1. Implementing Pandemic Influenza Preparedness Tools Lisa D. Benton, M.D., M.P.H., Marcy C. Jones; Rick M. Gersberg, PhD California Department of Health Services Immunization Branch, Richmond, CA lbenton@dhs.ca.gov

2. Overview CDHS planning activities for pandemic influenza Advantages satellite broadcast Benefit of adding a “tabletop” Lessons learned

3. Pandemic Influenza Response in California 61 Local health jurisdictions –Local health officers –CD controllers –Diverse geography & demographics 6 Governor’s Office of Emergency Services Regions Bioterrorism, WIC, Immunization, HRSA, EMSA, etc. Coordinators

4. Public Health Resources for an Influenza Pandemic Public Health Officers and staff: help educate diagnose & treat Epidemiologists: search out disease source and track emerging cases Scientists: identify agents and provide technical information

5. Policy Council Sample Emergency Operations Center

6. H5N1 Avian Influenza: Issues Spring ‘05 Prioritization of groups for vaccine Use of antiviral drugs –Treatment, prophylaxis, case management, follow up –distribution and dispensing from SNS into local jurisdiction Development of surge capacity –Personnel, beds, mortuary services, and materials Infection control precautions –health care and other at-risk workers –contact tracing, isolation, quarantine Maintaining essential services Risk communication

7. H5N1 Avian Influenza: Issues Summer-Fall ‘05 Destruction of H2N2 test samples Revision of national pandemic plan Updated Avian Surveillance Seasonal influenza vaccine “shortage/delay” Sequencing 1918 strain KATRINA

8. Satellite Program Outline National (CDC), state and local preparedness overview 8-min video on 1918 pandemic influenza Human and avian surveillance and laboratories Infection control Risk communications

9. October 6, 2005 Satellite Broadcast 90-min live program –Technical challenges –Live studio audience 9 presenters –Live and pre-recorded segments –Schedules, set design, make-up Teams: –Executive Advisory Committee (content experts) –Pre- and post-production –Continuing education –Evaluation –Tabletop –Promotions and marketing (graphics)

10. Six Learning Objectives for Broadcast 1.Describe at least 2 measures that reduce the transmission of influenza 2.Identify an issue related to the availability of vaccine during an influenza pandemic 3.Identify an issue related to the availability of antiviral drugs during a pandemic

11. Six Learning Objectives for Broadcast 4.Describe at least one way that the laboratory is involved in responding to a pandemic 5.Identify at least one non-medical intervention to decrease the spread of pandemic influenza 6.Explain why it is essential to collaborate with outside agencies during a pandemic

12. Pandemic Influenza Tabletop Exercise Overview 2 hour activity Small mixed discipline participant groups On site exercise facilitation role nurtured through conference planning calls –Encouraged to use exercise to work through local issues of priority –Encouraged role playing Self-diagnostic tool for evaluating tabletop

13. Tabletop Exercise Objectives Familiarize participants with local pandemic influenza plans Practice 2 of 10 response activities characterized as implemented actions, completed duties, or tangible products

14. In Studio “Tabletop” (functional exercise) Discuss prior disaster and outbreak and response experience as it relates to influenza pandemic Identify and anticipate immediate, short-term, and long-term state health department needs to respond to an influenza pandemic

15. October 6, 2005 Satellite Broadcast 172 CA sites with 1,636 viewers Viewed live at 58 of 61 local health departments 8,856 viewed live broadcast –82% outside of CA –1,406 out-of-state sites Archived broadcast viewed by 16,088

16. Results 1,500 registered for free CEs 821 survey responses –75-98% favorable –38-100% correct answers (90% mean) 164 participant surveys –4.1 average approval out of 5 12 site facilitator surveys –4.7 average approval out of 5

17. Acknowledgements Thomas Ahrens, PharmD Howard Backer, MD, MPH Barbara Cole, RN, PHN, MSN Kate Cummings, MPH B.A. Jinadu, MD, MPH Kerdlyn Henry Erica Boston Elizabeth Han Patricia Holsclaw, MHA Norman Jackson, MS Everly Macario, ScD, MS, EdM Jon Rosenberg, MD, MPH David Schnurr, PhD Trevor Shoemaker, MPH Mark Starr, DVM S. Todd Stolp, MD Mary Tran, PhD, MPH Pascale Wortley, MD, MPH Information & Education Section, IZB Johnson Communications