Pandemic Influenza Plan - Questar III

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Section 4: Infection Control VII. Specific Home Healthcare Infection Control Guidance A. Home healthcare infection control preparedness planning for pandemic influenza B. Infection control practices for home healthcare for all influenza pandemic periods C. Infection control practices for home healthcare for a local influenza pandemic D. Employee health surveillance for the home healthcare setting VIII. Specific Prehospital Care (Emergency Medical Services) Infection Control Guidance IX. Specific Infection Control Guidance for Outpatient Medical Offices X. Specific Infection Control Guidance for Other Ambulatory Settings XI. XII. Care of Pandemic Influenza Patients in the Home Care of Pandemic Influenza Patients at Alternative Sites XIII. Recommendations for Infection Control in Schools and Workplaces XIV. Recommendations for Infection Control in Community Settings Appendices: 4-A: 4-B: Summary of Infection Control Recommendations for the Care of Patients with Pandemic Influenza Respiratory Hygiene/Cough Etiquette February 7, 2006 4-2
Section 4: Infection Control I. Overview The intention of this document is to assist healthcare settings in the planning for pandemic influenza and to enhance infection control precautions according to the current global and local epidemiology of influenza. Covered in this section are basic infection control principles, infection control management of infectious patients, occupational health guidance, and setting specific guidance. Users of this document should also refer to the vaccine and antiviral, healthcare planning, and clinical guidelines sections of the NYSDOH Pandemic Influenza Plan. Guidance for infection control and prevention for influenza is developed and updated yearly by the NYSDOH, and can be found on the NYSDOH Public Web site at http://www.health.state.ny.us/diseases/communicable/influenza/guidelines/index.htm or the NYSDOH Health Provider Network at https://commerce.health.state.ny.us/hpn/ctrldocs/alrtview/postings/doc050915_0.pdf . Influenza virus circulates yearly, with the season in the United States identified as October through May. Early identification of novel influenza strains is integral for early identification and intervention to prevent a global epidemic, or pandemic. II. Background Despite the prevalence of influenza every year, the amount of empirical data on influenza transmission is very limited. Based on observed epidemiological patterns, it is thought that influenza is primarily transmitted by large infectious respiratory droplets that are deposited on the oral, nasal or conjunctival mucosa of a susceptible host. Transmission via large-particle droplets requires close contact between the infectious host and susceptible persons. Special air handling and ventilation are not required to prevent droplet transmission, as large-particle droplets do not remain suspended in the air and generally travel only short distances (about three feet) through the air. The significance of direct contact, indirect contact and airborne transmission has not been well established. Therefore, these modes of transmission remain theoretical in nature. Conservatively, these modes of transmission should be considered if host factors (i.e., diarrhea) or treatments (i.e., aerosolizing procedures) increase the theoretical potential risk of transmission. The incubation period for routine seasonal influenza is 1 – 4 days, with an average of 2 days. The incubation period for novel types of influenza is currently unknown and may be longer. Therefore, the maximum interval between potential exposure and symptom onset for pandemic influenza is set conservatively at 10 days. Influenza is contagious during the 24 hours before the onset of symptoms and during most of the symptomatic period. Children and persons with compromised immune February 7, 2006 4-3
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February206 Pandemic Plan NewYorkSt
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Introduction Pandemic influenza occ
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example, at this time, it is realis
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Acronyms (cont.) IND IHANS IRB ISHS
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Section 1: Command and Control I. O
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Section 1: Command and Control pers
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February 7, 2006 Appendix 1-A
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Appendix 1-B The Public Health Law
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Appendix 1-B communicable diseases
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Appendix 1-C Management Office or t
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Appendix 1-E Suspension of Public M
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Appendix 1-G A Guide to New York St
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Appendix 1-G health commissioner. P
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Appendix 1-G 8. State Institutions
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Appendix 1-G b. Governor May Invoke
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Appendix 1-G may direct, pursuant t
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Appendix 1-G c. Commissioner of Gen
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Appendix 1-G Designation of emergen
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Appendix 1-G physician’s assistan
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Appendix 1-H Summary of Public Offi
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Section 2: Surveillance and Laborat
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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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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-A Characteristics of Ant
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Appendix 7-B a The drug package ins
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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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Section 9: Communications I. Overvi
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Section 9: Communications and commu
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Section 9: Communications web pages
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Section 9: Communications Local Hea
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Section 9: Communications • A JIC
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Section 9: Communications backup to
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Section 9: Communications • In th
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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 11: Workforce Support I. Ov
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Section 11: Workforce Support Pande
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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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