Download presentation
Presentation is loading. Please wait.
Published byEmmeline Clark Modified over 8 years ago
1
Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine, July 2002 Preparing for and Responding to Bioterrorism: Information for Primary Care Clinicians
2
UW Northwest Center for Public Health Practice AcknowledgementsAcknowledgements This presentation, and the accompanying instructor’s manual (current as of 7/02), were prepared by Jennifer Brennan Braden, MD, MPH, at the Northwest Center for Public Health Practice in Seattle, WA, and Jeff Duchin, MD with Public Health – Seattle & King County and the Division of Allergy & Infectious Diseases, University of WA, for the purpose of educating primary care clinicians in relevant aspects of bioterrorism preparedness and response. Instructors are encouraged to freely use all or portions of the material for its intended purpose. The following people and organizations provided information and/or support in the development of this curriculum. A complete list of resources can be found in the accompanying instructor’s guide. Patrick O’Carroll, MD, MPH The Centers for Disease Control and Prevention Project Coordinator Judith Yarrow Health Policy & Analysis, University of WA Design and Editing Jane Koehler, DVM, MPH Communicable Disease Control, Epidemiology and Immunization section, Public Health - Seattle & King County Ed Walker, MD; University of WA Department of Psychiatry
3
UW Northwest Center for Public Health Practice Bioterrorism Preparedness and Response CDC
4
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Learning Objectives Be familiar with: Be familiar with: The role of the clinician in bioterrorism preparedness and response The role of the clinician in bioterrorism preparedness and response The roles of local and national agencies involved in bioterrorism preparedness and response The roles of local and national agencies involved in bioterrorism preparedness and response Be familiar with: Be familiar with: The role of the clinician in bioterrorism preparedness and response The role of the clinician in bioterrorism preparedness and response The roles of local and national agencies involved in bioterrorism preparedness and response The roles of local and national agencies involved in bioterrorism preparedness and response
5
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Learning Objectives Be familiar with: Be familiar with: The purpose and functions of the Health Alert Network (HAN) and the National Pharmaceutical Stockpile (NPS) The purpose and functions of the Health Alert Network (HAN) and the National Pharmaceutical Stockpile (NPS) How to contact the appropriate local agency to report potential bioterrorism or other public health concerns How to contact the appropriate local agency to report potential bioterrorism or other public health concerns Be familiar with: Be familiar with: The purpose and functions of the Health Alert Network (HAN) and the National Pharmaceutical Stockpile (NPS) The purpose and functions of the Health Alert Network (HAN) and the National Pharmaceutical Stockpile (NPS) How to contact the appropriate local agency to report potential bioterrorism or other public health concerns How to contact the appropriate local agency to report potential bioterrorism or other public health concerns
6
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Crisis & Consequence Management Crisis management: law enforcement response to terrorist acts Crisis management: law enforcement response to terrorist acts Local, state, federal law-enforcement agencies Local, state, federal law-enforcement agencies Consequence management: response to the disaster focusing on the alleviation of damage, loss, hardship, or suffering Consequence management: response to the disaster focusing on the alleviation of damage, loss, hardship, or suffering Public health, medical, & emergency mgt personnel Public health, medical, & emergency mgt personnel Falls under ESF-8 (public health) of Federal Disaster Response Plan Falls under ESF-8 (public health) of Federal Disaster Response Plan Crisis management: law enforcement response to terrorist acts Crisis management: law enforcement response to terrorist acts Local, state, federal law-enforcement agencies Local, state, federal law-enforcement agencies Consequence management: response to the disaster focusing on the alleviation of damage, loss, hardship, or suffering Consequence management: response to the disaster focusing on the alleviation of damage, loss, hardship, or suffering Public health, medical, & emergency mgt personnel Public health, medical, & emergency mgt personnel Falls under ESF-8 (public health) of Federal Disaster Response Plan Falls under ESF-8 (public health) of Federal Disaster Response Plan PDD-39 This link will take you away from the educational site
7
National Responders Health and Human Services (HHS) Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) Centers for Disease Control and Prevention (CDC) Federal Emergency Management Agency (FEMA) Federal Emergency Management Agency (FEMA) FBI FBI Environmental Protection Agency (EPA) Environmental Protection Agency (EPA) Department of Agriculture Department of Agriculture Department of Defense Department of Defense Health and Human Services (HHS) Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) Centers for Disease Control and Prevention (CDC) Federal Emergency Management Agency (FEMA) Federal Emergency Management Agency (FEMA) FBI FBI Environmental Protection Agency (EPA) Environmental Protection Agency (EPA) Department of Agriculture Department of Agriculture Department of Defense Department of Defense
8
State and Local Responders Health care providers & facilities Health care providers & facilities Local and state health departments Local and state health departments Emergency management agencies Emergency management agencies Search & Rescue, EMS, & HAZMAT teams Search & Rescue, EMS, & HAZMAT teams Volunteers Volunteers Health care providers & facilities Health care providers & facilities Local and state health departments Local and state health departments Emergency management agencies Emergency management agencies Search & Rescue, EMS, & HAZMAT teams Search & Rescue, EMS, & HAZMAT teams Volunteers Volunteers Law enforcement, National Guard Law enforcement, National Guard State emergency management agency State emergency management agency Political leaders Political leaders Community service organizations Community service organizations
9
UW Northwest Center for Public Health Practice National Preparedness 1999 Initiative National Bioterrorism Preparedness and Response Initiative National Bioterrorism Preparedness and Response Initiative 1999 DHHS Initiative to prepare the nation to respond to potential BT activity 1999 DHHS Initiative to prepare the nation to respond to potential BT activity CDC designated lead in upgrading nation’s public health capacity and in developing a BT preparedness & response plan CDC designated lead in upgrading nation’s public health capacity and in developing a BT preparedness & response plan National Bioterrorism Preparedness and Response Initiative National Bioterrorism Preparedness and Response Initiative 1999 DHHS Initiative to prepare the nation to respond to potential BT activity 1999 DHHS Initiative to prepare the nation to respond to potential BT activity CDC designated lead in upgrading nation’s public health capacity and in developing a BT preparedness & response plan CDC designated lead in upgrading nation’s public health capacity and in developing a BT preparedness & response plan More on 1999 Initiative... This link will take you away from the educational site
10
UW Northwest Center for Public Health Practice National Preparedness CDC Activities CDC bioterrorism preparedness & response activities CDC bioterrorism preparedness & response activities Preparedness and prevention Preparedness and prevention Detection and surveillance Detection and surveillance Diagnosis and characterization of biological and chemical agents Diagnosis and characterization of biological and chemical agents Response Response CDC bioterrorism preparedness & response activities CDC bioterrorism preparedness & response activities Preparedness and prevention Preparedness and prevention Detection and surveillance Detection and surveillance Diagnosis and characterization of biological and chemical agents Diagnosis and characterization of biological and chemical agents Response Response More on CDC program... This link will take you away from the educational site
11
UW Northwest Center for Public Health Practice National Preparedness CDC Activities, cont. CDC bioterrorism preparedness & response activities CDC bioterrorism preparedness & response activities Education and training Education and training Improved communication systems – HAN, LRN Improved communication systems – HAN, LRN National Pharmaceutical Stockpile National Pharmaceutical Stockpile CDC bioterrorism preparedness & response activities CDC bioterrorism preparedness & response activities Education and training Education and training Improved communication systems – HAN, LRN Improved communication systems – HAN, LRN National Pharmaceutical Stockpile National Pharmaceutical Stockpile
12
UW Northwest Center for Public Health Practice National Preparedness Other DHHS activities Medical Consequence Management: HHS Office of Emergency Preparedness (OEP), expanding efforts to develop medical response capabilities at local and national levels Medical Consequence Management: HHS Office of Emergency Preparedness (OEP), expanding efforts to develop medical response capabilities at local and national levels
13
National Pharmaceutical Stockpile Purpose Provides resources to respond to both biological and chemical attacks Provides resources to respond to both biological and chemical attacks Requested by governor Requested by governor Managed by the Centers for Disease Control and Prevention Managed by the Centers for Disease Control and Prevention Provides resources to respond to both biological and chemical attacks Provides resources to respond to both biological and chemical attacks Requested by governor Requested by governor Managed by the Centers for Disease Control and Prevention Managed by the Centers for Disease Control and Prevention More on NPS... This link will take you away from the educational site
14
National Pharmaceutical Stockpile Push Packages 12-hour “Push Packages” in cargo-sized containers weighing approximately 37 tons each 12-hour “Push Packages” in cargo-sized containers weighing approximately 37 tons each Located around the country at strategic locations Located around the country at strategic locations Held in environmentally controlled and secured warehouses Held in environmentally controlled and secured warehouses Can reach its destination within 12 hours of being requested Can reach its destination within 12 hours of being requested 12-hour “Push Packages” in cargo-sized containers weighing approximately 37 tons each 12-hour “Push Packages” in cargo-sized containers weighing approximately 37 tons each Located around the country at strategic locations Located around the country at strategic locations Held in environmentally controlled and secured warehouses Held in environmentally controlled and secured warehouses Can reach its destination within 12 hours of being requested Can reach its destination within 12 hours of being requested
15
National Pharmaceutical Stockpile Push Packages Contain color-coded inventory Contain color-coded inventory Pharmaceuticals - stock rotated before expiration Pharmaceuticals - stock rotated before expiration IV supplies, airway supplies, ventilators IV supplies, airway supplies, ventilators Bandages & personal protective equipment Bandages & personal protective equipment Contain color-coded inventory Contain color-coded inventory Pharmaceuticals - stock rotated before expiration Pharmaceuticals - stock rotated before expiration IV supplies, airway supplies, ventilators IV supplies, airway supplies, ventilators Bandages & personal protective equipment Bandages & personal protective equipment
16
National Pharmaceutical Stockpile Push Packages Materials pre-packaged for immediate dispensing Materials pre-packaged for immediate dispensing Support staff will accompany the package Support staff will accompany the package Receiving state responsible for logistics of repackaging and distribution Receiving state responsible for logistics of repackaging and distribution Materials pre-packaged for immediate dispensing Materials pre-packaged for immediate dispensing Support staff will accompany the package Support staff will accompany the package Receiving state responsible for logistics of repackaging and distribution Receiving state responsible for logistics of repackaging and distribution
17
National Pharmaceutical Stockpile Vendor-Managed Inventory Agreements with pharmaceutical manufacturers to make large stocks available on demand Agreements with pharmaceutical manufacturers to make large stocks available on demand Shipped to arrive within 24-36 hours after requested Shipped to arrive within 24-36 hours after requested VA hospitals have an agreement with CDC to assist in the procurement & maintenance of NPS VA hospitals have an agreement with CDC to assist in the procurement & maintenance of NPS Agreements with pharmaceutical manufacturers to make large stocks available on demand Agreements with pharmaceutical manufacturers to make large stocks available on demand Shipped to arrive within 24-36 hours after requested Shipped to arrive within 24-36 hours after requested VA hospitals have an agreement with CDC to assist in the procurement & maintenance of NPS VA hospitals have an agreement with CDC to assist in the procurement & maintenance of NPS
18
UW Northwest Center for Public Health Practice Health Alert Network Definition A nationwide, integrated information and communications system designed to: Ensure communications capacity at all local and state health departments Ensure capacity to receive distance-learning offerings from CDC, et al. Ensure capacity to broadcast and receive health alerts at every level A nationwide, integrated information and communications system designed to: Ensure communications capacity at all local and state health departments Ensure capacity to receive distance-learning offerings from CDC, et al. Ensure capacity to broadcast and receive health alerts at every level More on HAN... This link will take you away from the educational site
19
UW Northwest Center for Public Health Practice Health Alert Network How It Works Links local health departments to one another and to other organizations critical for preparedness and response: Links local health departments to one another and to other organizations critical for preparedness and response: Community first-responders Community first-responders Hospital and private laboratories Hospital and private laboratories State health departments State health departments CDC CDC Other federal agencies Other federal agencies Links local health departments to one another and to other organizations critical for preparedness and response: Links local health departments to one another and to other organizations critical for preparedness and response: Community first-responders Community first-responders Hospital and private laboratories Hospital and private laboratories State health departments State health departments CDC CDC Other federal agencies Other federal agencies
20
UW Northwest Center for Public Health Practice Health Alert Network National Electronic Disease Surveillance Information system “highway” for the National Electronic Disease Surveillance System (NEDSS) Information system “highway” for the National Electronic Disease Surveillance System (NEDSS) NEDSS supports automated collection and transmission of disease reports from clinicians’ offices, laboratories, & hospitals to local & state health departments and CDC NEDSS supports automated collection and transmission of disease reports from clinicians’ offices, laboratories, & hospitals to local & state health departments and CDC Information system “highway” for the National Electronic Disease Surveillance System (NEDSS) Information system “highway” for the National Electronic Disease Surveillance System (NEDSS) NEDSS supports automated collection and transmission of disease reports from clinicians’ offices, laboratories, & hospitals to local & state health departments and CDC NEDSS supports automated collection and transmission of disease reports from clinicians’ offices, laboratories, & hospitals to local & state health departments and CDC
21
Community Preparedness A Coordination of Efforts Partnerships between public health and: Partnerships between public health and: Clinicians and health care facilities Clinicians and health care facilities Public safety: law enforcement, fire, HAZMAT Public safety: law enforcement, fire, HAZMAT Emergency management Emergency management Coordinate response across agencies at the local, state, and federal levels Coordinate response across agencies at the local, state, and federal levels Partnerships between public health and: Partnerships between public health and: Clinicians and health care facilities Clinicians and health care facilities Public safety: law enforcement, fire, HAZMAT Public safety: law enforcement, fire, HAZMAT Emergency management Emergency management Coordinate response across agencies at the local, state, and federal levels Coordinate response across agencies at the local, state, and federal levels
22
Community Preparedness Know Whom to Contact Know how to activate the biological disaster response plan in your practice setting Know how to activate the biological disaster response plan in your practice setting Who’s in charge? Who’s in charge? Communication Communication Know the 24/7 contact number for your local health department Know the 24/7 contact number for your local health department Know how to activate the biological disaster response plan in your practice setting Know how to activate the biological disaster response plan in your practice setting Who’s in charge? Who’s in charge? Communication Communication Know the 24/7 contact number for your local health department Know the 24/7 contact number for your local health department
23
Community Preparedness Role of Public Health Coordinate preparedness & response activities Coordinate preparedness & response activities Requires collaboration with medical professionals, first responders, and other partners Requires collaboration with medical professionals, first responders, and other partners Provide information to health professionals, government leaders, and the public Provide information to health professionals, government leaders, and the public Coordinate preparedness & response activities Coordinate preparedness & response activities Requires collaboration with medical professionals, first responders, and other partners Requires collaboration with medical professionals, first responders, and other partners Provide information to health professionals, government leaders, and the public Provide information to health professionals, government leaders, and the public
24
Community Preparedness Role of Public Health Detection and evaluation of biological disaster Detection and evaluation of biological disaster Requires robust surveillance, epidemiology, and disease investigation infrastructure plus new detection methods Requires robust surveillance, epidemiology, and disease investigation infrastructure plus new detection methods Facilitate medical management of exposed persons Facilitate medical management of exposed persons Provide information on diagnosis, treatment, prophylaxis, and infection control issues Provide information on diagnosis, treatment, prophylaxis, and infection control issues Detection and evaluation of biological disaster Detection and evaluation of biological disaster Requires robust surveillance, epidemiology, and disease investigation infrastructure plus new detection methods Requires robust surveillance, epidemiology, and disease investigation infrastructure plus new detection methods Facilitate medical management of exposed persons Facilitate medical management of exposed persons Provide information on diagnosis, treatment, prophylaxis, and infection control issues Provide information on diagnosis, treatment, prophylaxis, and infection control issues
25
Community Preparedness Role of Public Health Coordinate and engage state and federal resources Coordinate and engage state and federal resources Education, training, and information Education, training, and information Surveillance, disease case and outbreak investigation Surveillance, disease case and outbreak investigation Coordinate and engage state and federal resources Coordinate and engage state and federal resources Education, training, and information Education, training, and information Surveillance, disease case and outbreak investigation Surveillance, disease case and outbreak investigation
26
Community Preparedness Role of Public Health Inventory and address deficiencies in regional resources Inventory and address deficiencies in regional resources Hospital response capacity/preparedness Hospital response capacity/preparedness EMS/first responder capacity/preparedness EMS/first responder capacity/preparedness Mass treatment and prophylaxis Mass treatment and prophylaxis Mortuary capacity/preparedness Mortuary capacity/preparedness Law enforcement/security Law enforcement/security Inventory and address deficiencies in regional resources Inventory and address deficiencies in regional resources Hospital response capacity/preparedness Hospital response capacity/preparedness EMS/first responder capacity/preparedness EMS/first responder capacity/preparedness Mass treatment and prophylaxis Mass treatment and prophylaxis Mortuary capacity/preparedness Mortuary capacity/preparedness Law enforcement/security Law enforcement/security
27
Bioterrorism Preparedness & Response Role of the Clinician as “First Responder” Prompt recognition, evaluation, and management of suspicious cases Prompt recognition, evaluation, and management of suspicious cases Recognize clinical presentations consistent with potential BT agents Recognize clinical presentations consistent with potential BT agents Be familiar with the “epidemiological clues” Be familiar with the “epidemiological clues” Requires thorough, targeted history Requires thorough, targeted history Occupation, travel, contacts, recent “exposures,” threats Occupation, travel, contacts, recent “exposures,” threats Differentiating the “worried well” from the ill Differentiating the “worried well” from the ill Prompt recognition, evaluation, and management of suspicious cases Prompt recognition, evaluation, and management of suspicious cases Recognize clinical presentations consistent with potential BT agents Recognize clinical presentations consistent with potential BT agents Be familiar with the “epidemiological clues” Be familiar with the “epidemiological clues” Requires thorough, targeted history Requires thorough, targeted history Occupation, travel, contacts, recent “exposures,” threats Occupation, travel, contacts, recent “exposures,” threats Differentiating the “worried well” from the ill Differentiating the “worried well” from the ill
28
Bioterrorism Preparedness & Response Role of the Clinician as “First Responder” Prompt recognition, evaluation, and management of suspicious cases, continued Prompt recognition, evaluation, and management of suspicious cases, continued Know how to access current resources and information on infection control, treatment, and post-exposure prophylaxis Know how to access current resources and information on infection control, treatment, and post-exposure prophylaxis Local and state public health, CDC Local and state public health, CDC Infectious disease consultants, hospital epidemiologist, or infection control professionals Infectious disease consultants, hospital epidemiologist, or infection control professionals Be familiar with procedures for obtaining & submitting clinical specimens for testing by clinical & health dept labs Be familiar with procedures for obtaining & submitting clinical specimens for testing by clinical & health dept labs Prompt recognition, evaluation, and management of suspicious cases, continued Prompt recognition, evaluation, and management of suspicious cases, continued Know how to access current resources and information on infection control, treatment, and post-exposure prophylaxis Know how to access current resources and information on infection control, treatment, and post-exposure prophylaxis Local and state public health, CDC Local and state public health, CDC Infectious disease consultants, hospital epidemiologist, or infection control professionals Infectious disease consultants, hospital epidemiologist, or infection control professionals Be familiar with procedures for obtaining & submitting clinical specimens for testing by clinical & health dept labs Be familiar with procedures for obtaining & submitting clinical specimens for testing by clinical & health dept labs
29
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Role of the Clinician as “First Responder” Report confirmed or suspicious cases to public health Report confirmed or suspicious cases to public health Be familiar with 24/7 reporting procedures for suspected cases or potential outbreak Be familiar with 24/7 reporting procedures for suspected cases or potential outbreak Know how to engage local emergency responders Know how to engage local emergency responders Be familiar with the disaster response plan for your hospital or practice setting Be familiar with the disaster response plan for your hospital or practice setting Know the immunization status and eligibility of your staff for vaccine preventable diseases Know the immunization status and eligibility of your staff for vaccine preventable diseases Report confirmed or suspicious cases to public health Report confirmed or suspicious cases to public health Be familiar with 24/7 reporting procedures for suspected cases or potential outbreak Be familiar with 24/7 reporting procedures for suspected cases or potential outbreak Know how to engage local emergency responders Know how to engage local emergency responders Be familiar with the disaster response plan for your hospital or practice setting Be familiar with the disaster response plan for your hospital or practice setting Know the immunization status and eligibility of your staff for vaccine preventable diseases Know the immunization status and eligibility of your staff for vaccine preventable diseases
30
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Role of the Clinician - Preparedness Planning Long-term consequence management and remediation Long-term consequence management and remediation Identify and manage late-onset cases Identify and manage late-onset cases Monitor for and manage adverse effects of treatment or prophylaxis Monitor for and manage adverse effects of treatment or prophylaxis Identify and manage psychological sequelae Identify and manage psychological sequelae Be familiar with local procedures for evaluation of suspicious substances (“white powder”): role of law enforcement & public health Be familiar with local procedures for evaluation of suspicious substances (“white powder”): role of law enforcement & public health Long-term consequence management and remediation Long-term consequence management and remediation Identify and manage late-onset cases Identify and manage late-onset cases Monitor for and manage adverse effects of treatment or prophylaxis Monitor for and manage adverse effects of treatment or prophylaxis Identify and manage psychological sequelae Identify and manage psychological sequelae Be familiar with local procedures for evaluation of suspicious substances (“white powder”): role of law enforcement & public health Be familiar with local procedures for evaluation of suspicious substances (“white powder”): role of law enforcement & public health
31
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Role of the Clinician - Preparedness Planning Participate in preparedness planning Participate in preparedness planning Identify resources needed for biological mass casualty event Identify resources needed for biological mass casualty event Medical, nursing, other professional, and support staff Medical, nursing, other professional, and support staff Antibiotics and other pharmaceuticals Antibiotics and other pharmaceuticals Supplies for mass treatment/vaccination Supplies for mass treatment/vaccination Ventilators and related respiratory support equipment Ventilators and related respiratory support equipment Participate in preparedness planning Participate in preparedness planning Identify resources needed for biological mass casualty event Identify resources needed for biological mass casualty event Medical, nursing, other professional, and support staff Medical, nursing, other professional, and support staff Antibiotics and other pharmaceuticals Antibiotics and other pharmaceuticals Supplies for mass treatment/vaccination Supplies for mass treatment/vaccination Ventilators and related respiratory support equipment Ventilators and related respiratory support equipment
32
UW Northwest Center for Public Health Practice Bioterrorism Preparedness & Response Role of the Clinician - Preparedness Planning Identify resources needed for biological mass casualty event, continued Identify resources needed for biological mass casualty event, continued Hospital ICU and isolation beds Hospital ICU and isolation beds Mental health resources Mental health resources Post-mortem management Post-mortem management Triage, security and crowd control Triage, security and crowd control Communication – internal, external, public relations/media Communication – internal, external, public relations/media Identify resources needed for biological mass casualty event, continued Identify resources needed for biological mass casualty event, continued Hospital ICU and isolation beds Hospital ICU and isolation beds Mental health resources Mental health resources Post-mortem management Post-mortem management Triage, security and crowd control Triage, security and crowd control Communication – internal, external, public relations/media Communication – internal, external, public relations/media
33
UW Northwest Center for Public Health Practice Bioterrorism Preparedness and Response Role of the Clinician To report a potential BT incident or threat in King County To report a potential BT incident or threat in King County Notify Public Health – Seattle & King County: 206-296-4774 (24hr number) Notify Public Health – Seattle & King County: 206-296-4774 (24hr number) If no one available, call the Washington State Department of Health: 1-877-539-4344 If no one available, call the Washington State Department of Health: 1-877-539-4344 Notify your hospital epidemiologist or infection control practitioner Notify your hospital epidemiologist or infection control practitioner Notify other partners as identified on your facility’s biological disaster response plan Notify other partners as identified on your facility’s biological disaster response plan Consider activating your site disaster response plan Consider activating your site disaster response plan To report a potential BT incident or threat in King County To report a potential BT incident or threat in King County Notify Public Health – Seattle & King County: 206-296-4774 (24hr number) Notify Public Health – Seattle & King County: 206-296-4774 (24hr number) If no one available, call the Washington State Department of Health: 1-877-539-4344 If no one available, call the Washington State Department of Health: 1-877-539-4344 Notify your hospital epidemiologist or infection control practitioner Notify your hospital epidemiologist or infection control practitioner Notify other partners as identified on your facility’s biological disaster response plan Notify other partners as identified on your facility’s biological disaster response plan Consider activating your site disaster response plan Consider activating your site disaster response plan
34
UW Northwest Center for Public Health Practice Hoaxes and Evaluation of Suspicious Powders If a suspicious package or substance is received If a suspicious package or substance is received Cover package/substance (do not try to clean up any spilled contents) Cover package/substance (do not try to clean up any spilled contents) Leave the room and close the door Leave the room and close the door Turn off air conditioning system Turn off air conditioning system Wash hands with soap & water Wash hands with soap & water Report to local law enforcement (call 911) Report to local law enforcement (call 911) Notify building security Notify building security If a suspicious package or substance is received If a suspicious package or substance is received Cover package/substance (do not try to clean up any spilled contents) Cover package/substance (do not try to clean up any spilled contents) Leave the room and close the door Leave the room and close the door Turn off air conditioning system Turn off air conditioning system Wash hands with soap & water Wash hands with soap & water Report to local law enforcement (call 911) Report to local law enforcement (call 911) Notify building security Notify building security
35
UW Northwest Center for Public Health Practice Hoaxes and Evaluation of Suspicious Powders, cont. Additional steps to take, if exposed to a suspicious powder or substance Additional steps to take, if exposed to a suspicious powder or substance Remove contaminated clothing & place in plastic bag or other sealed container Remove contaminated clothing & place in plastic bag or other sealed container Shower with soap & water (bleach is not necessary) Shower with soap & water (bleach is not necessary) Contact local health jurisdiction Contact local health jurisdiction Symptom monitoring and/or prophylaxis may be needed for others in the room/area Symptom monitoring and/or prophylaxis may be needed for others in the room/area Additional steps to take, if exposed to a suspicious powder or substance Additional steps to take, if exposed to a suspicious powder or substance Remove contaminated clothing & place in plastic bag or other sealed container Remove contaminated clothing & place in plastic bag or other sealed container Shower with soap & water (bleach is not necessary) Shower with soap & water (bleach is not necessary) Contact local health jurisdiction Contact local health jurisdiction Symptom monitoring and/or prophylaxis may be needed for others in the room/area Symptom monitoring and/or prophylaxis may be needed for others in the room/area
36
UW Northwest Center for Public Health Practice Bioterrorism Preparedness and Response Summary of Key Points BT preparedness and response requires coordination between clinicians, public health, emergency first responders, and law enforcement. BT preparedness and response requires coordination between clinicians, public health, emergency first responders, and law enforcement.
37
UW Northwest Center for Public Health Practice Bioterrorism Preparedness and Response Summary of Key Points BT preparedness for clinicians involves BT preparedness for clinicians involves Ability to recognize unusual clinical presentations and clusters of cases Ability to recognize unusual clinical presentations and clusters of cases Knowledge of diagnosis and management of diseases of BT origin Knowledge of diagnosis and management of diseases of BT origin Awareness of their health care facility or practice’s disaster response plan Awareness of their health care facility or practice’s disaster response plan Knowledge of disease reporting requirements, and how and when to contact local public health authorities Knowledge of disease reporting requirements, and how and when to contact local public health authorities BT preparedness for clinicians involves BT preparedness for clinicians involves Ability to recognize unusual clinical presentations and clusters of cases Ability to recognize unusual clinical presentations and clusters of cases Knowledge of diagnosis and management of diseases of BT origin Knowledge of diagnosis and management of diseases of BT origin Awareness of their health care facility or practice’s disaster response plan Awareness of their health care facility or practice’s disaster response plan Knowledge of disease reporting requirements, and how and when to contact local public health authorities Knowledge of disease reporting requirements, and how and when to contact local public health authorities
38
UW Northwest Center for Public Health Practice Resources National Centers for Disease Control and Prevention Centers for Disease Control and Prevention Emergency Preparedness & Response branch 24-hour notification telephone number: (770) 488-7100 Emergency Preparedness & Response branch 24-hour notification telephone number: (770) 488-7100 CDC Public Inquiry Hotlines English (888) 246-2675 Español (888) 246-2857 CDC Public Inquiry Hotlines English (888) 246-2675 Español (888) 246-2857 National Domestic Preparedness Office: National Domestic Preparedness Office: (202) 324-9026 M-F 8am-5pm EST (202) 324-9026 M-F 8am-5pm EST Centers for Disease Control and Prevention Centers for Disease Control and Prevention Emergency Preparedness & Response branch 24-hour notification telephone number: (770) 488-7100 Emergency Preparedness & Response branch 24-hour notification telephone number: (770) 488-7100 CDC Public Inquiry Hotlines English (888) 246-2675 Español (888) 246-2857 CDC Public Inquiry Hotlines English (888) 246-2675 Español (888) 246-2857 National Domestic Preparedness Office: National Domestic Preparedness Office: (202) 324-9026 M-F 8am-5pm EST (202) 324-9026 M-F 8am-5pm EST Bioterrorism Web site: http://www.bt.cdc.gov http://www.bt.cdc.gov Strategic Plan for Preparedness & Response MMWR 49(RR-4) These links will take you away from the educational site
39
UW Northwest Center for Public Health Practice Resources Washington State Washington State Department of Health Washington State Department of Health Communicable Disease Epidemiology Communicable Disease Epidemiology (206) 361-2914 (206) 361-2914 1-877-539-4344 - 24-hour emergency number 1-877-539-4344 - 24-hour emergency number Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881 Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881 Washington State Emergency Management Division Washington State Department of Health Washington State Department of Health Communicable Disease Epidemiology Communicable Disease Epidemiology (206) 361-2914 (206) 361-2914 1-877-539-4344 - 24-hour emergency number 1-877-539-4344 - 24-hour emergency number Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881 Julie Wicklund, BT Surveillance Epidemiologist (206) 361-2881 Washington State Emergency Management Division http://www.wa.gov/wsem/ http://www.doh.wa.gov These links will take you away from the educational site
40
UW Northwest Center for Public Health Practice Resources Local Public Health – Seattle & King County Public Health – Seattle & King County To report illness or discuss suspicious substances (206) 296-4774 (24 hr) To report illness or discuss suspicious substances (206) 296-4774 (24 hr) Public Health – Seattle & King County Public Health – Seattle & King County To report illness or discuss suspicious substances (206) 296-4774 (24 hr) To report illness or discuss suspicious substances (206) 296-4774 (24 hr) http://www.metrokc.gov/health/bioterrorism This link will take you away from the educational site
41
UW Northwest Center for Public Health Practice Resources Emergency Management State Emergency Management duty officer (800)258-5990 State Emergency Management duty officer (800)258-5990 Regional Emergency Coordinator,Region X (206) 615-2266 Regional Emergency Coordinator,Region X (206) 615-2266 FBI FBI Western WA and after hrs, Statewide: (206) 622-0460 Western WA and after hrs, Statewide: (206) 622-0460 Eastern WA: (509) 747-5195 Eastern WA: (509) 747-5195 Federal Emergency Management Agency (FEMA) - includes links to emergency management courses Federal Emergency Management Agency (FEMA) - includes links to emergency management courses State Emergency Management duty officer (800)258-5990 State Emergency Management duty officer (800)258-5990 Regional Emergency Coordinator,Region X (206) 615-2266 Regional Emergency Coordinator,Region X (206) 615-2266 FBI FBI Western WA and after hrs, Statewide: (206) 622-0460 Western WA and after hrs, Statewide: (206) 622-0460 Eastern WA: (509) 747-5195 Eastern WA: (509) 747-5195 Federal Emergency Management Agency (FEMA) - includes links to emergency management courses Federal Emergency Management Agency (FEMA) - includes links to emergency management courses http://www.fema.gov This link will take you away from the educational site
42
UW Northwest Center for Public Health Practice Resources Health Care Facility Preparedness American Hospital Association Disaster Readiness site American Hospital Association Disaster Readiness site Association of Professionals in Infection Control and Epidemiology (APIC) Association of Professionals in Infection Control and Epidemiology (APIC) APIC & CDC BT readiness plan template for health care facilities APIC & CDC BT readiness plan template for health care facilities American Hospital Association Disaster Readiness site American Hospital Association Disaster Readiness site Association of Professionals in Infection Control and Epidemiology (APIC) Association of Professionals in Infection Control and Epidemiology (APIC) APIC & CDC BT readiness plan template for health care facilities APIC & CDC BT readiness plan template for health care facilities http://www.aha.org/Emergency/EmIndex.asp http://www.cdc.gov/ncidod/hip/Bio/13apr99APIC-CDCBioterrorism.PDF http://www.apic.org These links will take you away from the educational site
43
UW Northwest Center for Public Health Practice In Case of An Event… Web Sites with Up-to-Date Information and Instructions Centers for Disease Control and Prevention Centers for Disease Control and Prevention Saint Louis University, CSB & EI Saint Louis University, CSB & EI WA State Local Health Departments/Districts WA State Local Health Departments/Districts Level A Lab Protocols: Presumptive Agent ID Level A Lab Protocols: Presumptive Agent ID Centers for Disease Control and Prevention Centers for Disease Control and Prevention Saint Louis University, CSB & EI Saint Louis University, CSB & EI WA State Local Health Departments/Districts WA State Local Health Departments/Districts Level A Lab Protocols: Presumptive Agent ID Level A Lab Protocols: Presumptive Agent ID http://www.bt.cdc.gov/EmContact/index.asp http://bioterrorism.slu.edu/hotline.htm http://www.bt.cdc.gov/LabIssues/index.asp http://www.doh.wa.gov/LHJMap/LHJMap.htm These links will take you away from the educational site
44
UW Northwest Center for Public Health Practice In Case of An Event… Web Sites with Up-to-Date Information and Instructions FBI Terrorism Web Page FBI Terrorism Web Page WA State Emergency Mgt Division – Hazard Analysis Update WA State Emergency Mgt Division – Hazard Analysis Update Mail Security Mail Security Links to your state health department Links to your state health department NIOSH – Worker Safety and Use of PPE NIOSH – Worker Safety and Use of PPE FBI Terrorism Web Page FBI Terrorism Web Page WA State Emergency Mgt Division – Hazard Analysis Update WA State Emergency Mgt Division – Hazard Analysis Update Mail Security Mail Security Links to your state health department Links to your state health department NIOSH – Worker Safety and Use of PPE NIOSH – Worker Safety and Use of PPE http://www.fbi.gov/terrorism/terrorism.htm http://www.usps.com/news/2001/press/serviceupdates.htm http://www.cdc.gov/niosh/emres01.html http://www.wa.gov/wsem http://www.astho.org/state.html These links will take you away from the educational site
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.