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Inoculation for Flu Pandemic: H1N1 and Your State 14 November 2009 0930 HRS

Inoculation for Flu Pandemic: H1N1 and Your State 14 November 2009 0930 HRS. COL Damon T. Arnold, M.D., M.P.H. Director Illinois Department of Public Health State Surgeon Illinois Army National Guard. Maxims to Consider. All models are Wrong – Some are Useful!

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Inoculation for Flu Pandemic: H1N1 and Your State 14 November 2009 0930 HRS

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  1. Inoculation for Flu Pandemic: H1N1 and Your State14 November 2009 0930 HRS COL Damon T. Arnold, M.D., M.P.H. Director Illinois Department of Public Health State Surgeon Illinois Army National Guard

  2. Maxims to Consider • All models are Wrong – Some are Useful! • In God We Trust – All Others Bring Data! • Fear is Bad Council! • The Old State Public Health Hour Glass Model • FEDs: “Follow me, but lead yourselves!” • Locals: “Give us resources and guidance, but we can handle this and lead ourselves!”

  3. The 19 CIKR Sectors Agriculture and Food Government Facilities Banking and Finance Information Technology Chemical National Monuments / ICONS Commercial Facilities Postal and Shipping Commercial Nuclear Public Health and Healthcare Dams Telecommunications Defense industrial Base Transportation Systems Drinking Water / Treatment Emergency Services Energy

  4. Emergency Response National Response Plan (NRP) Emergency Support Function (ESF) ESF - 6: Mass Care and Sheltering Mass Care - Sheltering & Housing - Human Services ESF - 8: Health and Medical Assessment of Health and Medical Needs Health and Medical Guidance Surveillance Medical Personnel and Patient Care Medical Supply Food and Environmental Monitoring

  5. Public Health Theory: A Cause - Effect Paradigm Recognition • WHY ? : [ Theology - Philosophy - Mental Health - Legal ] Ideological Explanations / Opinion / Debate (Fallacies of Logic) TRUEFALSE CAUSEEFFECT VALIDINVALID • HOW ? : [ Science] Deductive and Inductive Reasoning / Logic / Hypothesis Testing

  6. IDPH Preparedness Training • Illinois was the first state to conduct a Pan Flu Exercise in May of 2006 called “FLUEX” • NIMS Training [100, 200, 300, 400, 700 and 800 Series]: All 42 IDPH senior staff members completed this training in February 2009. They also completed CDC Meta-Leadership training in March 2009 • Interagency collaboration: IEMA / ING / IDHS / IDOT etc. • Multiple CB, FB, grantee-based, and volunteer-based organizations are a part of the plan and training goals

  7. Emergency Response Guidance Focus: • Establishment of Authorities [NIMS] • Operational Planning [OP PLAN] Objectives • Clear-cut Strategic Goals • Definitive implementation strategies • Unequivocal responsibility assignments • Measurable performance objectives • Monitoring of Agency COOP implementation

  8. GIS Mapping and Population Movement Issues • Deploying & Returning Service Members • Migrant farm worker camps • Commercial Transportation (Air/Rail/Road) • Graduation ceremonies • Community Spring Season events • Faith-Based Ceremonies • Business Meetings (Large Scale) • Inaccurate Census Data

  9. SNSPharmaceutical Convoys

  10. Case Counts for H1N1

  11. H1N1 Hotline Calls

  12. Rates Cases Per 100 K Population

  13. April 28th 2009Governor Quinn’s Proclamation

  14. H1N1 Response Implementation Strategies • SNS Deployment [16 Hours] / PHEOC • 3 State IDPH Laboratory Locations • Confirmatory testing (in-house) • Sample surge capacity flexibility • CDC Community Mitigation Strategy • Communications • Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21 • Multi-lingual/ Media/ Hospitals/ LHDs/ SEOC • FBO Pandemic Flu Ambassador Program

  15. June 2009 Situational Report • 3,166 Cases in Illinois (6,762 Samples Tested) in 32 Counties • 13 Deaths (underlying chronic medical conditions) • Mass Seasonal Flu Vaccination Campaign • Preparation for mass vaccination and surges • We continue to closely monitor the situation along with the CDC and our state and local partners and communicate with the Media.

  16. Areas Needing Improvement(Other Than Funding! ) • More wireless access for field laptops • Groove workspace template (PHEOC OPS) • Pre-identify and train additional staff to support PHEOC, RSS, & RDC operations • Laboratory staffing / supply need surges • Better private sector involvement • Maintain / update local drop site database • Restructure IAPs for partner integration

  17. IT Initiative • The Death Record was implemented on a state-wide basis and was then linked to the H1N1 information data base • HAN and INEDSS • LHD/Hosp/Private Provider calls

  18. 14 October 2009Governor Quinn’s Proclamation

  19. Current Situation • We remain vigilant and adaptable in the face of a vaccine production short-fall • Expanded scope of practice standards • N95 Masks / SNS • Expedited approvals for PHER funds

  20. Vaccine Companies • Sanofi Pasteur Fluzone • Novartis Fluvirin • CSL Afluria • GSK • Medimmune

  21. Questions ?

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