beneficial practices for improving biosurveillance
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Beneficial Practices for Improving Biosurveillance. Natural Disasters March 25, 2014. Webinar Series Hosts. - PowerPoint PPT PresentationTRANSCRIPT
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Beneficial Practices for
Improving Biosurveillance
Natural Disasters March 25, 2014
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Webinar Series Hosts
Edward L. Baker, MD, MPHDirector, North Carolina Preparedness and Emergency Response Research Center
Research Professor, Health Policy and Management, University of North Carolina at Chapel Hill
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Webinar Series Hosts
Perry F. Smith, MDResearch Professor, Epidemiology, State University of New York at Albany Former New York State Epidemiologist
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NCPERRC Research on Biosurveillance 2013 research project with Public
Health Informatics Institute to: Identify guiding principles and best
practices Provide recommendations for
biosurveillance system improvement
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What did we learn?
Information systems used during event should be used every day
Relationships leading to data sharing should be nurtured well in advance of event
Continued investment in systems and staff needed to assure that systems are prepared
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Translating Research into PracticeSeries of 4 webinars presented by:
North Carolina Preparedness and Emergency Response Research Center (NCPERRC) at UNC-Chapel Hill
Supported by Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response
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Focus of Our Research -Improving Biosurveillance During Public Health Emergencies:
Mass Gatherings Natural Disasters Outbreaks
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NCPERRC Webinar Series: Improving Biosurveillance Systems
Educate public health practitioners regarding: Information and information systems
needed to manage event Investments needed to assure systems are
ready for next event Focus on PHPR Capability #13- Public
Health Surveillance and Epidemiologic Investigation
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Summary of Boston Marathon Case Study• What best practices were seen?• What guiding principles does
the case exemplify?
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Today’s Webinar Agenda
Natural Disaster Case Study with Guests from New York City
Information Needs and Systems for Situational Awareness during Natural Disasters
Your Questions Use question box to enter questions
Where to Find Additional Information
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Today’s Case Study –Natural Disasters Superstorm Sandy, 2012
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Audience PollAs a public health worker, have you had experience responding to a natural disaster, and if so, what type(s) of disasters? (choose one)
Hurricanes, Floods Tornadoes, Earthquakes Winter Storms Forest Fires Multiple Types or Other Types Not responded to natural disasters
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Today’s guestsFrom the New York City Department of Health and Mental Hygiene
Tom Matte MD, MPH Assistant Commissioner for Environmental Surveillance and Policy
Mitch StriplingDirector, Emergency Planning Unit
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Superstorm Sandy
Category 3 Hurricane 72 fatalities in 8 states
43 in NYC 80 mph winds Third costliest hurricane in US history
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Superstorm Sandy What information was needed by
public health? How did you provide that
information? What had you done in advance to
build your information systems to meet these needs?
NYC Sandy impacts and hazards Record storm surge, wind-downed
trees and power lines, drowning and injury risk
Congregate sheltering Health care facility evacuation Disruption of health care access and
transportation
NYC Sandy impacts and hazards Sheltering in place in buildings without
power or heat and without elevators and running water in high rise buildings
Potential respiratory hazards: supplemental heat, power, flood damage cleanup, demolition, debris movement
Exposure to floodwater Stress
Public Health Operations:Surveillance, Response, Recovery Syndromic surveillance Healthcare Evacuations, Repatriation, and Patient
Tracking Shelter Operations and Surveillance Door-to-Door Canvassing and surveys
Public Health Operations:Surveillance, Response, Recovery
Availability of Primary Care Services N95 Respirator Distribution Ambient air quality monitoring and coordination
Public Health Operations:Surveillance, Response, Recovery
Mortality surveillance Community Outreach & Public Information Resume routine surveillance and services
Syndromic Surveillance: Immediate Response
Keep routine system runningReceipt of data, staffing
Hurricane specificSyndromes developed during IreneLook for visits outside pre-defined syndromesIncreased emphasis on system usageRespond to ICS system
Syndromic SurveillanceEmergency Response
Syndromes of interest Healthcare Needs
Medications Dialysis Oxygen
Mental Health Stress (including PTSD) Anxiety Psychotic Psych evaluation Suicide
Syndromic SurveillanceEmergency Response Alcohol and Drug
Methadone and withdrawal
Exposures Cold stress Carbon Monoxide Respiratory irritants
Syndromic SurveillanceEmergency Response
Defining “Impacted areas” Inundation areas Population
displacement Power system outage Destruction Condemnation Conversion to zip
codes
Syndromes Related to Health Care Needs
Syndromes Related to Respiratory Illness
Public Information
Hypothermia Increases “Carbon Monoxide Poisoning Cases
Soar in City After Hurricane”
Challenges and lessons learned
Need to quickly define impact areas and populations, which may change over time
Need to continually develop and improve syndrome definitions
Challenges and lessons learned Hospital closures, other healthcare disruption and
population displacement can impact health and complicate syndromic data interpretation
Defining ‘baseline’ and ‘expected’ What findings are actionable and how to
communicate them
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Rebuilding and Improving Resiliency Special Initiative for Rebuilding and
Resiliency Syndromic Data Power and System Outages Vulnerable Population Outreach Ongoing Research
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Implications for Action
What should others do to prepare for hurricanes?
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Audience Poll How prepared is your jurisdiction to monitor information for situational awareness during an unexpected natural disaster?
Very prepared Moderately prepared Somewhat unprepared Very unprepared
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Ask the Experts
Use chat box to enter question We will recognize audience members
and direct questions to panel
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Key Points
Core information needs Health Status Health Risks and Hazards Health Services
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Key Points
Core information sources Emergency department activity Notifiable disease Lab reporting Health system information
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Summary of Superstorm Sandy Case Study• What best practices were seen?• What guiding principles does
the case exemplify?
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Post-webinar resources
Knowledge Repository Contributions from panelists Archived webinar and slides Online resources Public Health Informatics Institute course Talk about it – Facebook and Twitter login Research report and more
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Post-webinar resources Knowledge Repository
biosurveillance.weebly.com
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Upcoming Webinars
April 24, 2-3:30pm EST Outbreaks - Seasonal Flu Lessons learned from Marion County, IN
June 5, 2-3:30pm EST Prioritizing your biosurveillance
enhancements Insights from national experts Dr. Chesley Richards, CDC Deputy
Director
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Conclusion
Thanks to guests Thanks to CDC for support Thanks to audience And lastly… please complete the
post-webinar evaluation!
Contact us at [email protected]