promoting healthy lifestyles and a clean and safe ... · public health coordinator/ health officer...

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Asbury Park Press, October, 2018

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Measles timeline, Ocean County

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Measles: The unknown• November 1, 2018 (Outbreak declared, 3 cases)

• November 2, 2018– Measles 101 staffing orientation (surge capacity), total of 30+/- staff

• Public Health Coordinator/ Health Officer• Assistant PHC• Communicable Disease Unit• Nursing Clinics• Public Health Preparedness• Public Information• Human Resources• Finance• Health Education

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Incident command established

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Measles: Administrative matters• Time code• Daily conference call w/ NJ

DOH• Daily internal communication

w/ staff (prior to and after each NJ DOH call)

• Educate/ remind “community” on the requirement to immediately report suspect measles

• Update/ distribute Health Department “on call” roster

• Draft Health Officer “Isolation”, “Quarantine” and “Exclusion” orders

• Burden of OPRA requests• Public Health Nurse

enforced Health Officer orders

• Communication to Board of Health, Elected Officials, Community Leaders, other

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

School ExclusionIn accordance with N.J.A.C. 8:57-4.3 (d) and 4.4 (d) a school, preschool, or child care center may exclude

children with religious or medical exemptions during a vaccine preventable disease outbreak or threatened

outbreak as determined by the Commissioner, Department of Health, or his or her designee

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Risk Communication• Assure accurate communication at all levels (State,

County Local)• Numerous requests from television, radio, print and

internet media (many unannounced)• Opportunity to educate media and community of

Public Health as a “Silent First Responder”• Set up a information hotline (x7411) staffed by Health

Educators for resident questions (CDU/ Nursing handled clinicians)

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Messaging “Patients of Concern”• Consistent messaging for “exposed or symptomatic”

individuals should NOT present at clinicians office or hospital– Call in advance and clinician should have a plan in place to

see the patient in an appropriate setting– Specimen collection

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Lab Samples• UN3373 Packaging for Biological Substance Category B Agents• New Jersey Public Health Laboratory, Campus of NJ State Police HQ• New York State Department of Health Lab , Wadsworth Center, Albany, NY

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Vaccination Clinics• FQHC’s (Center for Health Education Medicine and Dentistry

(CHEMED) and Ocean Health Initiatives (OHI) took the lead on offering vaccination opportunities to community

• Ocean County Health Department supported their operations with assuring vaccine procurement and providing staffing of Public Health Nurses and Administrative staff to assist in these clinics

• Ocean County Medical Reserve Corp was activated to assist with clinics

• Vaccine (12,500 doses MMR) was obtained through the NJ DOH VFC program

• All patients triaged for proper “next step”

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Triage Symptomatic /Non-Symptomatic

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Community Collaboration (partnerships)

• Very strong community support– Providers, FQHC’s, Faith based, governing body, residents, law

enforcement, emergency management– All very well established prior to this measles outbreak

• Strong local media relationships• Hospitals and Schools (private and public)

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

• Always on a Friday afternoon and WeekendEmergency Response

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Emergency Response• E-Team• Negative Pressure Isolation Tent• EMS Taskforce

Promoting Healthy Lifestyles and a Clean and Safe Environment732-341-9700 • www.ochd.org

Questions/ Contact Information

Daniel Regenye, MHAPublic Health Coordinator/ Health Officer

(732) 341-9700 x 7201dregenye@ochd.org

Mukesh Roy, MBBS, MPHDirector Public Health Preparedness

(609) 847-0166mroy@ochd.org