Stephen Cantrill, MD, an emergency department physician in Denver and a member of ACEP’s clinical policy committee, told CIDRAP News that the novel influenza plan is also designed to raise awareness among emergency physicians. The potential burdens will be vast, he said, not only for keeping the workforce functioning during the surge, but also keeping departments adequately supplied. He added that planning for a second wave will be successful only with cooperation between first responders and public health officials. The plan urges local ACEP chapters to enlist support from state and local health directors, local emergency managers, and political leaders for emergency planning efforts. The 16-page plan was produced under a contract with the US Department of Health and Human Services (HHS) office of the Assistant Secretary for Preparedness and Response (ASPR) and its Emergency Care Coordination Center, ACEP said today in a press release. The document defines critical capabilities and suggests ways to achieve them, ACEP said. As a result, if the second pandemic wave begins September, health officials may depend heavily on community mitigation strategies to slow the spread of the virus. Emergency departments will still face a surge of patients, but interventions such as school closures will likely strain the department workforces even further, the ACEP plan warns. The nation’s economic problems and the importance of staying on the job may add to the pressures to keep schools open, the planners wrote. News reports of deaths in young people, an age-group currently bearing the brunt of illnesses, might fuel even more parents to seek medical care for their children. Jul 6, 2009 (CIDRAP News) The American College of Emergency Physicians (ACEP) recently released a plan to help emergency departments, first responders, and public health departments manage a surge in pandemic flu cases that many experts predict will happen this fall. The plan includes 27 capabilities for emergency department response to a severe novel H1N1 outbreak, each with suggested steps and an outline for what level of health or government group is responsible. For example, the plan covers personal protective equipment stockpiling, facility security, crowd management, alternate locations for triage and screening, and configuring waiting rooms for social distancing, if possible. See also: One of ACEP’s key planning assumptions is that large volumes of vaccine against the novel H1N1 virus probably won’t be available until mid October at the earliest and that the public won’t be protected from infections until 2 weeks after a second injection. “There are so many vulnerabilities in the supply chain, where do you start?” he asked, adding that even departments that are well prepared might not able to sustain their supplies. ACEP national novel H1N1 influenza strategy The impact of the influenza pandemic on emergency departments will be affected greatly by how local public health officials craft their messages to the public, Cantrill said. He said the US Centers for Disease Control and Prevention (CDC) has done a good job communicating flu facts to the public, including details on when to seek medical care. “While the precise effects on emergency departments to function cannot be predicted with confidence, contingency plans should be made for a challenging scenario,” the plan states. Social distancing measures will also affect critical infrastructure businesses and institutions, which may slow the flow of transportation and supplies. Emergency planners shouldn’t assume that antiviral medications will be effective for a virus that may have undergone selection pressure between waves, the report notes. “While H1N1’s virulence is not predictable, it is expected to be highly contagious and will place added strains on the emergency care system,” said Nicholas Jouriles, MD, president of the ACEP, in the statement. The main components of the plan, based on the federal template for managing biological threats, include situational awareness, protecting emergency department infrastructure and personnel, preventing service disruptions, organizing a timely surge response, and recovering to the previous status. Communications with local and state public health officials are crucial, and it’s important to have agreements in place for the “triggers” authorities will use to “stand down” the pandemic plan, according to the document. Jul 6 ACEP press release
Roy J. Wade, 86, of Holton passed away at 5:10am, Tuesday, January 23, 2018 at St. Andrews Health Campus in Batesville. He was born at Sullivan, Illinois on July 16, 1931 the son of Harvey and Josephine West Wade. Survivors include one son Tim (Karla) Wade of Burlington, Oklahoma; two daughters Gail Snyder of West Harrison, and Lisa (Roger) McQueen of Laurel; 7 grandchildren and 17 great-grandchildren; one sister Betty Friend of Anderson. He was preceded in death by his parents and his son Danny. Mr. Wade was an Army veteran of the Korean War and in civilian life was a tool & die maker. He was a former employee of Arvins in North Vernon and retired in 2009 after 36 years with Delta Faucet in Greensburg. His hobbies included building muzzle loading rifles and he enjoyed horseback riding on his farm west of Dabney. Roy attended the Shelby Christian Church. Funeral services will be held on Monday, January 29th at 11am at the Shelby Christian Church with Bro. Earl Thomas officiating. Burial will be in the Cliff Hill Cemetery in Versailles. Visitation will begin at 9am Monday and will also at the Shelby Christian Church. Memorials may be given to the Shelby Christian Church or the Cliff Hill Cemetery in care of the Stratton-Karsteter Funeral Home in Versailles.
Inter president Erick Thohir is hoping the addition of Vidic, a winner of five Premier League titles with Manchester United and one Champions League crown, ushers in a new period of sustained success at the San Siro. “Vidic is a great champion,” he said on inter.it. “I am extremely satisfied with the completion of this agreement that will bring Nemanja to Milan. “He is one of the strongest defenders in the world, for his characteristics, his international experience, his charisma as a leader will be crucial for the team and the growth of our younger players. “He will add value to the club and will be another pillar for the construction of a great Inter. “Finally, I want to thank Manchester United, Nemanja and his entourage for his availability and the professionalism shown during the negotiation process.” Vidic announced last month that he would be leaving England this summer with his contract at United expiring in June. “It’s the last year of my contract and I have had eight wonderful years here,” he said. “My time at this great club will always rank as the best years of my career. “The only club I ever wanted to play for here (in England) is Manchester United. “I never could have imagined winning 15 trophies and I will certainly never forget that fantastic night in Moscow, memories that will live with me and the fans forever.” That Champions League triumph over Chelsea at the Luzhniki Stadium in 2008 remains the high point of Vidic’s career. Vidic overcame a serious knee injury in December 2011 that required two major operations but returned and skippered United to their historic 20th championship – his fifth and the last under manager Sir Alex Ferguson. He was named four times in the PFA Premier League team of the season and twice in the FIFPro World XI. “I am now going to focus all my efforts on playing for Manchester United,” Vidic said. “I will do the best I can for the team until the end of the season.” Vidic has started in 18 Premier League games and four Champions League matches this season. The end of one era signals the beginning of a new one for Manchester United captain Nemanja Vidic. Inter Milan announced on Wednesday that the 32-year-old Serbian, a rock in the centre of United’s defence since January 2006, had agreed to join the Italian giants. The Nerazzurri won five consecutive league titles from 2006 through 2010 but are currently 28 points behind Serie A leaders Juventus. Press Association