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Schools

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Title: PowerPoint Presentation Author: Sara Last modified by: Kimberly Created Date: 1/1/1601 12:00:00 AM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Title: Schools


1
Schools Pandemic Influenza Public Health
Emergency Exercise Program
EXERCISE NAME
A part of the LACOE Series sponsored by the Los
Angeles County Department of Public Health
EXERCISE DATE
2
Welcome Introductions
3
Exercise Logistics
  • Phones, Pagers, Blackberries, iPhones, etc.
  • Restrooms
  • Refreshments
  • Parking Validation
  • Seating Arrangements

4
Situation Manual
  • Exercise Schedule
  • Introduction
  • Module 1Pandemic Outbreak Overseas
  • Module 2 Outbreak in the U.S.
  • Module 3 Outbreak in LA County Schools
  • Appendices
  • Acronyms Glossary of Terms
  • Toolkit Overview
  • The PSI Student Dismissal/Social Distancing
    FAQs
  • Pandemic Influenza COI Resources
  • Presentations and Notes Pages

5
Feedback Form
  • Broken down by Exercise Section/Module
  • Record Notes, Thoughts, Issues, Strengths,
    Recommendations
  • Complete throughout exercise
  • Be thorough
  • Turn in at the conclusion of the exercise

6
Exercise Schedule
800 am Welcome and Introduction 820 am
Presentation Presentation Name 850 am
Presentation Presentation Name 910 am
Presentation Presentation Name 930 am
Break 940 am Module 1 Pandemic Outbreak
Overseas 1020 am Module 2 Outbreak in the
U.S. 1105 am Module 3 Reported Cases within
LA County Schools 1150 am Evaluations and
Closing Remarks
A detailed agenda can be found under the
Exercise Schedule tab.
7
Exercise Overview
8
Exercise Program Overview
The Schools Pandemic Influenza and Public Health
Emergency Exercise Program is sponsored by LACDPH
and is being conducted to
  1. Facilitate partnerships, communication and
    coordination between schools, school districts
    and LACDPH and
  2. To increase awareness of the issues regarding
    planning for and responding to an influenza
    pandemic or other public health emergency.

Please turn to page 5 in your SITMAN
9
Exercise Scope
  • This exercise will focus on the roles of LACDPH,
    LACOE and individual schools in mitigating,
    preparing for, and responding to, a potential
    influenza pandemic or other infectious disease
    outbreak.

Please turn to page 6 in your SITMAN
10
Exercise Purpose
  • The purpose of this exercise is to provide
    participants an opportunity to assess current
    capabilities for an influenza pandemic or other
    public health emergency in Los Angeles County.
  • The exercise will focus on the policies and
    procedures that guide public health, schools and
    LACOE in command and control coordination,
    critical decisions, notifications, and the
    integration of external assets necessary to save
    lives and protect public health and safety.
  • The role of public information strategies will
    also be critical to the overall response effort.

Please turn to page 6 in your SITMAN
11
Goal
  • To provide relevant, timely and useful
    information to school districts in Los Angeles
    County to enhance schools ability to mitigate,
    prepare for, and respond to an influenza pandemic
    or other public health emergency.

Please turn to page 8 in your SITMAN
12
Objectives
  • Familiarize participants with the specific roles,
    responsibilities and capabilities of LACDPH and
    LACOE in managing the response to an influenza
    pandemic or other public health emergency.
  • Discuss the issues, concerns and impact regarding
    potential social distancing measures and school
    closure/distance learning strategies.

Please turn to page 8 in your SITMAN
13
Objectives (cont.)
  • Present ideas, methodologies and materials
    regarding pandemic influenza and other public
    health emergencies to assist schools in educating
    children, parents, teachers, support staff, and
    administrators.

Please turn to page 8 in your SITMAN
14
Exercise Structure
Presentations
Scenario Discussion
Evaluation Adjournment
Facilitated Feedback
15
Informational Presentations
16
BREAK
Please return in 10 minutes.
17
Schools Toolkit
18
Schools Toolkit
  • Purpose
  • The purpose of the Schools Toolkit is to assist
    schools and school districts in Los Angeles
    County to mitigate, prepare for, respond to, and
    recover from an influenza pandemic or other
    public health emergency.
  • Structure Layout
  • Master
  • Administrator Toolkit
  • Note Toolkit provided via CD-ROM in your SITMAN.

19
Schools Toolkit
  • Parent Staff Letters
  • Disease Catalogue that provides approved language
    for a number of public health diseases of concern
    to schools, such as pandemic influenza and MRSA
  • FAQs for each disease in the Catalogue
  • COOP information
  • Informational Posters
  • PowerPoint Presentations
  • NIMS/ICS resources
  • Annotated index describing the Toolkit elements
  • Introduction that explains how to use the Toolkit

20
Exercise Scenario
21
Roles and Responsibilities
Participants respond to the situation presented
based on expert knowledge of plans and
procedures. Observers support the discussion
groups as they develop responses to the situation
in the caucus sessions. Facilitators provide
situation updates and moderate discussions.
22
Assumptions/Artificialities
  • Scenario is based upon a pandemic influenza
    outbreak but the exercise takes an all-hazards
    approach.
  • Scenario time period September 2008 and
    continues through March 2009.
  • Scenario is plausible and events occur as
    presented.
  • Use existing plans, policies, procedures.

23
Ground Rules
  • Exercise Ground Rules
  • This is a safe, open environment.
  • there is no textbook solution.
  • Keep the goals and objectives in mind.
  • Treat the scenario as real.
  • Play your role.
  • Participate openly.
  • respect the observations, opinions and
    perspectives of others.
  • This is an opportunity to discuss and present
    multiple options and possible solutions.
  • Ask questions, share thoughts, offer solutions.
  • Stay focused.

24
(No Transcript)
25
Background
  • Pandemics occur cyclically
  • 3 in the 20th Century
  • Experts agree We are long overdue
  • Bird/Avian Flu (H5N1) incited global concern in
    recent years.
  • 1997 Hong Kong Outbreak (6 deaths)
  • WHO Alert Phase 3 since November 2005.

26
Background
  • Schools are potential sites for the spread of
    disease, including influenza.
  • Schools are an information source for community
    residents.
  • Schools are sources of valuable resources for
    emergency response.
  • Schools are sources of health monitoring
    information.

27
September 2008
  • Human-to-human transmission of avian influenza
    8 cases total.
  • Viral cultures collected are identified as type
    AH7N1, a subtype never before isolated in humans.
  • Chain of infection began with a 37-year old woman
    exposed to dead poultry chicken feces.
  • She passed the virus to her 10-year old nephew
    who then passed it on to his father.

28
September/October 2008
  • A containment strategy was implemented, however,
    several additional cases were reported.
  • The WHO solicits Tamiflu donations, while the CDC
    begins work on a reference strain for vaccine.
  • Riots begin to occur in major cities throughout
    Southeast Asia.

29
September/October 2008
  • Additional outbreaks are confirmed throughout
    Southeast Asia at an average attack rate of 30.
  • The novel influenza virus begins to make
    headlines worldwide and becomes the lead story on
    major U.S. new networks and newspapers.
  • WHO investigations indicate extensive person to
    person transmission and multiple strains.

30
October 2008
  • In the U.S., pre-pandemic vaccine and antiviral
    stockpiles are deployed as supplies allow.
  • The WHO notifies the CDC and other national
    health agencies of the progress of the pandemic.
  • LACDPH coordinates with school districts to
    review pandemic guidance documents.
  • LACOE Superintendent schedules an impromptu
    conference call to discuss preparedness measures.

31
Casualties
Reported Cases of Pandemic Influenza, as of
November, 2008
Worldwide Worldwide Worldwide
1,090 436 381
U.S. U.S. U.S.
0 0 0
32
Breakout Group Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which
    questions to focus on.
  • Identify
  • Additional Questions
  • Critical Issues
  • Decisions to be addressed
  • Record notes on the Evaluation Feedback Form.
  • Focus on Strengths Areas for Improvement
  • Use the information available make the best
    decision possible.

33
Discussion Session
34
Feedback Session
35
(No Transcript)
36
November/December 08
  • The WHO recommends that each country implement
    its pandemic plan.
  • Meanwhile, influenza continues to spread
    throughout Southeast Asia.
  • An unusually severe influenza cluster is
    identified in 5 individuals living in Miami, FL.
  • More cases identified in Europe, Africa, and
    Canada.

37
December 08/January 09
  • CDC confirms the pandemic strain in Miami.
  • Several U.S. cities and transportation hubs begin
    to report cases reaching as far west as Texas.
  • The local press contacts LACOE for a statement.
  • Discussions take place at the Federal and State
    levels with unions and professional associations
    of educators, administrators school boards
    regarding the unfolding events.
  • LACOE maintains a proactive posture.

38
Casualties
Reported Cases of Pandemic Influenza, as of
January, 2009
Worldwide Worldwide Worldwide
183,750,041 61,250,035 5,145,006
U.S. U.S. U.S.
10,375,082 1,125,006 241,509
Los Angeles County Los Angeles County Los Angeles County
0 0 0
39
Discussion Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which
    questions to focus on.
  • Identify
  • Additional Questions
  • Critical Issues
  • Decisions to be addressed
  • Record notes on the Evaluation Feedback Form.
  • Focus on Strengths Areas for Improvement
  • Use the information available make the best
    decision possible.

40
Discussion Session
41
Feedback Session
42
(No Transcript)
43
February 2009
  • Pandemic influenza is confirmed in CA, with over
    a dozen confirmed cases within Los Angeles County
    schools.
  • A Public Health Emergency is proclaimed by the
    LAC Health Officer.

44
February 2009
  • Emergency Operations Centers (EOC) are activated
    at the State and local levels.
  • Order to dismiss students from all schools is
    issued.
  • Staff will continue to be paid under the disaster
    proclamation.

45
February 2009
  • The State issues the following guidance
  • Individual services may be reduced or
    discontinued.
  • Meals, school projects/assignments and phone
    tutoring may be modified.
  • Delivery of health-social service programs should
    be re-evaluated.
  • Continuing learning methodologies should be
    evaluated for implementation.
  • School superintendents are working with school
    districts and health officials to facilitate
    coordination.

46
March 2009
  • 2 of Americans infected with H7N1 die.
  • Hospitals are overwhelmed and staff shortages
    limited capacity at the height of the outbreak.
  • Parents appeal to the media regarding their
    growing concerns of child safety once schools
    reopen.
  • Rumors and misinformation are abundant among
    several internet sources frequented by students,
    such as MySpace and Facebook.

47
Casualties
Reported Cases of Pandemic Influenza, as of
March, 2009
Worldwide Worldwide Worldwide
551,250,041 183,750,041 15,435,006
U.S. U.S. U.S.
31,125,082 3,375,021 724,560
Los Angeles County Los Angeles County Los Angeles County
95,172 10,575 2,220
48
Discussion Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which
    questions to focus on.
  • Identify
  • Additional Questions
  • Critical Issues
  • Decisions to be addressed
  • Record notes on the Evaluation Feedback Form.
  • Focus on Strengths Areas for Improvement
  • Use the information available make the best
    decision possible.

49
Discussion Session
50
Feedback Session
51
After-Action Report
  • Lists strengths and makes actionable
    recommendations for improvement
  • Data collected via Evaluation Documents and
    Evaluators
  • Provided to exercise planning team for revision
    and approval
  • Contact lead agencies to obtain a copy

52
Feedback Form
  • Remember to Record
  • Notes
  • Thoughts
  • Issues
  • Strengths
  • Recommendations

53
Concluding Remarks
54
Thank you for your participation!
Please remember to turn in
  • Feedback Evaluation Forms
  • Post-Exercise Survey
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