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City/County Pandemic Flu Planning Group

City/County Pandemic Flu Planning Group. Social Distancing, Risk Communication, and Public Education Guidelines. Social Distancing, Risk Communication, and Public Education Guidelines. Outlines the coordination of Recommended Protective Measures among Decision Makers

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City/County Pandemic Flu Planning Group

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  1. City/County Pandemic Flu Planning Group

  2. Social Distancing,Risk Communication, andPublic Education Guidelines

  3. Social Distancing,Risk Communication, andPublic Education Guidelines • Outlines the coordination of Recommended Protective Measures among Decision Makers • Chief Executive, Allegheny County • Director, Allegheny County Health Department • Mayor, City of Pittsburgh

  4. Social Distancing,Risk Communication, andPublic Education Guidelines • Who is the Lead Decision Maker? • Depends on which Protective Measure is recommended • Lead – Exercises the legal authorities of his/her position. • Support – Publicly acknowledges and supports the Lead, and may jointly exercise his/her own legal authority in conjunction with the Lead Decision Maker. • Joint –Decisions are made and communicated concurrently by all.

  5. Community Evaluation Centers

  6. Community Evaluation Centers • Planning Assumptions: • Public will need support and information on how to access the healthcare system • No single healthcare organization will be able to absorb the number of people who will develop symptoms of influenza • Community based assessment/referral and the healthcare system must be linked • continuity of care • contribute to disease surveillance programs so that appropriate control strategies can be implemented • Volunteers will be needed to support people with influenza in the community

  7. Community Evaluation Centers • Objectives: • Reduce pressure on existing community healthcare services and allow healthcare facilities to focus on most critical medical needs • Provide consistent approach to assessing the public who display symptoms related to an emerging disease • Triage and refer the public to the appropriate type and level of care • Provide access to self-care information for those not ill enough to require hospital care.

  8. Community Evaluation Centers • Pandemic Influenza Screening Options • Self-assessment • Make information publicly available • Based on self-assessment, may need to proceed to further assessment • Remote Screening • Telephone assessment at a call center or by primary care provider • Based on remote screening, will be referred to appropriate level of care—home care, or a Face to Face Assessment

  9. Community Evaluation Centers • Face to Face Assessment at a Community Evaluation Center • Using a Pandemic Influenza Screening Tool • Referred to appropriate level of care • No illness: No treatment—educational material provided • Further assessment required: Lab testing required • Influenza-like illness identified: Assess for discharge with copy of Home Care Guidelines, or transport to Alternate Care Site • ILI illness identified; condition deteriorating: Transfer to hospital

  10. Alternate Care Sites

  11. Alternate Care Sites • Planning Assumptions: • Critical care will be addressed at hospitals; supportive care will be managed at Alternate Care Sites (ACS) • ACS may be in operation for long periods of time (1 year or longer) • ACS may need to open, close, and re-open in conjunction with influenza waves or phases • Site selection in conjunction with healthcare, but not totally staffed by healthcare • Volunteers will need to be trained for staffing an ACS

  12. Alternate Care Sites • Function: • Act as temporary influenza hospitals for non-critically ill patients who cannot return home • Provide temporary housing and care for influenza patients who live alone or who live with someone at high risk of complications from influenza • Act as a step-down unit for stable patients transferred from hospitals, but who cannot return home

  13. Alternate Care Sites • Potential Sites • Community/Recreation Centers • Convention Centers • Hotels/Motels • Sports Facilities/Stadiums • College/University Facilities • Churches • Military Facilities • Mobile Facilities/Tents/Trailers

  14. Points of Dispensing

  15. Points of Dispensing • PODs are locations where people receive oral medications or vaccinations • Large scale public health immunization clinics • Community PODs for general public • Closed PODs for first responders

  16. Points of Dispensing • Planning Assumptions • There is a threat to the public health caused by a bioterrorism agent (anthrax) or an emerging disease (pandemic influenza) • Providing medications or vaccinations to the general public is an appropriate disease prevention strategy • Medications or vaccines exist in sufficient quantities to provide to the general public

  17. Vaccination POD

  18. Medication POD

  19. Points of Dispensing

  20. POD Organization

  21. POD Leadership Staffing • POD Leadership Staff • POD Manager • Security Manager • Medical (Operations) Lead • Non-Medical (Logistics) Lead • Line Lead

  22. POD Supervisory Staffing • POD Supervisory Staff • Screening Supervisor • Dispensing Supervisor • Vaccination Supervisor • Supply Supervisor • Facility Supervisor

  23. POD Workers • POD Staff • Line Staff / Form Distributors • Screeners • Dispensing Staff / Pharmacists • Vaccination Staff • Runners • First Aid and Behavioral Health Staff • Security / Law Enforcement

  24. POD Staffing • POD Manager and Lead Staff • Allegheny County Health Department • Medical Reserve Corps Volunteers • Volunteer organization • Active and retired medical and medically-allied personnel • Non-medical support personnel with the skills to assist in emergency-response operations • Respond to major emergencies and public health initiatives • Enroll through ACHD website www.achd.net

  25. POD Staffing • Security • Police (local, county) • Remaining Staff • Nursing School Volunteers • Site Personnel • Community First Responders and Volunteers

  26. Home Care Guidelines

  27. Home Care Guidelines • Guideline To Care For Ill Family Members • Adapted from a document by the Santa Clara County Public Health Department, Santa Clara Valley Health & Hospital System, California

  28. Home Care Guidelines • Information About Pandemic Influenza • Flu symptoms • Considerations for people with chronic diseases or conditions • Isolating sick family members at home • Disease prevention/personal protection strategies in the home

  29. Home Care Guidelines • Providing care at home • Taking a temperature • Treating and reducing a fever • Dehydration prevention • Calling for medical advice • When to call 9-1-1

  30. Home Care Guidelines • Home Care supplies checklists • Emergency food supplies • Emergency drinking water supplies • Fact sheets on isolation and quarantine • Links to additional information

  31. For More Information Allegheny County Health Department 412-687-ACHD (412-687-2243) www.achd.net Tom Mangan tmangan@achd.net

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