Pandemic Preparedness 4th New Zealand Influenza Symposium. 8 February 2018 Charles Blanch, Director Emergency Management
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1 Pandemic Preparedness 4th New Zealand Influenza Symposium 8 February 2018 Charles Blanch, Director Emergency Management
2 Cathedral Square, Christchurch NZ,
3 Hastings Airfield Ebola Treatment Centre, Sierra Leone
4 James Gathany/Centers for Disease Control and Prevention
5 Emergency Management in NZ Components: 4 R s Risk reduction Readiness (to respond) Response Recovery
6 National Security National security is the condition which permits the citizens of a state to go about their daily business confidently free from fear and able to make the most of opportunities to advance their way of life. It encompasses the preparedness, protection and preservation of people, and of property and information, both tangible and intangible. All hazards all risks approach Source: National Security System Handbook. Department of Prime Minister and Cabinet. August Available at:
7 Hazards and threats to New Zealand Natural Disasters earthquakes, volcanism, flooding, tsunami, weather events Technological transportation accidents, terrorism and malicious acts Health-related epidemics, pandemics, emerging infectious disease events
8 How it works Source: National Security System Handbook. Department of Prime Minister and Cabinet. August Available at:
9 Ministry of Health Lead all of government response to health emergencies 4 Rs Support all of government response to other emergencies Coordinate health sector response to emergencies National Focal Point for the International Health Regulations (2005) Regional & International engagement
10 Readiness: Health Emergency Management Plans Source: Ministry of Health National Health Emergency Plan: A framework for the health and disability sector. Wellington: Ministry of Health.
11 Response: Health Response Coordination Structure Source: Ministry of Health National Health Emergency Plan: A framework for the health and disability sector. Wellington: Ministry of Health.
12 DHBs and health providers DHBs Lead local health activity across 4 Rs PHUs lead specific pandemic planning Ensure Continuity of Care Provide surge capacity Coordinate health sector response to emergencies with CDEM and other partners Photo: Patient evacuation into Wellington, Feb 2010 Ministry of Health Photo: Wellington Regional Hospital Mass Casualty cache Ministry of Health
13
14 Potential impact of a severe pandemic in 2018 Pandemic training with central government agencies in 2017
15 Standard planning model to New Zealand
16 Current work programme
17 National Reserve Supplies Composition Advance Purchase Agreement for pandemic specific vaccine Vaccination supplies (syringes and sharps bins) Antiviral medication (Tamiflu and Relenza) Respiratory PPE (Masks) Body bags Antibiotics DHB stored PPE Disposable linen
18 Mass vaccination challenges Timeframe and information to activate the APA Uncertain epidemiological risk Uncertain exposure and uptake (order volume) Global context and impact on seasonal flu vaccine production Production time frame c.6 months Mass vaccination planning Key workforce? At risk population groups? Vaccinator workforce 2 dose 21 day course Multi dose vials
19 Stocktake and Review of Mass Vaccination Plans Allen and Clarke engaged, worked over the next five months Initial review of DHB (and NZDF) plans and documents for mass vaccination Establish international best practice Report including current status, summary of international best practice and guidance, recommendations to inform the development of guidance for mass vaccination during an influenza pandemic in New Zealand
20 Major challenges Personal preparedness Responding to concurrent local, regional and national events Understanding supply chain interdependencies Consequences of public health interventions such as restrictions on public gatherings or school closures Effective distribution of anti-virals at population level Ethical access to health care Effective distribution to pandemic vaccine
21 THANKS
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