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Missouri’s Pandemic Influenza Plan & Planning Process. Eddie Hedrick BS, MT (ASCP), CIC Emerging Infections Coordinator Bureau of Communicable Disease Control and Prevention Department of Health and Senior Services Eddie.Hedrick@dhss.mo.gov. Pandemic Influenza Nuances.

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missouri s pandemic influenza plan planning process
Missouri’s Pandemic Influenza Plan & Planning Process

Eddie Hedrick BS, MT (ASCP), CIC

Emerging Infections Coordinator

Bureau of Communicable Disease Control

and Prevention

Department of Health and Senior Services

Eddie.Hedrick@dhss.mo.gov

pandemic influenza nuances
Pandemic Influenza Nuances
  • Will likely have some warning
  • Will be on a much grander scale than other disasters or emergencies
  • Vaccine will not be immediately available
planning assumptions
Planning Assumptions
  • The next pandemic will likely:
    • be due to a new subtype of influenza A
    • emerge in the Far East or Africa
  • From time to time, avian influenza viruses will infect people directly exposed to infected poultry but may not necessarily evolve into potential pandemic viruses
  • Vaccine will not be available in Missouri before the virus reaches the state
planning assumptions cont
Planning Assumptions (cont)
  • Initial distribution of vaccine to Missouri will be in limited supply and must be prioritized to maximize effectiveness
  • Effective antivirals will be in limited supply and must be prioritized to maximize effectiveness
  • Non-medical controls, such as:
      • education
      • public health interventions -(“distancing”, community-containment, voluntary home isolation, hand washing, respiratory hygiene)
      • possible closure of schools and places of public assembly will be relied upon initially to slow the spread of the disease within Missouri
successful pandemic planning
Successful Pandemic Planning
  • Everything depends upon the response at the local level
  • The success of local plans totally depend upon being consistent with state, national and international planning guidance
      • Especially in the areas of vaccine/antiviral prioritization, quarantine and isolation, and communications

Source: CDC/WHO

pandemic influenza planning stakeholders meeting 8 9 05
Director Homeland Security

Missouri Department of Agriculture

DESE/Missouri School Board Assoc.

MO Press Association

MO Municipal League

MO Assoc. of Counties

MO Healthcare Assoc.

MO Assoc. of Homes for the Aging

MO Highway Patrol

MO State Med. Assoc.

MO State Nurses Assoc.

MO Hospital Assoc.

MO Pharmacy Assoc.

Attorney General’s Office

Coroner’s Board

MO Dept. of Public Safety

Red Cross

Local Public Health Agencies

Small

Medium

Large

Pandemic Influenza PlanningStakeholders Meeting 8/9/05
  • Many others!!
what is in the plan
What is in the plan
  • Brief background, discussion, definition
  • Incorporates a phased response based on the WHO’s phase guidance
what is in the plan9
What is in the plan
  • Action-based checklists
    • Assigns responsibilities per the phases
      • For all involved department divisions, sections, centers
      • For LPHAs
      • For other partners
      • Broad expectations
      • Not detailed operational plan
      • Each community and entity will need their own pandemic plan
slide10

(SAMPLE)

Director CPH

Phase 6

q      Will be notified by State Epidemiologist of Phase 6

q      Notify Daily List (Director of DHSS, CEO, Public Information, COO, General Council, Senior Services, Standards and Licensure, LTC, Medical advisors etc)

q      Lead briefing discussions. (Briefing will be set up by CERT) Provide overview of ongoing DHSS activities with Daily List

q      Project effects of pandemic

q      Discuss major elements of enhanced surveillance

q      Discuss vaccine/antiviral plan

q      Recommend priority vaccination

q      Discuss communication strategies for LPHAs, ICPs, Hospitals and public.

q      Communicate Phase 6 to internal and external staff as outlined in DHSS Emergency Plan

what is in the plan11
What is in the plan
  • Appendix on vaccine/antiviral delivery
  • Appendix (very short) integrating annex with Department Emergency Response Plan
  • Pre-written public messages/templates
  • Flowchart (diagramming interconnections)
overview
Overview
  • Plan is a work in progress
  • Flexibility built in
  • Serves as an annex of the Department’s Emergency Response Plan
    • Integrated with all-hazards approach
  • Consistent with the Health and Human Services Pandemic Plan
effective local response
Effective Local Response
  • Will Depend Upon:
    • pre-established partnerships
    • common goals, and principles for preparedness and response
    • a well-informed public
slide15

“We must also recognize that no pandemic plan prepared in advance will be 100% relevant or best for whatever situation nature eventually creates. Hence emphasizing the process and the issues for responding to a possible or actual pandemic may be more important than specific details, which may prove inapplicable to a new situation.”

World Health Organization