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Cambridge APC Introduction
APC Road ShowOrlando FLJuly 2009
Cambridge APC
• Multi-disciplinary team
• Continual engagement in– Assessment of preparedness needs and gaps– Generation of solutions for local public health– Promotion of APC program and products
• Utilizing learning laboratory
PHP Region 4b Community Characteristics
• Population of communities range from 7,261 to 101, 355 residents
• Great diversity in local government structures
• Public health departments range from 2 to 63 full time employees
Local Preparedness Planning Realities
• Federal/state mandates for local public health emergency response planning
• Limited capacity and training of local public health departments
Cambridge APC Tools in development• MAVEN Exercise
• Evaluation Training
• Epidemiology Just in Time Training
• Product Recall tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Health Data Reports Tool
Cambridge Session Focus
• Regional Dispensing Sites –Planning–Communication Tools –Trainings
• Personal Preparedness Training Materials
Practical Tools for Point-of-Dispensing Site Training
and Client Communication
APC Road ShowBillings Montana
July 2009
Who we are
Cambridge Materials
Pictograms
Dispensing Site Planning
Trainings for Dispensing Sites
Personal Preparedness
Upcoming Materials
Getting to know you
• How prepared is your general population?
• Who are your vulnerable populations?
• What methods do you use for dispensing sites?
Cambridge APC
• Multi-disciplinary team
• Continual engagement in– Assessment of preparedness needs and gaps– Generation of solutions for local public health– Promotion of APC program and products
• Utilizing learning laboratory
Massachusetts Public Health Emergency Preparedness Regions
PHP Region 4b Community Characteristics
• Population of communities range from 7,261 to 101, 355 residents
• Great diversity in local government structures
• Public health departments range from 2 to 63 full time employees
Local Preparedness Planning Realities
• Federal/state mandates for local public health emergency response planning
• Limited capacity and training of local public health departments
Cambridge APC Products
• Regional Dispensing Sites –Planning–Communication Tools –Trainings
• Evaluation
• Mutual Aid for Public Health
• Model legislation for regionalization
• Regional Epidemiology
Who we are
Cambridge Materials
Dispensing Site Planning
Trainings for Dispensing
Sites
Personal Preparedness
Upcoming Materials
Prepare Clients for POD Experience
• Information:
• What will happen • How will it happen• What they will be asked
• Delivery:• Perceive• Understand• Personally Applicable
Identify the groups within the at-risk population with special needs
Determine resources available/needed to serve these groups
Initiate the special populations plan
Special Effort for Special Populations
Population Vulnerability
• Physical disability• Cognitive disability• Language barrier (e.g., English,
literacy)• Conditional impairments
– Mental noise– Environmental barriers– Trust – Knowledge barriers
A Preparedness Paradigm Shift
1. Many will be “vulnerable” in an emergency
2. Specialized services deters those with “special needs”
3. Specialized preparedness is unsustainable for local health
Access Umbrella
Universal Design in Our Lives
Source: http://www.design.ncsuedu/cud/about_ud/udprincipleshtmlformat.html#top
Making Dispensing Sites Universally Accessible
• Physically accessible
• Information to communicate to many
• Information to exchange interpersonally
Universal De-SIGN
Communicate through trusted sources
Identify station purpose with a picture
Simple one-wordstation description
Provide language translation
Mass Communication: Signage
• Outlines Service & Process information
• Identifies station purpose
• Improves efficiency• Decreases anxiety• Expands usability• Increases access to
service
Pocket Communicator
Worker to client Internal
communication tool
Clerical & clinical functions
Does not replace other forms of communication
Language Barriers
• Identifies barriers early
• Provides client with visual reassurance
• Affords easier access to translation
Provide Directions
“Please go to the blue Children area.”
Key Concepts
Cambridge APC Sign Requests
Who are we?
Dispensing Site Planning
Pictogram Development
Trainings for Dispensing Sites
Personal Preparedness
Future Products
Behavioral Health?
Mental Health
Counseling
Behavioral Health
Support
Children – before
Children – after
Who are we?
Dispensing Site Planning
Pictogram Development
Trainings for Dispensing Sites
Personal Preparedness
Future Products
Session 1 The Mechanics
Lesson Framework
Goal & Objectives
• Knowledge– Job Action Sheets– Incident Command/Management Principles– Fundamental Tasks
• Skills– Serving clients with varying language, physical,
and cognitive abilities
• Teamwork
Session 2: Facilitating Clients
Lesson Framework
Training Outcomes
• Knowledge
• Skills
• Teamwork
Training Resources
• Trainer guide
• Training materials
• Evaluation tools
Who are we?
Dispensing Site Planning
Pictogram Development
POD Trainings
Personal Preparedness
Future Products
Accessible Personal Preparedness
Accessible Personal Preparedness
Accessible Personal Preparedness
Accessible Personal Preparedness
Who are we?
Dispensing Site Planning
Pictogram Development
Trainings for Dispensing Sites
Personal Preparedness
Future Products
Cambridge APC Tools in development• MAVEN Exercise
• Evaluation Training
• Epidemiology Just in Time Training
• Health Data Reports Tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Product Recall tool
Communicating Recalls Differently
Cambridge Advanced Practice Center for Public Health
Preparedness
It started with toothpaste..
• Recall of toothpaste product• Cambridge Public Health mobilizes
inspectors• Toothpaste sold in non-English
speaking markets• Toothpaste being purchased and
sent home to Haiti and Latin America
Response
Cambridge Public Health first issued a press release
• 119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888•
For Immediate Release Contact: Susan Feinberg, MPH • June 20, 2007 Communications Specialist• Cambridge Public Health Dept.
617-665-3833 •• FDA Issues Toothpaste Warning• The U.S. Food & Drug Administration has issued two warnings this month about certain toothpastes
manufactured in China and South Africa that may contain a toxic chemical called diethylene glycol (DEG).
• In the U.S., these products are typically being sold at "dollar-type" discount stores, convenience stores, and small food markets.
• Suspect tubes of toothpaste have reportedly been found in Somerville and Sturbridge, as well as in New York, New Jersey, Pennsylvania, Maryland, and Florida.
• As of June 8, there were no U.S. reports of poisonings from toothpaste containing DEG. The chemical, which is commonly found in antifreeze, is sometimes used illegally as an inexpensive sweetener and thickening agent.
• Cambridge residents should throw away or return to the store for refund:• 1) Any toothpaste labeled as "Made in China."• 2) Any fake “Colgate” toothpaste, which is: • Labeled as "Manufactured in South Africa"• A 5-oz. or 100 ml tube• Contains misspelled words on the label, including "South African Dental Assoxiation," "SOUTH
AFRLCA,” and "isclinically"
119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888
Implementation
Translation challenges arose
Someone asked about pictograms
Cambridge tried something different…
Product Recalls-What we know now
Current state
• Food recalls impact all communities• Current communication of recall
information is targeted to media outlets• Translation and communication are
resource intensive• Local health departments are challenged
to provide timely information to constituents in accessible formats
Other Countries Requirements
• Vendor must advertise recall in newspaper
• Format and size are by regulation
• This border is a universal recall symbol in Australia
Cambridge APC Proposal
• A readily usable tool to create simple & effective communication material for recalls
Cambridge APC Proposal - How
• Build upon successful use of pictograms for Dispensing Sites
• Develop pictograms for food recalls• Develop food recall flyer template• Include instructions on pulling
information from FDA press releases• Include pictogram images for use in
template
Cambridge APC Proposal
What would this look like?
Discussion
