insert local logo here. the cambridge apc introduction apc road show columbus, oh august 2009
TRANSCRIPT
![Page 1: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/1.jpg)
Insert local logo here
![Page 2: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/2.jpg)
The Cambridge APC Introduction
APC Road ShowColumbus, OHAugust 2009
![Page 3: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/3.jpg)
Cambridge APC
• Multi-disciplinary team
• Continual engagement in– Assessment of preparedness needs and gaps– Generation of solutions for local public health
– Promotion of APC program and products
• Utilizing learning laboratory
![Page 4: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/4.jpg)
![Page 5: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/5.jpg)
Local Preparedness Planning Realities
• Federal/state mandates for local public health emergency response planning
• Limited capacity and training of local public health departments
![Page 6: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/6.jpg)
Cambridge APC Tools in development• Product Recall tool
• MAVEN Exercise
• Epidemiology Just in Time Training
• Health Data Reports Tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Evaluation Training
![Page 7: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/7.jpg)
Cambridge Session Focus
• Medical Countermeasure Administration (aka., PODs)– Action Planning– Communication Tools – Trainings
• Personal Preparedness Training Materials
• Product Recall
![Page 8: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/8.jpg)
Practical Tools forMedical Countermeasure
Administration&
Communication
APC Road ShowColumbus, OHAugust 2009
![Page 9: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/9.jpg)
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
![Page 10: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/10.jpg)
Introductions
•How prepared is your general population?
•Who are your vulnerable populations?
![Page 11: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/11.jpg)
Cambridge APC
• Multi-disciplinary team
• Continual engagement in– Assessment of preparedness needs and gaps– Generation of solutions for local public health
– Promotion of APC program and products
• Utilizing learning laboratory
![Page 12: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/12.jpg)
Massachusetts Public Health Emergency Preparedness Regions
![Page 13: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/13.jpg)
![Page 14: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/14.jpg)
PHP Region 4b Community Characteristics
• Population of communities range from 7,261 to 101, 355 residents
• Great diversity in local government structures
• Public health departments range from 2 to 63 full time employees
![Page 15: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/15.jpg)
Local Preparedness Planning Realities
• Federal/state mandates for local public health emergency response planning
• Limited capacity and training of local public health departments
![Page 16: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/16.jpg)
Cambridge APC Products• Regional Dispensing Sites
–Planning–Communication Tools –Trainings
• Evaluation
• Mutual Aid for Public Health
• Model legislation for regionalization
• Regional Epidemiology
![Page 17: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/17.jpg)
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
![Page 18: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/18.jpg)
![Page 19: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/19.jpg)
![Page 20: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/20.jpg)
![Page 21: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/21.jpg)
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
![Page 22: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/22.jpg)
Identify the groups within the at-risk population with special needs
Determine resources available/needed to serve these groups
Initiate the special populations plan
Special Effort for Special Populations
![Page 23: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/23.jpg)
“Vulnerability”
• Physical disability
• Cognitive disability
• Language barrier (e.g., English, literacy)
• Elderly or children
• Conditional impairments– Mental noise
– Environmental barriers
– Trust
– Knowledge barriers
![Page 24: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/24.jpg)
Preparedness Paradigm Shift
1. Many will be “vulnerable” in an emergency
2. Specialized services deters those with “special needs”
3. Specialized preparedness is unsustainable for local health
![Page 25: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/25.jpg)
Universal Design in Our Lives
Source: http://www.design.ncsuedu/cud/about_ud/udprincipleshtmlformat.html#top
![Page 26: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/26.jpg)
Making Dispensing Sites Universally Accessible
• Physically accessible
• Information to communicate to many
• Information to exchange interpersonally
![Page 27: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/27.jpg)
Mass Communication: Signage
• Outlines Service & Process information
• Identifies station purpose
• Improves efficiency
• Decreases anxiety• Expands usability• Increases access to service
![Page 28: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/28.jpg)
![Page 29: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/29.jpg)
![Page 30: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/30.jpg)
Pediatric Vaccination Station?
![Page 31: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/31.jpg)
Behavioral Health?
![Page 32: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/32.jpg)
Pocket Communicator
Worker to client Internal communication tool
Clerical & clinical functions
Does not replace other forms of communication
![Page 33: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/33.jpg)
Language Barriers
• Identifies barriers early
• Provides client with visual reassurance
• Affords easier access to translation
![Page 34: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/34.jpg)
Provide Directions
“Please go to the blue Children area.”
![Page 35: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/35.jpg)
Key Concepts
![Page 36: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/36.jpg)
Cambridge APC Sign Requests
![Page 37: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/37.jpg)
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
![Page 38: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/38.jpg)
Session 1 The Mechanics
![Page 39: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/39.jpg)
Lesson Framework
![Page 40: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/40.jpg)
Goal & Objectives
• Knowledge– Job Action Sheets– Incident Command/Management Principles– Fundamental Tasks
• Skills– Serving clients with varying language, physical, and cognitive abilities
• Teamwork
![Page 41: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/41.jpg)
![Page 42: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/42.jpg)
![Page 43: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/43.jpg)
![Page 44: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/44.jpg)
Session 2: Facilitating Clients
![Page 45: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/45.jpg)
Lesson Framework
![Page 46: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/46.jpg)
![Page 47: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/47.jpg)
![Page 48: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/48.jpg)
![Page 49: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/49.jpg)
Training Outcomes
• Knowledge
• Skills
• Teamwork
![Page 50: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/50.jpg)
Training Resources
• Trainer guide
• Training materials
• Evaluation tools
![Page 51: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/51.jpg)
Accessible Personal Preparedness
![Page 52: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/52.jpg)
Introductions
MCM Administration(POD Planning, Signs, and Training)
Personal Preparedness
Future Products
![Page 53: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/53.jpg)
Accessible Personal Preparedness
![Page 54: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/54.jpg)
Accessible Personal Preparedness
![Page 55: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/55.jpg)
Accessible Personal Preparedness
![Page 56: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/56.jpg)
Introductions
MCM Administration(POD Planning, Signs, and Training)
Personal Preparedness
Future Products
![Page 57: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/57.jpg)
Cambridge APC Tools in development• Product Recall tool
• MAVEN Exercise
• Epidemiology Just in Time Training
• Health Data Reports Tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Evaluation Training
![Page 58: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/58.jpg)
Communicating Recalls Differently
![Page 59: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/59.jpg)
It started with toothpaste..• Recall of toothpaste product• Cambridge Public Health mobilizes inspectors
• Toothpaste sold in non-English speaking markets
• Toothpaste being purchased and sent home to Haiti and Latin America
![Page 60: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/60.jpg)
Response
Cambridge Public Health first issued a press release
![Page 61: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/61.jpg)
• 119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888•
For Immediate Release Contact: Susan Feinberg, MPH • June 20, 2007 Communications Specialist• Cambridge Public Health Dept.
617-665-3833 •• FDA Issues Toothpaste Warning• The U.S. Food & Drug Administration has issued two warnings this month about certain
toothpastes manufactured in China and South Africa that may contain a toxic chemical called diethylene glycol (DEG).
• In the U.S., these products are typically being sold at "dollar-type" discount stores, convenience stores, and small food markets.
• Suspect tubes of toothpaste have reportedly been found in Somerville and Sturbridge, as well as in New York, New Jersey, Pennsylvania, Maryland, and Florida.
• As of June 8, there were no U.S. reports of poisonings from toothpaste containing DEG. The chemical, which is commonly found in antifreeze, is sometimes used illegally as an inexpensive sweetener and thickening agent.
• Cambridge residents should throw away or return to the store for refund:• 1) Any toothpaste labeled as "Made in China."• 2) Any fake “Colgate” toothpaste, which is: • Labeled as "Manufactured in South Africa"• A 5-oz. or 100 ml tube• Contains misspelled words on the label, including "South African Dental
Assoxiation," "SOUTH AFRLCA,” and "isclinically"
119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888
![Page 62: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/62.jpg)
Implementation
Translation challenges arose
Someone asked about pictograms
Cambridge tried something different…
![Page 63: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/63.jpg)
![Page 64: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/64.jpg)
Product Recalls-What we know now
![Page 65: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/65.jpg)
Current state
• Food recalls impact all communities• Current communication of recall information is targeted to media outlets
• Translation and communication are resource intensive
• Local health departments are challenged to provide timely information to constituents in accessible formats
![Page 66: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/66.jpg)
Other Countries Requirements
• Vendor must advertise recall in newspaper
• Format and size are by regulation
• This border is a universal recall symbol in Australia
![Page 67: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/67.jpg)
![Page 68: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/68.jpg)
![Page 69: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/69.jpg)
Cambridge APC Proposal
• A readily usable tool to create simple & effective communication material for recalls
![Page 70: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/70.jpg)
Cambridge APC Proposal - How• Build upon successful use of pictograms for Dispensing Sites
• Develop pictograms for food recalls• Develop food recall flyer template• Include instructions on pulling information from FDA press releases
• Include pictogram images for use in template
![Page 71: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/71.jpg)
Cambridge APC Proposal
What would this look like?
![Page 72: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/72.jpg)
![Page 73: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/73.jpg)
![Page 74: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/74.jpg)
![Page 75: Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009](https://reader035.vdocuments.site/reader035/viewer/2022062404/55150981550346a87d8b4751/html5/thumbnails/75.jpg)
Discussion