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Copy of Preparedness for Child Care Conference

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Christopher Washington

on 10 February 2015

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Transcript of Copy of Preparedness for Child Care Conference

Comal County
Public Health

Emergency Preparedness
What is Preparedness?
The term refers to the steps you take to make sure you are safe before, during and after an emergency or natural disaster. These plans are important for your safety in both natural disasters and man-made disasters.
There are significant differences among potential terrorist threats, such as biological, chemical, explosive, nuclear and radiological.
Be Informed!
Prepare yourself-
http://www.ready.gov/
http://www.cdc.gov/
http://www.dshs.state.tx.us/
Volunteer with Public Health Emergency Preparedness
Get Involved
Part II: Point of Dispensing
Part III: Norovirus
NORO INFO
Noroviruses are a group of related viruses.
Gastroenteritis
You may hear norovirus illness called "food poisoning" or "stomach flu."
Anyone can be infected with noroviruses and get sick.
CDC estimates that each year more than 20 million cases of acute gastroenteritis are caused by noroviruses.
The Norovirus
HAND WASHING
Wash your hands carefully with soap and water—

especially after using the toilet and changing diapers, and always before eating, preparing, or handling food.

Noroviruses can be found in your vomit or stool even before you start feeling sick. The virus can stay in your stool for 2 weeks or more after you feel better. So, it is important to continue washing your hands often during this time.

Alcohol-based hand sanitizers can be used in addition to hand washing. But, they should not be used as a substitute for washing with soap and water.
Sources
Thank You For Your Attention
More Norovirus Facts
People with norovirus illness should not prepare food for others while they have symptoms and for 3 days after they recover from their illness.
After throwing up or having diarrhea, immediately clean and disinfect contaminated surfaces by using a bleach-based household cleaner as directed on the product label.
All reportable illnesses in Comal County can be found @
http://www.co.comal.tx.us/Public%20Health/Reportable_Illnesses.htm
Carefully wash fruits and vegetables, and cook oysters and other shellfish thoroughly before eating them.
Non-Pharmaceutical Interventions
Do you know what would happen in a catastrophic event?

If and when a public health catastrophic event should occur, the delivery of vaccines, medications, and antidotes to our local population is a critical life-saving measure.



*A request would be made by the Comal County Emergency Operations Center to the State.

*The Texas Governor would request the Strategic Nation Stockpile.

*The Strategic National Stockpile would be sent.

*The medication would delivered to identified Points of Dispensing (POD) sites.

*Comal County Public Health along with volunteers would distribute the medicines to Comal County citizens.
Comal County Public Health has a plan.
The decision to request the Strategic National Stockpile (SNS) is based on:



Disease surveillance & epidemiologic data

Laboratory data

Medical Examiner data

Nature of the threat/event
Assure surveillance systems to rapidly identify level of exposure

Maintain a plan for POD (dispensing/medication at strategically identified sites)

Maintain a plan to reach high-risk populations

Develop and issue Public Service Announcements
Comal County Public Health's Role
If a bioterrorist attack or widespread disease outbreak ever occurs, Comal County Public Health
will open temporary emergency “Points of Dispensing” (PODs) to provide emergency medication
to protect against the threat.

Medication will be free. No one will be billed or asked for insurance.

Personal identification will NOT be required.

They will not give out medicine for other conditions.

People will be told to go to a hospital if they are sick – not to a POD.

Families will stay together as they go through the POD.

What is a
P
oint
O
f
D
ispensing
Volunteer by completing the application form
provided at this presentation
Be available for training, drills and incidents
Recruit others you know who might
want to be a volunteer too
Would you be willing to help Comal County Public Health and your community?
How do I volunteer?
Stay Informed
Television
Radio
Email/Fax
Web sites
Newspaper
Telephone/Automated calls
One possible emergency: Pandemic
What is the danger?
How do we respond?
How do you fit in?
What is a pandemic?
An epidemic that becomes very widespread and affects a region, a continent, or the world
Keep three feet between
yourself and others

Avoid face to face meetings -
use email, cell phones, video

Avoid using shared equipment
such as phones, keyboards, etc

Don't congregate in places
where people socialize - break
rooms, copier area

Avoid crowds!



Allergies to Medicines
Know how much your children weigh (dosages for children are
calculated according to their weight).
Dress appropriately for the weather and for standing.
POD?
Things to Know
Each year, norovirus—

causes about 21 million cases of acute gastroenteritis (inflammation of the stomach or intestines or both)

contributes to about 70,000 hospitalizations and 800 deaths, mostly among young children and the elderly
Changes to the Texas Administrative Code
* Notifiable Conditions Changes

New Conditions include : amebic meningitis and encephalitis, anaplasmosis, chagas' disease and more...

www.dshs.state.tx.us/idcu/investigation/conditions/
More Changes to the Code
100 degree fever! Stay home!!!
No exclusion for head lice!!!!!
Children with Diarrheal illnesses.... STAY HOME
Chickenpox....... STAY HOME
Each for 24 hrs after symptoms
Even More Changes!
Children w/conjunctivitis shouldn't return until physician permission or until symptom free
Mumps- excluded from school until 5 days after the onset of swelling
No exclusion for ringworm if area can be covered by clothing or bandage
Part II: West Nile Virus
Serious Symptoms

in a Few People. About one in 150 people infected with WNV will develop severe illness. The severe symptoms can include high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. These symptoms may last several weeks, and neurological effects may be permanent.

Milder Symptoms

in Some People. Up to 20 percent of the people who become infected have symptoms such as fever, headache, and body aches, nausea, vomiting, and sometimes swollen lymph glands or a skin rash on the chest, stomach and back. Symptoms can last for as short as a few days, though even healthy people have become sick for several weeks.

No Symptoms
in Most People. Approximately 80 percent of people (about 4 out of 5) who are infected with WNV will not show any symptoms at all.
Symptoms of West Nile
Infected Mosquitoes.

Most often, WNV is spread by the bite of an infected mosquito. Mosquitoes become infected when they feed on infected birds. Infected mosquitoes can then spread WNV to humans and other animals when they bite.

Transfusions, Transplants, and Mother-to-Child.

In a very small number of cases, WNV also has been spread through blood transfusions, organ transplants, breastfeeding and even during pregnancy from mother to baby.

Not through touching.
WNV is not spread through casual contact such as touching or kissing a person with the virus.
How does it Spread
WNV Prevention
Risks
People over 50
at higher risk to get severe illness. People over the age of 50 are more likely to develop serious symptoms of WNV if they do get sick and should take special care to avoid mosquito bites.

Being outside
means you're at risk. The more time you're outdoors, the more time you could be bitten by an infected mosquito. Pay attention to avoiding mosquito bites if you spend a lot of time outside, either working or playing.

Risk through medical procedures is very low.
All donated blood is checked for WNV before being used. The risk of getting WNV through blood transfusions and organ transplants is very small, and should not prevent people who need surgery from having it. If you have concerns, talk to your doctor.
What about the "High Risk" population?
The older, infirm, or handicapped
will need help to access a POD
or...
someone to bring them the medication
or treatment.
Does someone know who and where they are?
Who is responsible? The family? The Church?
Should there be a plan in place to help those who are at risk in this way?
Stores your immunization records:
No cost to you
Secure and confidential
Available to health care
providers you authorize
For more information go to immtracforeveryone.com
Develop a Family Communication Plan
* Consider a plan where each family member calls, or emails the same friend or relative in the event of an emergency
Have A Plan
Create a Plan to Shelter-in-Place
*If the air is badly contaminated, you may want to shelter-in-place and seal the room
Create a Plan to Get Away
* Choose several destinations in different directions
*Become familiar with alternate routes and means of transportation
* Take your kit!
If you have to evacuate take:
Prescriptions
Important documents
Pictures, stored data
Other?
1. Make A Kit
2. Have A Plan
3. Be informed
4. Get involved
Steps to Become Prepared
West Nile virus (WNV) is a potentially serious illness.
Experts believe WNV is established as a seasonal epidemic in
North America that flares up in the summer and continues into the fall.
Of Emergency Supplies
MAKE A KIT
Be prepared to improvise and use what you have on hand to make it on your own for at least 3 days.
Water
Food & Snacks
First Aid Kit
Radio
Flashlight
Copies of ?
Dust Mask/T Shirt
Can Opener
Garbage Bags
Duct Tape
Full Tank
Cash
Full transcript