Inoculation for Flu Pandemic H 1 N 1

Inoculation for Flu Pandemic: H 1 N 1 and Your State 14 November 2009 0930 HRS COL Damon T. Arnold, M. D. , M. P. H. Director Illinois Department of Public Health State Surgeon Illinois Army National Guard 1

Maxims to Consider Ø All models are Wrong – Some are Useful! Ø In God We Trust – All Others Bring Data! Ø Fear is Bad Council! Ø The Old State Public Health Hour Glass Model l FEDs: “Follow me, but lead yourselves!” l Locals: “Give us resources and guidance, but we can handle this and lead ourselves!” 2

The 19 CIKR Sectors Agriculture and Food Banking and Finance Chemical Commercial Facilities Commercial Nuclear Dams Defense industrial Base Drinking Water / Treatment Emergency Services Energy Government Facilities Information Technology National Monuments / ICONS Postal and Shipping Public Health and Healthcare Telecommunications Transportation Systems 3

Emergency Response National Response Plan (NRP) Emergency Support Function (ESF) ESF - 6: Mass Care and Sheltering Mass Care - Sheltering & Housing - Human Services ESF - 8: Health and Medical Assessment of Health and Medical Needs Health and Medical Guidance Surveillance Medical Personnel and Patient Care Medical Supply Food and Environmental Monitoring 4

Public Health Theory: A Cause - Effect Paradigm Recognition Ø WHY ? : [ Theology - Philosophy - Mental Health - Legal ] Ideological Explanations / Opinion / Debate (Fallacies of Logic) TRUE FALSE CAUSE EFFECT VALID Ø HOW ? : INVALID [ Science ] Deductive and Inductive Reasoning / Logic / Hypothesis Testing 5

IDPH Preparedness Training Ø Illinois was the first state to conduct a Pan Flu Exercise in May of 2006 called “FLUEX” Ø NIMS Training [100, 200, 300, 400, 700 and 800 Series]: All 42 IDPH senior staff members completed this training in February 2009. They also completed CDC Meta. Leadership training in March 2009 Ø Interagency collaboration: IEMA / ING / IDHS / IDOT etc. Ø Multiple CB, FB, grantee-based, and volunteer-based organizations are a part of the plan and training goals 6

Emergency Response Guidance Focus: l l l l Establishment of Authorities [NIMS] Operational Planning [OP PLAN] Objectives Clear-cut Strategic Goals Definitive implementation strategies Unequivocal responsibility assignments Measurable performance objectives Monitoring of Agency COOP implementation 7

GIS Mapping and Population Movement Issues Ø Deploying & Returning Service Members Ø Migrant farm worker camps Ø Commercial Transportation (Air/Rail/Road) Ø Graduation ceremonies Ø Community Spring Season events Ø Faith-Based Ceremonies Ø Business Meetings (Large Scale) Ø Inaccurate Census Data 8

SNS Pharmaceutical Convoys 9

Case Counts for H 1 N 1 10

H 1 N 1 Hotline Calls 11

Rates Cases Per 100 K Population 12

th 28 April 2009 Governor Quinn’s Proclamation 13

H 1 N 1 Response Implementation Strategies Ø SNS Deployment [16 Hours] / PHEOC Ø 3 State IDPH Laboratory Locations l l Confirmatory testing (in-house) Sample surge capacity flexibility Ø CDC Community Mitigation Strategy Ø Communications l l Hotline [IDPH/PCC]/ HAN / PIO / Starcom 21 Multi-lingual/ Media/ Hospitals/ LHDs/ SEOC Ø FBO Pandemic Flu Ambassador Program 14

June 2009 Situational Report 3, 166 Cases in Illinois (6, 762 Samples Tested) in 32 Counties Ø 13 Deaths (underlying chronic medical conditions) Ø Mass Seasonal Flu Vaccination Campaign Ø Preparation for mass vaccination and surges Ø We continue to closely monitor the situation along with the CDC and our state and local partners and communicate with the Media. Ø 15

Areas Needing Improvement (Other Than Funding! ) Ø More wireless access for field laptops Ø Groove workspace template (PHEOC OPS) Ø Pre-identify and train additional staff to support PHEOC, RSS, & RDC operations Ø Laboratory staffing / supply need surges Ø Better private sector involvement Ø Maintain / update local drop site database Ø Restructure IAPs for partner integration 16

IT Initiative Ø The Death Record was implemented on a state-wide basis and was then linked to the H 1 N 1 information data base Ø HAN and INEDSS Ø LHD/Hosp/Private Provider calls 17

14 October 2009 Governor Quinn’s Proclamation 18

Current Situation Ø We remain vigilant and adaptable in the face of a vaccine production short-fall Ø Expanded scope of practice standards Ø N 95 Masks / SNS Ø Expedited approvals for PHER funds 19

Vaccine Companies Ø Sanofi Pasteur Ø Novartis Ø CSL Fluzone Fluvirin Afluria Ø GSK Ø Medimmune 20

Questions ? 21