Kilianski Andy, O'Rourke Amy T, Carlson Crystal L, Parikh Shannon M, Shipman-Amuwo Frankie
Andy Kilianski, PhD, is National Research Council Fellow, BioSciences Division, Edgewood Chemical and Biological Center , Aberdeen Proving Ground, Edgewood, Maryland. Amy T. O'Rourke, MPH, MEP, is Emergency Response Coordinator; Crystal L. Carlson, MPH, MEP, is Emergency Response Coordinator and Interim MRC Coordinator; and Frankie Shipman-Amuwo, MPH, is Interim Director; all in the Emergency Preparedness and Response Unit, Cook County Department of Public Health, Oak Forest, Illinois. Shannon M. Parikh, JD, MPH, is Manager of Regulatory and Safety Compliance, Department of Accreditation and Regulatory Compliance, Sinai Health System, Chicago, Illinois.
Biosecur Bioterror. 2014 Mar-Apr;12(2):106-16. doi: 10.1089/bsp.2013.0089. Epub 2014 Apr 3.
Increasing threats of bioterrorism and the emergence of novel disease agents, including the recent international outbreaks of H7N9 influenza and MERS-CoV, have stressed the importance and highlighted the need for public health preparedness at local, regional, and national levels. To test plans that were developed for mass prophylaxis scenarios, in April 2013 the Cook Country Department of Public Health (CCDPH) and the Triple Community (TripCom) Medical Reserve Corps (MRC) executed a full-scale mass prophylaxis exercise in response to a simulated anthrax bioterrorism attack. The exercise took place over 2 days and included the TripCom Point-of-Dispensing (POD) Management Team, volunteers from the TripCom MRC, and neighboring public health departments and MRCs. Individuals from the community volunteered as actors during the exercise, while local municipal, police, and fire personnel coordinated their responses to create the most realistic simulation possible. The exercise was designed to test the capacity of TripCom and CCDPH to implement plans for organizing municipal staff and volunteers to efficiently distribute prophylaxis to the community. Based on results from POD clinic flow, accuracy of prophylaxis distribution, and observations from evaluators, the exercise was successful in demonstrating areas that were operationally efficient as well as identifying areas that can be improved on. These include improvements to the just-in-time training for POD staff, the health screening and consent forms handed out to patients, the physical setup of the POD, and the command structure and communication for the management of POD operations. This article demonstrates the need for full-scale exercises and identifies gaps in POD planning that can be integrated into future plans, exercises, and emergency response.
生物恐怖主义威胁的不断增加以及新型致病因子的出现，包括近期H7N9流感和中东呼吸综合征冠状病毒（MERS-CoV）在国际上的爆发，凸显了地方、区域和国家层面公共卫生防范的重要性，并突出了其必要性。为了检验针对大规模预防情景制定的计划，2013年4月，库克县公共卫生部（CCDPH）和三重社区（TripCom）医疗储备队（MRC）针对一次模拟炭疽生物恐怖袭击开展了一次全面的大规模预防演习。演习持续了2天，参与人员包括TripCom发放点（POD）管理团队、TripCom MRC的志愿者以及邻近的公共卫生部门和MRC。社区中的个人在演习期间志愿充当参与者，而当地市政、警察和消防人员协调他们的应对行动，以营造尽可能逼真的模拟场景。此次演习旨在测试TripCom和CCDPH实施相关计划的能力，该计划旨在组织市政工作人员和志愿者有效地向社区分发预防药物。根据POD诊所流程结果、预防药物分发的准确性以及评估人员的观察，此次演习成功地展示了运作高效的领域，并找出了可以改进的领域。这些改进包括对POD工作人员的即时培训、分发给患者的健康筛查和同意书、POD的物理设置以及POD运作管理的指挥结构和通信。本文阐述了全面演习的必要性，并指出了POD规划中可纳入未来计划、演习和应急响应的差距。
