H1N what?: Planning for the Next Pande Influenza O utbreak in M - - PowerPoint PPT Presentation

H1N what?: Planning for the Next Pande Influenza O utbreak in M aryland

Karim Medlej, MHS Student

The Maryland Department of Health

• First formed in 1969 and includes the Office of Preparedness and

Office of Preparedness and Response Response [1]

[1]

• Mission:

Mission: to maintain the health and safety of all residents through disease prevention, access to care, and quality management [1].

• Objectives [2]:
• 1. Monitoring and improving public health services

public health services to Maryland residents

• 2. Assisting residents with addictions and psychiatric disorders

addictions and psychiatric disorders to recover

• 3. Coordinating a service delivery system to provide appropriate services to

residents with developmental and intellectual disabilities developmental and intellectual disabilities

Project Overview

1. Complete preparatory courses preparatory courses online provided by FEMA to get familiarized with the Incident Command System (ICS) 2. Assist in the facilitation of the OP&R facilitation of the OP&R Pandemic Influenza Pandemic Influenza planning workgroup planning workgroup by preparing meeting materials and gathering recommendations and feedback from successive meetings 3. Present an updated draft of the Maryland Pandemic Influenza updated draft of the Maryland Pandemic Influenza Plan Plan that is consistent with federal, state, and local planning and recommendations

What is an Influenza Pandemic?

• Influenza (flu) is a very contagious viral infection

contagious viral infection that attacks a person’s respiratory system [3].

• An Influenza pandemic is a “global outbreak of a new influenza A

global outbreak of a new influenza A virus virus that is very different from current and recently circulating human seasonal influenza A viruses” [3].

• 3 documented cases

3 documented cases of a pandemic influenza outbreak, with the most severe one caused by Spanish flu pandemic of 1918 Spanish flu pandemic of 1918 (H1N1 virus)[4].

The 1918 Spanish Flu Pandemic

• Deadliest

Deadliest pandemic in history [5]

• 500 million people

500 million people globally were infected (⅓ of the entire world) [5]

• 50 million people died, including 675,000 US Americans

50 million people died, including 675,000 US Americans

[5]

• Hospitals did not have any effective treatments or a vaccine, so

efforts to contain the pandemic were only limited to public health procedures (quarantine, good hygiene, and disinfection of public spaces)

• All procedures were inefficient due to the lack of a proper

preparedness plan [4]

During the first 6 months of each pandemic...

244k

D eaths from C O V ID

• 19 [6]

25 M illion

D eaths from the Spanish F lu [7]

[8]

Public Health Significance

1) 1) Prepares Prepares local organizations to stop the spread of a deadly Influenza virus, saving the lives of numerous individuals 2) 2) Prevents Prevents collateral damage to the economy, schools, or government 3) 3) Promotes Promotes primary prevention where organizations such as supermarkets and universities offer free flu vaccines to the community and spread awareness

Methods

1.

• 1. Review and understand

Review and understand current Pandemic Influenza and Infectious Disease Response plans

• 2. Conduct literature reviews and crosswalk tables

literature reviews and crosswalk tables about the influenza virus and preparedness programs of other states 3.

• 3. Suggest modifications for the updated draft

Suggest modifications for the updated draft

• f Pandemic

Influenza Plan while assisting in the facilitation of the OP&R planning workgroup

March 19, 2020 March 19, 2020 (cancelled) (cancelled)

Final Plan Review

February 18, 2020 February 18, 2020

Activity Checklists

January 28, 2020 January 28, 2020

Goals, Objectives, Assumptions

December 10, 2019 December 10, 2019

General Planning Process Overview

Major Findings

A) The Most Prepared States A) The Most Prepared States

• Most prepared state for a possible
• utbreak is Massachusetts

Massachusetts [9]

• Maryland

Maryland ranks second, proven to be a highly equipped state

• Evaluation Indicators include:

1. Funding commitment 2. Number of hospitals that meet the criteria for antibiotic resistance and flu vaccines 3. National Health Security Preparedness Index influenced by preparedness plans [10].

B) The Importance of Communication B) The Importance of Communication

• Usage of common language

common language among team members

• Poor communication with the public

drastically decreases the effectiveness decreases the effectiveness

• f a preparedness plan
• f a preparedness plan (as seen in today’s

COVID-19 pandemic) [11].

• Poor communication could lead to a “loss

loss

• f trust
• f trust in the government’s ability to

protect the nation in the future” [11].

Limitations and C hallenges

1.

• 1. Pace

Pace of a government job

• 2. Government processes

processes and procedures and procedures

• 3. Incident Command

System terms terms

Reflection and Lessons Learned

• 1. Really enjoyed

enjoyed working with my preceptors and task force

• 2. A much better understanding of government work and processes

government work and processes

• 3. Reinforcement of significance of a state’s department of health

significance of a state’s department of health

• 4. The experience of being part of a task force

being part of a task force

• 5. The importance of proper communication

proper communication 6.

• 6. Patience

Patience goes a long way

References

1. Maryland Department of Health (2017). Maryland State Archives. Annapolis, Maryland: Maryland Manual On-Line. Retrieved from https://msa.maryland.gov/msa/mdmanual/16dhmh/html/dhmhf.html 2. Maryland Department of Health (2020). About MDH. Retrieved from https://health.maryland.gov/pages/about.aspx 3. CDC (2018). Frequently Asked Questions about Estimated Flu Burden. Retrieved from https://www.cdc.gov/flu/about/burden/faq.htm. Retrieved on November 25, 2019 4. HISTORY (2019). Spanish Flu. A&E Television Networks. Retrieved from https://www.history.com/topics/world-war-i/1918- flu-pandemic. Retrieved on November 25, 2019 5. CDC (2019). Influenza Historic Timeline. Retrieved from https://www.cdc.gov/flu/pandemic-resources/pandemic-timeline- 1930-and-beyond.htm. Retrieved on November 25, 2019

• 6. Johns Hopkins University (2020). Coronavirus COVID-19 Global Cases by Johns Hopkins CSSE. Retrieved from

https://coronavirus.jhu.edu/map.html

• 7. Gunderman, R. (2018). Ten Myths About the 1918 Flu Pandemic. Retrieved from

https://www.smithsonianmag.com/history/ten-myths-about-1918-flu-pandemic-180967810/

• 8. Plaue, N. (2020). Photos show how the 1918 flu pandemic brought the world to its knees. Retrieved from

https://www.businessinsider.com/1918-flu-pandemic-pictures-2012-8

• 9. Galvin, G. (2017). These States Are Best Prepared for Public Health Emergencies. Retrieved from

https://www.usnews.com/news/best-states/articles/2017-12-21/these-states-are-best-prepared-for-public-health-emergencies

• 10. Harrington, J. (2019). Among all states, Massachusetts best prepared for disasters, outbreaks and emergencies. Retrieved

from https://www.usatoday.com/story/money/2019/06/06/states-most-and-least-prepared-for-a-disaster/39544679/

• 11. Sell T. K. (2017). When the Next Disease Strikes: How To Communicate (and How Not To). Health security, 15(1), 28–30.

https://doi.org/10.1089/hs.2016.0100

Acknowledgements

My preceptors and mentors:

• Jessica Acharya

Jessica Acharya, Career Epidemiology Field Officer (CEFO), Centers for Disease Control and Prevention (CDC)

• Kristin Dietz

Kristin Dietz , Chief, Local Health and Health Planning Office of Preparedness and Response Maryland Department of Health

• Veronica Black

Veronica Black , Deputy Director, Office of Preparedness & Response, Maryland Department of Health

Questions?

Karim Medlej, MHS Student Karim Medlej, MHS Student Johns Hopkins Bloomberg School of Public Health Johns Hopkins Bloomberg School of Public Health kmedlej1@jh.edu kmedlej1@jh.edu