canadian avian influenza response issues...footwear respirator other impervious nitrile, pvc rubber,...
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Canadian Avian Influenza Canadian Avian Influenza Response IssuesResponse Issues
Elizabeth Rohonczy DVM, RBPNational Operations Coordination
Emergency Response Emergency Response Roles and Roles and ResponsabilitiesResponsabilities
In a mandated emergency, the CFIA is legislated to take the lead role in responding to food safety, animal health and plant health emergencies or any other emergency that falls within its mandate.
In a non-mandated emergency, the CFIA provides support to the provinces and other federal departments in responding to natural disasters (e.g., severe storm, tornado or flood) or other public welfare emergencies.
Emergency Management in CFIAEmergency Management in CFIA
Functional Plans
Hazard Specific Plans
CFIA Emergency Response Plan
PROCEDURES
Examples:FMD Control StrategyALHB Eradication PlanNotifiable Avian Influenza
Describes the roles and responsibilities, operational framework and response process in an emergency
Examples:Animal Health Functional PlanPlant Pest Emergency ResponseFood Safety Emergency Response
Working GroupsWorking Groups• Formed from personnel who had an interest and
some experience in disease control • These groups parallel the activities that would be
expected during a foreign animal disease response.
• The groups have been tasked with identifying and prioritizing what procedures need to be developed or fleshed out regarding the subject matter of their working groups. The procedures that have or will be developed are not necessarily restricted to FAD's.
• In addition to developing these procedures, the groups serve to develop technical specialists to assist in and to guide disease response.
Disease Control Working GroupsDisease Control Working Groups
• Field Biocontainment• Cleaning and Disinfection• Disposal• Evaluation and Compensation• Field Epidemiology• Humane Destruction• Animal Health Informatics Systems• Permits and Movement Controls• Surveillance and Diagnostics• Vaccination
2004 H7N3 Outbreak
Item CPIC CDC WHOGloves
Clothing
Footwear
Respirator
Other
Impervious nitrile,
PVC rubber, hospital
Impervious coveralls
Disposable shoe
covers or polyurethane
boots
Disposable N-95 or
better
Head cover/Goggles
Nitrile, vinyl or heavy
rubber work gloves
Disposable outer
coveralls, impervious
apron or gown
Disposable shoe
covers or polyurethane
or rubber boots
Disposable particulate
respirator (N95, N99,
N100) ****
Goggles
Heavy rubber
work gloves
Coveralls with
impermeable
apron or gown
Rubber or
polyurethane
boots
N95 preferred
Goggles
Individual OSH and BiosecurityIndividual OSH and Biosecurity
• Human Influenza vaccine
• Tamiflu (antiviral prophylaxis)
• Personal Protective equipment
•2 cases mild flu
•Conjunctivitis
•rhinitis
Working Working ConditionsConditions
EPI Chart
02468
101214161820222426283032343638404244
16-F
eb
19-F
eb
22-F
eb
25-F
eb
28-F
eb
02-M
ar
05-M
ar
08-M
ar
11-M
ar
14-M
ar
17-M
ar
20-M
ar
23-M
ar
26-M
ar
29-M
ar
01-A
pr
04-A
pr
07-A
pr
10-A
pr
13-A
pr
16-A
pr
19-A
pr
22-A
pr
25-A
pr
28-A
pr
01-M
ay
04-M
ay
07-M
ay
10-M
ay
13-M
ay
16-M
ay
19-M
ay
22-M
ay
25-M
ay
Date
# of
Pre
mis
es
Infected Premises (IP) Depopulated
0
5
10
15
20
25
30
10-M
ar20
-Mar
30-M
ar10
-Apr
20-A
pr30
-Apr
10-M
ay20
-May
Item Recommendation Required
Gloves
Clothing
Footwear
Respirator
Other
Nitrile, vinyl or heavy rubber
work gloves
Impervious coveralls or
coveralls with impervious
apron or gown
Disposable shoe covers or
polyurethane/rubber boots
Disposable N95 or better
Goggles and head cover
Rubber work gloves with
heavy cotton liner
Cotton coveralls with light
disposable coverall and
shower at days end
Rubber boots
Half face mask with
cartridges
Goggles and head cover
How many million How many million virus particles per virus particles per gram feces???!!!gram feces???!!!
REMOVE OUTER PPE
& BOOT BATH
GOGGLE, RESPIRATOR
& BOOT FINAL DECON
SHOWER & CHANGE
BARN
Item Recommendation RequiredGloves
Clothing
Footwear
Respirator
Other
Nitrile, vinyl or heavy rubber
work gloves
Impervious coveralls or
coveralls with impervious
apron or gown
Disposable shoe covers or
polyurethane/rubber boots
Disposable N95 or better
Goggles and head cover
Rubber work gloves with
heavy cotton liner
Cotton coveralls with light
disposable coverall and
shower at days end
Rubber boots
Half face mask with
cartridges
Goggles and head cover
Potential emergenciesPotential emergencies
Conventional emergency services may not be willing to enter the contaminated area
Hazmat, even if available will take considerable time to set up
Confined space training Confined space training -- multiple purpose respiratorsmultiple purpose respirators-- competency issuescompetency issues-- equipment maintenance equipment maintenance
Structural issues
Poor lighting
FullfaceFullface negative pressure negative pressure with with drinking tubedrinking tube
PPEPPE
Reducing aerosol productionReducing aerosol production
Field appropriate decontamination technologies and protocols
• efficacy at a range of temperatures• ability to deal with organic load• achieving adequate contact time
Showers and shelterShowers and shelter
Quis custodiet ipsos custodes?
Who will guard the guards themselves?
Juvenal, Roman poet & satirist (55 AD - 127 AD)