Inoculation for Flu Pandemic: Inoculation for Flu Pandemic: H1N1 and Your StateH1N1 and Your State

14 November 2009 0930 HRS14 November 2009 0930 HRS

COL Damon T. Arnold, M.D., M.P.H. COL Damon T. Arnold, M.D., M.P.H. Director Illinois Department of Public HealthDirector Illinois Department of Public HealthState Surgeon Illinois Army National GuardState Surgeon Illinois Army National Guard

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Maxims to ConsiderMaxims to Consider

All models are Wrong – Some are Useful!All models are Wrong – Some are Useful! In God We Trust – All Others Bring Data!In God We Trust – All Others Bring Data! Fear is Bad Council!Fear is Bad Council!

The Old State Public Health Hour Glass ModelThe Old State Public Health Hour Glass Model FEDs: “Follow me, but lead yourselves!”FEDs: “Follow me, but lead yourselves!” Locals: “Give us resources and guidance, but Locals: “Give us resources and guidance, but

we can handle this and lead ourselves!”we can handle this and lead ourselves!”

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The 19 CIKR SectorsThe 19 CIKR Sectors

Agriculture and FoodAgriculture and Food Government Facilities Government Facilities

Banking and FinanceBanking and Finance Information Technology Information Technology

ChemicalChemical National Monuments / National Monuments / ICONSICONS

Commercial FacilitiesCommercial Facilities Postal and Shipping Postal and Shipping

Commercial NuclearCommercial Nuclear Public Health and Healthcare Public Health and Healthcare

DamsDams Telecommunications Telecommunications

Defense industrial BaseDefense industrial Base Transportation Systems Transportation Systems

Drinking Water / TreatmentDrinking Water / Treatment

Emergency ServicesEmergency Services

EnergyEnergy

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Emergency Response Emergency Response

National Response Plan (NRP)National Response Plan (NRP)

Emergency Support Function (ESF)Emergency Support Function (ESF)

ESF - 6ESF - 6: Mass Care and Sheltering: Mass Care and Sheltering

Mass Care - Sheltering & Housing - Human ServicesMass Care - Sheltering & Housing - Human Services

ESF - 8ESF - 8: Health and Medical: Health and Medical

Assessment of Health and Medical NeedsAssessment of Health and Medical Needs

Health and Medical GuidanceHealth and Medical Guidance

SurveillanceSurveillance

Medical Personnel and Patient CareMedical Personnel and Patient Care

Medical SupplyMedical Supply

Food and Environmental MonitoringFood and Environmental Monitoring

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Public Health Theory: Public Health Theory: A Cause - Effect Paradigm Recognition A Cause - Effect Paradigm Recognition

WHY ? WHY ? : : [ Theology - Philosophy - Mental Health - Legal ] [ Theology - Philosophy - Mental Health - Legal ] Ideological Explanations / Opinion / Debate (Fallacies of Logic)Ideological Explanations / Opinion / Debate (Fallacies of Logic)

TRUETRUE FALSEFALSE

CAUSECAUSE EFFECTEFFECT

VALIDVALID INVALIDINVALID

HOW ? HOW ? : : [ Science ] [ Science ] Deductive and Inductive Reasoning / Logic / Hypothesis TestingDeductive and Inductive Reasoning / Logic / Hypothesis Testing

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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 Meta-Leadership 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

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Emergency Response Emergency Response

Guidance Focus: Guidance Focus: Establishment of Authorities [NIMS]Establishment of Authorities [NIMS] Operational Planning [OP PLAN] ObjectivesOperational Planning [OP PLAN] Objectives Clear-cut Strategic GoalsClear-cut Strategic Goals Definitive implementation strategiesDefinitive implementation strategies Unequivocal responsibility assignments Unequivocal responsibility assignments Measurable performance objectivesMeasurable performance objectives Monitoring of Agency COOP implementationMonitoring of Agency COOP implementation

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GIS Mapping and Population GIS Mapping and Population Movement IssuesMovement Issues

Deploying & Returning Service Members Deploying & Returning Service Members Migrant farm worker campsMigrant farm worker camps Commercial Transportation (Air/Rail/Road)Commercial Transportation (Air/Rail/Road) Graduation ceremoniesGraduation ceremonies Community Spring Season eventsCommunity Spring Season events Faith-Based CeremoniesFaith-Based Ceremonies Business Meetings (Large Scale)Business Meetings (Large Scale) Inaccurate Census DataInaccurate Census Data

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SNSSNSPharmaceutical ConvoysPharmaceutical Convoys

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Case Counts for H1N1Case Counts for H1N1

1010

H1N1 Hotline CallsH1N1 Hotline Calls

1111

Rates Rates Cases Per 100 K PopulationCases Per 100 K Population

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April 28April 28thth 2009 2009Governor Quinn’s ProclamationGovernor Quinn’s Proclamation

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H1N1 Response H1N1 Response Implementation StrategiesImplementation Strategies

SNS Deployment [16 Hours] / PHEOCSNS Deployment [16 Hours] / PHEOC 3 State IDPH Laboratory Locations3 State IDPH Laboratory Locations

Confirmatory testing (in-house)Confirmatory testing (in-house) Sample surge capacity flexibilitySample surge capacity flexibility

CDC Community Mitigation StrategyCDC Community Mitigation Strategy CommunicationsCommunications

Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21 Multi-lingual/ Media/ Hospitals/ LHDs/ SEOCMulti-lingual/ Media/ Hospitals/ LHDs/ SEOC

FBO Pandemic Flu Ambassador ProgramFBO Pandemic Flu Ambassador Program

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June 2009 Situational ReportJune 2009 Situational Report

3,166 Cases in Illinois (6,762 Samples Tested) 3,166 Cases in Illinois (6,762 Samples Tested)

in 32 Counties in 32 Counties 13 Deaths 13 Deaths (underlying chronic medical conditions)(underlying chronic medical conditions)

Mass Seasonal Flu Vaccination CampaignMass Seasonal Flu Vaccination Campaign Preparation for mass vaccination and surgesPreparation for mass vaccination and surges We continue to closely monitor the situation We continue to closely monitor the situation

along with the CDC and our state and local along with the CDC and our state and local partners and communicate with the Media.partners and communicate with the Media.

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Areas Needing ImprovementAreas Needing Improvement(Other Than Funding! (Other Than Funding! ))

More wireless access for field laptopsMore wireless access for field laptops Groove workspace template Groove workspace template (PHEOC OPS)(PHEOC OPS)

Pre-identify and train additional staff to Pre-identify and train additional staff to support PHEOC, RSS, & RDC operationssupport PHEOC, RSS, & RDC operations

Laboratory staffing / supply need surges Laboratory staffing / supply need surges Better private sector involvementBetter private sector involvement Maintain / update local drop site databaseMaintain / update local drop site database Restructure IAPs for partner integrationRestructure IAPs for partner integration

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IT InitiativeIT Initiative

The Death Record was implemented on a The Death Record was implemented on a state-wide basis and was then linked to state-wide basis and was then linked to the H1N1 information data basethe H1N1 information data base

HAN and INEDSS HAN and INEDSS

LHD/Hosp/Private Provider callsLHD/Hosp/Private Provider calls

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14 October 200914 October 2009Governor Quinn’s ProclamationGovernor Quinn’s Proclamation

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Current SituationCurrent Situation

We remain vigilant and adaptable in the We remain vigilant and adaptable in the face of a vaccine production short-fallface of a vaccine production short-fall

Expanded scope of practice standardsExpanded scope of practice standards

N95 Masks / SNSN95 Masks / SNS

Expedited approvals for PHER funds Expedited approvals for PHER funds

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Vaccine CompaniesVaccine Companies

Sanofi PasteurSanofi Pasteur FluzoneFluzone NovartisNovartis FluvirinFluvirin CSLCSL AfluriaAfluria GSKGSK MedimmuneMedimmune

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Questions ?Questions ?

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