Pandemic Influenza Plan - Questar III

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Section 4: Infection Control influenza are available for distribution. (CDC will develop educational materials appropriate to various audiences.) XIV. Recommendations for Infection Control in Community Settings Infection control in the community should focus on “social distancing” and promoting respiratory hygiene/cough etiquette and hand hygiene to decrease exposure to others. This could include the use of masks by persons with respiratory symptoms, if feasible. Although the use of masks in community settings has not been demonstrated to be a public health measure to decrease infections during a community outbreak, persons may choose to wear a mask as part of individual protection strategies that include cough etiquette, hand hygiene, and avoiding public gatherings. Mask use may also be important for persons who are at high risk for complications of influenza. Public education should be provided on how to use masks appropriately. Persons at high risk for complications of influenza should try to avoid public gatherings (e.g., movies, religious services, public meetings) when pandemic influenza is in the community. They should also avoid going to other public areas (e.g., food stores, pharmacies); the use of other persons for shopping or home delivery service is encouraged. When surveillance determines that a community is experiencing significant and sustained influenza transmission, community-wide measures are needed to decrease person-toperson transmission. These measures include the cancellation of public events (e.g., concerts, sporting events) and closure of offices and schools by declaring a minimum of 10 “snow days.” In anticipation of community-wide snow days, schools and workplaces should determine in advance ways to maintain ‘virtual’ operations (e.g., tele-commuting, tele-schooling). While most schools and offices will close during this period, critical infrastructure personnel will continue to report to work. Determination of which personnel are considered critical will best be made in advance of significant and sustained transmission. Critical personnel should be enumerated and plans developed to protect them with limited vaccine and/or antiviral medications (see Sections 6 and 7). A period of snow days will continue until the number of new influenza cases in the community drops significantly or vaccine becomes available for use in the general population. XV. Activities by <strong>Pandemic</strong> Period All <strong>Pandemic</strong> Periods State Health Department: • Develop and provide materials for basic and setting specific infection control training materials to local health departments and healthcare facilities. • Provide updated information on the epidemiology and clinical characteristics of novel influenza or identified pandemic influenza virus to the local health departments and healthcare providers through the NYSDOH Health Alert Network (HAN). February 7, 2006 4-30
Section 4: Infection Control • Update pandemic influenza infection control guidance as indicated according to the virulence, transmissibility, incubation period, period of communicability, and drug susceptibility of the identified pandemic influenza strain. Communicate these changes to the local health department and healthcare providers through the NYSDOH HAN. • Provide epidemiological assistance and infection control consultation for the prevention and control of pandemic influenza in Article 28 healthcare facilities (i.e., hospitals, nursing homes, and diagnostic and treatment centers). • Provide epidemiological assistance and infection control consultation to LHDs for the prevention and control of pandemic influenza in non-Article 28 facilities and within the community, as needed. • Adhere to recommended infection control practices to prevent exposure to, and transmission of, pandemic influenza when performing duties within healthcare settings or health-related functions (e.g., point of distribution sites). • Provide the Centers for Disease Control and Prevention (CDC) weekly reports of the epidemiological presentation of influenza in NYS. Local Health Departments: • Provide epidemiological assistance and infection control consultation for the prevention and control of pandemic influenza in non-Article 28 facilities and community settings. • Report confirmed or suspected pandemic influenza outbreaks that have been identified in non-Article 28 facilities and community settings to the Regional Office of the NYSDOH, Regional Epidemiology Program. • Adhere to recommended infection control practices to prevent exposure to, and transmission of, pandemic influenza when performing duties within healthcare settings or health-related functions (e.g., point of distribution sites). • LHDs that also have clinics and home healthcare agencies should also incorporate healthcare provider activities as applicable. • Identify geographical areas (border states/regions/counties) that would trigger the initiation of more conservative infection control measures. Healthcare Providers: • Identify persons in your facility responsible for infection control and occupational health and assure adequate training, support, and access to resources (e.g., computer, internet). Assess number of persons capable of performing these associated tasks and plan for cross training other staff for these duties as appropriate. • Review and revise infection control and prevention policies to assure guidance for pandemic influenza is incorporated. • Review and revise visitation policies to assure guidance for pandemic influenza is incorporated. • Educate healthcare workers on the basic infection control principles for preventing the spread of influenza and the management strategies for the containment of pandemic influenza. February 7, 2006 4-31
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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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Virus Detection History NYS Lab Num
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Section 3: Healthcare Planning and
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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-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 backup to
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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 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-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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