1. The Next Pandemic?

2. Presentation Agenda What is a Pandemic? What is a Pandemic? What is the Current Situation? What is the Current Situation? Why Should I Prepare for a Pandemic Why Should I Prepare for a Pandemic How can I Prepare Myself and/or my Family? How can I Prepare Myself and/or my Family? Business Preparation Business Preparation What are the Strategies? What are the Strategies?

3. Pandemic: An infectious disease epidemic that affects people worldwide or over an extensive geographical area. Pandemic Definition

4. RECIPE FOR A PANDEMIC 1.A new subtype of influenza 2.A susceptible human population 3.Fast and easy transmission from person to person

5. Characteristics of Influenza Pandemics All influenza viruses can change / mutate All influenza viruses can change / mutate Spreads between people through airborne droplets or close contact Spreads between people through airborne droplets or close contact Current seasonal flu vaccine not effective against avian flu Current seasonal flu vaccine not effective against avian flu Could be treated with antiviral meds, but resistance to treatment could develop Could be treated with antiviral meds, but resistance to treatment could develop Vaccine can take 6 months or more to develop Vaccine can take 6 months or more to develop

6. Historic Pandemics 1918-1919 Spanish Flu(H1N1) 1918-1919 Spanish Flu(H1N1) Type A virus 20-50 million deaths worldwideType A virus 20-50 million deaths worldwide 500,000 deaths in the United States 500,000 deaths in the United States 1957-1958 Asian Flu (H2N2) 1957-1958 Asian Flu (H2N2) First identified in China February 1957 First identified in China February 1957 Spread to US by June 1957 Spread to US by June 1957 70,000 deaths in the United States 70,000 deaths in the United States 1968-1969 Hong Kong Flu(H3N2) 1968-1969 Hong Kong Flu(H3N2) First detected in Hong Kong early 1968First detected in Hong Kong early 1968 Spread to US later that year Spread to US later that year Approx 34,000 deaths in the United States (our seasonal flu kills 36,000) Approx 34,000 deaths in the United States (our seasonal flu kills 36,000) Virus still circulating today Virus still circulating today

7. Current Status CURRENTLY THERE IS NO H5N1 AVIAN FLU IN THE UNITED STATES, IN ANIMALS OR HUMANS.

8. Nations With Confirmed Cases H5N1 Avian Influenza (May 30, 2006)

9. Human Cases of H5N1 Avian Flu 2003-2006* As of 06/12/2006 Source: World Health Organization (laboratory confirmed cases) CountryCasesDeaths Azerbaijan85 Cambodia66 China1812 Djibouti10 Egypt146 Indonesia4737 Iraq22 Thailand2214 Turkey124 Viet Nam9342 Total255128

10. What about Birds and Avian Flu in Florida ? Department of Agriculture and Consumer Services monitors poultry flocks in Florida Department of Agriculture and Consumer Services monitors poultry flocks in Florida Avian surveillance by veterinarians is ongoing Avian surveillance by veterinarians is ongoing No avian outbreaks have been detected No avian outbreaks have been detected

11. Finding a dead bird is not uncommon. Dont handle dead birds w/bare hands. Finding clusters of dead birds may be important To report dead birds, contact: FWC for wild birds www.myfwc.com/bird DACS for domestic birds: 850-410-0900 USDA for domestic birds : 1-866-536-7593 Pandemic Influenza Surveillance What should I do if I find a

12. Why should I Prepare??? Potential for high levels of: Potential for high levels of: Sickness and Death Sickness and Death Disruption of critical services Disruption of critical services Economic loss Economic loss Pandemics can disproportionately effect younger people Pandemics can disproportionately effect younger people Impacts will last from weeks to months Impacts will last from weeks to months

13. Making a Family Plan All Hazards Approach Fire Flood Hurricane Tornado Terrorism Chemical, Biological, Radiological, Nuclear, Explosive

14. Family/Individual Plans Food/Water (include non-perishables) Food/Water (include non-perishables) Medicine (prescription and over the counter) Medicine (prescription and over the counter) Succession of care Succession of care Emergency Information Emergency Information Blood Types, Allergies, Medical conditions, Medications currently taking Blood Types, Allergies, Medical conditions, Medications currently taking Emergency Contact Information (relatives in and out of town, religious leaders, physicians, etc) Emergency Contact Information (relatives in and out of town, religious leaders, physicians, etc) Stay Informed Stay Informed

15. Business Planning Review/Develop your Continuity of Operations Plans Review/Develop your Continuity of Operations Plans Personnel Shortages Personnel Shortages Material Shortages Material Shortages Social Distancing Impacts Social Distancing Impacts What are your essential/mission critical functions? What are your essential/mission critical functions? Establishment of Policies (work, compensation, travel, etc) Establishment of Policies (work, compensation, travel, etc) Employee Protection Employee Protection Hygiene/Medical care/consultation Hygiene/Medical care/consultation Communicate with and Educate Your Employees Communicate with and Educate Your Employees

16. National Strategy for Pandemic Flu Preparedness and Communication Preparedness and Communication Surveillance and Detection Surveillance and Detection Response and Containment Response and Containment

17. Response Activities Response Activities State Comprehensive Emergency Management Plan (CEMP) State Comprehensive Emergency Management Plan (CEMP) State Emergency Response Team State Emergency Response Team Emergency Support Functions Emergency Support Functions ESF8 Health & Medical ESF8 Health & Medical County Comprehensive Emergency Management Plans County Comprehensive Emergency Management Plans County Health Departments County Health Departments What is the State of Florida doing about Avian Flu?

18. What is Santa Rosa County doing about Avian Flu? Preparedness/Monitoring Activities Preparedness/Monitoring Activities The Santa Rosa County Health Department partners with physicians, hospitals, private labs to monitor spikes in the number of patients seen with flu-like symptoms. The Santa Rosa County Health Department partners with physicians, hospitals, private labs to monitor spikes in the number of patients seen with flu-like symptoms. Sentinel Physician Program Sentinel Physician Program Monitoring sales of over the counter drugs. Monitoring sales of over the counter drugs. Constant communication with state and federal partners. Constant communication with state and federal partners. Community Level Education Community Level Education

19. What is Escambia County doing about Avian Flu? Preparedness/Monitoring Activities Preparedness/Monitoring Activities Healthcare Pandemic Planning Healthcare Pandemic Planning Hospitals/Public Health/EMS Hospitals/Public Health/EMS Information Output Information Output Triage and Care Coordination Triage and Care Coordination Antiviral and Vaccine Distribution Antiviral and Vaccine Distribution Development of Community Social Distancing triggers (Medical Evidence) Development of Community Social Distancing triggers (Medical Evidence)

20. Conclusion A pandemic is a local emergency happening worldwide. A pandemic is a local emergency happening worldwide. Individuals and Organizations need to begin their preparedness efforts now. Individuals and Organizations need to begin their preparedness efforts now. Wash Your Hands! Cover Your Cough! Stay at Home if You are Sick! Get Vaccinated!

21. Websites Information on Avian Influenza Florida Department of Health www.doh.state.fl.us/rw_Bulletins/panfluplanindex.html www.doh.state.fl.us/disease_ctrl/epi/htopics/BirdFlu.htm Centers for Disease Control and Prevention www.cdc.gov/flu/avian/index.htm Centers for Disease Control and Prevention: Pandemic Flu www.pandemicflu.gov World Health Organization www.who.int/csr/disease/avian_influenza/en/