|
Interim Progress Report - Budget Period Three
Critical Capacity:
Rapidly detect a terrorist event through a highly functioning, mandatory
reportable disease surveillance system
Critical Capacity:
Rapidly and effectively investigate and respond to a potential terrorist
event as evidenced by a comprehensive and exercised epidemiologic
response plan
Critical Capacity:
Effectively investigate and respond to naturally occurring individual
cases of urgent public health importance, and conduct emergency public
health interventions such as emergency chemoprophylaxis or immunization
activities
Workplan - Budget Period Four
Critical Capacity
5: Disease detection through mandatory reportable disease surveillance
system, as evidenced by ongoing timely and complete reporting
1. Develop a system to
receive and evaluate urgent disease reports
2. Ensure legal
authority to require and receive reports and investigate any suspect
cases, potential terrorist events, unusual illness or injury
3. Annually assess
your reportable disease surveillance system
4.
Develop reporting protocols, procedures, surveillance activities, or
analytic methods that improve usefulness of reportable disease system.
5. Provide
ongoing training for public health, clinical, and other healthcare
professionals
6. Ensure
epidemiologic capacity to manage the reportable disease system at the
state and local level
7. Educate and
provide feedback to reporting sources in your jurisdiction about notifiable
diseases
8. Assess and strengthen links with animal surveillance systems and
the animal health community
9. Implement a strategy to ensure laboratory testing (in clinical or
public health laboratories) for rapid or specific confirmation of
urgent case reports
10. Improve state and local public health surveillance and reporting
capacities related to smallpox
11. Develop or enhance electronic applications for reportable diseases
surveillance
12. Develop the capacity to apply molecular epidemiologic methods
to outbreak investigations and surveillance
13. Establish relationship with state veterinary diagnostic laboratory
Critical Capacity 6:
Effectively investigate and respond to a potential terrorist event as
evidenced by a comprehensive and exercised epidemiologic response plan.
1. Designate an
epidemiological response coordinator for bioterrorism
2. Coordinate all
epidemiologic response-specific planning with HRSA hospital
preparedness activities
3. Provide ongoing
specialized epidemiology investigation and response training for state
and local public health staff
4. Develop the
capacity to track the degree to which persons who have not been
exposed to a potential terrorist or emerging infectious agent seek
acute care
5. Develop
capacity of public health system to respond in a timely and
appropriate manner to a food-, water-, or air-borne illness or threat
6. Develop or acquire information sheets about bioterrorism
for public use in a terrorist event
7. Maintain a
list of physicians and other providers who may serve as consultants
during a public health emergency
8. Develop and
exercise a large-scale smallpox vaccination plan that will provide
vaccine for the project’s entire population
9. Establish a
secure, Web-based reporting and notification system
10. Conduct bioterrorism
sessions at key meetings and conferences
Critical Capacity 7: To effectively investigate and respond to naturally
occurring individual cases of urgent public health importance and
conduct emergency public health interventions such as emergency
chemoprophylaxis or immunization activities
1. Annually
assess through exercises or after-action reports, the 24/7 capacity
for response to reports of urgent cases
2. Annually
assess
adequacy of state and local public health response to
catastrophic infectious disease
3. Develop or
enhance case investigation protocols
4. Provide
necessary staffing, supplies, equipment, consultation, and training
5. Participate
in CDC’s Epidemic Information Exchange Program
6. Educate key
policy makers, partners and stakeholders regarding public health
surveillance, investigation, response and control
7. Apply
information technology to enhance response capacity
8. Develop a
comprehensive smallpox response plan that incorporates post-event
plans from participating hospitals
9. Identify the
number and type of personnel to serve as members on smallpox response
teams who will be target recipients for vaccine
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Budget Period
Three Progress Report
Using the Interim Progress Report template
below, provide a brief status report that describes progress made toward
achievement of each of the critical capacities and critical
benchmarks outlined in the continuation guidance issued by CDC in
February 2002. Applicants should describe their agency’s overall success
in achieving each critical capacity. The progress report narratives should
not exceed 1 page, single-spaced, for each critical capacity. Applicants
are welcome to use bullet-point format in their answers, so long as the
information is clearly conveyed in the response.
CRITICAL CAPACITY: To rapidly detect a
terrorist event through a highly functioning, mandatory reportable disease
surveillance system, as evidenced by ongoing timely and complete reporting
by providers and laboratories in a jurisdiction, especially of illnesses
and conditions possibly resulting from bioterrorism, other infectious
disease outbreaks, and other public health threats and emergencies.
Provide an update on progress during Project Year III toward
achieving this critical capacity:
| A statewide
local health jurisdiction (LHJ) assessment, conducted in the fall of
2002, found that 20 of 35 LHJs have a dedicated telephone number for
receiving disease reports after-hours and 25 of 35 local health
jurisdictions use an on-call roster to ensure that public health staff
can be contacted at any hour of the day.
The state and all nine public health
regions hired epidemiologists or experienced disease investigation
specialists as surveillance coordinators in order to improve
surveillance for notifiable conditions across Washington State.
Regional surveillance coordinators are resources for local health
jurisdictions in their region. They facilitate region-wide
communication, activities and training for public health surveillance.
Select cases of disease and disease
outbreaks are required to be reported to local and state public health
agencies in accordance with Washington Administrative Code (WAC)
246-101. The rules specify that suspected or confirmed diseases of
potential bioterrorism origin and unexplained critical illness and
death must be reported immediately. The Washington State Department of
Health (DOH) Board of Health revised the quarantine authorities and
these newly adapted administrative rules governing quarantine are part
of WAC and took effect February 13, 2003.
DOH continues to develop the Public
Health Issues Management System (PHIMS) with the goal of providing a
secure, confidential mechanism for local health agencies to provide
disease surveillance data through a Web-based system. DOH is
coordinating this effort to assure that each LHJ can receive and
evaluate disease reports of critical public health importance, 24
hours a day, either directly or through DOH via the Public Health
Issues Management System (PHIMS).
DOH developed and distributed
Washington State Guidelines for Notifiable Condition Reporting and
Surveillance to all LHJs in order to provide public health staff
with a single source for case definitions, reporting requirements,
clinical information and control measures for each of our notifiable
conditions. These guidelines were made available to health care
providers, laboratories and other notifiable condition reporters on a
new DOH Notifiable Conditions Web site (www.doh.wa.gov/notify).
Regions have provided regular
training, including targeted outreach to healthcare providers on
disease reporting and surveillance. The trainings improve awareness of
methods and requirements for notifiable conditions reporting,
particularly for immediately notifiable conditions. Training materials
include LHJ and DOH phone numbers for reporting disease after hours.
Surveillance coordinators have generated a list of key reporters in
local health jurisdictions within each region for continued
communication and education.
DOH developed the Vaccine Safety
Surveillance (VSS) System to collect real-time, statewide data for all
aspects of the smallpox vaccination program. The department developed
a Web-based application and deployed it to all public health regions
to provide a method for electronically reporting data, a, a to a
single statewide database. The
database contains information on
vaccinees, outcomes, clinics, clinic staff, referring organizations,
and vaccine batches. DOH and its public health partners used standard
VSS daily and weekly reports to plan and coordinate Stage 1 smallpox
vaccination activities. DOH is currently evaluating the VSS and
smallpox surveillance and will present reports documenting its
findings at a statewide meeting in October. The agency continues to
incorporate lessons learned from the development and evaluation of
this system into the ongoing development of PHIMS.
Protocols for enhanced surveillance
have been developed in some regions. They focus on monitoring key
health indicators such as emergency department use and 911 calls.
Three regions improved their capacity for early disease detection by
developing or enhancing existing syndromic surveillance projects. |
What is the status of your state’s
development of a system to receive and evaluate urgent disease reports
from all parts of your state and local public health jurisdictions on a
24-hour per day, 7-day per week basis? Choose only one of the
following:
DOH response:
Development work is more than half way completed (51-75% completed)
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CRITICAL CAPACITY: To rapidly and
effectively investigate and respond to a potential terrorist event as
evidenced by a comprehensive and exercised epidemiologic response plan
that addresses surge capacity, delivery of mass prophylaxis and
immunizations, and pre-event development of specific epidemiologic
investigation and response needs.
Provide an update on
progress during Project Year III toward achieving this critical capacity:
| DOH created
nine public health regions to facilitate state, regional and local
public health system collaboration around public health emergency
preparedness activities. All nine regional lead LHJs have hired
epidemiology response coordinators and submitted work plans to DOH
that incorporate all LHJs in each region. The LHJs representing
Metropolitan Statistical Areas (MSA) with a population greater than
500,000 each have at least one epidemiologist dedicated to
bioterrorism and emergency response.
DOH completed an assessment of Public
Health Preparedness and Response (PHEPR) in Washington State, which
included an assessment of epidemiologic expertise in each LHJ. DOH
analyzed this assessment data and presented results at a PHEPR
Advisory Committee meeting and a PHEPR Focus Area Lead meeting.
Results were summarized in a written report that was distributed to
regional and state partners. Regional lead LHJs were provided data for
all the LHJs in their region.
DOH surveyed its employees to identify
skills in epidemiologic interviewing and investigation, second
language proficiency, cultural experience and medical licensure. Those
with appropriate skills were offered the opportunity to volunteer for
the DOH smallpox response team. Additional staff that were not
vaccinated but have appropriate skills will be targeted for training
for surge capacity.
Work has begun on the development of
regional Epidemiology Response Plans, which will be an annex to the
Comprehensive Public Health Emergency Response Plans. A workgroup of
regional and state epidemiology response coordinators has formed
consensus on the main elements for the Epidemiology Response Plans and
the group has begun writing sections of the plan and identifying
Epidemiology Response Team members.
State and regional epidemiology
response coordinators developed the Washington State Smallpox Response
Plan. This plan addresses the capacity for enhanced epidemiologic and
disease investigation across the state, including the identification
and activation of local and state Rapid Assessment Teams, other surge
capacity staff, case investigation, contact tracing, mass vaccination
and monitoring for adverse effects.
DOH developed the Washington
Prophylaxis and Vaccination Management System (PVMS) and used it
during Stage 1 vaccinations in Washington. This database contains
basic information on all public health and healthcare staff in
Washington who received the smallpox vaccination, as well as a
registry of smallpox vaccines.
The Smallpox Mass Vaccination Plan was also developed and exercised
during the Stage 1 Smallpox vaccinations. DOH conducted
train-the-trainer sessions during two pilot clinics held on the east
and west sides of the state. State and regional staff were trained at
these sessions. Subsequently, these staff trained staff in their
regions to conduct Stage 1 smallpox vaccination clinics throughout the
state. DOH conducted several interactive smallpox trainings around the
state to improve adverse event recognition and reporting. |
How many Metropolitan Statistical Areas (MSAs)
with a population greater than 500,000 exist in your state?
| Washington
State has three MSAs with a population greater than 500,000: Seattle,
Tacoma (Pierce County) and Snohomish County. |
How many of these MSAs have at least one
epidemiologist (1 FTE) dedicated to bioterrorist and emergency response?
| The LHJs
representing these MSAs each have at least one epidemiologist
dedicated to bioterrorism and emergency response. |
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CRITICAL CAPACITY: To rapidly
and effectively investigate and respond to a potential terrorist event, as
evidenced by ongoing effective state and local response to naturally
occurring individual cases of urgent public health importance, outbreaks
of disease, and emergency public health interventions such as emergency
chemoprophylaxis or immunization activities.
Provide an update on progress
during Project Year III toward achieving this critical capacity:
| DOH’s Office
of Communicable Disease Epidemiology maintains 24-hour reporting
capacity through an on-call medical epidemiologist who can serve as a
backup to LHJs that do not have their own system for 24-hour
reporting. DOH collects twenty four-hour contact numbers for key DOH
personnel, LHJ staff, and other state agencies that might respond to a
public health emergency, updates the information biannually, and
distributes it (the "Red Book") to other public health professionals.
Many LHJs have specific phone numbers for after-hours reporting of
notifiable conditions. Some LHJs have a general after-hours protocol
for response to notifiable conditions, but many LHJs are still
developing their protocols.
DOH manages list serves
[Information omitted in accordance with R.C.W. 42.17.310(1)(ww)] to provide a forum for interactive
communications with public health disease control specialists across
the state. DOH Health Alerts, including Health Alerts Network (HAN)
messages from the CDC, are currently disseminated through these list
serves. DOH strives to ensure that multiple public health staff from
each LHJ are members of the list serve. Additionally, LHJs are working
to develop multiple and redundant means of communicating with their
local partners such as list serves, monthly newsletters and broadcast
fax.
Work has begun on the development of
standardized protocols for public health investigation and response to
outbreaks. A workgroup of state and regional epidemiology response
coordinators convened in October 2002. This workgroup identified and
reviewed existing protocols for disease outbreaks, case investigation
and case management in order to identify best practices. The workgroup
identified core elements to be included in all disease investigation
protocols. The group developed a template and created protocols for
select diseases as examples of protocols that could be standardized
and used across the state. This group will continue to work on
protocol development, starting with the immediately notifiable
conditions.
Selected LHJs have been revising an
outbreak evaluation tool that was presented at an annual statewide
public health meeting. Some are using the evaluation tool for ongoing
assessment of public health investigation and response.
The DOH Office of Communicable Disease
Epidemiology hired a state public health veterinarian to add capacity
for zoonotic disease surveillance and investigation. The State Public
Health Veterinarian develops and provides education, communication
mechanisms and protocols to improve animal disease surveillance. A
response protocol for suspected human West Nile Virus infection was
developed and shared across the state. A poster of animal notifiable
conditions has been created and comments from regional response
coordinators were solicited. The poster will be disseminated following
inclusion of the comments and after training on handling of zoonotic
reports from veterinarians is provided to public health staff. |
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Budget Year Four Workplan
For each Recipient Activity applicants
should complete the work plan templates attached below. Applicants are
welcome to use bullet-point format in their answers, so long as the
information is clearly conveyed in the response. All responses should be
brief and concise. Please note that full use of the CDC templates will
meet all of the requirements for submission of a progress report and work
plan. Although no additional information is required, grantees may elect
to submit other essential supporting documents via the web portal by
uploading them as additional electronic files.
I. PUBLIC HEALTH SURVEILLANCE AND
DETECTION CAPACITIES
CRITICAL CAPACITY #5: To rapidly detect a
terrorist event through a highly functioning, mandatory reportable disease
surveillance system, as evidenced by ongoing timely and complete reporting
by providers and laboratories in a jurisdiction, especially of illnesses
and conditions possibly resulting from bioterrorism, other infectious
disease outbreaks, and other public health threats and emergencies. (See
Appendix 4 for IT Functions #1-6.)
1. Complete development and maintain a
system to receive and evaluate urgent disease reports and to communicate
with and respond to the clinical or laboratory reporter regarding the
report from all parts of your state and local public health
jurisdictions on a 24-hour-per-day, 7-day-per-week basis. (CRITICAL
BENCHMARK #7)
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. In conjunction with Focus Area A
Critical Benchmark (CB) #3 and Focus Area E, achieve statewide
consensus on the definition of 24-hour-per-day, 7-day-per-week
public health response, which includes the receipt of urgent disease
reports. Develop guidelines for after-hours evaluation,
notification, and response. Incorporate the system for 24/7 receipt,
evaluation, notification and response into State, Regional and Local
Public Health Emergency Response Plans.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Define 24/7 coverage including
basic parameters (i.e. maximum amount of time it should take for a
reporter to reach health department staff, methods for recording and
tracking all calls) for an effective system.
1b. Using the 24/7 definition and
recommendations from other assessments (i.e., BioSense cities),
develop a scalable model that will add efficiency and redundancy to
public health agencies with existing systems for 24/7 response.
2a. Establish draft guidelines for
after-hours evaluation, notification and response.
2b. Adapt guidelines appropriately
on regional or local basis.
3a. Each LHJ will incorporate their
24/7 system for receipt, evaluation, notification and response into
their Public Health Emergency Response Plans.
3b. State and local public health
agencies will create or enhance 24/7 response using the developed
model either internally or through agreements with other system
partners
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Definition developed by 9/12/03
1b. 24/7 system with scalable
improvements written by 10/15/03
2a. Draft guidelines for after-hours
evaluation, notification and response written by 11/30/03
2b. Guidelines modified for
regional/local use by 12/30/03
3a. 24/7 evaluation and response
system in place in all state & local public health agencies by
12/31/03
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. State and Regional Epidemiology
Coordinators, Regional Emergency Response Coordinators (RERCs)
1b. State and Regional Epidemiology
Coordinators
2a. Focus Area A/RERCs, State and
Regional Epidemiology Coordinators
2b. Focus Area A/RERCs, Regional
Epidemiology Coordinators; local communicable disease staff
3a. State and local Senior Health
Officials
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Percentage of LHJs that have
identified a duty officer and established 24/7 coverage
- Guidelines written for
disease-specific after-hours evaluation, notification and response
- Assessment of response (see
Critical Benchmark #10)
|
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2. Ensure legal authority to require and
receive reports and investigate any suspect cases, potential terrorist
events, unusual illness or injury (e.g., chemical or radiological)
clusters, and respond in ways to protect the public (e.g., quarantine
laws).
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Under Washington Administrative
Code (WAC) 246-101, local and state health officers have the legal
authority to require and receive reports and investigate diseases of
public health importance, including immediate reporting of suspected
or confirmed diseases of potential bioterrorism origin and
unexplained critical illness and death. Local and state health
officers can require reporting of additional conditions on a routine
or emergency basis under the authority of the WAC.
The newly adapted administrative rules (2/13/02) governing
quarantine are part of WAC 246-100-040-070. DOH provides the
following templates to local health officers and their legal counsel
to facilitate adoption of quarantine and isolation orders on a local
level:
- Request for Voluntary Compliance
- Emergency Involuntary Detention
Order
- Petition to Superior Court for an
Ex Parte Order Authorizing Involuntary Detention
- Petition for Order Authorizing
Continued Detention
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. LHJs will review quarantine and
isolation templates provided by DOH
1b. Using the templates provided by
DOH or working with their own legal counsel, LHJs will carry out the
necessary actions in order to adopt quarantine and isolation orders
1c. Based on the templates provided
by DOH or LHJ legal council, develop legal authority section of
Public Health Emergency Response Plans.
|
Timeline: What are the critical milestones
and completion dates for each task?
1b. Adopt quarantine and
isolation orders on a local level:
- Local Request for Voluntary
Compliance developed – varies by jurisdiction
- Local Emergency Involuntary
Detention Order developed - varies by jurisdiction
- Local Petition to Superior Court
for an Ex Parte Order Authorizing Involuntary Detention - varies by
jurisdiction
- Local Petition for Order
Authorizing Continued Detention - varies by jurisdiction
1c Incorporate appropriate legal
authorities into Regional and Local Public Health Emergency Response
Plan - varies by jurisdiction
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| 1b. LHJ
Senior Health Officials and their legal counsels
1c. RERCs, Regional Epidemiology Response
Coordinators |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Local Public Health
Emergency Response Plans incorporate appropriate legal authorities.
|
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3. At least annually, with the input of
local public health agencies, assess the timeliness and completeness of
your reportable disease surveillance system for:
a. Outbreaks of illness and/or key
categories of cases of reportable diseases, particularly those
that are caused by agents of bioterrorism concern or those that
mimic agents of bioterrorism concern; and others, such as
influenza, invasive bacterial diseases, vaccine preventable
diseases, vector-borne diseases, and food- and water-borne
diseases.
b. Acute dermatological
conditions/rash illnesses.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Annual assessments of the
completeness and timeliness of notifiable disease surveillance will
be conducted using a standardized statewide tool and through further
evaluation, as appropriate.
2. The standardized evaluation will
use existing and new surveillance system attributes (such as
electronic disease reporting and new case report forms) and will
focus on disease outbreaks and key notifiable diseases. Regional
surveillance coordinators will select key notifiable conditions to
assess for completeness and timeliness of reporting.
3. In addition to the standard
evaluation, state, regional and/or local public health agencies will
apply additional methods to further evaluate the performance of
their surveillance system (i.e. case report review, active
laboratory surveillance, hospital discharge data review).
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Develop standard evaluation
tool.
2a. Regional Surveillance
Coordinators select key notifiable conditions to assess for
timeliness annually
3a. Create a "toolbox" of further
evaluation methods, including case report review, active laboratory
surveillance, hospital discharge data review and other best
practices that can be applied at the state, regional and/or local
level as appropriate.
3b. Apply standard and other
evaluation methods at the state, regional and/or local level.
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Standard evaluation elements
determined and questionnaire completed 1/2/04
2a. Disease outbreaks for review and
key notifiable conditions selected - varies by jurisdiction
3a. Methods for further evaluation
collected and described - varies by jurisdiction
3b. Assessment completed – varies by
jurisdiction
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| All tasks - State and
Regional Surveillance Coordinators |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Standard evaluation
questionnaire developed
- Evaluation conducted at
state and representative local public health agency in each region.
|
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4. Based on these assessments, develop
or enhance reporting protocols, procedures, surveillance activities
information dissemination, or analytic methods that improve the
timeliness, completeness, and usefulness of the reportable disease
system.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Statewide, results of the
standardized evaluation (described above in CC #5 activity #3) will
be summarized and recommendations for statewide, regional and/or
local surveillance system improvements will be developed.
2. State and local public health
agencies will produce a report summarizing their own deficiencies
identified by the surveillance evaluation. This report will be
accompanied by a documented plan of activities to improve notifiable
conditions surveillance with implementation timelines.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Review data from standard
evaluation questionnaire
1b. Develop recommendations for
surveillance system improvement based on the findings from the
evaluation
2a. Review standard and additional
evaluation data at the agency level.
2b. Document deficiencies and
develop plan for improvement.
|
Timeline: What are the critical milestones
and completion dates for each task?
| 1. Report
summarizing the findings of the standardized evaluation varies by
jurisdiction 2. Recommendations
for surveillance system improvement documented varies by jurisdiction
3a. Agency-level review documented
varies by jurisdiction
3b. Plan for surveillance system
improvement documented at each region varies by jurisdiction |
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| 1a. State Surveillance
Coordinator 1b. State and
Regional Surveillance Coordinators
2a. State and Regional Surveillance
Coordinators
2b. State and Regional Surveillance
Coordinators |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Regional plans incorporate
surveillance system improvements
|
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5.a. Provide ongoing specialized disease
surveillance and epidemiologic training for public health, clinical, and
other healthcare professionals to develop subject matter expertise
within the public health system for disease detection, contact tracing,
and outbreak analysis. (LINK WITH FOCUS AREA G, CROSS CUTTING ACTIVITITY
EDUCATION AND TRAINING, Attachment X)
b. Evaluate disease surveillance and
epidemiologic training for public health personnel.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. In coordination with Focus Area
G, establish a system for identifying and developing public health
and clinical subject matter experts, including identification of
training/education appropriate for different types of subject matter
experts. Work with Focus Area G Coordinator, Regional Learning
Specialist (RLS), Focus Area B lead and Regional Epidemiology
Coordinators to explore establishing a public health mentoring
program, similar to the Florida EIS, for training in applied
epidemiology and investigation, including specific criteria and
performance objectives to be accomplished by participants.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Establish a state Epidemiology
Learning Liaison to work closely with Focus Area G Coordinator, RLS
and Regional Epidemiology Coordinators to identify, evaluate,
develop curriculum and provide specialized surveillance and
epidemiologic training for public health, clinical and other
healthcare professionals.
1b. Link with Focus Area G and
Washington Public Health Training Network (WAPHTN) to maintain a
calendar of learning and training opportunities offered by public
health, emergency response partners and academic institutions in the
state relevant to epidemiology response activities.
1c. Catalogue, evaluate and
communicate existing epidemiology and surveillance Web-based, video
or other self-study training materials available through Public
Health Training Network or other sources.
1d. Track and manage education and
training through link with Focus Area G and the proposed Learning
Management System.
1e. Identify and prioritize gaps in
available epidemiology and surveillance training materials and
develop strategies or partners (i.e., University of Washington’s
Northwest Center for Public Health Practice) for filling those gaps.
1f. Develop standardized training specific to disease detection,
contact tracing, outbreak analysis, PHIMS and other Web-based
reporting and notification mechanisms.
1g. Provide training to local public health staff, partner agency
staff, epidemiology response teams, health care providers, and
others through statewide, regional or local meetings,
train-the-trainer sessions, exercises and drills and evaluate
training based on response.
1h. Establish, develop and maintain
relationships with hospital education and training departments,
infection control practitioners and continuing education
coordinators to improve disease detection, contact tracing, and
outbreak analysis; including participation in exercises for
continuing education.
|
Timeline: What are the critical milestones
and completion dates for each task?
| 1a. Hire
state Epidemiology Learning Liaison by 10/1/03
1b. Maintain and Update calendar -
ongoing
1c. Existing training catalogued and
evaluated - ongoing
1d. Use Washington Learning Management
System once established
1e. Identify gaps in training -
ongoing
1f. Develop training or curriculum
ongoing
1g. Provide training - ongoing
1h. Establish relationships with
continuing education coordinators - varies by jurisdiction |
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. Focus Area B Lead, Focus Area G
Coordinator
1b. State Epidemiology Learning
Liaison, Regional Learning Specialists, Focus Area B Lead and
Regional Epidemiology Coordinators
1c. Epidemiology Learning Liaison,
Focus Area G Coordinator, Regional Learning Specialists
1d. Epidemiology Learning Liaison,
Focus Area G Coordinator, Regional Learning Specialists and
Epidemiology Coordinators
1e. Epidemiology Learning Liaison
1f. Epidemiology Learning Liaison
1g. Epidemiology Learning Liaison,
Focus Area G Coordinator, Regional Learning Specialists and
Epidemiology Coordinators
1h. Regional Learning Specialists
and Epidemiology Coordinators
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Epidemiology
Learning Liaison established and effectively linking focus area B and
G |
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- Ensure epidemiologic capacity to manage
the reportable disease system at the state and local level by providing
necessary staffing, supplies, and equipment for epidemiology,
surveillance, and interpretation of clinical and laboratory information.
(LINK WITH FOCUS AREAS C AND G)
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Maintain State and Regional
Surveillance coordinators. Identify regions or local health
jurisdictions in need of additional epidemiology support and provide
funding for staff or other identified resources. Many regions have
elected to develop Communicable Disease Liaison Programs, similar to
the one developed in Region 9 to develop a rapport with providers
and increase communicable disease reporting. These liaisons provide
outreach and information about public health services and programs,
disseminate updates about communicable disease treatment and
control, work in the field to link providers and their staff with
the experts at the LHJ, and perform other tasks necessary to meet
the critical capacities.
2. Develop new tools for notifiable
condition surveillance and distribute to state, regional and local
public health agencies. Tools will include standardized case report
forms to improve the quality, completeness and timeliness of
notifiable condition surveillance and new technology for electronic
disease reporting (i.e., PHIMS, Electronic Laboratory Reporting [ELR],
reporting Web site for health care providers)
3. Provide training and education
for public health agencies following the development of these
products.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Work with Regional Lead LHJs to
develop 2003-2004 LHJ contract and statement of work for state and
regional Epidemiology Surveillance Coordinators.
1b. Identify regions or LHJs in need
of additional support.
1c. Develop 2003-2004 LHJ contract
and statement of work for regional or local staffing enhancement.
2a. Complete
development of standardized case report forms
2b. Continue to identify, develop
and implement appropriate technology solutions to improve notifiable
condition surveillance.
3a. Develop training for public
health staff on the case report forms and on the
Washington State Guidelines for
Notifiable Conditions Reporting and Surveillance.
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. LHJ contract including statement
of work and deliverables in place by 8/31/03
1b. Regions/LHJs in need of
additional support identified by 7/30/03
1c. Contract developed for
additional support by 8/30/03
2a. Case report forms redesign
initiated by 11/15/03
2b. Participation in User
communities – ongoing
3a. Training curriculum written
following form revision
3b. Training held in each public
health region – varies by region
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| 1a. Focus Area B Lead
and Regional Epidemiology Surveillance Coordinators
1b. Local, regional and state public
health agencies
1c. Focus Area B Lead and Regional
Epidemiology Surveillance Coordinators
2a. State Surveillance Coordinator;
Epidemiology Learning Liaison
2b. State and Regional Surveillance
Coordinators
3a. State Surveillance Coordinator,
Epidemiology Learning Liaison, Regional Surveillance Coordinators
3b. Epidemiology Learning Liaison,
Regional Surveillance Coordinators |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Case report forms developed and
distributed
- Training documented in each public
health region
|
7a. Educate and provide feedback to
reporting sources in your jurisdiction about notifiable diseases,
conditions, syndromes and their clinical presentations, and reporting
requirements and procedures, including those conditions and syndromes
that could indicate a terrorist event. (LINK WITH FOCUS AREA G, CROSS
CUTTING ACTIVITITY EDUCATION AND TRAINING, Attachment X)
7b. Evaluate training provided to
clinicians and other health care providers.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Regions will employ appropriate
strategies such as developing network nurse or public health liaison
programs to foster relationships and provide education and training
to health care providers and other notifiable conditions reporters.
All training will be documented and evaluated by health care
providers and notifiable condition reporters. Training materials and
information from evaluations will be collected and cataloged to
provide a resource for sharing and discussing. Hospitals and
clinicians will be provided resources to clarify how they should
report to public health agencies. Topics covered will include
electronic reporting and Healthcare Insurance Portability and
Accountability Act (HIPAA).
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Continue to develop and update
local/regional health care provider networks that will be targeted
for outreach, education (including HIPAA) and training.
1b. Use standard materials for
face-to-face outreach and training, such as presentations developed
in CC #6-10, existing presentations, or new training tools for
notifiable condition reporters
1c. Use newsletters, electronic list
serves, notes of appreciation and other tools to provide feedback to
reporters
1d. Track and manage education and
training through link with Focus Area G and the Learning Management
System
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Reporter contact database is
updated - ongoing
1b. Training materials developed and
shared - ongoing
1c. Enhance communication mechanisms
- ongoing
1d. Use Learning Management system
when established
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. Regional Surveillance
Coordinators and/or local communicable disease staff
1b. Regional Surveillance
Coordinators and/or local communicable disease staff, Epidemiology
Learning Liaison (ELL), Focus Area G Lead and Regional Learning
Specialist (RLS)
1c. Regional Surveillance
Coordinators and/or local communicable disease staff, ELL, Focus
Area G Lead and RLS
1d. ELL, Focus Area G Lead, RLS
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Training documented
- Catalogue in place
|
- Assess and strengthen links with animal
surveillance systems and the animal health community to support early
detection efforts of illness among animals.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
Background: WAC 246-101-405
requires veterinarians to report animal zoonotic diseases to local
public health jurisdictions. However,
[Information omitted in accordance with R.C.W. 42.17.310(1)(ww)]reports have been received from the veterinary community in the three
years since this regulation went into effect. Zoonoses may be
underreported due to economic constraints on diagnostic testing and
[Information omitted in accordance with R.C.W. 42.17.310(1)(ww)]
between the veterinary and public health communities. Currently,
Washington has
[Information omitted in accordance with R.C.W. 42.17.310(1)(ww)]. Developing such a system will require
enhanced collaborations with veterinarians and wildlife agencies.
DOH will initiate an animal disease
surveillance system by enhancing communication and establishing
laboratory resources for necropsy, diagnostics, and serosurveys.
Through surveillance, identify trends in significant zoonotic diseases
and formulate control and prevention activities, and establish an
early detection program for agents of potential bioterrorism and
emerging zoonotic diseases. This will be accomplished though
implementation of three strategies:
1. Identify
stakeholders/participants in animal disease surveillance
2. Initiate ongoing and regular
communication with a steering committee that will perform key tasks.
3. Enhance state, regional and local
health collaborations to achieve key tasks
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Identify
stakeholders/participants in animal disease surveillance such as
private veterinary practitioners, the state veterinary association,
Washington State University College of Veterinary Medicine,
Washington State Animal Disease Diagnostic Laboratory (WADDL), the
Washington Department of Agriculture, the Washington Department of
Fish and Wildlife, wildlife rehabilitators, regional and county
health jurisdictions, military bases, humane societies and others
that could be integrated into a zoonotic disease surveillance
program.
The steering committee will:
2a. Assess the existing
infrastructure for animal disease surveillance.
2b. Strengthen key relationships
between public health and other agencies involved in animal health.
2c. Develop strategies to initiate
an animal disease surveillance program.
2d. In conjunction with Focus Areas
C and D, ensure veterinary laboratory capacity to diagnose, detect
and monitor diseases in (non-human) animals that are important to
human health in Washington.
2e. Develop investigation protocols
for zoonotic diseases in animals, beginning with those agents that
may have bioterrorism potential.
State, regional and local health
agencies will collaborate to:
3a. Establish regular communications
on veterinary surveillance.
3b. Facilitate investigations of
potential animal disease outbreaks of public health significance
including diagnostic support.
3c. Develop collaborative protocols
to investigate zoonotic disease cases and outbreaks in animals.
3d. Promote strategies to enhance
animal disease diagnostics and case reporting.
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Initial stakeholders have been
identified – completed.
2b. Assessment of current status of
veterinary surveillance for zoonotic disease to be completed by
December 2003.
3a. List server communication with
Regional Epidemiology Coordinators re: veterinary surveillance to be
developed by December 2003.
2d. Steering committee to discuss
zoonotic disease animal surveillance strategies by December 2003.
3a. DOH and LHJs to disseminate
communications about surveillance activities by February 2004.
3c. Develop response protocols for
zoonotic disease reports in animals by April 2004.
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. State Public Health Veterinarian
2b. State and local Public Health
Veterinarians, Epidemiology Response Coordinators, WADDL
3a. State and local Public Health
Veterinarians, Epidemiology Response Coordinators, WADDL
2d. State Public Health Veterinarian
3a. State and local Public Health
Veterinarians, Epidemiology Response Coordinators
3c. State and local Public Health
Veterinarians
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Protocols for zoonotic
disease investigation developed |
- In coordination with your public health
laboratory, develop and implement a strategy to ensure laboratory
testing (in clinical or public health laboratories) for rapid or
specific confirmation of urgent case reports. (See Appendix 4 for IT
Functions #1, 4, and 5.) (LINK WITH FOCUS AREA C)
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. In coordination with Focus Area
C, (includes DOH Public Health Laboratories [PHL], Spokane Regional
Public Health Laboratory and Public Health-Seattle & King County
Public Health Laboratories) will assist LHJs and emergency response
system partners by providing protocols and training for obtaining
rapid testing of suspected bioterrorist agents as appropriate.
Protocols will include when specimens (including suspect smallpox)
should be referred to PHL or other Laboratory Response Network (LRN)
laboratories, the protocol for obtaining testing 24/7, and how to
safely package and transport specimens.
2. PHL, as part of pre-event
smallpox planning, will identify laboratories in Washington that
have the capacity to perform and report LRN-validated testing for
variola major, vaccinia and varicella from human and environmental
samples. This collaboration will include review of established
smallpox emergency procedures and development of specimen collection
kits.
PHL will
integrate new, advanced rapid identification methods approved by the
LRN into the current testing algorithm for human, environmental,
animal, food or water specimens.
3. Link with Focus Area C Critical
Benchmark #14 simulation exercise to examine the process for rapid
intake, transport, testing and results reporting.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Distribute updated suspicious
substance/threatening letter sample submission and testing protocol
to response system partners on an annual basis
1b. Develop protocols for
communication, notification and submission of specimens, including
suspect smallpox and incorporate into state, regional and local
Epidemiology Response Plans (or overall Public Health Emergency
Response Plan as appropriate).
1c. Disseminate and provide training
on protocols to appropriate response system partners including
health care providers, laboratories and first responders.
1d. Update DOH Notify Website
and Washington State Guidelines for Notifiable Conditions
Reporting and Surveillance with specimen submission protocols
and requirements.
2.a Continue to work closely with
PHL to prioritize new testing methods development based on
epidemiologic needs as identified.
3.a Work with PHL to include
objectives in their required simulation exercise that will examine
strengths/weaknesses in current system for submission of samples of
suspected bioterrorist agents.
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Protocol disseminated to LHJs
by 10/30/03
1b. Protocols incorporated into
state, regional and local plans – varies by jurisdiction
1c. Training provided to response
system partners – varies by jurisdiction
1d. Update Guidelines and website
with submission protocol initiated by 1/30/04
2a. Meetings with PHL – ongoing
3a. Meetings with PHL – ongoing
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. State and Regional
Epidemiology Response Coordinators, PHL Training Coordinator
1b. DOH CD Epidemiology, PHL
Training Coordinator, and Epidemiology Response Coordinators and
RERCs/LERCs
1c. Regional Epidemiology
Coordinators
1d. PHL Training Coordinator,
State Epidemiology Response Coordinator
2a. DOH CD Epidemiology
3a. State Epidemiology Response
Coordinator
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Notify
website updated with specimen submission protocols |
- (Smallpox) Improve the adequacy of
state and local public health surveillance and reporting capacities
related to smallpox, such as active surveillance for rash illnesses,
case contact tracing, and monitoring for adverse events following
vaccination.
Back to top
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Revise the surveillance annex of
state, regional and local smallpox response plans based on the
revised CDC Guide A released in 2003.
2. Develop capacity for rash illness
surveillance including report forms and training. Select regions may
establish and conduct active surveillance for febrile rash illness
using sentinel health care providers (dermatologists, occupational
medicine, pediatricians) to determine baseline rates.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Revise surveillance annex of
state smallpox response plan
1b. Local revisions follow
2a. Revise DOH measles outbreak
protocol
2b. Evaluate Stage 1 Smallpox
Vaccine Safety Surveillance System including adverse event reporting
|
Timeline: What are the critical milestones
and completion dates for each task?
| 1a. State smallpox
surveillance annex revision initiated by 12/31/03
1b. Local and regional smallpox response
plans revised – varies by jurisdiction
2a. Measles outbreak protocol revised
by 8/30/04
2b. Stage 1 evaluation completed by
6/30/03 |
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| 1a. State
and Regional Epidemiology Coordinators, DOH BT Medical Epidemiologist,
DOH Immunization Program, Smallpox Program Coordinator
1b. Regional Epidemiology Coordinators
2a. DOH Immunization Program
2b. State and Regional Surveillance
Coordinators and Smallpox Program Coordinator |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Smallpox
Surveillance Annex revised |
- In coordination with local public
health agencies, apply information technology according to established
specifications, including NEDSS development or the NEDSS Base System, to
develop or enhance electronic applications for reportable diseases
surveillance, including electronic laboratory-based disease reporting
from clinical and public health laboratories and linkage of laboratory
results to case report information. (See Appendix 4 for IT Functions
#1-5.) (LINK WITH FOCUS AREAS C AND E, CROSS CUTTING ACTIVITITY
SURVEILLANCE AND INTEROPERABILITY OF IT SYSTEMS, Attachment
X)
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. In coordination with Focus Area
E, DOH will continue to develop and maintain a secure Web-based
system (PHIMS) that LHJs can use to collect notifiable conditions
and investigations data, and report it to DOH. DOH will also use
this data system for notifiable condition surveillance activities,
such as data analysis, quality assurance, and disease reporting to
LHJs and the CDC.
A local, regional and state
communicable disease and surveillance staff user group will continue
regular meetings to discuss policy and other issues that must be
addressed prior to system deployment. A subgroup of state and local
health officials, the Washington Electronic Disease Surveillance
System Steering Committee, will convene monthly to decide on project
and policy issues that are beyond the scope of the user group.
DOH’s Office of Communicable Disease
Epidemiology will hire an epidemiology data specialist to oversee
content review and data coding, incorporating comments and
suggestions from the user group and other state and LHJ communicable
disease staff.
When Washington Electronic Disease
Surveillance System (WEDSS) and Communicable Disease Epidemiology
staff determine that PHIMS meets the business requirements and
design features documented by the user group and other stakeholders,
the system will be piloted, with user acceptance testing, and
necessary changes will be documented and incorporated into the
system. WEDSS and DOH Communicable Disease Epidemiology will
document and assure that necessary infrastructure exists to support
PHIMS. When that infrastructure is in place, DOH will deploy PHIMS
to state and local public health agencies across Washington State.
In conjunction with the system
development, and in collaboration with Focus Area G, training
strategies will be identified and audience specific curriculum
created. The WEDSS Helpdesk will be enhanced to support PHIMS.
Appropriate state and regional epidemiology coordinators and local
communicable disease staff will be trained to provide technical
support for the system.
2. Laboratories will continue to
build technology infrastructure consistent with electronic data
standards to support electronic data interchange with public health
partners. DOH will continue to guide these efforts by providing
standards built on the Public Health Information Network (PHIN) and
other national standards. As laboratories develop the capacity to
meet the IT standards through modification of existing information
systems or creation of new systems, DOH will provide implementation
guidelines for laboratories to send electronic messages.
Additionally, DOH will build systems for sharing information by
modifying software code from other states or sources. This
electronic messaging system will be pilot tested prior to
implementation in laboratories across the state. The end-product
will be able to accept notifiable conditions reports from clinical
and hospital laboratories and deliver reports to appropriate LHJs
using PHIN standards including required coding formats.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
| 1a. Continue PHIMS user
group meetings
1b. Hire DOH Communicable Disease
Epidemiology data specialist
1c. Standardize and build consensus on
PHIMS content, including data elements and coding
1d. Review PHIMS application against
business requirements and functional needs; accept for deployment if
appropriate
1e. Test and deploy application to
select pilot jurisdictions; implement changes based on results
1f. Develop and provide training to
local, regional and state PHIMS users
1g. Document and assure infrastructure
to support PHIMS is in place at DOH
1h. Deploy PHIMS to state and local
public health agencies
2a. Provide implementation
guidelines for electronic messaging to hospital and clinical
laboratories
2b. Build electronic messaging
system to collect notifiable condition reports from laboratories and
deliver same to appropriate state and local public health agencies
2c. Pilot-test electronic messaging
system
2d. Deploy system to prioritized
labs
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. PHIMS user group meetings held
on a monthly basis
1b. DOH Communicable Disease
Epidemiology data specialist hired by 9/1/03
1c. PHIMS content standardized and
accepted by system stakeholders by 9/1/03
1d. Review of PHIMS application
against business requirements and functional needs initiated by
9/15/03
1e. PHIMS deployed to select LHJs
for pilot testing by 12/01/03
1f. PHIMS training curriculum and
training plan developed by 11/15/03
1g. Infrastructure needs for PHIMS
support documented and addressed by 9/30/03
1h. PHIMS deployed to state and
local public health agencies beginning 1/1/04
2a. Implementation guidelines for
electronic messaging from hospital and clinical laboratories
provided by 10/1/2003
2b. Electronic messaging system to
collect notifiable condition reports from laboratories and deliver
same to appropriate state and local public health agencies built by
11/1/2003
2c. Pilot-test electronic messaging
system initiated by 11/1/2003
2d. System deployed to prioritized
labs by 1/1/2004
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
| 1a. WEDSS, State and
Regional Surveillance Coordinators, local communicable disease staff
1b. DOH Communicable Disease
Epidemiology
1c. DOH Communicable Disease
Epidemiology, WEDSS, PHIMS user group, local communicable disease
staff
1d. WEDSS, DOH Communicable Disease
Epidemiology
1e. WEDSS, select local health
jurisdictions
1f. WEDSS, State Epidemiology Learning
Liaison, Focus Area G
1g. WEDSS, DOH Communicable Disease
Epidemiology
1h. WEDSS, state and local public
health agencies
2a. WEDSS
2b. WEDSS
2c. WEDSS, select laboratories
2d. WEDSS, laboratories |
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- Percentage of LHJs with
access to PHIMS
|
- In coordination with your public health
laboratory, develop the capacity to apply molecular epidemiologic
methods (e.g., pulsed field gel electrophoresis or sequence-based
methods) to outbreak investigations and surveillance as appropriate.
(LINK WITH FOCUS AREA C)
Back to top
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Collaborate with the Washington
State Public Health Laboratories (PHL) microbiology molecular
laboratory to ensure the best mechanism is used for molecular
testing and for sharing testing results with epidemiologists at DOH
and LHJs. This will enhance their ability to identify clusters and
outbreaks.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. Work with PHL molecular
laboratory to determine information needed to enhance DOH and LHJs’
ability to identifying clusters and outbreaks
1b. PHL molecular laboratory will
develop a nomenclature for enteric subtypes which will help
epidemiologists gain expertise in understanding implications of
certain patterns and historical trends
1c. Add molecular subtyping results
to daily enteric report provided by the PHL
1d. Work with PHL to expand scope of
organisms for which routine subtyping is performed, as appropriate
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. Meet routinely with PHL ongoing
1b. Nomenclature developed 11/1/03
1c. Subtype results added to daily
report by 11/15/03
1d. Work to expand list of organisms
for routine subtyping – ongoing
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
1a. DOH Communicable Disease
Epidemiology and PHL pulsed-filed gel electrophoresis (PFGE)
Laboratory
1b. PHL PFGE Microbiologist
1c. PHL PFGE Lab and DOH Communicable
Disease Epidemiology
1d. PHL PFGE Lab and DOH Communicable
Disease Epidemiology
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
- PFGE type added to daily
report
- Library of enteric
subtypes created
|
Back to top
- Integrate infectious disease
surveillance by establishing relationship with state veterinary
diagnostic laboratory. Evaluate database system for identification and
tracking of zoonotic diseases. Conduct survey of veterinary
practitioners regarding laboratory utilization and specimen submission
practices.
Strategies: What overarching approach(es)
will be used to undertake this activity?
|
1. Develop and enhance
collaborations between state and local public health departments,
and the Washington Animal Disease Diagnostic Laboratory (WADDL).
Develop protocols for local health to respond to and track zoonotic
diseases in animals and humans. Evaluate the use of veterinary
laboratories by the veterinary and animal health community in order
to determine priorities for enhancing the relationships and animal
disease surveillance strategies.
|
Tasks: What key tasks will be conducted in
carrying out each identified strategy?
|
1a. In conjunction with Focus area
C, identify capacities and needs to develop enhanced zoonotic
disease testing at WADDL and PHL.
1b. Conduct survey of veterinarians
regarding laboratory utilization and submission practices.
|
Timeline: What are the critical milestones
and completion dates for each task?
|
1a. DOH and WADDL to identify
existing capacities and explore potential needs for enhanced
zoonotic disease surveillance in animals by February 2004.
1b. Survey of veterinarians
initiated by April 2004
1c. Notification to stakeholders of
available laboratory capacity for animal disease surveillance to be
done by December 2003.
|
Responsible Parties: Identify the person(s)
and/or entity assigned to complete each task.
|
1a. WADDL, PHL, State and local
Public Health Veterinarians, Regional Epidemiology Coordinators
1b. WADDL, PHL, State Public Heath
Veterinarian, Region 6 Public Health Veterinarian, Regional
Epidemiology Coordinators
1c. WADDL, PHL, State Public Heath
Veterinarian
|
Evaluation Metric: How will the agency
determine progress toward successful completion of the overall recipient
activity?
| Survey of
veterinarians completed |
Back to |
