The planning, execution, and evaluation of a mass prophylaxis full-scale exercise in cook county, IL.
Identifieur interne : 000D29 ( Ncbi/Merge ); précédent : 000D28; suivant : 000D30The planning, execution, and evaluation of a mass prophylaxis full-scale exercise in cook county, IL.
Auteurs : Andy Kilianski [États-Unis] ; Amy T. O'Rourke ; Crystal L. Carlson ; Shannon M. Parikh ; Frankie Shipman-AmuwoSource :
- Biosecurity and bioterrorism : biodefense strategy, practice, and science [ 1557-850X ]
Descripteurs français
- KwdFr :
- Administration locale, Bioterrorisme, Formation en interne (normes), Formation en interne (organisation et administration), Grippe humaine (), Humains, Illinois, Intervenants d'urgence (enseignement et éducation), Planification des mesures d'urgence en cas de catastrophe, Sous-type H7N9 du virus de la grippe A (), Vaccination de masse (organisation et administration), Évaluation de programme.
- MESH :
- enseignement et éducation : Intervenants d'urgence.
- normes : Formation en interne.
- organisation et administration : Formation en interne, Vaccination de masse.
- Administration locale, Bioterrorisme, Grippe humaine, Humains, Illinois, Planification des mesures d'urgence en cas de catastrophe, Sous-type H7N9 du virus de la grippe A, Évaluation de programme.
English descriptors
- KwdEn :
- Bioterrorism, Disaster Planning, Emergency Responders (education), Humans, Illinois, Influenza A Virus, H7N9 Subtype (drug effects), Influenza, Human (prevention & control), Inservice Training (organization & administration), Inservice Training (standards), Local Government, Mass Vaccination (organization & administration), Program Evaluation.
- MESH :
- geographic : Illinois.
- drug effects : Influenza A Virus, H7N9 Subtype.
- education : Emergency Responders.
- organization & administration : Inservice Training, Mass Vaccination.
- prevention & control : Influenza, Human.
- standards : Inservice Training.
- Bioterrorism, Disaster Planning, Humans, Local Government, Program Evaluation.
Abstract
Increasing threats of bioterrorism and the emergence of novel disease agents, including the recent international outbreaks of H7N9 influenza and MERS-CoV, have stressed the importance and highlighted the need for public health preparedness at local, regional, and national levels. To test plans that were developed for mass prophylaxis scenarios, in April 2013 the Cook Country Department of Public Health (CCDPH) and the Triple Community (TripCom) Medical Reserve Corps (MRC) executed a full-scale mass prophylaxis exercise in response to a simulated anthrax bioterrorism attack. The exercise took place over 2 days and included the TripCom Point-of-Dispensing (POD) Management Team, volunteers from the TripCom MRC, and neighboring public health departments and MRCs. Individuals from the community volunteered as actors during the exercise, while local municipal, police, and fire personnel coordinated their responses to create the most realistic simulation possible. The exercise was designed to test the capacity of TripCom and CCDPH to implement plans for organizing municipal staff and volunteers to efficiently distribute prophylaxis to the community. Based on results from POD clinic flow, accuracy of prophylaxis distribution, and observations from evaluators, the exercise was successful in demonstrating areas that were operationally efficient as well as identifying areas that can be improved on. These include improvements to the just-in-time training for POD staff, the health screening and consent forms handed out to patients, the physical setup of the POD, and the command structure and communication for the management of POD operations. This article demonstrates the need for full-scale exercises and identifies gaps in POD planning that can be integrated into future plans, exercises, and emergency response.
DOI: 10.1089/bsp.2013.0089
PubMed: 24697783
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Parikh, JD, MPH, is Manager of Regulatory and Safety Compliance, Department of Accreditation and Regulatory Compliance, Sinai Health System, Chicago, Illinois.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Andy Kilianski, PhD, is National Research Council Fellow, BioSciences Division, Edgewood Chemical and Biological Center , Aberdeen Proving Ground, Edgewood, Maryland. Amy T. O'Rourke, MPH, MEP, is Emergency Response Coordinator; Crystal L. Carlson, MPH, MEP, is Emergency Response Coordinator and Interim MRC Coordinator; and Frankie Shipman-Amuwo, MPH, is Interim Director; all in the Emergency Preparedness and Response Unit, Cook County Department of Public Health, Oak Forest, Illinois. Shannon M. 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Amy T. O'Rourke, MPH, MEP, is Emergency Response Coordinator; Crystal L. Carlson, MPH, MEP, is Emergency Response Coordinator and Interim MRC Coordinator; and Frankie Shipman-Amuwo, MPH, is Interim Director; all in the Emergency Preparedness and Response Unit, Cook County Department of Public Health, Oak Forest, Illinois. Shannon M. Parikh, JD, MPH, is Manager of Regulatory and Safety Compliance, Department of Accreditation and Regulatory Compliance, Sinai Health System, Chicago, Illinois.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Andy Kilianski, PhD, is National Research Council Fellow, BioSciences Division, Edgewood Chemical and Biological Center , Aberdeen Proving Ground, Edgewood, Maryland. Amy T. O'Rourke, MPH, MEP, is Emergency Response Coordinator; Crystal L. Carlson, MPH, MEP, is Emergency Response Coordinator and Interim MRC Coordinator; and Frankie Shipman-Amuwo, MPH, is Interim Director; all in the Emergency Preparedness and Response Unit, Cook County Department of Public Health, Oak Forest, Illinois. Shannon M. Parikh, JD, MPH, is Manager of Regulatory and Safety Compliance, Department of Accreditation and Regulatory Compliance, Sinai Health System, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="O Rourke, Amy T" sort="O Rourke, Amy T" uniqKey="O Rourke A" first="Amy T" last="O'Rourke">Amy T. O'Rourke</name></author><author><name sortKey="Carlson, Crystal L" sort="Carlson, Crystal L" uniqKey="Carlson C" first="Crystal L" last="Carlson">Crystal L. Carlson</name></author><author><name sortKey="Parikh, Shannon M" sort="Parikh, Shannon M" uniqKey="Parikh S" first="Shannon M" last="Parikh">Shannon M. Parikh</name></author><author><name sortKey="Shipman Amuwo, Frankie" sort="Shipman Amuwo, Frankie" uniqKey="Shipman Amuwo F" first="Frankie" last="Shipman-Amuwo">Frankie Shipman-Amuwo</name></author></analytic><series><title level="j">Biosecurity and bioterrorism : biodefense strategy, practice, and science</title><idno type="eISSN">1557-850X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bioterrorism</term><term>Disaster Planning</term><term>Emergency Responders (education)</term><term>Humans</term><term>Illinois</term><term>Influenza A Virus, H7N9 Subtype (drug effects)</term><term>Influenza, Human (prevention & control)</term><term>Inservice Training (organization & administration)</term><term>Inservice Training (standards)</term><term>Local Government</term><term>Mass Vaccination (organization & administration)</term><term>Program Evaluation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Administration locale</term><term>Bioterrorisme</term><term>Formation en interne (normes)</term><term>Formation en interne (organisation et administration)</term><term>Grippe humaine ()</term><term>Humains</term><term>Illinois</term><term>Intervenants d'urgence (enseignement et éducation)</term><term>Planification des mesures d'urgence en cas de catastrophe</term><term>Sous-type H7N9 du virus de la grippe A ()</term><term>Vaccination de masse (organisation et administration)</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Illinois</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Influenza A Virus, H7N9 Subtype</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Emergency Responders</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Intervenants d'urgence</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Formation en interne</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Formation en interne</term><term>Vaccination de masse</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Inservice Training</term><term>Mass Vaccination</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Inservice Training</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bioterrorism</term><term>Disaster Planning</term><term>Humans</term><term>Local Government</term><term>Program Evaluation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Administration locale</term><term>Bioterrorisme</term><term>Grippe humaine</term><term>Humains</term><term>Illinois</term><term>Planification des mesures d'urgence en cas de catastrophe</term><term>Sous-type H7N9 du virus de la grippe A</term><term>Évaluation de programme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Increasing threats of bioterrorism and the emergence of novel disease agents, including the recent international outbreaks of H7N9 influenza and MERS-CoV, have stressed the importance and highlighted the need for public health preparedness at local, regional, and national levels. To test plans that were developed for mass prophylaxis scenarios, in April 2013 the Cook Country Department of Public Health (CCDPH) and the Triple Community (TripCom) Medical Reserve Corps (MRC) executed a full-scale mass prophylaxis exercise in response to a simulated anthrax bioterrorism attack. The exercise took place over 2 days and included the TripCom Point-of-Dispensing (POD) Management Team, volunteers from the TripCom MRC, and neighboring public health departments and MRCs. Individuals from the community volunteered as actors during the exercise, while local municipal, police, and fire personnel coordinated their responses to create the most realistic simulation possible. The exercise was designed to test the capacity of TripCom and CCDPH to implement plans for organizing municipal staff and volunteers to efficiently distribute prophylaxis to the community. Based on results from POD clinic flow, accuracy of prophylaxis distribution, and observations from evaluators, the exercise was successful in demonstrating areas that were operationally efficient as well as identifying areas that can be improved on. These include improvements to the just-in-time training for POD staff, the health screening and consent forms handed out to patients, the physical setup of the POD, and the command structure and communication for the management of POD operations. This article demonstrates the need for full-scale exercises and identifies gaps in POD planning that can be integrated into future plans, exercises, and emergency response. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24697783</PMID><DateCompleted><Year>2014</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2014</Year><Month>04</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-850X</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>2</Issue><PubDate><MedlineDate>2014 Mar-Apr</MedlineDate></PubDate></JournalIssue><Title>Biosecurity and bioterrorism : biodefense strategy, practice, and science</Title><ISOAbbreviation>Biosecur Bioterror</ISOAbbreviation></Journal><ArticleTitle>The planning, execution, and evaluation of a mass prophylaxis full-scale exercise in cook county, IL.</ArticleTitle><Pagination><MedlinePgn>106-16</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/bsp.2013.0089</ELocationID><Abstract><AbstractText>Increasing threats of bioterrorism and the emergence of novel disease agents, including the recent international outbreaks of H7N9 influenza and MERS-CoV, have stressed the importance and highlighted the need for public health preparedness at local, regional, and national levels. To test plans that were developed for mass prophylaxis scenarios, in April 2013 the Cook Country Department of Public Health (CCDPH) and the Triple Community (TripCom) Medical Reserve Corps (MRC) executed a full-scale mass prophylaxis exercise in response to a simulated anthrax bioterrorism attack. The exercise took place over 2 days and included the TripCom Point-of-Dispensing (POD) Management Team, volunteers from the TripCom MRC, and neighboring public health departments and MRCs. Individuals from the community volunteered as actors during the exercise, while local municipal, police, and fire personnel coordinated their responses to create the most realistic simulation possible. The exercise was designed to test the capacity of TripCom and CCDPH to implement plans for organizing municipal staff and volunteers to efficiently distribute prophylaxis to the community. Based on results from POD clinic flow, accuracy of prophylaxis distribution, and observations from evaluators, the exercise was successful in demonstrating areas that were operationally efficient as well as identifying areas that can be improved on. These include improvements to the just-in-time training for POD staff, the health screening and consent forms handed out to patients, the physical setup of the POD, and the command structure and communication for the management of POD operations. This article demonstrates the need for full-scale exercises and identifies gaps in POD planning that can be integrated into future plans, exercises, and emergency response. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kilianski</LastName><ForeName>Andy</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Andy Kilianski, PhD, is National Research Council Fellow, BioSciences Division, Edgewood Chemical and Biological Center , Aberdeen Proving Ground, Edgewood, Maryland. Amy T. O'Rourke, MPH, MEP, is Emergency Response Coordinator; Crystal L. Carlson, MPH, MEP, is Emergency Response Coordinator and Interim MRC Coordinator; and Frankie Shipman-Amuwo, MPH, is Interim Director; all in the Emergency Preparedness and Response Unit, Cook County Department of Public Health, Oak Forest, Illinois. Shannon M. Parikh, JD, MPH, is Manager of Regulatory and Safety Compliance, Department of Accreditation and Regulatory Compliance, Sinai Health System, Chicago, Illinois.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Rourke</LastName><ForeName>Amy T</ForeName><Initials>AT</Initials></Author><Author ValidYN="Y"><LastName>Carlson</LastName><ForeName>Crystal L</ForeName><Initials>CL</Initials></Author><Author ValidYN="Y"><LastName>Parikh</LastName><ForeName>Shannon M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Shipman-Amuwo</LastName><ForeName>Frankie</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>04</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Biosecur Bioterror</MedlineTA><NlmUniqueID>101156085</NlmUniqueID><ISSNLinking>1538-7135</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D023482" MajorTopicYN="N">Bioterrorism</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004189" MajorTopicYN="Y">Disaster Planning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060731" MajorTopicYN="N">Emergency Responders</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007087" MajorTopicYN="N" Type="Geographic">Illinois</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064766" MajorTopicYN="Y">Influenza A Virus, H7N9 Subtype</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="N">drug effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007318" MajorTopicYN="N">Inservice Training</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009111" MajorTopicYN="N">Local Government</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032541" MajorTopicYN="N">Mass Vaccination</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015397" MajorTopicYN="Y">Program Evaluation</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24697783</ArticleId><ArticleId IdType="doi">10.1089/bsp.2013.0089</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><noCountry><name sortKey="Carlson, Crystal L" sort="Carlson, Crystal L" uniqKey="Carlson C" first="Crystal L" last="Carlson">Crystal L. Carlson</name><name sortKey="O Rourke, Amy T" sort="O Rourke, Amy T" uniqKey="O Rourke A" first="Amy T" last="O'Rourke">Amy T. O'Rourke</name><name sortKey="Parikh, Shannon M" sort="Parikh, Shannon M" uniqKey="Parikh S" first="Shannon M" last="Parikh">Shannon M. Parikh</name><name sortKey="Shipman Amuwo, Frankie" sort="Shipman Amuwo, Frankie" uniqKey="Shipman Amuwo F" first="Frankie" last="Shipman-Amuwo">Frankie Shipman-Amuwo</name></noCountry><country name="États-Unis"><region name="Illinois"><name sortKey="Kilianski, Andy" sort="Kilianski, Andy" uniqKey="Kilianski A" first="Andy" last="Kilianski">Andy Kilianski</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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