Lack of support from local elected officials makes pandemic flu preparedness difficult for committee
by Debbie Lurie-Smith
18 months ago | 360 views | 2 2 comments | 1 1 recommendations | email to a friend | print
Jones County’s biggest problem with a pandemic flu occurrence may be the perceived apathy demonstrated in planning for the event by local elected officials.

Preparedness meetings began in Jones County and across the nation in 2006. The North Central Health District held a community program in Gray in July of 2006 and presented the facts of past pandemics and forecast for the next one.

Jones County’s pandemic flu preparedness committee met July 17 at the Emergency Management office and has the task of educating the public to the reality of having to be self-sufficient if the disease hits. In the case of a pandemic, communities cannot be dependent on federal or even state assistance.

According to the Georgia Department of Human Resources Public Health Web site, a pandemic is a global disease outbreak. A flu pandemic occurs when a new influenza virus emerges for which people have little or no immunity and for which there is no vaccine. The disease spreads easily person to person, causes serious illness, and can sweep across the country and around the world in very short time.

The state has mandated each community to create a preparedness and response plan, and the plan is due Aug. 31. Emergency Management Director Allan Green is the chairman of Jones County’s preparedness committee and has taken the lead in preparing the plan.

The crux of the plan is keeping the flu from spreading. The way to accomplish that is simple in theory but may be difficult to achieve. The key to controlling the disease is distancing the infected from the non-infected and a lot of hand washing. According to the Centers for Disease Control, people should stay six feet from one another to avoid infection. Nevertheless, the infected must be cared for, and hospitals may not be an option.

Danny Strandburg from the Medical Center of Central Georgia said household education is essential.

“We need to train kids to wash their hands and stay away from crowded places. They are a good outlet to train,” he noted. “When the Board of Education trains the kids, they take it home. It’s very basic education, but it would reduce the spread.”

Strandburg said protection control is basic.

“That information is easy to get to the public, but discouraging them from going to the hospital and to church is hard,” he said.

Green said businesses, churches and social programs are a huge component to educating the public.

City and county elected officials were conspicuous by their absence at the meeting with Probate Judge Mike Greene the sole representative. Greene said the court system is taking the threat seriously. Personnel are being trained and emergency kits are being sent to each courthouse.

He asked if the county had a plan to train its employees about what to do if a pandemic strikes.

“We need to get the elected officials involved first, and none of them are here today,” the director responded.

An after-action report by the North Central Health District Office about Jones County’s Feb. 20 table top exercise stated, “The fact that no elected officials or business leaders were present at the exercise lends itself to the belief that the leadership of Jones County does not seem to have bought into this concept.”

The report also said if Jones County is going to be prepared for a pandemic, there must be some direction from its elected officials and preparation from local business owners.

Gray Nursing Home and Stone Brooke Suites director Chap Nelson said employees at his facilities have recently completed the training.

“It was a great packet, but I would guess 95 percent made no impact. We want them to take care of the home situation so they are in a position to help us,” he commented. Nelson went on to say after seeing employees’ response to the pandemic training, the plan for the facility was changed.

“We are now building apathy into the plan. We found out we had overanticipated people’s participation,” he added.

The problem in educating the public about the possibility of a pandemic is how to stress the seriousness of the threat of the disease without starting a panic. The devastation of a pandemic has been compared to that of a nuclear disaster.

“We don’t want a sense of panic, but we need a sense of vigilance,” Green said.

The history of pandemics is sobering. Three influenza pandemics occurred during the last century. The most severe was the Spanish Flu in 1918, which caused at least 675,000 United States deaths and up to 50 million deaths worldwide. The flu swept across America in two months. In 1957 a moderate pandemic caused 70,000 deaths in the U.S. and two million worldwide, and the least severe and most recent outbreak was in 1968 with 34,000 in the U.S. and 700,000 over the world.

Experts say that it is difficult to predict when the next influenza pandemic will occur or how severe it will be. Wherever and whenever a pandemic starts, everyone around the world is at risk. Countries might, through measures such as border closures and travel restrictions, delay arrival of the virus but cannot stop it.

The next pandemic is estimated to cause a possible 209,000 to 1,903,000 deaths in the U.S. and 858-3,400 deaths in Middle Georgia. The estimate breaks down to 12-38 deaths in Jones County.

Authorities say not a lot of weapons are available against a pandemic because there will not be enough time to develop vaccines. Health care may be better than when outbreaks have occurred in the past, but increased global travel means new risks.

A pandemic could affect one-third of the population through sickness and caring for sick family members, and daily life would be interrupted. Because of the contagiousness of disease, people need to be prepared to stay home and deal with the sickness of family members themselves.

In the case of an outbreak, essential services may be disrupted, including food and water supplies. It is suggested to store two weeks of nonperishable food, and two weeks of water allowing for one gallon of water per person per day.

Green said part of the preparedness plan is to have equipment ready and supply distribution points identified. In case of an outbreak, the health department will take the lead and the EMA will be the coordinating agency.

Interested parties may find more information on the Web site, www.health.state.ga.us or www.pandemicflu.gov.

The North Central Health District will present a free 15-30 minute educational presentation about preparing for a pandemic to any government, civic, or church organization. To schedule a presentation, contact Melanie Brown at 751-3029.
comments (2)
« Nigel Thomas wrote on Tuesday, Aug 05 at 05:30 AM »
Good article. We need to keep Bird Flu at the forefront of every business manager's mind. It won't go away so better start preparing.

Nigel Thomas

For free references and tools go to Bird Flu Manual Online or, if you need more comprehensive tutorials and templates, consider Bird Flu D-I-Y eManual for business preparedness and survival.
« crfullmoon wrote on Monday, Aug 04 at 08:21 AM »
See also GetPandemicReady.org and the PFI Pandemic Flu Information Forum for more resources (and PFI for daily news).

The American public isn't hearing enough about the containment efforts being done overseas for the human-to-human clusters of H5N1 (which retains its unprecedently high fatality rate if treated with Tamiflu too late, as well as its ability to infect an unprecedented number of mammal species), nor the person who flew from a human cluster in Pakistan right to NY last Dec. or, they might be getting prepared. (Current "plans" won't work.) That "estimate" quoted above isn't even realistic; the fatality rate of the virus that caused the pandemic alert should have been used, and, no one would have immunity to a panflu, so, I don't know how officials imagine others exposed won't become infected. Then there's the whole unmentioned "collateral" deaths caused by infrastructure disruptions...

If officials wanted to be honest about worst-case threat; high CFR pandemic and import/infrastructure disruptions, we might have accomplished much the past 3 years, or even the past 2 after the state panflu summits with HHS - if those had been broadcast- the only way something this catastrophic can be mitigated is by grassroots preparedness at home, and by communities, who have never had to deal without outside aid, and with something contagious before symptoms and likely deadly (my state, for some incredible reason, bought none of the only treatment - Indonesia had the treatment donated to it, but, usually can't get the sick to it in time, so their H5N1 fatality rate is well over 80%, though they and many other nations "enron' most tests so they can't be "officially" confirmed.

The WHO responds to increased outbreaks threats without raising the Pandemic Alert level, due to "political and economic' pressures, as of Jan. 2006. (China certainly didn't want the public thinking about H5N1 pandemic alert instead of the Olympics...)

Find the "US State Dept H5N1 factsheet", (since July 2006) that, very quietly, warns the public about international and local travel restrictions during pandemic (and, no aid at US embassies).

Look up the "Dept of Homeland Security Best Practices and Model Protocols" (April 2007) which says, to save lives they may direct the public to shelter-in-place, "for up to 90 days per wave" during pandemic year.

The nation has been playing 'russian roulette' on this H5N1 situation, and the politicians and candidates should have been helping discuss community preparedness, and, making our nation more secure by bringing critical resource manufacture back home, and being ready to close the borders or have entry/exit quarantines, since there is no reasons H5N1 has to drop in virulence to go pandemic. Influenza is contagious before symptoms.

It is not true, "We can't tell the public or they'll panic because there is nothing they can do" - downplaying now is just delaying Panic, and, making no Mitigation possible, without supplies and education Now.

We were modern enough to have warning, and, to have Tamiflu to help contain human clusters; be 'modern' enough to get past the "denial" stage of hearing Catastrophic news. Once they know for sure panflu year has started, preparation time will have just ended. In this game of 'musical chairs', we better get building our own chairs, Now.

Preparing for pandemic will make communities prepared for all the other "hazards" they know they should prepare for ahead of time, but trust too must to outside aid and hazards being infrequent. My officials didn't want to tell the public "2 weeks" is the new minimum to keep at home, (and food used to be cheaper back in 2005 when pandemicflu.gov went up). Pantries and victory gardens need to make a comeback.

GetPandemicReady.org will tell you how you can prepare for 90 days or more, since pandemics last longer than that.

Admiral Crea is PFO for Pandemic, but, we can do better than collapse and expect the military to clean up what's left.

Let's all prepare homes and communities so we Can be resilient, mitigate preventable suffering and deaths, and have a better Recovery.
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