Outbreak Scenario
Outbre tbreak ak Scenario enario Based d on an outbrea eak k that occurred rred in the Nether erla lands ds Objecti ectives ves Section 1 Logistics Identify the initial steps and sequence of events of an outbreak investigation and response to a disease of unknown origin in a local community Background Recognize the professionals and organizations involved during an interprofessional and multiagency outbreak investigation and response involving a potential zoonotic disease of agricultural Scenario origin Identify the different mechanisms of disease transmission that Investigation could allow a zoonotic pathogen of agricultural origin to reach a community Ascertain the potential impact on human health (as well as Response agriculture) that an outbreak like this could have Recognize One Health principles to manage and prevent the zoonotic transmission of agricultural related agents to the community
Outbre tbreak ak Scenario enario Based d on an outbrea eak k that occurred rred in the Nether erla lands ds Dynamic amics: s: Section 1 Logistics • Information will be shared with you in as the outbreak progesses Background • At several intervals, questions will be presented and you will have 5 minutes to discuss them at your table Scenario • Moderators at each table will keep the conversation moving and provide necessary background information Investigation • Select a spokesperson at each table, as random tables will be asked to present their conclusions Response = question slide to be discussed
Outbre tbreak ak Scenario enario Logistics Background You u are a public lic Scenario healt alth h offic ficial ial worki rking ng for r Bucke ckeye ye Count unty y Investigation Healt alth h Distr strict ict (BCHD CHD).. )... Response
Outbre tbreak ak Scenario enario Friday, day, May 18 - 9:30am 0am Logistics School Nurse Since May 16, 40 students and 5 staff Background members have been absent due to flu-like symptoms at Scenario You are a public health Situation Northside Elementary Call to BCHD School Investigation ● Two staff members were hospitalized with pneumonia Response
Outbre tbreak ak Scenario enario Friday, day, May 18 - 11:00 00 AM Last three days: have seen 7 patients Logistics Ruby Dolor complaining of: Infection Preventionist at Smallville Hospital • Fever, Cough, & Chest pain • Background Severe headache (retrobulbar) Diagnosis: • Scenario Community Acquired Pneumonia You are a public health Situation • 2 patients hospitalized & not improving • Investigation Patients seen this morning are Call to BCHD worsening Tests: Response • Influenza virus – Neg. • Sputum & blood cultures - Neg. for common causes of pneumonia
Outbre tbreak ak Scenario enario Friday, day, May 18 - 2:30 0 PM Logistics Greis Nursing Home May 16: • 2 residents developed pneumonia Background May 17: • Scenario 3 residents developed pneumonia You are a public health Situation • All cases being managed in-house Call to BCHD Investigation Tests: • Influenza virus – Neg. Response • Sputum & blood cultures – Neg. for common causes of pneumonia • Legionella urine antigen test – Neg.
Outbre tbreak ak Scenario enario Greis Nursing Home is Northside located a Elementary few blocks from the Northside Greis Elementary Nursing School Home
Outbre tbreak ak Scenario enario IS THIS S A PUBLIC IC HEALTH LTH CONCERN CERN THAT T REQUIRE UIRES S FURTHER THER ATTENTI ENTION? ON? WHY OR WHY NOT? You have 5 minutes to discuss among your table…
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Outbre tbreak ak Scenario enario YES! S! In many states, any unexpected pattern of suspected/ confirmed cases, deaths or increased incidence of any other unknown disease of major public health concern should be reported. In our current scenario the combined calls received by this local health department represent an increased incidence in an unidentified illness and therefore reportable, requiring an action by the LHD. The number of similar cases reported from these locations represent an increased incidence of an unidentified illness
Outbre tbreak ak Scenario enario AT THIS S POINT T IN TIME, E, WHAT T WOULD LD BE THE APPROPR ROPRIATE ATE RESPONS PONSE E FOR THE LOCAL L HEALTH LTH DEPAR ARTMENT? TMENT? You have 5 minutes to discuss among your table…
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Outbre tbreak ak Scenario enario Case Distribution Contact Info Report to State Infection Control
Outbre tbreak ak Scenario enario An Any y pr priv ivacy acy co conc ncerns erns wh when en co coll llecting ecting th this is in info formation? rmation?
Outbre tbreak ak Scenario enario Federal Educational Rights and Privacy Act (FERPA) This law prohibits release of student’s records without written parental consent except under certain circumstances Except under the following circumstances • School officials with legitimate educational interests • Other schools to which a student is transferring • Specified officials for audit or evaluation purposes • Others, but at the discretion of school officials Health Insurance Portability and Accountability Act (HIPPA) This law protects individual identifiable health information while permitting the disclosure of information needed for direct patient care HIPAA recognizes the legitimate need for those ensuring public health and safety to have access to this information to carry out their public health mission
Outbre tbreak ak Scenario enario Friday, day, May 18 - 4:30 0 PM Logistics • A suspect case definition is established and an outbreak Background investigation begins • A Public Information Officer You are a public health Scenario (PIO) has been designated and preliminary information is being compiled to distribute to Investigation community stakeholders • You prepare to continue Response interviews and staff phone lines over the weekend if necessary
Outbre tbreak ak Scenario enario What t kinds ds of informa ormation tion will l you request uest from the patient ients s during ing your r intervi erviews? ews? What t questio stions ns will l you ask to find d the cause e of the symptom ptoms? s? You have 5 minutes to discuss among your table…
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