Coordinating with the community for outbreak response
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Coordinating with the Community for Outbreak Response. Lilian Peake, M.D., M.P.H. District Health Director Thomas Jefferson Health District Virginia Department of Health . Health Department’s Role in an Outbreak. Epidemiological investigation & on-going surveillance for cases.

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Coordinating with the Community for Outbreak Response

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Coordinating with the community for outbreak response

Coordinating with the Community for Outbreak Response

Lilian Peake, M.D., M.P.H.

District Health Director

Thomas Jefferson Health District

Virginia Department of Health


Coordinating with the community for outbreak response

Health Department’s Role in an Outbreak

Epidemiological investigation

& on-going surveillance for cases

Is this an outbreak of

a communicable disease ?

What is the potential impact?

Could this be bioterrorism?

Inform, educate & coordinate with

healthcare community,

first responders, officials & public

Isolate ill persons

What controls can be

placed to prevent spread

of disease?

Provide preventive treatment

Quarantine & monitor exposed

Environmental health monitoring& controls

Assistance with sheltering;mortuary support; mass care


Before the outbreak

Before the Outbreak


Coordinating with the community for outbreak response

  • Identify community partners

  • Establish communication systems

  • Routine coordination and collaboration


Communication systems

Communication Systems

  • Letters

  • E-mail

  • Blast Fax

  • Website

  • Facebook

  • Conference Calls

  • Post signs

  • Call centers

  • Web-based systems

  • Others?


Routine coordination

Routine Coordination

  • Disease Reporting

    • Epi-1

  • Infection Control Committee

  • Emergency Planning Committee

    • LEPC

  • Communications


Coordinating with the community for outbreak response

Vital Signs is a community health promotion column sponsored by Martha Jefferson Hospital, Region Ten, Thomas Jefferson Health District and the University of Virginia Health System.

A public health message from

www.vdh.virginia/LHD/ThomasJefferson

Un mensaje de salud publica de

Dear Dr. Hoke:

www.vdh.virginia/LHD/ThomasJefferson


Public health response public information education committee

Public Health Response Public Information & Education Committee

Health Department

Hospitals

Local governments

University & colleges

Schools


Coordinating with the community for outbreak response

www.communityemergency.org


Outbreak response

Outbreak Response


Coordinating with the community for outbreak response

  • Identify partners

  • Establish communication systems

  • Develop shared guidelines, communications

  • Share data


Critical first step

Critical First Step

  • In-person meeting(s) with partners

  • Agree on system for regular communication throughout outbreak


Who are the partners

Who are the partners?

  • Private provider reports suspected case of measles in an elementary school student

  • Places where contact may have occurred

  • Media

  • VDH Office of Epidemiology

  • DCLS – state public health laboratory

  • Neighboring local health departments

  • CDC

  • Community physicians

    • Urgent Care

  • Hospitals

    • Hospital Epidemiology & Infection Control

    • Lab

    • Emergency Department

  • School

    • Students & Families

    • Staff

    • Administration

    • School Board


Communication systems1

Communication Systems

HEALTH ALERT

To: Providers in Thomas Jefferson Health District    

From: Lilian Peake, M.D., M.P.H, District Health Director

Date: May 25, 2011

Re: Additional Measles Cases

Two cases of measles…


Conference calls

Conference Calls

  • PVCC TB Investigation

  • Communications Conference Call 9/29/10

PVCC

Anita Showers

Mary Jane King

UVA

Peter Jump

Costi Sifri, MD

Kyle Enfield, MD

Beth Mehring

  • TJHD

  • Lilian Peake, MD

  • Peggy Brown Paviour

  • VDH

  • Suzi Silverstein

  • Cheryle Rodriguez

  • Maribeth Brewster

  • Decisions:


Coordinating with the community for outbreak response

Attention Valued Customers

IMPORTANT MEASLES HEALTH ALERT NOTICE

If you were outside of the Paramount Theater

MAY 20, 2011

BETWEEN 4:30 PM AND 8:30 PM

Please call

Virginia Department of Health

Hotline at 2-1-1


On line appointment system

On-line Appointment System

You may receive free testing at the Charlottesville-Albemarle Health Department during a special clinic just for PVCC students. To make an appointment, please go on-line at www.vdh.virginia.gov/AppointmentCenter.


Shared guidelines

Shared Guidelines

Instructions for Collecting Suspected Measles Specimens – Updated 6/3/11

*Use airborne and droplet precautions while collecting specimens*

Adult Serum Testing:

Exclusion Assessment Tool for Health Care Workers

Exposed to Measles

The purpose of this assessment tool is to assist public health, infection control practitioners, and doctor’s office/ clinic staff in evaluating the exposure of workers in a healthcare setting. These are general rules and may be updated as additional information becomes available.


Coordinating with the community for outbreak response

Isolation for Suspected or Confirmed Measles

Immediately place a mask on the patient. Do not allow the patient to remain in the waiting room…

Immediately call Infection Prevention and Control at PIC 1243 from 8:00 AM – 5:00 PM and PIC 9204 at other hours. IP&C will communicate with the health department and coordinate transfers if needed.

For any questions or concerns, please call Infection Prevention & Control

Phone 924-0260

PIC 1243 (8 AM – 5 PM)

Costi Sifri, MD Hospital Epidemiologist


Shared communications

Shared Communications

Thomas Jefferson Measles Investigation – Talking Points

May 16, 2011

The Virginia Department of Health is

currently investigating a suspected case of measles in a resident of the Thomas Jefferson Health District…

Thomas Jefferson Health District

H1N1 Update - 7/27/09

Novel Influenza A (H1N1) continues to circulate in our community and throughout Virginia…


Public information

Public Information

Designated spokespersons

Joint interviews

Joint PSAs


Message map

Message Map

Scenario: Measles Update Stakeholder: General Public Concern: Misinformation


Vdh hotline

VDH Hotline

VDH Measles Frequently Asked Questions and Answers

Updated 5/26/2011

FOR CALL CENTER USE ONLY – NOT FOR PUBLIC DISTRIBUTION

  • What is measles?

    Measles is a very contagious, vaccine-preventable viral disease with an incubation period of approximately 10 days (range 7– 21 days) from exposure to rash onset.


Shared information to contacts

Shared Information to Contacts

October 4, 2010

(First Name, Last Name)

(Address 1, Address 2)

(City, State Zip)

Dear (First name):

As a student at Piedmont Virginia Community College your health and safety is a primary concern to us. We have identified you as someone who may have been exposed to tuberculosis (TB)…


After the outbreak

After the Outbreak


Coordinating with the community for outbreak response

THOMAS JEFFERSON HEALTH DISTRICT

MEASLES OUTBREAK INVESTIGATION

AFTER ACTION REPORT/IMPROVEMENT PLAN

JUNE 15, 2011


Questions

Questions?


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