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What Questions for CIDRAP Attendees?

Re: What Questions for CIDRAP Attendees?

Should state and federal agencies, as large employers, prepare their own supply stockpiles and conduct exercises with their staff?

How should the federal and state agencies as large employers interact with local government and preparedness agencies?

Do you know of any that have? Is data available?
JT
 
Re: What Questions for CIDRAP Attendees?

Please, slice, dice,and julienne fry (pick, choose or amend) as you see fit...

An impressive array of employers at the conference. Query, first of all, whether the conference is "preaching to the converted" (for want of less-inflamatory wording).

What industrial sectors are under-represented by the attendees at the CIDRAP conference? (ues major headings in the North American Industrial Classification System to analyze) What plans does CIDRAP have to engage these employers in Minn.? In othe states?

What private or public wage insurance schemes will be in place for empoyees who:

a) refuse to attend work due to fear of infection

b) are quarantined under order of public health officials

c) become ill or die without proof of the work being the "dominant cause" of the influenza?


Does the company have and infection control officer? At what level does this officer serve - worker, manager, senior manager, executive?

What is the incremental, employee per capita investment each company is making or planning to make in workplace infection control?

What is the current stockpile level for employer-provided masks? What type?

Will employess who refuse to attend work before an official pandemic is declared be considered insubordinate? After declaration of a pandemic?

If employees attend the workplace after being asked not to, or during the quarantine of the premises, what action will the employer take?

If the employer has a dominant market share in a product, or is in a near monopoly position, and assuming a massive loss of the company's workforce, what will be the downstream impact on their clients? On the public?

What changes are being contemplated (by union or employer) or negotiated to collective agreements in anticipation of widespread illness of the company's workforce?

Is a return-to-work plan or disability management plan in place at the company?

How will workers with insufficient seniority for eligibility for sick leave, long term disability or medical benefits be treated during a pandemic? Will the employer rigidly enforce the eligibility limits of such plans during a pandemic?

What representations, lobbying or submissions are employers making to local government in anticipation of a pandemic?

Does the company's leadership believe that a pandemic with high mortality and morbidity is imminent?

J.

Eidt: Does the employer have mandatory drug testing? Will these programs be expanded to influenza screening?
 
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Re: What Questions for CIDRAP Attendees?

While discussing employee issues
What are requirements for payment if employees are prohibited from leaving worksite (eg health care or LTC facility) due to quarantine.
What happens to pay for employees who are locked out due to quarantine?
jt
 
Re: What Questions for CIDRAP Attendees?

Biggest supply chain issue: Food distribution.

Should (or can) JIT practices of food production / distribution be adjusted in anticipation of pandemic?

If so, how?

If so, when?

How can general public purchase / obtain food if social distancing / business shutdown is enforced?

~~gregory benesch

What questions would you ask at the CIDRAP Conference?

https://programs.regweb.com/metro/cidrap07/1/index.cfm?page=organizations

:magnify:
 
Re: What Questions for CIDRAP Attendees?

If I were going, I would try and buttonhole Osterholm and Sandman at the Monday evening reception (and Gerberding if she is there) and ask each of them how a news compilation forum such as FluTrackers can assist in spreading the pandemic message. I would also ask them to assume the pandemic has started, and then tell you what role should a forum like FluTrackers play in news and information dissemination at that time.

I also would be interested in the opinions and ideas that expressed in the breakout session "Anticipating and Managing Legal Issues" What do lawyers think they will doing in the event of a pandemic? :confused:

And for the session Supply Chains: What You Should Know Before the Next Pandemic, I would like to hear what Caverly from DHS has to say about our JIT economy in the event of a pandemic. That would interest me enough to try and visit with him during a break for some one-on-one questions and answers.

But that is just me, and I won't be there. We will apparently have access to the Powerpoint presentations at or shortly after the conference. Conference participants will get a DVD 8-10 weeks after the conference.
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Re: What Questions for CIDRAP Attendees?

I want to know two things as an RN:

1)what virus infected those pediatric ICU cases in Alabama, and if and when they will release the viral sequences that the CDC must have in its data base regarding these cases. If not why not? Sorry to be so blunt, but that reporter was brushed off regarding this at the CDC audiocast. That bother me. This is not transparency.

2)when will they start preparing the rank and file HCW for a possible pandemic. There is no education available at this time and limited PPE. Why not?
Nurses are expected to work, but no one is talking to us about this. When will they?
 
Re: What Questions for CIDRAP Attendees?

I am attending these breakout sessions:

Supply Chains: What You Should Know Before the Next Pandemic

Benefits and Opportunities of Working with Your Community


Also, I have some other meetings scheduled. I will get as many of the questions answered as possible.
 
Re: What Questions for CIDRAP Attendees?

Pandemic are known to occur in repeating waves. Each community/town/city is expected to incur 2-4 waves over an 18 month period.

From the pandemicflu.gov site: http://www.pandemicflu.gov/plan/pandplan.html

1.1.10. In an affected community, a pandemic outbreak will last about 6 to 8 weeks.
1.1.11. Multiple waves (periods during which community outbreaks occur across the country) of illness could occur with each wave lasting 2-3 months. Historically, the largest waves have occurred in the fall and winter, but the seasonality of a pandemic cannot be predicted with certainty.
Recovery would undoubtedly take some time after a wave of flu passes through a community.

Can someone explain the reason the pandemicflu.gov site recommends a two week supply of food and water for individuals & families? Why is there no mention of alternative heating and cooking in the event of power outages?
[Reference: http://www.pandemicflu.gov/plan/individual/checklist.html]
 
Re: What Questions for CIDRAP Attendees?

I would ask if they had identified milestones or key events - there must be just the right word, triggers? - maybe cluster size, or spread among health care workers, or a government designation/announcement that would cause more robust preparedness activities?

What plans do they have in place if they think they have six months before H5N1 is spreading locally?

My understanding is that how the WHO moves from one phase of pandemic alert to the next has changed; are those attending the conference comfortable with the sensitivity of governmental pandemic alert measures?
 
Re: What Questions for CIDRAP Attendees?

Florida1,

You're attending "Benefits and Opportunities of Working with Your Community".

The question I get the most often in community planning meetings in California is this: "Can the federal or state government provide well thought out guidelines for school closures before children bring the pan flu home to their families, thereby worsening pandemic spread?

School closure is one way to slow pandemic spread in the general population. In addition, the immediate population at risk - our children - is the population most vulnerable to cytokine storm and death. How our children fare will determine, I think in large degree, how paniced family members become.

Schools are in the dangerous position of having their funding linked to attendance. In some areas it takes 25 to 30 percent absenteeism for public health to close a school without bankrupting the school budget. There will be great pressure brought to bear in the beginning to keep schools open, so as to continue to secure school funding. There is a long-time pattern for that behavior.

If you run the FluSurge program on the school population of an area, you will see that there will be many deaths and lots of infection spread before schools are closed, if long-standing protocols are followed. In this case not taking action soon enough will be deadly both for the children due to prodromal infection and for the larger population.

FluSurge software: http://www.flutrackers.com/forum/showthread.php?t=15332&highlight=flusurge
Please ask if plans are being made behind the scenes for required school closures in the case of mild, medium, and severe pandemic mortality. If they are not, they should be.
 
Re: What Questions for CIDRAP Attendees?

EXCELLENT question!

From the pandemicflu.gov site: http://www.pandemicflu.gov/plan/pandplan.html

Recovery would undoubtedly take some time after a wave of flu passes through a community.

Can someone explain the reason the pandemicflu.gov site recommends a two week supply of food and water for individuals & families? Why is there no mention of alternative heating and cooking in the event of power outages?
 
Re: What Questions for CIDRAP Attendees?

Florida1.

1) Question to Dir. Gerberding, CDC: In the most recent (Feb 07) released CDC Non-Pharmacuetical Interventions Guide/ Plan, the newly designed Pandemic Severity Index bases it's category level upon CFR- with the highest level 5 having a CFR greater than 2 %. Would the current CFR- WHO at
@ 50 % and Indonesia at @ 76 % - be categorically included in this level? If yes, then what/ how quickly can the States/ Local Municipalities- Communities expect guidance from the Federal government in handling the logistics of an excessive amount of deaths? Can the government then clarify it's Activation plan for a lower end of Category 5/ vs. an upper end of a Category 5? If the current CFR rate is not included in this index, can CDC clarify it's position re: a plan for a CFR of 50-76%?

2) As with many who have previously posted, I am interested in any update on which supply chain issues are being addressed.

Thanks, Florida1, for any and all information you gather. You will be very busy.
 
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