NOVA CHIEFS Pandemic Summery

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NOVA CHIEFS Pandemic Summery

• NVRC
• April 11,2006

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Preparing for a pandemic requires the leveraging
of all instruments of national power, and
coordinated action by all segments of government
and society.
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In the last 300 years, the world has experienced
10 influenza pandemics, three in the last
century.
Source http//www.cdc.gov/flu/pandemic/keyfact
s.htm Source Homeland Security Council,
National Strategy for Pandemic Influenza,
November 2005
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(No Transcript)
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Pandemics Do Happen!
H9
1998
1999
H5
2003
1997
H7
1980
1996
2002
2003 2004
H1
H3
H2
H1
1977
1915
1925
1935
1945
1955
1965
1975
1985
1995
2005
1918 Spanish Influenza H1N1
1957 Asian Influenza H2N2
1968 Hong Kong Influenza H3N2
Avian Flu
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The Influenza Pandemic of 1918-1919
25-30 percent of the worlds population fell
ill500,000 deaths in the US
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Nations With Confirmed Cases H5N1 Avian Influenza
(March 21, 2006)
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Migratory Bird Flyways
H5N1 in birds coming soon to a flock near you
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We do not know whether the H5N1 influenza virus
in birds will be the virus that sets off a
pandemic. It is still primarily a disease among
animals not people. But the signs are worrisome,
and we must be prepared.Bruce Gellin,
M.D.DirectorNational Vaccine Program OfficeUS
Department of Health and Human Services
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Phases of a Pandemic Where we are now
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So far, there is no sustained human-to-human
transmission of H5N1 influenza..but we must
prepare.
Will a novel influenza virus causing a pandemic
present next month or 10 years from now?
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Iowa State University 1918
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a newly emerging influenza virus can wreak
catastrophic damage worldwide in a matter of
months.Anthony S. Fauci, M.D.Director,
National Institute of Allergy and Infectious
Diseases
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.an infection carried by one person can be
transmitted to tens or hundreds of others. For
this reason, individual action is perhaps the
most important element of pandemic preparedness
and response.
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Issues for the localities

• Coordination
• Working closely with
• Local DOH
• Business
• Schools
• State and other localities
• Employees and families
• Public safety
• Infrastructure / utilities
• Legal Isolation Quarantine appeals

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Issues for the localities

• Human Resources
• Decreased staffing
• Staying home to care for family
• Operating with 30 loss in workforce
• Changes in minimum staffing to keep operational
• ie medic unit with one EMT-I and one EMT
• Utilizing those who returned to work, post
  illness
• Vaccination /Antiviral distribution
• Employees and families

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Fairfax DOH First Responders Working Group

• Part of the Fairfax County Health Department
  Pandemic planning group.
• Mission
• Develop and implement a comprehensive plan of
  action involving all public safety agencies in an
  effort to operate effectively and cooperatively
  with other stakeholders as it relates Pandemic
  Flu both locally and regionally.

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First Responders Working Group

• Tasks identified
• Education internal external
• IB, handouts on front line equipment
• Cable, AM advisory radio
• Staffing
• Behavioral Health
• Family Issues/ Sick leave

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First Responders Working Group

• Tasks identified
• Post exposure
• Hospitals /Reroute/ Surge capacity
• Fever centers
• Non-transport criteria or transport to
  alternative sites
• Risk Management workers comp.
• Isolation / quarantine
• Cache of PPE in stock and vendor availability
• 6-8 week supply

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NCR October 2006 PanFlu FE

• Participants
• DPH
• Hospitals
• Emergency Mgt.
• Transportation
• Public Safety Fire EMS
• State Police, Local Law Enforcement
• National Guard
• Federal Partners

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Estimates Assumptions

• Duration of Pandemic 1-1.5 years
• Duration of epidemic in community 8 weeks, will
  come in waves
• Illness rate 25 to 30
• 50 will seek medical care
• Average hospital stay 7-10 days.

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• Work with other credible sources.
• Conflicts and disagreements among organizations
  and credible spokespersons create confusion and
  breed distrust.
• Coordinate your information and communications
  efforts with those of other legitimate parties.