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H1N1 & The Pandemic Plan Topics • Background • Timeline • Epidemiology • Pandemic and Communicable Disease Outbreak Management Plans • Mass Immunization Background Swine Influenza & H1N1 • Swine influenza - a respiratory disease of pigs caused by the influenza A virus. • H1N1 flu virus - Swine flu viruses do not normally infect humans. From time to time, human infections do occur, resulting in H1N1 flu virus. H1N1 flu virus is a respiratory illness that causes symptoms similar to those of the regular human seasonal flu. • H1N1 is a new virus and one to which most people have no or little immunity and, therefore, this virus could cause more infections than are seen with seasonal flu. Transmission & Symptoms • Can pass strains of flu through direct close contact. • Symptoms include fever, fatigue, lack of appetite, coughing, and sore throat. Some people with H1N1 flu virus have also reported vomiting and diarrhea. Timeline • Mexico began reporting cases of severe respiratory illness, including death, in March. • April 17, the Government of Mexico contacted Canada’s National Microbiology Lab for assistance in identifying what was causing significant illness in that country. • Human Swine Influenza confirmed on April 24th. • April 26th - 6 confirmed cases of human swine influenza in Canada (NS - 4; BC - 2) • WHO raised pandemic alert level to Phase 6 on June 11th • NS confirmed its first death on July 24th Epidemiology H1N1:Wide Spectrum of Disease NS: 1 NS: 15 (8 ICU) NS: 570 (lab confirmed) Number unknown As of Aug. 10, 2009 Lab Confirmed H1N1 in NS • Widespread in the community. • Younger age groups most affected. 160 • Reported case numbers. decreasing 140 • Surveillance efforts shifted to monitoring severity. Rate per 100,000 population 120 100 80 60 40 20 0 <1 1-9 10-19 20-29 30-49 50-69 70+ Age group (years) Rates as of Aug. 1, 2009 H1N1 Pandemic Pandemic & Communicable Disease Outbreak Management Plans Purpose of the Plans • To minimize illness • Maintain university services • Maintain academic programs • Keep the University and larger communities informed. Outbreak Management Team (OMT) • Coordinator - VP of Finance and Operations, Mr. Ramsey Duff • VP of Student Services, Mr. Keith Publicover • Director of Health and Counseling, Ms. Angela Marshall • Director of Facility Management, Mr. Leon MacLellan • Director of Communications, Mr. Kyler Bell • Additional members as appropriate OMT Mandate • To track the spread of H1N1/ flu-like illness • To implement infection control measures • To provide clear information to students, staff, faculty and administrators • To manage communications with external agencies OMT Priorities • Team members meet, along with key individuals in their respective departments, to determine the necessary response • Provide educational materials to students, staff, faculty and administration • Notify students, staff, faculty and administration on reporting procedures • Tracking of H1N1/flu-like illness Roles and Responsibilities Coordinator • Determine strategy and on-going response • Communicate with Public Health Officials as necessary • Coordinate SAC and OMT meetings • Keep University President, Dr. Sean Riley, informed • Close University to public events as necessary • Close University as necessary • Officially declare pandemic response ended • Follow-up of response VP of Student Services • Coordinate Student Services resources to respond to the evolving situation • Receive updates from Director of Health and Counseling, Ms. Marshall • Provide updates to Coordinator, Mr. Duff • Designate an individual to assess and oversee the well-being and comfort of affected students and determine their need for assistance Director of Health and Counseling • Coordinate Health and Counseling resources to respond to the evolving situation • Receive updates from Health and Counseling staff • Provide updates to VP of Student Services, Mr. Publicover Director of Facility Management • Coordinate Facility Management resources to meet cleaning/disinfection needs • Coordinate cleaning/disinfection procedures based on established policies and procedures within the department • Provide updates to Coordinator, Mr. Duff Director of Communications • Coordinate communication resources to respond to the evolving situation • Obtain and verify all information received from the Coordinator, Mr. Duff, and Team Leaders • Provide timely information to students, staff, faculty and administration • Liase with team members to get frequent updates • Prepare website updates • Prepare and issue news and press releases as required Response Level by Pandemic Activity Pandemic Activity in Province • More active approach to surveillance – Nurses liaise with local Public Health – OMT meeting – Nurses monitor students for local activity – Activate pandemic education plan – Activate plans for increasing supplies and equipment as required – Activate communication plan Pandemic Activity in Community • Active surveillance – Continue to liaise with Public Health/GASHA – Implement infection control measures – Line-listings – Continue education Pandemic Activity in University Community • When an outbreak of the pandemic strain is suspected or confirmed: – Director of Health and Counseling (Ms. Marshall) notifies VP of Student Services (Mr. Publicover), who notifies Coordinator (Mr. Duff) – Contact local Public Health with numbers – OMT meeting – Review communication plan Mass Immunization Plan • Will be coordinated by the local Public Health authorities It is important to note that St. FX University will cooperate with the local and provincial Public Health authorities and GASHA in the implementation of a Pandemic Plan.