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Army Medical Readiness for Avian Influenza

2. Key Issues. Army Medical Department Readiness for epidemic/pandemicWhen to implement special health powersWay Forward. . 3. . Information Briefing. . 4. Background. Mar 03: Appearance of SARS in Asia and Canada12 May 03: DoD Directive 6200.3, Emergency Health Powers on Military Installations

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Army Medical Readiness for Avian Influenza

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    1. 1 Army Medical Readiness for Avian Influenza/SARS AFEB, 20 Sep 2005 Colonel Robert Eng Director, POPM-SA (210) 221-6612; DSN 471-xxxx; robert.eng@amedd.army.mil

    2. 2 Key Issues Army Medical Department Readiness for epidemic/pandemic When to implement special health powers Way Forward

    3. 3 Information Briefing

    4. 4 Background Mar 03: Appearance of SARS in Asia and Canada 12 May 03: DoD Directive 6200.3, Emergency Health Powers on Military Installations, 30 Oct 03: Health Affairs tasker to implement DoD Directive 6200.3 30 Mar 04: Army MEDCOM tasker to RMCs/MTFs to develop response plan (SARS) Jan 04: Avian Influenza appearance in Asia 21 Sep 04: Health Affairs tasker on Avian Influenza readiness, 2 Nov 04: Army MEDCOM tasker to modify SARS plan to include Avian Influenza

    5. 5 30 Mar 04 MEDCOM Tasker Infectious Disease Public Affairs Treatment Facility Considerations Specimen Collection, Transport, Testing (Laboratory Referral Network, LRN) Legal Considerations Pharmacy Support Guidelines Medical Logistics MEDCOM Inspector General Role

    6. 6 Assistant Chief of Staff for Installation Management Installation Commander responsible for installation response to Avian Influenza/SARS Installation Commander appoints PHEO with RMC CDR recommendation

    7. 7 Army MEDCOM Status 63 PHEOs appointed for 6 Regional Medical CMDs Installation Medical Emergency Officers and Assistant to the PHEOs being appointed > 94 percent 65 MTFs and clinics at installations/depots have a Avian Influenza/SARS response plan

    8. 8 Army MEDCOM Status (cont) Six full and eleven table top exercises conducted as of Mar 05. 30 Mar 04 tasker required “Communications and planning with local and regional health departments.”

    9. 9 PHEOs/IMEOs/ Assistant to the PHEO PHEOs: Trained in public health Installation Medical Emergency Officer (IMEO): OIC of clinic/ treatment facility but with minimal public health training Assistant to the PHEO: Contract physician supporting an installation where no Army clinic exists; may or may not have public health experience.

    10. 10 Decision Algorithm Emergency Health Powers Keep it simply simple (KISS) Have total control: No declaration First indication of loss of control: Declare Emergency Health Powers

    11. 11 Total Control Confirmed H5N1 case(s) in city Identified and quarantined all contacts with confirmed patient 14 days have passed without a positive H5N1 case Continued vigilance

    12. 12 No Total Control Confirmed H5N1 case(s) in city Have not identified and quarantined all contacts with confirmed patient within 2-3 days Other positive H5N1 cases are appearing in adjacent and/or in our city

    13. 13 Way Forward to Ensure Readiness Posture Develop MOA’s or reinforce existing agreements of cooperation or standing committees Table top/actual exercises to failure to identify fatal gaps (learn from Katrina) Develop remedial plan and apply resources to fix fatal gaps. Do-Loop to continue to minimize gaps Use POPM checklist for self-evaluation Develop template and script for response and follow; script includes lessons learned and is way forward despite PCS and personnel changes

    14. 14 Do-Loop

    15. 15 Conclusion Immediate response with a good plan is better than a delayed response with an excellent plan.

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