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					      U N C P a n d e m i c I n f l u e n z a R e s p o n s e P l a n — I n c i d e n t L eve l R e s p o n s i b i l i t i e s
This is a DRAFT plan assembled by the UNC Department of Environment, Health and Safety. The actions listed below have not necessarily been agreed to by the
departments and entities listed. Each listed departments and entities should please review this plan and forward their edits to EHS. This document incorporates good
planning and response advice from various sources, including other universities, the CDC, public health officials, etc.
UNC Emergency Plan Level 0 (Current Level)           Level 1: Intense UNC     Level 2: UNC Preparing to Level 3: UNC Suspends
Response Level     Pre-event assessment and planning Planning and Preparation Suspend Classes           Classes for 4-8 weeks
                   Incident Response Level Criteria and Corresponding WHO Phase
UNC Emergency Plan No current hazard to persons           Minimal immediate hazard to students,         Endangers students, faculty and staff, and    Significant risk to students, faculty and
Incident Response                                         faculty and staff. Can be resolved with       requires coordination with outside            staff and requires substantial coordination
Level Criteria                                            minimal outside agency assistance.            agencies.                                     with outside agencies.
WHO Phase          Phase 3—Pandemic alert period          Phase 4—Elevated pandemic risk                Phase 5—Pandemic imminent                     Phase 6—Pandemic period
Situation           Current situation                        Small, highly localized clusters          Large clusters, but still localized.         Increased and sustained transmission in
                     Human infections with a new subtype,     anywhere in the world with limited        Public health authorities urge to             the general U.S. population.
                      but no sustained human-to-human          human-to-human transmission.               prepare for social distancing.               Confirmation of a high rate of
                      spread                                  International travel advisories begin.    International travel warnings and             infectivity and/or mortality.
                                                                                                          passenger screenings begin                   Immediately preceded by falling class
                                                                                                         Virus characterized as having a high          attendance, students leaving campus and
                                                                                                          rate of transmissibility and/or mortality     local public health recommendations to
                                                                                                         Worried well begin to use resources           curtail/cancel public activities in NC.
                                                                                                         Trough between waves                         Rising employee absenteeism.
                                                                                                                                                       International travel restrictions
                                                                                                                                                       2,500 students remain in Chapel Hill
                                                                                                                                                       Essential employees must report to work




University of North Carolina at Chapel Hill                                                  1                                                               Version: 20 April 2006 DRAFT
                                                UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                   Level 1: Intense UNC                     Level 2: UNC Preparing to                Level 3: UNC Suspends
Response Level       Pre-event assessment and planning       Planning and Preparation                 Suspend Classes                          Classes for 4-8 weeks
                             Emergency Management and Policymaking Responsibilities
Pandemic Influenza  Review PI Response Plan                  Assess threat and implement             Assess threat and implement             Pandemic Influenza Assessment Team
Assessment Team       Joint review of plans with UNCH and     appropriate Level 1 activities           appropriate Level 2 activities           dissolves when Executive Group is
                        Orange County Health Department                                                Advise on activation of Operations       activated
                      Track preparedness tasks and                                                     Group and Executive Group
                        accomplishments                                                                Plan for recovery in post-pandemic
                      Identify essential functions and                                                 period
                        personnel campuswide
                      Encourage departments to draft,
                        update Business Continuity Plans for
                        Pandemic Influenza
Emergency Warning  Post Avian/Pandemic Influenza Web         Issue Level 1 communications to         Issue Level 2 communications (protocol  Issue Level 3 communications (self-
Committee and           Site                                   (educational campaign, self-protection   for suspected cases, preparations for    protection, social distancing, etc).
University Relations  Develop Level 1 pandemic influenza      information, handwashing, promote        social distancing)                      HealthLink takes calls 24/7
                        communications.                        seasonal flu vaccination, university    Develop Level 3 communications,         Coordinate internal messages and news
                      Plan for general information (non-      response)                                including script for HeatlhLink          releases
                        health) call center?                  Select technical expert spokespersons  Develop post-pandemic communications  Manage media relations issues
                      Assess PPE needs and stock              for internal and media                   (medical clearance, recovery)
                                                               communications.                         Consider activating HealthLink if call
                                                              Develop Level 2 communications.          volume is high
                                                                                                       Distribute PPE to members
Incident Command      Assess PPE needs and stock             Implement UNC’s Emergency Plan.         Gather information on number of         Gather number of cases on campus and
(Director,                                                    Coordinates response with UNCH and       suspected cases on campus and in         in County; report to Executive Group
Department of                                                  Orange County Health Department.         Orange County                           Directs Operations Group when
Public Safety)                                                                                         Advise Executive Group                   activated.
                                                                                                                                                Consider activation of Emergency
                                                                                                                                                 Operations Center.
                                                                                                                                                Advise Executive Group.




University of North Carolina at Chapel Hill                                               2                                                          Version: 20 April 2006 DRAFT
                                                  UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                      Level 1: Intense UNC                  Level 2: UNC Preparing to                  Level 3: UNC Suspends
Response Level     Pre-event assessment and planning            Planning and Preparation              Suspend Classes                            Classes for 4-8 weeks
Operations Group    Assess PPE needs and stock                  Essential personnel receive N95 fit  Distribute PPE to members                 When Operations Group is activated,
                                                                  testing                              Consider activation of Operations Group    direct tactical emergency operations;
                                                                                                       Verify succession plan for leaders of      implement Level 3 activities.
                                                                                                        essential departments
Executive Group      Endorse UNC Pandemic Influenza         If supplies, medicine and vaccine are  Executive Group activated                   Authorize implementation of “Pandemic
(Led by Vice          Response Plan                           limited, develop ethical and             Distribute PPE to members                  Influenza Social Distancing Policy”
Chancellor for       Draft, review and endorse “UNC          administrative guidelines for their      Evaluate influenza pandemic effects;      Plan for post-pandemic recovery and
Finance and           Pandemic Influenza Social Distancing    distribution beyond essential personnel   reevaluate response plan and priorities.   resumption of normal UNC operations
Administration)       Policy”                                 (review ACIP and NVAC                    Draft succession plan for UNC             Plan for revised instruction calendar and
                     Assess PPE needs and stock              recommendations)                          leadership                                 completion of the session.
                                    Responsibilities of Essential Departments and Units
            These departments and units need Pandemic Influenza Business Continuity Plans, including verifying continuity of their supply chain
Campus Health        Identify essential personnel and       Give seasonal influenza vaccinations     Essential personnel receive PPE and       Essential personnel must report to work
Service               inform them of their responsibilities  Review PPE & N95 needs; inventory         N95s.                                     Daily report cases to Incident Command
                     Assess PPE and N95 needs and           Essential personnel receive N95 fit      Daily report suspected cases to Incident  Provide health services to remaining
                      inventory; order stocks                 testing. (Aerosol-producing procedure     Command                                    2,500 students in UNC residences, family
                     Create self-care information/packets    will require an N95.)                    CAP provides counseling services           housing and off campus housing
                      for students?                          Order self-care items?                                                              Consider residential visits for ill students
                     Develop surveillance plan for          Promote seasonal influenza                                                          Assist OCPH with investigation of
                      individuals with acute respiratory      vaccination.                                                                         suspected cases and contact tracing.
                      illness?                               Develop surge care plan?                                                            CAP provides counseling services
                                                             Review PI surveillance with OCHD.
Carolina Dining      Identify essential personnel and       Plan for delivery of Level 3 meals.      Essential personnel receive PPE           Essential personnel must report to work
Services              inform them of their responsibilities   Identify alternate suppliers.            Order and stock Level 3 meals to          Provide Level 3 meals to students and
                     Identify suppliers and alternates for                                             support students                           employees who remain on campus
                      Level 3 meals
                     Assess essential personnel PPE needs
                      and stock




University of North Carolina at Chapel Hill                                                     3                                                           Version: 20 April 2006 DRAFT
                                                   UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                      Level 1: Intense UNC                      Level 2: UNC Preparing to                Level 3: UNC Suspends
Response Level     Pre-event assessment and planning            Planning and Preparation                  Suspend Classes                          Classes for 4-8 weeks
Energy Services     Identify essential personnel and                                                      Essential personnel receive PPE         Essential personnel must report to work
                      inform them of their responsibilities
                    Assess essential personnel PPE needs
                      and stock
Environment Health  Identify essential personnel and            Promote self-care and handwashing        Essential personnel receive PPE         Essential personnel must report to work
& Safety              inform them of their responsibilities      With UEOHC, fit test essential           Update Pandemic Influenza web site      Arrange for additional medical waste
                    Assess needs for essential personnel.        personnel                                Review guidelines for on-campus mass     pickups
                    Draft guidelines for on-campus mass         Provide seasonal influenza                dispensing site (POD); prepare to       Assist public health officials with
                      dispensing site (POD).                      vaccinations via State Health Plan        implement                                investigation of suspected cases
                    MOAs to provide POD first responders.       Review cleaning procedures with          Provide instructions to Building        Update Pandemic Influenza web site
                    Roles for Emergency Coordinators             housekeepers                              Emergency Coordinators                  If POD is activated, provide appropriate
                    PPE policy for PI essential personnel.      Plan for increased volume of                                                       resources; solicit volunteers via
                    Assess essential personnel PPE needs         infectious waste                                                                   Emergency Coordinators
                      and stock                                  Update Pandemic Influenza web site;
                                                                  link to UNC home page
Facilities Services    Identify essential personnel and         Train housekeepers for hygiene and       Essential personnel receive PPE         Essential personnel must report to work
                        inform them of their responsibilities     cleaning of personal contact surfaces    Review POD Guidelines                   If POD is activated, provide appropriate
                       Needs assessment for housekeeping         (e.g., doorknobs)                                                                  resources
                        supplies                                                                                                                    Change housekeeping procedures to
                       Assess essential personnel PPE needs                                                                                         prioritize essential personnel areas,
                        and stock                                                                                                                    remaining students/families, and
                                                                                                                                                     cleaning of personal contact surfaces
Finance                Identify essential personnel and                                                   Essential personnel receive PPE         Essential personnel must report to work
                        inform them of their responsibilities                                                                                       To allow Division staff to work from
                       Assess essential personnel PPE needs                                                                                         home, consider allowing off-campus
                        and stock                                                                                                                    access to financial planning, budgets
                                                                                                                                                     and payroll information systems
Health Affairs         Provide volunteers for Orange County                                               Medical Reserve Corps training          If activated, participate in Medical
Schools                 Medical Reserve Corps                                                                                                        Reserve Corps



University of North Carolina at Chapel Hill                                                    4                                                         Version: 20 April 2006 DRAFT
                                                   UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                      Level 1: Intense UNC                      Level 2: UNC Preparing to                  Level 3: UNC Suspends
Response Level     Pre-event assessment and planning            Planning and Preparation                  Suspend Classes                            Classes for 4-8 weeks
Housing and         Identify essential personnel and            Inform students of social distancing     Essential personnel receive PPE           Implement housing aspects of “UNC
Residential           inform them of their responsibilities       policy; ask them to plan for leaving                                                 Pandemic Influenza Social Distancing
Education           Advise on housing aspects of “UNC            campus if classes are suspended.                                                     Policy”—ask students to leave campus.
                      Pandemic Influenza Social Distancing       Train support staff on hygiene,                                                     Essential personnel must report to work
                      Policy”                                     Level 3 plans & symptom recognition                                                 Support international students, families
                    Assess essential personnel PPE needs        Review Level 3 Business Continuity                                                   and others who remain in UNC
                      and stock                                   Plan to support students/families who                                                residences (1,000 in family housing +
                                                                  remain when classes are suspended.                                                   1,000 students in other UNC residences)
Human Resources        Identify essential personnel and         Inform campus of policies for            Essential personnel receive PPE           Essential personnel must report to work
                        inform them of their responsibilities     teleworking, social distancing and       Remind campuswide essential personnel     Implement HR aspects of “Pandemic
                       Consider “PI Essential Personnel          essential personnel                       of their duties and responsibilities.      Influenza Social Distancing Policy”
                        Policy”                                  Discuss with departments plans for       EAP and Ombudsman’s Office directs        Ask faculty and staff to stay home?
                       Advise on HR aspects of “UNC              providing substitutes for essential       employees to counseling services          To allow work from home for HR staff,
                        Pandemic Influenza Social Distancing      personnel                                                                            consider allowing off-campus access to
                        Policy”                                                                                                                        HR information systems
                       Assess essential personnel PPE needs                                                                                          Gather employee absenteeism data
                        and stock                                                                                                                     EAP and Ombudsman’s Office directs
                       Review teleworking policy                                                                                                      employees to counseling services
Information            Identify essential personnel and         Plan for general information (non-       Essential personnel receive PPE.          Essential personnel must report to work
Technology Services     inform them of their responsibilities     health) call center                      Assist with implementation of distance    Support distance learning.
(includes              Review IT needs for increased                                                       learning                                  Support general information (non-health)
telecommunications)     teleworking and distance learning                                                                                              call center, if implemented
                       Facilitate and support the                                                                                                    If POD is activated, provide appropriate
                        development of distance learning.                                                                                              resources
                       Assess essential personnel PPE needs
                        and stock




University of North Carolina at Chapel Hill                                                    5                                                           Version: 20 April 2006 DRAFT
                                                    UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                       Level 1: Intense UNC                        Level 2: UNC Preparing to               Level 3: UNC Suspends
Response Level        Pre-event assessment and planning          Planning and Preparation                    Suspend Classes                         Classes for 4-8 weeks
International Affairs  Identify essential personnel and          Issue advisories for students, faculty     Essential personnel receive PPE.       Essential personnel must report to work
and Study Abroad         inform them of their responsibilities     and staff planning international travel    Advise, communicate with overseas      Continue to advise, communicate with
                       Assess essential personnel PPE needs      Issue advisories for students, faculty,     students, faculty and staff             overseas students, faculty and staff.
                         and stock                                 staff and visitors arriving from                                                   When possible, support overseas
                                                                   affected regions                                                                    students, faculty and staff who are
                                                                  Review policies and procedures for                                                  unable to return.
                                                                   recalling students from affected
                                                                   regions
POD Resources,          Identify POD first responders and                                                    Prepare to activate POD and provide   If vaccine or antivirals are to be
including limited        inform them of their responsibilities                                                 appropriate resources                 distributed via POD:
dispensing of           POD first responders receive training   (POD means “Point of                                                                 Activate on-campus mass dispensing site
medicines to            POD exercise?                           Distribution”—a site for the                                                         POD first responders must report
essential personnel                                              mass dispensing of medicines)                                                        Provide appropriate resources
(various UNC units)                                                                                                                                   Adjust procedures and notification if
                                                                                                                                                         limited dispensing
Provost, Office of      Identify essential personnel and                                                     Essential personnel receive PPE        Essential personnel must report to work
                         inform them of their responsibilities                                                                                        Implement “UNC Pandemic Influenza
                        Encourage distance learning                                                                                                     Social Distancing Policy”
                        Lead drafting of “UNC Pandemic
                         Influenza Social Distancing Policy”
                        Assess essential personnel PPE needs
                         and stock
Public Safety           Identify essential personnel and         Influenza awareness training               Review POD responsibilities            Essential personnel must report to work
                         inform them of their responsibilities     (symptoms and hygiene) for                 Essential personnel receive PPE        Consider special parking rules for
                        Assess essential personnel PPE needs      dispatchers, security, and police                                                   essential personnel
                         and stock                                                                                                                    Prepare for crowd control: POD, fit
                                                                                                                                                       testing, social distancing measures,
                                                                                                                                                       residential housing
                                                                                                                                                      If POD is activated, secure campus mass
                                                                                                                                                       dispensing sites


University of North Carolina at Chapel Hill                                                      6                                                         Version: 20 April 2006 DRAFT
                                                   UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                       Level 1: Intense UNC                      Level 2: UNC Preparing to                  Level 3: UNC Suspends
Response Level       Pre-event assessment and planning           Planning and Preparation                  Suspend Classes                            Classes for 4-8 weeks
Research and          Identify essential personnel and                                                     Essential personnel receive PPE.          Essential personnel must report to work
Economic                inform them of their responsibilities                                                                                          DLAM and IACUC supports laboratory
Development           Assess essential personnel PPE needs                                                                                             animals
                        and stock                                                                                                                      To allow Division staff to work from
                      Review plans and impacts to lab                                                                                                  home, consider allowing off-campus
                        animal care                                                                                                                     access to information systems
School of Medicine    Identify essential personnel and           Essential personnel receive N95 fit      Essential personnel receive PPE and       Essential personnel must report to work
Attending Physicians    inform them of their responsibilities      testing. (Aerosol-producing procedure     N95s                                      If available, provide POD support
                      Assess essential personnel PPE and          will require an N95.)
                        N95 needs and stock
Student Affairs       Identify essential personnel and           Ask students to plan for leaving         Essential personnel receive PPE           Communicate with parents and families
                        inform them of their responsibilities      campus if classes are suspended                                                     Communicate with students/families
                      Ask Fraternities and Sororities to plan                                                                                          remaining in Chapel Hill: 1000 in family
                        for Pandemic Influenza                                                                                                          housing + 1000 in other UNC housing
                      Assess essential personnel PPE needs                                                                                             + 500 in off campus housing
                        and stock                                                                                                                      Communicate death notices
University Employee  Identify essential personnel and          With EHS, fit test essential personnel.    Daily report suspected cases to Incident  Essential personnel must report to work
Occupational Clinic     inform them of their responsibilities   Seasonal flu vaccination for employees      Command                                   Daily report cases to Incident Command
                      Assess essential personnel PPE and        in occupational health programs                                                       Assist OCPH with investigation of
                        N95 needs and inventory; order          Promote seasonal flu vaccination                                                       suspected cases and contact tracing.
                        stocks                                  Review surveillance procedures with                                                   Identify recovered cases for use as
                                                                 OCHD                                                                                   essential personnel.
                             Responsibilities of other Officials,                                            Units and Departments
All Departments and    Draft, update Business Continuity Plan  Same as Level 0                            Prepare to activate Business Continuity  Activate Business Continuity Plans
units                   for Pandemic Influenza.                                                              Plans                                     Report absent employees to HR
                       Instructional departments should                                                    Plan distancing measures/dispersement
                        consider developing distance learning                                                for essential personnel
Building Emergency     Recruit for POD personnel               Influenza awareness training               Monitor campus communications and         Same as Level 2
Coordinators                                                     (symptoms and hygiene)                      disseminate information
                                                                                                            Remain available for further
                                                                                                             instructions
University of North Carolina at Chapel Hill                                                     7                                                            Version: 20 April 2006 DRAFT
                                                UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

UNC Emergency Plan Level 0 (Current Level)                     Level 1: Intense UNC                     Level 2: UNC Preparing to     Level 3: UNC Suspends
Response Level      Pre-event assessment and planning          Planning and Preparation                 Suspend Classes               Classes for 4-8 weeks
Risk Management      Assist campus departments with their  Assist campus departments with their
                       individual Business Continuity Plans      individual Business Continuity Plans
                                                    Critical Interfaces With                             Other Entities
Orange County        Coordinate plans and preparedness         Train Medical Reserve Corps             Coordinate communications   If vaccine or antivirals are to be
Health Department    POD planning                                                                                                    distributed via POD:
                     Recruit for Medical Reserve Corps                                                                                Supply volunteers
                     Plans for Joint Information Command                                                                              Offer use of on-campus sites
OWASA                Review plans and service impacts
Suppliers and        Review plans and service impacts
vendors              Verify continuity of supply chain
Town of Chapel Hill  Review plans and service impacts for
                       mass transit
UNC Hospitals        Coordinate plans and preparedness;                                                                               Alternate care facilities established
                       discuss alternate care plans, including                                                                         Care for critically ill students
                       residential congregate care
                     Coordinate plans if PODs are
                       established
                     Assess Level 3 physician needs/
                       availability for non-UNCH functions




University of North Carolina at Chapel Hill                                                8                                                 Version: 20 April 2006 DRAFT
                                              UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

                        U N C ’s P a n d e m i c I n f l u e n z a P re p a re d n e s s Ta s k s a n d S t a t u s
Task                                                                                      Who                        Status
Pandemic Influenza Assessment Team Meeting                                                EHS                        30 November 2005
(includes Orange County Health Department)                                                                           14 February 2006
Avian Influenza/Pandemic Influenza Webpage on EHS website                                 EHS, AT                    Completed 28 December 2005;
                                                                                                                     updated since then
Inventory current stock of N95 respirators                                                EHS                        Done (1,130 N95s in stock)
N95 needs assessment for essential personnel for 4-8 weeks                                EHS                        First draft done January 2006
“Pandemic Influenza Social Distancing Measures and Business Continuation at               EHS                        10 January 2006
UNC” discussion document
Review emergency and essential personnel, and applicable policies                         HR, EHS                    Completed 6 February 2006
Review Teleworking Policy for implementation during influenza pandemic                    EHS, HR                    Done 24 February 2006
PI Essential Personnel: List essential functions, departments and units                   EHS, HR                    Listed in Response Plan, above
POD 1: Draft UNC operating guidelines for on-campus mass dispensing site                  EHS, CHS, UEOHC            Draft 8 March 2006
(POD): location; layout; operation; first responder staffing and notification
Review UNC PI Response Plan with UNCH                                                     EHS                        20 March 2006
Draft UNC Pandemic Influenza Social Distancing Policy (Class suspension,                  EHS, Provost’s Office      Annotated outline/discussion
employment, event cancellation, business continuity for instruction, etc.)                                           document 24 March 2006
Planning Leader: Level 3 Plan for Housing and Residential Education                       EHS, HRE                   Draft 7 April 2006
UNC System PI Planning Conference                                                         GA, EHS                    7 June 2006
Update of EHS’ Emergency Response Manual—communicable disease procedure                   EHS                        In process
Revise Policy Concerning Study, Travel and Research in Countries Under Travel             Office of Provost, Intl’   Preliminary drafts
Warnings                                                                                  Emergency Comm., EHS,
                                                                                          U. Counsel, USSC
POD 2: POD/First Responder/MRC volunteers MOA with Health Affairs Schools                 EHS
PPE policy for PI essential personnel and Family Housing; assess PPE needs;               EHS
provide stocking guidance
Housekeeping supplies needs assessment to support remaining employees and                 Facilities Services
students for 4-8 weeks
Hand sanitizer needs assessment for employees and students for 4-8 weels                  EHS
POD 3: Identify other POD First Responders (volunteers)                                   EHS, HR
POD 4: On-line Training for POD First Responders                                          EHS, OCHD
POD 5: Exercise UNC operating guidelines for mass dispensing via fall seasonal
flu vaccine

University of North Carolina at Chapel Hill                                    9                                              Version: 20 April 2006 DRAFT
                                              UNC Pandemic Influenza Response Plan—Incident Level Responsibilities

Task                                                                                       Who                           Status
PI Essential Personnel 1: Identify essential personnel (also flag in HRIS?)                EHS, HR
PI Essential Personnel 1: Draft “PI Essential Personnel policy” (or incorporate into       EHS, HR
existing Emergency Personnel Policy) including definition and responsibilities of PI
essential personnel
EHS Emergency Planning/Business Continuity Web Site for Departments                        EHS
Planning Leaders: Review plans with HealthLink, Energy Services, CHS                       EHS
Pandemic Influenza tabletop exercise                                                       EHS

Peter A. Reinhardt, Director, Department of Environment, Health & Safety, University of North Carolina, 212 Finley Golf Course Rd., CB# 1650,
Chapel Hill, NC 27517-4440, http://ehs.unc.edu, pareinhardt@ehs.unc.edu, 919-843-5913                   Special thanks to John Covely for creating this document.




University of North Carolina at Chapel Hill                                    10                                                  Version: 20 April 2006 DRAFT

				
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Description: Bomb Threat Emergency essential medicine