Communicable Disease Control and Prevention Section (CDCP)

Susan Fernyak, MD MPHSection Director and Deputy Health OfficerMay 18, 2010

Section Responsibilities

Communicable Disease Prevention Unit (CDPU): Adult and childhood immunization programs, including the Adult Immunization and Travel Clinic (AITC)Communicable Disease Control Unit (CDCU): Communicable disease control and surveillance (for all reportable diseases except STDs, TB and HIV) Bioterrorism and Infectious Disease Emergency Response Unit (BIDEU): Infectious Disease Emergency Preparedness

CDPU Core Programs(State Mandated )

Vaccines For Children Program (VFC)

Annual School Immunization Assessments

Perinatal Hepatitis B program

Distribution of influenza vaccine

Communicable Disease Prevention Unit

Vaccine and Materials DistributionFlu vaccine, hepatitis A and B vaccines to safety net clinics, multiple free materials for patients and providers

CA Immunization Registry (CAIR)Over 60% of San Francisco’s children under age 5 are currently enrolled

Mass Prophylaxis Clinic PlanningResource for all clinical information about vaccinesAdult Immunization and Travel Clinic

Adult Immunization and Travel Clinic

Fee for service clinic for travel health and any immunizationsOpen to anyone, regardless of residence

www.sfdph.org/AITC

CDCU Core Functions(Mandated)

Receive & investigate disease reports 24/7Facilitate specialized specimen testingAssess need for and recommend post-exposure prevention measures (antibiotics, vaccination, HRIG, VZIG)Provide disease prevention recommendations to cases, contacts, and the general publicInvestigate clusters of cases/outbreaks

CDCU Special Projects

Annual Report of Communicable Disease 2008

Enhanced surveillance of chronic Hepatitis B

Chronic Hepatitis B & C Registry

Integrated Case and Outbreak Management System (ICOMS) – launched in April 2008

Bioterrorism and Infectious Disease Emergencies Unit

BioterrorismAnthrax, smallpox, pneumonic plague

Emerging Infectious DiseasesPandemic Influenza (H1N1), SARS, ?

Infectious Disease Emergency Response (IDER)Provider Education and Outreach

Health Alerts and AdvisoriesPreparedness and Response GuidesInfect me Not Campaign

Response Functions

Epidemiology and SurveillanceDisease Containment

Infection Control, Exclusion and Clearance, Mass Prophylaxis (including SNS), Isolation and Quarantine

Communicable Disease InformationOutreach to clinicians and the public (Health Alerts, website, phone bank)

DataContinuity of Operations[Laboratory]

IDER Response Structure

Real Life IDER – H1N1 Response

In April 2009, a new strain of influenza A was detected.Fortunately, this novel strain did not cause significant morbidity and mortality in most segments of the population.Did require coordinated City-wide response effort during much of 2009 and into 2010.

H1N1 Response

IDER activated from April 25 – May 26, 2009IDER/DOC activated on September 28, 2009DOC deactivated on February 12, 2010IDER deactivated on March 9, 2010AAR to be completed by July 2010

H1N1 ResponseH1N1 Vaccination Clinics:

October 29-31, 2009: 6 COPC sites and 3 consortium sitesDecember 22, 2009: Mass Clinic at Bill Graham

Provided information to providers, public, media and City Partners on H1N1 and vaccination

Provided H1N1 testing and case investigation for suspect cases hospitalized or who have died, as well as outbreaks.

2010 CDCP Priorities

• “Community Immunity” Campaign.

• Fine-tune our IDER plans, w/ a focus on integrating all City Partners.

• Coordination of Hepatitis B activities w/in DPH and well as the community.