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The Cambridge APC Introduction APC Road Show Columbus, OH August 2009

Cambridge APC Multi-disciplinary team Continual engagement in –Assessment of preparedness needs and gaps –Generation of solutions for local public health –Promotion of APC program and products Utilizing learning laboratory

Local Preparedness Planning Realities Federal/state mandates for local public health emergency response planning Limited capacity and training of local public health departments

Cambridge APC Tools in development Product Recall tool MAVEN Exercise Epidemiology Just in Time Training Health Data Reports Tool Alternate Care Site Signs Decontamination Unit Signs Evaluation Training

Cambridge Session Focus Medical Countermeasure Administration (aka., PODs) – Action Planning – Communication Tools – Trainings Personal Preparedness Training Materials Product Recall

Practical Tools for Medical Countermeasure Administration & Communication APC Road Show Columbus, OH August 2009

Introductions MCM Administration (POD Planning, Accessibility, and Training) Personal Preparedness Future Products

Introductions How prepared is your general population? Who are your vulnerable populations?

Cambridge APC Multi-disciplinary team Continual engagement in –Assessment of preparedness needs and gaps –Generation of solutions for local public health –Promotion of APC program and products Utilizing learning laboratory

Massachusetts Public Health Emergency Preparedness Regions

PHP Region 4b Community Characteristics Population of communities range from 7,261 to 101, 355 residents Great diversity in local government structures Public health departments range from 2 to 63 full time employees

Local Preparedness Planning Realities Federal/state mandates for local public health emergency response planning Limited capacity and training of local public health departments

Cambridge APC Products Regional Dispensing Sites –Planning –Communication Tools –Trainings Evaluation Mutual Aid for Public Health Model legislation for regionalization Regional Epidemiology

Introductions MCM Administration (POD Planning, Accessibility, and Training) Personal Preparedness Future Products

Identify the groups within the at- risk population with special needs Determine resources available/needed to serve these groups Initiate the special populations plan Special Effort for Special Populations

Vulnerability Physical disability Cognitive disability Language barrier (e.g., English, literacy) Elderly or children Conditional impairments –Mental noise –Environmental barriers –Trust –Knowledge barriers

Preparedness Paradigm Shift 1.Many will be vulnerable in an emergency 2.Specialized services deters those with special needs 3.Specialized preparedness is unsustainable for local health

Universal Design in Our Lives Source:

Making Dispensing Sites Universally Accessible Physically accessible Information to communicate to many Information to exchange interpersonally

Mass Communication: Signage Outlines Service & Process information Identifies station purpose Improves efficiency Decreases anxiety Expands usability Increases access to service

Pediatric Vaccination Station?

Behavioral Health?

Pocket Communicator Worker to client Internal communication tool Clerical & clinical functions Does not replace other forms of communication

Language Barriers Identifies barriers early Provides client with visual reassurance Affords easier access to translation

Provide Directions Please go to the blue Children area.

Key Concepts

Cambridge APC Sign Requests

Introductions MCM Administration (POD Planning, Accessibility, and Training) Personal Preparedness Future Products

Session 1 The Mechanics

Lesson Framework

Goal & Objectives Knowledge –Job Action Sheets –Incident Command/Management Principles –Fundamental Tasks Skills –Serving clients with varying language, physical, and cognitive abilities Teamwork

Session 2: Facilitating Clients

Lesson Framework

Training Outcomes Knowledge Skills Teamwork

Training Resources Trainer guide Training materials Evaluation tools

Accessible Personal Preparedness

Introductions MCM Administration (POD Planning, Signs, and Training) Personal Preparedness Future Products

Accessible Personal Preparedness

Introductions MCM Administration (POD Planning, Signs, and Training) Personal Preparedness Future Products

Cambridge APC Tools in development Product Recall tool MAVEN Exercise Epidemiology Just in Time Training Health Data Reports Tool Alternate Care Site Signs Decontamination Unit Signs Evaluation Training

Communicating Recalls Differently

It started with toothpaste.. Recall of toothpaste product Cambridge Public Health mobilizes inspectors Toothpaste sold in non-English speaking markets Toothpaste being purchased and sent home to Haiti and Latin America

Response Cambridge Public Health first issued a press release

119 Windsor St. Ground Level Cambridge, MA Fax For Immediate ReleaseContact: Susan Feinberg, MPH June 20, 2007Communications Specialist Cambridge Public Health Dept FDA Issues Toothpaste Warning The U.S. Food & Drug Administration has issued two warnings this month about certain toothpastes manufactured in China and South Africa that may contain a toxic chemical called diethylene glycol (DEG).U.S. Food & Drug Administration In the U.S., these products are typically being sold at "dollar-type" discount stores, convenience stores, and small food markets. Suspect tubes of toothpaste have reportedly been found in Somerville and Sturbridge, as well as in New York, New Jersey, Pennsylvania, Maryland, and Florida. As of June 8, there were no U.S. reports of poisonings from toothpaste containing DEG. The chemical, which is commonly found in antifreeze, is sometimes used illegally as an inexpensive sweetener and thickening agent. Cambridge residents should throw away or return to the store for refund: 1) Any toothpaste labeled as "Made in China.""Made in China." 2) Any fake Colgate toothpaste, which is:fake Colgate toothpaste Labeled as "Manufactured in South Africa" A 5-oz. or 100 ml tube Contains misspelled words on the label, including "South African Dental Assoxiation," "SOUTH AFRLCA, and "isclinically" 119 Windsor St. Ground Level Cambridge, MA Fax

Implementation Translation challenges arose Someone asked about pictograms Cambridge tried something different…

Product Recalls- What we know now

Current state Food recalls impact all communities Current communication of recall information is targeted to media outlets Translation and communication are resource intensive Local health departments are challenged to provide timely information to constituents in accessible formats

Other Countries Requirements Vendor must advertise recall in newspaper Format and size are by regulation This border is a universal recall symbol in Australia

Cambridge APC Proposal A readily usable tool to create simple & effective communication material for recalls

Cambridge APC Proposal - How Build upon successful use of pictograms for Dispensing Sites Develop pictograms for food recalls Develop food recall flyer template Include instructions on pulling information from FDA press releases Include pictogram images for use in template

Cambridge APC Proposal What would this look like?

Discussion

Contact Information Kerry Dunnell