Points of Dispensing in Public Health Emergencies AKPHA Annual - - PDF document

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Points of Dispensing in Public Health Emergencies

AKPHA Annual Convention Sheraton Anchorage Sunday February 10th, 2019

OBJECTIVES:

• Review the background and history of the Public Health

Emergency Preparedness (PHEP) program

• Discuss response roles and responsibilities at the federal, state,

local, and tribal levels

• Recognize how Alaska responds to public health emergencies
• Outline the state’s medical countermeasures plan with a focus
• n community prophylaxis
• Identify ways pharmacists, technicians and pharmacies can

assist in response via their employer or as a volunteer through Alaska RESPOND

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Exercise Exercise Exercise

• https://www.youtube.com/watch?v=mxNKTjNpzJk

Public Health Emergency Preparedness (PHEP)

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News Headlines and Reports over the Years

(CNN) -- A letter found by police in the mailroom of the New York Post newspaper has tested positive for anthrax and has the same postmark as anthrax-laced letters sent to Sen. Tom Daschle and NBC News anchor Tom Brokaw, an FBI official said Saturday. (Oct 21, 2001)

News Headlines and Reports over the Years

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People began stockpiling Cipro, an antibiotic that is typically recommended for the treatment of anthrax. Talk swirled about the possibility of a large-scale anthrax

• attack. What if it was scattered over a city? Blown into the ventilation system of a

skyscraper? “Never forget,” read the bumper stickers and T-shirts after September 11, 2001. But there was another terrorist attack against the United States that began later that month, the anthrax attacks that spread through the U.S. Mail. The Washington Health Department is investigating additional cases of possible anthrax infection, including one person connected to the Brentwood mail facility who has been hospitalized.

News Headlines and Reports over the Years News Headlines and Reports over the Years

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News Headlines and Reports over the Years

History and Progression of Public Health Emergency Preparedness Program

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The Evolution of the PHEP Program Public Health Preparedness Capabilities

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Response Sequence of Events

Roles and Responsibilities

Federal

Storage & Transport

State

Local

PODs &

Treatment Centers

RSS Site

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Strategic National Stockpile (SNS)

“To Prepare and support partners and provide the right

resources at the right time to secure the nation’s health”

Program created in 1999 Portfolio of antibiotics, medical supplies, antidotes, antitoxins, antivirals, vaccines and other pharmaceuticals

12 Hour Push Pack

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·Managed Inventory ·Chempack ·Federal Medical Station ·12-hour Push Package

Key steps of State Response

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DHSS Emergency Operations Center

Incident Commander Plans Section Chief Situation Unit Leader Operations Section Chief State of Alaska Medical Task Force Logistics/Finance Section Chief Finance Branch Liaisons Safety Officer Subject Matter Experts

DHSS Roles and Responsibilities During a Disaster Primary: Public Health and Medical Mass Casualty Mass Fatality Medical Surge Medical Logistics Coordination

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DHSS Emergency Operation Center Saturday December 1, 2019 Not an Exercise!

Daily Situational Updates November Earthquake

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Mission: To protect and promote the health of Alaskans.

Deployable Resources

How Alaska Responds to Public Health Emergencies State MCM Plan

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Alaska’s Response

• Request, Receive, Stage, Store and Distribute
• Points of Dispensing (PODs):

– Primary method to dispense medications to the public – Common areas located throughout the community (schools, community centers) – Managed and operated by the local public health centers

• What this means to Alaska?

– Up to 12 hours for SNS materials to reach Alaska – Two to four hours to pull medications and repackage for local distribution – One to four hours for delivery to local jurisdiction

• We need a whole community approach
• Direct ship via ground to MOA PODs
• Direct ship via ground to Mat-Su MSA & adjacent Regional Public

Health Centers

• Transshipped via ground to commercial air to outlying areas
• National Guard/Civil Air Patrol assets requested when warranted
• Geography, distance, weather, available resources and limited

road network present challenges

DHSS MCM Distribution

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DHSS Public Health Centers

State Plans: Community Prophylaxis

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Local Points of Dispensing Understanding The Process

• Screening
• Dispensing
• Education

1/27/2019 16 Dispensing sites are fixed locations where medications from the Strategic National Stockpile can be given out to people in response to a public health threat or emergency. An OPEN POD site is a location operated by a state/local public

health agency that is open to everyone who lives or works in that

• community. OPEN PODs are meant to serve the entire public.

A CLOSED POD site is a location that is operated by a private

business/agency for a specific population (i.e., its employees and their families). CLOSED Dispensing Sites are not open to the public.

Rx to People = PODs

Points of Dispensing – POD

• Listen for announcements regarding designated POD location
• Radio, television, newspaper, internet, social media, etc.
• Based on Anchorage’s population an estimated 8-14 PODS will

be required/opened depending on staff availability

• Current POD locations for Municipality of Anchorage ???

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Dude, where’s my POD???

OPEN PODS - ANCHORAGE

HIGH SCHOOLS - FIRST MIDDLE SCHOOLS - SECOND · BARTLETT · BEGICH · CHUGIAK · CENTRAL · DIMOND · CLARK · EAGLE RIVER · GIRDWOOK · EAST · GOLDENVIEW · SERVICE · GRUENING · SOUTH · HANSHEW · WEST · MEARS · MIRROR LAKE · ROMIG · WENDLER

CLOSED PODS - ANCHORAGE

Municipality of Anchorage - Agreements

JBER 40,000 Providence Hospital 10-12,000 Alaska Regional 3,500 ANMC (Pending) 3,000 Anchorage School District 6,500 Anchorage Fire Department 1,000 Anchorage Police Department 1,000 Approximately total accounted for: 67,000 (~22%)

Drills and Exercise

· Alaska Shield 2019 “Ragin’ Contagion” · Pills to Polar Bears 2015 · Local planners work with the State · Points of Dispensing (PODS)

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Alaska Shield 2014 How can Pharmacy profession help?

• Pharmacies maybe called upon for dispensing MCM or

administering vaccine

• Pharmacist and technicians via employer’s participation
• Pharmacist and technicians can register/volunteer with Alaska

Respond

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Public Health and Private Sector

June 2015 – Costco warehouse exercises dispensing medications based on an anthrax attack

Alaska Medical Station

• Federal Medical Station donated to Alaska ~ 2012/2013
• Set up in 50 Bed increments up to 250
• Modular deployment – medical surge support
• Medical Supplies, pharmaceuticals and equipment for 3 days
• Configured for rapid movement
• Designed for:
• non-acute care
• Special needs care
• Quarantine operations
• Supplementing local healthcare infrastructure
• Alaska Shield 2014 – Sumaritan’s Purse set up with full mobile

surgery operations

• Headquarters in Boone, NC – Humanitarian aid organization

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Tools in Response

• Who’s open/functional?
• Partner with HealthCare Ready organization
• Recently activated during Hurricane Florence and

Michael (East Coast), Hurricane Lane (Hawaii), California Wildfires

Map Example of Rx Open

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Alaska Respond

https://akrespond.alaska.gov/

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Presenter Contact Info

C.J. Kim Pharmacist Division of Public Health Section of Epidemiology 3601 C Street, Suite 586 Anchorage, AK 99503 (O) 907-269-8029 (F) 907-269-0472 Cj.kim@alaska.gov

Questions?