a case, the risk of
  Smallpox far outweighs the risk of vaccination
• If you are not a contact, but Smallpox is in the
  area, you will need to reconsider the risk

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Dip needle Retained vaccine
Proper position 15 insertions
Post-insertion Absorb excess
Discard properly Sterile cover