Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009.
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Transcript of Insert local logo here. The Cambridge APC Introduction APC Road Show Columbus, OH August 2009.
Insert local logo here
The Cambridge APC Introduction
APC Road ShowColumbus, OHAugust 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
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• Product Recall tool
• MAVEN Exercise
• Epidemiology Just in Time Training
• Health Data Reports Tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Evaluation Training
Cambridge Session Focus
• Medical Countermeasure Administration (aka., PODs)– Action Planning– Communication Tools – Trainings
• Personal Preparedness Training Materials
• Product Recall
Practical Tools forMedical Countermeasure
Administration&
Communication
APC Road ShowColumbus, OHAugust 2009
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
Introductions
•How prepared is your general population?
•Who are your vulnerable populations?
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
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
Personal Preparedness
Future Products
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
“Vulnerability”
• Physical disability
• Cognitive disability
• Language barrier (e.g., English, literacy)
• Elderly or children
• Conditional impairments– Mental noise
– Environmental barriers
– Trust
– Knowledge barriers
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
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
Mass Communication: Signage
• Outlines Service & Process information
• Identifies station purpose
• Improves efficiency
• Decreases anxiety• Expands usability• Increases access to service
Pediatric Vaccination Station?
Behavioral Health?
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
Introductions
MCM Administration(POD Planning, Accessibility, and
Training)
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
Accessible Personal Preparedness
Introductions
MCM Administration(POD Planning, Signs, and Training)
Personal Preparedness
Future Products
Accessible Personal Preparedness
Accessible Personal Preparedness
Accessible Personal Preparedness
Introductions
MCM Administration(POD Planning, Signs, and Training)
Personal Preparedness
Future Products
Cambridge APC Tools in development• Product Recall tool
• MAVEN Exercise
• Epidemiology Just in Time Training
• Health Data Reports Tool
• Alternate Care Site Signs
• Decontamination Unit Signs
• Evaluation Training
Communicating Recalls Differently
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
Contact Information
Kerry [email protected]