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THE BUGS ARE COMING Preparedness and Infectious Diseases Lessons Learned Anna M. Likos, MD, MPH State Epidemiologist and Director Division of Disease Control and Health Protection Florida Department of Health Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 1 To Put Things in Context A little bit about me Started Medical School in 1991 Internal Medicine Residency 1995-1998 Preventive Medicine Residency 2000-2002 Air National Guard: Operation Enduring Freedom CDC: 2003-2013 CDC Director: Haiti 2007-2009 Ivory Coast 2009-2011 Morocco 2011-2012 Polio in Africa 2012-2013 Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 2 It’s Been Busy Brucellosis (Saudi Arabia) Mers CoV (Saudi Arabia) Chikungunya (Carribean and Asia) Dengue (All over) Malaria (All over) Chagas Disease (Central and South America) Measles (Azerbaijan, Bosnia, Australia) Cholera (Haiti, Cuba) Threat of Ebola Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 3 So What Have We Learned? It is not over yet…the lessons are still coming As of Feb 8, 2015: 22,894 Cases 9,177 Deaths Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 4 Number of Cases Each Week Guinea Liberia Sierra Leone Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 5 So What Have We Learned? The Value of Subject Matter Expertise The Value of Partnerships The Value of Communication The Value of Leveraging Resources The Value of Trust Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 6 What Might We Think About? The Value of Innovation If I can’t get what I want, is there another way to get what I need? Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 7 My Most Recent Hero Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 8 My Most Recent Hero Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 9 What Will We Gain? From HIV, we got Universal Precautions From Ebola, we could get: – Better use of Non-Pharmaceutical Interventions – Routine collection of a travel history – Greater sense of the global village Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 10 Being Informed IS Being Prepared Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 11 www.who.int Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 12 Europe Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 13 The Americas Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 14 To Cure Disease is Glory To Prevent Disease is Victory Thank You Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. 5/24/2017 15