pandemic influenza planning and preparedness in contra costa county
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Pandemic Influenza Planning and Preparedness in Contra Costa County. Special thanks to the following for the use of their slides:. Howard Backer, MD Chief, Immunization Branch, California Department of Health Services Michael T Osterholm PhD, MPH - PowerPoint PPT PresentationTRANSCRIPT
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Pandemic Influenza Planning and
Preparedness in Contra Costa County
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Special thanks to the following for the use of their slides:
Howard Backer, MDChief, Immunization Branch, California Department of Health Services
Michael T Osterholm PhD, MPHDirector, Center for Infectious Disease Research and Policy and Associate Director, DHS National Center for Food Protection
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•The difference between:
Seasonal influenza
Avian influenza
Pandemic influenza
•What you can do to get prepared
Overview
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A Modern World View of Pandemic Influenza
The Truth
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•Seasonal Influenza• Respiratory illness characterized by fever,
headache, tiredness, dry cough, sore throat, runny nose, etc.
• Complications occur mostly among “high risk” including those with congestive heart disease, asthma and diabetes
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Seasonal Influenza High infectivity High infectivity Short incubation periodShort incubation period Clinical illness is non-specificClinical illness is non-specific Easily transmittedEasily transmitted
Routes of transmission Large droplets (sneezing, coughing, contact Large droplets (sneezing, coughing, contact
with saliva)with saliva) Fomites: doorknobs, Kleenex, etc.Fomites: doorknobs, Kleenex, etc. Rarely airborne over long distanceRarely airborne over long distance
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Average Impact of Seasonal Influenza in US
• 5-20% infected
• Over 200,000 hospitalized– About half in 65+
• 36,000 deaths
– >90% in 65+
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Avian Influenza
(Bird Flu) is an infectious disease of birds
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The disease occurs worldwide.
Many wild bird species carry these viruses with no apparent signs of harm.
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Other bird species, including domestic poultry, develop disease when infected with avian influenza viruses.
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Avian influenza in poultry has a mortality rate that can approach 100% within 48 hours.
Approximately 150 million birds have been culled (destroyed).
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Avian Flu and People
As of October 12, 2007, 331 people in 12 countries have been infected with H5N1 (avian influenza) and 202 have died of the disease.
Most were infected by close contact with infected birds.
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How could avian flu become easily transmissible from person to person?
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•If an avian virus and human-adapted virus “swap genes” in a co-infected cell of an animal or human, a “third virus” would result that could be readily transmitted by and between humans.
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HumanHuman virusvirus
ReassortantReassortantvirusvirus
Non-humanNon-humanvirusvirus
Mechanisms of Influenza Virus Antigenic Mechanisms of Influenza Virus Antigenic “Shift”“Shift”
DIRECTDIRECT
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Definition of an Influenza Pandemic:
•a new (novel) influenza virus subtype in humans causing serious illness;
•little or no immunity in the population; and,
•it spreads easily from person to person.
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Pandemic influenza is different from the current
avian influenza.
Influenza pandemics are recurring events.
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YearsYears Flu Flu VirusVirus MortalityMortality
1918-19191918-1919 “Spanish” “Spanish” Type A (H1N1) Type A (H1N1) 20 million worldwide20 million worldwide550,000 US550,000 US
1957-19581957-1958 “Asian” “Asian” Type A (H2N2) Type A (H2N2) 70,000 US70,000 US
1968-19691968-1969 “Hong Kong” “Hong Kong” Type A (H3N2)Type A (H3N2)34,000 US34,000 US
Glezen WP. Epidemiol Rev. 1996;18:65.Centers for Disease Control and Prevention. Influenza Prevention and Control. Influenza. Available at:http://www.cdc.gov/ncidod/diseases/flu/fluinfo.htm.
Influenza Pandemics in the 20th Century
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Pandemic Severity Index
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Planning Assumptions: Contra Costa County Total Over 18
months
Infected Infected 337,630 337,630 Outpatient Outpatient 168,815 168,815 Hospital Hospital 16,882 16,882 ICU ICU 3,022 3,022 Ventilator Ventilator 1,519 1,519 Deaths Deaths 3,950 3,950
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Things you can do this flu season:
•Promote hand washing and respiratory etiquette (cover your cough)
•Provide hand sanitizers at work stations•Provide gloves to money handlers
•Get a flu shot•Clean shared equipment such as phones and keyboards regularly•Contact Health Services about
becoming a Point of Dispensing Push site
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Our website cchealth.org contains information about pandemic flu preparedness including a Tool Kit for schools and childcare centers and checklists for business, law enforcement, etc.
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For up-to-date health emergency information in
Contra Costa call:1-888-959-9911
Thank You!