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CDC Pandemic Influenza Live Exercise

by: DemFromCT

Fri Mar 07, 2008 at 01:27:47 AM EST


There will be a CDC live event exercise next week.

This is from CIDRAP, Feb 2007:  

DemFromCT :: CDC Pandemic Influenza Live Exercise
Preparedness requires careful planning-distasteful as it may be-followed by exercises to test the plans, Gerberding went on to say. Last week the CDC conducted a major exercise that was very instructive, she said.

The 24-hour live exercise-not a tabletop simulation-involved about 1,000 people, with 150 people staffing the CDC operations center. The drill required officials to make decisions about whether to declare a public health emergency, how to explain the difference between an emergency and a pandemic, and whether to change the handling of sick airline passengers-which would have immense effects on the travel industry.

"As we struggled with the decisions we had to make, there was not a bone of complacency in anyone's body," she said. "We learned why it was so important, why it was hard. . . . It really made the situation real." The exercise was opened to the news media, in part so that reporters would understand the seriousness of the risk and not become complacent themselves, she added.

"We thought it was a tremendously successful exercise," noted Gerberding.

The agency is planning to follow up with another exercise involving both federal agencies and state and local public health, she said. Further, "In May we'll exercise an even broader group of people in Atlanta, on the premise that the pandemic has arrived in Atlanta and CDC is functioning with a 40% loss of its work force."

As a follow-up to those exercises, CDC will be having a 2 day exercise next week in Atlanta.

I have been invited as a media observer. From the WaPo, also Feb 2007:

The exercise included a mock news conference. CDC media officers questioned Gerberding while four real reporters (from The Washington Post, the New York Times, the Associated Press and the Canadian Press) watched.
This is the first time there'll be a blogger assigned as media... progress, of a sort, I suppose (see this diary).  
it's not an exclusive (other media will be there). I don't know a lot about the exercise yet, but expect more info from me next week. I intend it to be a two way conversation,  with observations about how things work at the local level (my personal experience).

I doubt I will be able to live blog (I don't like live blogging, I'd rather participate and write later), but there should be time to share experiences, if not during than after.

Who knows? Communication during a pandemic (a real one) may be best served by involving bloggers as well as traditional media. Chances are, as in the Fred Friendly Seminar last summer, bloggers may hear it first. But working with traditional media is a helpful exercise as well, as what we each bring to the table is complementary.

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the CDC exercise is to see
how CDC itself responds to a significant pandemic, as I understand it. It's predominantly pandemic and not pre-pandemic response, so the opportunity to discuss what we're doing (and should be doing) now is less than planning and practicing what they will do then (continuity of operations).

Everyone needs to drill and practice what they think they will do. That's true for us, for them, for locals and for state entities.


thanks, that's great
I hope they will pay a lot of attention to gaps that they discover about things that we should be doing now, rather than just focusing on fixing the logistics of what they should be doing then.  I'm increasingly aware of the notorious tendency for institutions to compartmentalize.


All 'safety concerns' are hypothetical.  If not, they'd be called side effects...


[ Parent ]
also what their scenario is with regards to public information
Where will the first 'unconfirmed reports' come from?  From hospital reports?  Or from the internet?


All 'safety concerns' are hypothetical.  If not, they'd be called side effects...


[ Parent ]
That sounds like it's going to be
pretty interesting, Dem.  

Do you know yet what the time frame covered by the two day exercise will be?  If it's a short time frame scenario, they won't be able to tell the locals to start lining people up for vax, so it wil be interesting to see what they will tell them.  

Hopefully this exercise won't be ended early due to snow in Atlanta.  ;-)  But I'd like to see how any weather or other breakdowns in their scenario might affect the speed with wich the Strategic National Stockpile pushpacks actually gets out to those who need them.  The locals are counting on them to arrive as if beamed up by Scotty, it seems, and to include in them everything they'll need.  There's no margin for error there, it seems to me.

Also interesting will be whether there are any suggestions made on the part of the CDC media people that the reporters hold back a bit on their reporting, refrain from publishing "rumors" until the facts are known, etc.  The effect of massive unknkowns, and the reactions of CDC employees, reporters, and the public in an initial pandemic outbreak will hopefully be modeled into their scenario.  


exactly
which is why the Fred Friendly scenario is so important (in that one, a blogger was part of the exercise, got the story first, was an important source of info, etc). That's the communications part which naturally we (all of us) on line folks are very interested in ;-)

I know at our local level, we are planning a community surge exercise that assumes no (or not enough) antivirals available. So, matching the push out exercise from there with the receiving exercises here would be most fascinating. And it's important that locally we have a sense of how the system gets activated. We can always practice mass distribution of stuff locally, if there's any stuff to distribute. But that's less useful than assuming we don't got stuff.

Other fed-state-local issues to watch for are, for example, school closure and how that works.. what's the trigger, what's the expectations, how does the info go from Atlanta to the states, etc... but key to mention is that I don't know the exact scenario yet. Each previous CDC exercise builds on the forerunners, with a slowly worsening picture. Maybe the next one after this is the more relevant one... or maybe it's this one. More to come on that.

I have to say that practicing and drilling any and all of this is a good thing, so long as it stays real and the failures are reviewed and improved on. If there are no failures it was not a realistic enough exercise.


[ Parent ]
Pixie's reference is to an Atlanta ice storm
prematurely ending a previous exercise ;-)

They don't handle winter well south of DC.


[ Parent ]
Excellent!
In that the CDC is doing this, and for including you as an observer.

Look forward to your obervations and commentaries.

It is better to look ahead and prepare than to look back and regret.


Standing in my shoes
DemFromCt,

 I really hope tow things happen

  1) the CDC has a few folks stop being CDC and play my role of how the public will feel and respond.

   2) At some point during the exercise they randomly pick 40% of the folks to leave the room for a day. This is to simulate 40% absenteeism.

  If the do a simulation to see how things work they will learn how things work. In the real world some things will break down and messages do get confused.

  Just a thougth. I am glad they are testing and learning.

Kobie


that is a great idea!
At some point during the exercise they randomly pick 40% of the folks to leave the room for a day. This is to simulate 40% absenteeism.

WOW, to remove 40% of the people from the command center!  Jeez!  Wonder if they will do that?


All 'safety concerns' are hypothetical.  If not, they'd be called side effects...


[ Parent ]
i think they did that
in May.

In some table tops they will randomly tap every 4th person on the shoulder and say 'you're sick, go home."

"But I'm the chief of xxxx..."

"You're sick, go home. Who replaces you?"


[ Parent ]
cool ;-)
was this in the main CDC exercise?


All 'safety concerns' are hypothetical.  If not, they'd be called side effects...


[ Parent ]
Now THAT is a great thing to build into a pandemic exercise!!


It is better to look ahead and prepare than to look back and regret.

[ Parent ]
They did apparently
The reports on the Feb. 2007 exercise mentioned that they'd be removing 40% of CDC employees in their May '07 simulation:

The game will pick up in April with an exercise in which pandemic flu has spread to many states. In a final round in May, the virus gets to Atlanta and takes out 40 percent of CDC's workforce.

http://www.washingtonpost.com/...



[ Parent ]
what I can't find is public reports
of April and May... [possibly no media were there].

[ Parent ]
I can't either
Links on the after action reports take you to the CDC intranet, which is off limits for the hoi polloi.  

[ Parent ]
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