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Preparing for Public Health Emergencies:. A Community Working Together. Stephanie Nelson, RN, MSN Health Officer Gallatin City-County Health Department (GCCHD) Bozeman, Montana. Objectives.
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Preparing for Public Health Emergencies: A Community Working Together Stephanie Nelson, RN, MSN Health Officer Gallatin City-County Health Department (GCCHD) Bozeman, Montana
Objectives • Describe how a rural local public health system aligned resources to effectively address public health risks • Describe how this alignment worked to address last years influenza vaccine shortage
Public Health Challenges Park management runs up against contentious issues. Each year, 3 million visitors enter West Yellowstone.
Question In my community, what is the most important area for improvement as we work with preparedness partners? A. Formal Agreements B. Communication C. Leveraging Limited Resources D. Real event problem-solving
Post 9/11 Incidents • Anthrax on east coast • Mysterious powder on tomatoes at MSU and the Bozeman Post Office • Smallpox vaccination directive
GCCHD Advisory Team Unified Health Command (UHC) Bozeman Deaconess Hospital Gallatin Community Clinic Montana State University
UHC Strategies • Align partners and expertise • Identify and leverage limited resources • Help create a single message
UHC Strategies • Memorandums of Understanding (MOUs) • Joint training and exercises • Real event problem solving
UHC in Action:Influenza Vaccine Shortage (2004-05) Goal 1: Surveillance • Inventory vaccine • Identify high risk
UHC in Action:Influenza Vaccine Shortage (2004-05) Goal 2: Prevention & Containment • Prioritize CDC’s recommendation • Develop a tiered approach to immunize the public • Create a system by which providers would access vaccine as it became available
UHC in Action:Influenza Vaccine Shortage (2004-05) Goal 3: Communication • Dissemination of information • Posed the greatest challenges