The Next The Next Pandemic?Pandemic?

Presentation AgendaPresentation Agenda

►What is a Pandemic?What is a Pandemic?►What is the Current Situation?What is the Current Situation?►Why Should I Prepare for a PandemicWhy Should I Prepare for a Pandemic►How can I Prepare Myself and/or my How can I Prepare Myself and/or my

Family?Family?►Business PreparationBusiness Preparation►What are the Strategies?What are the Strategies?

Pandemic: An infectious disease epidemic that affects people worldwide or over an extensive geographical area.

Pandemic Definition

RECIPE FOR A PANDEMIC

1. A new subtype of influenza

2. A susceptible human population

3. Fast and easy transmission from person to person

Characteristics of Characteristics of Influenza PandemicsInfluenza Pandemics

• All influenza viruses can change / mutateAll influenza viruses can change / mutate• Spreads between people through airborne Spreads between people through airborne

droplets or close contact droplets or close contact• Current seasonal flu vaccine not effective Current seasonal flu vaccine not effective

against avian flu against avian flu• Could be treated with antiviral meds, but Could be treated with antiviral meds, but

resistance to treatment could develop resistance to treatment could develop• Vaccine can take 6 months or more to developVaccine can take 6 months or more to develop

Historic Historic PandemicsPandemics

• 1918-1919 Spanish Flu(H1N1)1918-1919 Spanish Flu(H1N1)• Type A virus 20-50 million deaths worldwideType A virus 20-50 million deaths worldwide 500,000 deaths in the United States500,000 deaths in the United States

• 1957-1958 Asian Flu (H2N2)1957-1958 Asian Flu (H2N2) First identified in China February 1957First identified in China February 1957 Spread to US by June 1957Spread to US by June 1957 70,000 deaths in the United States70,000 deaths in the United States

• 1968-1969 Hong Kong Flu(H3N2)1968-1969 Hong Kong Flu(H3N2)• First detected in Hong Kong early 1968First detected in Hong Kong early 1968 Spread to US later that yearSpread to US later that year Approx 34,000 deaths in the United States (our seasonal flu Approx 34,000 deaths in the United States (our seasonal flu

kills 36,000)kills 36,000) Virus still circulating todayVirus still circulating today

Current StatusCurrent Status

CURRENTLY THERE IS NO CURRENTLY THERE IS NO H5N1 AVIAN FLU IN THE H5N1 AVIAN FLU IN THE

UNITED STATES, IN UNITED STATES, IN ANIMALS OR HUMANS.ANIMALS OR HUMANS.

Nations With Confirmed Cases Nations With Confirmed Cases H5N1 Avian Influenza (May 30, H5N1 Avian Influenza (May 30,

2006) 2006)

Human Cases of H5N1Human Cases of H5N1 Avian Flu 2003-2006* Avian Flu 2003-2006*

As of 06/12/2006 Source: World Health Organization (laboratory confirmed cases)

Country Cases Deaths

Azerbaijan 8 5

Cambodia 6 6

China 18 12

Djibouti 1 0

Egypt 14 6

Indonesia 47 37

Iraq 2 2

Thailand 22 14

Turkey 12 4

Viet Nam 93 42

Total 255 128

What about Birds What about Birds and Avian Flu in and Avian Flu in

Florida ?Florida ?

•Department of Agriculture and Department of Agriculture and Consumer Services monitors Consumer Services monitors poultry flocks in Floridapoultry flocks in Florida

•Avian surveillance by Avian surveillance by veterinarians is ongoingveterinarians is ongoing

•No avian outbreaks have been No avian outbreaks have been detecteddetected

Finding a dead bird is not uncommon. Don’t handle dead birds w/bare hands.

Finding clusters of dead birds may be important

To report dead birds, contact:

• FWC for wild birds www.myfwc.com/bird

• DACS for domestic birds: 850-410-0900

• USDA for domestic birds : 1-866-536-7593

Pandemic Influenza Surveillance

What should I do if I find a

Why should I Why should I Prepare???Prepare???

►Potential for high levels of:Potential for high levels of: Sickness and DeathSickness and Death Disruption of critical servicesDisruption of critical services Economic lossEconomic loss

►Pandemics can disproportionately Pandemics can disproportionately effect younger people effect younger people

►Impacts will last from weeks to Impacts will last from weeks to monthsmonths

Making a Family Plan

All Hazards Approach

Fire

Flood

Hurricane

Tornado

Terrorism

Chemical, Biological, Radiological, Nuclear, Explosive

Family/Individual Family/Individual PlansPlans

► Food/Water (include non-perishables)Food/Water (include non-perishables)► Medicine (prescription and over the counter)Medicine (prescription and over the counter)► Succession of careSuccession of care► Emergency InformationEmergency Information

Blood Types, Allergies, Medical conditions, Blood Types, Allergies, Medical conditions, Medications currently takingMedications currently taking

Emergency Contact Information (relatives in and Emergency Contact Information (relatives in and out of town, religious leaders, physicians, etc)out of town, religious leaders, physicians, etc)

► Stay InformedStay Informed

Business PlanningBusiness Planning

► Review/Develop your Continuity of Operations Review/Develop your Continuity of Operations PlansPlans Personnel ShortagesPersonnel Shortages Material ShortagesMaterial Shortages Social Distancing ImpactsSocial Distancing Impacts

► What are your essential/mission critical What are your essential/mission critical functions?functions?

► Establishment of Policies (work, compensation, Establishment of Policies (work, compensation, travel, etc)travel, etc)

► Employee ProtectionEmployee Protection Hygiene/Medical care/consultationHygiene/Medical care/consultation

► Communicate with and Educate Your EmployeesCommunicate with and Educate Your Employees

National Strategy for National Strategy for Pandemic Flu Pandemic Flu

►Preparedness and CommunicationPreparedness and Communication►Surveillance and DetectionSurveillance and Detection►Response and ContainmentResponse and Containment

►Response ActivitiesResponse Activities State Comprehensive Emergency Management State Comprehensive Emergency Management

Plan (CEMP)Plan (CEMP) State Emergency Response TeamState Emergency Response Team Emergency Support FunctionsEmergency Support Functions

►ESF8 Health & Medical ESF8 Health & Medical County Comprehensive Emergency County Comprehensive Emergency

Management PlansManagement Plans County Health DepartmentsCounty Health Departments

What is the State of Florida What is the State of Florida doing about Avian Flu?doing about Avian Flu?

What is Santa Rosa County What is Santa Rosa County doing about Avian Flu?doing about Avian Flu?

• Preparedness/Monitoring Activities Preparedness/Monitoring Activities The Santa Rosa County Health Department The Santa Rosa County Health Department

partners with physicians, hospitals, private labs to partners with physicians, hospitals, private labs to monitor spikes in the number of patients seen with monitor spikes in the number of patients seen with flu-like symptoms.flu-like symptoms.

►Sentinel Physician ProgramSentinel Physician Program

Monitoring sales of over the counter drugs.Monitoring sales of over the counter drugs. Constant communication with state and federal Constant communication with state and federal

partners.partners. Community Level EducationCommunity Level Education

What is Escambia County What is Escambia County doingdoing

about Avian Flu?about Avian Flu?

• Preparedness/Monitoring Preparedness/Monitoring Activities Activities Healthcare Pandemic Planning Healthcare Pandemic Planning

►Hospitals/Public Health/EMSHospitals/Public Health/EMS►Information OutputInformation Output►Triage and Care CoordinationTriage and Care Coordination►Antiviral and Vaccine DistributionAntiviral and Vaccine Distribution►Development of Community Social Distancing Development of Community Social Distancing

“triggers” (Medical Evidence)“triggers” (Medical Evidence)

ConclusionConclusion►A pandemic is a local emergency A pandemic is a local emergency

happening worldwide.happening worldwide.► Individuals and Organizations need to Individuals and Organizations need to

begin their preparedness efforts now.begin their preparedness efforts now.

Wash Your Hands!

Cover Your Cough!

Stay at Home if You are Sick!

Get Vaccinated!

WebsitesWebsites Information on Avian InfluenzaInformation on Avian Influenza

Florida Department of HealthFlorida Department of Healthwww.doh.state.fl.us/rw_Bulletins/panfluplanindex.htmlwww.doh.state.fl.us/rw_Bulletins/panfluplanindex.htmlwww.doh.state.fl.us/disease_ctrl/epi/htopics/BirdFlu.htmwww.doh.state.fl.us/disease_ctrl/epi/htopics/BirdFlu.htm

Centers for Disease Control and PreventionCenters for Disease Control and Preventionwww.cdc.gov/flu/avian/index.htmwww.cdc.gov/flu/avian/index.htm

Centers for Disease Control and Prevention: Pandemic FluCenters for Disease Control and Prevention: Pandemic Fluwww.pandemicflu.govwww.pandemicflu.gov

World Health OrganizationWorld Health Organizationwww.who.int/csr/disease/avian_influenza/en/ www.who.int/csr/disease/avian_influenza/en/