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Benton County, MN
Pandemic Flu TabletopExercise
May 23rd, 2007
EOC
What it consists of,
Who is part of it.
NIMS/ICS
Non – Attribution Clause
The material discussed today is classified as FOUO (for official use only)
A non-attribution clause is also in effect for today’s events.
Simply put what is discussed in this room stays in this room.
For Official Use Only (FOUO): The term used within DHS to identify unclassified information of a sensitive nature, not otherwise categorized by statute or regulation, the unauthorized disclosure of which could adversely impact a person's privacy or welfare, the conduct of Federal programs, or other programs or operations essential to the national interest.FOUO is not to be considered classified information.
To Minimize the Risk is to Create a Greater Danger!
Preparation is the Key to Success
Today Sept., 06
July, 07
It is not an IFIF Question? It is a WHENWHEN Question?
Pandemic Flu
BUT FIRST
Some Background
Basic Flu Facts – Flu 101
Bird Flu - 101
Pandemic Flu - 101
Flu Season Is Here
Seasonal Flu 101
Basic Facts
Current Flu Report
INFLUENZAINFLUENZA
Seasonal FluThe Flu Kills More People Today than it did Seventy Years Ago.
Over-Reaction
Seasonal Flu vs. Common Cold
GERMS
How do we prevent the flu?
There are a number of ways and one of them is by washingyour hands.
Cover Your Cough Cough Safe
Cover Your Cough
Get A Flu Shot
Information Services Solution
Pat B.
Avian Flu
Avian (Bird) Flu 101
Avian Flu Update
Bird (Avian) Flu
How Does One Get it?
Background Information… The World Health Organization (WHO) continues
to monitor the prolonged existence of H5N1. The current WHO Pandemic Alert phase is at 3.
Human infections of this new virus subtype have been detected in Asia.
Where is it, Now?
2003 – April 11, 2007
How at Risk are we in the US?
Background Information Surveillance of migratory birds for highly
pathogenic H5N1 continues across the United States.
The Minnesota Department of Natural Resources (DNR) along with the United States Department of Agriculture (USDA) - Animal Plant and Health Inspection Service (APHIS), Wildlife Services are conducting the surveillance in Minnesota.
Bird Flu 101
The Bird Flu or Another
How it Mutates
Who is the Puddy Tat afraid of now?
Noah’s Response to Bird Flu
How Some Countries are Responding to Bird Flu
Other Bird Flu Headlines
What is it?
Flu Timeline
What Level of Warning Are We At Now?
How bad could it get?
Benton/Stearns Sick/Clinic
12,000
Benton/Stearns Hospitalized
This is not a worse case scenario
Break – 15 minutes
Now onto our Tabletop
Presentation
What Major Players Need to be Involved?
Public Sector Private Sector Religious Sector Volunteer Sector Others
General Pandemic Flu NotesA pandemic will come in waves, 2 possibly 3
Each wave will last 6 – 8 weeks long
2nd wave may occur within 3-9 months of first wave
2nd wave may cause more serious illness and death
Outside assistant will be limited based on the outbreak
General Goals
Delay– The spread so there is time for a vaccine
Lessen– The demand for scarce healthcare resources
Reduce– The number of people affected.
Bird Flu Makes the Jump
Prologue
Today – May 23rd
It’s Coming! Confirmed – Bird flu has made the jump to
humans.
First wide spread outbreak has occurred in Asia.
Thousands reported sick.
Day 1
World Health Organization Raises Alert to Phase 5
What Implications Does This Have for your Department? Does this increase in the WHO alert status
cause you any concerns? What can you do to prepare for the inevitable
spread of the pandemic to America? List the steps you would take. What questions would you have of public
health?
Take 5 minutes to look at your plan
June 15th –Flu Spreads to California
The first cases of the Pandemic Flu have now been found in California– CDC Officials. WHO goes to Phase 6.
During the past week what precautions/steps have you taken?
Is there anything more you can do for your department at this point?
What questions do you have?
June 21st , 2007 – Flu Spreads Throughout Country
June 25th - Pandemic Flu in MinnesotaIt’s Here
Several Pandemic Flu cases have shown up in Minnesota.
LUNCH TIME – 1 hour
First Minnesota Case
June 30th , 2007 – Flu Spreads in Minnesota
Flu cases have now spread throughout Minnesota, no County has been untouched.
Cases in Benton County are rapidly multiplying.
Effects on County Workers
Sixty employees out sick another 20 stay home as caregivers.
Entire departments out sick. Workers required to work in other
departments. Departments close altogether
BREAK – 15 minutes
August- Flu WorsensIt’s Bad!
Thousands Sick/Hundreds Dead - Statewide
Infrastructure Starts to Break Down
Benton County Numbers - Residents
12,000 sick another 4,000 out as caregivers 6,000 require outpatient health care 720 sent to hospitals 108 require Intensive Care 54 require ventilators 120 deaths These numbers represent an above average Pandemic - If it is a SEVERE
Pandemic like 1918 the numbers for Hospitals, Intensive Care, Ventilators and Deaths would be 2X+ higher
THESE NUMBERS ARE FOR ONE MONTH
August – September – Cases Receding
Vaccine is now available for dispensing 1st wave appears to be winding down Question as to if schools should open Officials say second wave is inevitable
Where do we go from here?
Public Health Staff must prepare for mass dispensing of vaccine.
Flu supplies need to be replenished if they even can be found.
Actions during this first wave need to be reviewed.
Some Good News!
Questions & More Questions
Don’t Let Pogo be Right!
Other Strategies
Alternating shifts to reduce employee contact with each other
Changing the work space to every other desk
Staggered shifts
Working from home
Hoarding and the limits of just-in-time production and trans-portation systems will impact the availability of supplies, food,etc.
Bird Flu
Doomsday Clock
Chaos Clocks
WHO Pandemic Alert Levels