4Local Health Departments Columbus Public Health (CPH)Responsible for the cities of Columbus and WorthingtonApproximately 400 employeesFranklin County Board of Health (FCBH)Responsible for the remainder of the countyApproximately 65 employees
5Responding to an Emergency In the event of a Public Health (PH) emergency:CPH and FCBH respond togetherIncident Command System (ICS) is activatedPH may be the lead responder, but is just part of a community wide response
77 Functions of Pan Flu Response Epidemiology and SurveillanceClinical GuidelinesMeasures to Limit the Spread of DiseaseDistribution of Antivirals and VaccinesEducation and TrainingCommunicationsHealth Systems and Critical Infrastructure
81. Epidemiology and Surveillance Monitor 85 data and healthcare sourcesEmergency Department visitsOver the counter medicine salesSchool absenteeismAnalyze dataReport surveillance results
92. Clinical GuidelinesReceive credible source information from Epidemiology and SurveillanceAssess credible sources for changes in:MedicalProcessSend clinical guidelines to function leadersOversee clinical portion of hotline
103. Measures to Limit the Spread of Disease Community Containment and ReferralMonitor all community containment dataAdvise command staff regarding triggersCase and Contact InvestigationLook for epidemiological links in case dataConduct case and contact investigationFacilitate lab testing
114. Distribution of Antivirals and Vaccines Monitor local and state cachesRequest, receive Strategic National Stockpile (SNS) assetsDistribute and transport SNS assetsCoordinate operations at Points of Distribution (PODS)
125. Education and Training Receive education and presentation requestsConduct education and trainings for organizations and groupsConduct Just in Time (JIT) trainings for staff and volunteersProvide materials for release
136. Communications Represent PH in the Joint Information Center Create messages for a variety of outletsDevelop press releases and update websitesSet up hotlines
147. Health Systems and Critical Infrastructure Coordinates planning and response efforts between local agenciesEnsure that public health goals are representedCritical InfrastructureActivate COOP plans for affected organizations
16To Keep in Mind…The amount and severity of illness that H1N1 and seasonal influenza will cause during the 2009–2010 season cannot be predicted with a high degree of certainty.Seasonal influenza viruses may cause illness at the same time as 2009 H1N1 this fall and winter.
17Four Basic Objectives Reduce transmission among staff Protect people who are at increased risk of influenza related complications from getting infected with influenzaMaintain business operationsMinimize adverse effects on other entities in supply chains.
18Key Indicators for Decision Making Disease prevalence and severity where business is locatedAmount of worker absenteeism in your businessImpact of disease on vulnerable and higher risk employeespregnant women, employees with certain chronic medical conditionsOther factors that may affect employees’ ability to get to workSchool dismissals, closures
19Actions Employers Should Take Now Review or establish a flexible influenza pandemic plan and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan to identify gaps or issuesUnderstand your organization’s normal seasonal absenteeism rates and monitor your personnel for any unusual increases in absenteeism through the fall and winter.
20Actions (continued)Confirm local health department channels of communication and methods for dissemination of local outbreak informationAllow sick workers to stay home without fear of losing their jobsDevelop flexible leave policies to allow workers to stay home to care for sick family members or for children in the event of school closure
21Actions (continued)Share your pandemic influenza plan and information with employees that explain:human resources policiesworkplace and leave flexibilitiespay and benefitsShare best practices with other businesses in your communities (especially those in your supply chain), chambers of commerce, and associations
22Pandemic Influenza Plan Elements Implement a layered approach, with multiple measures, to protect workers and ensure business continuityIdentify possible work-related exposure and health risks to your employeesReview human resources policies to make sure they are consistent with public health recommendations and state and federal workplace lawsEstablish policies and practices, such as flexible worksites and flexible work hours
23Plan Elements (continued) Identify essential business functions, essential jobs or roles, and critical elements within your supply chainsSet up authorities, triggers, and procedures for activating and deactivating the company’s response planPlan to minimize exposure to fellow employees or the public if public health officials call for social distancingEstablish a process to communicate information to workers and business partners
242 Scenarios for 2009-2010 Flu Season A continuation of the current level of severity of influenza as was observed during the spring and summer of 2009A more severe outbreak.
25Scenario 1: Similar Severity Sick employees should stay homeSick employees at work should go homeCover coughs and sneezesImprove hand hygieneClean and sanitize surfaces with frequent hand content
26Scenario 1: Similar Severity (cont’d) Encourage employees to get vaccinatedProtect employees at higher risk for complicationsPrepare for increased numbers of employee absencesAdvise travelling employees to take certain stepsPrepare for the possibility of school dismissal
27Scenario 2: Increased Severity Consider active screening of employees who report to workConsider alternate work environments for those at higher risk for complicationsIncrease social distancing in the work placeConsider canceling non-essential business travelPrepare for the possibility of school dismissal
29Within Your Business…Promote and ensure a culture of infection control and prevention in the workplacePost signageProvide hand sanitizerSet expectations of hand washing, covering your cough, staying home when illDevelop home care kits for influenza and emergenciesHost an immunization clinic
30Assist in the Response… Encourage employees to participate in volunteer emergency response organizations: Community Emergency Response Team (CERT) and Medical Reserve Corps (MRC) Keep up to date on communication sent through the Columbus Chamber of CommerceSupport and follow LHD guidanceConsider adding company assets to EMA resource lists
31Resources and Links Local www.columbuspandemicflu.com National