Transcript Scientific Clearance in OPHPR

Career Epidemiology Field Officer
Supporting Epidemiology Preparedness in
the Pacific Islands
Randolph Daley, DVM, MPH
Captain, USPHS
Chief, Field Services Branch
Division of State and Local Readiness
PIHOA Board Meeting
August 12, 2014
Office of Public Health Preparedness and Response
Division of State and Local Readiness
Public Health Concerns
in the Pacific
Diseases
Infectious — Measles, Chikungunya, Malaria, Dengue,
Leptospirosis, Hansen’s Disease, Tuberculosis,
Influenza
Chronic — Cardiovascular disease, Diabetes
Environmental Health
Natural disasters — typhoons, tsunamis
Food and water systems
Surveillance System Development
Population Movements
Career Epidemiology Field Officer
(CEFO) Program
Created in 2002 in response to attacks of 9/11
Mission — strengthen nationwide
epidemiologic capability for public health
preparedness and response
Assigns CDC epidemiologist to health
departments
Funded through CDC’s Public Health Emergency
Preparedness (PHEP) cooperative agreement
How Can a CEFO Benefit the
Health Department?
Applied epidemiology
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Surveillance
Outbreak investigation
Analysis
Communication
Additional expertise
 Clinical
 Scientific
How Can a CEFO Benefit the
Health Department?
Connection to CDC
 Field Services Branch support
 CDC subject matter experts
 Liaison for information exchange
CEFO Activities
 Strengthen state and local surveillance systems
 Conduct outbreak investigations and response
 Lead community assessment activities
 Provide expertise on the design, implementation, and
analysis of epidemiologic studies
 Develop response plans for public health emergencies
 Build partnerships for emergency preparedness
 Serve on emergency response teams
 Lead portions of state’s planning and response
activities
 Lead or participate in emergency response exercises
Surveillance
Development
Postdisaster systems — outpatient, shelter settings
Routine — reportable conditions
Maintenance
Evaluation
Coordination with CDC — BioSense
Weekly Clinical Cholera Cases
Cases of Cholera — Sofala Province,
Mozambique
450
400
350
300
250
200
150
100
50
0
1999
2000
1
2
3
4
5
6
7
Week of the Year
8
9
10
Cases (thousands)
Measles — United States, 1950–2006
900
800
700
600
500
400
300
200
100
0
1950
Vaccine Licensed 1963
2 Doses
1960
1970
1980
Year
1990
Endemic
Elimination
Declared
2000
Outbreak Investigations
Local/Regional
National
Pandemic preparedness
Recent examples
 Healthcare-associated infections — Hepatitis C,
Clostridium difficile
 Cyclosporiasis
 Middle East Respiratory Syndrome (MERS)
Measles Outbreak — United States,
August 2007
Index Case
2
PA
2nd Generation Case
3
1
PA
MI
3rd Generation Case
MI
6
4
TX
5
TX
12
13
14
Exposure Date
7
28
TX
CASPER
Community Assessment for Public Health
Emergency Response
Methodology for postdisaster rapid needs
assessment
Community assessment
Preparedness
Disease burden
Risk factors
CASPER
CASPER
CASPER
Workforce Development
Training activities
Lectures
Workshops
Student Programs
Mentorship
Junior health department staff
Epidemic Intelligence Service (EIS) Officers
Council of State and Territorial Epidemiologist (CSTE)
Applied Epidemiology Fellows
Public Health Associate Program (PHAP) Fellows
Preparedness Field Assignees (PFAs)
CEFOs in Action
Field Services Branch
Mission — strengthen nationwide public health
preparedness and response capability through
service at state, tribal, local, and territorial
health departments
Programs
 Career Epidemiology Field Officer
 Preparedness Field Assignee
Staff
 CDC Headquarters — 11
 CEFOs — 33
 PFAs — 17
Career Epidemiology Field Officers
Assignment Locations, September 2014
Goode
Nett
Carter
Pickard
Holzbauer
McFadden
Dentinger
Harper
Quinn
Tarkhashvili
O’Leary
Venuto
Buss
Navon
Kurkjian
Patel
Campagnolo
Miller
Wilken
Fleischauer
MacFarquhar
Sunenshine
Adams
Edison
Thoroughman
Groenewold
Roth
Murphree
Jackson
Schmitz
As of September, 2014, 33 CEFOs are assigned to 27 jurisdictions
Margaret Riggs
David Callahan
Mary Dott
Thomas
CEFO for the Pacific Islands
Concept
Pacific Island Health Officers Association
(PIHOA)
 Regional approach
 Concentration of CDC staff
Direct CDC funding
 Pilot of alternative funding model
 National health security
Collaborative direction
CEFO for the Pacific Islands
Challenges
Multiple Jurisdictions
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Assessment of risk and needs
Collaborative prioritization from PIHOA Board
Regional projects
Planned activities in all jurisdictions
Enhancement of jurisdictional staff
Travel
 Dedicated funding
 Collaboration with other CDC programs
 In-kind support
CEFO for the Pacific Islands
Challenges
Right Candidate
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Diverse epidemiology skills
Experience with Pacific jurisdictions
Experience with CDC
Collaborative and diplomatic
Independent
Clinical skills
CEFO for the Pacific Islands
Opportunities
Experienced epidemiologist dedicated
to the Pacific Islands
Crosscutting approach across multiple disease
areas
Strengthen regional collaboration
Attract additional resources
 Collaboration with regional partners
 Enhanced communication with CDC
 CDC fellowship programs
CEFO for the Pacific Islands
Timeline
Planning meetings
Feasibility assessment — June 6–13, 2014
Development of support mechanisms
 Contract, cooperative agreement
 Supervisory collaboration
Application process
Progress report — August 12, 2014
CEFO for the Pacific Islands
Timeline
CEFO candidate selection — Oct 2014
Contract in place with PIHOA — Nov 2014
CEFO assignment — Dec 2014
Jurisdictional risk and needs assessment
Cooperative agreement with PIHOA — Apr 2014
Conclusions
CEFOs provide variety of skills and expertise
CEFO placement and support must be a
collaborative effort
CEFO Program will benefit Pacific Island
jurisdictions
Questions?
Randolph Daley
[email protected]
CEFO Program
(770) 488-8881
[email protected]
www.cdc.gov/phpr/science/cefo.htm
The findings and conclusions in this report are those of the authors
and do not necessarily represent the official position of the Centers
for Disease Control and Prevention.
Office of Public Health Preparedness and Response
Division of State and Local Readiness
Preparedness Field Assignee (PFA)
Program

Two-year practicum placing graduates of Public Health
Associate Program (PHAP) with PHEP awardees
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Funded directly by CDC

Mission — Develop skill in emergency preparedness
and response through field experience
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PFAs make a significant contribution to the awardee
PFA Activities
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Emergency response plans
Technical assistance
Exercise development and evaulation
Outbreak investigations
Partnership development for community resilience
GIS mapping of at-risk populations
Situational awareness reports
Capability-based gaps analysis
Preparedness Field Assignees
Assignment Locations, August 2014
Burgess
Cutts (Chicago)
Haugen
Peart
Joseph
Bowman
Jean,
Kurian (NYC)
Driesse
Vento
Lira
Black
Shultz
Li (Los Angeles)
McCullough
Kirley
As of August 1, 2014, 17 PFAs are assigned to 16 state ,
territorial, or local health departments.
Awardees with PFAs