HHS Pandemic Planning: CDC Role

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HHS Pandemic PlanningCDC Role

• NVAC PIWG Meeting
• April 19-20, 2005
• Richard Schieber, MD, MPH
• Coordinating Center for Infectious Diseases, CDC

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CDC Responsibilities

• Disease surveillance
• Laboratory diagnostics
• Disease control and prevention
• Community containment
• Mitigation of travel-related transmission
• Effective use of vaccines and antivirals
• Public health communications (states, HC, PH
  orgs, MOH, WHO)
• Public health investigations and research

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Lessons learned SARS, Flu

• Spread of human respiratory viruses is rapid and
  sometimes silent
• International cooperation no longer optional
• Rapid identification critical
• Control strategies must be in place
• Civil liberties balance PH needs
• Epidemiology comes of age
• Age at risk
• Transmissibility
• Period of infectivity
• Vaccine safety is key

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Framework used

• Based on existing experience
• SARS
• Bioterrorism
• Review of other national plans
• Canada
• UK
• WHO

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Goals

• Provide needed detail to S/L HD
• Ensure consistency w/HHS
• Ensure latest available information
• Ensure internal consistency

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Simple approach,Complex execution
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Nine-stage process

• Review HHS documents
• Topic SME convene, produce draft
• Modified by copy editor (Alexandra Levitt)
• Team review 1
• Reviewed by flu epidemiologist and policy expert
• Reviewed by outside partners (CSTE, ASTHO, NCCHO)
  
• Team review 2
• CDC Clearance
• To HHS/PIWG

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Ten threads

• Vaccines Wortley, Strikas
• Community containment Barwick, Quick
• Travel Barwick, Quick
• Laboratory Monroe, Felton
• Healthcare Chiarello, Levy
• Surveillance Keats, Brammer
• Communications Rutz, OConnor
• Antivirals Shay
• Workforce support D. Reissman, Klomp
• CDC Command/Control

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Timeline

• First drafts Done
• Editorial formatting Half done
• Partner feedback April 22 May 26
• Review and clearance June
• To HHS Late June

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Product HHS Supplement

• Rationale and Goals
• Overview
• Recommendations
• Inter-Pandemic Period
• Pandemic Period
• Useful materials and resources

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Summary of responsibilities,by phase

• State local health agencies will
• CDC will
• CDC will support DHHS to

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Flexible planning

• Options
• Depending on phase
• Depending on availability
• Contingencies