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Disease Outbreak Control Division Hawaii Department of Health Pandemic Influenza: Hawaii Preparedness & Response.

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Presentation on theme: "Disease Outbreak Control Division Hawaii Department of Health Pandemic Influenza: Hawaii Preparedness & Response."— Presentation transcript:

1 Disease Outbreak Control Division Hawaii Department of Health Pandemic Influenza: Hawaii Preparedness & Response

2 Arrivals in Hawaii 2002-2003

3 Hawaii’s Resident Population Hawaii’s Visitor Population

4 Rate of Death from Probable Influenza by Flu Season (October-April) Hawaii, 1914-1922

5

6 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillanceInfluenza surveillance Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications http://www.hawaii.gov/health/family-child-health/contagious-disease/pandemic-flu/fluplan.pdf

7 Hawaii Preparedness & Response: Command and Control Incident Command System as applied to Hawaii Dept of Health (HDOH)Incident Command System as applied to Hawaii Dept of Health (HDOH) HDOH as lead state agency in medical/public health response supporting State Civil DefenseHDOH as lead state agency in medical/public health response supporting State Civil Defense Establish roles and responsibilities of partner agenciesEstablish roles and responsibilities of partner agencies

8 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillanceInfluenza surveillance Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications

9 Hawaii Preparedness & Response: Influenza Surveillance Early detectionEarly detection Components:Components: –Routine surveillance SentinelSentinel Illness cluster/absenteeismIllness cluster/absenteeism –Enhanced surveillance Port-of-entryPort-of-entry Year-roundYear-round Targeted testingTargeted testing

10 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillance: routine and pandemicInfluenza surveillance: routine and pandemic Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications

11 Hawaii Preparedness & Response: Pandemic Influenza Vaccines Pandemic vaccine availability likely delayedPandemic vaccine availability likely delayed May need multiple dosesMay need multiple doses Dependent upon Federal supplyDependent upon Federal supply Distribution via Strategic National Stockpile (SNS) planDistribution via Strategic National Stockpile (SNS) plan Prioritization required – under debatePrioritization required – under debate

12 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillance: routine and pandemicInfluenza surveillance: routine and pandemic Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications

13 Number of Antiviral Drug Courses: Prophylaxis vs. Treatment, USA GroupPopulation Number of courses Prophylaxis*Therapy** HCWs 11 m 62 m 4 m “Frontline” hospital 3.2 m 18 m 1 m Public safety 2.3 m 13 m 1 m *Assumes 8-week prophylaxis *Assumes 8-week prophylaxis **Assumes 35% attack rate 93 m >>> 6 m Modified from B. Schwartz, USPHS

14 Hawaii Preparedness & Response: Antiviral Medications Antiviral resistanceAntiviral resistance Adequate dose and durationAdequate dose and duration Likely insufficient supplyLikely insufficient supply Stockpiling; federal assistance?Stockpiling; federal assistance? Prioritization requiredPrioritization required Distribution via SNS planDistribution via SNS plan Security necessarySecurity necessary

15 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillance: routine and pandemicInfluenza surveillance: routine and pandemic Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & Quarantine/Social DistancingIsolation & Quarantine/Social Distancing Health care deliveryHealth care delivery CommunicationsCommunications

16 Hawaii Preparedness & Response: Isolation, Quarantine, Social Distancing Isolation of sick peopleIsolation of sick people Quarantine of exposed peopleQuarantine of exposed people Social distancing for those not yet exposedSocial distancing for those not yet exposed All require adequate supplies for daily living and personal protectionAll require adequate supplies for daily living and personal protection EnforcementEnforcement

17 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillance: routine and pandemicInfluenza surveillance: routine and pandemic Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications

18 Hawaii Preparedness & Response: Health Care Delivery Demand likely exceed capacityDemand likely exceed capacity Explore alternate facilities or home care optionsExplore alternate facilities or home care options Establish surge capacity for health care personnelEstablish surge capacity for health care personnel Will require massive suppliesWill require massive supplies

19 USAHospitalization ICU Care Deaths Moderate719,000107,850209,000 Severe8,500,0001,300,0001,900,000 USAHospitalization Deaths Moderate0.25%0.04%0.07% Severe2.93%0.45%0.66% HawaiiHospitalization Deaths Moderate3,4715211,009 Severe41,0346,2769,172 USA pop. = 290 m and Hawaii pop. = 1.4 (with visitors)

20 Hawaii Pandemic Influenza Preparedness & Response Command and controlCommand and control Influenza surveillance: routine and pandemicInfluenza surveillance: routine and pandemic Pandemic influenza vaccinesPandemic influenza vaccines Antiviral medicationsAntiviral medications Isolation & quarantineIsolation & quarantine Health care deliveryHealth care delivery CommunicationsCommunications

21 Hawaii Preparedness & Response: Communications CriticalCritical Establish contact with partners:Establish contact with partners: –Public health officials –State agencies –Federal, State, and Local government –Healthcare professionals –Businesses –Media –Public

22 Summary Points Pandemic flu may easily reach Hawaii, a globally popular travel destinationPandemic flu may easily reach Hawaii, a globally popular travel destination Plans and policies should be establishedPlans and policies should be established Communication and collaboration are criticalCommunication and collaboration are critical Everyone must take responsibilityEveryone must take responsibility

23 Sources of Information Questions for Hawaii Dept of Health fluinfo@doh.hawaii.govQuestions for Hawaii Dept of Health fluinfo@doh.hawaii.gov fluinfo@doh.hawaii.gov Hawaii Dept of HealthHawaii Dept of Health http://www.hawaii.gov/health/family-child- health/contagious- disease/communications/pandemicflu.html http://www.hawaii.gov/health/family-child- health/contagious- disease/communications/pandemicflu.html Centers for Disease Control & Prevention:Centers for Disease Control & Prevention: http://www.cdc.gov/flu/pandemic/ US governmentUS government http://www.pandemicflu.gov/ World Health OrganizationWorld Health Organization http://www.who.int/topics/influenza/en/

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