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Pandemic Flu Preparing a Community (Full-Text Version)

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1 Pandemic Flu Preparing a Community (Full-Text Version)
Presented by The Bloomfield Department of Health and Human Services

2 Outline Pandemic Bird Flu / Avian Flu / A (H5N1) virus
What you can expect when a Pandemic occurs State response Local response How to prepare and protect yourself and your family Can get full text copy on website: after April 27th. Source: Source:

3 Understanding a Pandemic

4 A flu pandemic is a global outbreak of flu.
What is flu pandemic? A flu pandemic is a global outbreak of flu. There are three characteristics that distinguish a flu pandemic from the seasonal flu outbreaks that occur every year. The pandemic is caused by a new strain of flu virus to which people have no immunity. The virus is spread easily from person to person. The virus is capable of causing severe illness and many deaths. Flu pandemics tend to arrive with very little warning. This new virus may be a combination of viruses that have not circulated among people for a long time. Most people will have no natural protection or immunity from the new virus. Because of this, the new virus is especially dangerous, and could lead to high rates of illness and death. Source: Source:

5 Avian Influenza Birds (aquatic) serve as the reservoir for influenza
Highly pathogenic (virulent) strain: H5N1 Little immunity in human population to H5N1 Not readily transmitted to or between humans at this time Source: Source:

6 Avian Influenza Birds carry virus in respiratory tract and intestines
Shed virus in saliva, nasal secretions and feces Does not usually cause disease in wild birds Estimated 30% of wild water fowl are infected on migration from breeding grounds May cause severe disease in domesticated birds Avian influenza in humans Does not usually infect humans directly Rare of person-to-person transmission Swine may serve as “mixing vessels” Source: Source:

7 Why are public health officials worried about a flu pandemic?
The appearance and spread of avian influenza (also known as bird flu) has raised concern about a new influenza pandemic. Bird flu has swept through poultry flocks in Asia and is continuing to spread from Asia to Europe. Public health officials are also concerned that half of the people in Asia who became ill from bird flu died. It is believed that these people came in contact with chickens, turkeys, ducks or their droppings. There is no conclusive proof right now that bird flu can spread easily from one person to another. But scientists worry that the avian virus could change and spread between people, which could start a flu pandemic Source: Source:

8 The New Jersey Department of Health and Senior Services: Statistics
An influenza pandemic could result in… 1.5 million outpatient visits 40,000 hospitalizations Over 8,000 deaths in New Jersey Stressed outpatient and inpatient care systems High rates of absenteeism among health care workers At increased risk of exposure and illness Or who have to care for ill family members Source: Source:

9 Other Pandemics In 1918 the Spanish flu claimed the lives of 675,000 Americans. This was an unusually severe influenza pandemic. The Asian flu pandemic of 1957 resulted in the deaths of 69,800 U.S. citizens. The Hong Kong flu pandemic of 1968, the least severe of the 20th century pandemics, resulted in 33,800 deaths. Every year, seasonal flu kills about 36,000 Americans. Source: Source:

10 1918 Flu Pandemic (Notice that everyone is wearing a mask)
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11 Recent Spread as of May 19, 2006 Source:

12 The Plan for The State of New Jersey
….to help minimize morbidity and mortality, and maintain the operations of essential community services in the event of a pandemic…. Source: Source:

13 Broad Resource Strain Difficult to shift resources between states
Reinforces the need for each state to develop a plan Require a substantial degree of self-reliance The emotional effects of a pandemic are expected to be severe Source: Source:

14 What is New Jersey doing to prepare for a possible pandemic?
Like many other states, New Jersey has developed and continually updates a statewide influenza pandemic plan. This plan will help guide public health officials in responding to an influenza pandemic. Some of the issues the plan addresses are disease surveillance, vaccine distribution and the delivery and use of antiviral medication. The influenza pandemic plan will also help New Jersey’s medical experts monitor how influenza is spreading, outline public health methods to control the spread, and guide health care facilities to handle excessive numbers of patients. Source: Source:

15 The Plan for The State of New Jersey
Developed to complement the State Emergency Operations Plan Includes: Duties of New Jersey Department of Health and Senior Services (NJDHSS) Actions that local health departments (LHDs) need to take to prepare for and respond to an influenza pandemic Actions that Local Information Network and Communications System (LINCS) need to take to prepare for and respond to an influenza pandemic NJ LINCS is a system of public health professionals and electronic public health information that enhances the identification and containment of diseases and hazardous conditions that threaten the public's health. Built on personal computer and Internet technologies, LINCS is a network of twenty two strategically positioned local health departments located throughout the state, the New Jersey Department of Health and Senior Services, all other local health departments and public/private organizations working at the community level to protect the public's health. Source: Source:

16 Understanding your Local Health Department (LHD)

17 Bloomfield Health and Human Services Org Chart
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18 POD A Point of Dispensing site, also known as a POD, is a site or area where preventative medications, vaccinations or personal protective equipment (such as masks) can be mass distributed to large numbers of people in the event of a naturally occurring disease outbreak or a bioterrorist event. A POD is a planned event with a specific day and time, providing Township residents a known place to seek treatment during an emergency should the State or Government order such treatment. An example of a POD, on a small scale, would be the annual Flu Clinic. Local Health Department coordinates with the OEM and the EOC (Emergency Operations Center) will be managing operations. Source: Source:

19 Mental Health Emotional effects of a pandemic are expected to be severe. Emergency mental health services will be delivered in “non-clinical” settings, to non-treatment seeking people, who are responding normally to an abnormal event. The objectives of emergency mental health services include administering psychological first aid; providing support, information, and pragmatic help; and most importantly, identifying individuals who are at risk for long-term adverse mental health outcomes and referring them to the appropriate level of care.   Source: Source:

20 What to Expect / Challenges
Social Disruption May Be Widespread Plan for the possibility that usual services may be disrupted. These could include services provided by hospitals and other health care facilities, banks, stores, restaurants, government offices, and post offices. Prepare backup plans in case public gatherings, such as volunteer meetings and worship services, are canceled. Consider how to care for people with special needs in case the services they rely on are not available. Source: Source:

21 Challenges Being Able to Work May Be Difficult or Impossible
Find out if you can work from home. Ask your employer about how business will continue during a pandemic. (A Business Pandemic Influenza Planning Checklist is available at Plan for the possible reduction or loss of income if you are unable to work or your place of employment is closed. Check with your employer or union about leave policies. Source: Source:

22 Challenges Schools May Be Closed for an Extended Period of Time
Discuss with your school administrators, and parent-teacher organizations any pandemic plan. Plan home learning activities and exercises. Have materials, such as books, on hand. Also plan recreational activities that your children can do at home. Consider childcare needs. (Backup provider) Source: Source:

23 Challenges Transportation Services May Be Disrupted
Think about how you can rely less on public transportation during a pandemic. For example, store food and other essential supplies so you can make fewer trips to the store. Prepare backup plans for taking care of loved ones who are far away. Source: Source:

24 How can we prepare?

25 Recommendations Make a Kit Make a Plan Keep Informed
Sign up for Code-Red Stay Healthy and Stop the spread of Germs Source: Source:

26 Kit Water and Food Water Food
Store at least a 2 week supply of non-perishable food. Select foods that require no refrigeration, preparation or cooking and little or no water. Pack a manual can opener and eating utensils. Choose foods your family will eat. Ready-to-eat canned meats, fruits and vegetables Protein or fruit bars Dry cereal or granola Peanut butter Dried fruit Nuts Crackers Canned juices Non-perishable pasteurized milk High energy foods Vitamins Food for infants Comfort/stress foods Water One gallon of water per person per day, for drinking and sanitation. Children, nursing mothers, and sick people may need more water. Purchase bottled water or store water tightly in clean plastic containers such as soft drink bottles. Keep at least a 2 week supply of water per person. Source: Source:

27 Kit Emergency Supplies
Start now by gathering basic emergency supplies - a flashlight, a battery-powered radio, a NOAA (National Oceanic and Atmospheric Administration) Weather radio with tone alert, extra batteries, a first aid kit, toilet articles, prescription medicines and other special items your family may need. Include warm clothes and a sleeping bag and/or blankets for each member of the family. Source: Source:

28 Kit First Aid Things you should have:
Two pairs of Latex, or other sterile gloves (if you are allergic to Latex). Sterile dressings to stop bleeding. Cleansing agent/soap and antibiotic towelettes to disinfect. Antibiotic ointment to prevent infection. Burn ointment to prevent infection. Adhesive bandages in a variety of sizes. Eye wash solution to flush the eyes or as general decontaminant. Thermometer Prescription medications you take every day such as insulin, heart medicine and asthma inhalers. You should periodically rotate medicines to account for expiration dates. Prescribed medical supplies such as glucose and blood pressure monitoring equipment and supplies. Source: Source:

29 Kit First Aid Things it may be good to have: Cell Phone Scissors
Tweezers Non-prescription drugs: Non-aspirin pain reliever Anti-diarrhea medication Antacid (for upset stomach) Laxative Source: Source:

30 CDC approved Mask Things to Consider:
N-95 Mask reduces exposure to airborne viruses Things to Consider: Level of comfort for wear over an extended period of time If you are going to be sitting in your office with a mask on all day, it has to be comfortable or you will take it off. If you are just going to use it when grocery shopping, maybe a cheaper, less-comfortable mask will do fine. All masks come with instructions from the manufacturer on their use. Source: Source:

31 Get Informed Get Informed Stay Informed
Knowing the facts is the best preparation. Identify sources you can count on for reliable information. If a pandemic occurs, having accurate and reliable information will be critical. Listen to local and national radio, watch news reports on television, and read your newspaper and other sources of printed and Web-based information. Talk to your local health care providers and public health officials. Source: Source:

32 Stay Healthy Stay Healthy
Will the seasonal flu shot protect me against pandemic influenza? No, it won't protect you against pandemic influenza. But flu shots can help you to stay healthy. Get a flu shot to help protect yourself from seasonal flu. No vaccine for pandemic flu: could be 6-9 mo.’s after flu hits for vaccine to be developed Get a pneumonia shot to prevent secondary infection if you are over the age of 65 or have a chronic illness such as diabetes or asthma. For specific guidelines, talk to your health care provider or the Bloomfield Department of Health and Human Services Take common-sense steps to limit the spread of germs. Make good hygiene a habit. Wash hands frequently with soap and water. Cover your mouth and nose with a tissue when you cough or sneeze. Put used tissues in a waste basket. Cough or sneeze into your upper sleeve if you don’t have a tissue. Clean your hands after coughing or sneezing. Use soap and water or an alcohol-based hand cleaner. Stay at home if you are sick. Source: Source:

33 Influenza A respiratory illness Symptoms
typical influenza-like symptoms (e.g. fever, cough, sore throat, and muscle aches) eye infections (conjunctivitis), acute respiratory distress, viral pneumonia and other severe, life-threatening complications Incubation period is 1 to 4 days Most contagious 24 hours before the onset of symptoms and 3 to 5 days after the onset of symptoms Survives on non-porous surfaces for 24 to 48 hours, can transfer to hands up to 24 hours from this type of surface Survives on porous surfaces for 8 to 12 hours and can transfer to hands up to 15 minutes from this type of surface Source: Source:

34 How to Stop the Spread of Germs
Wash your hands for 20 seconds with hot, soapy water (for kids' hands, use warm, soapy water instead). Thoroughly scrub hands, wrists, fingernails, and between fingers. Wash hands before and after you prepare food and especially after preparing raw meat, poultry, eggs, and seafood. Wash hands after using the bathroom, changing diapers, handling pets, or whenever you have touched something that may be contaminated. Rinse and dry hands with a clean towel or consider using durable, disposable paper towels for drying hands, so germs are thrown away. Carry a hand sanitizer at all times. Source: Source:

35 How to Stop the Spread of Germs
Avoid close contact Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too. SOCIAL DISTANCING Stay home when you are sick If possible, stay home from work, school, and errands when you are sick. You will help prevent others from catching your illness. Cover your mouth and nose Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick. Avoid touching your eyes, nose or mouth Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth Source: Source:

36 Special Needs Remember the special needs of your family members. Infants, the elderly and persons with disabilities need the same planning as everyone else, and sometimes a little more, to be prepared for a pandemic. Source: Source:

37 Special Needs For Baby: Formula Diapers Bottles Powdered milk
Medications including non-prescription Moist towelettes Diaper rash ointment Source: Source:

38 Special Needs For Adults:
Ask your doctor about storing prescription medications such as heart and high blood pressure medication, insulin and other prescription drugs. Denture needs Contact lenses and supplies Extra eye glasses Source: Source:

39 Special Needs For Seniors and Disabled:
Plan how you will evacuate or signal for help. Plan emergency procedures with home health care agencies or workers. Tell others where you keep your emergency supplies. Teach others how to operate necessary equipment. Label equipment like wheelchairs, canes or walkers. Source: Source:

40 Special Needs For Seniors and Disabled:
List of prescription medications including dosage in your supply kits. Include any allergies. Extra eyeglasses and hearing-aid batteries. A list of the style and serial numbers of medical devices such as pacemakers in your emergency supply kits. Copies of medical insurance and Medicare cards. List of doctors and emergency contacts. Source: Source:

41 Special Needs For Seniors and Disabled:
Bloomfield is currently developing a registration plan. Wear medical alert tags or bracelets to help identify your disability. If you are dependent on dialysis or other life sustaining treatment, know the location and availability of more than one facility. Source: Source:

42 File Of Life (Available from the Bloomfield Department of Health & Human Services
The File of Life is a red plastic magnetic file folder that attaches to your refrigerator. The file contains vitally important information about you so that emergency medical professionals have quick access to your basic medical information. Also available for your use is a personal size File of Life, which you can carry in a wallet or purse for lifesaving information outside the home. This information includes: Medications that you take Allergies you have Your Medical Conditions Your Blood Type Emergency Contact Information Your Physician's Name Your Preferred Hospital ADVANCE MEDICAL DIRECTIVE Source: Source:

43 Opportunities for Helping
Community Emergency Response Team (CERT) Medical Reserve Corps (MRC) Source: Source:

44 Additional Information and Resources
Get Informed (CDC) Hotline at: CDC-INFO ( ). This line is available in English and Spanish, 24 hours a day, 7 days a week. TTY: Questions can be ed to State department of public health at Talk to your local health care providers and public health officials. Bloomfield: Many of the state plans and other planning information can be found at Emergency Kits contact the Red Cross at Source: Source:

45 Take Home Messages The threat to public health will remain so long as the virus continues to cause disease in domestic poultry The outbreaks in poultry are likely to take a very long time to control Regardless of how the present situation evolves, the world needs to be better prepared to respond to the next influenza pandemic Source: Source:

46 Summary We hope information has helped you to understand the nature of a flu pandemic as well as what NJ and Bloomfield are doing to prepare for such an event. Additionally, we hope that this information has helped too to see how you can prepare yourselves and your loved ones. Source: Source:

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