H1N1 Response in Virginia Reduce illness and death Minimize social disruption Karen Remley, MD, MBA, FAAP State Health Commissioner July 15, 2009.

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Presentation transcript:

H1N1 Response in Virginia Reduce illness and death Minimize social disruption Karen Remley, MD, MBA, FAAP State Health Commissioner July 15, 2009

Mission and Role of Public Health in Infectious Disease Outbreak  Reduce (or slow) disease transmission  Minimize mortality and morbidity  Understand magnitude of infection through clinical screening, laboratory testing, and epidemiologic investigation  Identify likely sources and channels of disease transmission  Identify and protect high risk populations (very old, very young, nursing home residents, pregnant women, and people with chronic conditions)  Provide guidelines for laboratory testing, clinical treatment, and post exposure prophylaxis  Make sure plans, personnel and materials are in place for higher levels of response

VDH- Paninfluenza Preparedness  Federal funding since 2006: $13.3 million  VDH PanFlu Plan developed tested and updated x 6  PanFlu Summit, 3/06- Co-hosted by Governor and Secretary HHS  PanFlu Advisory Committee- Quarterly meetings  Purchase of state antiviral stockpile (770K courses)  Annual mass vaccination exercises statewide  Focus on medical surge planning /alternative care sites

H1N1 Lessons Learned Nothing replaces pre-event planning Communications Consistent Messaging; link to CDC Embrace Media; provide contact frequently Be early; be concise; be accurate Focus messages to targeted communities Open Public Inquiry Hotline early Immediate Heightened Surveillance Engage Lab and other partners early Keep leadership informed Organize in depth Unified Command Plan for the long haul Share info; update regularly

HHS H1N1 Response Pillars Communication Surveillance Mitigation Vaccination Virginia Addition Direct Medical Care / Medical Countermeasures

Refocusing Pandemic Planning Gap Analysis Comprehensive Communications Planning Outreach to Public Focused Sector-specific Messaging Cross-border Coordination Detailed Medical Countermeasure Distribution Planning Mass Vaccination Private / Public Partnerships Tracking Cold Chain Management / Storage Funding Antiviral Medication Distribution Initiation Thresholds / Triggers Dispensing fee Tracking

Refocusing Pandemic Planning Updated priorities  Completed comprehensive H1N1 In-Progress Review & improvement work plan  Develop (4) planning scenarios with companion Concepts of Operations  Address ALL populations  Focus planning on new CDC H1N1 Pillars  Establish office of H1N1 response to coordinate / facilitate / monitor / report VDH progress  Commissioner’s Infectious Disease Clinical Advisory Group

Initiate Activities Early Purchase and stockpile critical equipment and supplies ahead of time Equip key staff with needed laptops and remote access capabilities Prior to a widespread outbreak: Determine and schedule conference calls Local/Company coordination Corporate coordination Customer coordination Key supplier coordination Pre-establish communications channels Identify local functions that need coordination Coordinate vertically and horizontally. Workplace Planning

Verify work-at-home capabilities Exercise regularly Consider provisioning multiple access methods for critical staff (broadband, DSL, air cards, etc.) Prepare for psychological aspects Prepare for labor shortage Develop pools of available staff Refresh/train pools regularly or at trigger point Remain flexible/adaptable Cohorting of sick children/daycre

PanFlu COOP Delegation of Authority Leadership Succession Cross Training Discuss expetations with staff early Communications will be key Need reliable, credible sources of information Need coordinated communication channels Rely on both internal/external channels Monitor state of transportation systems High exposure staff will probably need prophylaxis Security, Healthcare Providers May need to consider relief for regulatory requirements

Resources Virginia Department of Health Website CDC H1N1 Website CDC School guidance Coordinate with you local health department emergency planner and epidemiologist