Transcript Slide 1

Pandemic Flu
Preparing a Community
(Full-Text Version)
Presented by
The Bloomfield Department of
Health and Human Services
Outline
► Pandemic
Bird Flu / Avian Flu / A (H5N1) virus
► What you can expect when a Pandemic occurs
 State response
 Local response
► How
to prepare and protect yourself and your
family
► Can get full text copy on website:
www.bloomfieldtwpnj/health after April 27th.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Understanding a
Pandemic
What is flu pandemic?
A flu pandemic is a global outbreak of flu.
There are three characteristics that distinguish a flu pandemic from the
seasonal flu outbreaks that occur every year.
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The pandemic is caused by a new strain of flu virus to which people have
no immunity.
The virus is spread easily from person to person.
The virus is capable of causing severe illness and many deaths.
Flu pandemics tend to arrive with very little warning. This new virus may be a
combination of viruses that have not circulated among people for a long time.
Most people will have no natural protection or immunity from the new virus.
Because of this, the new virus is especially dangerous, and could lead to high
rates of illness and death.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Avian Influenza
► Birds
(aquatic) serve as the reservoir for
influenza
► Highly pathogenic (virulent) strain: H5N1
► Little immunity in human population to
H5N1
► Not readily transmitted to or between
humans at this time
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Avian Influenza
► Birds
carry virus in respiratory tract and intestines
 Shed virus in saliva, nasal secretions and feces
 Does not usually cause disease in wild birds
► Estimated
30% of wild water fowl are infected on migration
from breeding grounds
 May cause severe disease in domesticated birds
► Avian
influenza in humans
 Does not usually infect humans directly
► Rare
of person-to-person transmission
 Swine may serve as “mixing vessels”
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Why are public health officials
worried about a flu pandemic?
The appearance and spread of avian influenza (also known as bird flu) has
raised concern about a new influenza pandemic. Bird flu has swept through
poultry flocks in Asia and is continuing to spread from Asia to Europe.
Public health officials are also concerned that half of the people in Asia who
became ill from bird flu died. It is believed that these people came in contact
with chickens, turkeys, ducks or their droppings.
There is no conclusive proof right now that bird flu can spread easily from one
person to another. But scientists worry that the avian virus could change and
spread between people, which could start a flu pandemic
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
The New Jersey Department of
Health and Senior Services:
Statistics
An influenza pandemic could result in…
► 1.5
million outpatient visits
► 40,000 hospitalizations
► Over 8,000 deaths in New Jersey
► Stressed outpatient and inpatient care systems
► High rates of absenteeism among health care
workers
 At increased risk of exposure and illness
 Or who have to care for ill family members
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Other Pandemics
►
In 1918 the Spanish flu claimed the lives of 675,000
Americans. This was an unusually severe influenza
pandemic.
►
The Asian flu pandemic of 1957 resulted in the deaths of
69,800 U.S. citizens.
►
The Hong Kong flu pandemic of 1968, the least severe of
the 20th century pandemics, resulted in 33,800 deaths.
►
Every year, seasonal flu kills about 36,000 Americans.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
1918 Flu Pandemic (Notice that
everyone is wearing a mask)
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Recent Spread as of May 19, 2006
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
The Plan for The State of New Jersey
….to help minimize morbidity and mortality,
and maintain the operations of essential
community services in the event of a
pandemic….
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Broad Resource Strain
► Difficult
to shift resources between states
► Reinforces the need for each state to
develop a plan
► Require a substantial degree of self-reliance
► The emotional effects of a pandemic are
expected to be severe
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
What is New Jersey doing to
prepare for a possible
pandemic?
Like many other states, New Jersey has developed and continually
updates a statewide influenza pandemic plan.
This plan will help guide public health officials in responding to an
influenza pandemic. Some of the issues the plan addresses are disease
surveillance, vaccine distribution and the delivery and use of antiviral
medication.
The influenza pandemic plan will also help New Jersey’s medical
experts monitor how influenza is spreading, outline public health
methods to control the spread, and guide health care facilities to
handle excessive numbers of patients.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
The Plan for The State of New Jersey
Developed to complement the State Emergency Operations Plan
Includes:
► Duties of New Jersey Department of Health and Senior Services (NJDHSS)
► Actions that local health departments (LHDs) need to take to prepare for and respond to
an influenza pandemic
► Actions that Local Information Network and Communications System (LINCS) need to
take to prepare for and respond to an influenza pandemic NJ LINCS is a system
of public health professionals and electronic public health information
that enhances the identification and containment of diseases and
hazardous conditions that threaten the public's health. Built on
personal computer and Internet technologies, LINCS is a network of
twenty two strategically positioned local health departments located
throughout the state, the New Jersey Department of Health and Senior
Services, all other local health departments and public/private
organizations working at the community level to protect the public's
health.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Understanding your Local
Health Department
(LHD)
Bloomfield Health and Human
Services Org Chart
Board of Health
Health Officer
Human Services
Vital Statistics
Nursing
Environmental
Animal Control
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Health Education
POD
A Point of Dispensing site, also known as a POD, is a site or area
where preventative medications, vaccinations or personal protective
equipment (such as masks) can be mass distributed to large
numbers of people in the event of a naturally occurring disease
outbreak or a bioterrorist event.
 A POD is a planned event with a specific day and time, providing
Township residents a known place to seek treatment during an
emergency should the State or Government order such treatment.
An example of a POD, on a small scale, would be the annual Flu
Clinic.
 Local Health Department coordinates with the OEM and the EOC
(Emergency Operations Center) will be managing operations.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Mental Health
Emotional effects of a pandemic are expected to be severe.
 Emergency mental health services will be delivered in
“non-clinical” settings, to non-treatment seeking people,
who are responding normally to an abnormal event.
 The objectives of emergency mental health services
include administering psychological first aid; providing
support, information, and pragmatic help; and most
importantly, identifying individuals who are at risk for longterm adverse mental health outcomes and referring them
to the appropriate level of care.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
What to Expect / Challenges
Social Disruption May Be Widespread
Plan for the possibility that usual services may be
disrupted. These could include services provided by
hospitals and other health care facilities, banks,
stores, restaurants, government offices, and post
offices.
► Prepare backup plans in case public gatherings,
such as volunteer meetings and worship services,
are canceled.
► Consider how to care for people with special needs
in case the services they rely on are not available.
►
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Challenges
Being Able to Work May Be Difficult or
Impossible
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Find out if you can work from home.
Ask your employer about how business will continue during a
pandemic. (A Business Pandemic Influenza Planning Checklist
is available at
www.pandemicflu.gov/plan/businesschecklist.html.)
Plan for the possible reduction or loss of income if you are
unable to work or your place of employment is closed.
Check with your employer or union about leave policies.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Challenges
Schools May Be Closed for an Extended
Period of Time
Discuss with your school administrators, and
parent-teacher organizations any pandemic plan.
► Plan home learning activities and exercises. Have
materials, such as books, on hand. Also plan
recreational activities that your children can do at
home.
► Consider childcare needs. (Backup provider)
►
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Challenges
Transportation Services May Be
Disrupted
► Think
about how you can rely less on public
transportation during a pandemic. For
example, store food and other essential
supplies so you can make fewer trips to the
store.
► Prepare backup plans for taking care of
loved ones who are far away.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
How can we prepare?
Recommendations
► Make
a Kit
► Make a Plan
► Keep Informed
► Sign up for Code-Red
► Stay Healthy and Stop the spread of Germs
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Kit
Water and Food
Food
Water
►
Store at least a 2 week supply of non-perishable food.
►
One gallon of water per person per day, for
drinking and sanitation.
►
Select foods that require no refrigeration, preparation or
cooking and little or no water.
►
Children, nursing mothers, and sick people may
need more water.
►
Pack a manual can opener and eating utensils.
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Choose foods your family will eat.
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Purchase bottled water or store water tightly in
clean plastic containers such as soft drink bottles.
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Keep at least a 2 week supply of water per person.
Source: Pandemicflu.gov
http://pandemicflu.gov/
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Source: Ready.gov
http://www.ready.gov/index.html
Ready-to-eat canned meats, fruits and vegetables
Protein or fruit bars
Dry cereal or granola
Peanut butter
Dried fruit
Nuts
Crackers
Canned juices
Non-perishable pasteurized milk
High energy foods
Vitamins
Food for infants
Comfort/stress foods
Kit
Emergency Supplies
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Start now by gathering basic emergency supplies - a
flashlight, a battery-powered radio, a NOAA (National
Oceanic and Atmospheric Administration) Weather radio
with tone alert, extra batteries, a first aid kit, toilet
articles, prescription medicines and other special items
your family may need.
Include warm clothes and a sleeping bag and/or
blankets for each member of the family.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Kit
First Aid
Things you should have:
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Two pairs of Latex, or other sterile gloves (if you are allergic to Latex).
Sterile dressings to stop bleeding.
Cleansing agent/soap and antibiotic towelettes to disinfect.
Antibiotic ointment to prevent infection.
Burn ointment to prevent infection.
Adhesive bandages in a variety of sizes.
Eye wash solution to flush the eyes or as general decontaminant.
Thermometer
Prescription medications you take every day such as insulin, heart medicine
and asthma inhalers. You should periodically rotate medicines to account for
expiration dates.
Prescribed medical supplies such as glucose and blood pressure monitoring
equipment and supplies.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Kit
First Aid
Things it may be good to have:
►
►
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Cell Phone
Scissors
Tweezers
Non-prescription drugs:
► Non-aspirin pain reliever
► Anti-diarrhea medication
► Antacid (for upset stomach)
► Laxative
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
CDC approved Mask
N-95 Mask reduces exposure to airborne viruses
Things to Consider:
►
Level of comfort for wear over an extended period of time
 If you are going to be sitting in your office with a mask on all day, it has to be
comfortable or you will take it off.
 If you are just going to use it when grocery shopping, maybe a cheaper, lesscomfortable mask will do fine.
►
All masks come with instructions from the manufacturer on their use.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Get Informed
Get Informed Stay Informed
►
Knowing the facts is the best preparation. Identify sources
you can count on for reliable information. If a pandemic
occurs, having accurate and reliable information will be
critical.
►
Listen to local and national radio, watch news reports on
television, and read your newspaper and other sources of
printed and Web-based information.
►
Talk to your local health care providers and public health
officials.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Stay Healthy
Stay Healthy
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Will the seasonal flu shot protect me against pandemic influenza?
No, it won't protect you against pandemic influenza. But flu shots can help you to stay
healthy.
Get a flu shot to help protect yourself from seasonal flu.
No vaccine for pandemic flu: could be 6-9 mo.’s after flu hits for vaccine to be developed
Get a pneumonia shot to prevent secondary infection if you are over the age of 65 or
have a chronic illness such as diabetes or asthma. For specific guidelines, talk to your
health care provider or the Bloomfield Department of Health and Human Services
Take common-sense steps to limit the spread of germs. Make good hygiene a habit.
Wash hands frequently with soap and water.
Cover your mouth and nose with a tissue when you cough or sneeze.
Put used tissues in a waste basket.
Cough or sneeze into your upper sleeve if you don’t have a tissue.
Clean your hands after coughing or sneezing. Use soap and water or an alcohol-based
hand cleaner.
Stay at home if you are sick.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Influenza
A respiratory illness
Symptoms

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typical influenza-like symptoms (e.g. fever, cough, sore throat, and muscle aches)
eye infections (conjunctivitis),
acute respiratory distress,
viral pneumonia
and other severe, life-threatening complications
Incubation period is 1 to 4 days
► Most contagious 24 hours before the onset of symptoms and 3 to 5 days after
the onset of symptoms
► Survives on non-porous surfaces for 24 to 48 hours, can transfer to hands up
to 24 hours from this type of surface
► Survives on porous surfaces for 8 to 12 hours and can transfer to hands up to
15 minutes from this type of surface
►
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
How to Stop the Spread of Germs
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Wash your hands for 20 seconds with hot, soapy water (for kids'
hands, use warm, soapy water instead). Thoroughly scrub hands,
wrists, fingernails, and between fingers.
Wash hands before and after you prepare food and especially after
preparing raw meat, poultry, eggs, and seafood.
Wash hands after using the bathroom, changing diapers, handling
pets, or whenever you have touched something that may be
contaminated.
Rinse and dry hands with a clean towel or consider using durable,
disposable paper towels for drying hands, so germs are thrown away.
Carry a hand sanitizer at all times.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
How to Stop the Spread of Germs
Avoid close contact
►
Avoid close contact with people who are sick. When you are sick, keep your distance from others to
protect them from getting sick too. SOCIAL DISTANCING
Stay home when you are sick
►
If possible, stay home from work, school, and errands when you are sick. You will help prevent others
from catching your illness.
Cover your mouth and nose
►
Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you
from getting sick.
Avoid touching your eyes, nose or mouth
►
Germs are often spread when a person touches something that is contaminated with germs and then
touches his or her eyes, nose, or mouth
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
Remember the special needs of your family
members. Infants, the elderly and persons
with disabilities need the same planning as
everyone else, and sometimes a little more, to be
prepared for a pandemic.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
For Baby:
► Formula
► Diapers
► Bottles
► Powdered
milk
► Medications including non-prescription
► Moist towelettes
► Diaper rash ointment
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
For Adults:
► Ask
your doctor about storing prescription
medications such as heart and high blood pressure
medication, insulin and other prescription drugs.
► Denture needs
► Contact lenses and supplies
► Extra
eye glasses
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
For Seniors and Disabled:
► Plan
► Plan
how you will evacuate or signal for help.
emergency procedures with home health care
agencies or workers.
► Tell others where you keep your emergency
supplies.
► Teach others how to operate necessary
equipment.
► Label equipment like wheelchairs, canes or
walkers.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
For Seniors and Disabled:
► List
of prescription medications including dosage in
your supply kits. Include any allergies.
► Extra eyeglasses and hearing-aid batteries.
► A list of the style and serial numbers of medical
devices such as pacemakers in your emergency
supply kits.
► Copies of medical insurance and Medicare cards.
► List of doctors and emergency contacts.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Special Needs
For Seniors and Disabled:
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Bloomfield is currently developing a registration plan.
Wear medical alert tags or bracelets to help identify your
disability.
If you are dependent on dialysis or other life sustaining
treatment, know the location and availability of more than
one facility.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
►
File Of Life (Available from the
Bloomfield Department of Health &
Human
Services
The File of Life is a red plastic magnetic file folder that attaches to your
refrigerator. The file contains vitally important information about you so that
emergency medical professionals have quick access to your basic medical
information.
Also available for your use is a personal size File of Life, which you can carry
in a wallet or purse for lifesaving information outside the home.
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This information includes:
Medications that you take
Allergies you have
Your Medical Conditions
Your Blood Type
Emergency Contact Information
Your Physician's Name
Your Preferred Hospital
ADVANCE MEDICAL DIRECTIVE
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Opportunities for Helping
► Community
(CERT)
► Medical
Source: Pandemicflu.gov
http://pandemicflu.gov/
Emergency Response Team
Reserve Corps (MRC)
Source: Ready.gov
http://www.ready.gov/index.html
Additional Information and
Resources
Get Informed
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www.pandemicflu.gov.
(CDC) Hotline at: 1-800-CDC-INFO (1-800-232-4636). This line is
available in English and Spanish, 24 hours a day, 7 days a week. TTY:
1-888-232-6348. Questions can be e-mailed to [email protected].
State department of public health at
www.cdc.gov/other.html#states.
Talk to your local health care providers and public health officials.
Bloomfield: 973 680 4024
Many of the state plans and other planning information can be found
at pandemicflu.gov/plan/tab2.html.
Emergency Kits contact the Red Cross at
www.redcross.org
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Take Home Messages
► The
threat to public health will remain so
long as the virus continues to cause disease
in domestic poultry
► The outbreaks in poultry are likely to take a
very long time to control
► Regardless of how the present situation
evolves, the world needs to be better
prepared to respond to the next influenza
pandemic
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html
Summary
We hope information has helped you to understand
the nature of a flu pandemic as well as what NJ
and Bloomfield are doing to prepare for such an
event.
Additionally, we hope that this information has
helped too to see how you can prepare yourselves
and your loved ones.
Source: Pandemicflu.gov
http://pandemicflu.gov/
Source: Ready.gov
http://www.ready.gov/index.html