PANDEMIC FLU AVIAN FLU FACTS & FICTION.

Slides:



Advertisements
Similar presentations
Novel H1N1 Influenza A Current Knowledge and Recommendations June
Advertisements

C E N T R A L P I E D M O N T C O M M U N I T Y C O L L E G E Pandemic and Influenza: A Guide to Understanding.
Introduction to Pandemic Influenza
BIRD FLU PANDEMIC PREPAREDNESS.
Prepared by Dr Alissar Rady, WHO Lebanon
1 Avian Influenza Bird Flu H5N1. 2 Avian Influenza… Is a respiratory illness in birds Wild birds and ducks are the natural reservoir for infection, though.
Source: New Jersey Hospital Association Copyright 2000, New Jersey Hospital Association Pandemic Impact Valerie Sellers Senior Vice President Health Planning.
Summit on Avian Influenza Presented by: NJ Department of Health & Senior Services August 31, 2006.
Swine Flu Guidelines & Recommendations for Preventing Influenza Spread in ChildrenBy Gehan A Alsawah, MD Lecturer of Pediatrics, Pediatric Cardiology.
Be Aware Be Prepared For Pandemic Influenza Local Health Department Info Here.
INFLUENZA. VIROLOGY OF INFLUENZA Subtypes: A - Causes outbreak B - Causes outbreaks C - Does not cause outbreaks.
1 Neighborhood Watch Pandemic Awareness Community Training.
1 Allocation of Ventilators in an Influenza Pandemic Statewide Videoconference March 16, 2007 Pandemic Influenza Preparedness Planning Guthrie Birkhead,
Pandemic Influenza: Role and Responsibility of Local Public Health Richard M. Tooker, MD Chief Medical Officer Kalamazoo County Health and Community Services.
Pandemic Threats: “Am I dead yet?” Travelocity Gnome 1 Pandemic Threats City of Roseville Pandemic threats and influenzas.
TAKE THE LEAD — Working Together to Prepare Now for Pandemic Flu Lions Club.
Pandemic Influenza (H1N1) Carol Franklin, MSN Ed, RN Public Health Doctoral Student Walden University.
Nicole J. Cohen, MD, MSc Chicago Department of Public Health
Avian and Pandemic Influenza Kathy Harriman Minnesota Department of Health Infectious Disease Prevention and Control Division Acute Disease Epidemiology.
Pandemic Preparedness: Planning for Business Continuity, Productivity, and Resilience Rick Allen, PhD Peter Wald, MD, MPH September
George A. Ralls M.D. Dave Freeman Health Services Department September 1st, 2009 INFLUENZA UPDATE.
Pandemic influenza planning tool kit for business/employers, dev'd spring PREPARING FOR AN INFLUENZA PANDEMIC.
Preparing Small Business Workplaces for Pandemic Flu.
Pandemic Influenza Preparedness Kentucky Department for Public Health Department for Public Health.
Adapted from Huron County Health Unit What you should know about Pandemic Influenza.
Preparing for an Influenza Pandemic in Westminster Health and Community Services Overview and Scrutiny Committee 9 Oct 2006 Dr Margaret Guy Director of.
Pandemic Flu and You DJ Holcombe, MD, MSA, FACP JJ Naponick, MD, MPH
SEASONAL & PANDEMIC FLU
20 Answers About Influenza
Are We Ready? Influenza Pandemic Summit June 20, 2006 Sponsored by: Nuclear, Biological, Chemical (NBC) Public Health Workgroup Funded by: New York State.
Pandemic Influenza Planning
Pandemic Preparedness: It’s not if…. but when An educational session prepared by the Pandemic Preparedness Response Team of the Kidney Community Emergency.
California Department of Aging (CDA) Presentation on Disaster Preparedness and Avian/Pandemic Awareness March 23, 2006 By: Damon Nelson, Aging Program.
Tennessee Department of Health Pandemic Influenza Planning David Kirschke, MD Medical Epidemiologist Northeast Tennessee Regional Health Office.
Pandemic Flu Putting a Plan into Place This material was produced under grant number SH F-11 from the Occupational Safety and Health Administration,
Raymond A. Strikas, MD Associate Director for Adult Immunization Immunization Services Division National Immunization Program Coordinating Center for Infectious.
Pandemic Influenza. Guidance for Pandemic Influenza: Infection Control in Hospitals and Primary Care Settings UK Pandemic Influenza Contingency Plan Operational.
Association of Health Care Journalists Preparing Communities For Pandemics Houston, Texas March 18, 2006 Georges C. Benjamin, MD, FACP Executive Director.
TANEY COUNTY HEALTH DEPARTMENT AUGUST 2009 Situation Update: H1N1 Influenza A.
What is Pandemic Influenza?. Pandemic Influenza A global outbreak of disease that occurs when a new influenza virus appears or “emerges” in the human.
Stanislaus County It’s Not Flu as Usual It’s Not Flu as Usual Pandemic Influenza Preparedness Renee Cartier Emergency Preparedness Manager Health Services.
UNIVERSITY POLICE OFFICE OF EMERGENCY MANAGEMENT H1N1 Presentation.
Traveling Fever The following slides represent a realistic public health crisis event and you are charged with developing first messages for the public.
What you should know about Pandemic Influenza “DON’T YOU THINK YOU’RE TAKING THIS INFLUENZA TOO SERIOUSLY?”
Best Practice Guideline for the Workplace During Pandemic Influenza Occupational Health and Safety Employment Standards.
Planning for Pandemic Influenza Name Organization.
Infectious Disease Planning: Incorporating Pandemic Planning into School Crisis Plans Emergency Management for Schools Training Santa Monica, California.
HHS Pandemic Influenza Preparedness Planning Julie Louise Gerberding, MD, MPH.
Pandemic Flu and You JJ Naponick, MD MPH Administrator/Medical Director Department of Health & Hospitals Office of Public Health Region 6.
PANDEMIC INFLUENZA BACKGROUND AND GUIDANCE FOR SCHOOLS.
Update: “New Flu” Activity and Community Mitigation Diane Woolard, PhD, MPH Director, Division of Surveillance and Investigation Virginia Department of.
U.S. Pandemic Influenza Preparedness and Response: Update & Progress Report “The pandemic influenza clock is ticking. We just don’t know what time it is.”
Pandemic Influenza: What Is It and Why Should We Care? Dr. Judith A. Monroe, MD State Health Commissioner.
Mmmmm Mohamed M. B. Alnoor CHP400 COMMUNITY HEALTH PROGRAM-II Novel H1N1 (Swine) Epidemiology & Control.
OBJECTIVES Pandemic Influenza Then and Now Public Health Pandemic Influenza Planning –What to expect –What not to expect Individual/Employee Pandemic.
Pandemic Influenza: A Primer for Organizational Preparation Pandemic Influenza: A Primer for Organizational Preparation Kristine Perkins, MPH Director,
The Vermont Department of Health Overview of Pandemic Influenza Regional Pandemic Planning Summits 2006 Guidance Support Prevention Protection.
Planning for Pandemic Influenza Pegi McEvoy, MN, ARNP Safety and Security Department Seattle Public Schools.
Pandemic Flu Brief Unit Name Rank / Name Unit logo.
It’s Just Not the Flu Anymore Rick Hong, MD Associate Chairman CCHS EMC Medical Director, PHPS.
LOUISIANA DEPARTMENT OF EDUCATION Division of Student Learning and Support Michael Coburn, Division Director Tavia Crumpler, Section Leader Raegan Carter.
Avian Flu Pandemic Preparedness David A. Denneno APRN,BC, MSN, MEd, CEN Emergency Preparedness Coordinator Sturdy Memorial Hospital Attleboro, MA.
The Vermont Department of Health Update on Pandemic Threat Cort Lohff, MD, MPH State Epidemiologist Guidance Support Prevention Protection.
Notes: Spread, Treatment, and Prevention of Disease
Preparing for Pandemic Influenza Public Health - Seattle & King County.
1 Are You Prepared?. 2 Welcome and Introductions.
Influenza A (H1N1). What is Influenza A (H1N1)? Influenza A(H1N1) is caused by a novel virus that resulted from the reassortment of 4 viruses from pigs,
Preparing for Pandemic Flu Algean Garner II, Psy.D. Director, Health and Human Services Village of Hoffman Estates.
PANDEMIC INFLUENZA M. Rony Francois, MD, MSPH, PhD
Avian Influenza A (H5N1) “Bird Flu”
Presentation transcript:

PANDEMIC FLU AVIAN FLU FACTS & FICTION

Flu Terms Defined Seasonal (or common) flu is a viral respiratory illness that can be transmitted person to person. Most people have some immunity, and a vaccine is available. Linked to about 36,000 deaths/year in the US. Avian (or bird) flu is caused by influenza viruses that occur naturally among wild birds. The H5N1 variant is deadly to domestic fowl and can be transmitted from birds to humans. There is no human immunity and no vaccine is available. Pandemic flu is virulent human flu that causes a global outbreak, or pandemic, of serious illness. Because there is little natural immunity, the disease can spread easily from person to person. Currently, there is no pandemic flu. Health officials believe there is a high probability of one occurring in the near future.

Flu or Cold

How the Flu Spreads

Avian Influenza The H5N1 strain of avian influenza (Bird Flu) is present in birds in Asia, Africa and Europe Bird flu is not the same as pandemic flu Pandemic flu would spread easily from one person to another and make people sick all over the world Bird flu does not do that right now People who have gotten sick from bird flu had a lot of contact with sick birds Bird flu is not easy to get The next type of influenza which you most certainly have heard or read about is the avian flu or bird flu that is occurring outside the United States Avian flu is bird flu. There are all kinds of bird flu… H5N1 is just one of the many types of bird flu Go over slide

H5N1 Transmission to Humans Infected birds shed virus in their saliva, nasal secretions, and feces Fecal - oral transmission Virus from bird droppings can remain in the environment for several weeks People who have gotten sick from bird flu had close contact with sick birds and touched them with their bare hands

Here we see a woman sleeping with her bird and this shows the cultural differences that reflect the closeness of birds and humans in other cultures

Why all the concern? “Bird flu” (H5N1 avian influenza) may change into a form which is easily transmitted human to human thus leading to a pandemic. Avian flu may mutate (change) into a form which is easily transmitted human to human leading to a pandemic Scientists are concerned that “bird flu” (H5N1 avian influenza) could change, causing pandemic influenza. Statistically we are overdue for a pandemic

Types of Flu Viruses Influenza “A” viruses affect birds and humans/mammals Can cause more severe illness H3N2 virus has been most common in past few decades Letters “H” and “N” refer to molecules on the surface of the virus

Avian Flu Concerns about this virus: Subtype H5N1 is an influenza Type A (same type as other pandemic flu viruses) Before 1997 only found in birds and few other animals (more genetic mixing to other species) Bird influenza viruses can mutate into a form which is easily transmitted human to human. This will represent a dramatic antigenic shift. Humans have no immunity to this virus- thus the risk. This is a characteristic of a pandemic flu virus. Monitoring of birds in the US on-going. Migratory birds and live bird markets

IF / WHEN Bird Flu Arrives in the US… It does NOT mean that lots of people will get sick Bird flu is easy for birds to catch, but hard for people to catch Even in the absence of bird flu, you should not handle wild birds Many healthy birds can carry germs that can make people sick Wear gloves if you have to touch a wild bird, and wash your hands afterward Pathogenicity- “Lo-path” vs “hi-path” use common sense Even in the absence of bird flu, you should not handle wild birds Many healthy birds can carry germs that can make people sick Wear gloves if you have to touch a wild bird, and wash your hands afterward

WHO Pandemic Phases WHO = World Health Organization Interpandemic period Phase 1: No new influenza virus subtypes in human; subtype that has caused human infection may be present in animals Phase 2: As above, but circulating animal subtype poses substantial risk of human disease Pandemic alert period Phase 3: Human infection w/ new subtype, no human-to-human (HTH) spread, or rare spread to close contact Phase 4: Small clusters w/ limited HTH transmission, highly localized spread, suggesting virus not well adapted to human Phase 5: Larger clusters, but HTH spread still localized, virus increasingly better adapted to humans, but not yet fully transmissible Pandemic period Increased and sustained transmission in general population WHO = World Health Organization

Acchhooo! Very funny Dave!

Influenza Pandemics 20th Century Credit: US National Museum of Health and Medicine 1918: “Spanish Flu” 1957: “Asian Flu” 1968: “Hong Kong Flu” There have been many pandemics throughout history..we have documented records of the last 3 that occurred in the 20th The most severe was the 1918 Spanish flu with 20-40 million deaths world wide. The most severe influenza pandemic occurred in 1918-1919. The reason this particular strain was so severe remains unclear. The case fatality for people under 65 was over 550/100,000 in the United States (compared with less than 0.5/100,000 during typical seasonal flu epidemics). Recent research indicates that the 1918 strain was a direct adaptation of an avian to human strain. A(H1N1) A(H2N2) A(H3N2) 20-40 m deaths 675,000 US deaths 1-4 m deaths 70,000 US deaths 1-4 m deaths 34,000 US deaths

1918 Pandemic Flu “Spanish Flu” In Schenectady (city) 500 deaths (estimated) 15,000 sick Societal impact: Widespread restrictions to travel Closings of schools & businesses Cancellation of large public gatherings Spread of Pandemic flu- 1918 1918-About 5 weeks from East to West Coast With current travel- estimate 5 days Yes the pandemic has hit locally. Here in Schenectady go over slide Estimates for Schenectady City: in 1918 – approximately 500 deaths & 15,000 sick associated with the Spanish flu. . however it may have been much higher record keeping is different today .

Deja Flu - Similarities in 1918 Originated in birds The avian influenza virus we are seeing in Southeast Asia attacks humans similar to 1918; those with healthiest immune system are most susceptible 1918 numbers extrapolated to today 1.7 million deaths in U. S. 30 – 384 million deaths worldwide Age projected deaths in U.S. < 5 years 233,000 15 – 24 years 214,000 25 – 34 years 378,000 35 – 44 years 268,000 > 65 years 426,000 From APIC News -Vol. 24 Issue 2- Preparing for the Next Pandemic by Michaie Osterholm, PHD, MPH, Director, Center for Infectious Disease Research and Policy

Pandemic Flu Societal impact Economy Pandemic Flu a Probability Widespread restrictions to travel Closings of schools, businesses Cancellation of large public gatherings Economy Potential for severe impact on domestic and world economy Possible 30-40% workforce out Impact of $71.3 -$166.5 billion (CDC Fast Facts 2-16-06 ) Pandemic Flu a Probability Last big one 1918-> statistically overdue for another Need for preparedness Planning could reduce impact

Impact of Pandemic Flu in NYS (estimated) If a severe (1918-like) pandemic were to hit, NYS (including NYC) can most likely expect: 6.75 million people to be ill ( 35% of the population) 771,000 hospital admissions (NYS has 40,000 beds now) 15% would require intensive care 7.5% will need ventilators 153,000 deaths In the peak weeks of the pandemic, health care resources would be stretched beyond capacity. Influenza patients will most likely utilize: 63% of hospital bed capacity 125% of intensive care capacity 65% of hospital ventilator capacity (These estimates were given by NYS DOH)

Facts About a Flu Pandemic Death toll high 1918 pandemic flu 675,000 US deaths at ALL ages, not just young and old Essential services Difficult to maintain: COOP Health systems Overwhelmed Vaccine Not available early on - not for 6-8 months Antivirals Limited supply of effective anitvirals

Flu Pandemic Timeline Past has shown several waves of illness Each wave lasts about six to eight weeks Can be separated by 3 - 9 months Could last for 1-2 years

Pandemic Influenza Doctrine: Saving Lives Objective is to slow spread, decrease illness and death, buy time Antiviral treatment and isolation for people with illness Quarantine for exposed “Social distancing” Vaccine when available Local decisions Weeks Impact Prepared Unprepared

Key Public Health Strategies to Reduce Impact Distribute vaccine as supplies are available Establish PODs – clinics Prioritized distribution Use antivirals effectively Protect limited asset Need to be given within 48 hours of onset of symptoms Effectiveness unknown for new flu strain Federal CDC guidance To establish standards for public health actions, consistency

Info to Communicate Before Pandemic Flu facts- avian vs. seasonal vs. pandemic Flu vs. cold, other illnesses Handwashing- 20 seconds Cough etiquette disposable tissues cough into elbow Social distancing 3 feet rule no “close talking!” Flu shots Emergency supplies- 2 weeks of self-reliance Water, Food, Medicines Personal Protective Behaviors

Individual Infection Control Strategies Respiratory hygiene/cough etiquette and hand hygiene are effective strategies to stop the spread of germs. We should make good hygiene a habit. Our health is in your hands! NOTE: We all need take preparation into “our own hands.”

What can you do right now? Understand and begin practicing Personal Protective Behavior now Cover your mouth & nose with a tissue when coughing and sneezing. Throw out tissue in waste basket and wash your hands. If you don’t have a tissue, don’t cough or sneeze into your hand. Instead, cough or sneeze into the crook of your arm so you won’t get germs on your hands and spread them to others. Wash your hands often with soap and water. When handwashing is not possible, use antiseptic hand gels that contain alcohol.

Respiratory Hygiene / Cough Etiquette Persons with respiratory symptoms should: Cover mouth/nose when sneezing or coughing Use tissues and dispose of appropriately Perform hand hygiene after contact with respiratory secretions Distance yourself from others (more than 3 feet) Wear a surgical/procedural mask in healthcare settings 3 Foot Rule

What Schools Can Do Now: Keep informed; dispel false information and fears- KEY Communications role Disseminate preventative information – DOH posters can be ordered in quantities or printed from website Strengthen basic emergency plans with ICS training and practice- NIMS IS-700 course pandemic planning is an extension of current Safety Plan (SED, DOH) not a whole new plan-NEW School Kit Make contact with local county public health agencies Encourage good hand washing (including handling classroom pets) and general flu precautions year-round Encourage flu shots New -SED-DOH Pandemic Action Kit for Schools

What Schools Can Do Now? Nurses/Administrators meet your local county public health personnel District-wide/Building-level Teams review the K-12 Pandemic Influenza Planning Checklist Per NYSDOH Pandemic Influenza Plan (2/06), during ‘interpandemic and pandemic alert periods’ schools need to: Develop pandemic plan appendix to Safety Plan that includes COOP -Continuity Of essential Operations and modified operation during “snow days.” Identify procedures for issues related to employment compensation and job security. Practice! Do a Tabletop Exercise to “talk through” a flu scenario

Pandemic Flu Preparedness Websites School District (K - 12) Pandemic Influenza Planning Checklist: www.pandemicflu.gov NYSDOH pandemic planning guide for schools: http://www.nyhealth.gov/diseases/communicable/influenza/pandemic/docs/pandemic_influenza_plan_edu.pdf NYSDOH “evolving” Pandemic Influenza Plan: http://nyhealth.gov/diseases/communicable/influenza/pandemic/docs/pandemic_influenza_plan.pdf Capital Region BOCES – other links http://www.capregboces.org/

Individual and Family Preparedness is Crucial! We might have to take care of ourselves and those around us Would you be ready? Were you ready for ice storm?!

NYSDOH Posters You can print them from the Website: or order http://nyhealth. gov/diseases/communicable/influenza/pandemic/index.htm or order http://www.nyhealth.gov/diseases/communicable/influenza/pandemic/docs/order_form.pdf

Roles and Responsibilities of Public Information Officer Release information regarding the status of the school or District: Clearly Concisely In a timely manner Responsibilities: Maintains current knowledge of the emergency plan and staff roles Provides single point of information for media and parents. Clears all information through Incident Commander Represents the school on matters of preparedness to the community

General Staff - Function Areas IC PIO Safety Liaison Planning/ Intelligence Finance/ Admin. Operations Logistics Report directly to Incident Commander Oversee a function section

NIMS Compliance School districts that receive federal preparedness funds must require: Appropriate personnel complete the IS-700 NIMS (National Incident Management System) introductory course by September 30, 2006, in order to receive FY 2007 preparedness grants. It would also be useful for all faculty and staff likely to be involved in emergency activities, to take the IS-700 NIMS introductory course, including those districts that do not currently receive preparedness funding. Free on-line course may be accessed at www.training.fema.gov/EMIWeb/IS/is700.asp

Communications Planning School District (K-12) Pandemic Flu Planning Checklist - Selected Points Communications Planning Develop a dissemination plan for communication with staff, students, families, including lead spokespersons and links to other communications networks. Develop and test platforms (e.g., hotlines, telephone trees, dedicated websites, and local radio or TV stations) for communicating pandemic status and actions to staff, students, and families. Disseminate information from public health sources covering routine infection control… Anticipate the potential fear and anxiety of staff, etc. as a result of rumors and misinformation and plan communications accordingly Source: Released by HHS on 2/28/2006 Full checklist available at www.pandemicflu.gov

Useful Facts Flu vs. Cold vs “so-called flu” & symptomatic surveillance Importance of hygiene practices & what they are Facts about transmission- droplet spread, viability on surfaces, shedding Facts about treatment- primarily symptoms, anti-virals within 48 hours, vaccine time-line, effectiveness and distribution

Sources for Flu Facts Avian Flu – WHO has info on cases, mortality, updated often, also CDC and Ags & Markets Pandemic Flu- Health info from CDC, DOH, local PH SED – working with DOH on some overall planning policies- “snow days,” guidelines on when to close/re-open. NEW: Pandemic Action Kit for Schools- has many sample letters, press releases, references Emergency Management Offices- Pandemic flu- lead agency would be Health ICS used uniformly by all response agencies legal protocols (Article 2-B –authority to use resources) local first, then state then federal gov’t)

Other Facts When a pandemic occurs, it will not be stopped. The planning and preparation is “Consequence Management”- to reduce the extent and impact- minimizing rate of spread and maximizing use of resources. A pandemic will last at least a year, probably coming in waves lasting 6-8 weeks. “Snow days” for schools will last months. All would be susceptible, not just young/old/ill. The Spanish Flu actually seemed to impact the normal “healthy” ones the most. Isolation & Quarantine will be helpful at first to control spread and new infections. All medical supplies and operations will be impacted, not just pandemic related. Other health issues still on-going. Anti-viral and vaccine distribution will be limited and prioritized which will create other problems. Effectiveness of both can only be theorized.

Importance of Communications School Media plans should be part of Safety Plans Clear, accurate, consistent information disseminated in a timely manner- what you are always trying to do! Proactive information- infection control (TV ads out now) keep school community informed as developments occur Resources for information identified- County Public Health, State Health Dept.(lead state agency), SED, CDC, WHO, Risk Management Isolation & Quarantine procedures “POD” at a school- or used for other needs communication within and working with health PIO Proactive Preparation Have info, website resources available Possibly have draft letters ready, as in new kit

In a severe pandemic... actions of individuals, businesses, and community organizations, as much as those of government, will greatly determine the outcome!

Communication strategies Communications: Before, During, After Pandemic Messages to minimize panic, maximize effective response