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Meet the Authors

Meet the Authors. Sharon Buchbinder , RN, PhD Professor & Program Coordinator, MS in Healthcare Management, Stevenson University. Nancy H. Shanks, PhD Professor Emeritus, Department of Health Professions, Health Care Management Program, Metropolitan State University of Denver.

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Meet the Authors

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  1. Meet the Authors Sharon Buchbinder, RN, PhD Professor & Program Coordinator, MS in Healthcare Management, Stevenson University Nancy H. Shanks, PhD Professor Emeritus, Department of Health Professions, Health Care Management Program, Metropolitan State University of Denver

  2. Pop Quiz: Ebola If a person has been exposed to Ebola, has no fever, and travels on an airplane, can he transmit the disease to other passengers?

  3. Pop Quiz: Measles If a person has Measles, has no fever, and travels on an airplane, can he transmit the disease to other passengers?

  4. Pop Quiz: Pertussis/Whooping Cough If a person has Pertussis, has no fever, and travels on an airplane, can he transmit the disease to other passengers?

  5. Pop Quiz: Polio If a person has Polio, has no fever, and travels on an airplane, can he transmit the disease to other passengers?

  6. Pop Quiz: Zika Virus Is it true that there are no risks for men associated with the Zika virus?

  7. Re-Focusing • While our eyes and fears were focused on Ebola, the rise of vaccine-preventable outbreaks has grown—and an old mosquito carried virus has resurfaced. • Immunization currently prevents an estimated 2 to 3 million deaths every year (WHO, 2015). • Measles, polio, pertussis and influenza by themselves kill more people annually than Ebola did at the height of the last outbreak.

  8. Measles, Pertussis, Polio

  9. Influenza, Ebola, and Zika

  10. Anti-Vaccination Claims • Since the publication of the Wakefield et al. 1998 retracted Lancet article asserting a link between measles, mumps, and rubella vaccines and childhood autism, fears of making well babies sick, rather than protecting them, have swelled among certain groups. • Some of the fears are founded in well-grounded research and concerns about special populations and faulty vaccine preparation.

  11. Anti-Vaccination Claims • Other fears are based on theories that big Pharma is conspiring to make money by killing our children. • What has remained in some parents’ minds is not the fact that the physician (Wakefield) falsified the data and was discredited, but that all vaccinations are bad, including those that have withstood the test of time, such as measles, mumps, rubella, pertussis, influenza, and polio.

  12. Re-Emerging Outbreaks Due to lack of immunization in other countries, porous borders, global travel, and parental refusals to vaccinate their children in this country, diseases we once thought we vanquished with vaccines are making a comeback, often in tragic ways. We are now seeing a resurgence of: • Measles; • Polio; • Pertussis; and, • Influenza.

  13. Vaccinations Work • Here is an interactive map of Vaccine Preventable Outbreaks from 2008 to 2015. • Included are: Measles, Mumps, Rubella, Polio, Whooping Cough • http://www.cfr.org/interactives/GH_Vaccine_Map/#map

  14. What about Ebola? • Despite the magnitude and wildfire possibilities of the Ebola virus, which was taking thousands of lives each week in Western Africa, at first we felt safe over here, an ocean away. • Ebola Cases Time Series • https://www.youtube.com/watch?v=XdYyvR3DJ-A

  15. Patient Zero = One (1) US Death • Thomas Eric Duncan • Dallas Texas • Presbyterian ED • September 24, 2014 • Complaining of headache, fever, and stomach cramps, and reporting a history of recent travel in Western Africa.

  16. How Prepared Were Hospitals? Among the findings of a National Nurses United survey of 400 nurses conducted in early October, 2014: • 60 percent of nurses indicated their hospitals were “not prepared to handle patients with Ebola” • 80 percent responded that their administrationhad “not communicated with them any policy regarding the disease” • 30 percent said they had insufficient Personal Protective Equipment (PPE) gear (e.g., eye goggles and fluid-resistant gowns) on hand to protect themselves from bodily fluids, the main method of Ebola transmission

  17. Survey Says… Bottom Line: Nurses were ill-prepared for the contagiousness of Mr. Duncan’s disease, but were more than prepared to provide care.

  18. Is Zika the New Ebola? https://goo.gl/images/BGTu0J

  19. Parallels Ebola transmission: Zika transmission: Mosquito vectors. Sexual transmission. Human eyes reservoirs for virus; Zika genetic material found in tears. Per WHO, “Other modes of transmission such as blood transfusion are being investigated.” Need a vaccine to halt spread of disease! • Direct contact with sick, dying and deceased. • Direct contact with living and bodily fluids, including aerosolization. • Breast milk. • Sexual contact. • Can live in semen up to 82 days months after negative blood test; in vaginal fluids, up to 33 days. • Vaccine halted spread of disease!

  20. Impact on Society Ebola: Microcephaly in at least 13% of infected. Burden of disease—medical, educational, family destabilization. Social stigma. Abandonment of mothers and infants. Pressure on healthcare systems, destabilization of governments. Zika: • Death toll. • Pressure on healthcare systems and destabilization of governments. • Social stigma (remember AIDs?) • Rise in numbers of orphans.

  21. Must Do • With Zika virus on the rise and present in almost all states, we must be prepared to address this disease better than we did Ebola. • The majority of health care workers are female and of child-bearing age. • We know it is transmitted by mosquitoes and sexual contact. We don’t yet know if it is transmitted by blood transfusions—or other routes, such as an accidental needle stick.

  22. Must Do • In the absence of clear data regarding the transmission of Zika virus, plans must be in place to address this latest outbreak. • Hospitals and healthcare providers must have sufficient resources and CDC recommended rapid response teams on hand to take care of infectious patients if they present. • Lacking these resources and appropriate quarantine facilities, nurses and healthcare managers have an obligation to collaborate and speak up.

  23. Lessons Learned? • Global travel! • Global disease! • New outbreaks! • We must be nimble! • We must collaborate! • We must be prepared!

  24. Shift to Collaboration • Improve communication between healthcare administrators, healthcare providers, public health officers, even morticians—who are unaware of what awaits them at the hospital morgue. • Improve teamwork. • Resolve conflicts and improve information sharing. • Eliminate barriers to safety and quality.

  25. Inter-Professional Collaboration

  26. Questions? Press*1 on your telephone keypad to voice your question aloud-or-type your question into the Chat or Q&A box on the right hand side of your screen.

  27. Consider Adopting the Book for Your Course Learn More: http://go.jblearning.com/Buchbinder3 To request a review copy, contact Sophie Teague: steague@jblearning.com

  28. Thank You for Joining Us Today! Recorded Webinar Will Be Posted on the LinkedIn Faculty Group: http://go.jblearning.com/PHLinkedIn

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