From theory to practice Experience from an airport exercise

Transcription

1 From theory to practice Experience from an airport exercise Rosemarie Neipp López Head of Sanitary Control Area General Subdirectorate of Foreign Health 20 of September 2011

2 CONTENT OBJECTIVES OF THE EXERCISE 10 MINUTES VIDEO LESSONS LEARNT QUESTIONS

3 CONTENT OBJECTIVES OF THE EXERCISE

4 OBJECTIVES 1. To evaluate the COORDINATION among involved institutions in the emergency exercise and to check the IMMEDIATE RESPONSE CAPACITY

5 INVOLVED INSTITUTIONS COORDINATION COMMUNICATION Madrid Foreign Health Control Unit

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7 INVOLVED INSTITUTIONS INSTITUTIONS COMMUNICATION Madrid Foreign Health Control Unit Airport: (Airport Medical Service, Control Tower, Airport Management Centre, others)

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9 INVOLVED INSTITUTIONS INSTITUTIONS COMMUNICATION Madrid Foreign Health Control Unit Airport: (Airport Medical Service, Control Tower, Airport Management Centre, others) Regional Health Authority

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11 INVOLVED INSTITUTIONS INSTITUTIONS COMMUNICATION Madrid Foreign Health Control Unit Airport: (Airport Medical Service, Control Tower, Airport Management Centre, others) Regional Health Authority Ministry of Health, Social Policy and Equality: Sub directorate of Foreign Health Coordinating Centre for Health Alerts and Emergencies

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13 OBJECTIVES MANUAL DE ACTUACIÓN ANTE UNA EMERGENCIA DE 1. To evaluate the COORDINATION between the institutions involved in the response SALUD and to PÚBLICA check the EN IMMEDIATE RESPONSE CAPACITY FRONTERAS 2. To test our Manual of procedure against an Emergency of Public Health at Points of Entry (Communication flow, PPE placement and removal, etc) Área de Control Sanitario Subdirección General de Sanidad Exterior Dirección General de Salud Pública Ministerio de Sanidad y Consumo

14 DESCRIPTION OF THE PROCEDURE OFFICE 1. Communication from FHCU to DDGFH and the Health Authority of the Autonomous Community 2. Designate the Team Leader 3. Request for the filling of the Health Part of the Aircraft General Declaration and other information 4. Recommend to the Airport emergency Management centre the preventive measures to be applied on the aircraft 5. Jointly designed strategy to follow (acting staff, meeting point, passenger list, cases and contacts, equipment) in coordination with the airport PMP. AIRPORT 1. Request the positioning of the aircraft in an isolated place 2. Collect the neccesary equipment 3. Arrive to the meeting point to go to the aircraft AIRCRAFT 1. Place the PPE and go to the plane 2. Demand the Health Part of the Aircraft General Declaration 3. Examin the affected people in order to confimr or not the suspected public health risk: IF NOT CONFIRMED: Continuation of the trip. Head of FHT communicates with Head of FHCU IF CONFIRMED: Communications Fill in data collector card from the affected people Disembark the affected person if she/he is near an exit. Transfer to a Healthcare Centre Sanitary control of passengers and crew: Data collector card Health counselling card and surveillance recommendations Identify contacts 4. Removal and disposal of PPE. Hand wash 5.Final Communications and report.

15 DESCRIPTION OF THE PROCEDURE OFFICE 1. Communication from FHCU to DDGFH and the Health Authority of the Autonomous Community 2. Designate the Team Leader 3. Request for the filling of the Health Part of the Aircraft General Declaration and other information 4. Recommend to the Airport emergency Management centre the preventive measures to be applied on the aircraft 4. Recommend to the Airport emergency Management centre the preventive measures to be applied on the aircraft 5. Jointly designed strategy to follow (acting staff, meeting point, passenger list, cases and contacts, equipment) in coordination with the airport PMP.

16 We have a passenger coughing.

17 MINISTERIO DE SANIDAD, POLÍTICA SOCIAL E IGUALDAD DIRECCIÓN GENERAL DE SALUD PÚBLICA Y SANIDAD EXTERIOR SUBDIRECCIÓN GENERAL DE SANIDAD EXTERIOR Annex 1 RECOMMENDED PROCEDURES FOR CABIN CREW MEMBERS IN CASE OF DETECTING A POSSIBLE COMMUNICABLE DISEASE ON BOARD Relocate the ill traveller to a more isolated area, separated from the rest of the passengers, and restrict his/her movements in the plane as much as possible. Designate a specific lavatory for the exclusive use of the ill traveller. Designate one cabin crewmember to look after the ill traveller. He/she should wear gloves, mask and disposable gown (if possible). Store soiled items used in a biohazard bag if one is available. If not, use a sealed plastic bag. Ask accompanying travellers if they have any similar symptoms.

18 BROKEN PHONE

19 DESCRIPTION OF THE PROCEDURE AIRPORT 1. Request the positioning of the aircraft in an isolated place 2. Collect the neccesary equipment 3. Arrive to the meeting point to go to the aircraft 3. Arrive to the meeting point to go to the aircraft

20 CONTENT OBJECTIVES OF THE EXERCISE 10 MINUTES VIDEO

21 CHECKLIST Communication issues Intervention Timing

22 PARTICIPATION OF FOREIGN HEALTH EXERCISE Flight AE-2334 coming from Kampala is due to arrive at 16:00 hours. Commandant informs the CT about presence on board of an ill person. The CT transmits the information to Airport Management Centre who calls Airport Medical Service

23 PARTICIPATION OF FOREIGN HEALTH EXERCISE The flight AE-2334 coming from Kampala is due to arrive at 16:00 hours. The Commandant informs the CT about the presence on board of a ill person. The CT transmits the information to the Airport Management Centre who calls the Airport Medical Service We begin to coordinate the response action following our protocol

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25 CONTENT OBJECTIVES OF THE EXERCISE 10 MINUTES VIDEO LESSONS LEARNT

26 LESSONS LEARNT COMMUNICATIONS Airport (AMS) Madrid Regional Health Authority Foreign Health Control Unit CCHAE DDGFH DGPH

27 LESSONS LEARNT COMMUNICATIONS RESPONSE CAPACITY Immediate

28 LESSONS LEARNT COMMUNICATIONS RESPONSE CAPACITY PPE Colocación y retirada del EPI COLOCACIÓN RETIRADA 3º botas (por dentro del traje) 1º, primer guante 2º sólo capucha 3º gafas 4º mascarilla 2º traje (sin la capucha) 7º segundo guante 5º gafas 7º mascarilla 4º botas 1º, primer guante 6º capucha 6º segundo guante 5º traje

29 LESSONS LEARNT COMMUNICATIONS RESPONSE CAPACITY PPE

30 LESSONS LEARNT COMMUNICATIONS RESPONSE CAPACITY PPE

31 LESSONS LEARNT Time issues Too many people wearing PPE 1. The AMS should intervene as soon as they get into the aircraft 2. Time spent on the PPE placement was too long 3. It took long for foreign health team to escort people to disembark

32 LESSONS LEARNT Time issues Too many people wearing PPE

33 LESSONS LEARNT Time issues Too many people wearing PPE

34 LESSONS LEARNT Time issues Too many people wearing PPE No fluency in close contacts identification

35 LESSONS LEARNT Time issues Too many people wearing PPE No fluency in close contacts identification

36 CONTENT OBJECTIVES OF THE EXERCISE 5 MINUTES VIDEO LESSONS LEARNT QUESTIONS

37 QUESTIONS How to deal with this kind of situation before landing?

38 QUESTIONS Which PPE is better?

39 QUESTIONS

40 QUESTIONS Who should use the PPE to go on board?

41 QUESTIONS

42 QUESTIONS Not to relocate the patient, but to relocate the contacts

43 QUESTIONS

44 QUESTIONS

45 QUESTIONS Cost of delay Lost the connection flight

46 QUESTIONS TO BE ANSWERED 1. When does it finish the alert? 2. What type of information should be available on the terminal about the flight delay? 3. Have the crew member the capacity to give locator car to passengers? To give epidemiological surveillance? 4. What happens if the ill passenger is travelling with his wife? With children? What happens if the ill passenger is a child?

47 QUESTIONS TO BE ANSWERED 5. How do we deal with the luggage and security clearance? 6. How to decide whether the airplane continue flying? 7. What public health measures should be adopted on the affected airplane?

48 CONCLUSIONS 1. Simulation exercises are necessary 2. Should be carry out every year 3. It is a fantastic moment to get in touch with relevant stakeholders and to integrate Public Health issues into their own emergency plans 4. Crew members should be trained in PH issues

49 CONCLUSIONS 5. Airplane should carry a manual of procedure easy to follow up, with clear recommendations and messages to passengers 6. The most important aspect is the immediate evaluation of ill passenger

50 THANK YOU Dra. ROSEMARIE NEIPP