Zika Virus Preparedness and Response Plan Texas Zika

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The page intentionally left blank,Record of Changes. This page includes a table showing the changes made to this document. including the date of the change a description and rationale if applicable. and the name of the person who made the change Any comments or. recommendations for changes to this document should be emailed to. PreparednessPlanning dshs texas gov,Date Description of Change Name. For more information regarding this document please contact. The Center for Health Emergency Preparedness and Response s. Response and Recovery Unit at the Texas Department of State. Health Services PreparednessPlanning dshs texas gov. The page intentionally left blank,Zika Virus Annex. April 2019,Table of Contents,Record of Changes 1,Table of Contents 2. Overview 4,Audience 4,Response Goals 5,Response Objectives 5.
Situation 5, Table 1 Zika Disease Cases Transmitted by Mosquitoes in Texas locally. acquired cases 6,Assumptions 7,Concept of Operations 8. Plan Activations 8,Operational Levels 9,Phase I Prior to Local Mosquito Transmission 9. Phase II Potential Case of Local Mosquito Transmission or Limited Local. Mosquito Transmission 9,Phase III Sustained Local Mosquito Transmission 9. Core Functional Areas and Operations 10, Organization and Assignment of Responsibilities 12.
General 12,Program Assignments 13,Program Assignments Organized by CFA 14. Key State and Federal Agency Response Partners 33,Direction Control and Coordination 34. General 34, Information Collection Analysis and Dissemination 35. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019,General 35,Information Collection 35. Communications and Public Information 36,Communications 36.
Notifications 37,Public Information 37,Administration Finance and Logistics 38. Administration and Finance 38,Logistics 38,Plan Development and Maintenance 39. Authorities and References 40,References 40,Supporting Documents 40. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019, The Department of State Health Services DSHS is the lead state agency for. preparing for coordinating and responding to public health and medical. incidents involving Zika virus For emergency preparedness and response. DSHS operates within the overall context of emergency management in. Texas and in concert with local state and federal partners The Zika Virus. Annex describes what actions DSHS will take to successfully respond to Zika. virus The Zika Virus Annex is aligned with the Centers for Disease Control. and Prevention CDC Zika Interim Response Plan s phased approach and. contains three specific phases Phase I identifies activities that DSHS will. implement prior to local mosquito transmission of Zika Phase II identifies. activities that DSHS will implement once a potential case of local mosquito. transmission of Zika or limited local mosquito transmission of Zika has been. confirmed Phase III identifies activities that DSHS will implement once. sustained local mosquito transmission of Zika has been confirmed. The purpose of this document is to serve as a guide to DSHS Executive. Leadership for preparation and response to Zika virus in Texas It also. serves as the basis for DSHS coordination and collaboration with other public. health agencies healthcare delivery systems and other partners focused on. addressing the threat and impact of Zika virus in Texas. The Zika Virus Annex is a state level document that identifies the. fundamental tasks for which DSHS programs including Public Health. Regions could be responsible for given a confirmed developing or potential. Zika virus incident, This document is intended for use by DSHS programs and key positions.
with responsibilities during a response to a Zika virus incident including. Laboratory and Infectious Disease Services LIDS,o Laboratory Services Section LSS. o Zoonosis Control Branch ZCB,Community Health Improvement CHI. o Birth Defects Epidemiology and Surveillance Branch BDESB. Regional and Local Health Operations RLHO, o Center for Health Emergency Preparedness and Response. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019,o Public Health Regions PHRs. o Office of Border Health OBH,Center for External Relations CER.
State Epidemiologist,State Medical Entomologist,Senior Advisor. Response Goals, The primary goals of DSHS during a state level Zika virus incident response. Protect the people of Texas by preventing or at least delaying local. mosquito transmission for as long as possible, Act quickly to intervene should Zika virus be detected in Texas via. mosquito transmission, Protect pregnant women and their unborn children because of the. potentially devastating impact of the virus on them. Response Objectives, The response objectives of the Zika Virus Annex are to.
Prevent spread of the Zika virus by identifying cases and facilitating or. implementing vector control measures, Maximize education and outreach activities to the public local health. departments LHDs and healthcare communities in Texas regarding the. Zika virus, Provide consistent timely and accurate information to partners. stakeholders and the public regarding the Zika virus. Coordinate community response to include public health healthcare and. emergency management, Facilitate and support public health and healthcare operations to include. surveillance laboratory diagnostics and individual and community. protections, In 2016 non congenital and congenital Zika virus infection and disease. became nationally notifiable conditions in the United States Zika virus. disease cases are categorized as acquired through travel to affected areas. presumed local mosquito borne transmission or other routes e g sexual. laboratory or blood borne transmission Local mosquito borne transmission. was reported in Florida and Texas in 2016 The primary mode of. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019, transmission of Zika virus in the Americas is through the bite of an infected.
Ae aegypti or Ae albopictus mosquito These are the same mosquitoes that. spread dengue and chikungunya viruses1 State and local governments can. take steps to reduce the number of vector mosquitoes available to transmit. the disease to mitigate the spread of the virus and to reduce the public. health impact of the disease Large scale mosquito pool testing has limited. scientific benefits in the case of this vector any mosquito pool testing must. be targeted to provide value, Zika can be passed through sexual intercourse from a person who has Zika. to his or her sex partners A pregnant woman can pass the Zika virus to her. fetus during pregnancy Zika infection during pregnancy can cause serious. birth defects and is associated with other pregnancy problems. Based on geographical and environmental considerations certain parts of. Texas are at greater risk for local transmission of Zika These areas include. Rio Grande Valley North Texas and Gulf Coast Counties with historic. incidence of locally acquired dengue virus may be at additional risk. Cameron Hidalgo Starr Webb Willacy Additional high risk areas include. large urban metropolitan areas with high numbers of travelers to from areas. experiencing local Zika virus outbreaks, The total annual Zika disease cases in Texas from 2015 2018. 2015 8 cases,2016 315 cases,2017 55 cases,2018 3 cases2. The data table below includes 11 cases of Zika virus disease likely. transmitted by mosquitoes in Cameron and Hidalgo counites All other cases. were related to travel to areas with ongoing Zika transmission including two. cases acquired by sexual contact with travelers and four cases passed from. mother to child before birth, Table 1 Zika Disease Cases Transmitted by Mosquitoes in Texas locally acquired cases. County 2015 2016 2017 2018,Cameron 0 6 1 0,Hidalgo 0 0 4 0.
Zika Virus Transmission Methods CDC Webpage, https www cdc gov zika prevention transmission methods html. Zika Reported Cases DSHS Webpage https www texaszika org currentcases htm. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019,Assumptions, Large areas of Texas may be affected by the Zika virus and some areas. will be at higher risk than others i e the Texas Mexico border regions. the Lower Rio Grande Valley and the Gulf Coast regions. Local transmission of the Zika virus is likely to occur in Texas as. competent vectors are present and the population has no pre existing. immunity and is therefore generally susceptible to infection. When other countries or other parts of the United States are experiencing. Zika outbreaks Zika cases among travelers visiting or returning to Texas. will likely occur, Zika virus may be spread through blood transfusion. It will be difficult to determine the health burden of Zika. o Many people infected with Zika virus will not have symptoms or. will only have mild symptoms3, o People usually do not get sick enough to be hospitalized or seek. health care and they very rarely die of Zika3, Integrated Vector Management mosquito surveillance and control is.
based at the local level example local health departments animal. control environmental health programs etc, Ground and aerial spraying may be utilized as a control measure. Some local jurisdictions address vector control measures either through. their own resources contracts or through cooperative mutual aid. agreements with other local jurisdictions, State assistance upon request may supplement local efforts Federal. assistance upon request may supplement both local and state efforts. when the capabilities of each are exceeded dependent on resource. availability,Zika Virus Symptoms CDC Webpage,https www cdc gov zika symptoms symptoms html. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019,Concept of Operations, The concept of operations section of the Zika Virus Annex outlines how. DSHS will respond to a Zika virus incident It also details the sequence and. scope of the public health and medical response, DSHS is the primary state agency for preparing for coordinating and.
responding to public health and medical incidents involving Zika During a. response to a Zika virus incident DSHS will ensure that the ESF 8 Core. Functional Areas CFAs are coordinated conducted completed and or. supported at the state regional and local levels, A DSHS response to a Zika virus incident will follow Incident Command. System ICS principles and as the scale of the incident dictates utilize the. Regional Health and Medical Operation Centers RHMOCs and the State. Medical Operations Center SMOC to facilitate public health and medical. response management Representatives of the above listed entities. Audience will be incorporated into the RHMOCs and or SMOC as needed. Likewise representatives will be assigned to the Disaster District. Committees DDC and State Operations Center SOC as requested by the. Texas Division of Emergency Management TDEM to ensure effective. coordination of state level emergency management activities. Plan Activations, The Zika Virus Annex shall be enacted under the following circumstances. A Regional Health and Medical Operation Center RHMOC enacts its Zika. The CHEPR Director or Executive Leadership or designees may enact the. Zika Virus Annex at any time based on the current existence or imminent. threat of Zika virus, Note Unless otherwise directed by the DSHS Commissioner of Public Health. the responsibility for operational coordination of incidents rests with the. CHEPR Response and Recovery Unit, The Zika Virus Annex can be utilized in response in the following ways. Response objectives can be used in the Incident Action Plan IAP. The Program Assignment Matrix can be used to create work assignments. Texas Department of State Health Services Operational Document. Zika Virus Annex,April 2019,Operational Levels, DSHS will support Zika operations during three 3 established DSHS Zika.
phases These phases are Phase I Prior to Local Mosquito Transmission of. Zika Phase II Potential Case of Local Mosquito Transmission of Zika or. Limited Local Mosquito Transmission of Zika and Phase III Sustained Local. Mosquito Transmission of Zika,Phase I Prior to Local Mosquito Transmission. Phase I describes the actions DSHS will implement prior to local mosquito. transmission Travel related cases may be present in the state While in this. phase DSHS conducts routine operations to detect and monitor possible. Zika transmission The primary goal is to prevent and mitigate opportunities. for mosquito breeding and biting This phase ends when one 1 or more. cases are reported to have been transmitted by a mosquito within Texas or. when a mosquito within Texas is confirmed with Zika virus. Phase II Potential Case of Local Mosquito Transmission or Limited Local Mosquito. Transmission, Phase II describes the actions DSHS will implement when one 1 or more. cases are reported to have been transmitted by a mosquito within Texas or. when a mosquito within Texas is confirmed with Zika virus The goal of this. Texas Department of State Health Services Zika Virus Preparedness and Response Plan November 2016 2 P a g e Facts Zika virus is transmitted to people primarily

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