Hospital Alliance for Preparedness in Iowa

Hospital Alliance for Preparedness in Iowa A voluntary organization of hospital preparedness coordinators striving to improve hospital disaster preparedness and response in the State of Iowa.

We represent over 30 Iowa hospitals - small, medium and large in size, from all corners of our state. The Hospital Alliance for Preparedness in Iowa is a voluntary organization of hospital Emergency Preparedness Coordinators who believe that the medical needs of the patients and communities they serve will be best met if they cooperate with one another and coordinate their disaster planning and re

We represent over 30 Iowa hospitals - small, medium and large in size, from all corners of our state. The Hospital Alliance for Preparedness in Iowa is a voluntary organization of hospital Emergency Preparedness Coordinators who believe that the medical needs of the patients and communities they serve will be best met if they cooperate with one another and coordinate their disaster planning and re

Operating as usual

Face shields are the required, minimum standard PPE at UIHC.
05/02/2020

Face shields are the required, minimum standard PPE at UIHC.

Go into almost any public space in Iowa and you’ll find people wearing face masks as source control. Three UI Health Care infectious disease physicians weigh in on why they think we should adopt a more practical intervention: face shields. http://spr.ly/61821Az4M

01/26/2020
Nebraska Medicine

With regard to 2019nCoV, please listen to these kinds of experts, vs Dr. Google and the media. NETEC is the backbone of the U.S. emerging pathogen/biocontainment preparedness and response system.

Nebraska Medicine/UNMC infectious diseases experts discuss what you need to know after the announcement of the first case of Wuhan coronavirus in the U.S.

From our friends at NETEC.  Now a reported 14 healthcare workers in China are infected, which is a hallmark feature of p...
01/21/2020
New coronavirus infects health workers, spreads to Korea

From our friends at NETEC. Now a reported 14 healthcare workers in China are infected, which is a hallmark feature of previous coronavirus infections.

Fourteen health workers are now infected in the 218-case nCoV outbreak.

01/20/2020
微博

Hospitals take note: as the case count has grown beyond 200 in four countries for the Wuhan 2019-nCoV outbreak, the following Chinese media video is a nice illustration of the "ACE" precaution (airborne, contact, eyes) PPE being recommended by the CDC - N-95 respirator + face shield or goggles, (or CAPR/PAPR), iso gown, gloves...hair tied back/covered.

https://m.weibo.cn/status/4462793845222765?#&video

随时随地发现新鲜事!微博带你欣赏世界上每一个精彩瞬间,了解每一个幕后故事。分享你想表达的,让全世界都能听到你的心声!

There are new developments that all U.S. hospitals must take note of regarding the Wuhan, China coronavirus outbreak (na...
01/19/2020
Novel Coronavirus 2019, Wuhan, China | CDC

There are new developments that all U.S. hospitals must take note of regarding the Wuhan, China coronavirus outbreak (named 2019 nCoV): The U.S. CDC has now implemented screening at three U.S. airports that receive travels from Wuhan: New York JFK, San Francisco International and Los Angeles LAX. This is due to additional cases being identified in Thailand, Japan and China. An updated CDC alert was sent this weekend that provides new information and additional recommendations related to virus, such as PUI case definitions, isolation precautions, PPE recommendations and testing guidance. The CDC is the only entity that can test for the presence of the virus currently. The University of Iowa Special Pathogens Unit has been bolstering its preparedness for this type of case for the past 12 months, (e.g. training on the use of ACE precautions (airborne, contact and eye protection).

https://www.cdc.gov/coronavirus/2019-ncov/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2Fnovel-coronavirus-2019.html

Chinese health authorities have identified more than 40 human infections with a novel coronavirus (2019-nCoV) in an outbreak of pneumonia in Wuhan, China.

The entire world is watching with great interest a mysterious pneumonia outbreak that originated in an open seafood/live...
01/12/2020
Chinese researchers reveal draft genome of virus implicated in Wuhan pneumonia outbreak

The entire world is watching with great interest a mysterious pneumonia outbreak that originated in an open seafood/live animal market in Wuhan, China in mid-late December. Some 59 people were sickened, 7 were in critical condition and one has died. The fatality was a 61y/o male with pre-existing conditions that was a regular buyer at this market. The market has been closed for decontamination/disinfection as investigation of this outbreak continues.

Chinese scientists have tentatively sequenced the 30K+ neucleotide viral genome of what is likely a new/novel betacoronavirus that is the potential cause if the outbreak. The genome is similar to a bat coronavirus, but not particularly close to the betacoronaviruses that cause SARS or MERS. Human to human transmission has not been firmly established to date. If established, this virus could pose a serious threat to global health.

Scientifically, an important collaboration and public release of data has occurred that is critical to enhancing world public health. Major credit goes to Professor Yong-Zhen Zhang, Fudan University, Shanghai, and team for their strong work and rapid, selfless sharing of these data for the good of all mankind!

https://www.sciencemag.org/news/2020/01/chinese-researchers-reveal-draft-genome-virus-implicated-wuhan-pneumonia-outbreak

Scientists praise decision to make date public; U.S. group sets out to produce live virus from the sequence

11/11/2019

A huge shout out to Emergency Managers Al Loeffelholz from Genesis Health System in the Quad Cities, and Chris Perrin from Mary Greeley Medical Center in Ames, for stepping up and successfully navigating amateur radio training in Ames on October 26th. They are now licensed ham radio operators, calls signs KE0YFT and KE0YFQ respectively, and are better positioned to communication on behalf of their respective institutions during emergencies. From getting up-to-the-minute weather spotter intel direct from the field to being able to communicate when all other systems fail, amateur radio and hospital emergency management are indispensable partners! Our thanks to the Story County ARES folks Clint and Paul for putting on a simply great training program!

For a unique read of how biocontainment units designed to treat "special pathogen" cases truly operate, a recent 100-pag...
08/27/2019
An International Review of High Level Isolation Units | Winston Churchill Memorial Trust

For a unique read of how biocontainment units designed to treat "special pathogen" cases truly operate, a recent 100-page, U.K.-based report examines in fine detail the operations of nine of the world's biocontainment units. The Special Pathogens Unit at the Univ. of Iowa Hospitals and Clinics was among five U.S. units examined. That report can be downloaded from the Winston Churchill Memorial Trust site at: https://www.wcmt.org.uk/fellows/reports/international-review-high-level-isolation-units#downloads

© 2019 Winston Churchill Memorial Trust. Registered charity (No. 313952). Registered office: 29 Great Smith Street, London, SW1P 3BL.Charity web design by Fat Beehive

With the 2018 Ebola Outbreak in the D.R. Congo continuing to spiral out of control, more attention is being given to the...
08/27/2019
Perceived Benefits and Challenges of Ebola Preparation Among Hospitals in Developed Countries: a systematic literature review

With the 2018 Ebola Outbreak in the D.R. Congo continuing to spiral out of control, more attention is being given to the various challenges hospitals face in preparing for "special pathogen" rule-outs or confirmed cases, and maintaining that preparedness. A recent publication by the Univ. of Iowa summarized the challenges faced by hospitals in developed countries: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciz757/5549092

ABSTRACT. The 2014–2016 Ebola epidemic in West Africa provides an opportunity to improve our response to highly infectious diseases. We performed a systematic

This was the physician who spent a few weeks in Omaha after briefly examining a patient with Ebola in the final hours of...
05/27/2019
Man quarantined for Ebola exposure returns to Omaha

This was the physician who spent a few weeks in Omaha after briefly examining a patient with Ebola in the final hours of their life. The viral load is highest then, thus his was a significant exposure. Fortunately, he did not contract the virus and returned to DRC to continue caring for others. Obviously, he's had the Merck vaccine, but it was shortly after the exposure. Normally, it takes 10 days for protection to develop.

Thursday, the world met Dr. Patrick LaRochelle, the man quarantined at UNMC in Omaha last December for Ebola exposure.

05/07/2019

The International Federation of Red Cross and Red Crescent societies (IFRC) stated that the DRC Ebola outbreak is “worsening”. It has grown from 1,373 to 1,572 cases since 25 April 2019.
• The outbreak remains geographically confined to the North Kivu/Ituri Provinces of the DRC.
• WHO says the risk of a global spread is low but warns it is likely the virus will spread into neighboring countries.
• The number of deaths has increased from 885 to reach over 1,000 for the first time last Friday, (currently 1,029; CFR 65%).
• There are currently 207 suspected cases being monitored.
• The number of survivors of their infection has grown from 392 to 435.
• The number of health care workers affected is at 92 with 33 deaths reported.
• Over 110,803 persons have been vaccinated with Merck’s experimental rVSV-ZEBOV vaccine.
• The WHO has discussed the possible introduction of a second Ebola vaccine into the DRC, Johnson and Johnson's prime boost Ebola vaccine. It would likely be used in communities that have not yet seen any Ebola infections yet.

In other Special Pathogen news, Saudi Arabia reports 22 additional cases of MERS-CoV bring their year-to-date total to 61. Some 37 of those cases were healthcare-acquired infections. Nepal has reported the country's first human highly pathogenic H5N1 avian influenza case, which is the world's first since 2017. A 21 y/o man was admitted for fever and cough, treated with Tamiflu, but died on 3/29.

04/05/2019
National Ebola Training and Education Center

National Ebola Training and Education Center

The National Ebola Training and Education Center is comprised of faculty and staff from Emory University, the University of Nebraska Medical Center/Nebraska Medicine and the New York Health and Hospitals Corporation, Bellevue Hospital Center. All three of these healthcare institutions have safely and successfully treated patients with Ebola and have worked diligently over the past year to share their knowledge with other healthcare facilities and public health jurisdictions. The goal of the NETEC is to combine these resources into one comprehensive assessment, educational and training tool for healthcare systems throughout the United States.

03/21/2019

DRC Ebola Outbreak Update: As of 20 March 2019, the outbreak has grown to 991 cases, of which 926 are confirmed and 65 are probable. There have been 610 deaths with a case fatality rate of 61.5%. Some 319 persons have survived the disease, and over 89,656 have received the experimental Merck rVSV-ZEBOV vaccine. Prospects for bringing the outbreak to an end by summer look bleak. According to the CDC director, it could continue another year given the violence and community distrust presently in the DRC.

03/01/2019

DRC Ebola Outbreak SitRep: the second largest EVD outbreak in history continues to grow, currently sitting at 885 cases, of which 820 are confirmed and 65 probable; 555 have died; there are 227 persons are under investigation (PUIs); gunmen attacked and burned two "Doctors WIthout Borders" Ebola treatment centers in four days this past week, displacing 10 patients from one and 38 patients from another; one nurse was abducted and killed; an original hotspot area thought to be under control, Beni, reported a new case after going 23 days without one; some 85,517 people have received the experimental Merck Ebola vaccine, without which, experts believe this outbreak would have reached the severity of the 2014 Western Africa outbreak.

As discussed during today’s Alliance meeting, here is the link to the APIC MEMBER ALERT from 2.08.19 regarding the DRC E...
02/14/2019
Patients Under Investigation for Ebola Virus Disease (EVD) 101: Identify, Isolate, and Inform

As discussed during today’s Alliance meeting, here is the link to the APIC MEMBER ALERT from 2.08.19 regarding the DRC Ebola outbreak: http://cqrcengage.com/apic/app/document/32194645
It addresses the need for U.S. healthcare institutions to have a continuous infectious disease early identification and response plan in place all year round. After the 2014 Ebola outbreak, many institutions have relaxed or discontinued their daily surveillance and response planning. With global outbreaks occurring every year, combined with air travel, the U.S. is always at some risk and Iowa is not immune.

As discussed, the approach that is being recommended is based upon the premise of the three I’s: Identify, Isolate and Inform. Remember, they want us to target any “special pathogen”, which currently includes MERS and once again Ebola, that poses a significant threat to the institution if it walks in, (albeit a low risk to the U.S. presently).
Here is a helpful link: https://netec.org/2019/01/15/evd-identify-isolate-inform/

Also, be sure to emphasize in your facilities that there is a huge difference between “travel screening” and “travel history”. Some centers may state that they are doing travel screening, but if it’s done past the registration desk/waiting room and being done by a provider, that’s not travel screening. That’s too late!

Stopping the spread of infection starts with three simple steps to proactive patient management – Identify, Isolate, and Inform. When implemented quickly, these three activities reduce risk, and they are crucial steps for healthcare workers caring for patients. Learning best practices and assessin...

The DRC Ebola Outbreak Rages On:                               This growing outbreak, combined with the constant threat ...
01/25/2019
Destinations | Travelers' Health | CDC

The DRC Ebola Outbreak Rages On: This growing outbreak, combined with the constant threat of other outbreaks developing at any time in other parts of the world, emphasizes why all U.S. hospitals MUST continue travel screening 24/7/365. Don't wait for some special CDC advisory to justify routine travel screening, the CDC and NETEC already support this concept and there are resources to assist clinicians and travelers: https://wwwnc.cdc.gov/travel/destinations/list

This current Ebola outbreak total case count is now 715, according to the DRC Health Ministry. The number includes 666 confirmed and 49 probable cases. So far, some 443 deaths have been reported.

Health officials are still investigating 236 suspected cases, and teams have now immunized 65,963 people with the Merck's unlicensed VSV-EBOV vaccine. Officials have stated that without this vaccine, the case counts could have been approaching the 2014 West Africa Ebola Outbreak case counts by now. However, the vaccine cannot mitigate all of the issues that are allowing this outbreak to continue.

As an example of the host of challenges being faced in controlling this outbreak, in Beni, which was the main Ebola hot spot but has recently shown a steep drop in cases, a group of people vandalized a local hospital the night of Jan 21, apparently targeting Ebola responders that they thought were inside.

The attackers threatened to burn the facility and destroyed the door and windows before they were scared off, the report said.

01/03/2019
unit.th

DRC Ebola Outbreak Grows/U.S. Physician Exposed:

According to the Univ. of MN CIDRAP, the 2018 DRC Ebola outbreak total has risen to 608 cases, which includes 560 confirmed and 48 probable cases. The fatality count is now at 368. There are presently 29 persons under investigation for being infected. Some 54,153 people have been vaccinated since August 2018, which is being credited for keeping the case count well below the 2014-15 Western Africa outbreak's numbers. This current outbreak is the second largest in world history and has been difficult to bring under control due to regional violence/conflict.

On Saturday, December 29th, a 39y/o unidentified U.S. physician who was a medical missionary working in the DRC was airlifted to the University of Nebraska Medical Center and voluntarily entered quarantine in a secure location outside of their biocontainment unit.

Seven days prior, the physician had reportedly been exposed to Ebola and was deemed at risk for becoming infected. According to news reports, the experimental Merck Ebola vaccine was then administered to the physician and evacuation to the U.S. was planned. The physician is currently showing no signs/symptoms of the illness and is therefore not contagious. Should the physician display signs and symptoms of the disease, they will be admitted to the Nebraska Biocontainment Unit. Currently, Ebola has up to a 21-day incubation period, although some studies suggest that a 25 day maximum period is needed instead to reduce the chances of infection from 4.1% to 1%. The same study suggests a mean incubation period of 12.7 days exists, with a standard deviation of 4.31 days.

Nebraska Medicine
12/31/2018

Nebraska Medicine

An American providing medical assistance overseas during an Ebola outbreak is being monitored at Nebraska Medical Center after a possible exposure in the Democratic Republic of Congo. More information is available on our website: http://bit.ly/2s0n9Xt

12/17/2018

​The Ebola outbreak in the eastern Democratic Republic of Congo is now the second largest in world history reaching 521 cases and claiming 306 lives since August 1st. The pace of new cases being identified has been averaging 33 per week since mid-October. Some 46,047 people have been vaccinated with Merck's experimental VSV-EBOV vaccine, which has been credited by some experts for preventing the case numbers from reaching into the thousands. Health workers have been among the victims of this outbreak, with 51 being infected of which 17 have died. Experts believe that several experimental treatments that are being used may be contributing to the survival of some 179 victims who were cared for in regional Ebola treatment centers.

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1227 E. Rushholme St.
Davenport, IA
52803

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(319) 563-421-7048

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Memorandum of Understanding (MOU) for mutual aid and cooperation during disaster planning, response and recovery.

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some great stuff on NETEC's Education and Training page! https://netec.org/education-and-training/ for COVID-19 related stuff on use of HICS, vetnilator use, and a new webinar Friday on Workforce Innovations!