global health threats a hospital and district perspective/preparedness vickie vandeventer mph, bsn,...
TRANSCRIPT
Global Health ThreatsA Hospital and District
Perspective/PreparednessVickie VanDeventer MPH, BSN, RN, CIC
Infection Control Practitioner
Review
• How Diseases are Spread - Chain of Transmission• Hospital Preparedness• District Hospital Preparedness• Infection Prevention
It’s all about the chain…………
CAUSATIVEAGENT
SUSCEPTIBLE
HOST
MODE OFTRANSMISSION
RESERVOIR
PORTAL OF EXIT
PORTAL OF ENRY
Chain of Transmission
Chain of Infection
• Causative Agent- any bacteria• Reservoir- where bacteria can survive• Portal of Exit- a way out of the carrier• Mode of Transmission- method of travel• Portal of Entry- a way agent enters host• Susceptible Host- anyone
2003 Emerging Infectious Diseases
March 2003
May 2003
• Mad Cow Disease in Canada (Bovine spongiform encephalopathy)
June 2003
Monkeypox
Indiana- 7 cases
Total- 37 cases in six states.
July 2003 – West Nile Virus
Hospital Preparedness
Hospital Grants (2002)• Center for Disease Control and Prevention
(CDC)• Health Resource & Services Administration
(HRSA)
Hospital Grant
• Allowed hospitals to purchase items to improve their emergency preparedness.
• Example of items purchased;• Personal Protective Equipment• 800 MHz Radios• Evacuation Equipment• Ventilators• Conversion of Rooms to Negative Airflow• Powered Air Purifying Respirator (PAPR)• Staff Education • Decontamination Training and Equipment
District Involvement
1.14.2004
Grant
Elkhart
Newton
Jasper
Noble
Allen Whitley
Adams Wells
Huntington Wabash
Fulton
Miami
Cass
Pulaski
White
Benton
Warren
Tippecanoe
Carroll
Howard Black-
ford
Jay
Randolph
Delaware Madison Tipton
Hamilton
Henry
Hancock Marion
Boone
Clinton
Fountain
Montgomery
Putnam
Hendricks Parke
Vigo
Ver- mil- lion
Sullivan
Clay
Greene
Owen
Morgan Johnson
Shelby
Monroe Brown Bartholomew
Lawrence
Jackson
Orange
Washington
Posey
Gibson
Pike
Knox
Vander-
burgh
Warrick
Dubois
Daviess Martin
Scott
Spencer
Perry
Crawford Harrison Floyd
Clark
Jennings
Jefferson
Decatur
Ripley Dearborn
Wayne
Union Fayette
Ohio
Switzerland
Rush
Franklin
Steuben
De Kalb
Lake Porter
La Porte
Starke
St. Joseph
Marshall Kosciusko
La Grange
Bioterrorism Preparedness Districts
1 23
46
7
5
89
10
Grant
Elkhart
Newton
Jasper
Noble
Allen Whitley
Adams Wells
Huntington Wabash
Fulton
Miami
Cass
Pulaski
White
Benton
Warren
Tippecanoe
Carroll
Howard Black-
ford
Jay
Randolph
Delaware Madison Tipton
Hamilton
Henry
Hancock Marion
Boone
Clinton
Fountain
Montgomery
Putnam
HendricksParke
Vigo
Ver- mil- lion
Sullivan
Clay
Greene
Owen
Morgan Johnson
Shelby
Monroe Brown Bartholomew
Lawrence Jackson
Orange
Washington
Posey
Gibson
Pike
Knox
Vander-
burgh
Warrick
Dubois
Daviess Martin
Scott
Spencer
Perry
Crawford Harrison Floyd
Clark
Jennings
Jefferson
Decatur
Ripley Dearborn
Wayne
Union Fayette
Ohio
Switzerland
Rush
Franklin
Steuben
De Kalb
Lake Porter
La Porte
Starke
St. Joseph
Marshall Kosciusko
La Grange
Public Health District 8
• Monroe, Orange, Lawrence, Bartholomew, Washington, Brown, and Jackson
• 8 hospitals
District Involvement
• Participate in District Hospital Planning• District Hospitals meet monthly• Develop district plans
• Participate in District Planning• District meets quarterly• Includes several disciplines- hospital, health department,
emergency management, fire, police, Indiana state department of health, and red cross.
Hospital/District Capabilities
• Assessed Individual Hospital Capabilities• Assessed District Capabilities
• Developed District Hazardous Vulnerability Analysis• Developed District Emergency Operations Plan• Developed CHEMPACK Policy• Developed District Fatality Management Plan• Developed District Evacuation Plan• Developed District Gap Analysis• District Communication Plan – Test radios monthly
District 8
• District Tabletop exercise completed in 2005, 2006, and 2007.
• District Full Scale exercise in 2008.
Other State Initiatives
• List serve for hospital contacts.• Epidemiologist for each public health district.• Mass prophylaxis plan for each county/hospital.• Syndromic Surveillance.• EWA Phoenix Bed Tracking System.• Indiana Health Alert Network.
• Health departments• Hospitals
Prevention is key!
Infection Prevention
Infection Prevention
• Frequent Hand washing is important to prevent the spread of infection.
• Cover your nose and mouth with a tissue when you cough or sneeze.
• Try to avoid close contact with sick people.
Summary
• It will take all of us working together to care for our community during any type of event.
• We can all make a difference by following these simple rules;
• Get back to the basics• Wash your hands• Cover your cough• Get immunized!
ANYQUESTIONS ?