Smallpox Pre-Event In-Service for Fire and Rescue Staff Bob Mauskapf State Emergency Planning Coordinator Virginia Department of Health Bob Mauskapf State

Smallpox Pre-Event In-Servicefor Fire and Rescue Staff

Smallpox Pre-Event In-Servicefor Fire and Rescue Staff

Bob MauskapfState Emergency Planning

CoordinatorVirginia Department of Health

Bob MauskapfState Emergency Planning

CoordinatorVirginia Department of Health

April, 2003April, 2003

DedicationDedication

…To the fire and rescue professionals, paid and volunteer, who regularly respond to the public’s call, and who venture into situations of great risk, in the hope that their work can be made more safe

…To the fire and rescue professionals, paid and volunteer, who regularly respond to the public’s call, and who venture into situations of great risk, in the hope that their work can be made more safe


VDH EP&R MissionVDH EP&R Mission“…effectively respond to any

emergency impacting public health through preparation, collaboration, education and rapid intervention.”

“…effectively respond to any emergency impacting public health through preparation, collaboration, education and rapid intervention.”



DepComm EP&R

Exec PIO TrainerPlanner Bus Mgr

HospCoord AdminAsst

Reg Planners(5)


Regional MD Consultant

Planner Epidemiologist PIOTrainer


Regional PlannerRegional Planner

CoordinateCollaborateFacilitateLiaisonOversightRepresent

CoordinateCollaborateFacilitateLiaisonOversightRepresent


Regional PlannerRegional Planner

BackupPrioritizeReinforcePlanTalking Head / Burning Bush / SME

BackupPrioritizeReinforcePlanTalking Head / Burning Bush / SME

The Strategic National Stockpile is designed to…“maintain a national repository of life-saving pharmaceuticals and medical material that will be delivered to the site of a chemical or biological terrorism event in order to reduce morbidity and mortality in civilian populations.”

The Strategic National Stockpile is designed to…“maintain a national repository of life-saving pharmaceuticals and medical material that will be delivered to the site of a chemical or biological terrorism event in order to reduce morbidity and mortality in civilian populations.”

Strategic National Stockpile(National Pharmaceutical

Stockpile)Distribution Planning & Logistics


The NeedThe Need

The President of the United States has identified a risk of Smallpox being re-introduced by a terrorist action

Should a Smallpox case be identified in the Commonwealth, it is likely that a police, fire or rescue responder will have contact with that case

The President of the United States has identified a risk of Smallpox being re-introduced by a terrorist action

Should a Smallpox case be identified in the Commonwealth, it is likely that a police, fire or rescue responder will have contact with that case


Smallpox - Why a threat?

Last case in US in 1949Last naturally acquired case in 1977Disease declared eliminated by WHO in

1980Stocks of Variola virus held by U.S. &

Russia


Smallpox - Why a threat?

Bio weapons programs in several countries

Concern… former Soviet Union bio weapons may have been sold. To whom??


Smallpox vaccinationSmallpox vaccinationDec, 2002: President Bush announced

plan to vaccinate civilian response teams and military personnel

Pre-event smallpox vaccinationStage 1: Hospital and public health

response teamsState 2: Other health care providers, first

respondersStage 3: Offer to general public when

enough licensed vaccine available

Dec, 2002: President Bush announced plan to vaccinate civilian response teams and military personnel

Pre-event smallpox vaccinationStage 1: Hospital and public health

response teamsState 2: Other health care providers, first

respondersStage 3: Offer to general public when

enough licensed vaccine available


Smallpox Vaccination: Phase 1Health Department

Responsibilities


ResponsibilitiesEducation and training, providing

education materialsContraindicationsComplicationsVaccine site management

Responsible for vaccine and vaccine administration

Education and training, providing education materialsContraindicationsComplicationsVaccine site management

Responsible for vaccine and vaccine administration



Responsibilities


ResponsibilitiesCollect information and report on

adverse vaccine events Identify consultants to assess

and manage adverse events

Collect information and report on adverse vaccine events

Identify consultants to assess and manage adverse events


Smallpox Vaccination: Phase 2Smallpox Vaccination: Phase 2

To include other health care providers (not included in Phase 1) and first responders

This will include much larger number of vaccinees than Phase 1

Time frame and logistics not established at present

To include other health care providers (not included in Phase 1) and first responders

This will include much larger number of vaccinees than Phase 1

Time frame and logistics not established at present


Smallpox Vaccination: Phase 3Smallpox Vaccination: Phase 3

Offer vaccine to members of the general public

Date for initiation unknownAdequate supply of licensed vaccine

will not be available until early 2004Smallpox vaccination now available

through clinical trials

Offer vaccine to members of the general public

Date for initiation unknownAdequate supply of licensed vaccine

will not be available until early 2004Smallpox vaccination now available

through clinical trials


What About Vaccination If An Event Takes Place?

What About Vaccination If An Event Takes Place?

If you are a true contact to a case, the risk of Smallpox far outweighs the risk of vaccination

If you are not a contact, but Smallpox is in the area, you will need to reconsider the risk

If you are a true contact to a case, the risk of Smallpox far outweighs the risk of vaccination

If you are not a contact, but Smallpox is in the area, you will need to reconsider the risk


Dip needle Retained vaccine

Proper position 15 insertions

Post-insertion Absorb excess

Discard properly Sterile cover

Documents

Smallpox Pre-Event In-Service for Fire and Rescue Staff Bob Mauskapf State Emergency Planning Coordinator Virginia Department of Health Bob Mauskapf State