Global Health ThreatsA Hospital and District

Perspective/PreparednessVickie VanDeventer MPH, BSN, RN, CIC

Infection Control Practitioner

Review

• How Diseases are Spread - Chain of Transmission• Hospital Preparedness• District Hospital Preparedness• Infection Prevention

It’s all about the chain…………

CAUSATIVEAGENT

SUSCEPTIBLE

HOST

MODE OFTRANSMISSION

RESERVOIR

PORTAL OF EXIT

PORTAL OF ENRY

Chain of Transmission

Chain of Infection

• Causative Agent- any bacteria• Reservoir- where bacteria can survive• Portal of Exit- a way out of the carrier• Mode of Transmission- method of travel• Portal of Entry- a way agent enters host• Susceptible Host- anyone

2003 Emerging Infectious Diseases

March 2003

May 2003

• Mad Cow Disease in Canada (Bovine spongiform encephalopathy)

June 2003

Monkeypox

Indiana- 7 cases

Total- 37 cases in six states.

July 2003 – West Nile Virus

Hospital Preparedness

Hospital Grants (2002)• Center for Disease Control and Prevention

(CDC)• Health Resource & Services Administration

(HRSA)

Hospital Grant

• Allowed hospitals to purchase items to improve their emergency preparedness.

• Example of items purchased;• Personal Protective Equipment• 800 MHz Radios• Evacuation Equipment• Ventilators• Conversion of Rooms to Negative Airflow• Powered Air Purifying Respirator (PAPR)• Staff Education • Decontamination Training and Equipment

District Involvement

1.14.2004

Grant

Elkhart

Newton

Jasper

Noble

Allen Whitley

Adams Wells

Huntington Wabash

Fulton

Miami

Cass

Pulaski

White

Benton

Warren

Tippecanoe

Carroll

Howard Black-

ford

Jay

Randolph

Delaware Madison Tipton

Hamilton

Henry

Hancock Marion

Boone

Clinton

Fountain

Montgomery

Putnam

Hendricks Parke

Vigo

Ver- mil- lion

Sullivan

Clay

Greene

Owen

Morgan Johnson

Shelby

Monroe Brown Bartholomew

Lawrence

Jackson

Orange

Washington

Posey

Gibson

Pike

Knox

Vander-

burgh

Warrick

Dubois

Daviess Martin

Scott

Spencer

Perry

Crawford Harrison Floyd

Clark

Jennings

Jefferson

Decatur

Ripley Dearborn

Wayne

Union Fayette

Ohio

Switzerland

Rush

Franklin

Steuben

De Kalb

Lake Porter

La Porte

Starke

St. Joseph

Marshall Kosciusko

La Grange

Bioterrorism Preparedness Districts

1 23

46

7

5

89

10

Grant

Elkhart

Newton

Jasper

Noble

Allen Whitley

Adams Wells

Huntington Wabash

Fulton

Miami

Cass

Pulaski

White

Benton

Warren

Tippecanoe

Carroll

Howard Black-

ford

Jay

Randolph

Delaware Madison Tipton

Hamilton

Henry

Hancock Marion

Boone

Clinton

Fountain

Montgomery

Putnam

HendricksParke

Vigo

Ver- mil- lion

Sullivan

Clay

Greene

Owen

Morgan Johnson

Shelby

Monroe Brown Bartholomew

Lawrence Jackson

Orange

Washington

Posey

Gibson

Pike

Knox

Vander-

burgh

Warrick

Dubois

Daviess Martin

Scott

Spencer

Perry

Crawford Harrison Floyd

Clark

Jennings

Jefferson

Decatur

Ripley Dearborn

Wayne

Union Fayette

Ohio

Switzerland

Rush

Franklin

Steuben

De Kalb

Lake Porter

La Porte

Starke

St. Joseph

Marshall Kosciusko

La Grange

Public Health District 8

• Monroe, Orange, Lawrence, Bartholomew, Washington, Brown, and Jackson

• 8 hospitals

District Involvement

• Participate in District Hospital Planning• District Hospitals meet monthly• Develop district plans

• Participate in District Planning• District meets quarterly• Includes several disciplines- hospital, health department,

emergency management, fire, police, Indiana state department of health, and red cross.

Hospital/District Capabilities

• Assessed Individual Hospital Capabilities• Assessed District Capabilities

• Developed District Hazardous Vulnerability Analysis• Developed District Emergency Operations Plan• Developed CHEMPACK Policy• Developed District Fatality Management Plan• Developed District Evacuation Plan• Developed District Gap Analysis• District Communication Plan – Test radios monthly

District 8

• District Tabletop exercise completed in 2005, 2006, and 2007.

• District Full Scale exercise in 2008.

Other State Initiatives

• List serve for hospital contacts.• Epidemiologist for each public health district.• Mass prophylaxis plan for each county/hospital.• Syndromic Surveillance.• EWA Phoenix Bed Tracking System.• Indiana Health Alert Network.

• Health departments• Hospitals

Prevention is key!

Infection Prevention

Infection Prevention

• Frequent Hand washing is important to prevent the spread of infection.

• Cover your nose and mouth with a tissue when you cough or sneeze.

• Try to avoid close contact with sick people.

Summary

• It will take all of us working together to care for our community during any type of event.

• We can all make a difference by following these simple rules;

• Get back to the basics• Wash your hands• Cover your cough• Get immunized!

ANYQUESTIONS ?