Structure Frankfurt Network Infectious Emergencies Meetings Seminars and Workshops... · 2014-05-27 · Structure of the Frankfurt Network for ... Dengue fever Hanta fever Hanta fever

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Structure of the Frankfurt Network for Infectious Disease Emergencies

Udo GoetschDepartment for Infectious DiseasesFrankfurt City Department of Public Health

CAPSCA

Frankfurt, July 5, 2012

Udo GoetschDepartment for Infectious DiseasesFrankfurt City Department of Public Health

CAPSCA

Frankfurt, July 5, 2012

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The pivotal role of airports…

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Worldwide Distribution

of Viral Hemorrhagic Fevers

Yellow feverJunin feverMachupo feverSabia feverHanta feverDengue fever

Hanta fever Hanta feverCrimean-Congo fever

Dengue feverHanta feverCrimean-Congo fever

Rift Valley feverLassa feverEbola feverYellow feverCrimean-Congo feverDengue fever

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Top-10-AirportsPax in Millions (2011)

Top-10-AirportsPax in Millions (2011)

Atlanta 92,4

Beijing 77,4

London – Heathrow 69,4

Chicago 66,6

Tokyo 62,3

Los Angeles 61,8

Paris – Charles de Gaulle 61,0

Dallas/Ft. Worth 57,8

Frankfurt 56,4

Hong Kong 53,3

Atlanta 92,4

Beijing 77,4

London – Heathrow 69,4

Chicago 66,6

Tokyo 62,3

Los Angeles 61,8

Paris – Charles de Gaulle 61,0

Dallas/Ft. Worth 57,8

Frankfurt 56,4

Hong Kong 53,3© ACI 2011© ACI 2011

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FrankfurtFrankfurtLondonLondon

New YorkNew York

Frankfurt/Main; March 15th, 2003

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04/96 CH Brazil Yellow fever m/53 †

12/97 GB Zimbabwe Crimean-Congo HF w/78 †

08/99 D Côte d'Ivoire Yellow fever m/40 †

01/00 D Ghana/B. Faso/C. d'Ivoire Lassa fever w/23 †

03/00 GB Sierra Leone Lassa fever m/50 †

03/00 D Nigeria Lassa fever m/57 †

06/00 NL Sierra Leone Lassa fever m/48 †

03/03 D Singapore SARS m/32

03/03 D Singapore SARS w/30


07/06 D Sierra Leone Lassa fever m/70

07/08 NL Uganda Marburg fever w/41 †

01/09 GB Nigeria Lassa fever m/66 †

02/09 GB Mali Lassa fever m/25 †

10/09 D Vietnam Dengue hem. fever m/42

04/96 CH Brazil Yellow fever m/53 †

12/97 GB Zimbabwe Crimean-Congo HF w/78 †

08/99 D Côte d'Ivoire Yellow fever m/40 †

01/00 D Ghana/B. Faso/C. d'Ivoire Lassa fever w/23 †

03/00 GB Sierra Leone Lassa fever m/50 †

03/00 D Nigeria Lassa fever m/57 †

06/00 NL Sierra Leone Lassa fever m/48 †


03/03 D Singapore SARS w/30


07/06 D Sierra Leone Lassa fever m/70

07/08 NL Uganda Marburg fever w/41 †

01/09 GB Nigeria Lassa fever m/66 †

02/09 GB Mali Lassa fever m/25 †

10/09 D Vietnam Dengue hem. fever m/42

IDE Cases* in Europe*IDE = Infectious Disease Emergencies*IDE = Infectious Disease Emergencies

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„Anthrax letters“

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Medical Competence and Treatment Center

for

highly infectious Diseases


for


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Health Protection Authority FrankfurtHealth Protection

Authority Frankfurt

Med

ical Treatm

ent

Cen

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reatmen

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Supreme Federal State Authority



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for


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Hea

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Pro

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Medical Treatment Center


Executice Fire Control Executice Fire Control

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for



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Health

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BSL 4 Lab Hamburg/Marburg


Mu

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FRAPORTFRAPORT


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BS

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FRAPORT FRAPORT


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Health Protection Authority FrankfurtHealth Protection

Authority Frankfurt

Med

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Execu

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StAKoBStAKoB

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Medical Competence and Treatment Centers

Competence Center for Highly Infectious DiseasesCompetence Center for Highly Infectious Diseases

Medical Treatment Center with high level isolation wardMedical Treatment Center with high level isolation ward

Laboratory of Biosafety Level (BSL) 4Laboratory of Biosafety Level (BSL) 4

adapted from R. Fockadapted from R. Fock

K

LeipzigLeipzig

HamburgHamburgBerlinBerlin

K

K

StuttgartStuttgartK

MunichMunich

WurzburgWurzburg

K

SaarbruckenSaarbrucken

MarburgMarburg

FrankfurtFrankfurtK

K

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Hospitals in EU/US for HID Care

AtlantaAtlanta

Fort DetrickFort Detrick

NewcastleNewcastleLinköpingLinköping

BresciaBrescia

RomRom

PaviaPavia

ParisParis

LondonLondonDublinDublin

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Public Health Responsibilities

The public health officer in charge needs to

confirm the suspected case in accordance

with the expertise from the competence

centre

inform immediately the supreme public health

authority

make sure that the appropriate protection

measures are established

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Public Health Responsibilities

trace and monitor the contact persons

order and supervise hygienic and

disinfection measures

order and supervise the burial and – if

necessary initiate the autopsy

offer further and detailed information for

press and public

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Tasks of the Competence Center

provide relevant information about the regional

occurrence of infectious diseases

(www.frankfurt.de)

consulting on the spot or by phone

provide special personal protection sets for

infectious diseases (including respirators)

offer exercises

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Tasks of the Competence Center

offer consulting in suspected cases in 24/7

support the transport of the infected person

with a special I-Ambulance (Infection

Transport Ambulance)

support temporary isolation measures if the

patient is not transportable

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A case of Lassa fever (2006)

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July 10, 2006Freetown

July 10, 2006Freetown

July 10, 2006Abidjan

July 10, 2006Abidjan

July 11, 2006Brussels


≈ 350 Contacts≈ 350 Contacts

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July 11, 2006Munster

July 11, 2006Munster

July 11, 2006Frankfurt am Main

July 11, 2006Frankfurt am Main

> 50 Contacts> 50 Contacts

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≈ 200 Contacts≈ 200 Contacts

≈ 2 x 300 km≈ 2 x 300 km

July 21, 2006Muenster

July 21, 2006Muenster

July 21/22, 2006Frankfurt am MainJuly 21/22, 2006

Frankfurt am Main

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[email protected] [email protected]

[email protected] [email protected]

Contact:Contact:

Documents

Structure Frankfurt Network Infectious Emergencies Meetings Seminars and Workshops... · 2014-05-27 · Structure of the Frankfurt Network for ... Dengue fever Hanta fever Hanta fever