1. Division of Epidemiology 1 Pandemic Influenza: Rapid Response Required Table-top Exercise

2. Division of Epidemiology 2 Table-top Exercise Introductions Introductions Unfolding Scenarios Unfolding Scenarios Avian Influenza Mutates Avian Influenza Mutates Pandemic Influenza Emerges Pandemic Influenza Emerges Pandemic Influenza Spreads Pandemic Influenza Spreads Evaluation Evaluation

3. Division of Epidemiology 3 Key Areas of Planning & Response Surveillance Diagnostics Healthcare Infection Control Vaccination Antivirals Workforce Mitigation

4. Division of Epidemiology 4 Tabletop Exercise Goal Identify the relationships between Public Health and healthcare providers necessary to recognize and respond to pandemic influenza and detect the first case in Alabama. Identify the relationships between Public Health and healthcare providers necessary to recognize and respond to pandemic influenza and detect the first case in Alabama.

5. Division of Epidemiology 5 Specific Objectives Identify the joint response capabilities between Public Health and healthcare providers in 3 key response categories: Identify the joint response capabilities between Public Health and healthcare providers in 3 key response categories: Surveillance & Epidemiology Surveillance & Epidemiology Specimen Collection Specimen Collection Laboratory Procedures Laboratory Procedures

6. Division of Epidemiology 6 Issue Areas Improve reporting and detection of pandemic influenza. Improve reporting and detection of pandemic influenza. Increase ability for timely investigation and response. Increase ability for timely investigation and response. Increase capacity to rapidly respond to a pandemic threat. Increase capacity to rapidly respond to a pandemic threat.

7. Division of Epidemiology 7 Ground Rules Participate in your usual daily role. Participate in your usual daily role. Your input may come from your own opinions and/or the policies of your facility. Your input may come from your own opinions and/or the policies of your facility.

8. Division of Epidemiology 8 Expectations No organization is fully prepared for this type of public health emergency. No organization is fully prepared for this type of public health emergency. Open and honest dialog and feedback are encouraged. Open and honest dialog and feedback are encouraged.

9. Division of Epidemiology 9 Expectations Participants should feel free to ask questions of one another and challenge each other’s assumptions. Participants should feel free to ask questions of one another and challenge each other’s assumptions. No one will be singled out for what they say during the exercise. No one will be singled out for what they say during the exercise. You will act on what you learn. You will act on what you learn.

10. Division of Epidemiology 10 Unfolding Scenario 1 Avian Influenza Mutates Late Breaking Avian Influenza News Video

11. Division of Epidemiology 11 Points of Discussion The time for this virus to reach the US will be short… What specific tasks can Public Health and healthcare providers carry out to step up surveillance in a way commensurate with the threat? What specific tasks can Public Health and healthcare providers carry out to step up surveillance in a way commensurate with the threat?

12. Division of Epidemiology 12 Feedback

13. Division of Epidemiology 13 Unfolding Scenario 2 Pandemic Influenza Emerges Late Breaking Pandemic Influenza News Video

14. Division of Epidemiology 14 Points of Discussion What specific tasks should Public Health and healthcare providers engage in to prepare for the outbreak before it reaches Alabama? What specific tasks should Public Health and healthcare providers engage in to prepare for the outbreak before it reaches Alabama?

15. Division of Epidemiology 15 Feedback

16. Division of Epidemiology 16 Unfolding Scenario 3 Pandemic Influenza Spreads Late Breaking Pandemic Influenza News Video

17. Division of Epidemiology 17 From Detection to Management Rapid response is critical to detect first cases of pandemic influenza. Rapid response is critical to detect first cases of pandemic influenza. Surveillance of cases ends. Surveillance of cases ends. Surveillance of fatalities begins. Surveillance of fatalities begins.

18. Division of Epidemiology 18 Evaluate Your Role in Rapid Response What are the biggest gaps or challenges in preparedness you see resulting from this exercise? What are the biggest gaps or challenges in preparedness you see resulting from this exercise? Which problem areas should be deemed highest priority? Which problem areas should be deemed highest priority?

19. Division of Epidemiology 19 Points of Discussion Outline a plan for how you might begin to make improvements to your response. Outline a plan for how you might begin to make improvements to your response. What initial steps can you take? What initial steps can you take?

20. Division of Epidemiology 20 Final Comment Thanks for your participation Thanks for your participation Feedback will be incorporated into action plan Feedback will be incorporated into action plan