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David Durrheim, Chris Kewley, Nadine White & Meredith Caelli

Preparing for the next influenza pandemic?. David Durrheim, Chris Kewley, Nadine White & Meredith Caelli. Preparing for the next pandemic. Not if but when! What will the consequences be? Hunter New England Health Planning and Your Role. What is required for a pandemic?.

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David Durrheim, Chris Kewley, Nadine White & Meredith Caelli

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  1. Preparing for the next influenza pandemic? David Durrheim, Chris Kewley, Nadine White & Meredith Caelli

  2. Preparing for the next pandemic • Not if but when! • What will the consequences be? • Hunter New England Health Planning and Your Role

  3. What is required for a pandemic? • Emergence of new Influenza A subtype • Must cause disease in humans • Must have ability to spread easily from person to person

  4. Not if but when! BIOLOGY • Mutates - Annual “drift” • Mutates and reassorts (mixes) “shift” • Transmission: • Respiratory droplets • Surfaces/hands

  5. History! • What makes our generation so special that what has always happened through history, will not affect us?

  6. Human H5N1 – severe!

  7. Preparation essential • “Only two mutations are necessary to make avian influenza easily transmissible amongst humans. • Prepare as if it will happen tomorrow” • David Nabarro, WHO

  8. CONSEQUENCES

  9. Effect of a pandemic in NSW - clinical capacity(assumes three month pandemic and 35 per cent attack rate)

  10. Pandemic response • Surveillance • Containment • Quarantine Act, 1908 • Border control • Social distancing • Quarantine (contacts) and isolation (cases) • Infection control • Antivirals • Immunisation • Maintenance of health services

  11. Why contain? Vaccination program Start Finish

  12. Preparedness to date • Area Pandemic Planning Executive • - Coordination of plans for all areas and facilities (2007) • Workforce Planning • - Modelling the impact • - The challenge of surge and business continuity • Critical service identification • Workforce profile & competencies • Secondary workforce mapping to competencies • Workshop 3 April 2008 • - Health care worker perception survey

  13. Sequencing Workforce to Demand

  14. HNEH Pandemic Executive PI Workforce Taskforce Comms Bio Nursing & Midwifery. Allied Health MWDU Corporate Clinical Operations Mental Health OC&L Public health HR Mental Health Working Group Comms Working Group Bio Nursing & Midwifery Working Group Allied Health Working Group MWDU Working Group Corporate PI Exec Mgt Comm. Clinical Operations PI Exec Mgt Comm. OC&L Working Group Public health Working Group HR WG Workforce Planning & Development Unit Support PI Workforce Taskforce Structure

  15. Preparedness to date • Pandemic exercises • Exercise Ring O’ Rosies (March 2008) • Exercise Forest Gump (Sept 2008) – each ED/MPS, public health surveillance surge, community enquiries

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