City/County Pandemic Flu Planning Group

1. City/County Pandemic Flu Planning Group

2. Social Distancing,Risk Communication, andPublic Education Guidelines

3. Social Distancing,Risk Communication, andPublic Education Guidelines • Outlines the coordination of Recommended Protective Measures among Decision Makers • Chief Executive, Allegheny County • Director, Allegheny County Health Department • Mayor, City of Pittsburgh

4. Social Distancing,Risk Communication, andPublic Education Guidelines • Who is the Lead Decision Maker? • Depends on which Protective Measure is recommended • Lead – Exercises the legal authorities of his/her position. • Support – Publicly acknowledges and supports the Lead, and may jointly exercise his/her own legal authority in conjunction with the Lead Decision Maker. • Joint –Decisions are made and communicated concurrently by all.

8. Community Evaluation Centers

9. Community Evaluation Centers • Planning Assumptions: • Public will need support and information on how to access the healthcare system • No single healthcare organization will be able to absorb the number of people who will develop symptoms of influenza • Community based assessment/referral and the healthcare system must be linked • continuity of care • contribute to disease surveillance programs so that appropriate control strategies can be implemented • Volunteers will be needed to support people with influenza in the community

10. Community Evaluation Centers • Objectives: • Reduce pressure on existing community healthcare services and allow healthcare facilities to focus on most critical medical needs • Provide consistent approach to assessing the public who display symptoms related to an emerging disease • Triage and refer the public to the appropriate type and level of care • Provide access to self-care information for those not ill enough to require hospital care.

11. Community Evaluation Centers • Pandemic Influenza Screening Options • Self-assessment • Make information publicly available • Based on self-assessment, may need to proceed to further assessment • Remote Screening • Telephone assessment at a call center or by primary care provider • Based on remote screening, will be referred to appropriate level of care—home care, or a Face to Face Assessment

12. Community Evaluation Centers • Face to Face Assessment at a Community Evaluation Center • Using a Pandemic Influenza Screening Tool • Referred to appropriate level of care • No illness: No treatment—educational material provided • Further assessment required: Lab testing required • Influenza-like illness identified: Assess for discharge with copy of Home Care Guidelines, or transport to Alternate Care Site • ILI illness identified; condition deteriorating: Transfer to hospital

13. Alternate Care Sites

14. Alternate Care Sites • Planning Assumptions: • Critical care will be addressed at hospitals; supportive care will be managed at Alternate Care Sites (ACS) • ACS may be in operation for long periods of time (1 year or longer) • ACS may need to open, close, and re-open in conjunction with influenza waves or phases • Site selection in conjunction with healthcare, but not totally staffed by healthcare • Volunteers will need to be trained for staffing an ACS

15. Alternate Care Sites • Function: • Act as temporary influenza hospitals for non-critically ill patients who cannot return home • Provide temporary housing and care for influenza patients who live alone or who live with someone at high risk of complications from influenza • Act as a step-down unit for stable patients transferred from hospitals, but who cannot return home

16. Alternate Care Sites • Potential Sites • Community/Recreation Centers • Convention Centers • Hotels/Motels • Sports Facilities/Stadiums • College/University Facilities • Churches • Military Facilities • Mobile Facilities/Tents/Trailers

17. Points of Dispensing

18. Points of Dispensing • PODs are locations where people receive oral medications or vaccinations • Large scale public health immunization clinics • Community PODs for general public • Closed PODs for first responders

19. Points of Dispensing • Planning Assumptions • There is a threat to the public health caused by a bioterrorism agent (anthrax) or an emerging disease (pandemic influenza) • Providing medications or vaccinations to the general public is an appropriate disease prevention strategy • Medications or vaccines exist in sufficient quantities to provide to the general public

20. Vaccination POD

21. Medication POD

22. Points of Dispensing

23. POD Organization

24. POD Leadership Staffing • POD Leadership Staff • POD Manager • Security Manager • Medical (Operations) Lead • Non-Medical (Logistics) Lead • Line Lead

25. POD Supervisory Staffing • POD Supervisory Staff • Screening Supervisor • Dispensing Supervisor • Vaccination Supervisor • Supply Supervisor • Facility Supervisor

26. POD Workers • POD Staff • Line Staff / Form Distributors • Screeners • Dispensing Staff / Pharmacists • Vaccination Staff • Runners • First Aid and Behavioral Health Staff • Security / Law Enforcement

27. POD Staffing • POD Manager and Lead Staff • Allegheny County Health Department • Medical Reserve Corps Volunteers • Volunteer organization • Active and retired medical and medically-allied personnel • Non-medical support personnel with the skills to assist in emergency-response operations • Respond to major emergencies and public health initiatives • Enroll through ACHD website www.achd.net

28. POD Staffing • Security • Police (local, county) • Remaining Staff • Nursing School Volunteers • Site Personnel • Community First Responders and Volunteers

29. Home Care Guidelines

30. Home Care Guidelines • Guideline To Care For Ill Family Members • Adapted from a document by the Santa Clara County Public Health Department, Santa Clara Valley Health & Hospital System, California

31. Home Care Guidelines • Information About Pandemic Influenza • Flu symptoms • Considerations for people with chronic diseases or conditions • Isolating sick family members at home • Disease prevention/personal protection strategies in the home

32. Home Care Guidelines • Providing care at home • Taking a temperature • Treating and reducing a fever • Dehydration prevention • Calling for medical advice • When to call 9-1-1

33. Home Care Guidelines • Home Care supplies checklists • Emergency food supplies • Emergency drinking water supplies • Fact sheets on isolation and quarantine • Links to additional information

34. For More Information Allegheny County Health Department 412-687-ACHD (412-687-2243) www.achd.net Tom Mangan tmangan@achd.net