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Responding to Pandemic Influenza

Identifieur interne : 000226 ( Pmc/Corpus ); précédent : 000225; suivant : 000227

Responding to Pandemic Influenza

Auteurs : Laurie A. Doxtator ; Charles E. Gardner ; Jennifer M. Medves

Source :

RBID : PMC:6976000

Abstract

Objective

To assess, via a tabletop exercise, the ability of a rural health unit to manage an influenza pandemic.

Participants

The exercise brought together community stakeholders including representation from public health, hospitals, long-term care, social services, first responders, morticians, local government and the media.

Setting

Leeds, Grenville and Lanark, a rural region of Ontario. p ]Intervention: In June 2002, exercise participants were presented with a scenario involving the local response to pandemic influenza. Facilitators prepared a framework for the mock emergency in advance. However, the scenario was guided by decisions made by participants and the probable consequences of those decisions. Following the exercise, a debriefing session identified recommendations to be included in future plan development.

Outcomes

The exercise identified critical issues, including communication, emergency decision-making, vaccination priorization, local surge capacity, and disease containment. Both participants and observers deemed the exercise successful.

Conclusion

Improvements in the local contingency plan for pandemic influenza were identified. The exercise was an opportunity to familiarize participants with the contingency plan, practice working collectively and identify areas for further planning. The principles and lessons generated from the exercise can be used to guide the response to other large-scale infectious disease outbreaks.


Url:
DOI: 10.1007/BF03403630
PubMed: 14768738
PubMed Central: 6976000

Links to Exploration step

PMC:6976000

Le document en format XML

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<title>Objective</title>
<p>To assess, via a tabletop exercise, the ability of a rural health unit to manage an influenza pandemic.</p>
</sec>
<sec>
<title>Participants</title>
<p>The exercise brought together community stakeholders including representation from public health, hospitals, long-term care, social services, first responders, morticians, local government and the media.</p>
</sec>
<sec>
<title>Setting</title>
<p>Leeds, Grenville and Lanark, a rural region of Ontario. p ]
<bold>Intervention:</bold>
In June 2002, exercise participants were presented with a scenario involving the local response to pandemic influenza. Facilitators prepared a framework for the mock emergency in advance. However, the scenario was guided by decisions made by participants and the probable consequences of those decisions. Following the exercise, a debriefing session identified recommendations to be included in future plan development.</p>
</sec>
<sec>
<title>Outcomes</title>
<p>The exercise identified critical issues, including communication, emergency decision-making, vaccination priorization, local surge capacity, and disease containment. Both participants and observers deemed the exercise successful.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Improvements in the local contingency plan for pandemic influenza were identified. The exercise was an opportunity to familiarize participants with the contingency plan, practice working collectively and identify areas for further planning. The principles and lessons generated from the exercise can be used to guide the response to other large-scale infectious disease outbreaks.</p>
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<subtitle>A Local Perspective</subtitle>
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<name>
<surname>Doxtator</surname>
<given-names>Laurie A.</given-names>
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<degrees>RN, BNSc, MSc</degrees>
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<phone>613-634-6898</phone>
<email>loreilly@cogeco.ca</email>
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<xref ref-type="aff" rid="Aff17">17</xref>
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<given-names>Charles E.</given-names>
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<degrees>MD, CCFP, MHSc, FRCPC</degrees>
<xref ref-type="aff" rid="Aff17">17</xref>
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<name>
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<given-names>Jennifer M.</given-names>
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<institution-id institution-id-type="GRID">grid.477585.c</institution-id>
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Brockville, ON Canada</aff>
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<history>
<date date-type="received">
<day>20</day>
<month>3</month>
<year>2003</year>
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<year>2003</year>
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<copyright-statement>© The Canadian Public Health Association 2004</copyright-statement>
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<license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
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<abstract id="Abs1">
<sec>
<title>Objective</title>
<p>To assess, via a tabletop exercise, the ability of a rural health unit to manage an influenza pandemic.</p>
</sec>
<sec>
<title>Participants</title>
<p>The exercise brought together community stakeholders including representation from public health, hospitals, long-term care, social services, first responders, morticians, local government and the media.</p>
</sec>
<sec>
<title>Setting</title>
<p>Leeds, Grenville and Lanark, a rural region of Ontario. p ]
<bold>Intervention:</bold>
In June 2002, exercise participants were presented with a scenario involving the local response to pandemic influenza. Facilitators prepared a framework for the mock emergency in advance. However, the scenario was guided by decisions made by participants and the probable consequences of those decisions. Following the exercise, a debriefing session identified recommendations to be included in future plan development.</p>
</sec>
<sec>
<title>Outcomes</title>
<p>The exercise identified critical issues, including communication, emergency decision-making, vaccination priorization, local surge capacity, and disease containment. Both participants and observers deemed the exercise successful.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Improvements in the local contingency plan for pandemic influenza were identified. The exercise was an opportunity to familiarize participants with the contingency plan, practice working collectively and identify areas for further planning. The principles and lessons generated from the exercise can be used to guide the response to other large-scale infectious disease outbreaks.</p>
</sec>
</abstract>
<trans-abstract xml:lang="fr" id="Abs2">
<title>Résumé</title>
<sec>
<title>Objectif</title>
<p>Évaluer, en table ronde, la capacité d’un bureau de santé rural de gérer une pandémie d’influenza.</p>
</sec>
<sec>
<title>Participants</title>
<p>L’exercice a rassemblé des intervenants communautaires, notamment des représentants de la santé publique, des hôpitaux, des établissements de soins de longue durée, des services sociaux, ainsi que des secouristes opérationnels, des entrepreneurs de pompes funèbres, des fonctionnaires locaux et des journalistes.</p>
</sec>
<sec>
<title>Lieu</title>
<p>Le comté de Leeds, Grenville et Lanark, une région rurale de l’Ontario. p ]
<bold>Intervention:</bold>
En juin 2002, les participants à l’exercice ont mis en scène leur intervention locale probable à la suite d’une éclosion de grippe pandémique. Les animateurs avaient préparé un cadre à l’avance pour cette fausse urgence. Le scénario a toutefois été orienté par les décisions des participants et les conséquences probables de ces décisions. Après l’exercice, une séance-bilan a donné lieu à des recommandations à inclure dans l’élaboration d’un futur plan.</p>
</sec>
<sec>
<title>Résultats</title>
<p>L’exercice a permis de cerner des questions névralgiques liées à la communication, au processus décisionnel d’urgence, à l’établissement des priorités en matière de vaccination, à la capacité tampon dans la localité et au confinement de la maladie. Tant les participants que les observateurs ont jugé l’exercice fructueux.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>On a suggéré des améliorations à apporter au plan d’urgence local en cas de grippe pandémique. L’exercice a permis aux participants de se familiariser avec le plan d’urgence, de s’exercer à travailler de concert et de cerner les domaines exigeant une planification plus poussée. Les leçons et les principes que l’on a tirés pourront orienter les interventions en cas d’éclosion à grande échelle d’autres maladies infectieuses.</p>
</sec>
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<custom-meta-group>
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<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Canadian Public Health Association 2004</meta-value>
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</front>
<back>
<fn-group>
<fn>
<p>The ‘Contingency Plan for Pandemic Influenza’ and the full report from the tabletop exercise are available at www.healthunit.org/reportpub/pandemic/pandemic.htm.</p>
</fn>
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