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Disaster Response: Past Experience Present Capabilities Future Initiatives

Join Michael Loehr, Preparedness Director at Public Health - Seattle & King County, in examining past experiences and future initiatives in pharmacy disaster response. The session will focus on the key lessons learned during the H1N1 outbreak, including strategies for efficient vaccination, communication, and maintaining healthcare capacity under crisis. Explore collaborative drug therapy agreements, the vital role of pharmacies as information hubs, and innovative approaches to medication dispensing. Learn how to optimize pharmacy infrastructure for better response to health threats and ensure accessibility for all.

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Disaster Response: Past Experience Present Capabilities Future Initiatives

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  1. Public Health- Seattle & King County Pharmacy Leadership Summit Thursday, May 20th, 2010 10:00 AM – 3:00 PM Disaster Response: Past Experience Present Capabilities Future Initiatives Michael Loehr, MRP, CBCP Preparedness Director Public Health- Seattle & King County

  2. H1N1 Response2010

  3. H1N1 Response – Fall 2010 ______________________________________________________ ■Quickly vaccinate those who need it most ■Augment healthcare capacity to reduce demand, maintain functionality ■Maintain communications with public ■Brace for a long haul

  4. Seeking vaccine at pharmacies

  5. H1N1 Response – Fall 2010 ______________________________________________________ • ■PHSKC received 24,000 phone calls and 775,000 total website • visits • ■ Primary vaccination strategy - healthcare providers, especially for • high risk patients (71% of total) • ■ 120,000 doses - to pharmacies (15% of total) • 72,000 doses – commercial vaccinators (9% of total) • ■ Additional 57,000 doses shipped direct from manufacturers to • pharmacies in KC beginning January 2010

  6. Key Points ______________________________________________________ • Available and accessible medications • Under all circumstances, for all in need • Public and private sector capacity • Pharmacy and commercial vaccinator infrastructure • Public demand for information • Health threats, prevention strategies, resource availability • Interdependence • Value of business continuity planning

  7. Key Points ______________________________________________________ Optimization of operational locations Awareness of key geographical locations while relying on pharmacy knowledge of key stores Know pharmacy criteria and capabilities Each threat will determine a different course in strategy Communication is key On-going communication with all pharmacies, not just those immediately participating in a response

  8. A Primary Public Health Concern: ______________________________________________________ When King County faces the threat of a widespread disease outbreak, how will we rapidly provide medications to all who need it?

  9. Preparing for Disease Outbreaks ______________________________________________________ 2002 – 2004 ■Prepare for bioterrorism attacks – anthrax 2005 – 2009 ■ Influenza (possibly other diseases); vaccination and medication dispensing ■Expanded capacity through agreements, pre-deployment

  10. Current Medication Dispensing Capabilities _________________________________________________________ ■ PH Points of Dispensing (PODs) ■Unique populations (homeless, Jail) ■Closed PODs for first responders, hospitals ■Pharmacies (limited number of agreements today)

  11. Vaccination/Dispensing ______________________________________________________ 1. Collaboration around key threats: ■Influenza ■Hepatitis A ■Meningococcal meningitis ■Bioterrorist agents (anthrax)

  12. Vaccination/Dispensing ______________________________________________________ ■Incorporating pharmacies and commercial vaccinators into mass vaccination / dispensing response ■Collaborative Drug Therapy Agreements ■Storage capabilities - forward deployment of meds

  13. Additional Strategies ______________________________________________________ • Legal liability coverage for public-private sector response • 3. Pharmacies as information hubs during disasters • 4. Develop mobile pharmacy capability (support mass care operations) • 5. Expand closed PODs (private sector, government)

  14. Questions? Comments? ______________________________________________________ Michael Loehr, MRP, CBCP Preparedness Director Public Health – Seattle & King County Michael.loehr@kingcounty.gov 206-263-8687

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