sars cov-2 pandemic alaska rural planning and … rural covid nhtsa...2020/05/18 · covid-19...
TRANSCRIPT
![Page 1: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/1.jpg)
COVID-19 PandemicAlaska Rural Planning and Response
Michael Levy M.D. FAEMS, FACEP, FACP
Medical Director State of Alaska Emergency Programs
President-Elect National Association of EMS Physicians
![Page 2: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/2.jpg)
Goals
• Overview of Alaska geography introducing roadlessness to the rural equation
• Distribution of health care resources
• Review of prevalence and incidence of COVID-19 in Alaska
• Examples of unique COVID-19 challenges in Alaska and responses
![Page 3: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/3.jpg)
![Page 4: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/4.jpg)
Length 1420 mi
Width 2261 mi
Area 663, 268 sq mi
![Page 5: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/5.jpg)
![Page 6: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/6.jpg)
Logistics and Health Care Facts
• 75% of Ak Communities not reachable by road
• 24 acute care hospitals in AK
• 14 with <50 beds
• Anchorage and Matsu Valley 6 hospitals
![Page 7: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/7.jpg)
![Page 8: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/8.jpg)
![Page 9: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/9.jpg)
![Page 10: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/10.jpg)
![Page 11: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/11.jpg)
![Page 12: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/12.jpg)
Prudhoe Bay Oil Field ("North Slope")
• Largest oil field in North America
• Covers 213,543 acres
• 400 miles from Fairbanks, 600 miles from Anchorage
• Major source of Alaska income (90%)
• Average 2000 employees on the Slope in winter production
![Page 13: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/13.jpg)
Anchorage Daily News 3/18/20
• Screening began in early March at airport
• Progressive steps
• Screening on arrival to oil fields and at check points
• Quarantine set up
• Isolation and negative pressure areas established
• No interstate air travel without prior quarantine
• Extended rotations
• Testing challenges
![Page 14: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/14.jpg)
![Page 15: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/15.jpg)
![Page 16: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/16.jpg)
Alaska Preparation
![Page 17: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/17.jpg)
"Centers of Excellence": Concentrate Experience
![Page 18: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/18.jpg)
Fishing Industry: next challenge
~8000 Workers Coming to State
• Points of origin from around the globe
• Critical Infrastructure
• Dorm living, 5 or more to a room
• Shared bathrooms
• Rural/roadless
![Page 19: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/19.jpg)
Strategies
• Pre-quarantine prior to moving to fish camps
• Testing strategies for asymptomatic workers
• Quarantine and isolation strategies for exposed and PUI/confirmed
• Evacuation of the ill
![Page 20: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/20.jpg)
Summary
• Alaska has unique geographic challenges for pandemic
• Outbreaks of severe disease in remote communities is a concern
• Oil/Gas/Natural work is done by large numbers in especially austere areas
• Benefit of low population density
• Readying for next wave: opening
![Page 21: SARS CoV-2 Pandemic Alaska Rural Planning and … Rural Covid NHTSA...2020/05/18 · COVID-19 Pandemic Alaska Rural Planning and Response Michael Levy M.D. FAEMS, FACEP, FACP Medical](https://reader033.vdocuments.mx/reader033/viewer/2022050106/5f446dc4bc8734295c103f0c/html5/thumbnails/21.jpg)
Thank youMichael Levy M.D.
@mklevy10