Transcript UNIFIED THEORY OF AGENT ORIGIN

Inoculation for Flu Pandemic:
H1N1 and Your State
14 November 2009 0930 HRS
COL Damon T. Arnold, M.D., M.P.H.
Director Illinois Department of Public Health
State Surgeon Illinois Army National Guard
1
Maxims to Consider
models are Wrong – Some are Useful!
 In God We Trust – All Others Bring Data!
 Fear is Bad Council!
 All

The Old State Public Health Hour Glass Model
 FEDs: “Follow me, but lead yourselves!”
 Locals: “Give us resources and guidance, but
we can handle this and lead ourselves!”
2
The 19 CIKR Sectors
Agriculture and Food
Banking and Finance
Chemical
Commercial Facilities
Commercial Nuclear
Dams
Defense industrial Base
Drinking Water / Treatment
Emergency Services
Energy
Government Facilities
Information Technology
National Monuments / ICONS
Postal and Shipping
Public Health and Healthcare
Telecommunications
Transportation Systems
3
Emergency Response
National Response Plan (NRP)
Emergency Support Function (ESF)
ESF - 6: Mass Care and Sheltering
Mass Care - Sheltering & Housing - Human Services
ESF - 8: Health and Medical
Assessment of Health and Medical Needs
Health and Medical Guidance
Surveillance
Medical Personnel and Patient Care
Medical Supply
Food and Environmental Monitoring
4
Public Health Theory:
A Cause - Effect Paradigm Recognition

WHY ? : [ Theology - Philosophy - Mental Health - Legal ]
Ideological Explanations / Opinion / Debate (Fallacies of Logic)
TRUE
FALSE
CAUSE

EFFECT
VALID

HOW ? :
INVALID
[ Science ]
Deductive and Inductive Reasoning / Logic / Hypothesis Testing
5
IDPH Preparedness Training

Illinois was the first state to conduct a Pan Flu Exercise
in May of 2006 called “FLUEX”

NIMS Training [100, 200, 300, 400, 700 and 800 Series]:
All 42 IDPH senior staff members completed this training
in February 2009. They also completed CDC MetaLeadership training in March 2009

Interagency collaboration: IEMA / ING / IDHS / IDOT etc.

Multiple CB, FB, grantee-based, and volunteer-based
organizations are a part of the plan and training goals
6
Emergency Response
Guidance Focus:







Establishment of Authorities [NIMS]
Operational Planning [OP PLAN] Objectives
Clear-cut Strategic Goals
Definitive implementation strategies
Unequivocal responsibility assignments
Measurable performance objectives
Monitoring of Agency COOP implementation
7
GIS Mapping and Population
Movement Issues
 Deploying
& Returning Service Members
 Migrant farm worker camps
 Commercial Transportation (Air/Rail/Road)
 Graduation ceremonies
 Community Spring Season events
 Faith-Based Ceremonies
 Business Meetings (Large Scale)
 Inaccurate Census Data
8
SNS
Pharmaceutical Convoys
9
Case Counts for H1N1
10
H1N1 Hotline Calls
11
Rates
Cases Per 100 K Population
12
th
28
April
2009
Governor Quinn’s Proclamation
13
H1N1 Response
Implementation Strategies
 SNS
Deployment [16 Hours] / PHEOC
 3 State IDPH Laboratory Locations


Confirmatory testing (in-house)
Sample surge capacity flexibility
 CDC
Community Mitigation Strategy
 Communications


Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21
Multi-lingual/ Media/ Hospitals/ LHDs/ SEOC
 FBO
Pandemic Flu Ambassador Program
14
June 2009 Situational Report





3,166 Cases in Illinois (6,762 Samples Tested)
in 32 Counties
13 Deaths (underlying chronic medical conditions)
Mass Seasonal Flu Vaccination Campaign
Preparation for mass vaccination and surges
We continue to closely monitor the situation
along with the CDC and our state and local
partners and communicate with the Media.
15
Areas Needing Improvement
(Other Than Funding! )
 More
wireless access for field laptops
 Groove workspace template (PHEOC OPS)
 Pre-identify and train additional staff to
support PHEOC, RSS, & RDC operations
 Laboratory staffing / supply need surges
 Better private sector involvement
 Maintain / update local drop site database
 Restructure IAPs for partner integration
16
IT Initiative
 The
Death Record was implemented on a
state-wide basis and was then linked to
the H1N1 information data base
 HAN
and INEDSS
 LHD/Hosp/Private
Provider calls
17
14 October 2009
Governor Quinn’s Proclamation
18
Current Situation
 We
remain vigilant and adaptable in the
face of a vaccine production short-fall
 Expanded
 N95
scope of practice standards
Masks / SNS
 Expedited
approvals for PHER funds
19
Vaccine Companies
 Sanofi
Pasteur
 Novartis
 CSL
 GSK
 Medimmune
Fluzone
Fluvirin
Afluria
20
Questions ?
21