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Think Outbreak

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Kansas City Missouri Health Department. Think ... Andorra. 80.4. Australia. 80.6. Switzerland. 80.6. San Marino. 81.2. Monaco. 81.9. Japan. Life Expectancy ... – PowerPoint PPT presentation

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Title: Think Outbreak


1
Think Outbreak!
  • Public-Private Partnership for Bioterrorism/Emerge
    ncy Preparedness
  • June 2, 2005

Dr. Rex Archer, M.D., M.P.H Director of Health,
2
Communication Collaboration
  • It is not what you dont know
  • that hurts you,
  • it is what you think you know,
  • that just aint so.

  • -Satchel Paige-

3
Acknowledgements
  • Barry R. Bloom, PhD
  • Senator Bill Frist, M.D.
  • Julie L. Gerberding, M.D.
  • Paul K. Halverson, PhD
  • Donald A. Henderson, MD, MPH
  • Thomas V. Inglesby, MD
  • Jean M. Malecki, MD, MPH, FACPM
  • Michael T. Osterholm, PhD, MPH
  • Tara OToole, MD, MPH
  • Joseph F. Waeckerle, MD, FACEP

4
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6
Public Health (PH) Preparedness(Are we there
yet?)
  • The continuous process of improving the Health
    Systems capacity to detect, respond to, recover
    from, and mitigate the consequences of terrorism
    and other health emergencies

7
Are we catching up?
?
8
State Local
  • Regulator
  • Grantee (From CDC)
  • Grantor
  • Coordinator
  • Responder/Service Provider
  • Responder/Service Provider
  • Grantee
  • Coordinator
  • Regulator
  • Grantor

Advocacy?
9
Collaboration
Coordination
Commitment
Competency
Communication
Consistency
Compassion
Candor Clinical Laboratories
Community Common Sense
10
Visuals and Messages
What image or message does the public associate
with the Anthrax Attacks from October of 2001???
AP Photo, BBC
AP Photo, BBC
11
Visuals and Messages
  • An Associated Press photo archive search of
    Anthrax in 2001 resulted in 395 pictures. Only
    one was identified as a local public health
    department. Archived photos are used when media
    needs a still photo to accompany a new story or a
    continuation of a previous story.
  • The images most associated with the Anthrax
    attacks were
  • Hazmat Teams, Moonsuits, FBI/Fire
  • Cipro
  • Postal workers taking precautions while sorting
    mail
  • Political leaders speaking out regarding the
    Anthrax Attacks
  • What did the photos convey to the public?

12
What is the face of public health?
AP Photo, BBC
13
Public Health is the underdog in the fight for
effective and recognizable messages
AP Photo, BBC
14
NACCHO Priority Objectives 2004
  • Communicate the value of local governmental
    public health agencies to the media,
    policymakers, decision makers and the public.
    (3.2)

15
Public Health needs to play the public relation's
game our funding depends on it.
AP Photo, Wichita Eagle, 11.2.01
16
Which person below will get the biggest share of
your tax dollars?
17
www.cdc.gov
18
DYNAMICS OF A HYPOTHETICAL BIOLOGICAL ATTACK In a
75,000 population
  • DATE CASES
  • 9/12 1
  • 9/18 6,674
  • 9/23 12,604 (727 deaths)
  • In 6 months, 25 of the U. S. Civilian Population
    Infected 4 of the infected Population will die

19
Influenza
  • Camp Devens, MA , 1918
  • 9/12 1
  • 9/18 6,674
  • 9/23 12,604 (727 deaths)
  • US. 25 of Civilian Population Infected
    4/100 Died
  • Global In 6 months 20 40 million deaths (In
    4 years of WWI, 15m deaths)
  • 2001 20,000 influenza deaths in US
  • 100,000 hospitalizations

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What was the number one public safety threat of
the last decade?
  • A. Drownings
  • B. Burns
  • C. Falls
  • D. Motor Vehicle Crashes
  • E. Homicides
  • F. Infectious Diseases

22
What was the number one public safety threat of
the last decade?
  • A. Drownings
  • B. Burns
  • C. Falls
  • D. Motor Vehicle Crashes
  • E. Homicides
  • F. Infectious Diseases

23
Health Protection PreparednessCritical Elements
Products
Plans
Public Health System
Personnel
Practice
24
Protecting People in a Transforming
WorldPreparedness
  • Threat Characteristics
  • Global threats with local
  • impact local threats with
  • global impact
  • Health
  • Security
  • Economy
  • Small world networks
  • Fast transmission
  • Fast dissemination
  • Response Requirements
  • Fast detection
  • Fast science
  • Fast effective
  • communication
  • Fast effective integration
  • Fast effective action!
  • Globalization, connectivity,
  • and speed!

25
Major Focus on State and Local Assets
  • All Terrorism is Local
  • An Effective National Response Requires an
    Effective Local and State Response
  • Local Public Health is the First Responder for
    most of the nation in an outbreak (natural or
    intentional)

26
MAJOR FOCUS ON STATE AND LOCAL ASSETS(continued)
  • Timeliness and Quality of Initial Engagement
  • Determine
  • Course and Duration of Crisis
  • Character and Magnitude of Consequences

27
BioResponse the Foundation of Our Defense
E SNS
D BioShield
C BioWatch

B BioSense
A BioResponse

28
Case Study Smallpox 1894
  • Facing a citywide outbreak, Milwaukee health
    authorities forcibly removed infected individuals
    to isolation hospitals, selectively using this
    technique among impoverished immigrants and not
    the well-off.
  • Perceived to be discriminatory and authoritarian,
    these measures caused month-long riots and
    ultimately abetted the spread of smallpox.
  • Outbreak Impact 1,079 cases, 244 deaths

29
Case Study Smallpox 1947
  • NYC officials effectively quelled outbreak by
    implementing a voluntary mass vaccination
    campaign that was universally applied, carrying
    out an elaborate public relations campaign, and
    involving grassroots organizations.
  • Outbreak impact 12 cases, 2 deaths

30
A True All Hazards Approach vs. Limited Hazards
Approach Five Fatal Flaws?
  • When did the emergency begin? (No Bang!)
  • Short Crisis Period? (days to weeks)
  • Manage Extra Volunteers/Resources?
  • Mass Casualties (thousand fold increase)?
  • True Triage (not EMS)?

31
Regional Homeland Security Coordination Committee
- RHSCC
  • Provides bi-state multi-disciplinary and
    multi-jurisdictional support
  • Provides leadership and coordination
  • Maximizes public and private resources

32
RHSCC Subcommittees
  • Training and Exercise
  • First Responders
  • Resource Coordination
  • Personnel Accountability Security System (PASS)
  • Metropolitan Emergency Information System (MEIS)
  • Policy
  • Plan
  • Law Enforcement
  • Public Health
  • Medical Reserve Corps
  • Hospital
  • Mental Health

33
Public Health SubcommitteeTask Forces
  • Strategic National Stockpile
  • Plans
  • Epidemiology and Surveillance
  • Isolation and Quarantine
  • Risk Communication

34
Urban Area Security Initiative (UASI)
  • Funds awarded to the bi-state Kansas City
    Metropolitan area
  • Funds used for planning, training, exercises,
    equipment, management and administration, added
    security, and critical infrastructure protection

35
UASI PH Objectives
  • Increase the regions surveillance and
    investigation capability.
  • Develop regional capability to mass immunize
    large numbers of persons.
  • Develop capability to manage large numbers of
    casualties.
  • Build capability to stop the spread of disease(s)
    that are resistant to treatment.

36
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38
Public Health Related UASI Projects
  • SNS Trailers 10 trailers with equipment and
    supplies to mass prophylax emergency responders
  • Medication Distribution System Improves the
    speed and accuracy of medication distribution and
    tracking of persons receiving treatment for
    prevention of diseases

39
Urban AreaSecurity Initiative Public Health
Projects
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42
Countries within 4 ½ yearsLife Expectancy of
the U.S.A.
  • Japan 81.9 (higher)
  • Switzerland 80.6
  • Australia 80.4
  • Canada 79.8
  • U.S.A. 77.3 (25th place)
  • Venezuela 73.9
  • Bosnia 72.8
  • Jamaica 72.8
  • Libya 72.6 (lower)

43
cynthia_carlson_at_kcmo.org
Public-Private Partnership for Bioterrorism/Emerge
ncy Preparedness June 2, 2005
  • to request an electronic copy of this
    presentation. Please include date and
    title/subject of presentation.
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