Pandemic Flu Health Information and Work Flow Project - Sunil Nair Health Informatics Dalhousie...
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Transcript of Pandemic Flu Health Information and Work Flow Project - Sunil Nair Health Informatics Dalhousie...
March 20, 2008March 20, 2008
NOVA SCOTIA HEALTH SYSTEMNOVA SCOTIA HEALTH SYSTEM
PANDEMIC INFLUENZA PLANPANDEMIC INFLUENZA PLAN
Health Information FlowHealth Information FlowByBy
Sunil NairSunil NairAbel Medhanie Geb Abel Medhanie Geb
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AgendaAgenda
Pandemic InfluenzaPandemic Influenza
Avian Flu – Threat? Avian Flu – Threat?
NS Pandemic Influenza PlanNS Pandemic Influenza Plan
Key PlayersKey Players
Flow of InformationFlow of Information
Problems / SolutionsProblems / Solutions
??
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AcknowledgementsAcknowledgements
Ms. Susan Baikie, RN/BN Ms. Susan Baikie, RN/BN Public Health Informatician, NS Health Public Health Informatician, NS Health
Promotion and Protection Promotion and Protection
Ms. Gertrude Oliver, RN Ms. Gertrude Oliver, RN Communicable Disease Nurse ConsultantCommunicable Disease Nurse Consultant
Ms. Dee Mombourquette, RNMs. Dee Mombourquette, RN Communicable Disease Prevention and Communicable Disease Prevention and
Control CoordinatorControl Coordinator
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Influenza FactsInfluenza Facts3 types 3 types Type AType A (Avian, Bovine, Humans, Animals), (Avian, Bovine, Humans, Animals), Type BType B (Humans), (Humans), Type C (Humans and Animals)Type C (Humans and Animals)
Symptoms- Fever, cough, sore throat, headache and lethargySymptoms- Fever, cough, sore throat, headache and lethargy
Mode of Transmission – Mode of Transmission – Droplets, Droplets, Touching contaminated surfacesTouching contaminated surfaces
Annual Hospitalizations – 20,000 Canadians; ~4000 die of complications Annual Hospitalizations – 20,000 Canadians; ~4000 die of complications
Epidemic – Prevalence of disease within a communityEpidemic – Prevalence of disease within a community
PandemicPandemic – Outbreak, rapid transmission, affects large population – Outbreak, rapid transmission, affects large population
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Avian Flu – Threat?Avian Flu – Threat?
Bird-Human transmissionBird-Human transmission
Consequence of mass outbreak – disasterConsequence of mass outbreak – disaster
Experts predict up to 50 million deathsExperts predict up to 50 million deaths
No definitive vaccineNo definitive vaccine
However, mortality rate could decline as However, mortality rate could decline as the virus mutates.the virus mutates.
Can we eat chicken?Can we eat chicken?
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Flu pandemics then and nowFlu pandemics then and now
>50 millionEstimated Death>20 million
AntiViralTreatmentsBed Rest, Aspirin
VaccinesPreventive measuresGauze Masks, Disinfectants
4 DaysTime for Transmission4 months
JetsTransportationShips & Trains
>6.5 billionWorld Population1.8 billion
2006/2007Year1918
NOWTHEN
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Avian Flu JourneyAvian Flu Journey
1997-first human victim in Hong Kong1997-first human victim in Hong KongAcross Country transmission Across Country transmission 348 confirmed Human cases of H5N1; 218 deaths (WHO 348 confirmed Human cases of H5N1; 218 deaths (WHO January 2008)January 2008)
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Pandemic Flu hypothetical scenarioPandemic Flu hypothetical scenarioSTAGE 1STAGE 1 Emergence of Emergence of
VirusVirus Drift & ShiftDrift & Shift No immunityNo immunity
STAGE 2STAGE 2 Replication of Replication of
mutated stainmutated stain
STAGE 3STAGE 3 Sustained Sustained
virus virus transmission transmission H HH H
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Pandemic PredictionsPandemic Predictions
Strike without WarningStrike without Warning
Severity will depend onSeverity will depend on Emerging StrainEmerging Strain Extend & Ease of spreadExtend & Ease of spread Number & Groups of people affected/exposedNumber & Groups of people affected/exposed
Estimated that up toEstimated that up to 35% Nova Scotia population could be ill35% Nova Scotia population could be ill 165,000 individuals may need hospitalization165,000 individuals may need hospitalization 1300 deaths1300 deaths
Estimated Costs (National)Estimated Costs (National) Up to $1.4 billion in Healthcare expendituresUp to $1.4 billion in Healthcare expenditures Up to $28 billion in Economic lossUp to $28 billion in Economic loss
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NS Pandemic Influenza PlanNS Pandemic Influenza Plan
CommunicationsCommunications
SurveillanceSurveillance
Public health Public health measuresmeasures
VaccinesVaccines
Anti-viralAnti-viral
Health servicesHealth services
NSPIPNSPIP
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Key PlayersKey Players
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InteroperabilityInteroperability
Between:Between: Information (sharing)Information (sharing)
Different SystemsDifferent Systems
Programs & activitiesPrograms & activities
Managements & Managements & ProcessesProcesses
““Sharing the right information with the right people at the right time”Sharing the right information with the right people at the right time”
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CommunicationCommunication
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Surveillance - Surveillance - FluFluWatchWatch
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Pandemic Management teamPandemic Management team
Nova Scotia Communicable Disease Manual
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Emergency Management PlanEmergency Management Plan
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School ResponseSchool Response
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Pandemic Model Of CarePandemic Model Of Care
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Problems / SolutionsProblems / Solutions
Plan not tested and Drilled Plan not tested and Drilled Pandemic Simulation & Response Drill;Pandemic Simulation & Response Drill;
Collaboration with other Govt. Depts. like Agriculture, Airports etc; Collaboration with other Govt. Depts. like Agriculture, Airports etc;
Need for structured data collection, collation & analysisNeed for structured data collection, collation & analysis Business IntelligenceBusiness Intelligence
Unclear Roles & ResponsibilitiesUnclear Roles & Responsibilities Clear Communication to decision makers;Clear Communication to decision makers;
Ethical Issues Ethical Issues Clearly understand rationing of careClearly understand rationing of care Prioritization of access to vaccines/drugs Prioritization of access to vaccines/drugs
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The role of Health Informatics The role of Health Informatics Professional is Significant.Professional is Significant.
ConnectConnect Integration of SystemsIntegration of Systems
Share- High value DataShare- High value Data Data Data KnowledgeKnowledge PolicyPolicy
Data AnalysisData Analysis SurveillanceSurveillance
InnovationInnovation New ServicesNew Services
Healthcare Project Healthcare Project ManagementManagement
IT Systems realizationIT Systems realization
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Important LinksImportant Links
http://http://www.gov.ns.ca/govt/pandemic/pandemic_plan.aspwww.gov.ns.ca/govt/pandemic/pandemic_plan.asp http://http://www.gov.ns.ca/govt/pandemic/canada.aspwww.gov.ns.ca/govt/pandemic/canada.asp http://http://www.chica.orgwww.chica.org// http://www.phac-aspc.gc.ca/fluwatch/index-eng.phphttp://www.phac-aspc.gc.ca/fluwatch/index-eng.php http://http://www.safecanada.ca/link_e.asp?categorywww.safecanada.ca/link_e.asp?category=10&topic=193=10&topic=193 http://www.phac-aspc.gc.ca/influenza/pandemic_e.htmlhttp://www.phac-aspc.gc.ca/influenza/pandemic_e.htmlhttp://www.phac-aspc.gc.ca/cpip-pclcpi/index-eng.phphttp://www.phac-aspc.gc.ca/cpip-pclcpi/index-eng.php
Thank you!Thank you!