HomeMy WebLinkAboutMinutes - September 29, 2009 SSLODI CITY COUNCIL
SHIRTSLEEVE SESSION
CARNEGIE FORUM, 305 WEST PINE STREET
TUESDAY, SEPTEMBER 29, 2009
A. Roll Call by City Clerk
An Informal Informational Meeting ("Shirtsleeve" Session) of the Lodi City Council was held
Tuesday, September 29, 2009, commencing at 7:02 a.m.
Present: Council Member Hitchcock, Mayor Pro Tempore Katzakian, and Mayor Hansen
Absent: Council Member Johnson, and Council Member Mounce
Also Present: City Manager King, City Attorney Schwabauer, and City Clerk Johl
B. Topic(s)
B-1 Update on Preparedness to Public Health Threat from H1 N1 Virus (FD)
City Manager King briefly introduced the subject matter of the public threat from the H1 N1 virus.
Interim Fire Chief Kevin Donnelly and Ginger Wick, representative from San Joaquin County
Public Health, provided a PowerPoint presentation regarding the H1 N1 virus. Specific topics of
discussion included H1 N1 influenza overview, recognition of virus with potential to cause
pandemic, signs and symptoms, spread of virus, protection from getting sick, everyday steps to
protect, what to do if you get sick, emergency warning signs, warning signs in children, what is
CDC doing, County efforts, expectations for influenza during fall and winter, public health
planning efforts, efforts by the City, and a summary of the vaccine availability.
In response to Mayor Hansen, Chief Donnelly stated the H1 N1 virus is not airborne, but rather
droplet borne whereby it comes out and falls.
In response to Mayor Hansen, Ms. Wick stated because the virus is droplet borne and not
airborne, a non -respiratory mask is not effective.
In response to Mayor Hansen, Ms. Wick stated the virus was discovered in March and April and
the vaccine is in production, although it does take time to make and test the vaccine.
In response to Mayor Hansen, Ms. Wick stated the vaccination has gone through human
testing, production is underway, and distribution will likely start in phases at the end of October.
In response to Council Member Hitchcock, Ms. Wick stated the vaccination has gone through
limited human trials, is not a new method of producing vaccination, and is not controversial in the
public health arena.
In response to Mr. King, Ms. Wick stated she has not heard of a shortage of the seasonal flu
vaccine. She stated the Public Health Agency will begin administering the seasonal flu
vaccination tomorrow free of charge at various clinics.
In response to Mayor Hansen, Chief Donnelly stated vaccinations are provided to public safety
and first responders who are in direct contact with the public. Human Resources Manager
Dean Gualco stated seasonal flu vaccinations are also available to City employees at their
expense. Mr. Gualco stated Sutter Health has advised that the H1 N1 vaccination will not be
available until October and November. Ms. Wick confirmed that there will be two H1 N1
vaccinations for ten and under and one vaccination for those over ten.
Continued September 29, 2009
A brief discussion ensued among Mayor Hansen, Mr. King, and Chief Donnelly regarding the
availability and benefits of antibacterial dispensers throughout City facilities including the library.
In response to Mr. King, Chief Donnelly stated because the HI N1 virus is droplet borne and not
airborne, a mask may only be effective if an individual was within a three-foot or closer proximity
to another infected individual.
In response to Mayor Hansen, Ms. Wick confirmed that the H1 N1 vaccination is not available
today and will not be available until mid to late October.
In response to Mayor Hansen, Ms. Wick stated she has not heard of specific incidents in Mexico
and once the virus is pandemic it can be contracted anywhere worldwide.
In response to City Attorney Schwabauer, Chief Donnelly stated it is advised that an employee
not return to work until 24 hours after they are no longer taking medication and there are no
more symptoms present.
In response to Mayor Hansen, Mr. Wick stated the biggest difference with H1 N1 is that it
is affecting a different population between the ages of six months old and 24 years old. Chief
Donnelly stated that, while there is ongoing information about the virus that is coming out, at this
point the virus appears to be no more severe than the seasonal flu.
In response to Mr. King, Ms. Wick stated the Southern Hemisphere had seasonal flu and
H1 N1 circulating at the same time, which caused the initial influx of reporting.
In response to Council Member Hitchcock, Ms. Wick stated there is some speculation that people
over 60 years of age may have some immunity based on an earlier virus that was similar to
H1 N1, although she has not heard of any immunity theories based on prior vaccinations.
In response to Myrna Wetzel, Chief Donnelly stated the relapse period between symptoms is
probably no more than a week. He stated it is also important to remember that there are two flu
viruses circulating and it is possible to have one and then get the second.
C. Comments by Public on Non-Aaenda Items
None.
D. Adjournment
No action was taken by the City Council. The meeting was adjourned at 7:56 a.m.
ATTEST:
Randi Johl
City Clerk
N
AGENDA ITEM 60%
(b CITY OF LODI
COUNCIL COMMUNICATION
TM
AGENDA TITLE: Update On Preparedness to Public Health Threat From H I N I Virus
MEETING DATE: September 29,2009
PREPARED B Y Interim Fire Chief
BACKGROUND INFORMATION: The H IN I influenza virus has the potential to impose unique
demands on public health officials and emergency responders, as
well as its impact on the overall community. Staff will update the
City Council on the City's preparationsfor dealing with widespread illness, and Ginger Wick of San
Joaquin County Public Health Services will brief the Council on the latest developments related to the
virus' spread and prevention efforts.
,-- n.
vin Donnelly
Interim Fire Chief
APPROVED: %rz=� --�
Blair ity Manager
Each year in the United States, on average, more
than 200,000 people are hospitalized and 36,000
people die from seasonal flu complications.
There is a new and very different flu virus
spreading worldwide among people called novel or
new H1N1 flu. This virus may cause more illness
or more severe illness than usual.
m fever (usually high)
m headache
m extreme tiredness
m dry cough
m runny or stuffy nose
m muscle aches
m sore throat
m vomiting
m sometimes diarrhea
For more information, visit
www.flu.gov
or call
800 -CDC -INFO.
Department of Health and Human Services
Centers for Disease Control and Prevention
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CDC urges you to take 3 action steps to protect against the flu.
#1
Take time to get
vaccinated.
M CDC recommends a yearly seasonal flu vaccine
as the first and most important step in protecting
against seasonal flu.
M The seasonal flu vaccine protects against the
three seasonal viruses that research suggests will
be most common.
M Vaccination is especially important for people at
high risk of serious flu complications, including
young children, pregnant women, people with
chronic health conditions like asthma, diabetes
or heart and lung disease and people 65 years
and older.
M Seasonal flu vaccine also is important for health
care workers, and other people who live with or
care for high risk people to prevent giving the
flu to those at high risk.
M A seasonal vaccine will not protect you against
novel H1N1.
M A new vaccine against novel H1N1 is being
produced and will be available in the coming
months as an option for prevention of novel
H1N1 infection.
M People at greatest risk for novel H1N1
infection include children, pregnant women,
and people with chronic health conditions like
asthma, diabetes or heart and lung disease.
#2
Take everyday
preventive actions.
M Cover your nose and mouth with a tissue when you
cough or sneeze. Throw the tissue in the trash after
you use it.
M Wash your hands often with soap and water,
especially after you cough or sneeze. Alcohol -based
hand cleaners are also effective.*
M Avoid touching your eyes, nose or mouth. Germs
spread this way.
M Try to avoid close contact with sick people.
M If you are sick with flu-like illness, CDC recommends
that you stay home for at least 24 hours after your
fever is gone except to get medical care or for other
necessities. (Your fever should be gone without the
use of a fever -reducing medicine.) Keep away from
others as much as possible. This is to keep from
making others sick.
M While sick, limit contact with others to keep from
infecting them.
"Though the scientific evidence is not as extensive as that on band washing and
alcobol-based sanitizers, other band sanitizers that do not contain alcohol may
be useful for killing flu germs on hands in settings where alcohol -based products
are prohibited.
#3
Take flu antiviral drugs
if recommended.
M If you get seasonal or novel H1N1 flu, antiviral
drugs can treat the flu.
M Antiviral drugs are prescription medicines (pills,
liquid or an inhaled powder) that fight against
the flu by keeping flu viruses from reproducing
in your body.
M Antiviral drugs can make your illness milder
and make you feel better faster. They may also
prevent serious flu complications.
M Antiviral drugs are not sold over-the-counter
and are different from antibiotics.
M Antiviral drugs may be especially important
for people who are very sick (hospitalized) or
people who are sick with the flu and who are at
increased risk of serious flu complications, such
as pregnant women, young children and those
with chronic health conditions.
M For treatment, antiviral drugs work best if
started within the first 2 days of symptoms.
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Taking Care of a sick Person in Your Home
luenza (flu) vi )reac stly from person to person through the coughs and sn of peo
to are sick with influenza. People also may get sick by touching something with influenza viruses on it and then
achina their mouth. nose or ever ash-- `h it '---I!
people with Influenza who are cared for at home should:
2'. ' Checkwith their healthcare provider about any special care they might need if they are pregnant or
�;
have a health condition such as diabetes, heart disease, asthma, or emphysema.
Check with their health care provider about whether they should take antiviral medications.
Keep away from others as much as possible. This is to keep from making others sick. Do not go to work
or school while ill.
Stay home for at least 24 hours alter fever is gone, except to seek medical care or for other necessities.
(Fever should be gone without the use of a fever -reducing medicine.)
Get plenty of rest.
Drink clearfluids (such as water, broth, sports drinks, electrolyte beveragesfor infants) to keep from
being dehydrated.
Cover coughs andsneezes. Clean hands with soap and water or an alcohol -based hand sanitizer often,
especially after using tissues and after coughing or sneezing into hands.
Clean common areas such as bathrooms, a couple times a day.
Avoid sharing personal items like towels, toothbrushes, pillows, eating utensils, and cups.
Be watchful for emergency warning signs that mightindicate you need to seek immediate medical
attention.
Fu+agr UMM
Souroe, Centers for Disease Control and Prevention �■
`1 know that
Influenza (flu) is
ala serious,
contagious
disease; and
Oy child k sick..
_..f,ofgenoy
Roo''
w _ll
t
What do 1 do?
en do I call my dodo
Should I go to the
Emergency Rqom?
When to Seek Immediate Medical Attention?
Knowing the Difference... Can Make a Difference!
When someone is ill. knowing "What to do"and "When to do it" can be difficult auestions. Use the tips below far helu6
ku= symptoms include: few (usually high, headache, s� Uew dredruu;s, dry cough, y m` y now,
muscle aches, sore throat, vomiting, and sometimes diarrhea.
I a person become: withany o e following warning signs, ca ealthcare provider an
seek immediate medical attention.
Fast breathing or trouble breathing
Difficulty breathing or shortness of breath
Bluish or gray skin color
Pain or pressure in the chest or abdomen
Not drinking enough fluids
Sudden dizziness
Severe or persistent vomiting
Severe or persistent vomiting
Not waking up or not interacting
Confusion
Flu-like symptoms improve but then return with fever and
?warse cough.
Flu-like symptoms improve but then return with
fever and worse cough
Being so irritablethat the child does not want to be held
Source: Cenbemfor Disease Control and Prevention HCA
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Lodi City Council
H1N1 Update
Presented by the Lodi Fire Department
Can you get novel H 1 N 1 Influenza
from eating pork?
NO -The novel H 1 N 1 influenza virus (formerly referred to
as swine flu) virus is not spread by food.
You cannot get novel H 1 N 1 flu from eating pork or pork products.
Eating properly handled and cooked pork products is safe.
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Novel H1N1 Influenza
• Novel H1 N1 (referred to a swine flu early on) is a new
influenza virus that is spreading from person-to-person.
• The United States government has declared a public
health emergency in the U.S. in response to the H 1 N 1
outbreak.
• CDC's response goals are to:
• reduce transmission and illness severity
• provide information to help health care providers, public health
officials, and the public address the challenges posed by this
emergency.
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Host and
lineage
origins for the
gene segments of
the
2009
A(H1
N1)
virus (Garten,
et al
Science 2009)
Gene Segments, Hosts,
and Years of Introduction
16W1998
1998jw
-1918
I=,;_#1968 �
Triple
Feassortant
Classical
Swine
101W IV -1979 Eurasian
Swine
2009 A(H1 N 1)
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Recognition of an influenza virus with the
potential to cause a pandemic
• Between April 15-17, 20097
- 2 residents of adjacent counties in southern California cases with
febrile respiratory illness
- Cause identified as a swine -origin influenza A (H 1 N 1) virus
• Viruses were genetically closely related to each other
- Resistant to anti viral drugs
- Combination of gene segments previously not recognized among
influenza viruses in the United States
• Similar virus identified as cause of community outbreaks in Mexico,
March -April 2009
• WHO: Pandemic phase 6 declaration: June 11, 2009
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U
Guam
lb
Vr
ce Report Prepared by the influenza DiAniou
tas Re parted by State and Territorial Epiderfriologists*
- 'Week Ending September 12,,2009- Y ee k 36
Hawall
us Virgin Islands
Puerto RlOD
is map hdicates geographic spread and does not measure the severity of influer+za a
carr•aa art �
c•.rra. +�� rt.
4 >
District of Columbia
Guam
z
I <DF
Ali
rice Deport Prepared by the Influenza Division
Ates Reported by State and Territorial Epidemiologists*
Week Ending September 19, 2009- Week 37
10
Hawaii
US Virgin Islands
E�
Puerto Rico
pis map indicates geographic spread and does not measure the severity of influenza a
i.wr..■ r�r O
District of Columbia
Novel H1N1 Influenza
• CDC expects more cases will occur over the coming months.
• Influenza is always serious — on average, in an estimated
36,000 deaths and more than 200,000 hospitalizations from
flu -related causes annually.
• This outbreak poses the potential to be at least as serious as
seasonal flu, if not more so
• Because this is a new virus, most people will not have
immunity to it.
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Percentage of Visits for Influenza -like Illness (ILI) Reported by
the US Outpatient Influenza -like Illness Surveillance Network (ILINet),
National Summary 2008-09 and Previous Two Seasons
7
6
5
2
1
0
40 42 44 46 48 50 52 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35
■ 2006-07* t 2007-08. 0 2008-09 - - - - National Baseline
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Signs and symptoms
Symptoms of novel H 1 N 1 flu in people are F
similar to those associated with seasonal flu.
• Fever
• Cough
• Sore throat
• Runny or stuffy nose
• Body aches
• Headache
• Chills
4'
• Fatigue
• In addition, vomiting (25%) and diarrhea (25%) have
been reported. (Higher rate than for seasonal flu.)
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How does novel H 1 N 1 Influenza spread?
• This virus is thought to spread the same
way seasonal flu spreads
• Primarily through respiratory droplets
- Coughing
- Sneezing
- Touching respiratory droplets - on yourself,
another person, or an object, then touching
mucus membranes (e.g., mouth, nose, eyes)
ih without washing hands
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What can you do to protect from getting sick?
• There is no vaccine available at this time to protect against
this new H 1 N 1 virus.
• Get the seasonal vaccine now and the H 1 N 1 vaccine when it
becomes available
• However, everyday actions can help prevent spread of germs
that cause respiratory illnesses like influenza.
- Cover your nose and mouth with a tissue when you cough or sneeze.
Throw the tissue in the trash after you use it.
- Avoid touching your eyes, nose or mouth. Germs spread this way.
- Avoid contact with sick people.
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Everyday steps to protect your health
• Wash your hands often with soap and warm water,
especially after you cough or sneeze.
Wash for 15 — 20 seconds.
• Alcohol -based hand wipes or gel
sanitizers are also effective.
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If you get sick...
• Stay home if you're sick for 7 days after
your symptoms begin or until you've
been symptom-free for 24 hours,
whichever is longer.
• If you are sick, limit your contact
with other people as much as possible.
IF
• Most people should be able to recover at home, but watch
for emergency warning signs that mean you should seek
immediate medical care.
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Watch for emergency warning signs
In adults:
• Difficulty breathing
• Pain or pressure in
• Sudden dizziness
or shortness of breath
the chest or abdomen
• Confusion
• Severe or persistent vomiting
• Flu-like symptoms improve but then return with
fever and worse cough
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Emergency warning signs in children
In children:
- Fast breathing or trouble breathing
- Bluish or gray skin color
- Not drinking enough fluids
- Severe or persistent vomiting
- Not waking up or not interacting
- Irritable, the child does not want to be held
- Flu-like symptoms improve but then return
with fever and worse cough
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45
40
35
}. 30
a
aD
0 25
L
a 20
15
10
5
0
Distribution by age group of persons hospitalized with laboratory -confirmed influenza*, --
United States, 2007-08 winter influenza season
and April 15 - August 11, 2009
<6m 6m -4y 5-9y 10-17y 18-29y 30-49y 50-64y 65+y
Age Group
*Evidence of a positive influenza test result by viral culture, DFA/IFA, RT -PCR, rapid test, serology, or written note in
the medical chart. Emerging Infections Program, CDC
What is CDC doing? fw=�
• Implemented its emergency response.
• Continues to issue new interim guidance for clinicians and public health
professionals.
• Division of the Strategic National Stockpile (SNS) has sent 25% of the SNS
stockpile to all 50 states and U.S. territories to help them respond to the outbreak.
• Working closely with state and local officials nationwide.
• Coordinating closely with the World Health Organization and other international
partners.
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What about in San Joaquin County?
• Reported H 1 N 1 Influenza Cases (9/18/2009)
- Total Cases 253*
- Hospitalized 72
- Deaths 5
* Substantial underestimate of the actual number; most people don't
get tested.
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Expectations Influenza Fall and Winter 09-10
• H 1 N 1 will co -circulate with regular seasonal
influenza viruses but will likely be the predominant
influenza virus
• Number of people with influenza illnesses will be
larger than usual
• Will impact the medical care system
• Increased absenteeism at work sites
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SJC Public health Planning
• Expand surveillance, including laboratory testing
• Disease control and mitigation
• Influenza Health advisories and updates to medical
community
• Public Education and information
• Planning for large scale vaccine distribution
• Stockpile of anti viral medications
• Medical surge planning
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The City of Lodi
• Encourage employees to get vaccinated now for the
Seasonal Influenza.
• Awareness of good hygiene practices to limit spread
• Provide sanitizer gels for employee to use.
• Advising sick employees should stay home.
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The City of Lodi
• No plans at this time to close public buildings or events
• Prepare for increased number absences and for longer
duration
• Plan for fiscal impacts due to increased overtime to
maintain critical staffing.
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Summary
• Anticipate more cases, more hospitalizations and more deaths associated
with this new virus in the coming weeks because the population has little
to no immunity against it.
• We must all work together to limit and control the transmission of novel
H 1 N 1 influenza.
2009 H 1 N 1 vaccine will be available soon but initially in limited amounts
- Initial target groups are those at higher risk for infection or
complications
- Expect a busy and long season — need to keep up to date
Thank you!
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More Information
• For the most current information on the H 1 N 1 influenza
outbreak, visit http://www.cdc.gov/h 1 n 1 flu/
• CDC, WHO, and public health officials worldwide are
carefully monitoring the situation.
• Follow all recommendations for preventing the spread of
influenza.
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Resources
• http://www.cdc-gov/hl n1 flu/
• http://www.cdc.gov/hlnlflu/espanol/
• 1 -800 -CDC -INFO (1-800-232-4636)
• http://www.who.int/csr/disease/swineflu/en/index.htmi
• U. S. Centers for Disease Control and Prevention
• San Joaquin County Public Heath
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