Presentation on theme: "Disaster Epidemiology Workshop 57th Presidential Inauguration Health Surveillance: Strength through collaboration John O. Davies-Cole, PhD, MPH State."— Presentation transcript:
1 Disaster Epidemiology Workshop 57th Presidential Inauguration Health Surveillance: Strength through collaborationJohn O. Davies-Cole, PhD, MPHState EpidemiologistDC Department of Health
2 IntroductionEvery four years - District hosts the Presidential InaugurationPost 9/11 era - heightened security at high profile public events.Increased public health surveillance to detect possible exposure to bioterrorism disease agents such as anthrax, ricin, tularemiaWeapons of mass destruction (WMD)Preparation for high profile event, DC DOH responsible for implementing active surveillance activities and conducting epidemiological investigations.
3 Health & Medical Subcommittee DHHSDC HSEMAUS Capitol JOCUS Capitol Police EOCDC DOHDC PHLDC EHSJTF NCR JOCDHS/Off of Hlth AffairsVeterans Affairs/VHAFBI WFOCDCFDADoDMD DHMHVDHMD MIESSNVERSDC EMS
4 The combined Annex’s will support and complete the CONOPS. HEALTH SURVEILLANCE, INFORMATION SHARING & LABORATORY SUPPORT SERVICES WORKGROUP OBJECTIVESAnalyze known and anticipated requirements to support the Pre-Event, Event, Incident within the Event, and Post-Event support activities.Develop planning document that will serve as an Annex following the guidance template.The combined Annex’s will support and complete the CONOPS.
5 TASKS Consider two scenarios when developing the CONOPS Winter weather (cold, snow, ice) followed by negative impacts on infrastructure (e.g. power loss)Multiple attacks – transportation system, bio-agent release,Each work group member will have access to the restricted share point site where documents and sharing of ideas, concepts, etc will be located.
6 Health Surveillance Activities January 7 – February 4, 2013District of ColumbiaBase of Operation:Data Fusion Cell Inaugural Event Field Surveillance Sites (Patient Tracking):National MallInaugural Parade RouteInaugural Balls
7 Health Surveillance Strategies Outline plan for disease surveillanceIdentify surveillance systems used for detecting possible bioterrorism events, tracking seasonal influenza, and preparing for pandemic flu outbreaksDescribe the use of identified systems in detecting possible disease outbreaks associated with attendance at the 2013 Presidential InaugurationDiscuss collaborative efforts for health surveillance
8 2013 Presidential Inauguration Health Surveillance Authorities and References:Section 319 of the Public Health Service Act: Title 42, section 247dSection 319F-3 of the Public Health Service Act (42 U.S.C. §247d-6d)Threat:No specific threats identified for this event beyond the typical threats faced by this region – weather, weather related affects on the infrastructure, extremists, and lone offenders.
9 Anticipated Attendance Anticipated attendance for the 57thPresidential Inauguration: Approx. 300, ,000 people .Based upon historical data for this event prior to the 56th Presidential Inauguration.
10 Surveillance Objectives To provide health surveillance activities related to the 57th Presidential Inauguration occurring two weeks prior and two weeks following January 21, 2013.To alert decision makes of any unusual health outcomes that may occur during the inaugural activitiesProvide a demographic and health profile of illness & injuryRespond to disease outbreaks or other health emergencies
12 Hospital Emergency Department Syndromic Surveillance Sites Region No of HospitalsDC …………………Montgomery County, MD…………. 6Prince Georges County, MD………… 3Northern Virginia ……………………….15Howard University Hospital
13 Data Collection Data include: Personal identification Demographics Chief complaintsSymptomsTime/location variablesPaper forms available as backup
15 Initiation Protocol Initiation of protocol Data review protocol should be initiated no less than 2 hours prior to when report should be posted to allow time for consultation, if needed.The report should be posted to the Pebble site once per day no later than 1pm.The exception to the report schedule is the day of the Inaugural event (January 21) when data should be reviewed and a report posted twice per day (report times TBD).
16 Review Time Series for each of the following: SyndromesSub – SyndromeBot_LikeFeverGIHem_IllLoc_LesLymphNeuroOtherRashRespSI_DeathILITrauma
17 ESSENCE ANCR Report Generation Protocol Creating a report for Pebble siteA report can be generated by going to the “More” tab on the ANCR website tool bar then selecting the “Daily Report” optionGeography of NCR JurisdictionsNo jurisdictions should be highlighted; an explanation of NCR jurisdictions will be posted on the Pebble site header.
20 Field Staffing Site Manager Site Coordinator Nurse Stationary EMT Roving EMTAdministrative Assistant
21 Equipment Laptop computers: data from AID stations Communication Devices: To communicate among field staff, data collection staff and base staff
22 The Maryland Institute for Emergency Medical Services Systems (MIEMSS) Introduced HC Standard - HC Patient Tracking ApplicationProvide real time (one minute delay) situational awarenessUtilizes bar code scanners (suchas the handheld Motorola MC75 3G)Scanners allow patient information to be entered,including patient demographics, vitals, chief complaints, field treatment, photographs,sound, and video.
24 ReportingEpidemiologists responsible for generating descriptive reportsChief complaint description by timeTotal number of persons seen at AID stationsGeographic distribution of persons seen at AID stations
32 What Worked WellPlanning: Meetings well attended, productive, and ensured strong regional collaboration between DC, Maryland and Virginia.Credentialing: Proper credentialing made it easy to move from place to placeFood Safety Response Team: FDA fully credentialedData Fusion Center: One centralized data centerSurveillance: First AID Station - Real time data transmissionSurveillance: Enhanced ED Surveillance: epidemiologists from regional jurisdictions monitored the reports daily in an effort to detect any unusual disease pattern
33 ChallengesPlanning: strong participation from some of the federal agencies that played important roles in the event needed.Credentialing: major hindrance to a successful operation during this inauguration.Food Safety Response Team: FDA and DOH need to merge collection efforts.Data Fusion Center: Members of the Data Fusion Center were removed from TVs and therefore had a harder time following the progress of the day’s events. All data not received as planned.Surveillance: First AID Station - Patient trackers were not pre-deployed, therefore delaying data flow. Volunteers did not have proper training.Surveillance: Enhanced ED Surveillance: Not clear about the usefulness of the Pebble site .