Preparing for Public Health Emergencies:

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Preparing for Public Health Emergencies: A Community Working Together Stephanie Nelson, RN, MSN Health Officer Gallatin City-County Health Department (GCCHD) Bozeman, Montana
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    05-Jan-2016
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Preparing for Public Health Emergencies:. A Community Working Together. Stephanie Nelson, RN, MSN Health Officer Gallatin City-County Health Department (GCCHD) Bozeman, Montana. Objectives. - PowerPoint PPT Presentation

Transcript of Preparing for Public Health Emergencies:

  • Preparing for Public Health Emergencies:A Community Working TogetherStephanie Nelson, RN, MSNHealth OfficerGallatin City-County Health Department (GCCHD) Bozeman, Montana

  • ObjectivesDescribe how a rural local public health system aligned resources to effectively address public health risks Describe how this alignment worked to address last years influenza vaccine shortage

  • Gallatin, Montana

  • Montana State University

  • Public Health ChallengesEach year, 3 million visitors enter West Yellowstone.Park management runs up against contentious issues.

  • Question In my community, what is the most important area for improvement as we work with preparedness partners?

    A. Formal AgreementsB. CommunicationC. Leveraging Limited ResourcesD. Real event problem-solving

  • Post 9/11 IncidentsAnthrax on east coast

    Mysterious powder on tomatoes at MSU and the Bozeman Post Office

    Smallpox vaccination directive

  • Gallatin Community ClinicBozeman Deaconess HospitalUnified Health Command (UHC)Montana State University

  • UHC Strategies Align partners and expertiseIdentify and leverage limited resourcesHelp create a single message

  • UHC Strategies Memorandums of Understanding (MOUs)Joint training and exercisesReal event problem solving

  • UHC in Action: Influenza Vaccine Shortage (2004-05)Goal 1: SurveillanceInventory vaccineIdentify high risk

  • UHC in Action: Influenza Vaccine Shortage (2004-05)Goal 2: Prevention & ContainmentPrioritize CDCs recommendationDevelop a tiered approach to immunize the publicCreate a system by which providers would access vaccine as it became available

  • UHC in Action: Influenza Vaccine Shortage (2004-05)Goal 3: Communication Dissemination of information Posed the greatest challenges

    Montana is a rural frontier state with a population of 900,000

    Gallatin County is one of the fastest growing counties has a population of 75,000.

    35,000 reside in Bozeman (the county seat) which is were the University of Montana and its 12,000 students are located.

    Besides the University system, the economy is supported by agriculture, tourism and small business.

    Gallatin City-County Health Department has 33 employees, 11 in EH and 22 in HS. Our medical director is a contracted position.

    MSU has a considerable amount of high tech, bio/medical research being done on campus.

    Private labs adjacent to campus is doing research on an number of zoonic diseases, such as anthrax.

    YNP brings a whole set of challenges related to minimizing the risk to public health.

    3 million visitors (many international) enter the park through West Yellowstone, a small community at the southern tip of the county.

    In addition, the politics and often contentious issues involved with park management, such as the management of buffalo..and the animal protection and environment activists, place a special slant on terrorism.

    For this reason, Gallatin County was ranked the second most vulnerable county in the state to terrorist activities.

    It has formal MOUs and participates in training and exercises to ensure or plans and emergency responses are coordinated.

    Most importantly, it provides a process or framework for us to problem solve in real events.In addition to the results of the vulnerability assessment, probably like many of you, a number of post September 11th events drew our community and most specifically our public health system into discussions around our local response to events that pose a risk.

    This included a number of mysterious powder events and of course the smallpox fu pax.This is a model of Gallatin Countys Unified Health Command.

    The GCCHD Advisory Team includes the epi team, that include public health nurses and environmental health specialists, the medical director, a veterinarian, the county DES coordinator and other expertise as needed.

    Bozeman Deaconess Hospital (ER, EMS,IC), Montana State University (SH) and the Gallatin Community Clinic (CHC).

    The UHC helped to:It has formal MOUs and participates in training and exercises to ensure or plans and emergency responses are coordinated.

    Most importantly, it provides a process or framework for us to problem solve in real events.This was most certainly the case in the 2004-5 influenza vaccine shortage.

    Three goals were created by the UHC early on.

    Surveillance:

    This was assumed by the health department.

    With in one hour from receiving word via the HAN the supply would be dramatically disrupted the health department called all providers or sources of vaccine and knew who had it and who did not.

    The largest OB and internal medicine practice had none, as did a number of rest homes.

    Members of the UHC and local HCP met that same day and realized that unless CDCs recommendation were further prioritized the most at risk may not receive the vaccine.

    This consensus from creditable leadership in medicine went a long way in getting compliance in HCP and the public.

    We monitored the supply and developed a tiered approach to immunize the public.

    We created a system by which providers could access vaccine as more became available.Finally, using the UHC to create a single and uniform massage was extremely helpful.

    The Cover Your Cough campaign was very successfully.

    Communication to the public as to availability of vaccine in real time was also one of your greatest challenges.

    The media was very helpful in this regard.