Document Sample
PANDEMIC FLU PLAN Powered By Docstoc


                      AUGUST 2009

Brenda R. Madera RN
Health Services

Christopher Clouet PhD.
White Plains City School District

Anne Lillis PhD.
Assistant Superintendent for Pupil Services
White Plains City School District

Linda Caffrey RN
School Nurse
White Plains City School District

Centers for Disease Control
Atlanta, Georgia

Statewide School Health Services
Albany, New York

New York State Department of Health
New Rochelle, NY Office

The Center for Disease Control (CDC) recommends a combination of
strategies applied early to decrease the exposure of students and
staff to the influenza virus. These strategies will be determined
through collaborative decision making involving all necessary
stakeholders. The school district will utilize the flu plan systematically
based on the seriousness of the disease and trends that become
apparent after the outbreak.

Pre-Crisis Phase: Prevention and Information Sharing

   • A generic letter will be sent to parents telling how to avoid
     becoming ill from the flu.
   • The district Website will provide information to WPCSD staff.
   • Hand washing and respiratory hygiene signs will be posted in
     all bathrooms, nurse’s rooms and any pertinent office areas.
   • School nurses will provide hand washing and respiratory
     hygiene instruction to elementary students at the start of the
     school year. Informational posters will be posted in secondary
     schools on recognizing flu symptoms and avoiding exposure.
   • A script will be provided to principals to enable them to answer
     questions from concerned staff and parents.
   • A PowerPoint presentation for faculty and staff on how to avoid
     becoming ill is available on the district website.
   • Health services will provide a question and answer forum on
     district website.
   • School nurses will ensure they have adequate supplies
     necessary for in their offices. (Respirator/surgical masks,
     gloves etc.)
   • School nurses will be targeted to receive the latest vaccine as
     first line responders.
   • High risk populations will be identified and told to seek medical
     attention (Students with compromised immune systems,
     chronic conditions and pregnant staff).
  • Because some people may shed the virus before they feel ill,
    the following will be encouraged and enforced to help stop the
    spread of germs:
               Cover your mouth and nose when you cough or
               sneeze-wash hands immediately and dispose of
               tissues properly. If you don’t have tissues, cough
               into your elbow
               Wash hands frequently or use hand sanitizer if soap
               and water are unavailable
               Avoid touching your eyes, nose or mouth
               Stay home when you are sick and check with your
               doctor if you have an underlying medical condition or
               are pregnant
               Stay away from people who are ill and places that
               are highly populated ie: shopping malls, movies. It is
               recommended that a 6 foot distance be kept from
               people who may be ill

Acute Phase : Students and Staff are Becoming Ill

The Pandemic Response Team shall be activated by the
Superintendent or his/her designee. The team will be comprised of
staff necessary to make decisions for the district. (See flow chart)

  • The Pandemic Response Team will meet to disseminate
    information and make the decision to proceed.
  • A letter will be sent home informing parents of the increase in
    ILI and what the school district is doing to contain it.
  • Parents will be encouraged to seek medical attention for their
    children if the symptoms become severe-shortness of breath,
    skin turning blue, sustained fever or a change in behavior and
    not drinking enough water to maintain hydration. There may be
    many different symptoms so the district will attempt to provide
    up to date information as it applies to the population and is
    provided by health officials.
•    Parents calling their children out sick will be transferred to the
    nurse’s office to inform her of the reason for the absence and
    assist in tracking illness.
•   Students and staff that are ill will be sent home if they exhibit
    any two of the following: fever of 100 degrees or more, sore
    throat, cough, or runny nose (new and unexplained by
•   The nurse will keep an up to date list of ill students sent home
    with suspected flu or Influenza Like Illness (ILI) for the DOH.
    Reporting may be done on the HPN network or on paper and
    called in.
•   All students and staff will be encouraged to practice social
    distancing, cough etiquette and hand washing.
•   Nurses’ offices will be cleaned with approved products and all
    flat surfaces, phone receivers and doorknobs will be wiped
    clean on a daily basis or more often if necessary.
•   Areas and items that are more likely to have frequent hand
    contact may also be targeted for additional cleaning. *The CDC
    does not recommend any additional disinfection of
    environmental surfaces beyond the recommended routine
    cleaning. Facilities and Operations will be made aware of any
    changes immediately.
•   Each building principal will identify an area that may be utilized
    if the nurse is holding a large number of sick students waiting to
    be picked up. A staff member must be assigned to monitor the
    room if the isolated area is utilized
•   If an ill student or staff member cannot be isolated from others,
    they may be asked to wear a simple, surgical mask until they
    are sent home. If possible, the distance of 6 feet from the other
    staff/ students will be maintained.
•   Transportation may be asked to transport sick students home if
    parents are unable to pick them up.
•   All students and staff must be seen by the nurse on return to
    school from an ILI before returning to the classroom. No one
    will be allowed to return to school until they are fever free
    without the use of medication for 24 hours.
•   The district call out system and internet will be utilized to keep
    staff apprised of what is happening.
  • Supply list of supplies parents and staff should have at home to
    maintain social distancing and in the event services will be
    interrupted (See attached).
  • Consider cancelling all after school activities in the school
    buildings to decrease the exposure rate.

Extreme Active Case Phase: Large Numbers of the Population
are Ill

  **** Actual school closing will be determined by the Pandemic
Response Team in consultation with the Local Department of Health
                 and Emergency Operations *****

  • The decision to close will be made on balancing the goal of
    reducing the number of people who become seriously ill and
    the consequences of disrupting the educational needs of
  • A letter will be sent home along with internet and cable
    television information informing parents that school will be
    closed and where to go for up to date information.
  • All staff will be notified by phone and e-mail about closing of
    schools. The bus company, Food Service and outside
    agencies will also be notified.
  • “Building Closed” signs will be posted on doors of each school.
  • If schools are closed a report will be submitted to This one report will notify
    the CDC, US Department of Education and the state health and
    education agencies.
  • Consider additional help in nurses office if cases become
    overwhelming or nurses become ill (Nursing agencies will be
    contracted when necessary).
  • Consider substitute teacher availability in case of increased
    staff illness.
  • Consider Food Service worker illness and ability to provide
    school lunch to students in addition to possibility of providing
    food for children in case of closure.
  • Consider transportation interruption due to illness of drivers
  • Plan for students to receive continuing education by cable TV
    or internet if schools close. (See attached list of educational
    resources). Public access and district cable channels may also
    be utilized.
  • Information will be provided in conjunction with the DOH and
    CDC on how to care for ill family members at home.(See
  • Consider that school buildings will be used for overflow if health
    care facilities are filled. This determination will be made in
    collaboration with local and state emergency operations.

Post Acute Phase:

  • All buildings will be completely cleaned
  • Determine threshold to return to buildings if schools close in
    relation to the actual illness and trends noted during the acute
    phase- How long should buildings stay closed? This decision
    will be made with all major stakeholders involved.
  • Parents will be notified of school re-opening by mail, call out
    system, internet and cable television channel.
  • Staff will be notified of re-opening by district e-mail and call out
  • Determine in conjunction with the Superintendent, the Asst.
    Supt. of Curriculum/Business/Pupil Services and Human
    Resources, the Teachers and CSEA unions and the School
    Board how time lost will be made up: summer school etc.
  • Offer support services to students and staff on return to
    classrooms after Pandemic threat has passed
  • Gather Pandemic Response Team to evaluate the plan after
    return to the buildings.