Andrea Dooley EdD Associate Vice President Division of Student Affairs W Darrell Hess EdD Director Student Health Services Stephanie Galia MPH Director Wellbeing amp Health Promotion ID: 726766
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Unexpected Impacts of a Chickenpox Outbreak
Andrea Dooley, Ed.D
Associate Vice President, Division of Student Affairs
W. Darrell Hess, Ed.D
Director, Student Health Services
Stephanie Galia, MPH
Director, Well-being & Health PromotionSlide2
San Diego and San Diego State University
One of 23 campuses in the California State University system
Located in San Diego, California -
population 1.4 million San Diego has multiple colleges and universities Only Division I football program in the city - no professional football team Slide3
San Diego State University At-a-Glance
Total Enrollment = 33,917
Total Undergraduate Enrollment = 29,377
Total Graduate Enrollment = 4,540Student Demographics (undergraduate and graduate):
Students of Color = 53.6%
White = 33.9%
Other, Not Stated = 4.6%
International = 7.9%
Fall 2017 – main SDSU campus onlySlide4
San Diego State University At-a-Glance
Live on requirement - first and second year students
Approximately 4900 students live on campus
All athletes live on campus their first and second year Housed in residential halls prior to start of classes for pre-season activities Slide5
Health and Wellness @ San Diego State University
Division of Student Affairs
Student Health Services
Well-being & Health Promotion Athletic Medicine Dual Report to Student Health Services and Athletics Director of Athletic Medicine and other team doctors are contracted Slide6
What Happened
Administrator Communications
Medical Staff Communications
Diagnosis & Treatment
Assessing Risk
Community Perspective
Individual PerspectiveSlide7
Public Health Perspective
Assessed Communication Strategy
Chicken Pox is a Well-Known Illness
Many are ImmunePrevious Illness or VaccinationAnticipating Low-Level of Student & Parent Concern
Low Risk to Student Body
Differs from other Health ConcernsSlide8
Context
Official Outbreak
Deputy Public Health Officer, County of San Diego
Went from 3 to 5 cases within 2 daysMedia AttentionTime of yearRight before academic year begins (2 weeks before start of the semester)
Start of fall athletic season
Unusual Patterns of Infection
Breakthrough Cases
Vaccine Strain Cases
County of San Diego/CDC Investigations
New LeadershipSlide9Slide10Slide11Slide12
Context Cont.
Athletes are at a Higher-Risk of Virus Transmission
Practices, living situations, meals
Some students enrolled in summer classesAthletics Athletics exhibitionsConcerns
Spreading through team
Spreading within SDSU athletic community
Upcoming games
Travel for away games
Housing Situation
Potential exposure pointsSlide13
Context Evolved
Inability to Stay in Front of Message
Media’s continued interest
Specific interest due to athletics Speculation & misinformationHeightened anxiety due to cleaning measuresStudents & staff
New Possible Cases Popping Up
Athletes from other SDSU teams diagnosed
Athletics staff member diagnosed
CDC Investigation
Further interviews & data collection
Vaccine sample testingSlide14
University Oversight and Management
Campus Life Planning Committee
Driving Questions for Decision Making
Where does the individual live? Do they have roommates/status of roommates? Have they attended any classes? Special Considerations
Meet and greets with the community and with students
Games and travel for games
Communication Campaign
Campus-wide
Follow up to targeted groups
Role of the Medical DirectorSlide15
Medical Assessment & Treatment
Created Specific Triage Protocol
Assessed Vaccination Status for Varicella
Gave vaccines as appropriateFull Body Scans of all Athletes, Coaches & StaffAppropriate treatment to all who were symptomaticIsolated symptomatic individuals
Medical clearance given once symptoms were gone
Cleared for play and move back into residence halls
Meal Arrangements for Isolated Individuals
Provided Academic Support to those Isolated
Disinfected Shared Facilities & Living SpacesSlide16
Final Impact
Total Potential Cases
54 Individuals had exhibited symptoms
52 Student Athletes; 1 Student Trainer; 1 Athletic Trainer6 Teams were affectedNo Cases Outside of the Athletic ProgramSlide17
Lessons Learned
Flexible Protocol Needed/ Context is Critical
Benefits of Mobilizing Partnerships and Resources
On-CampusExternalIdentified Need to Strengthen Interdepartmental Relationships Awareness of Unique Departmental Focus
Importance of Clarifying Staff Roles/Responsibilities
Providing Leadership through Subject Matter ExpertiseSlide18
Outcomes
Isolation Protocol
Updated MOU with Athletic Medicine
Virus Prevention CampaignIncreased Communication Between DepartmentsTemplate for Health Crisis Communication PlanSlide19
Basics from ACHA Guidelines Emergency Planning: An All-Hazards Approach
Planned, organized structure
Preparedness
Emergency Management Team structurePrevention vs. mitigationPsychological impactDefinitive chain of commandUnity of command
Partnerships
Facilities/resources management
Communications and information management
Standardization of terminology
Internal
ExternalSlide20
Examples - Isolation ProtocolSlide21
Examples - Letter to the Community
Initial SDSU Communication from Medical Director
Students, Faculty/Staff
Alerting students to possible exposureVaccine recommendationsHigh-risk populationsVaricella symptoms
Transmission prevention
Contact information for Student Health Services
Link to CDC
Parents
Same content with a intro paragraph explaining their student received this message
Follow-Up
Targeted PopulationsSlide22
Examples - Communication MaterialSlide23
Questions