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PANDEMIC INFLUENZA RESPONSE GUIDE.ppt

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PANDEMIC INFLUENZA RESPONSE GUIDE.ppt Powered By Docstoc
					   PANDEMIC INFLUENZA RESPONSE GUIDE
                                LAWRENCE CAMPUS

        Presented By:
Carol Seager and Mike Wildgen
Agenda
I.     Introduction
II.    Definition of Terms
III.   Purpose
IV.    Pandemic History
V.     Pandemic at KU
VI.    WHO Pandemic Phases
VII.   Pandemic Guide Format
Definition of Terms
Pandemic – A widespread out break of disease that
occurs throughout the world for which there is no natural
immunity.
Isolation – Separation of people who are ill from those
who are healthy and the restriction of their movement to
stop the spread of the illness.
Quarantine – Separation and restriction of movement of
persons who are not yet ill but have been exposed.
Social Distancing – Infection control strategies that
reduce the duration of social contact and thereby limit the
transmission of influenza.
Guide Purpose
Build a structure for decision-making that:
   1. Follows the pandemic stages of the World Health
      Organization (WHO)
   2. Identifies Response Outcomes and Response Units

In order to:
      SAVE and PROTECT lives
      Ensure institutional continuity and recovery.
PANDEMIC HISTORY
Pandemic Historical Perspective
1918 – 1919: Spanish Flu
Most Severe – Caused at least 675,000 U.S. deaths and up to 50
million deaths worldwide.
1957 – 1958: Asian Flu
Moderately Severe – Caused at least 70,000 U.S. deaths and 1-2
million deaths worldwide.
1968 – 1969: Hong Kong Flu
Caused at least 34,000 U.S. deaths and 700,000 deaths worldwide.

 IT IS DIFFICULT TO PREDICT WHEN THE NEXT PANDEMIC
          WILL OCCUR OR HOW SEVERE IT WILL BE.
KU’s History with Pandemic Flu

Spanish Flu Pandemic – October 1918
      KU was to be closed for a week.
      Instead, it was closed for a month.
      Students were forbidden to leave
      Lawrence to prevent the spread of infection.
      Nearly 1,000 faculty, students and staff were afflicted
      with the disease.
      Resulted in 24 deaths.
Future Pandemic?
1997 – First Outbreak of Avian Influenza (H5N1) reported
in Hong Kong.

Domestic birds died suddenly and tested positive for
H5N1. Public Health officials recommended destroying 1.5
million birds, which successfully eradicated the outbreak.

There have been 277 cases worldwide (as of 3/5/07).
         167 deaths
         Fatality rate = 60%
Avian to Human Transmission
  Migratory birds can be flu virus carriers.
  Domesticated birds in contact with infected
  migratory birds also become infected.
  Domesticated birds usually die from lack of
  immunity.
  Humans become infected through close contact with
  birds.
  To date, very rare human-to-human transmission of
  avian influenza has occurred.
Migratory Bird Pattern
There are ZERO cases of bird or human avian flu in
North and South America.
PANDEMIC AT KU
KU Pandemic Response Guide

The pandemic response guide is an appendix to the
University’s Emergency Response Plan.

This is designed to be used as a guide for
responses and decisions.
Unique Aspects of a Pandemic
   Emerging/Developing (not a surprise)
   Global (federal and state guidance with limited
   resources)
   Long-lasting
   Recurring
   Decision-making/instructions from and/or with
   external entities (ex. Public Health Department)
What to Expect at KU
The anticipated nature of the pandemic will result in:
       Anticipate multiple waves for 1 – 2 years
       Each wave could last 6 – 8 weeks resulting in campus
       closure of 2–3 months.
       Historical data shows young healthy adults will be hit the
       hardest.
       50 – 60% mortality rate for avian influenza. During a
       pandemic the mortality rate is anticipated to be lower.
       25 – 33% reduction in availability of university staff and
       services.
       Implementation of social distancing measures before
       infection hits the community.
WHO PANDEMIC PHASES
Pandemic WHO Phases 1 and 2
INTERPANDEMIC PERIOD
 Phase 1: No new flu virus subtypes detected in
 humans. A flu virus subtype that has caused human
 infection may exist in animals, but the risk of human
 infection or disease is considered low.
 Phase 2: No new flu virus subtypes detected in
 humans, however, a circulating animal flu virus subtype
 poses a substantial risk of human disease.
Pandemic WHO Phases 3, 4 and 5
PANDEMIC ALERT PERIOD
  Phase 3: Human infection with a new subtype has occurred,
  but no human-to-human spread has occurred, or at most there
  have been rare instances of spread to a close contact.
  Phase 4: Small clusters with limited human-to-human
  transmission are detected, but spread is highly localized,
  suggesting that the virus is not well-adapted to humans.
  Phase 5: Larger clusters but human-to-human spread is still
  localized, suggesting the virus is becoming increasingly better
  adapted to humans but may not yet be fully transmissible.
Pandemic WHO Phases 6 and 7
PANDEMIC PERIOD
 Phase 6: Transmission increases and is sustained in the
 general population

POSTPANDEMIC PERIOD
 Phase 7: Return to Phase 1.
RESPONSE GUIDE FORMAT
Response Outcomes
Command Leadership – University’s pandemic response will
be guided by the members of the EOC.
Community Support Service – University’s pandemic
response efforts will be coordinated externally with all relevant
external partners.
Essential services and operations – Identification and
purchase of essential supplies, services and operations.
Fatality Management – University will work with relevant
community partners to appropriately dispose of human remains.
Response Outcomes
Healthcare Delivery – Utilization of all available resources to
meet student outpatient healthcare needs. Triage, surveillance
and monitor student needs. Implement mass treatment.
Infection Control / Social Distancing – Provide
information, health screening and support to KU community
traveling to/from pandemic area, promote receipt of the
influenza vaccine and creation of public health messages.
Learning Continuity – Clarification and communication of
decision makers. Communication, identification and
implementation of systems and processes. Identification of
existing research activity.
Response Outcomes
Operational Communications – Ensures all stakeholders
have access to consistent, accurate and timely information.
Public Information – Provide accurate and timely
information regarding the public-at-large regarding
University’s response.
Vaccination Distribution – Mass distribution of vaccine
and medication to members of the University and Douglas
County, as prioritized by the CDC.
Response Units
These departments will be called upon to respond:
  Athletics, Department of          HREO
  Intercollegiate                   Information Services, Office of
  CAPS                              International Programs, Office of
  Chancellor, Office of the         Kansas Board of Regents
  Comptroller, Office of            Provost, Office of
  Deans/Directors/Chairs            Public Safety, Office of
  Dining Services, Memorial and     Research, Office of Vice Provost
  Burge Unions                      Student Health Services
  Environmental Health and Safety   Student Housing
  Facilities Operations, Dept. of   Student Success, Office of Vice
  Faculty                           Provost
  General Counsel, Office of        University Communications,
                                    Office of
Pandemic Response Matrix EXAMPLE
                            KU – LEVEL 0                    KU – LEVEL 1                   KU – LEVEL 2                KU – LEVEL 3         KU – LEVEL 0
                           Non-Emergency/                     Monitor                        Standby                    Emergency            Recovery
                           Administrative/
                            Special Events
RESPONSE   RESPONSE      WHO PHASES 1 – 3:                 WHO PHASE 4:                  WHO PHASE 5:                 WHO PHASE 6:         WHO PHASE 7:
  UNIT     OUTCOME        Interpandemic &                Elevated Pandemic             Pandemic Imminent                Pandemic             Recovery
                        Pandemic Alert Period                   Risk
           Leadership    Participate in                Review plans to provide     Advise EOC on housing             Advise EOC on        Advise EOC
                        development and practice        housing during              readiness.                        housing services.    regarding
                        of system wide plan.            pandemic.                                                                          processes required
                         Develop unit-specific                                                                                            to ready residence
                        plans.                                                                                                             halls for occupancy

           Essential     Confirm essential              Confirm staffing plans.    Stockpile essential supplies.   No action             Prepare facilities
                        staffing.                        Monitor levels of          Modify personnel structures     identified.          for residents return
           Services      Identify sources and          essential supplies.         as needed to provide reduced                            Communicate
           and          appropriate stock levels         Confirm vendor lists.     services.                                              reassignment of
           Operations   for supplies/ equipment.         Confirm                    Stockpile necessary                                  residents, as
                         Develop plan for              communication channels      supplies and equipment.                                necessary.
                        financial response to           with essential staff.                                                               Re-establish
                        occupants of closed                                                                                                traditional supply
                        residence halls.                                                                                                   lines and staffing
STUDENT                                                                                                                                    patterns.
HOUSING                                                                                                                                     Rebuild financial
                                                                                                                                           health of
                                                                                                                                           department.

           Healthcare   Facilitate delivery of public    Facilitate the delivery    Initiate expedited checkout      Operate halls      Facilitate
                        health messages to              of public health            process and close halls, if       housing well         continued delivery
                        residents.                      messages to residents.      campus is closed.                 students.            of public health
                                                         Review and further         Identify students who are        Facilitate the     messages and
                                                        develop response plans,     unable to leave campus and        delivery of food,    support resources
                                                        including expedited hall    reassign them to a selected       supplies and         to residents.
                                                        closure process, storage    hall (Ellsworth, Hashinger,       information to
                                                        options, reduced staffing   Lewis, Templin) as needed.        residents.
                                                        structures, stockpiling,     Continue to operate Stouffer     As able, track
                                                        sanitation and employee     Place and Jayhawker Towers        daily occupancy of
                                                        health and safety.          apartment communities.            halls.
                                                                                     Facilitate the delivery of
                                                                                    public health messages to
                                                                                    residents.
Response Matrix EXAMPLE (continued)
                                KU – LEVEL 0             KU – LEVEL 1            KU – LEVEL 2                  KU – LEVEL 3                KU – LEVEL 0
                               Non-Emergency/              Monitor                 Standby                      Emergency                   Recovery
                               Administrative/
                                Special Events
RESPONSE     RESPONSE        WHO PHASES 1 – 3:          WHO PHASE 4:            WHO PHASE 5:                  WHO PHASE 6:                WHO PHASE 7:
  UNIT       OUTCOME          Interpandemic &             Elevated                Pandemic                     Pandemic                     Recovery
                               Pandemic Alert           Pandemic Risk             Imminent
                                   Period
           Infection         No action identified.     No action identified.    Limit public eating      Close public eating areas       Open public
                                                                               areas.                     Support Oliver hall            eating areas.
           Control &                                                            Ill students will       housing of ill students           Clean and
           Social                                                              isolate in Oliver Hall.    Facilitate the delivery of     sanitize areas
           Distancing                                                                                    food, supplies and               where ill students
                                                                                                         information to residents.        have been
                                                                                                                                          housed.

           Operational       Develop communication     Confirm                 Implement                 Maintain communications.         Review
                             channels with essential   communication           communications.                                            effectiveness of
           Communication     staff, University         channels with                                                                      communications.
                             leadership and            essential staff,
                             community partners.       University leadership
                                                       and community
STUDENT                                                partners.
HOUSING
           Public            Develop messages to be    No action identified.    Communicate              Communicate residence          Communicate re-
                             used in the event of                              residence hall            hall closure and relocation      opening of
           Information       closure of residence                              closure and               facilities for those unable to   residence halls.
                             halls.                                            relocation facilities     leave campus.
                                                                               for those unable to        KU Info coordinate
                                                                               leave campus.             information with EOC and
                                                                                KU Info coordinate      University Relations.
                                                                               information with
                                                                               EOC and University
                                                                               Relations.

           Vaccination and   Develop messages to be    No action identified.   No action identified.     No action identified.            No action
                             used in the event of                                                                                         identified.
           Medication        closure of residence
           Distribution      halls.

				
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