Pandemic Influenza Readiness Update - PowerPoint PPT Presentation

Loading...

PPT – Pandemic Influenza Readiness Update PowerPoint presentation | free to download - id: 6a29c4-YTFiZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Pandemic Influenza Readiness Update

Description:

Pandemic Influenza Readiness Update Linda Johnson, MSN, RN, CIC – PowerPoint PPT presentation

Number of Views:3
Avg rating:3.0/5.0
Slides: 32
Provided by: ArthurD3
Category:

less

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

Title: Pandemic Influenza Readiness Update


1
Pandemic InfluenzaReadiness Update
  • Linda Johnson, MSN, RN, CIC

2
(No Transcript)
3
(No Transcript)
4
(No Transcript)
5
Pandemic Influenza Viruses
  • Year Subtype
  • 1889 H2N?
  • 1899 H3N8
  • 1918 H1N1 swine
  • 1957 H2N2 Asian
  • 1968 H3N2 Hong Kong
  • 1977 H1N1 Russian
  • ? H5N1 Avian

6
Influenza
  • Single-stranded, helcally shaped, RNA virus
  • Basic antigen types A, B, and C
  • Subtypes on type A are determined by surfaces
    antigens
  • hemagglutinin (H) has a role in virus attachment
    to cells
  • neuraminidase (N), has a role in virus
    penetration into cells

7
8 RNA strands
Membrane
Hemagglutinin
Neuraminidase
INFLUENZA VIRION
8
Influenza A
  • Causes moderate to severe illness
  • affects all age groups
  • can infect some animals such as pigs and birds
  • continually undergoing antigenic changes

9
Influenza
  • Incubation period is 1-5 days (2)
  • abrupt onset of fever sore throat and
    nonproductive cough, headache, myalgias.
  • Severity of illness depends on prior exposure
    with clinically related variants
  • case-fatality 0.5-1 per 1000 cases

10
Influenza
  • Transmission is by droplet spread
  • may also be spread by direct contact
  • respiratory secretions shed virus for 5-10 days
  • viremia does not occur

11
What are the symptoms of the Flu vs. a common
cold?
  • Symptoms of flu
  • Fever (usually high)
  • Headache (prominent)
  • Extreme tiredness
  • Dry cough
  • Sore throat-sometimes
  • Runny or stuffy nose-sometimes
  • Muscle aches-usual and often severe
  • Nausea, vomiting or diarrhea (more common in
    children)
  • Symptoms of a cold
  • Fever is rare or low grade
  • Headache rare
  • Extreme tiredness-not usual
  • Cough- mild hacking
  • Sore throat- common
  • Congestion-common
  • Muscle aches-slight
  • Sneezing-usual
  • Nausea and vomiting-rare

12
Complications of the flu
  • Bacterial pneumonia
  • Dehydration
  • Worsening of chronic medical condition like
    diabetes or congestive heart failure
  • Sinus or ear infections

13
(No Transcript)
14
H5N1 November, 2005
15
(No Transcript)
16
The Next Flu Pandemic?
  • Exact timing impossible to occur
  • Often do follow major antigenic shifts in flu
    virus
  • Could be this flu season or several years away
  • Ongoing preparation is key to readiness

17
Response to Influenza Pandemic
  • Normal routines will be disrupted by a true
    pandemic.
  • Health care system, campus and entire community
    affected
  • Influx of patients with acute health care needs
  • Elective medical care postponed
  • Schools likely would close
  • Daycares likely close
  • Need for information management to prevent panic

18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
UM Health Care Preparations
  • Education
  • Equipment
  • Vaccine
  • Anti-viral medication
  • Bed Capacity
  • Staffing
  • Coordination of response

22
Education of UMHC Personnel
  • Respiratory hygiene -clinic and front line staff
  • Masks available for persons who come in coughing
  • Tissues, hand sanitizer, and germicidal wipes
    available in all clinics
  • Hand hygiene!!!
  • Do not allow staff to work sick

23
Equipment
  • N-95 disposable respirators.
  • In event of pandemic it is very unlikely to be
    able to get any additional masks.
  • Requires fit testing.
  • Ventilators
  • University Hospital- 74 ventilators 30 in use
    on average day
  • CRH 23 vents mostly infant
  • Cache of 400 disposable vents

24
Bed Capacity
  • Convert outpatient areas to inpatient wards (i.e.
    7 West)
  • If very high capacity needed, may need to convert
    non-medical buildings to inpatient care areas
  • Tier 1 funding for bioterrorism - 2 trailers with
    supplies for 75 bed tent hospital each.
  • Question of heat, water, oxygen, staff

25
Flu Vaccine
  • Ample supply this year
  • Encourage all staff to receive flu vaccine
  • Unlikely to be effective against avian influenza
  • Experimental avian flu vaccine may be effective
  • If new strain, unlikely to have a vaccine for
    several months after start of pandemic using
    traditional vaccine manufacturing methods
  • Work on developing new methods which will allow
    vaccine to be produced on 4-6 weeks

26
Treatment
  • Tamiflu may be effective against avian influenza.
  • Drug made in Europe. Production plant being
    built in USA Operational 2008?Not yet!
  • Pharmaceutical stockpile- National stockpiles are
    in place- Missouri has some state and local
    stockpiles in limited quantities

27
Staffing Issues
  • Many staff may be ill
  • Staff afraid to come to work
  • May need to temporarily reassign professional
    staff from non-patient care areas to patient care
    duties
  • Emergency day care for children of staff
  • All other hospitals struggling with similar
    issues - no temporary staff available

28
Coordination of Response
  • Emergency Preparedness coordinator
  • Works with campus and community resources
  • Prepare for wide variety of possible disaster
    scenarios
  • Assist in coordinating response of UMHC to actual
    disaster

29
Pandemic Influenza plan
  • UMHCs plan updated last in Aug 2008
  • Follows DHSSs national plan
  • Part of the emergency operations plan
  • Gives prioritization of antivirals and vaccine

30
Drills
  • Oct 28, 2008 Alternate care site drill

31
(No Transcript)
About PowerShow.com