# You are the coordinator of disease prevention for the health department of Grant County, which is...

###### Question:

You are the coordinator of disease prevention for the health department of Grant County, which is geographically large and ethnically diverse and has urban and suburban population centers totaling 600,000. A recent outbreak of mumps and the shortage of mumps vaccine prompted your boss, the commissioner of health for Grant County, to ask you to update the county’s plan for allocating vaccines that might be in short supply. The commissioner’s memorandum to you directs that the plan must take a comprehensive, countywide approach. It references the importance of considering both the vaccines and antiviral medications for high-risk, infectious diseases. The memo uses the example of avian (bird) flu as one to consider in developing the plan. You are aware that bird flu affecting human beings has rapid onset and a high case fatality rate and tends to be more deadly for persons 20–40 years of age than other age groups.

You spend the next several hours in front of your PC preparing an outline of the plan. You include all major health services providers in the county. Of special concern to you is the need to preface and support your plan with a clearly identifiable value system (ethical basis) by which vaccines and antivirals should be allocated.

Questions (30 points, 10 points each)

1. Which HSOs in Grant County should be included in the plan? Why?
2. What value system do you recommend as the underlying philosophy(ies) to guide allocation of scarce vaccines?
3. Outline the steps to inform the HSOs and relevant government agencies about the plan and to involve them in the contingency planning for implementation. (Should law enforcement officials participate?)

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