At Residential Associations And Home Owners Associations As
Points of Dispensing Palm Beach County Health Department Office of
Emergency Preparedness Mass Antibiotics Dispensing Slide 2 The
Unthinkable Has Already Happened in the United States. Slide 3 Do
You Spend Any Time Thinking About Them? Slide 4 Or Them? Slide 5
Could This Happen, Again? Slide 6 Extraordinary magnitude of harm
Ecological disruption Disproportionate impact on vulnerable
communities Demand for response that exceed communitys ability to
cope Necessity for outside assistance Characteristics of Disasters
Slide 7 What If Anthrax Was Dusted on Boca Center or The Gardens
Mall? Slide 8 PB County Health Department Plan In the Anthrax
episode of October 2001, Palm Beach County requested assistance
from the CDCs Strategic National Stockpile Antibiotics (Cipro) were
provided from CDCs Strategic National Stockpile and Vendor Managed
Inventory Slide 9 National Impact of Fall 2001 Anthrax Mailings
Cases of Anthrax 23 people were infected (Inhalation + Cutaneous) 5
individuals died Antibiotic Prophylaxis Approximately 32,000 people
received antibiotics Hoaxes/False Alarms Approximately 7,000 per
month (nationwide) Slide 10 In A Biological Emergency the Strategic
National Stockpile Will Be Activated The Strategic National
Stockpile (SNS) is: Prepackaged medical materials Pre-positioned by
CDC To augment state/local medical needs Responds to a wide range
of expected problems associated with a chemical and/or biological
incident/event. Slide 11 Components of Strategic National Stockpile
- 12 hour push package (Phase I ) Contains large quantities of
antibiotics, antidotes, medical supplies, and equipment to
immediately treat or provide antibiotics or preventative medication
to thousands of affected or symptomatic individuals Slide 12 Other
Components - Managed Inventory (MI) Large quantities of specific
items to combat one or more specific threats. The MI provides
shipments of large and continuous quantities once the threat is
known. MI shipments will arrive in the state within 24- 36 hours of
an approved request. Slide 13 Slide 14 August 2005: CDC Designates
PB County As A CRI County As a Cities Readiness Initiative (CRI)
Area we must provide preventative medication to our entire
population of about 1.3 million people, in 48 hours. We will need
45 Points of Dispensing (PODs) with 5,400 volunteers. Each POD will
have to dispense meds at the rate of 625 people per hour. Slide 15
7 Days 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days Immed. 10 Days
84%78%71%62%54%45%36%28% 7 Days 95%91%85%78%69%59%49%39% 6 Days
97%94%89%83%75%65%54%43% 5 Days 98%96%92%87%80%71%60%49% 4 Days
99%98%95%91%85%76%66%54% 3 Days 100%99%97%94%89%81%72%60% 2 Days
100%99%98%9692%86%77%66% 1 Day 100% 99%97%94%89%82%72% DELAY in
Initiation DURATION of Campaign AnthraxExposure:
ProportionofPopulationSaved Anthrax Exposure: Proportion of
Population Saved Slide 16 Anthrax: Fatal Case Review Slide 17
Points of Dispensing (PODs) PODs are simply pre-identified sites
where drugs are dispensed or administered to the affected
population. PODs are predetermined by the County Health Department
and the local Emergency Operations Center. The number of PODs is
dictated by the magnitude of the event and the number of support
staff available. Slide 18 Points of Dispensing (PODs) Virtually all
drugs will come in pre- packaged bottles (10-day supply) for rapid
dispensing. Instruction will be provided for the mixing of drugs in
solution/ suspension form for those who cannot take medication in
pill- form. Counseling on use of medication will be provided at
POD. Slide 19 Hypothetical Description of Staging Area and
Community PODs (Law Enforcement Sensitive) Boynton Beach Mall
Staging Area #2 Atlantic High School 15 34 Park Vista High School
24 67 Santaluces High School 13 62 Slide 20 Incident Command System
- PODs POD Manager Planning Chief Greeter Situational Briefing
Briefing Education Operations Chief Triage EMS Med Screening Eval
Pharm Dispen Super Med Vaccine Disp Mental Health Sp Logistics
Chief Staging Support Security Leader Patient Traffic
Transportation Ldr Admin Chief Forms & Info Dist
Communication/IT Communications Lead Public Info Liaison -PIC
Safety Officer Liaison Officer Slide 21 Three Types of PODs To
Provide Preventative Meds To The 1.3 Million People of PB County
PBCHD Directs Distribution to: First Responders, Nursing Homes,
ALFs and PODs University and College PODs Business PODs 1,000+ 45
Community PODs Residential Association & HOA PODs Slide 22
Establishing PODs At Residential Associations or HOAs A Memorandum
of Agreement (MOA), signed by PBCHD and the Board President of a
Residential Association or HOA, will establish a Residential POD
(R-POD). MOA will delineate responsibilities of PBCHD and the
Residential Association or HOA for activities related to providing
medication and other medical supplies to the residents and
employees of the Association. Slide 23 MOA PBCHD Agrees to: Arrange
for the delivery of medication, antidotes and/or vaccines to the
R-POD.* Assist in the training of resident volunteers for the
various jobs needed to dispense these medical materials. Provide
sample copies of Patient Registration Forms and documentation for
the accountability of the medical materials. *PBCHD will need a
census count of the residences year round vs. seasonal - and
estimates of the number of adults and children in the development.
Slide 24 MOA RA or HOA Agrees to: Utilize their clubhouse or other
building as the dispensing site. Recruit resident volunteers to
assist in dispensing the antibiotics and other medical materials to
all the residents and employees without prejudice. Dispensing to
supervised by a volunteer who is authorized to prescribe or
dispense pharmaceuticals (RPh/PharmD, MD/DO, PA, ARNP, DDS/DMD,
DPM) Slide 25 Location of R-PODs Will Be Disclosed Only To Their
Residents Delivery of emergency medication will be done by Florida
Department of Health, with security provided by the PB County
Sheriffs Office (ESF-16). There will be NO public disclosure of the
location of any of the PODs in PB County. PBCHD will communicate
directly with R-PODs about activation. R-PODs will be provided
necessary instructions to alert their residents. Slide 26 What
About Liability? State liability protection will be provided to ALL
volunteers according to Florida Statute Slide 27 Temporary Lease
Agreement RA or HOA will donate a specified portion of property for
temporary use by the PB County Health Department for a limited time
to be specified and concurrent with a declared incident. As an
active corporation, RA or HOA will be classified as a volunteer
providing a service to the State of Florida (F.S. 110.501 and F.S.
1.01). Slide 28 Volunteer Services Application Volunteers who sign
DOH Volunteer Service Applications are provided: State liability
protection under the Florida Volunteer Protection Act (F.S.768.28),
and are Covered for Workmens Compensation (F.S. Chapter 110.504)
Volunteers receive First Priority medication for themselves and
their family members. Slide 29 Early Planning Letters to Physicians
So that patients are informed of how to take antibiotics dispensed
at PODs during an anthrax activation (Cipro, doxycycline, or
amoxicillin). Particularly important for pregnant and lactating
women. Equally important that parents of children have instructions
on how to administer possible lower doses. Special needs patients
(dialysis, etc.) also need special instruction. Slide 30 Public
Service Announcements (PSA) Newspapers and TV stations will be
given information about the activation of General Public PODs and
the locations of the Mall Staging Areas. The public will be
instructed regarding the procedures for receiving FREE preventative
medication. Copies of the Patient Registration Form with
instructions about medication use and information about the
biological episode at hand. Slide 31 Following The Registration
Form -1 Patient Registration Forms are distributed to all residents
by the RA or HOA to be filled out prior to coming to the R-POD.
Resident lists all members of household and possible others for
whom medication will be picked up for a maximum of 15 people. To
minimize traffic flow and congestion, one Family Member drives to
clubhouse (the R- POD) and is directed as to where to park. Slide
32 Patient Registration Form LIneLIne (Fill in Contact Information
for Person listed on Line 1 at bottom of this form.) Last Name,
First Name Age If Age Under 19: Weight (in pounds) Females: Is she:
Pregnant or Breast Feeding? PRINT First Letter of Symptom if Person
had it in Last 7 Days: - Fever - Aches - Chills - Cough - Tiredness
- Vomiting - No Symptoms PRINT First Letter of Medication to which
Person is Allergic: - Cipro - Doxycycline - Amoxicillin -
Penicillin - Other -No Known Drug Allergies 1 Yes No 2 3 4 12 Yes
No 13 Yes No 14 Yes No Slide 33 Following The Registration Form - 2
Patient Registration Form is reviewed by a Triage volunteer who
directs resident to one of three lines. Family Member receives
instruction on the medication to be provided for each member of
household. Slide 34 Following The Registration Form - 3 Family
Member proceeds to Medication Check-Out line Antibiotics for entire
household and other listed family members, neighbors or friends are
picked up Family Member exits POD and departs for home. Slide 35 At
Medication Distribution Volunteers distribute antibiotics under
supervision of a medical professional authorized to dispense
medication. Strict inventory control is maintained at POD
distribution. Distribution information is posted to Record Control
sheets and forwarded to ESF-8 at Emergency Operations twice daily.
Slide 36 Having a Nice Day? Slide 37 Medical Emergencies EMS to be
called to assist in the care or transport of any person to the
hospital who is symptomatic of disease or is in need of emergency
medical treatment. Slide 38 Volunteers Needed To Help PB Countys
Health Department Fulfill Its Mission: To save lives, prevent
illness and facilitate basic healthcare services To aid in the
distribution of antibiotics, medical triage, immunizations and
other life saving procedures during a large-scale health emergency
Slide 39 For More Information On Establishing An R-POD At Your
Residential Association Or Home Owners Association, Or To Find Out
How To Volunteer, Please Call: Philip Levenstein PB County Health
Department Office of Emergency Preparedness (561) 355-3150 E-mail:
[email protected] There is nothing stronger than
the heart of a volunteer Slide 40 Some men see things as they are
and ask WHY Others dream of things that never were and ask WHY NOT
- George Bernard Shaw Slide 41 Presented by The Office of Emergency
Preparedness
