Canterbury Collaborative Approach Dr Phil Schroeder: Primary Care - - PowerPoint PPT Presentation
INFECTION PREVENTION CONTROL NURSES COLLEGE CONFERENCE 2019 Managing Infectious Outbreaks the Canterbury Collaborative Approach Dr Phil Schroeder: Primary Care Coordinator Kelly Robertson: Nurse Advisor Canterbury Primary Response
NZ Health Organisational Structures and Plans
Ministry of Civil Defence and Emergency Management (MCDEM) National CDEM Plan Ministry of Health National Health Emergency Plan Specialist plans: Burns, Pandemic Etc. North Island DHB Plans South Island DHB Plans CDHB Emergency Plan Hospital(s) Emergency Plans Wards/Units Emergency Plans Community and Public Health Emergency Plan CPRG Emergency Plan Practices/Clinics/Providers Emergency Plans
Health
Influenza Pandemic Infectious Outbreak eg. SARS
Earthquake Flood or Tsunami Extreme Weather Event
Measles Outbreak Noro-virus Community Outbreak Public Health Emergency Mass Casualty Event Hazardous Substances Event Fire
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Symptom Proportion of assessed population
7 days to midnight Sun 26 July 79% 89% 67% 67% 72% 27% 25% 49% 30% 7 days to midnight Sun 2 Aug 76% 88% 71% 66% 72% 22% 26% 47% 24% Fever Cough Sore throat Aching muscles Headache Diarrhoea Vomiting Shortness
Chest Pain
Level 1: Business as Usual
AVERAGE-BUSY SEASON
at their usual general practice.
red streams if experiencing higher levels of ILI.
Level 2: Sector-based Response
EXCEPTIONALLY BUSY SEASON
Clinic in a small geographic area.
red stream patients and red stream patients from
Level 3: Centralised Response
PANDEMIC
stream patients from a larger geographic area, e.g. urban Christchurch.
usual general practice.
Decentralised Centralised
The aim is to manage the response so we:
Go no further to the right than we have to, for no longer than we have to, with no more practices than we have to
Canterbury Health Laboratories Influenza A
Care
Health
Community & Public Health: Intelligence
– Monitor Northern Hemisphere influenza trends – Anticipate how this might translate to Canterbury winter – Maintain effective working relationships with ESR to support ILI data collection from sentinel practices – Monitor for other global infections risks and reporting accordingly
– Prepare weekly Respiratory Illness and virology status reports – Present trends at Influenza Group meetings with commentary – Track impact on Canterbury health system Immunisation Service Level Alliance: Immunisation
– Advise on national immunisation strategy – Advise approved funding arrangements for upcoming flu season – Confirm arrival dates of this year’s flu vaccines – Deliver communications package to health providers
– Report on immunisation uptake (patients and staff) – Advise any changes to the funded season
January-May Pre-activation
Toolkit)
June-October Activation Continue regular updates Contribute to Key Messages in Respiratory Illness reports Track influenza impact on Canterbury Health System
February 16th.
Health.
– Beyond the capacity for contract tracing alone. – Involving age groups felt to be reasonably covered with past vaccination (esp 29-50yrs ages).
have involved about 125,000 potential individuals.
most vulnerable in a prioritized vaccination approach with 30,000 available vaccine doses.