Partners in Prepare edness Conference H1N1 Planning, Re esponse, Recovery April 6, 2010
Overview H1N1 Event April 24: first cases appeared in US and Mexico April 26: public health emergency declared April August 2009: first wave September Decembe er 2009: second wave January 2010 current: low levels still around
Overview H1N1 Event In WA: 1403 hospitalizations; 79 deaths Approx. 1,300,000 doses (reported) of vaccine administered Hospitalization ti rate was highest h in 0-4 year olds Death rate was highest in 50-64 year olds
H1N1 Pandemic Influenza Response Regions AK OR WA E NV ID UT MT WY CO C ND SD C NE KS MN IA WI IL IN MI OH WV PA MD DE NY NJ VT MA CT NH RI ME A PR Micronesia HI CA AZ NM D OK MO AR MS TN AL KY B SC VA NC DC VI Guam GA American Samoa TX LA FL Marshall Islands Regional Locations A - Boston B - Atlanta Regions of Responsibility IandII II III and IV Primary Joint Field Office for PI Region Secondary Joint Field Office for PI Region C - Chicago V and VIII D - Denton VI and VII E - Bothell IX and X
United States Department of Health & Human Services Office of the Assistant Secretary fro Preparedness s and Response (ASPR) H1N1 Preparedness, Response, & Recovery April 6, 2010 Rick Buell Region 10 Regional Emergency Coordinator Dept. of Health & Human Services-Assistant Secretary for Preparedness & Response
United States Department of Health & Human Services Office of the Assistant Secretary fro Preparedness and Response (ASPR) HHS H1N1 Preparations Pillars of H1N1 Preparedness and Response Surveillance Mitigation Measures Vaccination; and Communications Bi-Regional Planning with FEMA Response Situational Awareness Hospital l Reports Waiver Requests Gaps, Shortfalls or limitations-national Briefings
United States Department of Health & Human Services Office of the Assistant Secretary fro Preparedness and Response (ASPR) Recovery After Action Report Areas of Improveme ent 7
DOH Planning Pandemic Flu planning began about 5 years ago Local, regional and state publ ic health planning, training and exercises have occurred Planning focused on an H5N1 Avian Flu threat Exercise scenarios showed that plans may not reflect a less severe outbreak or be able to follow WHO Phases and US stages as planned Plan adjustments were in process when H1N1 appeared
DOH Planning Other areas of planning contributing to preparedness Incident Command training Continuity of Operations planning Pan flu contingency planning (human capital) Emergency Operations Center planning, training and exercises
DOH Response April 27 DOH Emergency Operations Center opened May 1 Strategic National Stockpile deployed with antivirals and PPE May DOH forms team to continue preparedness activities
DOH Response June 1 Pan Flu Coordinator appointed June Sept. staff continued to monitor surveillance systems, test lab samples, update plans, prepare for delivery of vaccine, provide support to local health and tribes, prepare/distribute public communications, hold coordinating calls with local health and tribes
DOH Response October January allocate, distribute, track H1N1 vaccination; monitor disease activity; it continue public messaging efforts January current support ongoing activities; conduct after action reviews; update pan flu response and operational plans
DOH Recovery Disposal of H1N1 vaccine Long term storage of SNS assets Implement improveme ent plan to address identified areas of improvement
Lessons Learned Incident Command does work Relationships and flexibility are essential Timely and thorough communications are key Collaborations with a multitude of partners is essential, and decisions need to be made quickly even in the absence of co onsensus Validated that planning, training and exercising prior to events makes a differe nce
Local Perspective Joseph K. Lillard, MHA, FACHE, Administrator of fthe Asotin County Health District i t Nathan Weed, Region Emergency Response IV Public Health Coordinator
Tribal Perspective e Rochelle James, Emergency Manager for the Tulalip li Tribes