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Expect the Unexpected on Campus

Expect the Unexpected on Campus. Sandra Samuels, MD Medical Director, Rutgers University Health Service - Newark. What is College Health? Traditional and Public Health Roles. Medical & Counseling Service for ill and injured students or employees

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Expect the Unexpected on Campus

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  1. Expect the Unexpected on Campus Sandra Samuels, MD Medical Director, Rutgers University Health Service - Newark

  2. What is College Health? Traditional and Public Health Roles • Medical & Counseling Service for ill and injured students or employees • Educational and preventive health services for the campus community • ADD – responsibility for campus safety, along with police, public health officials and central administration

  3. Historical Context of our Current Public Health Concerns • Trade Center Attack Sept 11, 2001 • Inhalation Anthrax – Nov, Dec 2001 • SARS - Feb, March 2003 • AVIAN FLU in humans since Jan 2004 CDC warnings • Nuclear, chemical and biological agents

  4. Orderly Planning for Possible Threats • Educate Health & Counseling Services • Educate All Administrators on campus • Training Programs - workshops, drills • Collaboration – within the university, administration, student services, police • Collaboration - with Public Health officials – local and state

  5. AVIAN FLU – A LIKELY MODEL • All about Avian Flu, the virus • Detection, Prevention, Protection • What if it hits our campus? Community? How prepared will we be? • How well are we linked to our Public Health system? How will we know in advance?

  6. KNOW YOUR ENEMY • AVIAN FLU is a likely enemy – now in phase 3 of infectivity – will be pandemic at phase 5, by mutation, in <> 2yr • Expect no one will be immune, Infectivity rate is 30%, death rate 50%, cycles of 8 – 12 weeks, may last one year • Incubation 3 – 10 days, history of travel to high risk zones, case contact

  7. FIGHT THE ENEMY • Social distancing, Hygiene, Quarantine • Diagnostic skills, self-protection • Immunization – may take 8 months to develop vaccine • Prophylaxis and treatment – Oseltamivir (Tamiflu) and Relenza (Zanamivir) useful – may not be useful by then • ER, Hospitalization, respirators, nursing

  8. Some Decision Points re Campus Life • Organize Checklist for college campuses • Open or close campus – distance learning? Public Health Officials will advise and guide • Housing – international students, quarantine • Who are essential personnel?

  9. Decision Points Continued • Communications • Proper role for Campus Police • Health Services – limited staff, self protection of staff, absences, isolation rooms, triage on site or by phone, points of distribution for vaccines, prophylaxis, treatment, mental health

  10. FLIES IN THE OINTMENT • Absenteeism – expect 40% or more • Effect of absenteeism on administrative and other support systems – physical plant, research, teaching, patient care, law and order,nourishment, fear factor • Referral to hospitals – overcrowded ERs and morgues

  11. PUBLIC HEALTH LINKS

  12. Importance of Public Health Links • Guidelines per CDC, State & Local health officials • On-Line Early Warning System LINCS • Relate faces to names and telephone numbers – personal links • Regular contact through meetings and trainings, participation in drills with local officials

  13. Public Health & Health Services Bond • Public officials have access to resources needed in case of mass emergency – vaccines, medication, respirators, masks, knowledge and experience • Health Services are a source of trained providers to extend community service • Campus community can be recruited and trained as medical reserve corps

  14. LET US BE PREPARED to avoid crisis and confusion!

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