Community Immunity Join the Herd

Disease prevention Controlling the spread of disease and preventing further spread Surveillance – determining the populations at risk

The health department needs to have a plan in place to provide medication to 100% of the population within 48 hours We can’t do this alone. We need YOUR help!

POD = Point of Dispensing A POD is a place to pick up medication or receive a vaccine during a health emergency PODs are defined as Open or Closed What is a POD?

Closed POD  Operated by a private business/organization  Operated for a specific population (i.e. employees, their families, and clients)  NOT OPEN to the public Open POD  Primary means of getting medication to the public  At various locations throughout the community allowing for large crowds  OPEN to public, meant to serve everyone

Medications such as antibiotics will be dispensed Head of Household can pick up medications for entire family and neighbors Vaccines will be administered Everyone needs to be present to receive vaccination

The Strategic National Stockpile (SNS) is a national repository of life-saving pharmaceuticals, antibiotics, or chemical antidotes, antitoxins, life-support medications, IV administration, airway maintenance supplies, and medical/surgical items. The SNS is designed to supplement and re-supply state and local public health agencies in the event of a national emergency anywhere and at anytime within the U.S. or its territories to reduce morbidity and mortality in civilian populations.

SNS is managed by the Center for Disease Control and Prevention (CDC) SNS is requested by the state health department to CDC It is delivered in >12 hours to the state, then redistributed to the local health departments It contains antibiotics, vaccines, antitoxins, antivirals, medical/ surgical supplies, and other medical equipment SNS Details

Mass Casualty Incident Natural Disaster Bioterrorism Event Disease outbreak Any other event that would rapidly deplete state and local medical resources

September 11, 2001: World Trade Center Response October 2001: Anthrax Response August – September 2005: Hurricane Katrina/Rita 2009 Release of Antivirals to states most at risk of H1N1

What does all this have to do with me and my organization?

We are asking local organizations to partner with us for this program, because we need YOUR help. Potential partners include: Faith Based Organizations Schools Community organizations

Play an active role in community preparedness Help protect members of your community and neighborhood in an emergency What are the benefits?

Considerations for your planning committee What do I need to do to be an Open POD Partner?

Agreement between your organization and health department allowing your organization to operate as an Open POD Outlines organization and health department responsibilities The MOU is completely voluntary and the organization may opt out of being a Open POD Partner at any time; the MOU does not legally bind the organization to operate as an Open POD

Key organization information Contact information 24/7 Lists key contact personnel Identifies medical personnel who will receive delivery of medications Helps estimate how much medication or vaccine each site will need for planning purposes

Determine where in your facility the best location for the POD Should be a large area like a cafeteria or gymnasium Preferably, there should be a place inside for people waiting in line Determine how many PODS will be operated Where should my POD be located?

Person in charge at each POD Incident Command System or ICS Job Action Sheets

POD Supervisor……………….Site Incident Commander Assistant POD Supervisor...….Asst. Incident Commander Admin. Representative………..Clerical Lead Medical Lead…………………..Operations Non-Medical Lead……………..Logistics Line Lead……………………….Queuing POD Supply Lead…………......Medical Supplies Safety Coordinator………….....Safety Security Coordinator………..…Security Facility Manager…………….....Building Director

Must have a medical professional to sign for receipt of SNS and oversee dispensing Medical person can be on staff or you can contract with a medical facility or use volunteers The Health Department can provide a medical professional in certain circumstances, with pre- approval.

Organization Members Organization Staff Family Members Organization Partners Community Volunteers

Determine how POD is going to be setup The following stations should be included:  Registration  Screening  Dispensing  Exit

Some PODs in the community will operate 24 hours a day, while others will operate from 9 am until 9 pm with 2 to 3 shifts depending upon volunteers available The health department will work with each POD individually to determine what will work best for each location The hours of operation for each POD will be sent out via press releases to the local media

Disease Fact Sheets Drug Fact Sheets Consent forms Forms in different languages are available online at All medical supplies, medications, and vaccine Waste containers for syringes, and disposal of them Contact information including contacts to request more supplies as well as contact to ask medical questions Hotline numbers and websites to go to for additional information Other information as deemed appropriate

Tables Chairs Pens, highlighters, permanent markers File folder labels ( for medications) Printer paper Trash cans and bags Large paper for signs Clipboards What supplies will I need?

Security Printing Transportation Medical personnel If you choose to have a POD site at a non owned or controlled facility include in the agreement: 1.Immediate use of facility during an event 2.Periodic access to facility prior to event for inspection or use during an exercise 3.24/7 contact information 4.Financial –compensation (if any) 5.Liability and indemnification issues

Maintain orderly POD operations Protect patients/public Protect staff Protect the medication, vaccine, or supplies and the facility property Block building or parking lot entrances as needed Manage belligerent/violent behavior Maintain generalized crowd control

Determine which way vehicles should enter and leave the facility Determine where people should park Leave an ample number of spots open for people with disabilities Determine how you will mark the traffic flow (i.e. traffic cones, barriers, etc.) Determine how many parking and traffic attendants should be needed per shift Parking and Traffic Flow

Prior to the POD: Health Department will send press releases to the local media to inform them about POD locations and time During the POD: Dispensing process Threatening agents factsheets ( provided by health dept.) Medication fact sheets ( provided by health dept.) Where to look for more information ( health dept. hotline, local media, etc.)

Contact health department to pick up leftover supplies and medication Submit required paperwork to the health department Health department will operate a hotline for questions once people leave the POD What happens after the POD?

All information will be kept confidential at the health department. Your information will NOT be shared. It is unlawful to divulge personal medical information. All POD staff must sign an Oath of Confidentiality form. A sample oath is provided by the health department.

Public Readiness and Emergency Preparedness Act (PREP Act) Emergency Powers Act Pandemic and All Hazards Preparedness Act (PAHP Act) Legal Acts

Have Core Management Team watch the training modules Participate in health department trainings and drills Exercise plan periodically

Power Point Training Modules Just-in-Time Training Free online training at MIWEB/IS  IS-100 a: Introduction to the Incident Command System (ICS)  IS-200: ICS for Single Resource and Initial Action Incidents  IS-700 a: National Incident Management System (NIMS), an Introduction What training is available?

Training modules and transcripts All necessary forms Staff roles and job action sheets Open POD Plan Just-in-Time Training POD Activation Checklist Final Event Summary Report

Recruit volunteers from within your organization and community Both medical and non medical volunteers are needed Sample volunteer recruitment letters are available

Maintain volunteer database, update it regularly How will you contact volunteers during an emergency? ( i.e. Phone tree, reverse 911 system, etc.) Provide training to volunteers 1.Training Modules 2.Include them in drills and exercises 3.Just in Time training

All medications and supplies are a federal asset Open PODS are open to everyone regardless of where they live Medications and all services must be offered free of charge

Signed MOU Open POD Registration Form Copy of Open POD Plan once it is complete (template is provided) Training Logs for Core Management Team What do you need from me?

We need YOUR help!! Community Immunity Join the Herd Thank you for supporting our mission and helping your community!!