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Pandemic Flu Preparing a Community (Full-Text Version)


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Title: Pandemic Flu Preparing a Community (Full-Text Version)

Pandemic Flu Preparing a Community (Full-Text
  • Presented by
  • The Bloomfield Department of Health and Human

  • Pandemic Bird Flu / Avian Flu / A (H5N1) virus
  • What you can expect when a Pandemic occurs
  • State response
  • Local response
  • How to prepare and protect yourself and your
  • Can get full text copy on website
    www.bloomfieldtwpnj/health after April 27th.

Understanding a Pandemic
What is flu pandemic?
  • A flu pandemic is a global outbreak of flu.
  • There are three characteristics that distinguish
    a flu pandemic from the seasonal flu outbreaks
    that occur every year.
  • The pandemic is caused by a new strain of flu
    virus to which people have
  • no immunity.
  • The virus is spread easily from person to person.
  • The virus is capable of causing severe illness
    and many deaths.
  • Flu pandemics tend to arrive with very little
    warning. This new virus may be a
  • combination of viruses that have not circulated
    among people for a long time.
  • Most people will have no natural protection or
    immunity from the new virus.
  • Because of this, the new virus is especially
    dangerous, and could lead to high
  • rates of illness and death.

Avian Influenza
  • Birds (aquatic) serve as the reservoir for
  • Highly pathogenic (virulent) strain H5N1
  • Little immunity in human population to H5N1
  • Not readily transmitted to or between humans at
    this time

Avian Influenza
  • Birds carry virus in respiratory tract and
  • Shed virus in saliva, nasal secretions and feces
  • Does not usually cause disease in wild birds
  • Estimated 30 of wild water fowl are infected on
    migration from breeding grounds
  • May cause severe disease in domesticated birds
  • Avian influenza in humans
  • Does not usually infect humans directly
  • Rare of person-to-person transmission
  • Swine may serve as mixing vessels

Why are public health officials worried about a
flu pandemic?
  • The appearance and spread of avian influenza
    (also known as bird flu) has
  • raised concern about a new influenza pandemic.
    Bird flu has swept through
  • poultry flocks in Asia and is continuing to
    spread from Asia to Europe.
  • Public health officials are also concerned that
    half of the people in Asia who
  • became ill from bird flu died. It is believed
    that these people came in contact
  • with chickens, turkeys, ducks or their droppings.
  • There is no conclusive proof right now that bird
    flu can spread easily from one
  • person to another. But scientists worry that the
    avian virus could change and
  • spread between people, which could start a flu

The New Jersey Department of Health and Senior
Services Statistics
  • An influenza pandemic could result in
  • 1.5 million outpatient visits
  • 40,000 hospitalizations
  • Over 8,000 deaths in New Jersey
  • Stressed outpatient and inpatient care systems
  • High rates of absenteeism among health care
  • At increased risk of exposure and illness
  • Or who have to care for ill family members

Other Pandemics
  • In 1918 the Spanish flu claimed the lives of
    675,000 Americans. This was an unusually severe
    influenza pandemic.
  • The Asian flu pandemic of 1957 resulted in the
    deaths of 69,800 U.S. citizens.
  • The Hong Kong flu pandemic of 1968, the least
    severe of the 20th century pandemics, resulted in
    33,800 deaths.
  • Every year, seasonal flu kills about 36,000

1918 Flu Pandemic (Notice that everyone is
wearing a mask)
Recent Spread as of May 19, 2006
The Plan for The State of New Jersey
  • .to help minimize morbidity and mortality, and
    maintain the operations of essential community
    services in the event of a pandemic.

Broad Resource Strain
  • Difficult to shift resources between states
  • Reinforces the need for each state to develop a
  • Require a substantial degree of self-reliance
  • The emotional effects of a pandemic are expected
    to be severe

What is New Jersey doing to prepare for a
possible pandemic?
  • Like many other states, New Jersey has developed
    and continually updates a statewide influenza
    pandemic plan.
  • This plan will help guide public health
    officials in responding to an influenza pandemic.
    Some of the issues the plan addresses are disease
    surveillance, vaccine distribution and the
    delivery and use of antiviral medication.
  • The influenza pandemic plan will also help New
    Jerseys medical experts monitor how influenza is
    spreading, outline public health methods to
    control the spread, and guide health care
    facilities to handle excessive numbers of

The Plan for The State of New Jersey
  • Developed to complement the State Emergency
    Operations Plan
  • Includes
  • Duties of New Jersey Department of Health and
    Senior Services (NJDHSS)
  • Actions that local health departments (LHDs) need
    to take to prepare for and respond to an
    influenza pandemic
  • Actions that Local Information Network and
    Communications System (LINCS) need to take to
    prepare for and respond to an influenza pandemic
    NJ LINCS is a system of public health
    professionals and electronic public health
    information that enhances the identification and
    containment of diseases and hazardous conditions
    that threaten the public's health. Built on
    personal computer and Internet technologies,
    LINCS is a network of twenty two strategically
    positioned local health departments located
    throughout the state, the New Jersey Department
    of Health and Senior Services, all other local
    health departments and public/private
    organizations working at the community level to
    protect the public's health.

Understanding your Local Health Department (LHD)
Bloomfield Health and Human Services Org Chart
  • A Point of Dispensing site, also known as a
    POD, is a site or area where preventative
    medications, vaccinations or personal protective
    equipment (such as masks) can be mass distributed
    to large numbers of people in the event of a
    naturally occurring disease outbreak or a
    bioterrorist event.
  • A POD is a planned event with a specific day and
    time, providing Township residents a known place
    to seek treatment during an emergency should the
    State or Government order such treatment. An
    example of a POD, on a small scale, would be the
    annual Flu Clinic.
  • Local Health Department coordinates with the OEM
    and the EOC (Emergency Operations Center) will be
    managing operations.

Mental Health
  • Emotional effects of a pandemic are expected to
    be severe.
  • Emergency mental health services will be
    delivered in non-clinical settings, to
    non-treatment seeking people, who are responding
    normally to an abnormal event.
  • The objectives of emergency mental health
    services include administering psychological
    first aid providing support, information, and
    pragmatic help and most importantly, identifying
    individuals who are at risk for long-term adverse
    mental health outcomes and referring them to the
    appropriate level of care.  

What to Expect / Challenges
  • Social Disruption May Be Widespread
  • Plan for the possibility that usual services may
    be disrupted. These could include services
    provided by hospitals and other health care
    facilities, banks, stores, restaurants,
    government offices, and post offices.
  • Prepare backup plans in case public gatherings,
    such as volunteer meetings and worship services,
    are canceled.
  • Consider how to care for people with special
    needs in case the services they rely on are not

  • Being Able to Work May Be Difficult or
  • Find out if you can work from home.
  • Ask your employer about how business will
    continue during a pandemic. (A Business Pandemic
    Influenza Planning Checklist is available at
  • Plan for the possible reduction or loss of income
    if you are unable to work or your place of
    employment is closed.
  • Check with your employer or union about leave

  • Schools May Be Closed for an Extended Period of
  • Discuss with your school administrators, and
    parent-teacher organizations any pandemic plan.
  • Plan home learning activities and exercises. Have
    materials, such as books, on hand. Also plan
    recreational activities that your children can do
    at home.
  • Consider childcare needs. (Backup provider)

  • Transportation Services May Be Disrupted
  • Think about how you can rely less on public
    transportation during a pandemic. For example,
    store food and other essential supplies so you
    can make fewer trips to the store.
  • Prepare backup plans for taking care of loved
    ones who are far away.

How can we prepare?
  • Make a Kit
  • Make a Plan
  • Keep Informed
  • Sign up for Code-Red
  • Stay Healthy and Stop the spread of Germs

Kit Water and Food
  • Food
  • Store at least a 2 week supply of non-perishable
  • Select foods that require no refrigeration,
    preparation or cooking and little or no water.
  • Pack a manual can opener and eating utensils.
  • Choose foods your family will eat.
  • Ready-to-eat canned meats, fruits and vegetables
  • Protein or fruit bars
  • Dry cereal or granola
  • Peanut butter
  • Dried fruit
  • Nuts
  • Crackers
  • Canned juices
  • Non-perishable pasteurized milk
  • High energy foods
  • Water
  • One gallon of water per person per day, for
    drinking and sanitation.
  • Children, nursing mothers, and sick people may
    need more water.
  • Purchase bottled water or store water tightly in
    clean plastic containers such as soft drink
  • Keep at least a 2 week supply of water per

Kit Emergency Supplies
  • Start now by gathering basic emergency supplies -
    a flashlight, a battery-powered radio, a NOAA
    (National Oceanic and Atmospheric Administration)
    Weather radio with tone alert, extra batteries, a
    first aid kit, toilet articles, prescription
    medicines and other special items your family may
  • Include warm clothes and a sleeping bag and/or
    blankets for each member of the family.

Kit First Aid
  • Things you should have
  • Two pairs of Latex, or other sterile gloves (if
    you are allergic to Latex).
  • Sterile dressings to stop bleeding.
  • Cleansing agent/soap and antibiotic towelettes to
  • Antibiotic ointment to prevent infection.
  • Burn ointment to prevent infection.
  • Adhesive bandages in a variety of sizes.
  • Eye wash solution to flush the eyes or as general
  • Thermometer
  • Prescription medications you take every day such
    as insulin, heart medicine and asthma inhalers.
    You should periodically rotate medicines to
    account for expiration dates.
  • Prescribed medical supplies such as glucose and
    blood pressure monitoring equipment and supplies.

Kit First Aid
  • Things it may be good to have
  • Cell Phone
  • Scissors
  • Tweezers
  • Non-prescription drugs
  • Non-aspirin pain reliever
  • Anti-diarrhea medication
  • Antacid (for upset stomach)
  • Laxative

CDC approved Mask
  • N-95 Mask reduces exposure to airborne viruses
  • Things to Consider
  • Level of comfort for wear over an extended period
    of time
  • If you are going to be sitting in your office
    with a mask on all day, it has to be comfortable
    or you will take it off.
  • If you are just going to use it when grocery
    shopping, maybe a cheaper, less-comfortable mask
    will do fine.
  • All masks come with instructions from the
    manufacturer on their use.

Get Informed
  • Get Informed Stay Informed
  • Knowing the facts is the best preparation.
    Identify sources you can count on for reliable
    information. If a pandemic occurs, having
    accurate and reliable information will be
  • Listen to local and national radio, watch news
    reports on television, and read your newspaper
    and other sources of printed and Web-based
  • Talk to your local health care providers and
    public health officials.

Stay Healthy
  • Stay Healthy
  • Will the seasonal flu shot protect me against
    pandemic influenza?
  • No, it won't protect you against pandemic
    influenza. But flu shots can help you to stay
  • Get a flu shot to help protect yourself from
    seasonal flu.
  • No vaccine for pandemic flu could be 6-9 mo.s
    after flu hits for vaccine to be developed
  • Get a pneumonia shot to prevent secondary
    infection if you are over the age of 65 or have a
    chronic illness such as diabetes or asthma. For
    specific guidelines, talk to your health care
    provider or the Bloomfield Department of Health
    and Human Services
  • Take common-sense steps to limit the spread of
    germs. Make good hygiene a habit.
  • Wash hands frequently with soap and water.
  • Cover your mouth and nose with a tissue when you
    cough or sneeze.
  • Put used tissues in a waste basket.
  • Cough or sneeze into your upper sleeve if you
    dont have a tissue.
  • Clean your hands after coughing or sneezing. Use
    soap and water or an alcohol-based hand cleaner.
  • Stay at home if you are sick.

  • A respiratory illness
  • Symptoms
  • typical influenza-like symptoms (e.g. fever,
    cough, sore throat, and muscle aches)
  • eye infections (conjunctivitis),
  • acute respiratory distress,
  • viral pneumonia
  • and other severe, life-threatening complications
  • Incubation period is 1 to 4 days
  • Most contagious 24 hours before the onset of
    symptoms and 3 to 5 days after the onset of
  • Survives on non-porous surfaces for 24 to 48
    hours, can transfer to hands up to 24 hours from
    this type of surface
  • Survives on porous surfaces for 8 to 12 hours and
    can transfer to hands up to 15 minutes from this
    type of surface

How to Stop the Spread of Germs
  • Wash your hands for 20 seconds with hot, soapy
    water (for kids' hands, use warm, soapy water
    instead). Thoroughly scrub hands, wrists,
    fingernails, and between fingers.
  • Wash hands before and after you prepare food and
    especially after preparing raw meat, poultry,
    eggs, and seafood.
  • Wash hands after using the bathroom, changing
    diapers, handling pets, or whenever you have
    touched something that may be contaminated.
  • Rinse and dry hands with a clean towel or
    consider using durable, disposable paper towels
    for drying hands, so germs are thrown away.
  • Carry a hand sanitizer at all times.

How to Stop the Spread of Germs
  • Avoid close contact
  • Avoid close contact with people who are sick.
    When you are sick, keep your distance from others
    to protect them from getting sick too. SOCIAL
  • Stay home when you are sick
  • If possible, stay home from work, school, and
    errands when you are sick. You will help prevent
    others from catching your illness.
  • Cover your mouth and nose
  • Cover your mouth and nose with a tissue when
    coughing or sneezing. It may prevent those around
    you from getting sick.
  • Avoid touching your eyes, nose or mouth
  • Germs are often spread when a person touches
    something that is contaminated with germs and
    then touches his or her eyes, nose, or mouth

Special Needs
  • Remember the special needs of your family
    members. Infants, the elderly and persons with
    disabilities need the same planning as everyone
    else, and sometimes a little more, to be prepared
    for a pandemic.

Special Needs
  • For Baby
  • Formula
  • Diapers
  • Bottles
  • Powdered milk
  • Medications including non-prescription
  • Moist towelettes
  • Diaper rash ointment

Special Needs
  • For Adults
  • Ask your doctor about storing prescription
    medications such as heart and high blood pressure
    medication, insulin and other prescription drugs.
  • Denture needs
  • Contact lenses and supplies
  • Extra eye glasses

Special Needs
  • For Seniors and Disabled
  • Plan how you will evacuate or signal for help.
  • Plan emergency procedures with home health care
    agencies or workers.
  • Tell others where you keep your emergency
  • Teach others how to operate necessary equipment.
  • Label equipment like wheelchairs, canes or

Special Needs
  • For Seniors and Disabled
  • List of prescription medications including dosage
    in your supply kits. Include any allergies.
  • Extra eyeglasses and hearing-aid batteries.
  • A list of the style and serial numbers of medical
    devices such as pacemakers in your emergency
    supply kits.
  • Copies of medical insurance and Medicare cards.
  • List of doctors and emergency contacts.

Special Needs
  • For Seniors and Disabled
  • Bloomfield is currently developing a registration
  • Wear medical alert tags or bracelets to help
    identify your disability.
  • If you are dependent on dialysis or other life
    sustaining treatment, know the location and
    availability of more than one facility.

File Of Life (Available from the Bloomfield
Department of Health Human Services
  • The File of Life is a red plastic magnetic file
    folder that attaches to your refrigerator. The
    file contains vitally important information about
    you so that emergency medical professionals have
    quick access to your basic medical information.
    Also available for your use is a personal size
    File of Life, which you can carry in a wallet or
    purse for lifesaving information outside the
    home. This information includes
  • Medications that you take
  • Allergies you have
  • Your Medical Conditions
  • Your Blood Type
  • Emergency Contact Information
  • Your Physician's Name
  • Your Preferred Hospital

Opportunities for Helping
  • Community Emergency Response Team (CERT)
  • Medical Reserve Corps (MRC)

Additional Information and Resources
  • Get Informed
  • (CDC) Hotline at 1-800-CDC-INFO
    (1-800-232-4636). This line is available in
    English and Spanish, 24 hours a day, 7 days a
    week. TTY 1-888-232-6348. Questions can be
    e-mailed to
  • State department of public health at
  • Talk to your local health care providers and
    public health officials. Bloomfield 973 680
  • Many of the state plans and other planning
    information can be found at
  • Emergency Kits contact the Red Cross at

Take Home Messages
  • The threat to public health will remain so long
    as the virus continues to cause disease in
    domestic poultry
  • The outbreaks in poultry are likely to take a
    very long time to control
  • Regardless of how the present situation evolves,
    the world needs to be better prepared to respond
    to the next influenza pandemic

  • We hope information has helped you to understand
    the nature of a flu pandemic as well as what NJ
    and Bloomfield are doing to prepare for such an
  • Additionally, we hope that this information has
    helped too to see how you can prepare yourselves
    and your loved ones.