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Pandemic Influenza: Hawaii Preparedness & Response

Pandemic Influenza: Hawaii Preparedness & Response. Disease Outbreak Control Division Hawaii Department of Health. Arrivals in Hawaii 2002-2003. Hawaii’s Visitor Population. Hawaii’s Resident Population. Rate of Death from Probable Influenza by Flu Season (October-April) Hawaii, 1914-1922.

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Pandemic Influenza: Hawaii Preparedness & Response

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  1. Pandemic Influenza:Hawaii Preparedness & Response Disease Outbreak Control Division Hawaii Department of Health

  2. Arrivals in Hawaii 2002-2003

  3. Hawaii’s Visitor Population Hawaii’s Resident Population

  4. Rate of Death from Probable Influenzaby Flu Season (October-April)Hawaii, 1914-1922

  5. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications http://www.hawaii.gov/health/family-child-health/contagious-disease/pandemic-flu/fluplan.pdf

  6. Hawaii Preparedness & Response:Command and Control • Incident Command System as applied to Hawaii Dept of Health (HDOH) • HDOH as lead state agency in medical/public health response supporting State Civil Defense • Establish roles and responsibilities of partner agencies

  7. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications

  8. Hawaii Preparedness & Response:Influenza Surveillance • Early detection • Components: • Routine surveillance • Sentinel • Illness cluster/absenteeism • Enhanced surveillance • Port-of-entry • Year-round • Targeted testing

  9. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance: routine and pandemic • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications

  10. Hawaii Preparedness & Response:Pandemic Influenza Vaccines • Pandemic vaccine availability likely delayed • May need multiple doses • Dependent upon Federal supply • Distribution via Strategic National Stockpile (SNS) plan • Prioritization required – under debate

  11. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance: routine and pandemic • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications

  12. Number of Antiviral Drug Courses: Prophylaxis vs. Treatment, USA 93 m >>> 6 m *Assumes 8-week prophylaxis **Assumes 35% attack rate Modified from B. Schwartz, USPHS

  13. Hawaii Preparedness & Response:Antiviral Medications • Antiviral resistance • Adequate dose and duration • Likely insufficient supply • Stockpiling; federal assistance? • Prioritization required • Distribution via SNS plan • Security necessary

  14. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance: routine and pandemic • Pandemic influenza vaccines • Antiviral medications • Isolation & Quarantine/Social Distancing • Health care delivery • Communications

  15. Hawaii Preparedness & Response:Isolation, Quarantine,Social Distancing • Isolation of sickpeople • Quarantine of exposed people • Social distancing for those not yet exposed • All require adequate supplies for daily living and personal protection • Enforcement

  16. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance: routine and pandemic • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications

  17. Hawaii Preparedness & Response:Health Care Delivery • Demand likely exceed capacity • Explore alternate facilities or home care options • Establish surge capacity for health care personnel • Will require massive supplies

  18. USA pop. = 290 m and Hawaii pop. = 1.4 (with visitors)

  19. Hawaii Pandemic Influenza Preparedness & Response • Command and control • Influenza surveillance: routine and pandemic • Pandemic influenza vaccines • Antiviral medications • Isolation & quarantine • Health care delivery • Communications

  20. Hawaii Preparedness & Response:Communications • Critical • Establish contact with partners: • Public health officials • State agencies • Federal, State, and Local government • Healthcare professionals • Businesses • Media • Public

  21. Summary Points • Pandemic flu may easily reach Hawaii, a globally popular travel destination • Plans and policies should be established • Communication and collaboration are critical • Everyone must take responsibility

  22. Sources of Information • Questions for Hawaii Dept of Health fluinfo@doh.hawaii.gov • Hawaii Dept of Health http://www.hawaii.gov/health/family-child-health/contagious-disease/communications/pandemicflu.html • Centers for Disease Control & Prevention: http://www.cdc.gov/flu/pandemic/ • US government http://www.pandemicflu.gov/ • World Health Organization http://www.who.int/topics/influenza/en/

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