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Career Epidemiology Field Officer Supporting Epidemiology Preparedness in the Pacific Islands

Career Epidemiology Field Officer Supporting Epidemiology Preparedness in the Pacific Islands. Randolph Daley, DVM, MPH Captain, USPHS Chief, Field Services Branch Division of State and Local Readiness PIHOA Board Meeting August 12, 2014. Office of Public Health Preparedness and Response.

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Career Epidemiology Field Officer Supporting Epidemiology Preparedness in the Pacific Islands

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  1. Career Epidemiology Field OfficerSupporting Epidemiology Preparedness in the Pacific Islands Randolph Daley, DVM, MPH Captain, USPHS Chief, Field Services Branch Division of State and Local Readiness PIHOA Board Meeting August 12, 2014 Office of Public Health Preparedness and Response Division of State and Local Readiness

  2. Public Health Concernsin the Pacific • Diseases • Infectious — Measles, Chikungunya, Malaria, Dengue, Leptospirosis, Hansen’s Disease, Tuberculosis, Influenza • Chronic — Cardiovascular disease, Diabetes • Environmental Health • Natural disasters — typhoons, tsunamis • Food and water systems • Surveillance System Development • Population Movements

  3. Career Epidemiology Field Officer (CEFO) Program • Created in 2002 in response to attacks of 9/11 • Mission — strengthen nationwide epidemiologic capability for public health preparedness and response • Assigns CDC epidemiologist to health departments • Funded through CDC’s Public Health Emergency Preparedness (PHEP) cooperative agreement

  4. How Can a CEFO Benefit the Health Department? • Applied epidemiology • Surveillance • Outbreak investigation • Analysis • Communication • Additional expertise • Clinical • Scientific

  5. How Can a CEFO Benefit the Health Department? • Connection to CDC • Field Services Branch support • CDC subject matter experts • Liaison for information exchange

  6. CEFO Activities • Strengthen state and local surveillance systems • Conduct outbreak investigations and response • Lead community assessment activities • Provide expertise on the design, implementation, and analysis of epidemiologic studies • Develop response plans for public health emergencies • Build partnerships for emergency preparedness • Serve on emergency response teams • Lead portions of state’s planning and response activities • Lead or participate in emergency response exercises

  7. Surveillance • Development • Postdisaster systems — outpatient, shelter settings • Routine — reportable conditions • Maintenance • Evaluation • Coordination with CDC — BioSense

  8. Cases of Cholera — SofalaProvince, Mozambique

  9. Measles — United States, 1950–2006 Vaccine Licensed 1963 Endemic Elimination Declared 2 Doses

  10. Outbreak Investigations • Local/Regional • National • Pandemic preparedness • Recent examples • Healthcare-associated infections — Hepatitis C, Clostridium difficile • Cyclosporiasis • Middle East Respiratory Syndrome (MERS)

  11. IndexCase 2nd Generation Case 3rd Generation Case Measles Outbreak — United States,August 2007 2 PA 3 MI 1 PA 4 MI 6 TX 5 TX 7 TX 12 13 14 28 Exposure Date

  12. CASPER • Community Assessment for Public HealthEmergency Response • Methodology for postdisaster rapid needs assessment • Community assessment • Preparedness • Disease burden • Risk factors

  13. CASPER

  14. CASPER

  15. CASPER

  16. Workforce Development • Training activities • Lectures • Workshops • Student Programs • Mentorship • Junior health department staff • Epidemic Intelligence Service (EIS) Officers • Council of State and Territorial Epidemiologist (CSTE)Applied Epidemiology Fellows • Public Health Associate Program (PHAP) Fellows • Preparedness Field Assignees (PFAs)

  17. CEFOs in Action

  18. Field Services Branch • Mission — strengthen nationwide public health preparedness and response capability through service at state, tribal, local, and territorial health departments • Programs • Career Epidemiology Field Officer • Preparedness Field Assignee • Staff • CDC Headquarters — 11 • CEFOs — 33 • PFAs — 17

  19. Career Epidemiology Field Officers Assignment Locations, September 2014 Goode Nett Holzbauer Pickard McFadden Dentinger Harper Quinn Carter Tarkhashvili O’Leary Venuto Buss Patel Campagnolo Miller Navon Kurkjian Wilken Fleischauer MacFarquhar Sunenshine Adams Thoroughman Groenewold Preacely Edison Morrison Roth Murphree Jackson Schmitz Margaret Riggs Thomas David Callahan Mary Dott

  20. CEFO for the Pacific IslandsConcept • Pacific Island Health Officers Association (PIHOA) • Regional approach • Concentration of CDC staff • Direct CDC funding • Pilot of alternative funding model • National health security • Collaborative direction

  21. CEFO for the Pacific IslandsChallenges • Multiple Jurisdictions • Assessment of risk and needs • Collaborative prioritization from PIHOA Board • Regional projects • Planned activities in all jurisdictions • Enhancement of jurisdictional staff • Travel • Dedicated funding • Collaboration with other CDC programs • In-kind support

  22. CEFO for the Pacific IslandsChallenges • Right Candidate • Diverse epidemiology skills • Experience with Pacific jurisdictions • Experience with CDC • Collaborative and diplomatic • Independent • Clinical skills

  23. CEFO for the Pacific IslandsOpportunities • Experienced epidemiologist dedicatedto the Pacific Islands • Crosscutting approach across multiple disease areas • Strengthen regional collaboration • Attract additional resources • Collaboration with regional partners • Enhanced communication with CDC • CDC fellowship programs

  24. CEFO for the Pacific IslandsTimeline • Planning meetings • Feasibility assessment — June 6–13, 2014 • Development of support mechanisms • Contract, cooperative agreement • Supervisory collaboration • Application process • Progress report — August 12, 2014

  25. CEFO for the Pacific IslandsTimeline • CEFO candidate selection — Oct 2014 • Contract in place with PIHOA — Nov 2014 • CEFO assignment — Dec 2014 • Jurisdictional risk and needs assessment • Cooperative agreement with PIHOA — Apr 2014

  26. Conclusions • CEFOs provide variety of skills and expertise • CEFO placement and support must be a collaborative effort • CEFO Program will benefit Pacific Island jurisdictions

  27. Questions? Randolph Daley wdaley@cdc.gov CEFO Program (770) 488-8881 cefo@cdc.gov www.cdc.gov/phpr/science/cefo.htm Office of Public Health Preparedness and Response Division of State and Local Readiness The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

  28. Preparedness Field Assignee (PFA) Program • Two-year practicum placing graduates of Public Health Associate Program (PHAP) with PHEP awardees • Funded directly by CDC • Mission — Develop skill in emergency preparedness and response through field experience • PFAs make a significant contribution to the awardee

  29. PFA Activities • Emergency response plans • Technical assistance • Exercise development and evaulation • Outbreak investigations • Partnership development for community resilience • GIS mapping of at-risk populations • Situational awareness reports • Capability-based gaps analysis

  30. Preparedness Field Assignees Assignment Locations, August 2014 Burgess Cutts (Chicago) Haugen Peart Joseph Bowman Jean,Kurian (NYC) Driesse Vento Shultz Black Lira Li (Los Angeles) McCullough Kirley Awardees with PFAs

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