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 orders • 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!
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