disease outbreak control division hawaii department of health pandemic influenza: hawaii...
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![Page 1: Disease Outbreak Control Division Hawaii Department of Health Pandemic Influenza: Hawaii Preparedness & Response](https://reader036.vdocuments.mx/reader036/viewer/2022081519/56649d2b5503460f94a00521/html5/thumbnails/1.jpg)
Disease Outbreak Control DivisionDisease Outbreak Control Division
Hawaii Department of HealthHawaii Department of Health
Pandemic Influenza:Pandemic Influenza:Hawaii Preparedness & Hawaii Preparedness &
ResponseResponse
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Arrivals in Hawaii 2002-Arrivals in Hawaii 2002-20032003
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May0
100
200
300
400
500
600
700Thousands
Domestic International Total
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Hawaii’s Resident Hawaii’s Resident PopulationPopulation
Hawaii’s Visitor PopulationHawaii’s Visitor Population
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Rate of Death from Probable InfluenzaRate of Death from Probable Influenzaby Flu Season (October-April)by Flu Season (October-April)
Hawaii, 1914-1922Hawaii, 1914-1922
0
100
200
300
400
500
600
1914-15 1915-16 1916-17 1917-18 1918-19 1919-20 1920-21 1921-22
Flu Season Year
Dea
ths
per
100,
000
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillanceInfluenza surveillance
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
http://www.hawaii.gov/health/family-child-health/contagious-disease/pandemic-flu/fluplan.pdf
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Command and ControlCommand and Control• Incident Command System as applied to Incident Command System as applied to
Hawaii Dept of Health (HDOH)Hawaii Dept of Health (HDOH)
• HDOH as lead state agency in HDOH as lead state agency in medical/public health response supporting medical/public health response supporting State Civil DefenseState Civil Defense
• Establish roles and responsibilities of Establish roles and responsibilities of partner agenciespartner agencies
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillanceInfluenza surveillance
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Influenza SurveillanceInfluenza Surveillance• Early detectionEarly detection
• Components:Components:
– Routine surveillanceRoutine surveillance• SentinelSentinel• Illness cluster/absenteeismIllness cluster/absenteeism
– Enhanced surveillanceEnhanced surveillance• Port-of-entryPort-of-entry• Year-roundYear-round• Targeted testingTargeted testing
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillance: routine and Influenza surveillance: routine and pandemicpandemic
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Pandemic Influenza VaccinesPandemic Influenza Vaccines
• Pandemic vaccine availability likely Pandemic vaccine availability likely delayeddelayed
• May need multiple dosesMay need multiple doses
• Dependent upon Federal supplyDependent upon Federal supply
• Distribution via Strategic National Stockpile Distribution via Strategic National Stockpile (SNS) plan (SNS) plan
• Prioritization required – under debatePrioritization required – under debate
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillance: routine and Influenza surveillance: routine and pandemicpandemic
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Number of Antiviral Drug Number of Antiviral Drug Courses: Prophylaxis vs. Courses: Prophylaxis vs.
Treatment, USATreatment, USA
GroupGroup PopulationPopulation Number of coursesNumber of courses
Prophylaxis*Prophylaxis* Therapy**Therapy**
HCWsHCWs 11 m11 m 62 m62 m 4 m4 m
““Frontline” Frontline” hospitalhospital 3.2 m3.2 m 18 m18 m 1 m1 m
Public safetyPublic safety 2.3 m2.3 m 13 m13 m 1 m1 m
*Assumes 8-week prophylaxis*Assumes 8-week prophylaxis**Assumes 35% attack rate**Assumes 35% attack rate
93 m 93 m >>>>>>
6 m6 m
Modified from B. Schwartz, Modified from B. Schwartz, USPHSUSPHS
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Antiviral MedicationsAntiviral Medications• Antiviral resistanceAntiviral resistance
• Adequate dose and durationAdequate dose and duration
• Likely insufficient supplyLikely insufficient supply
• Stockpiling; federal assistance?Stockpiling; federal assistance?
• Prioritization requiredPrioritization required
• Distribution via SNS planDistribution via SNS plan
• Security necessarySecurity necessary
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillance: routine and Influenza surveillance: routine and pandemicpandemic
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & Quarantine/Social DistancingIsolation & Quarantine/Social Distancing
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Isolation, Quarantine,Isolation, Quarantine,Social DistancingSocial Distancing
• Isolation of Isolation of sicksick peoplepeople
• Quarantine of Quarantine of exposedexposed people people
• Social distancing for those Social distancing for those not yetnot yet exposed exposed
• All require adequate supplies for daily living All require adequate supplies for daily living and personal protectionand personal protection
• EnforcementEnforcement
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillance: routine and Influenza surveillance: routine and pandemicpandemic
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
Health Care DeliveryHealth Care Delivery
• Demand likely exceed capacityDemand likely exceed capacity
• Explore alternate facilities or home care Explore alternate facilities or home care optionsoptions
• Establish surge capacity for health care Establish surge capacity for health care personnelpersonnel
• Will require massive supplies Will require massive supplies
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USAUSA Hospitalization Hospitalization ICU CareICU Care DeathsDeaths
Moderate Moderate 719,000719,000 107,850107,850 209,000209,000
SevereSevere 8,500,0008,500,000 1,300,0001,300,000 1,900,0001,900,000
USAUSA Hospitalization Hospitalization ICU CareICU Care DeathsDeaths
Moderate Moderate 0.25%0.25% 0.04%0.04% 0.07%0.07%
SevereSevere 2.93%2.93% 0.45%0.45% 0.66%0.66%
Hawaii Hawaii Hospitalization Hospitalization ICU CareICU Care DeathsDeaths
Moderate Moderate 3,4713,471 521521 1,0091,009
SevereSevere 41,03441,034 6,2766,276 9,1729,172
USA pop. = 290 m and Hawaii pop. = 1.4 (with visitors)
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Hawaii Pandemic Influenza Hawaii Pandemic Influenza Preparedness & ResponsePreparedness & Response
• Command and controlCommand and control
• Influenza surveillance: routine and Influenza surveillance: routine and pandemicpandemic
• Pandemic influenza vaccinesPandemic influenza vaccines
• Antiviral medicationsAntiviral medications
• Isolation & quarantineIsolation & quarantine
• Health care deliveryHealth care delivery
• CommunicationsCommunications
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Hawaii Preparedness & Response:Hawaii Preparedness & Response:
CommunicationsCommunications• CriticalCritical
• Establish contact with partners:Establish contact with partners:– Public health officialsPublic health officials– State agenciesState agencies– Federal, State, and Local governmentFederal, State, and Local government– Healthcare professionalsHealthcare professionals– BusinessesBusinesses– MediaMedia– PublicPublic
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Summary PointsSummary Points
• Pandemic flu may easily reach Hawaii, a Pandemic flu may easily reach Hawaii, a globally popular travel destinationglobally popular travel destination
• Plans and policies should be establishedPlans and policies should be established
• Communication and collaboration are Communication and collaboration are criticalcritical
• Everyone must take responsibilityEveryone must take responsibility
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Sources of InformationSources of Information• Questions for Hawaii Dept of Health Questions for Hawaii Dept of Health
[email protected]@doh.hawaii.gov
• Hawaii Dept of HealthHawaii Dept of Health
http://www.hawaii.gov/health/family-child-health/conthttp://www.hawaii.gov/health/family-child-health/contagious-disease/communications/pandemicflu.htmlagious-disease/communications/pandemicflu.html
• Centers for Disease Control & Prevention:Centers for Disease Control & Prevention:http://www.cdc.gov/flu/pandemic/http://www.cdc.gov/flu/pandemic/
• US governmentUS governmenthttp://www.pandemicflu.gov/http://www.pandemicflu.gov/
• World Health OrganizationWorld Health Organizationhttp://www.who.int/topics/influenza/en/http://www.who.int/topics/influenza/en/