1. Mass Prophylaxis Leah M. Ingraham Ph.D. lingraha@isdh.state.in.us “External Consultant”

2. Who Provides Mass Prophylaxis? • Local Health Departments • Hospitals • Role for Clinics?

3. Work with Indiana Local Health Departments • Dispensing antibiotics – based on Chapter 11 of CDC Stockpile Guide • Providing Immunization - CDC Smallpox Guide & ISDH guide • Planning begun in 2004

4. Work with Indiana Hospitals • Guidance from ISDH for HRSA funding • Begun in 2004 • More Detailed guidance pending from ISDH • Expected to prophylax own workers and their families

5. Interactions with Community Partners • Mass Prophylaxis Plan – part of the County Emergency Plan • Identifying Populations • Staffing for Mass Prophylaxis Clinic

6. Populations to be Protected • Suggested by CDC • Five categories • Essential workers during the first 12 hours • Others within a few days

7. Immediate Immunization for First 12 Hours • Official first responders • Health care workers – Hospitals provide for own workers & their families • Public Health (mass prophy staff) • Other Public Safety Professionals

8. Families of Essential Workers

9. #2 The General PublicLHDs as Lead Agencies

10. Education #3 Persons in Institutions:Partner with any existing health care service Corrections Long Term Care

11. #4 Home BoundPartner with any existing health service Chronic Illness Impaired Mobility

12. #5 Special Populations:Partner with outreach agencies Si, Senora We’ve been living in our car! Oui, Madam

13. What is Administered? Pills or Shots?

14. There Might be a Need forSpecial Formulations

15. Clinic Staffing LHD Staff Professionals Citizen Volunteers Medical Health Officer PH Nurse Nurse EMTs N. A Non-Medical Environmentalist Vital Records Clerk Behavioral Health Professional Service Clubs

16. Objectives in Arranging For Clinic Staff Training Citizen volunteers Job action sheets Other professionals Medical professionals LHD assignments

17. Command Staff Structure

18. Command and General Staff Structure

19. Operations Section

20. Operations Section - 2

21. Operations Section - 3

22. Logistics Section

23. Logistics - 2

24. Steps in Arranging A Clinic Site Bask in Triumph Exercise Details of External Arrangement Details of Layout Assure Availability Best Location

25. Communication – Reassuring and Informing the Public What shouldI do? Am I safe? Is there a treatment?