pandemic preparedness and response at cdc · 2020-05-14 · pandemic preparedness and response at...
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Pandemic Preparedness and Response at CDC
Carol Rubin DVM, MPH Senior Advisor for Zoonotic Influenzas
National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention
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Things this audience should know about CDC and AI response
• Recent reorganization-where to find the people you need
• On-going pandemic influenza activities • Research regarding the AI Animal:Human
interface • One Medicine perspective
The content of this presentation is the opinion of the author and is not necessarily representative of the Centers for Disease Control and Prevention
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Re-organization
• The National Center for Infectious Disease became four separate centers under the umbrella of the Coordinating Center for Infectious Diseases
• Officially accepted by HHS in May, 2007
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Coordinating Center for Infectious Dis eas es
COORDINATING OFFICE FOR
GLOBAL HEALTH
COORDINATING OFFICE
FOR TERRORISM PREPAREDNESS &
EMERGENCY RESPONSE
CDC OFFICE OF THE DIRECTOR
National Center for Health Marketing
National Center for Birth Defects and
Developmental Disabilities
National Center for Health Statistics
National Center for Chronic Disease
Prevention and Health Promotion
National Center for Public Health Informatics
National Office of Public Health Genomics
National Center for Environmental
Health/Agency for Toxic Substances &
Disease Registry
National Center for Injury Prevention and
Control
National Center for Immunization and
Respiratory Diseases
National Center for Zoonotic, Vector-Borne and Enteric Diseases
Prevention
National Center for HIV/AIDS, Viral
Hepatitis, STD, & TB Prevention
COORDINATING CENTER FOR
ENVIRONMENTAL HEALTH AND
INJURY PREVENTION
COORDINATING CENTER FOR INFECTIOUS
DISEASES
COORDINATING CENTER FOR HEALTH PROMOTION
COORDINATING CENTER
FOR HEALTH INFORMATION AND SERVICE
April 2005
National Institute for Occupational Safety And Health
National Center for Preparedness, Detection, &
Control of Infectious Diseases
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Influenza BranchInfluenza Branch
… a multidisciplinary strategy to prevent, control, and, where possible, eliminate infectious diseases within a larger ecological context that includes humans, animals, and plants interacting in a complex, ever-changing natural environment.
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AnimalAnimal HealthHealth Human HealthHuman Health
Ecosystem HealthEcosystem Health
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Who does flu at CDC?...everybody
• Influenza Division – NCIRD,seasonal influenza, seed strains for
vaccines, labs, research, Dr.Nancy Cox
• Influenza Coordination Unit – CCID, permanent unit, funding, decision-
makers, Dr. Steve Redd • Influenza Task Force
– Core representatives from 18 CIOs • NCZVED
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CDC Pandemic PreparednessCDC Pandemic Preparedness
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llllllllllll~~. l lllPIAINlolilEIMl1lclOllPILAlllllllllllllllllllllllCllDICllNllFILIUIEINIZA llN•-~ 20 MAReM 2007•
CDC INFLUENZA PANDEMIC
OPERATION PLAN (OPLAN)
20 MARCH 2007
D E P A RTM E NT O F H EALTH AND HUMAN SERVICES
CENTERS FOR DISEASE CONTROL AND PREVENTION
S AFER • HEA L.THIER• PEOPLE~
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OPLAN:OPLAN : (selected)(selected) planning assumptionsplanning assumptions
�� Initial responsibility is localInitial responsibility is local �� Gaps in PH s ervicesGaps in PH services �� DEOC activatedDEOC activated �� Usual CDC activities suspendedUsual CDC activities suspended �� SN S and PPE moved to states when humanSN S and PPE moved to states when human--
toto--human transmission verifiedhuman transmission verified �� Increased anxiety nationallyIncreased anxiety nationally
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Research and LaboratoryResearch and Laboratory
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Developing and Improving Diagnostic Tests and
Countermeasures � Supporting the development of improved
diagnostic tests, including point-of-care tests
� Developing and distributing modified avianinfluenza viruses for the use in manufacturing pre-pandemic vaccines
� Conducting research to improve ourunderstanding of influenza virulence and transmission
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ExEono
l a sistance, andl
panding and Enhancingxpanding and Enhancing Surveillance and Resp seSurveillance and Resp nse
�� Providing training, technica sProviding training, technica assistance, and diagnostic reagents to improve lab capacitydiagnostic reagents to improve lab capacity domestically and internationallydomestically and internationally
�� Conducting training programs for rapidConducting training programs for rapid response t eams in Africa, Asia, Central Asia,response teams in Africa, Asia, Central Asia, Latin America, and the US (including CDCLatin America, and the US (including CDC ssttaaff)ff)
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FY 2006 International Activities and Support International Activities and Support FY 2006
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DeD
al gencies and travela
ati na
veloping and Implementingeveloping and Implementing Disease ContainmentDisease Containment
and Mitigation Strategiesand Mitigation Strategies �� Working with other feder aWorking with other feder l agencies and travel
industry regarding border and travelindustry regarding border and travel--relatedrelated interventionsinterventions
�� Issued interim guidance on community mitig oIssued interim guidance on community mitig tion strategiesstrategies
�� Supporting studies of nonSupporting studies of non--pharmaceutical,pharmaceutical, communitycommunity--level measures to decreaselevel measures to decrease transmissiontransmission
�� Assisting with provision of antivirals and vaccinesAssisting with provision of antivirals and vaccines
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US Pandemic Influenza Checklists • State and Local Agencies • Business • Preschool • Schools (K-12) • Colleges & Universities • Faith-Based & Community
Organizations • Physician Offices and
Ambulatory care • Home Health • Emergency Medical Services • Travel Industry • Individuals and Families
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http://www.cste.org/influenza/avian.asp
• …a standardized curriculum to state and local public-health responders about how to identify and control human infections and illness associated with avian influenza A (H5N1).
• Users are encouraged to download and use these free materials including presentations, case studies, and tabletop exercises and adapt the materials to meet the training and preparedness needs of individual state health agencies.
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Workforce Protection
www.hi-tm.com/Documents/Image4.gif
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Centers for Disease Control and Prevention
Pandemic Workforce Protection Plan
DRAFT January 19, 2007
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What’s Included in the CDC Workforce Protection Plan?
• Personal and Family Readiness • Keeping the Workplace Safe • Assuring the Safety of CDC
Deployments • Managing Illness within the Workplace
• Guidance for Supervisors and Managers
• Mental Health and Resiliency During Pandemic
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Director’s Emergency Operations Center
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Research that addresses the AI animal human interface
• CDC – Cooperative agreements with U of MN, CO
State, National Institute of PH-The Netherlands, UGA, Maihidol U-Thailand
• NIH, NIAID – Centers of Excellence at St. Judes, UCLA, U
of MN, Emory, Mt. Sinai, U of Rochester NY
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ONE MEDICINE
• A priority for AVMA and AMA • 60% of current infectious diseases are
shared by humans and animals • 80% of emerging infectious diseases are
zoonotic • If HPAI H5N1 doesn’t cause a pandemic,
another zoonotic agent probably will
We need to work together