Orange County NC Website
MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />June 23, 2010 <br />Board of Health Minutes Transcription completed by Anne Miles Cassell 4 June 23, 2010 <br />Christopher Cooke asked why Lyme Disease did not require a contact history. Ms. <br />Butler said that Lyme Disease is a reportable disease but it is not transmittable from <br />person to person, therefore a follow up on contacts is unnecessary. <br /> <br /> C. Annual Public Health Preparedness Update <br /> <br />Pat Gentry, Preparedness Coordinator, reported that Orange County Public Health <br />Preparedness efforts thus far in 2010 have been focused on the NC Division of Public <br />Health’s onsite review of OCHD’s recently updated Strategic National Stockpile (SNS) <br />Plan, continued response to H1N1 influenza pandemic, the revision of OCHD’s <br />Continuity of Operations Plan (COOP) and beginning revisions to the Pandemic <br />Influenza Plan. <br /> <br />The SNS Plan update is an annual state Division of Public Health submission and this <br />year, Orange County Public Health was selected as one of seven statewide onsite plan <br />assessments conducted in April 2010. The SNS Plan describes Orange County’s <br />systematic organization used to request, receive, store, distribute and dispense SNS <br />assets (large quantities of medicine and medical supplies). It sets forth lines of authority, <br />roles and responsibilities, and organizational relationships between Federal, State and <br />local governments. The Orange County SNS Plan as chosen for a random onsite review <br />by the state and scored 88.1, the highest score in the state. The average score <br />throughout the state was 69. The plan was successfully activated for the H1N1 Flu <br />event, as all North Carolina counties received SNS supplies (anti-virals, masks) from the <br />federal government. At the mass vaccination event in November, 1,084 citizens were <br />vaccinated in a 6-hour period. <br /> <br />One lesson learned was the need for prepackaging of supplies for rapid deployment to <br />dispensing points prior to an event. This is a goal for 2011. Other goals are <br />development of a radio communications plan and identification of “at risk” <br />populations. <br /> <br />The Continuity of Operations Plan (COOP) and Pandemic Influenza Plans are additional <br />annexes to OCHD’s overall Public Health Emergency Operations Plan, which follows <br />Orange County’s Multihazard Plan and the National Incident Management System <br />(NIMS). <br /> <br />Christopher Cooke asked if there was also a security plan for the warehouse since a <br />security plan for the points of dispensing was mentioned. Ms. Gentry stated that there is <br />a security plan for the warehouse and that she does a monthly inventory of supplies <br />that are warehoused. <br /> <br />The estimate of a pandemic influenza disease burden was based on an attack rate of <br />20%. Christopher Cooke asked for clarification on the meaning of “attack rate”. Ms. <br />Gentry explained that attack rate is based on how many in a given population would <br />be affected by a pandemic, 20% being a mild pandemic. She further explained that <br />the attack rate also takes into account how virulent the outbreak is. Orange County is <br />basing their planning on a 40% rate for the COOP plan. <br /> <br />Anissa Vines asked if a 2011 goal is to expand training to local law enforcement in the