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FRONT LINES OF DEFENSEFOR
INFECTIOUS DISEASESRichard C. Hunt, MD, FACEP
Office of the Assistant Secretary for Preparedness and ResponseU.S. Department of Health and Human Services
Washington, D.C.
March 17, 2020| Protecting Infectious Disease Responders During the COVID-19 Outbreak
Unclassified/For Public Use
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2Saving Lives. Protecting Americans.Unclassified/For Public Use
MARCH 2020
PROTECTING INFECTIOUS DISEASE RESPONDERS DURING THE COVID-19 OUTBREAK
SEPTEMBER 2016
NIEHS WORKER TRAINING PROGRAM 2016 FALL AWARDEE MEETING AND WORKSHOP
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3Saving Lives. Protecting Americans.Unclassified/For Public Use
What Have We Accomplished?
• Did we prevent its spread?
• Did we save lives?
• Did we build a system?
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4Saving Lives. Protecting Americans.Unclassified/For Public Use
Ebola and Other Special Pathogens
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5Saving Lives. Protecting Americans.Unclassified/For Public Use
Ebola and Other Special Pathogens
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6Saving Lives. Protecting Americans.Unclassified/For Public Use
The Future: A Predictable SurpriseSurprise• SARS
• MERS
• Ebola
• Zika
Surprise• ??????
• ??????
• ??????
• ??????
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7Saving Lives. Protecting Americans.Unclassified/For Public Use
Which Predictable Surprises Matter?• Unknown (especially)
• Spread rapidly
• Kill economies
• Kill people
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8Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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9Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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10Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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11Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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12Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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13Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense• Entertainment & Sports (Bowling alley)
• Transportation (Subway)
• Transportation (Airplane)
• Waste management
• Health care workers
• SOME PREDICTABLE, SOME NOT
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14Saving Lives. Protecting Americans.Unclassified/For Public Use
What About The Next Surprise?
• “The only thing you have to fear is fear itself”
• Dealing with uncertainty
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15Saving Lives. Protecting Americans.Unclassified/For Public Use
Dealing With UncertaintyBridging the science of infection prevention and control into occupational health and safety sectors
• Rapidly acquire knowledge
• Package knowledge quickly
• Disseminate knowledge quickly
• Train quickly (JUST IN TIME)
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16Saving Lives. Protecting Americans.Unclassified/For Public Use
Rapidly Acquire Knowledge
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17Saving Lives. Protecting Americans.Unclassified/For Public Use
Package and Disseminate It• CDC COVID-19 GUIDANCE
• NETEC National Ebola Training & Education Center Collaboration among Emory, Nebraska, and Bellevue funded by ASPR and
CDC www.netec.org
• ASPR TRACIE Technical Resources, Assistance Center, and Information Exchange
(TRACIE) www.ASPRtracie.hhs.gov
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18Saving Lives. Protecting Americans.Unclassified/For Public Use
Train Quickly – Just In Time
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19Saving Lives. Protecting Americans.Unclassified/For Public Use
Expect the Knowledge to Change• What you trained for last time – may not work this time
• BE FLEXIBLE
• ADAPT
• THEN ADAPT AGAIN
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20Saving Lives. Protecting Americans.Unclassified/For Public Use
FRONT LINES OF DEFENSE• First line of defense… that may be you
• Learn new knowledge… just in time
• Surprises are predictable… be flexible, adapt
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21Saving Lives. Protecting Americans.Unclassified/For Public Use
Front Lines of Defense
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Thank you!