Influenza and You!
& Ebola Ready!
MICHAEL J. FIELDING RS, MS
DIRECTOR-CENTER FOR EPIDEMIOLOGY, PREPAREDNESS
AND RESPONSE
January 28, 2015
InfraGard
Columbus Public Health
• We are in the business of
protecting health and
improving lives
• An investment in public health
– Saves in health care costs
– Increases life expectancy
– Makes Columbus and
Worthington a great place
to live, work, and raise a family
Center for Epidemiology,
Preparedness and Response
• Office of Epidemiology
• Office of Emergency Preparedness
• Office of Infectious Disease
Investigation
• Office of Outbreak Response
Pandemic Flu in the 20th and 21st
Centuries
•
•
•
•
•
Spanish Flu
1918-1919
Spread around the
globe in 4-6 months
At least 40-50
million people died
worldwide
500,000 – 650,000
in US
H1N1-Avian
•
•
•
•
Asian Flu
1957-1958
At least 1.5
million
people died
worldwide
70,000
deaths in
US
H2N2-Swine
•
•
•
•
Hong Kong Flu
1968-1969
At least
700,000 people
died worldwide
34,000 deaths
in US
H3N2-Swine
•
•
•
•
•
H1N1 Pandemic
2009-2010
Global spread in 3
months
H1N1: mix Avian+
human+ Swine x2
US: 61 million
cases
Up to 18,000 deaths
Typical Influenza Season in US
• 5%-20% of population gets
seasonal flu
• 200,000 are hospitalized
• 36,000 deaths occur each
year in the US
• Highest death rate of all
vaccine preventable
diseases
2015 Seasonal Influenza
Hospitalizations Confirmed Influenza
2015 Seasonal Influenza
Primary Care Influenza-Like Illness Visits
Surveillance/Early Warning Systems
Seasonal Influenza
2015 CHALLENGES
• Vaccine not as effective
• “Spot shortages” of Tamiflu
What Is Ebola?
• Also known as Ebola Virus
Disease (EVD)
• A virus (not curable with
antibiotics)
• 5 known Ebola virus species
– Outbreak virus: Zaire Ebola virus
• Discovered in 1976 near Ebola
River in Africa
Where Does It Come From?
•
•
•
•
Zoonotic virus -- passed from animal to human
Thought to originate in bats
African primates and antelope get infected
Humans interact with infected animals or have direct
contact with bushmeat
Areas Impacted in West Africa
• Guinea
• Liberia
• Sierra Leone
• Nigeria declared
free of Ebola
Ebola Symptoms
•
•
•
•
•
•
Fever ≥100.4°F (38.0°C)
Severe headache
Muscle pain
Weakness
Abdominal (stomach) pain
Vomiting, diarrhea (may be
bloody)
• Unexplained bleeding (later)
Ebola Ready in Columbus
• Direct Active
Monitoring
• Incident Command
System
CPH Monitored Travelers
Age on Arrival
Ebola Outbreak Country
Visited
Arrival City
Currently Monitored
(N=6)
Ever Contacted (N=94)
Range
1 year – 61 years
6 months – 79 years
Mean
37 years
32 years
Median
39 years
32 years
Unknown/Missing
0
0
Unknown/Missing
0
0
Guinea
Liberia
5 (83%)
32 (34%)
1 (17%)
21 (22%)
Mali
0
6 (6%)
Sierra Leone
0
34 (36%)
N/A**
0
1 (1%)
Atlanta
1 (17%)
3 (3%)
Chicago
0
5 (5%)
Houston
0
1 (1%)
New York City
4 (67%)
47 (50%)
Newark
1 (17%)
10 (11%)
Washington D.C.
0
27 (29%)
Unknown†
0
1 (1%)
Updated on 1/22/2015 at 9:30AM EST
Ebola Ready in Columbus
Ebola Ready in Columbus
Influenza and You!
& Ebola Ready!
MICHAEL J. FIELDING RS,MS
DIRECTOR-CENTER FOR EPIDEMIOLOGY,
PREPAREDNESS AND RESPONSE
614.645.6572
mjfielding@columbus.gov