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2009 H1N1 Influenza Pandemic A Local Public Health Agencys Experience
Steve Johnson Local Public Health Preparedness Coordinator Representing: Brown County Health Department City of De Pere Health Department Oneida Community Health Services
Lessons Learned What went well? What needs improvement?
Primary Public Health Activities Throughout the Pandemic Disease Surveillance & Containment Public Information Vaccine Management & Distribution
Funding PHER – Public Health Emergency Response
Legend = went well
Legend = needs improvement
Disease Surveillance & Containment Partner updates Communication PPE
Partner Updates Face-to-Face May 1, 2009 60+ attended Teleconferences Communicable Disease Surveillance meetings
Communication MediaSite Live Webcasts WI DHS Situation Reports WEDSS
Not Everyone On Board Experimental Some clinicians not supportive of vaccines Belief vaccine is harmful to pregnant women Its just the flu
Personal Protective Equipment N95 respirators in short supply Confusing guidelines for use
Public Information Coordinated messages Communication methods Target groups Clinics
Coordinated Messages Local collaboration between health agencies Timing of clinics
Communication Dont rely on news media as only source to get information to the public
Other Sources/Methods Communicable Disease Surveillance Group Chamber of Commerce newsletters Disparate groups Schools Churches Ethnic groups Fax/email distribution lists Fliers
Sources/Methods (continued) Billboards Yard signs 2-1-1 Websites* Twitter www.twitter.com/BrownCoHealth E-Sponder www.brown.wiesponder.com
Conveying Target Groups Was Challenging Who could get what and when? Nasal vs. injectable Shift from seasonal flu campaigns
Vaccine Management & Distribution Vaccine Clinic sites/types Equipment Signage Volunteers Just-In-Time Training
Vaccine Slow to arrive, particularly NE Wisconsin But…vaccination clinics werent overrun
Previous Planning Performed Memoranda Of Understandings (MOUs) with Points of Dispensing (PODs) Familiarity with sites Experience from exercises Incident Command System (ICS)
H1N1 Vaccinations 18,559 since late October 2009 By Brown County, De Pere, Oneida Nation
Varied Clinic Sites Successful Neighborhood clinics were popular Some intimidated by large venues
Clinic Sites/Types Target groups Health care workers Large mass venues Neighborhood clinics Health Department Appointment Walk-in Special needs Outreach to disparate groups
Brown County Arena November 12 – 857 November 14 – 1,178
The Church of Jesus Christ of Latter-day Saints November 19 – 1,099
Shopko Hall December 8 - 771 December 17 – 2,060
Lambeau Field Atrium December 2 – 1,505 January 12 – 1,322
Schools (General Public) Wrightstown Middle School – 411 Pulaski Middle School – 858 West High School – 475 East High School – 650 Bay Port High School – 412 Denmark Middle School – 129
De Pere Health Department 4,376 vaccinations Community Center November 19 - 491 January 8 – 500 Schools Appointment Walk-in
Oneida Nation Elementary School November 13 – 279 November 14 – 405 January 20 – 156 42% Non-Native at Oneida Clinics
Equipment Radios Vests PPE Stanchions Privacy screens Vaccine coolers
Clinic Signage Aided flow Multiple languages English Spanish Hmong
Volunteers Red Cross WEAVR (Wisconsin Emergency Assistance Volunteer Registry) CERT (Community Emergency Response Team) Estimated 500+ hours
Just-In-Time Training Temporary staff and volunteers Standardized materials Volunteer Expert Panel Recommendations Job Action Sheets
Most Valuable… Flexibility Strong Community Partnerships
Contact Information Steve Johnson (920) 448-6443 firstname.lastname@example.org
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