avian flu pandemic preparedness

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Avian Flu Pandemic Avian Flu Pandemic Preparedness Preparedness David A. Denneno APRN,BC, MSN, MEd, CEN David A. Denneno APRN,BC, MSN, MEd, CEN Emergency Preparedness Coordinator Emergency Preparedness Coordinator Sturdy Memorial Hospital Sturdy Memorial Hospital Attleboro, MA Attleboro, MA

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Avian Flu Pandemic Preparedness. David A. Denneno APRN,BC, MSN, MEd, CEN Emergency Preparedness Coordinator Sturdy Memorial Hospital Attleboro, MA. The only thing harder to do than get your organization to plan for a disaster is to explain to the public why you didn’t. Avian Flu Key Facts. - PowerPoint PPT Presentation

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Page 1: Avian Flu Pandemic Preparedness

Avian Flu Pandemic Avian Flu Pandemic PreparednessPreparedness

David A. Denneno APRN,BC, MSN, MEd, CENDavid A. Denneno APRN,BC, MSN, MEd, CEN

Emergency Preparedness CoordinatorEmergency Preparedness Coordinator

Sturdy Memorial HospitalSturdy Memorial Hospital

Attleboro, MAAttleboro, MA

Page 2: Avian Flu Pandemic Preparedness

The only thing harder to The only thing harder to do than get your do than get your

organization to plan for a organization to plan for a disaster is to explain to the disaster is to explain to the

public why you didn’t.public why you didn’t.

Page 3: Avian Flu Pandemic Preparedness

Avian Flu Key FactsAvian Flu Key Facts Influenza A (H5N1) virus is an influenza A virus subtype Influenza A (H5N1) virus is an influenza A virus subtype

occurring mainly in birds, is highly contagious among occurring mainly in birds, is highly contagious among birds, and can be deadly to thembirds, and can be deadly to them

H5N1 virus does not usually infect people, but infections H5N1 virus does not usually infect people, but infections with these viruses have occurred in humans. Most of with these viruses have occurred in humans. Most of these cases have resulted from people having direct or these cases have resulted from people having direct or close contact with H5N1-infected poultry or H5N1-close contact with H5N1-infected poultry or H5N1-contaminated surfacescontaminated surfaces

Influenza viruses have the ability to change. Scientists Influenza viruses have the ability to change. Scientists concerned that H5N1 virus could be able to infect concerned that H5N1 virus could be able to infect humans and spread easily from one person to another humans and spread easily from one person to another

Pandemic occurrence cannot be predicted Pandemic occurrence cannot be predicted

If H5N1 virus were to gain the capacity to spread easily If H5N1 virus were to gain the capacity to spread easily from person to person, an influenza pandemic could from person to person, an influenza pandemic could beginbegin

Page 4: Avian Flu Pandemic Preparedness

Pandemic Outbreak Pandemic Outbreak PossibilitiesPossibilities

At least 2-7 million people worldwide will At least 2-7 million people worldwide will die (possibly many more) die (possibly many more)

Tens of millions of people will require Tens of millions of people will require medical attention medical attention

Healthcare systems may Healthcare systems may become overwhelmedbecome overwhelmed

Essential services may break down as key Essential services may break down as key personnel are infectedpersonnel are infected

Businesses and schools may close Businesses and schools may close International travel may be limited as International travel may be limited as

governments restrict entrygovernments restrict entry

Page 5: Avian Flu Pandemic Preparedness

Pandemic PhasesPandemic PhasesInterpandemic Period Interpandemic Period

PhasePhase 1 1

No new influenza virus subtypes have been detected in humans. An No new influenza virus subtypes have been detected in humans. An influenza virus subtype that has caused human infection may be present influenza virus subtype that has caused human infection may be present in animals. If present in animals, the risk of human infections or disease in animals. If present in animals, the risk of human infections or disease is considered to be low. is considered to be low.

PhasePhase 2 2

No new influenza virus subtypes have been detected in humans. No new influenza virus subtypes have been detected in humans. However, a circulating animal influenza virus subtype poses a substantial However, a circulating animal influenza virus subtype poses a substantial risk of human disease. risk of human disease.

Pandemic Alert Period Pandemic Alert Period

PhasePhase 3 3

Human infection(s) with a new subtype. No human-to-human spread, or Human infection(s) with a new subtype. No human-to-human spread, or

at most rare instances of spread to a close contact. at most rare instances of spread to a close contact. Currently at this phase

Phase Phase 4 4

Small cluster(s) with limited human-to-human transmission. Spread is Small cluster(s) with limited human-to-human transmission. Spread is highly localized, suggesting that the virus is not well adapted to humans.highly localized, suggesting that the virus is not well adapted to humans.

Phase Phase 5 5

Larger cluster(s) but human-to-human spread still localized, suggesting Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk). may not yet be fully transmissible (substantial pandemic risk).

Pandemic Period Pandemic Period

Phase Phase 6 6

Pandemic: increased and sustained transmission in general population. Pandemic: increased and sustained transmission in general population.

Page 6: Avian Flu Pandemic Preparedness
Page 7: Avian Flu Pandemic Preparedness

How many vents do you How many vents do you have?have?

Page 8: Avian Flu Pandemic Preparedness

Traditional vs Disaster Traditional vs Disaster MedicineMedicine

Traditional MedicineTraditional Medicine Do everything possible for the Do everything possible for the

patient.patient.

Disaster MedicineDisaster Medicine Do the most for the most.Do the most for the most.

Page 9: Avian Flu Pandemic Preparedness

HHS PlanHHS Plan

Page 10: Avian Flu Pandemic Preparedness

Pandemic Influenza PlansPandemic Influenza Plans

HHS PlanHHS Plan National StockpilesNational Stockpiles

Massachusetts DPH Massachusetts DPH PlanPlan National Hospital National Hospital

Bio-terrorism Bio-terrorism Preparedness Preparedness ProgramProgram

Page 11: Avian Flu Pandemic Preparedness

HHS PlanHHS Plan

The U.S. Department of Health and Human Services recommends that The U.S. Department of Health and Human Services recommends that hospitals consider stockpiling enough consumable resources, such as hospitals consider stockpiling enough consumable resources, such as masks and gloves, to last the duration of a pandemic wave, approximately masks and gloves, to last the duration of a pandemic wave, approximately six to eight weeks. It also recommends that hospitals do the following:six to eight weeks. It also recommends that hospitals do the following:

Anticipate the need for supplies and determine trigger points for ordering Anticipate the need for supplies and determine trigger points for ordering extra resources extra resources

Estimate the need for respiratory care equipment (including mechanical Estimate the need for respiratory care equipment (including mechanical ventilators), and develop a strategy for acquiring additional equipment, if ventilators), and develop a strategy for acquiring additional equipment, if needed needed

Anticipate their need for antibiotics and determine how supplies can be Anticipate their need for antibiotics and determine how supplies can be maintained during a pandemic.maintained during a pandemic.

Page 12: Avian Flu Pandemic Preparedness

VHA Inc. SurveyVHA Inc. Survey

Depletion of critical Depletion of critical supplies within 2 supplies within 2 weeksweeks

Interruptions in Asian Interruptions in Asian manufacturing could manufacturing could impact replenishment impact replenishment optionsoptions

60/62% with plans: Not 60/62% with plans: Not preparedprepared

90% inventory last 16 90% inventory last 16 days or <days or <

Page 13: Avian Flu Pandemic Preparedness

What do we need?What do we need?

Page 14: Avian Flu Pandemic Preparedness

Larry Dooley, Vice President at NovationLarry Dooley, Vice President at Novation

Hospitals need to take a critical look at their inventory Hospitals need to take a critical look at their inventory levels.levels. Determine whether they need to slowly begin making Determine whether they need to slowly begin making

changes to prepare for the impact of avian flu or some other changes to prepare for the impact of avian flu or some other pandemic pandemic

Communicate their needs to their supply distribution partners Communicate their needs to their supply distribution partners

Network with other hospitals in their community or regionNetwork with other hospitals in their community or region

Develop a contingency plan for how they might share Develop a contingency plan for how they might share supplies or move supplies within a region on a rolling basis supplies or move supplies within a region on a rolling basis

Page 15: Avian Flu Pandemic Preparedness

Sturdy Memorial Hospital Sturdy Memorial Hospital Seven Days on HandSeven Days on Hand

7 DAYS ON HAND

updated 3/09/06 Item Daily Qty Days Each Add Total Bio T

Description # use/ea OH/ea OH Cost qty Cost Inv.

Hand soap 4152 8.33 250 30        

Central line Kit AK15703A 1.5 19 16       *

Cadaver Bag MI-XD-CBB01 3 0 0 21  

Facial Tissue 820 93 613 8       *

Suct Cath dynd41904 0.285 119 185        

Suct Cath dydn41902 4 238 135        

Suct Cath dydn41900 4 128 43        

Suct Tube K87 9 250 30        

Suct Coll v71-1105 39 244 8        

D5W 1000ml 2B0064 1 62 33       *

D5W 500ml 2B0063Q 2 76 31       *

Lact Ringer 2B2324 71 255 7       *

Saline 2B1324 55 253 5 110 *

TOTAL

Page 16: Avian Flu Pandemic Preparedness

Sturdy Memorial Hospital Sturdy Memorial Hospital Seven Days on Hand Seven Days on Hand

7 DAY ON HAND SURGE ITEMS

  Total Current Current   Total

Item usage for qty days Each qty Total Bio T

Description # 1 week on hand OH Cost needed Cost Inv.

Mask Resp N95 6300 620 80 5680 $  

Gown Isolation 202 6300 500 30 5800 $  

Glove Small 23-93s 4600 7800 13 0 $ -  

Glove Med 23-95s 20760 17300 5 3460 $  

Glove Lg 23-97s 2500 5000 16 0 $ -  

TOTAL $

Page 17: Avian Flu Pandemic Preparedness

Sturdy Memorial HospitalSturdy Memorial Hospital

Mask usage predicated on 9 masks/patient/day @ 100 patients or 900 masks/day x 7 days or 6300 masks.

Gown usage also predicated on 9 disposable isolation gowns/patient/day @ 100 patients or 900 gowns/day x 7 day or 6300 gowns.

Glove usage predicated on current average daily usage plus 20%.