Pandemic Influenza: Planning and Preparedness - PowerPoint PPT Presentation

Loading...

PPT – Pandemic Influenza: Planning and Preparedness PowerPoint presentation | free to download - id: 50fde5-ZTdhZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Pandemic Influenza: Planning and Preparedness

Description:

NVAC Meeting, October 5, 2004 Pandemic Influenza: Planning and Preparedness Ben Schwartz, M.D. National Vaccine Program Office, U.S. Department of Health and Human ... – PowerPoint PPT presentation

Number of Views:79
Avg rating:3.0/5.0
Slides: 13
Provided by: NIP1
Learn more at: http://archive.hhs.gov
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Pandemic Influenza: Planning and Preparedness


1
Pandemic Influenza Planning and Preparedness
NVAC Meeting, October 5, 2004

Ben Schwartz, M.D. National Vaccine Program
Office, U.S. Department of Health and Human
Services

The pandemic clock is ticking we just dont
know what time it is.
2
Presentation Objectives
  • Comment on the H5N1 threat in Asia
  • Summarize recent and ongoing pandemic
    preparedness activities
  • Public release of the HHS Pandemic Influenza
    Preparedness and Response Plan
  • Other activities

3
The H5N1 Influenza Pandemic Threat
  • Avian infection in 9
  • countries
  • 34 human cases and
  • 23 deaths (68)
  • Culled gt100 m
  • chickens
  • Avian infection in
  • Hong Kong
  • 18 human cases and
  • 6 deaths (33)
  • Culled poultry
  • Avian infection in 4
  • countries
  • 7 human cases and
  • 6 deaths (86)
  • Person-to-person?
  • Ongoing avian H5N1 infections

2003
2004
1997
1998
1999
2000
2001
2002
4
Deaths from 20th Century Pandemics
Extrapolations to Current Populations
1918 1957/68
Case fatality rate Case fatality rate 3 lt1
Actual Deaths U.S. 675,000 52,000
Actual Deaths Global 20-30 million 1-4 million
Projected deaths U.S. .95 2.2 million 104,000 243,000
Projections based on estimates by Meltzer
5
The HHS Pandemic Influenza Preparedness and
Response Plan
  • Released for 60-day public comment period on
    August 26, 2004
  • Public comments submitted on paper
    electronically
  • NVAC, ACIP, ASTHO, IDSA are developing
    organizational responses
  • Plan is to be a living document with periodic
    revisions as needed
  • Thus, comments always are welcomed

6
Pandemic Plan Components
  • Core plan with preparedness and response sections
  • DHHS Conops plan for public health and medical
    emergencies
  • Annexes (12) providing...
  • Guidance to health departments and other health
    care organizations
  • Detailed information on critical issues
  • Comparative and historical perspectives

7
Outstanding Issues
  • Purchase and distribution of pandemic vaccine
  • Priority groups for vaccination
  • Priority groups and strategies for antiviral
    drugs
  • Approaches to indemnification and liability
    protection

8
Need for Additional Specificity Development of
Supportive Materials
  • Needed specifics
  • Strategies to decrease international and
    community transmission
  • Definition of frontline health care workers or
    essential community service providers
  • Needed materials
  • Software for monitoring vaccination coverage and
    recall for second dose, if needed
  • Communications messages and materials

9
Ongoing Pandemic Preparedness Activities, 1
  • Vaccine
  • Clinical testing of H5N1 investigational lot
  • 2 million dose H5N1 stockpile
  • RFP to assure security of egg supply for vaccine,
    and production of annual investigational lots
  • RFP to diversify U.S. influenza vaccine
    production and increase surge capacity through
    cell-culture based vaccine
  • Research on improved development of reference
    strains, new vaccine production technologies,
    approaches to increase immunogenicity, etc.

10
Ongoing Pandemic Preparedness Activities, 2
  • Antiviral drugs
  • Addition of oseltamivir to the Strategic National
    Stockpile
  • Inter-agency meeting of HHS/DoD/VA on antiviral
    strategies and stockpiling
  • State health care system preparedness
  • Addition of pandemic planning as BT cooperative
    agreement critical benchmark
  • Regional planning meetings for health departments
  • Development of tabletop exercises
  • HRSA BT hospital preparedness program

11
Ongoing Pandemic Preparedness Activities, 3
  • International activities
  • Cooperative agreement enhancing surveillance in
    10 Asian countries
  • Support for WHO regarding coordination of human
    and animal surveillance
  • Support to WPRO for pandemic planning in Asia
  • APEC projects to assess pandemic planning,
    promote inter-sectoral involvement, and enhance
    preparedness
  • Modeling focus on pandemic outbreak containment
    using public health measures and antiviral drugs

12
Conclusions
  • During the past couple years, there has been
    substantial progress in preparedness
  • Many challenges remain
  • Key decisions
  • Further planning gap filling
  • Vaccine antiviral preparedness
  • International surveillance cooperation
  • Release of the pandemic plan allows broader
    engagement facilitates stakeholder involvement
About PowerShow.com