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ACHD ACHD TRCPA UpdateTRCPA Update
20092009
Tom ManganEmergency Preparedness & Response
Manager
Public Health PreparednessPublic Health Preparedness
Funded by the Centers for Disease Funded by the Centers for Disease Control and Prevention (CDC) Control and Prevention (CDC)
Strategic National Stockpile (SNS)Strategic National Stockpile (SNS)
Administered by the PA Department of Administered by the PA Department of Health (PA DOH)Health (PA DOH)
Office of Public Health Preparedness (OPHP)Office of Public Health Preparedness (OPHP)
Bureau of Community Health Systems (BCHS)Bureau of Community Health Systems (BCHS)
Directed locally by the Allegheny County Directed locally by the Allegheny County Health Department (ACHD)Health Department (ACHD)
Strategic National StockpileStrategic National Stockpile
CDC AssetCDC AssetDepository of medicines, antidotes, medical Depository of medicines, antidotes, medical supplies and medical equipmentsupplies and medical equipment
Access to vendor managed suppliesAccess to vendor managed supplies
Ready for rapid deployment Ready for rapid deployment Initial “Push Pack” can arrive within 12 hours of the Initial “Push Pack” can arrive within 12 hours of the federal government’s decision to release it federal government’s decision to release it (requires an official request from the state)(requires an official request from the state)
SNS ComponentsSNS Components
12 Hour Push Pack 12 Hour Push Pack – 50 tons of ready-to-go, stockpiled medical materiel50 tons of ready-to-go, stockpiled medical materiel
Occupies 5000 square feet of storage spaceOccupies 5000 square feet of storage space
Fits in a jumbo jet or in 7 or 8 tractor trailersFits in a jumbo jet or in 7 or 8 tractor trailers
Will be delivered to a state’s predetermined Receive, Store, Will be delivered to a state’s predetermined Receive, Store, Stage site (RSS)Stage site (RSS)
Local Points of Dispensing (PODs) will receive shipments Local Points of Dispensing (PODs) will receive shipments from the RSSfrom the RSS
Managed InventoryManaged Inventory– Larger quantities of medical materielLarger quantities of medical materiel
Shipped directly from vendors to RSS or specified sitesShipped directly from vendors to RSS or specified sites
SNS Push PackSNS Push Pack
Points of Dispensing (PODs)Points of Dispensing (PODs)
Non-medical sites that have been pre-Non-medical sites that have been pre-planned to be used for Mass Antibiotic planned to be used for Mass Antibiotic Dispensing or Mass VaccinationDispensing or Mass Vaccination
In Allegheny County, mostly public high schoolsIn Allegheny County, mostly public high schools
Scalable to the size of the eventScalable to the size of the eventWorst case: provide medical countermeasures to Worst case: provide medical countermeasures to the entire population in 48 hoursthe entire population in 48 hoursOther cases: flu vaccination campaign (at the Other cases: flu vaccination campaign (at the option of the local emergency management or option of the local emergency management or public health officials)public health officials)
Community PODsCommunity PODs
Concepts of OperationConcepts of OperationOperated by Health Department and local communityOperated by Health Department and local community
Staffing augmented by Medical Reserve Corps (MRC)Staffing augmented by Medical Reserve Corps (MRC)
– Mass Antibiotic Dispensing (BT scenario)Mass Antibiotic Dispensing (BT scenario)Head of Household/Household RepresentativeHead of Household/Household Representative
– Can pick up for family membersCan pick up for family members– Reduces number of people reporting to PODReduces number of people reporting to POD
– Mass VaccinationMass VaccinationFor practical reasons, everyone receiving a vaccination For practical reasons, everyone receiving a vaccination needs to be there in personneeds to be there in person
For H1N1, at the option of local emergency management and For H1N1, at the option of local emergency management and public health officialspublic health officials
Closed PODsClosed PODs
First Responder PODsFirst Responder PODs– Operated by First Responder AgenciesOperated by First Responder Agencies
Process to provide medication to members of Process to provide medication to members of essential services involved in the overall response, essential services involved in the overall response, and to their familiesand to their families
Allows responders to focus on critical response Allows responders to focus on critical response activitiesactivities
Closed PODsClosed PODs
Large Employer PODs Large Employer PODs – Operated by Employer (health services)Operated by Employer (health services)
Process to provide medication to employees and Process to provide medication to employees and families of large employersfamilies of large employers
Provides large employers a means to minimize Provides large employers a means to minimize disruption of critical operationsdisruption of critical operations
Reduces demand on Community PODsReduces demand on Community PODs
POD LayoutPOD Layout
Medication Medication DispensingDispensing(Full-scale)(Full-scale)
POD LayoutPOD Layout
VaccinationVaccination(Full-scale)(Full-scale)
Exit
Entrance to POD
Detailed Screening &Pharmacist-
Assisted drugDispensing
Forms Distribution and Completion
Forms Screening
Form CollectionAnd Exit Education
ExpressDrug
Dispensing
Line Staff Medical Staff
Point of DispensingPoint of Dispensing
Point of DispensingPoint of Dispensing
Point of DispensingPoint of Dispensing
Closed PODsClosed PODs
Large Employers or First RespondersLarge Employers or First Responders– Medical Direction (Employee Health)Medical Direction (Employee Health)– Receive, manage, and distribute suppliesReceive, manage, and distribute supplies– Perform required screening Perform required screening
based on the medicine being provided (allergies, health based on the medicine being provided (allergies, health conditions, etc.)conditions, etc.)
Employees and their Family MembersEmployees and their Family Members
– Submit order totals for each medicine/vaccine to Submit order totals for each medicine/vaccine to health officialshealth officials
For instance: H1N1 Provider Registration by PA DOHFor instance: H1N1 Provider Registration by PA DOH
Closed PODsClosed PODs
PlanningPlanningOverall Process, Dispensing/Vaccination Sites, Overall Process, Dispensing/Vaccination Sites, Personnel/StaffingPersonnel/Staffing
Communication and EducationCommunication and Education
Training and ExercisingTraining and ExercisingValidate planValidate plan
Revise / improve planRevise / improve plan
H1N1 Interim AdviceH1N1 Interim Advice
Stay informed : Stay informed : www.flu.govwww.flu.gov
www.H1N1inPA.comwww.H1N1inPA.com
www.achd.netwww.achd.net
Practice non-pharmaceutical interventionsPractice non-pharmaceutical interventionsHand hygieneHand hygiene
Good housekeepingGood housekeeping
Screening (self-screening) for influenza like illnessScreening (self-screening) for influenza like illness
Consider vaccinationConsider vaccinationSeasonal Flu (available now)Seasonal Flu (available now)
H1N1 (when available)H1N1 (when available)
For More InformationFor More Information
Allegheny County Health DepartmentAllegheny County Health Department
412-687-ACHD412-687-ACHD(412-687-2243)(412-687-2243)
www.achd.netwww.achd.net
Tom ManganTom [email protected]@achd.net