smallpox pre-event in-service for fire and rescue staff bob mauskapf state emergency planning...
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Smallpox Pre-Event In-Servicefor Fire and Rescue Staff
Smallpox Pre-Event In-Servicefor Fire and Rescue Staff
Bob MauskapfState Emergency Planning
CoordinatorVirginia Department of Health
Bob MauskapfState Emergency Planning
CoordinatorVirginia Department of Health
April, 2003April, 2003
DedicationDedication
…To the fire and rescue professionals, paid and volunteer, who regularly respond to the public’s call, and who venture into situations of great risk, in the hope that their work can be made more safe
…To the fire and rescue professionals, paid and volunteer, who regularly respond to the public’s call, and who venture into situations of great risk, in the hope that their work can be made more safe
April, 2003April, 2003
VDH EP&R MissionVDH EP&R Mission“…effectively respond to any
emergency impacting public health through preparation, collaboration, education and rapid intervention.”
“…effectively respond to any emergency impacting public health through preparation, collaboration, education and rapid intervention.”
April, 2003April, 2003
April, 2003April, 2003
DepComm EP&R
Exec PIO TrainerPlanner Bus Mgr
HospCoord AdminAsst
Reg Planners(5)
April, 2003April, 2003
Regional MD Consultant
Planner Epidemiologist PIOTrainer
April, 2003April, 2003
Regional PlannerRegional Planner
CoordinateCollaborateFacilitateLiaisonOversightRepresent
CoordinateCollaborateFacilitateLiaisonOversightRepresent
April, 2003April, 2003
Regional PlannerRegional Planner
BackupPrioritizeReinforcePlanTalking Head / Burning Bush / SME
BackupPrioritizeReinforcePlanTalking Head / Burning Bush / SME
The Strategic National Stockpile is designed to…“maintain a national repository of life-saving pharmaceuticals and medical material that will be delivered to the site of a chemical or biological terrorism event in order to reduce morbidity and mortality in civilian populations.”
The Strategic National Stockpile is designed to…“maintain a national repository of life-saving pharmaceuticals and medical material that will be delivered to the site of a chemical or biological terrorism event in order to reduce morbidity and mortality in civilian populations.”
Strategic National Stockpile(National Pharmaceutical
Stockpile)Distribution Planning & Logistics
April, 2003April, 2003
The NeedThe Need
The President of the United States has identified a risk of Smallpox being re-introduced by a terrorist action
Should a Smallpox case be identified in the Commonwealth, it is likely that a police, fire or rescue responder will have contact with that case
The President of the United States has identified a risk of Smallpox being re-introduced by a terrorist action
Should a Smallpox case be identified in the Commonwealth, it is likely that a police, fire or rescue responder will have contact with that case
April, 2003April, 2003
Smallpox - Why a threat?
Last case in US in 1949Last naturally acquired case in 1977Disease declared eliminated by WHO in
1980Stocks of Variola virus held by U.S. &
Russia
April, 2003April, 2003
Smallpox - Why a threat?
Bio weapons programs in several countries
Concern… former Soviet Union bio weapons may have been sold. To whom??
April, 2003April, 2003
Smallpox vaccinationSmallpox vaccinationDec, 2002: President Bush announced
plan to vaccinate civilian response teams and military personnel
Pre-event smallpox vaccinationStage 1: Hospital and public health
response teamsState 2: Other health care providers, first
respondersStage 3: Offer to general public when
enough licensed vaccine available
Dec, 2002: President Bush announced plan to vaccinate civilian response teams and military personnel
Pre-event smallpox vaccinationStage 1: Hospital and public health
response teamsState 2: Other health care providers, first
respondersStage 3: Offer to general public when
enough licensed vaccine available
April, 2003April, 2003
Smallpox Vaccination: Phase 1Health Department
Responsibilities
Smallpox Vaccination: Phase 1Health Department
ResponsibilitiesEducation and training, providing
education materialsContraindicationsComplicationsVaccine site management
Responsible for vaccine and vaccine administration
Education and training, providing education materialsContraindicationsComplicationsVaccine site management
Responsible for vaccine and vaccine administration
April, 2003April, 2003
Smallpox Vaccination: Phase 1Health Department
Responsibilities
Smallpox Vaccination: Phase 1Health Department
ResponsibilitiesCollect information and report on
adverse vaccine events Identify consultants to assess
and manage adverse events
Collect information and report on adverse vaccine events
Identify consultants to assess and manage adverse events
April, 2003April, 2003
Smallpox Vaccination: Phase 2Smallpox Vaccination: Phase 2
To include other health care providers (not included in Phase 1) and first responders
This will include much larger number of vaccinees than Phase 1
Time frame and logistics not established at present
To include other health care providers (not included in Phase 1) and first responders
This will include much larger number of vaccinees than Phase 1
Time frame and logistics not established at present
April, 2003April, 2003
Smallpox Vaccination: Phase 3Smallpox Vaccination: Phase 3
Offer vaccine to members of the general public
Date for initiation unknownAdequate supply of licensed vaccine
will not be available until early 2004Smallpox vaccination now available
through clinical trials
Offer vaccine to members of the general public
Date for initiation unknownAdequate supply of licensed vaccine
will not be available until early 2004Smallpox vaccination now available
through clinical trials
April, 2003April, 2003
What About Vaccination If An Event Takes Place?
What About Vaccination If An Event Takes Place?
If you are a true contact to a case, the risk of Smallpox far outweighs the risk of vaccination
If you are not a contact, but Smallpox is in the area, you will need to reconsider the risk
If you are a true contact to a case, the risk of Smallpox far outweighs the risk of vaccination
If you are not a contact, but Smallpox is in the area, you will need to reconsider the risk
April, 2003April, 2003
Dip needle Retained vaccine
Proper position 15 insertions
Post-insertion Absorb excess
Discard properly Sterile cover