ESD Measles Drill 111518 v Objective To run

ESD Measles Drill 11/15/18 v Objective: To run a drill that represented an actual event that required an immediate and urgent response from ESD. v A communicable disease is more likely than other emergent events such as a shooting, fire, ect… Situation: A high school student has been confirmed as having measles. They attended school and school events after rash onset and thought it was just “pimples”. Has siblings at Parkway and EMS with questionable rash. All 3 ride the bus.

The “chain of command” 1. Pam, ESD school nurse, was notified by GCHD. 2. Meeting between Pam and Superintendent Dan Martell. 3. Dan, Pam and GCHD met with core administration team. 4. Notification sent to principles and other core team members to meet at 1: 00 pm.

Measles is airborne and most contagious for 4 days after rash onset. All 3 students have been at school, events and rode the bus since rash onset. Siblings with questionable rash are epilinked to the confirmed sibling case. Who needs immediate notification? 99 students without vaccination, at- risk students w/ special healthcare needs Pregnant women, immunocompromised students/staff at their schools Vulnerable individuals that ride their bus Staff without 2 documented MMR’s on file. Vulnerable individuals at the school event that the case attended. Vulnerable visitors, ancillary staff within the affected schools

Next steps Who is taking responsibility for the immediate notification of vulnerable individuals? Pam is able to provide an at risk student list. There is limited information on staff MMR’s. Principles and their support staff took on personally calling families and notifying vulnerable staff that they know of.

What does notification to everyone else look like? Need for same scripting/messaging- GCHD can do this. Voice recording for school messenger Send paper letters? With students in backpack or mail? Texts How do you handle the flood of calls that will likely come in?

Roundtable discussion Upcoming school/community events Language barrier/translation needs Time crunch/ cancel school next day Preschool and Special Services students MMR titers/ turn around time Enough staff to run school? Bus/ school housekeeping requirements 42 day exclusion from last known case (2 incubation periods) Education for the excluded Needs of the families i. e. food, childcare School cancellation

Other agency involvement needed Health District for guidance and releases Food Bank for families that can’t provide all meals American Red Cross if outbreak extends Tutors for education at home Clinic support for possible mass vaccination “Direct access” program at Columbia Basin Hospital for MMR titers Emergency declaration to increase funding support

Questions/Comments? Kari Hitzroth GCHD RN 509 -766 -7960 x 13 khitzroth@granthealth. org Pam Cleveringa ESD RN 509 -764 -5285 x 2162 pcleveringa@ephrataschools. org