Chad Jenkins, Public Health Coordinator

1
Welcome
Fall Pandemic Influenza Strategy

• Chad Jenkins, Public Health Coordinator
• Barry McNulty, Administrator
• Dr. Charles Harris, County Health Officer

2
Part 1 of Todays MeetingInform and Answer

• H1N1 Updates
• Mass Vaccination Priority Groups
• Community Containment Measure
• Health Officer Authority and School Closure
  Guidance
• Make a list of questions

3
Part 2 of Todays MeetingPreparedness and
Planning

• What has HCHD done up to now?
• Fall Objectives/Strategies
• Details of Strategic National Stockpile
• Followed by Question and Answer Session

4
Public Health Incident Management

• Chad Jenkins,
• Public Health Coordinator

5
National Incident Management System/Incident
Command System (NIMS/ICS)

• Full implementation of NIMS/ICS
• Maintain Current Incident Action Plan
• Established Operational Period of
• Thursday 800 AM to Wednesday 430PM
• ICS expansion not necessary at this time
• Unified Command/Area Command? EOC?
• Application of Target Capabilities List metrics

6
Current Information Flow
County Govt HCSD
CDC
ISDH
Health Officer Incident Commander PIO Liaison
Officer Medical Liaison Officer
Public Information
Municipal Liaison
School Districts
Hospitals
Participating Providers
7
Strategic National Stockpile (SNS)
UtilizationAnti-viral Medication/PPE

• Chad Jenkins,
• HCHD Emergency Preparedness Coordinator

8
Anti-viral/PPE

• Treatment Only
• Have received 25 of inventory
• Anticipating additional deliveries soon
• CDC has NOT provided release
• Except for indigent
• To be utilized when commercial supply chain has
  been depleted
• Stored in secure locations

9
Fall Incident Objectives and Planning Process

• Chad Jenkins,
• Public Health Coordinator

10
In preparing for battle, I have always found
that plans are useless but planning is
indispensable.

• -Dwight D. Eisenhower

11
What Has HCHD Done Up to Now?

• Aug 08-July 09
• 4,000 hours public health emergency planning
• 2,400 hours training and exercise (NIMS!)
• 15 of 25 HCHD staff NIMS 300/400 trained
• Fully mobile HD/ICP (w/power) for all emergencies
• Essential Personnel Exercise with City of
  Westfield
• Spring Influenza Response
• Activation of ICS HCHD and EMA
• WHO drove the response activity early on
• Existing Pandemic Plan NOT adequate
• defaulted to our level of training NIMS/ICS and
  DOC/SNS

12
What Has HCHD Done Up to Now?

• Spring After Action Review
• ESF 8 Planning Group
• FEMA Target Capabilities List Eval. Criteria
• 13 Immediate Improvement Items
• 10 August Fall Preparation
• Expand summer ICS to full CG Staff
• 19 August Hospitals Strategy Meeting
• Provider Participation Registration
• Public and Liaison Implementation

13
Challenges to Planning

• Why?
• Its the FLU!
• Non-declared emergency
• SMART Objectives
• CDC guidance is fluidimpacts ISDH and then the
  LHDs
• Prior planning is pill-form BT related (NIMS/ICS)
• No solid benchmark WHO/Severity/Infection-inadequ
  ate
• TWICE!
• Multi-jurisdictional scope
• How much medication? Who wants it?
• THE MEDS ARE COMING!

14
Determining Objectives

• Vaccination of Priority Groups
• Public Information Campaign
• Liaison/Internal Communication Campaign

15
Determining Strategies for the Vaccination of
Priority Groups

• Municipal Essential Personnel (non HSPD-8
  definition)
• HCHD-School Clinics
• Participation of local providers
• Mobile Vaccination Teams
• HCHD transition to Mass Vaccination Clinics
  (incorporation of MOAs)
• Worst case Mass Vaccination (ALL)

16
Determining Vaccination Tactics

• Will require separate tactics meetings
• Driven by release and timing of CDC guidelines
  and SNS
• Can be held nowfull sets of options
• TacticsOperations

17
Determining Strategies for Public Information and
Liaison

• Establish county Joint Information System ?
• Share agency PIO contact information
• Public Service Announcements
• Up-to-date Webpage

Determining Strategies for Liaison

• Identify single point of contact to channel
  questions through HCHD Liaison Officers
• Up-to-date Webpage

18
The Planning Process
Preparing for
IAP
Planning
the Planning
Prep
Meeting
Meeting
Approval
Operations
Briefing
Tactics
Meeting
New Start Ops
Period Begins
IC/UC Sets
Execute Plan
Objectives

Assess Progress
Initial IC/UC
Meeting
Incident Briefing
ICS 201
Initial Response
Assessment
Notification
Initial Response
Incident/Threat
19
How Can We Work Together?

• How do you want us to update your AGENCY?
• How does your agency intend to participate?
• What does your agency need from HCHD?
• Who is your Planner?
• Who is you Liaison Officer?
• Who will be responsible for Operations?
• How do you want to communicate with the public?

20
September 18th

• Webcast Summit-location TBD at this time
• Webcast and Strategy Session/Round Two

Mid-Late September

• Farmers Markets
• Community Summit
• Strategy Meetings
• Tactics Meetings