1 / 16

Are You Prepared? January 11, 2003

Are You Prepared? January 11, 2003. By Michele Ginsberg, MD Community Epidemiology Division San Diego County Health & Human Services Agency. What Can San Diego Medical Providers Do?. PERSONALLY Develop an emergency plan for you and your family.

augustin-herve
Download Presentation

Are You Prepared? January 11, 2003

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Are You Prepared?January 11, 2003 By Michele Ginsberg, MD Community Epidemiology Division San Diego County Health & Human Services Agency

  2. What Can San Diego Medical Providers Do? PERSONALLY • Develop an emergency plan for you and your family. • Be able to rapidly contact your family and ensure their safety. PROFESSIONALLY • Develop, review and practice your facility’s emergency plan. • Compile emergency contact information and upgrade regularly. • Ensure primary and redundant communication systems in place. • Ensure staff have contact information for local public health.

  3. What Can San Diego Medical Providers Do ? • Educate staff to recognize signs & symptoms of diseases believed most likely in a bioterrorist attack (examples): Bacterial Agents: Anthrax, Plague, Tularemia Viral Agents: Smallpox, Viral Hemorrhagic Fever Toxins: Botulism, Ricin, Staph Enterotoxin B • Post Recognition and Reporting Information

  4. Visit Informational Websites: • Centers for Disease Control & Prevention: www.bt.cdc.gov • California Dept Health Service: www.dhs.ca.gov/ps/dcdc/bt • San Diego County EMAN (Emergency Medical Alert Network): www.emansandiego.com

  5. What Can San Diego Medical Providers Do ? • Promptly report diseases reportable by law (80+ diseases). • Report unusual disease occurrence as soon as observed. • Post contact information for Epidemiology Division: (619) 515-6620Mon – Fri 8-5 (858) 565-5255Evenings, weekends, holidays • Ensure key medical contacts at your facility participate in the Emergency Medical Alert Network (EMAN): (619) 515-6620

  6. Communicating with the Public • Be calm - callers consider you authoritative - they’re calling for information and reassurance from you • Know your resources: • Internet websites: • Centers for Disease Control CDC): www.bt.cdc.gov • Office of Disaster Preparedness (ODP): www.co.san-diego.ca.us • Anthrax & Smallpox Vaccination Recording (Local) • 1-800-600-9594 • Seek consultation or refer if you’re not sure

  7. Possible Smallpox CaseSan Diego – December 15, 2002 • 40 y/o male presented to local physician December 13, 2002 with: • 3 day history of fever and chills • Skin lesion on chin DIAGNOSIS – Viral Syndrome • December 14, 2002 - Symptoms progress: • Lesions on face • Anterior trunk • Patient contact on call physician • Patient was referred to Emergency Department

  8. Hospital Evaluation • Patient seen in Emergency Department • Patient admitted Possible Smallpox • Infectious Disease Specialist contacted • Patient admitted to negative pressure isolation room • ID consultant called • Public Health notified

  9. Hospital Evaluation,Continued • ID consultant evaluation – 40 y/o male born in Trinidad moved to U.S. in 1973 • Prior history of smallpox vaccination • No history of chickenpox or varicella vaccination • Lesions on face, shoulders, anterior trunk • No lesions on palms and soles • Lesions at different stages some appeared umbilicated. • Clinical diagnosis – Varicella

  10. Hospital Evaluation, Continued • ID Specialist and Community Epidemiology confer • Specimen obtained for diagnosis • Public Health Laboratory – PCR confirmed Varicella within 3 hours

  11. Public Health Laboratory

  12. What to do if you suspect a Case at your facility: • Notify Epidemiology at 619-515-6620 • Do NOT send patient away! • Place patient in a separate room • NEGATIVE PRESSURE IF AVAILABLE – CLOSE DOOR • Initiate airborne and contact precautions • Obtain contact information on ALL people who may have had contact with patient • Detain them for interview if possible

  13. Public Health Actions • Promptly investigate original case • Confirm laboratory results at PH Laboratory/State DHS • Identify and interview case contacts as needed • Initiate active surveillance for additional cases • Take immediate public health prevention action as needed

  14. Continued • Collaborate/notify FBI, State DHS and CDC as indicated • Alert local medical community/public as indicated • Determine need for Rx of contacts/health professionals • Mobilize needed assets at regional, state, federal level • Maintain contact with case family and reporting doctor

  15. How to Report? IMMEDIATELY NOTIFY: Community Epidemiology Division (619)515-6620 Mon-Fri 8 – 5 pm (858)565-5255/5200 After-hours

More Related