Updated Pop and Public Health Pres for 2.28.24 PDF

Preparedness Goals The national preparedness goal is to have “a secure and resilient nation with the capabilities required across the whole community to prevent, protect against, mitigate, respond to, and recover from the threats and hazards that pose the greatest risk.” 4 Public Health Emergencies...

Preparedness Goals The national preparedness goal is to have “a secure and resilient nation with the capabilities required across the whole community to prevent, protect against, mitigate, respond to, and recover from the threats and hazards that pose the greatest risk.” 4 Public Health Emergencies Disease outbreak Pandemic influenza COVID-19 West Nile SARS Natural disasters Tornadoes Hurricanes Wildfires Ice storms Man-made disasters Anthrax Plague Tularemia Smallpox Weapon of mass destruction event Bomb Chemical attack Nuclear attack 9 Bioterrorism Bioterrorism is intentional use of infectious biological agents, or germs, to cause illness or death MSDH works closely with hospital emergency rooms throughout the state, looking for clusters of sick patients which could indicate release of a biological agent The federal government maintains a large stockpile of pharmaceuticals, including antibiotics, that are effective against likely bacterial bioterrorist agents. In the event of an attack, medication would be rapidly available 10 Emergency Support Functions (ESFs) 19 OEPR The MSDH Office of Emergency Planning and Response safeguards the health of individuals, ensures the delivery of essential health and medical services, and prepares health professionals for all types of emergencies and natural disasters. 20 Strategic National Stockpile (SNS) The mission of the Strategic National Stockpile (SNS) is to deliver critical medical assets to the site of a public health emergency severe enough to cause local supplies to run out. 21 SNS Supplied Countermeasures Based on Category A Threat Agents Smallpox Anthrax Botulism Viral hemorrhagic fevers Plague Tularemia And other threats Nerve agents, pandemic influenza, radiological, etc. Changes directed by Biomedical Advanced Research and Development Authority (BARDA) 24 High Priority Agents/Diseases Category A Smallpox Anthrax Botulism Viral hemorrhagic fevers Plague Tularemia Category B Brucellosis Salmonella Typhus fever Category C Emerging diseases such as Nipah virus and hantavirus 25 Point of Dispensing (POD) Mississippi has plans in place to use Open (public) POD sites as well as Closed (private) POD sites to ensure that pills or vaccines can be dispensed rapidly Must deliver to 100 percent of the population within 48 hours The goal is to enroll as many Mississippians into the Closed POD system as possible, thereby reducing lines in Open (public) POD sites. Point of Dispensing (POD) Medical oversight personnel required ○ physician ○ pharmacist 27 Pandemics "an epidemic that occurs worldwide, across international borders, affecting a large number of people Influenza A (H1N1) in 2009, COVID-19 in 2020, Ebola virus in 2013 28 Zoonotic Diseases E.Coli (more specifically, O157) Transmitted fecal-oral route via contaminated foods Tuberculosis Transmitted inhalation route via contaminated persons airborne particles Lyme Disease Transmitted via infected blacklegged tick bite Rocky Mountain Spotted Fever Transmitted via bites from specific species of ticks Plague Transmitted via flea bites, contact with contaminated flesh or fluid, or infectious droplets Rabies Transmitted via direct contact or exposure to an infected animal 34 35 What does this mean for you as a future pharmacist? 36 Pharmacists in Public Health MSDH currently employs approximately 22 fulltime pharmacists throughout the agency Pharmacy operations (Ryan White, Tuberculosis, etc.) Specialty Pharmacy (URAC-Accredited) Opioid and Substance Use Disorder Program Aids Drug Assistance Program (ADAP) Immunizations Antibiotic Stewardship/Epidemiology Academic Detailing Program Residency Program 340B 37 Pharmacists in Public Health Specialty Pharmacy accreditation through URAC What does that mean? Track quality measures Emphasizes individualized patient care and safety Potential additional PBM contracts 38 Pharmacists in Public Health Specialty Pharmacy focuses on high-cost medications used to treat complex or rare medical conditions MSDH pharmacy o