╨╧рб▒с>■  .0■   -                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴M Ё┐7bjbjт=т= "(АWАW7      lиииииии╝ ╝u╢00000000ЇЎЎЎЎЎЎ$+ K ╨и00000ии00/0"и0и0Ї0ЇЄЇииЇ0$ P╘зс└╞╝HRОЇЇE0uЇ р" Ї╝╝ииии┘County Briefing for Hospital Ц Avian Flu Good Afternoon. IТd like to thank Dr Tsai for inviting me to speak to you today about Avian Flu and a possible pandemic. First, I need to clarify what my office does and what it doesnТt do. The Dukes County Emergency Management AgencyТs mission statement has both an Internal and an External component. The internal component is to contribute to the continuity of the County Government, before during, and after an emergency or disaster. This means that it is my responsibility to help create plans for the various County departments and to help them to implement these plans in the mitigation, preparation, response, and recovery phases of an emergency or disaster. Also in this Internal part of the mission statement is my responsibility to contribute to the ability of County employees to be better able to prepare themselves and their families for emergencies and disasters. This is a new program by my office that is to begin at the department heads meeting on the 30th of Dec. This is designed to be a cooperative process between the employees and their Emergency Management department. In addition to the run of the mill weather emergencies that we face here on the island, my office will provide answers to individual questions from County employees regarding personal and family disaster prevention, preparation, response and recovery, by email. In regards to Avian Flu / Flu Pandemic, this question and answer process will become very important when it comes time to help the employees protect themselves and their families. The external part of my mission statement, and this is more important to the hospital, is to collect disaster related information and disseminate the information to interested governmental bodies and interested non-governmental bodies. This information, which could include information that has come down through the Emergency Management channels, or planning templates that others have successfully used (IТm thinking of the Portable Isolation Units, or perhaps flash alerts of an emergency nature, or just information of a technical nature from an Emergency Management perspective, is available to you from the County Emergency Management office or the County Emergency Management Library, if you desire it. Another example of this is any change in the Pandemic Alert levels, which are checked daily, by my office. The second part of my mission statement is to facilitate multi-departmental and multi-jurisdictional cooperation between Island governmental bodies and between Island governmental bodies and non-governmental bodies. This part of the mission statement was added because it is becoming increasingly evident that the crisisТs that the Island faces, be they natural, man-made, or in the Public Health sector, are becoming more regional in nature and require resources that are located in one town but are needed by all the other towns. The second reason why this was added was because of the growing threats of Public Health Emergencies. For example, in a pre-pandemic or pandemic situation, you would need help from a variety of disciplines. Just imagine the challenges that you would face if you had 200 people clamoring at you doors. Then imagine if you didnТt know which oneТs were contagious. Then, imagine that they all brought their kids. Then imagine if 30% of your workforce didnТt show up because they were too ill to come to work. Then imagine that youТre already full. Then imagine that you have many deceased patients to prepare, arrange transportation and storage for. As you can see, in a situation like this, you had better have a lot of partnerships already established within your community, or you will quickly be overwhelmed. Now, what we donТt do is to usurp control from any of the Town Emergency Managers. By Law, they are your Emergency Managers and they have jurisdiction over certain emergency management matters within their jurisdictional boundaries. The County has absolutely no controlling authority over any property or person outside the County Department or County Property and my mission statement is very careful about this matter. That said , common sense dictates that if you need resources or planning help from outside of the jurisdiction, you should be free to arrange for them. Now, Avian Flu. The current situation is that the world has passed the interpandemic period and has entered the Quote УPandemic Alert PeriodФ. The Pandemic Alert Period (as defined by the World Health Organiztion) is composed of 3 phases - Phase 3, Phase 4, and Phase 5. We are currently at Phase 3 which is characterized as УHuman infections with a new subtype and no human spread or rare spread to close contactsФ. We have not yet entered Phase 4, which is УSmall clusters, human-to-human transmission and spread is highly localized, virus not well adapted to humansФ The Alert level for these two phases is called - :Novel Virus AlertФ When we enter Phase 5 of the УPandemic Alert PeriodФ The Alert level changes from the УNovel Virus AlertФ to an alert level called УPandemic AlertФ Phase 5 is characterized by large clusters, human to human still localized, but the virus has mutated to be increasingly better adapted to humans, although it is still not fully transmissible, nor does it pose a substantial pandemic risk. 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