WI Public Health Preparedness(PHP) Update for Public Health

Council

WI Division of Public HealthDepartment of Health & Family

ServicesApril 11, 2008

PHP Funding

Waiting for Public Health Emergency Preparedness (PHEP) guidance for Budget Period 9

Expect an 11% reduction in PHEP funding Continuation of activities and priority projects Last year for Pandemic Influenza funding

PHP Funding

The Pandemic and All Hazards Preparedness Act (PAHPA) requires a state match of 5% in the budget period in which fiscal year 2009 funds are distributed (Budget Period 10 – 8/09 to 8/10);

Following year 10% will be required

Site Visits

CDC conducted SNS (Strategic National Stockpile) site visit on November 20, 2007

WI received an overall score of 86, putting us in the “green” or “ready” category

Site Visits

CDC PHEP (Public Health Emergency Preparedness) site visit December 10-12, 2007

Results:– Excellent progress in Pandemic Influenza

planning– Risk Communication plans and toolkits are

comprehensive– Good working relationship with local health

departments and tribes

Site Visits

– Good progress toward Public Health Information Network (PHIN) compliance

– State Laboratory of Hygiene is a first-class operation

– WI has improved its epidemiologic capacity and surveillance program

– City of Milwaukee doing excellent job in coordinating with non-public health agencies in preparedness and response planning

Site Visits

– WI is doing an outstanding job in tactical communications planning

– WI has solid training and exercise plan for 2008, and is doing a good job in assuring locals conduct exercises and drills and submit After Action Reports

Site Visits

CDC site visit recommendations:– Utilize expertise of surrounding states– Allocate more resources at the state level to SNS– Recruit, train and maintain a large group of

volunteers– Obtain local and tribal concurrence with work plan

PHP Program Challenges

Diminishing preparedness funding Requirement for state match Improving state-level pandemic influenza

plans without supplemental funding and across multiple state agencies

Finding, training and keeping a sufficient preparedness workforce

Pandemic Influenza Priority Projects 2007-2008

Pandemic Triggers: Identify the timing of actions for response activities

Pandemic Continuity of Operations (COOP) Planning: Plan for and test workforce surge capacity and capabilities

Antivirals and Personal Protective Equipment (PPE): Prioritization, distribution, and purchase of antivirals and PPE

Exercises and Evaluation

Pandemic Triggers Exercise: Test of the Pandemic Triggers Guidance

Pandemic Countermeasures Exercise on Antiviral Distribution: Test of the Policy on the Distribution of Antiviral Medications

Community Disease Containment Exercises: Conducted by local health departments

Pan Flu Competitive Grant Applications

Public Engagement: 4-5 town hall meetings on the topic of school, business, and public event closure in a pandemic

Electronic Laboratory Data Exchange: Web-based data entry of influenza results and other reportable disease conditions

Pandemic Influenza and At-Risk Populations: Rapid evaluation and education of newly-arrived refugees

Interagency Coordination

March 12 and 14 meetings at the Department of Military Affairs

Avian Influenza Coordination Team Report to the Governor Operational Planning

Pandemic.Wisconsin.Gov

Up-to-date information on pandemic, avian, and seasonal influenza

Resources for:- Communities - Healthcare Providers- Businesses - Individuals & Families- Schools

WI Pandemic Toolkit Resources:– Fact Sheets– Frequently Asked Questions– Promotional Materials

Hospital Preparedness ProgramState Expert Panels

Materials Management: Establishment of a stockpile of medical/surgical supplies, available to hospitals when the supply chain has been disrupted

Palliative Care: Template policies for hospitals on how to manage a large number of patients in need of “comfort care”– when other treatments are unavailable – when “survivability” is low

Hospital Preparedness ProgramState Expert Panels

Long-Term Care Facilities: Involvement of long-term care industry in emergency preparedness– Nursing Homes– Assisted Living Facilities– Group Homes

Patient Tracking: the ability to track patients from the field to one or more hospitals until time of final discharge

Hospital Preparedness ProgramState Expert Panels

Dispatch: Template Policy on Dispatch Response for a Multiple Victim Incident

Ethics: identification of ethical issues in a disaster

Fatality Management: Template Policy for Coroners and Medical Examiners and other responders, on management of a large number of fatalities

Hospital Preparedness ProgramState Expert Panels

Radiation Emergencies: Template policy for hospitals and EMS on the management of patients exposed to or contaminated with radiological agents

Pediatric Preparedness: “Patient At Risk” - a database of all pediatric patients with chronic illnesses– Expansion 1: all pediatric patients with medical

problems– Expansion 2: all adult patients with medial problems

Wisconsin Emergency Assistance Volunteer Registry - WEAVR

Wisconsin’s answer to ESAR VHP

Confidential, electronic registry for health professional volunteers and others

Collaboration with state and local agencies

New WEAVR will integrate with MRC Units

New WEAVR can serve as central registry

WEAVR Today

Over 2100 health professionals registered

Various licenses, degrees, certifications and skills, including languages spoken

New and improved WEAVR is in the customization process at this time

Medical Reserve Corps - MRC

Dedicated to establishing teams of local volunteer medical and public health professionals to contribute their skills and expertise throughout the year as well as during times of community need.

Complementary Systems

MRC Units - locally managed

Volunteers support & local emergency & non-emergency events

Training provided MRC volunteers can be

WEAVR members

WEAVR - statewide Volunteers - back-up for first

responders Volunteers are called upon

only in times of emergency Just-In-Time training WEAVR members can be

MRC volunteers

Special Populations Taskforce

Charge

Toolkit

Parking Lot Issues

Antiviral Distribution Policy

Developed by the Antiviral Distribution Expert Panel

Pandemic Flu local objective

Antiviral Medications

State-owned cache– Treatment influenza pandemic only

1 cache site (so far) Deployment being developed

– Initial outbreak– Pre-deploy when pandemic is imminent– Treatment of ill by priority

Activated by Division of Public Health

Cached Medical Countermeasures

Antiviral Medications– Treats 153,000 patients

CHEMPACK– Treats 24,350 victims

IPS – Interim Pharmaceutical Stockpile– Prophylaxis for 540,000

CHEMPACK

Nerve agent antidote– Organophosphate poisoning only

Federally owned, locally cached 31 CHEMPACK sites across Wisconsin Following the “Golden Hour” rule Secondary response Activated through emergency dispatch

SNS Deployment

Tribes and local public health agencies have mass clinic (medicine distribution) plan

223 locations identified as dispensing sites Tribes and local public health will need help

to dispense medications– Health professionals and other volunteers– Law enforcement for crowd and traffic control– Local EM for command, control communications

SNS Not Just Drugs

Pandemic Influenza Countermeasures– Masks, respirators, ventilators

Federal Medical Stations– Modular equipment and supply package– 250 beds package/50 bed modules– 72 hours of medicines and supplies

Emergency purchase program

Wisconsin State Laboratory of Hygiene(WCLN & LRN & C-LRN)

National Guard54th CST WMD

Federal AgenciesFBI(HMRU), USSS, USPIS

State Agency LabsDATCP(FERN)WVDL(NAHLN)WI Crime Lab

Emergency Laboratory Response Capabilities

An expanding list of partners

WSLH

Local Health Dept.

State Agencies DHFS, DNR, WEM

Fire/HazMat CST

Private Contractors

Law Enforcement

Partners in Emergency Response Providing laboratory resources to

response partners

Upcoming Exercises

SNS AntiViral Distribution Tabletop Exercise Wisconsin Medical SocietyApril 30, 2008

Operation Sno-White Tabletop Exercise Portage County Health Department May 8, 2008

WI Dells Tabletop Exercise Sauk County Health DepartmentMay 29, 2008

Pandemic Triggers Tabletop Exercise Crowne Plaza HotelJuly 17, 2008

DPH EOC Management TeamDPH EOC Management TeamGoals and Mission StatementGoals and Mission Statement

To direct and oversee the Incident To direct and oversee the Incident Command System (ICS) structure Command System (ICS) structure and overall operations within the and overall operations within the

DPH EOC.DPH EOC.

DPH EOC Management TeamDPH EOC Management TeamGoals and Mission StatementGoals and Mission Statement

Maintain strategies to ensure Maintain strategies to ensure timely and effective notification timely and effective notification and response during planned or and response during planned or

unplanned emergency public unplanned emergency public health events.health events.

Partner Communications & Alerting

PCA Expert Panel – Policies, Procedures & Technology

Health Communications PHIN Directory & Directory Exchange PHIN Portal

The Future

NEW Broadcast Communications System – Coming this FALL

Directory Roles & Exchange