marianne e zotti, drph, ms, faan
DESCRIPTION
Anthrax: Special Considerations for Pregnant and Postpartum Women Public Health Considerations for Pregnant Women. Marianne E Zotti, DrPH, MS, FAAN. Lead Epidemiologist Emergency Preparedness and Response Program Applied Sciences Branch/Division of Reproductive Health - PowerPoint PPT PresentationTRANSCRIPT
Marianne E Zotti, DrPH, MS, FAAN
Lead EpidemiologistEmergency Preparedness and Response Program
Applied Sciences Branch/Division of Reproductive HealthNational Center for Chronic Disease Prevention and Health
PromotionCenters for Disease Control and Prevention
Anthrax: Special Considerations forPregnant and Postpartum Women
Public Health Considerations for
Pregnant Women
Outline
Background regarding pregnant women Division of Reproductive Health (DRH) Response in
Recent Pandemic H1N1 Influenza (pH1N1) DRH Program for Emergency Preparedness and
Response Anthrax project Model for public health response
Pregnant Women and Catastrophic Events
Classified as ‘at-risk individuals’
Post-event data often not collected
Disproportionate burden known for some infectious diseases
A Joint Effort: 2008 Pandemic Flu Preparedness Planning
Was the first formal collaboration between DRH & NCBDDD
Convened internal & external experts Identified pregnancy as a critical area Identified critical pregnancy, postpartum and infant
topics Antiviral prophylaxis & therapy Vaccine use Non-pharmacologic interventions & healthcare planning Communications to pregnant women & healthcare
providers Intrapartum & newborn issues
Initially posted at www.cdc.gov on April 28, 2009
Purpose: Prepare DRH to respond to reproductive health needs of the US population after natural or man-made catastrophic events by: Gathering epidemiologic/surveillance data to guide action Developing recommendations and tools to guide public
health response specific to pregnant and lactating women and newborns
Developing a plan to reduce fertility risks, infertility, or inadequate contraception
Developing a plan to communicate with clinical, public health and government partners and pregnant women regarding preparedness and response
Developing a human resources preparedness plan for DRH
DRH Program for Emergency Preparedness and Response
Anthrax in Pregnant and Postpartum Women
Purpose: discuss issues related to Anthrax in pregnant and postpartum women and newborns
Is a collaborative project with health care providers, professional and public health organizations, federal partners, and within CDC
FY 2011: involved a literature review and a meeting of local experts to discuss how to enhance use of CDC guidance
FY 2012: National expert meeting FY 2013: Development of guidance documents and
communication strategy and materialsThis project is supported by funds made available from the Centers for Disease Control and Prevention, Office for Public Health Preparedness and Response, the Division of Reproductive Health, and the Anthrax Management Team.
What’s Different from pH1N1? Anthrax is usually not transmitted from person to
person US society has little experience with anthrax in
humans Few US medical and public health care providers
have experience managing anthrax in humans No literature about inhalational anthrax among
pregnant or postpartum women Medication and vaccine regimes may be long and
complicated A bioterrorism event brings many unknowns Public health will have a critical role in distribution
of vaccines and medications
Pregnant/postpartum (P/PP) woman and her family Evaluate risk to self, fetus/infant, and family; Identify and use appropriate prevention and treatment modalities
P/PP woman and Family
Local Community Support appropriate risk assessment and use of appropriate prevention and treatment modalities. Facilitate public health response efforts in local areas.
Local Community
P/PP woman and Family
Health Care Provider
Health Care Providers Provide medical care to P/PP women, and receive training pertaining to anthrax and public health response. Facilitate public health response efforts in local areas.
Local Community
P/PP woman and Family
Local Public Health
Health Care Provider
Local Public Health Disperse national guidance and messages for the public using culturally appropriate methods and channels. Facilitate public health response efforts in local areas.
Local Community
P/PP woman and Family
CDC Partner Organizations State Public Health
Local Public Health
Health Care Provider
CDC Partner OrganizationsState Public Health Disperse national guidance, training, and messages for the public to providers and local partners. Facilitate public health response efforts in local areas.
Local Community
P/PP woman and Family
National Public Health
CDC Partner Organizations State
Public Health
Local Public Health
Health Care Provider
National Public Health Develop scientific guidance and messages related to anthrax care and treatment in pregnant and postpartum (P/PP) women. Disseminate guidance and messages through national channels.
Local Community
P/PP woman and Family
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.