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| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
Spread the Science, NOT the VirusSeries Hosts
Ami S. Patel
PhD, [email protected]
Rosie Frasso
PhD, [email protected]
Robert Wilson
MD-MPH Student
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
Spread the Science, NOT the VirusSeries
Today: Philadelphia Dept. of Public Health Response
Jessica Caum, MA MPH CPHProgram Manager, Bioterrorism & Public Health Preparedness Program
Philadelphia Department of Public HealthJessica Caum is the Program Manager for the Bioterrorism and Public Health Preparedness Program
at the Philadelphia Department of Public Health (PDPH), where she has worked since 2011. Jessica has led
a variety of strategic planning initiatives for PDPH, including the recent Cities Readiness Initiative (CRI)
full-scale exercise for the Philadelphia-Camden-Wilmington Metropolitan Statistical Area (PCW-MSA) that
occurred in October 2019.
She has also supported public health planning for two National Special Security Events, including the
2015 World Meeting of Families and Papal Visit and the 2016 Democratic National Convention, as well as a
variety of local responses, including the Disaster Assistance Services Center (DASC) for evacuees from
Puerto Rico following Hurricane Maria in 2017, as well as the Hepatitis A outbreak and PES refinery
explosion in 2019. Most recently, she has been functioning as the Operations Chief for the Department’s
response to COVID-19, which has included overseeing testing sites, managing personal protective
equipment (PPE) inventory and allocations, supporting isolation and quarantine planning, and coordinating
with partner agencies.
Jessica has an MPH from Drexel University School of Public Health, where she also teaches the
Public Health and Disaster Preparedness course in the Department of Environmental and Occupational
Health.
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
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COVID-19: SPREAD THE SCIENCE, NOT THE VIRUS
PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH RESPONSE
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| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
CME Documentation
Ms. Caum’s Conflict of Interest Form
Documentation FormCME SMS Code: BABZEZ
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
Learning Objectives
• To describe the role of the Philadelphia Department of
Public Health in leading the local response to COVID-19
• To educate participants about core components of the
local response to COVID-19, including testing, isolation
and quarantine, social distancing measures,
communications with both the public and the
healthcare community, and coordination with partner
agencies
• To discuss best practices, challenges, and areas for
expansion and improvement as the response progresses
Every Response is Local: Inside the Philadelphia Response to COVID-19
Jessica Caum, MA MPH CPH
Program Manager, Public Health Preparedness
Philadelphia Department of Public Health
Overview
Situation update
Response organization
Testing and case identification
Non-pharmaceutical interventions
Medical surge
Communications and outreach
Challenges and next steps
8
Global Update• According to WHO, as of May 4, 2020:
• 3,407,747 confirmed cases of COVID-19
• 238,198 deaths
9
National Update
• According to CDC, as of May 3, 2020:• 1,122,486 cases
• 65,735 deaths
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Local Update
• Total cases: 16,040
• Total tested: 53,236
11
Local Update
12
Response Organization
• Incident Command System
• Unified Command Group
• Emergency Operations Center (EOC)
• PDPH organizational structure
• Information sharing
13
Testing and Case Identification
• Critical to disease containment
• Many challenges with testing due to supply shortages
• Restricted criteria for many sites
• Community-based Testing Sites
• Expansion of testing through Federally Qualified Health Centers (FQHCs)
• Rapid testing 14
Citizens Bank Park Testing Site
• March 20-April 10, 2020• 2,677 tests conducted
• Supplies provided by FEMA/HHS
• PDPH and Office of Emergency Management stood up and ran site with assistance from PA Task Force 1
• Medical Reserve Corps (MRC) volunteers
15
Isolation and Quarantine
Isolation separates sick people with a contagious disease from people who are not sick.
Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.
If people are unable to isolate/quarantine at home, where do they go?
16
Isolation/Quarantine Spaces
• Several sites established for isolation and quarantine
• Referral and intake process
• Wrap-around services
• Wellness checks
17
Social Distancing
• CDC guidance• Stay at least 6 feet away from other
people
• Do not gather in groups
• Stay out of crowded places and avoid mass gatherings
• Masking
• Philadelphia emergency orders• Restrictions on non-essential
businesses
• Restrictions on congregation of persons
18
Coronavirus Surge Facility
• Located at Liacouras Center, Temple University
• Capacity for 180 patients
• Acute inpatient medical care for adult COVID-19 patients who require additional monitoring prior to discharge to home following an inpatient stay
• Received first patient on April 20; in the process of standing down
• Some equipment will stay on site in case of surge
19
Communications and Outreach
•Case definition for Person Under Investigation (PUI)
•Travel health notices
•Monitoring of returning travelers
Early on, CDC guidance
changed at a very rapid pace
•Healthcare guidance
•Public guidance
•Guidance for essential businesses/personnel
Tremendous amount of local content had to
be developed to address complex challenges and
questions
•PDPH call center
•City of Philadelphia COVID-19 website
•PDPH Health Information Portal (HIP)
Communication platforms
20
Digital Communications
21
Observations and Challenges
• Importance of pre-event planning and relationships• Pandemic planning and
workshop series
• Partners
• Office of Emergency Management
• Poison Control Center
• Healthcare community
• Medical Reserve Corps
22
Observations and Challenges
• Supply shortages• Personal Protective
Equipment (PPE)
• Testing materials
• Balance between disease containment measures and societal functions
23
What’s Next?
Reopening of city, state, nation
Medical countermeasures
Preparedness for future waves
Recovery
24
Questions and Resources
• City of Philadelphia COVID-19 website
• https://www.phila.gov/programs/coronavirus-disease-2019-covid-19/
• PDPH Health Information Portal
• https://hip.phila.gov/EmergentHealthTopics/2019-nCoV
25
References
• Centers for Disease Control and Prevention. (2020, May 4). Cases in the U.S. Coronavirus Disease 2019 (COVID-19). https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html
• Philadelphia Department of Public Health. (2020, May 4). Testing and Data. Coronavirus Disease 2019 (COVID-19). https://www.phila.gov/programs/coronavirus-disease-2019-covid-19/testing-and-data/
• World Health Organization. (2020, May 5). WHO COVID-19 Dashboard. Coronavirus (COVID-19). https://covid19.who.int/
26
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
CME Documentation
Ms. Caum’s Conflict of Interest Form
Documentation FormCME SMS Code: BABZEZ
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
You will receive a
text message
confirming your
attendance has
been recorded
TEXT THIS NUMBER
215-323-5008TODAY’S SMS CODE
BABZEZ
Use Your Cell Phone to Record Attendance at this Session
COVID-19: SPREAD THE SCIENCE, NOT THE VIRUS
PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH RESPONSE
BABZEZ
TIPS: Add this number as a contact. We suggest “CPD@JeffLEARN/Attendance” as the contact
name
The SMS CODE will be unique for each session, and will only work once. Use CAPITAL
LETTERS to avoid autocorrect errors
The phone number you text attendance to will always remain the same
Your cellphone number will never be used for anything but the recording of your
attendance; you only get a text back if you text us first.
| THOMAS JEFFERSON UNIVERSITY | COLLEGE OF POPULATION HEALTH
Spread the Science, NOT the VirusSeries
Next Week:
Pharmaceutical CountermeasuresTim Herring, MPH
5/13/20 4-5pm
Register here or at:
https://www.jefferson.edu/university/population-
health/degrees-programs/public-health/seminar-series-covid19-
spread-the-science.html
Weekly Webinar recordings can be found at Jefferson
Digital Commons:https://jdc.jefferson.edu/covid-19-ssnv/
Look out for more info via email!
