Community Infectious Disease Emergency Response (CIDER) Welcome - - PowerPoint PPT Presentation

Community Infectious Disease Emergency Response (CIDER)

Welcome April 5, 2016

Updates

Partner Updates

• Lauren Bryan, ICP at Avista:

– In the survey window for Joint Commission and are supposed to make an appearance this week. – Slow surveillance:

• Uptick in GC & Chlamydia in Jan & Feb
• Not as much flu-mostly flu A & B in 41+ adults; Pediatric Unit

closed last summer

• Malia Davis, DON at Clinica:

– Zika screening for patients who have family traveling here or who have traveled recently to Zika areas. – Serve a significant OB population, many of whom are from (or who have family) in Mexico, Central and South America.

Boulder County Public Health

• IZ:

– Managing 3 state grants: health care workers, HPV, child care and kindergarten rate assessments – Action Planning for three-year collective alignment of goals

• EM:

– ICS and Access and Functional Needs (AFN) trainings – Full scale Wildland Fire Exercise in May

• TB:

– Leveling out in the number of cases in the US after a steady decline over the past 20 years. – 73 cases in CO (up from 64 in 2014); 86% foreign born; 7 drug-resistant cases – 5 cases in Boulder Co

• CD & HIV:

– seeking opportunities for addressing HAI/AR – Ebola monitoring has ended – Monitoring pregnant women with Zika – Syringe access saw increase – STIs on the rise, health advisory planned

Respiratory Aerosolized Transmission (RAT) Annex

RAT Annex

• Communicable Disease Manual:

https://www.colorado.gov/cdphe/communicable- disease-manual

• Respiratory Aerosolized Threats Table

(review handout)

– Manifestation – Control Measures – Key Communication Messages

Communication Map

Communication Map

Individual Communications

• Email
• Phone

– Business hours: 303-413-7523

• On call

– After-hours: 303-413-7517

Emergency Management Organizations

• Community Infectious Disease

Emergency Response (CIDER)

• Health and Medical Response (HAMR)
• Multi-Agency Coordinating System

(MACS)

One-Way Communications

• Everbridge

– January drill

• Health Alert Network (HAN)
• Epi-Connections
• BCPH website
• Hot Topics
• Bug Watch
• CIDER emails

Infectious Disease Groups

• Immunization Coalition
• Hepatitis C Coordination
• HIV Regional Advisory Council
• Regional TB Elimination Plan

Data

• CEDRS
• TBDB
• CIIS
• Syndromic Surveillance
• Other: US Zika Pregnancy Registry

Feedback

• What are we missing?
• What do you need from us?

– During an ID response?

• Are you prepared to care for pregnant women

with Zika?

Community Containment

Community Containment

• Individual based actions

– Volunteer agreements vs public health orders – Patient Isolation and Quarantine

• Community wide actions

– Quarantine of exposed groups and/or at risk populations – Snow days and self shielding – Closure of offices, buildings, services, etc. – Widespread/geographic quarantine

Public Health Authority

• Concurrent authority with CDPHE
• Jeff Zayach is the executive director
• Examples included but not limited to:

– Quarantine – Isolation – Closed schools and buildings

Additional Planning Elements

• Establishing a clear decision making

process

• Implementation of community wide
• rders
• Legal considerations
• Partner education

Next Steps

Moving Forward

• Antibiotic Resistance/Hospital Acquired

Infections ranked second in RA

– Next IDER annex – Input and participation for key informant interviews – Action planning – Potential funding from CDPHE & NACCHO

Opiate Landscape Analysis

• Do you recommend anyone in your

health system to contact about opiate use and abuse?

• Drug monitoring—policies?

Thank you!