emergency preparedness:becoming a part of regional planning for the unexpected acha june 2014
TRANSCRIPT
Emergency Emergency Preparedness:Becoming a Preparedness:Becoming a
Part of Regional Planning for Part of Regional Planning for the Unexpectedthe Unexpected
ACHA June 2014ACHA June 2014
ScenarioScenario
First 24 hoursFirst 24 hours
A bioengineering grad student at your A bioengineering grad student at your universitybecomes angered and irrational universitybecomes angered and irrational because his advisor rejects his proposed because his advisor rejects his proposed anthrax research project as ” unethical”anthrax research project as ” unethical”
..
The student decides to demonstrate the The student decides to demonstrate the efficiency of his spore delivery apparatus efficiency of his spore delivery apparatus by blowing naturally occurring anthrax by blowing naturally occurring anthrax spores into the football stadium while he spores into the football stadium while he worked behind the counter of a pizza worked behind the counter of a pizza stand during the homecoming football stand during the homecoming football game attended by 60,000 people.game attended by 60,000 people.
To make sure his work would be To make sure his work would be recognized, he left a bag of white powder recognized, he left a bag of white powder and a note for the police when he left the and a note for the police when he left the pizza stand.pizza stand.
Within hours the FBI counterterrorism Within hours the FBI counterterrorism squad confirms that the powder contains squad confirms that the powder contains highly refined anthrax spores.highly refined anthrax spores.
At 24 hours the squad confirms that At 24 hours the squad confirms that anthrax spores have been spread anthrax spores have been spread throughout both halls of Memorial throughout both halls of Memorial Stadium, and are detectable in the homes Stadium, and are detectable in the homes of several randomly selected individuals of several randomly selected individuals who attended the game .who attended the game .
It is assumed that clinical cases of It is assumed that clinical cases of inhalational anthrax will emerge in a few inhalational anthrax will emerge in a few days.days.
Regional health planners decide to Regional health planners decide to distribute a thirty to sixty day supply of distribute a thirty to sixty day supply of antibiotic to all 180,000 people in antibiotic to all 180,000 people in Champaign County within the next 48 Champaign County within the next 48 hours.hours.
They also decide that they need capacity They also decide that they need capacity for 1000 hospital beds in a community for 1000 hospital beds in a community which has only 500 total, and daily census which has only 500 total, and daily census runs about 90%.runs about 90%.
It could happen at your It could happen at your universityuniversity
Recent major outbreaksRecent major outbreaks– MumpsMumps– MeningitisMeningitis– Multiple casualtiesMultiple casualties
Potential University Potential University ResourcesResources
BuildingsBuildingsBrainsBrainsMuscleMuscle
PolicePoliceFireFire
work forcework force
air portair portMoneyMoneyPeoplePeople
volunteer forcevolunteer force
Defined CommunityDefined Community
Coordination with CommunityCoordination with Community
roles of hospital and other agenciesroles of hospital and other agenciesCUPHDCUPHDRed CrossRed CrossPolicePoliceFireFireAmbulanceAmbulanceGovernment LeadersGovernment Leaders
Calling in resourcesCalling in resources
FireFire
AmbulanceAmbulance
National GuardNational Guard
Press/mediaPress/media
PrisonsPrisons
Traffic controlTraffic control
DefinitionsDefinitions
Surge FacilitySurge Facility
Strategic National StockpileStrategic National Stockpile
Specific University InvolvementSpecific University Involvement
Works with community on several possible Works with community on several possible scenariosscenarios– Dry pipesDry pipes– Boil ordersBoil orders– Distribution scenarioDistribution scenario– Surge Hospital set upSurge Hospital set up– ContagionContagion– Power failurePower failure– Radioactive release or toxic gasRadioactive release or toxic gas
Written plans exist for each of the aboveWritten plans exist for each of the above
Most Important of AllMost Important of All
A living business continuity planA living business continuity plan
How to startHow to start
Dialogue with administrationDialogue with administration– Find out about the general university postureFind out about the general university posture
Dialogue with collaboratorsDialogue with collaborators– Public healthPublic health– HospitalsHospitals– Red CrossRed Cross– Government officialsGovernment officials– Make a business continuity planMake a business continuity plan– Make a plan to help-whereverMake a plan to help-wherever
Plan TestingPlan Testing
Table top exercisesTable top exercises– Key people in roomKey people in room– Simulated disasterSimulated disaster
Focus on decision making, communication, policy Focus on decision making, communication, policy gaps gaps
Live exercisesLive exercises– A simulated disaster with real people acting A simulated disaster with real people acting
as victimsas victimsFocus is on actual mechanics of response, uses Focus is on actual mechanics of response, uses “injects”“injects”
This is what a live exercise This is what a live exercise looks likelooks like
Open a surge hospitalOpen a surge hospital– Go from zero to sixty is just 2 hoursGo from zero to sixty is just 2 hours
This is what a community mass This is what a community mass distribution looks likedistribution looks like
One of five in our countyOne of five in our county
This is our mass distribution This is our mass distribution facilityfacility
Home of the Fighting Illini basketball teamHome of the Fighting Illini basketball team
This is what we turn it into if This is what we turn it into if neededneeded
Avian Flu/Pandemic PlanningAvian Flu/Pandemic Planning
The Game PlanThe Game Plan
Detect “bad” flu earlyDetect “bad” flu early– SurveillanceSurveillance
Stop spreadStop spread– Restrict travel, stop public events, stay at homeRestrict travel, stop public events, stay at home
Form a ring around every patientForm a ring around every patient– Limit contactLimit contact– Treat everyone in the ringTreat everyone in the ring
Stop multiplication-eradicate local poultryStop multiplication-eradicate local poultry
““Buy” time, vaccinate if availableBuy” time, vaccinate if available
PlanningPlanning
FederalFederal
StateState
LocalLocal
The Bush Proposal submitted November The Bush Proposal submitted November 1, 20051, 2005
Federal PlanningFederal Planning
Significant planning already accomplished Significant planning already accomplished for possible bioterrorismfor possible bioterrorism– Much is adaptable to Avian FluMuch is adaptable to Avian Flu
Strategic National StockpileStrategic National Stockpile
Surge Hospital PlanningSurge Hospital Planning
Biologic Detection SystemsBiologic Detection Systems
Biohazard Detection SystemBiohazard Detection System
Installed at Installed at Champaign Postal Champaign Postal Facility—Aug 05Facility—Aug 05
Able to test only for Able to test only for AnthraxAnthrax
No false positives..yetNo false positives..yet
Have to medicate Have to medicate Postal Staff if alert Postal Staff if alert happenshappens
State PlanningState Planning
Communication regarding SNS, surgeCommunication regarding SNS, surge
Distribution supportDistribution support
New Legislation regarding “special New Legislation regarding “special powers”powers”
Local PlanningLocal Planning
Live tests accomplished Live tests accomplished – Surge FacilitySurge Facility– Mass distributionMass distribution– CommunicationCommunication– Coordinated responseCoordinated response
Two Principal Local PlansTwo Principal Local Plans
Activation of Surge Activation of Surge HospitalHospital– Carle is the lead agentCarle is the lead agent– McKinley participation McKinley participation
at discretion of at discretion of ChancellorChancellor
Broad Emergency Broad Emergency DistributionDistribution– McKinley is the major McKinley is the major
community distribution community distribution sitesite
Four other sites will Four other sites will operate in Champaign operate in Champaign CountyCounty
So far, Chancellor feels So far, Chancellor feels we need to service we need to service students and students and employeesemployees
University Planning-You Try It!University Planning-You Try It!