Transcript Mass Prophylaxis/Immunization Closed Point of Distribution

“Planning For Emergencies In
Hays County”
- Strategic National Stockpile (SNS)
- Points of Dispensing (POD’s)
Emergency Preparation
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Emergency Planning - Today’s Discussion
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Need For Emergency Planning
Types of Disasters
The Strategic National Stockpile (SNS)
Points of Dispensing (POD) Sites
- Types & Medication Distribution Plans
Need For Volunteers
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The Role of Public Health in an Emergency
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Disease prevention
Controlling the spread of disease and preventing further spread
Surveillance – determining the populations at risk
Preparing for and responding to disasters and public health
emergencies.
Our Goal: “To have a plan in place to provide appropriate medications to
100% of the population of Hays County within 48 hours of a declared
emergency.”
We can’t do this alone. We will need many volunteers !
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Could This Happen, Again ?
9-11 Twin Towers
Hurricane Katrina
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Or, could This Happen, Again ?
SARS 2003
Swine Flu H1N1 or Bird Flu
H5N1, H7N9 ?
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What if Anthrax, Smallpox, or Yersinia Pestis
Was Dusted on a Texas State or UT Stadium
???
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Characteristics of Disasters
 Extraordinary magnitude of harm
 Ecological disruption
 Disproportionate impact on vulnerable
communities
 Demand for response that exceeds community’s
ability to cope
 Necessity for outside assistance and resources
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In a Major Public Health Emergency in Hays
County the Strategic National Stockpile Will
Be Activated
The Strategic National Stockpile (SNS) is:
 Prepackaged medical materials
 Pre-positioned by Center For Disease Control
(CDC)
 To augment state/local medical needs
 Responds to a wide range of expected problems
associated with a chemical and/or biological
incident or event.
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What Medicines and Supplies Does the Strategic
National Stockpile (SNS) Contain ?
It is a National Repository of Critical Medicines and Supplies to be Released
in the Event of Terrorist Attack on the U.S or a National or State Declared
Health Emergency. For example….
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Pharmaceuticals
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Antibiotics (Oral and Intravenous)
Chemical Agent Antidotes
Vaccines, Antivirals and Antitoxins
Other Emergency Medications
IV Administration Supplies
Airway Management Supplies (Pediatric and Adult)
Items for Radiation, Burns, and Blast
Wound Care Supplies
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Components of the Strategic National
Stockpile – 12 Hour Push Package
Phase I
Contains large quantities of antibiotics, antidotes, medical supplies, and
equipment to immediately treat or provide antibiotics or preventative medication
to thousands of affected or symptomatic individuals.
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Other SNS Components – Managed
Inventory (MI)
Phase II
 Large quantities of specific items to combat one or more specific threats
 The MI provides shipments of large and continuous quantities once the threat
is known.
 MI shipments will arrive in the state within 24-36 hours of an approved
request.
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The SNS Distribution Plan for Hays County
 SNS pharmaceuticals will be distributed from Hays County to various
municipal sites according to three Point of Dispensing “POD” plans:
1. Critical First Responder/Infrastructure distribution to emergency workers
2. Closed POD’s (~ 60) sites for retirement homes, hospital employees,
businesses, school employees (They pick up supplies at central
distribution point)
3. Six Open POD sites for the general public (1 Dripping Springs, 1
Wimberley, 2 San Marcos, 1 Buda, 1 Kyle)
 Special SNS “Direct Delivery” arrangements in place for CTMC,
SETON, Texas State, TDCJ Kyle Prison Unit
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Points of Dispensing (PODs) Medication
Distribution Plans
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POD’s are simply pre-identified sites where drugs are dispensed or administered to the
affected population (“Closed” or “Open”)
The number of POD’s is dictated by the magnitude of the event and the number of
support staff and volunteers available.
POD’s are predetermined by Hays County Health Department and Office of Emergency
Management.
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Overall Goal of the POD Sites
 The goal is to have the appropriate pharmaceuticals in the hands of
the entire population of Hays County within 48 hours. (172,000 +)
 A public information campaign regarding a mass prophylaxis clinics
would begin
 Public will be provided with current information, steps to take if
exposed to the agent, the medical regimen, clinic locations, hours of
clinic operation, and information to bring about their medical history
(e.g. known medication allergies).
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Benefits of a Closed POD
Partnering Arrangement With Hays County
“Win-Win”
Benefits To Employer
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Free benefit to employer, employees, and their families.
Employers receive free antibiotics quickly.
Ensures business continuity of operations (emergency plans)
The more prepared, the longer business stays open.
Saves money – decreases lost productivity.
Sends positive message to employees.
Improves public relations and good will.
No obligation, participation is completely voluntary.
Psychologically and physiologically your business and staff WIN.
Peace of mind your family is protected as well !
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Benefits of a Closed POD
Partnering Arrangement With Hays County
“Win-Win”
continued…….
Benefits To Employees
 Receive free life-saving medication and training in disaster
preparedness.
 Employees and their families receive medication faster – no
standing in lines at open PODs.
 Employees and families are protected
 Employees return to work faster
 Increases loyalty and sense of security
 Reduces stress and anxiety
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Benefits of a Closed POD
Partnering Arrangement With Hays County
“Win-Win”
continued…….
Benefits To County
 Increases opportunity to save lives.
 Increases efficiencies for the county health department during public
health emergencies.
 Community is better prepared for a disaster.
 Medications can be administered rapidly and efficiently.
 Ensures hard to reach populations are covered who may find it
difficult to get to an open POD site.
 Medications are offered free of charge (i.e. federal asset).
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Closed POD
MOU Agreement
MOU Agreement:
 Agreement between your business and Hays County Emergency Management
allowing your organization to operate as a Closed POD during a declared
health emergency.
 Outlines your organization’s and Hays County Health Department
responsibilities.
 The MOU is completely voluntary and you may opt out of being a Closed POD
Partner at any time with a 30 day notice; the MOU does not legally bind you to
operate as a Closed POD.
 Base agreement is for 5 years, with 1 year automatic renewal thereafter.
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Closed POD
Registration
Key Business or Organization Information Required:
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Name and address
Contact information for Core Management Team - 24/7
Number of employees, their families, and/or clients you plan to provide this service to.
What types of clients your facility serves.
Whether or not your organization will serve as a “Medication Only” POD, or both a
“Medication and Vaccination” POD.
If your employees or clients speak other languages and you require written materials in
those languages.
If you have any medical personnel on your staff
All information will be kept confidential at the Hays County Office of Emergency
Management. Your information will not be shared. All POD staff must
Sign an Oath of Confidentiality.
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Closed POD
Planning & Training
A Closed POD should be able to:
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Provide access to emergency medical services.
Provide security of medical material delivered.
Maintain proper temperature control of medicines.
Return any unused material to the Hays County Health Department.
Plans, Policies and Procedures are developed by each participating business:
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Review – updates, exercises and evaluations of your plan
Training – of the people who will staff the function of your POD plan.
Assessment – of your facility layout to make sure it will meet your POD needs.
Exercise – plans, key staff and POD site.
Education &Training and Annual Exercises will be provided by Hays County
Emergency Management and Health Department personnel.
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Closed POD
Resources Provided by
Hays County Health Department
 Training modules and transcripts
 All necessary forms and information sheets (medications, fact
sheets, consent, intake, etc)
 Staff roles and job action sheets
 Sample Closed POD plan
 Sample “Just-in-time” training guide and checklist
 Training log
 Final event summary report
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Legal Acts & References
 Public Readiness and Emergency Preparedness Act, or “PREP Act”
 Provides tort liability protection (except for willful misconduct) for activities related to
developing, manufacturing, distributing, prescribing and using anthrax
countermeasures in preparation for, and in response to, a potential anthrax attack.
 The PREP Act sets forth the immunity for “covered persons” from tort claims related
to, in this case, “covered countermeasure”. The Closed POD may be considered a
covered person; a “Program Planner of countermeasure (i.e., individuals and entities
involved in planning and administering programs for distribution
countermeasure)….”appears in CDC PREP Act Questions and Answers, 42 USC
S247d-6d(i)(7)(A)(ii).
 As a covered person, if applicable, ENTITY may be immune from suit and liability
under Federal and State law with respect to “all claims for loss caused by, arising out
of, relating to, or resulting from the administration to or the use by an individual of a
covered countermeasure….”. 42 USC S247d-6d(a)(i).
 To view the PREP Act visit: http://www.phe.gov/Preparedness/legal/prepact/Pages/prepqa.aspx.
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Legal Acts & References continued….
 Emergency Powers Act
 Allows individuals, other than pharmacists to dispense prescription drugs during a
declared emergency.
 Pandemic and All Hazards Preparedness Act or “PAHP Act”
 Was created to improve the Nation’s public health and medical response
capabilities for emergencies, whether deliberate, accidental, or natural.
 To view the PAHP Act visit: http://www.hhs.gov/aspr/opsp/pahpa/index.html.
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Volunteers Needed To Help Hays County’s
Health Department and Emergency
Management Fulfill its Mission
 To save lives, prevent illness and
facilitate basic healthcare services
during emergencies.
 To aid in the dispensing of antibiotics,
medical triage, special needs, screening,
immunizations and other life saving
procedures during a large-scale health
emergency.
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“There is nothing stronger than the heart of
a volunteer”
For more Information on Volunteering,
Please call:
Mike Jones
Hays County Health Department
Office of Emergency Management
512-393-5538
Email: [email protected]
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Questions ?
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