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You, Me and ICS Tuberculosis Screening &
Incident Command System
Jennifer Jaquez, B.S.
Elaine Darnall, RN, BSN, CIC
Tuberculosis is…
• An airborne infectious disease
• Spread from person to person through the air
• A public health priority
• A reportable disease by law
• A treatable and preventable disease
• A leading cause of death worldwide
• A disease with much stigma
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
Shelter A
0
January 2010
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
Shelter A
0
February
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
8
7
Shelter A
0
March
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
8
7
9
Shelter A
Jail A
10
11
12
0
April
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
8
7
9
Shelter A
Jail A
Bar A
10
11
12
13
14
0
May
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
8
7
9
Shelter A
Jail A
Bar A
10
11
12
15
16
13
14
0
0 June
Apr 2007
X
Oct 2009
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
2
3
4
5
6
8
7
9
Shelter A
Jail A
Bar A
10
11
12
15
16
13
14
17
0
18?
July 0
Apr 2007
X
Jan 2010
Feb
Mar
Apr
May
Jun
Jul
Nov 2009
Dec
1
Cases Pending Genotyping Results
Culture Negative Clinical Case
Case Matches Genotype Cluster IL_214
Shelter A
0
Oct
Aug
Sep Oct
Nov
4
6
5
2
3
7 9
11
10
8
12
13
14
15 Bar A
Jail A
16
17*
*Note 1 case counted in July 2010 linked to this outbreak was counted in downstate county.
18
ICS Implementation Milestones
TB Weekly Planning
Meetings
April 28- May 24, 2010
CDC Outbreak Response
Team Arrives March 21 &
Clinic Moves March 8
2nd Mass
Screening
August 5
ALERT
3 Guests With
TB
Jan 12, 2010
1st Mass
Screening
May 26
3rd Mass
Screening
Nov 3
November 2009
January 2010
March July November January 2011
February May September April
TB Weekly Planning
Meetings
July 16-August 4, 2010
TB Weekly Planning
Meetings
October 5-November 2, 2010
Multi Activity throughout the TB Response
Normal Day to Day Activity
TB Investigation Activity
Planning Activity Planning Activity Planning Activity Planning Activity 1 2 3 4
ICS 207 TB Mass Screening III Organization Chart
November 2, 2010
ICS Form 202
Incident Action Plan (IAP)
• TB Incident Action Plan included: – Incident Briefing (ICS 201)
– Incident Objectives (ICS 202)
– Organizational Chart (ICS 207)
– TB Mass Screening Layout
– Emergency Contact
– Incident Status Report (ICS 209)
Planning P
Guidelines for Setting Goals and Objectives
Here are three important guidelines: 1. Goals and objectives must be clearly stated
and measurable so the Incident Management Team can determine how much was accomplished during the current planning process.
2. Goals and objectives must be attainable given the people, equipment, and supplies available during that planning process.
3. Goals and objectives must be broad and flexible enough for Incident Management Team to achieve them the best way possible.
Lessons Learned
• No right or wrong way of using ICS-JUST DO IT
• Use ICS to justify more staff and resources
• Identifying essential roles early on (e.g. Finance, Lab Liaison)
• Training in NIMS is essential but not enough, need to understand ICS tools/form
• Visual reminder of objectives and structure
• Someone to implement and sustain ICS.