Structure of the Frankfurt Network Infectious Disease Emergencies Udo Goetsch Department Infectious Diseases Frankfurt City Department of Public Health CAPSCA Frankfurt, July 5, 2012 The pivotal role of airports 1
Worldwide Distribution of Viral Hemorrhagic Fevers Hanta fever Hanta fever Crimean-Congo fever Yellow fever Junin fever Machupo fever Sabia fever Hanta fever Dengue fever Rift Valley fever Lassa fever Ebola fever Yellow fever Crimean-Congo fever Dengue fever Dengue fever Hanta fever Crimean-Congo fever Top-10-Airports Pax in Millions (2011) Atlanta 92,4 Beijing 77,4 London Heathrow 69,4 Chicago 66,6 Tokyo 62,3 Los Angeles 61,8 Paris Charles de Gaulle 61,0 Dallas/Ft. Worth 57,8 Frankfurt 56,4 Hong Kong 53,3 ACI 2011 2
London Frankfurt New York Frankfurt/Main; March 15 th, 2003 3
IDE Cases* in Europe *IDE = Infectious Disease Emergencies 04/96 CH Brazil Yellow fever m/53 12/97 GB Zimbabwe Crimean-Congo HF w/78 08/99 D Côte d'ivoire Yellow fever m/40 01/00 D Ghana/B. Faso/C. d'ivoire Lassa fever w/23 03/00 GB Sierra Leone Lassa fever m/50 03/00 D Nigeria Lassa fever m/57 06/00 NL Sierra Leone Lassa fever m/48 03/03 D Singapore SARS m/32 03/03 D Singapore SARS w/30 03/03 D Singapore SARS m/67 07/06 D Sierra Leone Lassa fever m/70 07/08 NL Uganda Marburg fever w/41 01/09 GB Nigeria Lassa fever m/66 02/09 GB Mali Lassa fever m/25 10/09 D Vietnam Dengue hem. fever m/42 Anthrax letters 4
Health Protection Authority Frankfurt Executice Fire Control Medical Treatment Center Supreme Federal State Authority 5
Medical Treatment Center Health Protection Authority Frankfurt Supreme Federal State Authority Executice Fire Control Executice Fire Control Health Protection Authority Frankfurt Medical Treatment Center Supreme Federal State Authority 6
FRAPORT Municipal Police BSL 4 Lab Hamburg/Marburg StAKoB Municipal Police BSL 4 Lab Hamburg/Marburg FRAPORT StAKoB 7
BSL 4 Lab Hamburg/Marburg StAKoB Municipal Police Health Protection Authority Frankfurt FRAPORT Supreme Federal State Authority Medical Treatment Center Executice Fire Control 8
StAKoB FRAPORT BSL 4 Lab Hamburg/Marburg Municipal Police s K K Competence Center Highly Infectious Diseases Hamburg Berlin K Medical with high level isolation ward Marburg Leipzig K Laboratory of Biosafety Level (BSL) 4 Frankfurt K Wurzburg Saarbrucken K Stuttgart Munich K adapted from R. Fock 9
Fort Detrick Hospitals in EU/US HID Care Atlanta Newcastle Linköping Dublin London Paris Pavia Rom Brescia 10
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Public Health Responsibilities The public health officer in charge needs to confirm the suspected case in accordance with the expertise from the competence centre inm immediately the supreme public health authority make sure that the appropriate protection measures are established Public Health Responsibilities trace and monitor the contact persons order and supervise hygienic and disinfection measures order and supervise the burial and if necessary initiate the autopsy offer further and detailed inmation press and public 13
Tasks of the Competence Center provide relevant inmation about the regional occurrence of infectious diseases (www.frankfurt.de) consulting on the spot or by phone provide special personal protection sets infectious diseases (including respirators) offer exercises Tasks of the Competence Center offer consulting in suspected cases in 24/7 support the transport of the infected person with a special I-Ambulance (Infection Transport Ambulance) support temporary isolation measures if the patient is not transportable 14
A case of Lassa fever (2006) July 11, 2006 Brussels 350 Contacts July 10, 2006 Freetown July 10, 2006 Abidjan 15
July 11, 2006 Munster July 11, 2006 Brussels > 50 Contacts July 11, 2006 Frankfurt am Main July 21, 2006 Muenster 200 Contacts 2 x 300 km July 21/22, 2006 Frankfurt am Main 16
Contact: udo.goetsch@stadt-frankfurt.de rene.gottschalk@stadt-frankfurt.de 17