Emergency Response: Health/Medical/Maintenance of Critical Services

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Emergency Response Health/Medical/Maintenance of
Critical Services

• Brian Amy, M.D., M.H.A., M.P.H
• State Health Officer, Mississippi

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Unique Challenges, Influenza Pandemic Planning

• Unlike a natural disaster, a pandemic is
  widespread by definition, cant rely on national
  or state assistance, must be prepared locally
• Demands on medical care will last 6-8 weeks,
  until first wave of infection complete (longer
  than with a natural disaster)
• Human infrastructure threatened by widespread
  absenteeism in workforce (while in a natural
  disaster, its the physical infrastructure that
  is threatened or destroyed)

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Similarities with Bioterrorism Preparedness
Planning

• Medical triage and treatment plans should be in
  place
• Maintenance of essential community services/
  plans should be in place
• Tabletop exercises/training
• Hospital and public health coordination

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Similarities with Bioterrorism Preparedness
Planning

• Medical care
• Mental health support
• Mortuary services
• Supplies and equipment

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Differences Between Bioterrorism Preparedness
Planning and Pandemic Influenza Planning

• Will have more warning with influenza
• Again, will not be able to rely on federal
  assistance, as will be widespread by definition,
  therefore each hospital will have to have a
  distinct plan

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Hospital Preparedness Program

• To develop and implement regional plans to
  improve the capacity of hospitals, their
  emergency departments, outpatient centers, EMS
  systems, and other collaborating health care
  entities for responding to incidents requiring
  mass immunization, treatment, isolation and
  quarantine in the aftermath of bioterrorism or
  other outbreaks of infectious disease.

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Mississippi Emergency Response Regions
Delta
North
East Central
Central
Southeast.
Southwest
Coastal
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Mississippi WMD Centers of Excellence
North T.C.R.
Delta T.C.R
North MS Medical Center Baptist Memorial Golden
Triangle
Delta Regional MC Greenwood/Leflore Hospital
East Central T.C.R
Jeff Anderson Regional MC Rush Medical
Foundation Riley Memorial Hospital
Central T.C.R.
University Medical Center Mississippi Baptist MC
Southeast T.C.R.
Southwest T.C.R.
Forrest General Hospital South Central Regional MC
Coastal T.C.R.
Natchez Regional MC Southwest MS Regional MC
Kings Daughters MC Field Memorial
Singing River Hospital Memorial Hospital Gulfport
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WMD Centers of Excellence

• Surge Capacity of 500 patients per region
• Stockpile medications to handle 500 patients per
  region
• Standardized Protective Clothing
• Standardized Communications
• Standardized Training

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Stockpile Medications

• Ciprofloxacin (Tablet and Suspension)
• Doxycycline (Tablet and Suspension)
• Pralidoxime Chloride (2 PAM)
• Atropine Sulfate
• Diazepam or Lorazepam

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Standard Protective Clothing

• Tyvek
• Jumpsuit with hood or
• Two Piece
• Gloves
• Boots
• N95 or N100 mask

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Standard Protective Clothing

• CPF 3
• Jumpsuit or
• Two Piece
• Gloves
• Boots
• FR-3 (PAPR)
• Pressurized Respirator

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Standardized Communications

• Health Alert Network
• Blast Fax
• MS Hear Network
• Non-Terrestrial Communications
• With every hospital
• Connects to MSDH
• Connects to MEMA
• Other State Agencies

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ISOLATION CAPACITY

• 2 negative pressure machines for WMD Centers
• 1 negative pressure machine for all other
  hospitals
• can typically provide above 12 air changes per
  hour in rooms up to 2,500 cubic feet

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Hospital Status System
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WMD Supportive Centers
Gilmore Memorial Oktibbeha County Clay County
Medical Center
Baptist Memorial-Oxford Baptist Memorial-Desoto
Choctaw Health Center
River Region
Franklin County Memorial
Marion General
Hancock Memorial Garden Park
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Contract for Dedicated Ambulances

• Contracts to provide, at minimum, one ambulance
  provider per trauma region
• Will be utilized in time of emergency, as needed
  by MEMA and the State EOC.

56 Additional Ambulances Available