West Virginia Bureau for Public Health CLH UPDATE AND STATE ZIKA OVERVIEW Presented to the West Virginia Association of Local Health Departments June 2 nd , 2016
Framework and Approach Basic Public Health Services Understanding and Supporting Local Health Service Delivery • Understand root cause • Defined requirements and • State and local leadership guidance commitment • Reporting of results to • Customized approach and agencies, state and plan partners • Accountability measures Quality Accountability Improvement Technical Advocacy Assistance and • Policy analysis and positions Support • Orientation and training • Strategic and collective goals • Identification of best • Tailored to community needs practices and capacity • Proactive to crisis 1
Key Initiatives to Support Local Health National Partnerships Basic Public Health Services Support • • Center for Sharing Public Health Training Resources • Services Guidance • • Public Health Accreditation Board Technical Assistance • • Public Health National Center for Weekly Bureau Leadership Meetings Innovations on local health system support • • ASTHO Accreditation Learning Emergency Fund Program Community • CDC Division of Public Health Collaboration with Performance Improvement PHAST (Public Health Services and Tracking Project) and local Statewide Partnerships health • Statewide BPH and LHDs • WVU Mid-Atlantic Public Health Regional Training Center • WV Association of Counties • Try This West Virginia • Public Health Advisory Council 2
ZIKV in West Virginia March 10, 2016: West Virginia reported first lab-confirmed travel- associated ZIKV case 3
West Virginia Zika Task Force Multidisciplinary Two Major Components 1. Zika Emergency Response Plan 2. Zika Action Plan (phased and risk-based) • Communication • Surveillance • Laboratory testing • Mosquito control • Pregnant women outreach • Blood safety 4
National Funding to Support State Plan Maternal, Maternal, Threat Epidemiology Child and Child and Preparedness and Lab Family Health Family Health Public Health Epidemiology and Preparedness and Laboratory Capacity Epidemiology and Surveillance and Birth Response Grant Grant (M1) Laboratory Capacity Defects Grant Grant (M2) $286,000 $350,000 Application Due 6/23 Application Submitted $107,113 $200,000 Incident Management Human Surveillance and Coordination Application Submitted Application Due 6/24 Information Management and Outreach to Travelers Rapid identification of Sharing microcephaly and Zika Registry other birth defects Coordination Community Recovery potentially related to Vector Control and Resilience Zika 5
Bureau for Public Health Activities The Office of Maternal, Child and Family Health is planning to: • Monitor pregnant women infected with Zika through the Zika Pregnancy Registry • Provide referrals and care coordination through Home Visitation Program, Right from the Start, Birth to Three, and Children with Special Health Care Needs 6
Bureau for Public Health Activities The Division of Infectious Disease Epidemiology (DIDE) is working with local health departments to: • Monitor and report cases • Conduct mosquito surveillance for ae. Aegypti and ae. Albopictus • Provide current surveillance information and communication resources to stakeholders • Link pregnant women with: • Maternal, child and family health services • Zika Pregnancy Registry 7
Bureau for Public Health Activities DIDE is also working to: • Improve reporting of suspected Zika cases by healthcare providers • Improve outreach to blood collection centers • Coordinate environmental assessment at homes of Zika cases to reduce the risk of local transmission • Share public health messaging regarding prevention of Zika: www.dhhr.wv.gov/oeps/disease/zoonosis/mosquito/pages/zika 8
Bureau for Public Health Activities The Center for Threat Preparedness (CTP) is working to: • Administer the Public Health Preparedness and Response Zika Grant • Develop the State Zika Response Plan • Prepare for potential health command activation for a Zika incident • Provide support, tools and resources to local health and healthcare organizations 9
Bureau for Public Health Activities The Office of Laboratory Services (OLS) is working to: • Validate the CDC’s Laboratory Response Network (LRN) trioplex real time RT-PCR assay to provide Zika, dengue and chikungunya human testing 10
State Support for Local Health Preparedness • Toolkit for local health departments • Regional trainings • Statewide call (February) • www.dhhr.wv.gov/oeps/disease/zoonosis/mosquito/pages/zika Response • Case reporting • Zika Pregnancy Registry • Mosquito source reduction support 11
Local health support to community • Environmental health including vector control Basic Public • Communicable and Health Services reportable disease including Zika • Public Health Preparedness planning including agency plans Emergency • Coalition-building including Preparedness (PHEP) partnering on vector control 12
Discussion and Q & A Q & A 13
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