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CRI Program 2004 2005 Public Health Seattle


Make progress toward CDC requirements ... Identify triggers for activating various dispensing options. Tracking pharmaceutical inventory ... – PowerPoint PPT presentation

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Title: CRI Program 2004 2005 Public Health Seattle

CRI Program 2004 2005Public Health -
Seattle King County
  • Our Goals and Objectives for CRI
  • What We Achieved
  • Challenges We Experienced
  • Future Planning Issues
  • Overall Observations of CRI Year 1

Our Goals for the CRI Project
  • Make progress toward CDC requirements
  • Develop capabilities for mass dispensing of
    antibiotics during anthrax events
  • Build capabilities for real world events
  • Anthrax 2001, Wash. D.C., FL, NJ
  • Hepatitis A, Philadelphia 2002, Pittsburgh 2003
  • Meningitis, Mankato, Minn. 1995

CRI Program Objectives
  • What is our geographic planning area?
  • Population determined by CDC (560,000)
  • Area determined by Public Health (county-wide
    health department)
  • Puget Sound region directly involved due to
    commuter population

CRI Program Objectives
  • Where will we focus our limited time and
  • Build POD capability
  • POD Model
  • Site Selection and Site Planning
  • Risk Communications Planning
  • Training and Drills
  • Grab Low Hanging Fruit
  • Identify large health partners / facilities that
    could manage their own PODs

CRI Program Objectives
  • Who are our response partners?
  • State health department
  • Local law enforcement
  • Fire / EMS
  • Emergency managers
  • Parks departments
  • Local pharmacists
  • University

Benefits Achieved With CRI
  • Enhanced staff training on preparedness, ICS,
    disease outbreak response
  • Built valuable relationships with response
  • Developed real capability for responding to most

Benefits Achieved With CRICreative and
Unexpected Solutions
  • Exploring registration of HHS staff as volunteers
    under MRC
  • Agreement with local university to staff and
    operate a POD for 60,000 people
  • Coordinating with local health cooperative to
    dispense to 200,000 members

Challenges Experienced with CRI
  • Limited and inconsistent guidance from CDC on the
    program and requirements
  • Strict limitations on how funding could be spent
    (no drugs, limited staffing)
  • Getting contract completed with CDC

Challenges Experienced with CRI
  • CRI based on unrealistic anthrax scenario hard
    to keep staff involved and motivated
  • Liability issues surrounding volunteer medical
  • Pre-deployment to responders (lots of support but

Challenges Experienced with CRI
  • No standards or best practices for any aspect of
    this project
  • No centralized communication of progress made by
    cities, successes, challenges, lessons learned
  • USPS delays, inconsistencies, restrictions -
    now required by CDC

Future Planning Issues
  • Plans for on-site credentialing
  • Evaluating the efficiency of POD models
  • Assessing how the public is likely to respond

Future Planning Issues
  • Identify triggers for activating various
    dispensing options
  • Tracking pharmaceutical inventory
  • Identifying, registering, training volunteers
    (Progress made by the University)

Overall Observations
  • Catastrophic anthrax scenario (crop duster) not
    the right place to start
  • Lowered credibility of the program
  • Jeopardized our ability to maintain involvement
    of key staff
  • Ignored a scaled approach building capabilities
    for smaller, real-world events

Overall Observations
  • The time and expense of extensive legal review
    was not anticipated
  • Time frames established for completion of
    deliverables are not achievable
  • Future CRI priorities should focus on local needs
    and likely scenarios

Overall Observations
  • With CRI we have built surge capacity for mass
    dispensing and vaccinating
  • Because
  • We adapted CRI to meet our needs