Pandemic Influenza Plan - Questar III

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Section 1: Command and Control V. Legal Authorities When a novel influenza virus or pandemic occurs, there are several steps that may be taken by the State to prevent or stem the spread of illness. • The Commissioner, pursuant to 10 NYCRR § 2.1, may designate influenza (both cases and suspected cases) as a communicable disease because it is a significant threat to public health. Currently, laboratory-confirmed influenza is designated as a communicable disease. • Once the Commissioner designates influenza as a communicable disease, the local health officers may exercise their authority under Public Health Law Article (PHL) 21 and 10 NYCRR Part 2 to isolate and/or quarantine individuals to prevent further spread of the virus (see Appendix 1-B: Quarantine Powers of Local Health Officers and Local Boards of Health). • In the event that health care facilities exceed their capacity, local boards of health and health officers may establish temporary facilities to care for large numbers of individuals who are ill (see PHL Section 2100). The State Public Health Council may establish hospitals for communicable diseases and may establish standards for both types of facilities (see PHL Article 28 and Section 2109). If a state disaster emergency is declared, the Governor can suspend statutory and regulatory requirements to permit the establishment of necessary facilities (see Executive Law Section 29-a). • Canceling public gatherings and closing businesses and schools may be effective in slowing the spread of influenza (see Appendix 1-C: School Closures during an Emergency, Appendix 1-D: Business Closure during an Emergency, and Appendix 1- E: Suspension of Public Meetings during an Emergency). In rare circumstances, mandatory vaccination may be the most effective means to protect the population. Public Health Law § 613(1) obligates the Commissioner to “develop and supervise the execution of a program of immunization, surveillance and testing to raise . . . the immunity of adults in the state against diseases identified by the Commissioner, including . . . influenza.” Public Health Law § 206(1)(1), authorizes the Commissioner to “[e]stablish and operate such adult and child immunization programs as are necessary to prevent or minimize the spread of disease and to protect the public health. Mandatory immunization can only be authorized by the Governor pursuant to the authority given to him in Executive Law § 29-a (see Appendix 1-G: A Guide to New York State Laws Governing Public Health Emergency Preparedness and Response). • Mass vaccination efforts will most likely require use of volunteer staff who can be expected to inquire into the liability and/or workers compensation coverage that will be available to them if they participate (see Appendix 1-H: Summary of Public Officers Law Coverage Regarding Volunteers). Use of trained but unlicensed February 7, 2006 1-3
Section 1: Command and Control personnel may also be needed to accomplish a mass vaccination in a timely fashion (see Appendix 1-F: Use of Unlicensed Volunteers to Administer Influenza Vaccine). VI. Activities by Pandemic Period Interpandemic Period State Health Department: • Activate the Interagency Taskforce on Influenza Preparedness State and Local Health Departments: • Ensure that pandemic plans are developed, either as an annex or supplement to the existing All Hazard Emergency Operations Plans, or as stand-alone plans. • Identify, address and resolve crucial gaps in infrastructure and resources, laws and/or statutes which may interfere with an effective response. • Identify partner organizations that must have access to the NYSDOH E Commerce system and initiate outreach for all organizations to gain access and accounts for all key staff members. • Develop and maintain lists, including contact information, of partners, resources, and facilities using the NYSDOH communication directory. • Establish and maintain relationships with, and contact information for, key communications partners; facilitate risk communication training for the same. • Coordinate planning activities with bordering jurisdictions and unique populations as appropriate. This may include bordering counties, states, Native American nations, new immigrant populations, and certain religious enclaves and other countries (such as Canada and Mexico) to support optimal planning and response efforts. • Review, exercise, and modify the plan on a periodic basis. Pandemic Alert Period State Health Department: • Activate the Interagency Taskforce on Influenza Preparedness and meet with state agency partners to review and modify plan as necessary. • Activate enhanced surveillance and communications plans. State and Local Health Departments: • Meet with appropriate partners and stakeholders and review major elements of the plan and evaluate level of preparedness • Modify the plan as needed • Use NYSDOH E Commerce Notification tool and the Health Alert Network (HAN) for critical communications and notifications with key partners. • Coordinate with other counties, states, federal agencies and bordering jurisdictions as appropriate. February 7, 2006 1-4
Page 1 and 2: February206 Pandemic Plan NewYorkSt
Page 3 and 4: Introduction Pandemic influenza occ
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Page 7 and 8: Acronyms (cont.) IND IHANS IRB ISHS
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Appendix 2-A • Surveillance Crite
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Appendix 2-A • In New York City,
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NYSDOH Novel Influenza Case Report
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Appendix 2-C to health care provide
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Virus Detection History NYS Lab Num
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Section 4: Infection Control Policy
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Section 4: Infection Control The ma
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Section 4: Infection Control Health
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Appendix 4-A Soiled linen and laund
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Appendix 4-B Respiratory Hygiene/Co
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Section 5: Clinical Guidelines I. O
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Section 5: Clinical Guidelines incu
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Section 5: Clinical Guidelines 1) N
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Section 5: Clinical Guidelines infe
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Section 5: Clinical Guidelines Alth
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Section 5: Clinical Guidelines Infe
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Section 5: Clinical Guidelines •
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Appendix 5-B Clinical Evaluation of
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Appendix 5-C Special Situations and
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Appendix 5-D handling soiled laundr
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DRAFT Appendix 5-E Footnotes to App
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Appendix 5-F February 7, 2006 1
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Appendix 5-F 7. Guidance on the eva
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Appendix 5-H Source: U.S. Departmen
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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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Appendix 5-J diabetes mellitus), re
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Appendix 5-J resistant S. aureus (M
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Appendix 5-K eight patients—all o
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Appendix 5-L Guidelines for Managem
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Appendix 5-L testing should be perf
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Appendix 5-L February 7, 2006 5
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Section 6: Vaccine Procurement, Dis
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Appendix 6-A Vaccine Priority Group
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Appendix 6-B Mass Clinic Planning O
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Appendix 6-C Vaccine and Antiviral
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Appendix 6-C 1. Request Phase The r
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Appendix 6-C 3. Receipt and Sign-of
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Appendix 6-C • Work with local he
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Section 7: Antiviral Medication Pro
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Appendix 7-C 7 HCWs in emergency de
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Section 8: Travel-Related Disease C
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Appendix 8-A Home or Community-Base
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Appendix 8-B Contact Identification
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Appendix 8-B • Determine the time
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Appendix 8-C Administrative Data: S
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Appendix 8-D CONTACT DAILY TEMPERAT
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Appendix 8-F Definitions: Intervent
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Appendix 8-F facility. No specific
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Appendix 8-F • Resources Required
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Appendix 8-G Business Pandemic Infl
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Appendix 8-G 4. Allocate resources
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Appendix 8-H CDC guidelines suggest
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Appendix 8-H If I am not masked I
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Appendix 8-H NYSDOH Model Influenza
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Appendix 8-H I understand that if
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Appendix 9-A Public Health Risk Com
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Appendix 9-C New York State Departm
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Appendix 9-C PRE-EVENT MESSAGE MAP:
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Appendix 9-C PROTECTIVE MESSAGE MAP
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Appendix 9-C TREATMENT MESSAGE MAP:
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Appendix 9-C BUSINESS CONTINUITY PR
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Section 10: Training and Education
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Appendix 10-A NYSDOH STAFF PRIVATE
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FACILITY- BASED RNs FACILITY- BASED
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Section 12: Highly Pathogenic H5N1
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Section 12: H5N1 in Non-Human Anima
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Section 13: Public Health Preparedn
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-B Notifications sent by
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Appendix 13-B HAN posting is used a
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Appendix 13-B notification system t
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Appendix 13-C Overview of the Healt
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Appendix 13-C • Ongoing surveilla
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Commerce Access and A
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Appendix 13-D Table 3. Organization
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