1. Global Health Threats A Hospital and District Perspective/Preparedness Vickie VanDeventer MPH, BSN, RN, CIC Infection Control Practitioner

2. Review How Diseases are Spread - Chain of Transmission Hospital Preparedness District Hospital Preparedness Infection Prevention

3. It’s all about the chain…………

4. CAUSATIVE AGENT SUSCEPTIBLE HOST MODE OF TRANSMISSION RESERVOIR PORTAL OF EXIT PORTAL OF ENRY Chain of Transmission

5. Chain of Infection Causative Agent- any bacteria Reservoir- where bacteria can survive Portal of Exit- a way out of the carrier Mode of Transmission- method of travel Portal of Entry- a way agent enters host Susceptible Host- anyone

6. 2003 Emerging Infectious Diseases

7. March 2003

8. May 2003 Mad Cow Disease in Canada (Bovine spongiform encephalopathy)

9. June 2003

10. Monkeypox Indiana- 7 cases Total-37 cases in six states.

11. July 2003 – West Nile Virus

12. Hospital Preparedness

13. Hospital Grants (2002) Center for Disease Control and Prevention (CDC) Health Resource & Services Administration (HRSA)

14. Hospital Grant Allowed hospitals to purchase items to improve their emergency preparedness. Example of items purchased; Personal Protective Equipment 800 MHz Radios Evacuation Equipment Ventilators Conversion of Rooms to Negative Airflow Powered Air Purifying Respirator (PAPR) Staff Education Decontamination Training and Equipment

15. District Involvement

16. Public Health District 8 Monroe, Orange, Lawrence, Bartholomew, Washington, Brown, and Jackson 8 hospitals

17. District Involvement Participate in District Hospital Planning District Hospitals meet monthly Develop district plans Participate in District Planning District meets quarterly Includes several disciplines- hospital, health department, emergency management, fire, police, Indiana state department of health, and red cross.

18. Hospital/District Capabilities Assessed Individual Hospital Capabilities Assessed District Capabilities Developed District Hazardous Vulnerability Analysis Developed District Emergency Operations Plan Developed CHEMPACK Policy Developed District Fatality Management Plan Developed District Evacuation Plan Developed District Gap Analysis District Communication Plan – Test radios monthly

20. District 8 District Tabletop exercise completed in 2005, 2006, and 2007. District Full Scale exercise in 2008.

21. Other State Initiatives List serve for hospital contacts. Epidemiologist for each public health district. Mass prophylaxis plan for each county/hospital. Syndromic Surveillance. EWA Phoenix Bed Tracking System. Indiana Health Alert Network. Health departments Hospitals

22. Prevention is key!

23. Infection Prevention

24. Frequent Hand washing is important to prevent the spread of infection. Cover your nose and mouth with a tissue when you cough or sneeze. Try to avoid close contact with sick people.

25. Summary It will take all of us working together to care for our community during any type of event. We can all make a difference by following these simple rules; Get back to the basics Wash your hands Cover your cough Get immunized!

26. ANY QUESTIONS ?