Msmp.org

Regional Health & Medical Situation Report
Clackamas, Clatsop, Columbia, Multnomah, Tillamook and Washington Counties

Influenza January 2014
Date/Time: 1-22-14 at 1430

To: Healthcare Preparedness Region 1 Hospital Representatives; and NW Oregon Health
Preparedness Organization Steering Committee/Coalition Interpreted Situation Summary

Health Preparedness Region 1 (HPR1) Hospitals: (Updated 1/22/14)

The Region 1 Health Preparedness Organization queried the Region 1 hospitals,
requesting qualitative information on seasonal influenza in order to create a regional
picture.
Hospital Status – Resources
Tillamook Regional Medical Center reported a shortage of normal saline solution and
indicated it was a manufacturer backorder issue.
Other hospitals/health systems reported adequate to manageable supplies of Tamiflu,
PPE, normal saline, and ventilators. Comments provided in the hospital survey
included:
• Limited daily quantities of Tamiflu, but supply has kept up with demand • PPE gowns are in short supply but awaiting an order • Normal saline still a watch but being carefully monitored Hospital Status – Beds Providence Portland reported shortage of respiratory therapy beds, and Providence St. Vincent reported it is on critical care divert. Other hospitals/health systems reported adequate to manageable numbers of hospital, emergency department, intensive care unit, critical care unit, and respiratory therapy beds. Comments provided in the hospital survey included: • Respiratory therapy should resolve in the next day or two (staffing shortage) • Tuesday-Thursday volume usually higher due to high surgery days • ED a medium concern; volumes usually decrease as the evening progresses Hospital Status – Staffing Hospitals/health systems reported adequate to manageable staffing levels. Some reported sporadic staff shortages and said that staff sick calls are a key contributor to the issue. Others reported staffing levels creating limitations on bed availability. C:\Users\aaron.MSMP\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\GTD91TDW\HPR1 Hospital Influ Sit 1-22-14.doc • Hospitals are reminded to update all fields in HOSCAP daily. • Information posted on HOSCAP must be accurate (i.e. bed information should represent the number of beds that are staffed and available). • If comments are added, include date comment was entered. • If hospitals have activated their Emergency Operations Plans, please indicate
Health Preparedness Region 1 (HPR1) Safety Net Clinics: (Updated 1/21/14)
Two safety net clinic providers responded to the survey. Safety net clinics do not keep
Tamiflu on stock because they write prescriptions and clients take these to local
pharmacies to be filled. They reported adequate supplies of PPE, sampling kits, and are
adequately staffed.
Multnomah County Emergency Medical Services (EMS): (Updated 1/21/14)
EMS is seeing a moderate increase in activity (10-30%) in dispatch related calls for flu
and diarrheal symptoms. Baseline activity for the past week has been diagnosed
respiratory complaints. EMS is reporting no shortages of PPE or staff.
State: (Updated 1/17/14)
Resources are available at In addition, there is a flu toolkit page:

The State published their weekly FluBites information on Friday (1/17/14). For more
information about this report, go to:

U.S.: (Updated 1/11/14)
Centers for Disease Control and Prevention’s Weekly Surveillance Report:

C:\Users\aaron.MSMP\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\GTD91TDW\HPR1 Hospital Influ Sit 1-22-14.doc

Source: http://www.msmp.org/sites/www.msmp.org/assets/files/HPR1_Hospital_Influ_Sit_1-22-14.pdf