Pandemic Influenza Plan - Questar III

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Section 5: Clinical Guidelines • Collect recommended specimens for diagnosis of novel influenza in consultation with the LHD. • Forward specimens to the Wadsworth Center after consultation with the LHD. Local Health Departments: • Help educate healthcare providers about novel and pandemic influenza. • Provide consultation and investigation of suspected novel influenza cases to healthcare providers in conjunction with the state health department. • Consult on collection of specimens of suspected novel influenza testing. • Facilitate the transfer of specimens to the Wadsworth Center. • Conduct follow-up of suspected novel influenza cases. • Conduct contact investigations. State Health Department: • Develop materials and help educate healthcare providers about novel and pandemic influenza. • Provide consultation to LHDs and healthcare providers as needed, on suspect novel influenza cases. • Provide updated information and materials to LHDs. • Develop a state stockpile of antiviral drugs. • Work with LHDs and Wadsworth Center to coordinate testing. HHS Agencies: • Develop and disseminate recommendations on the use of influenza diagnostic tests, antiviral drugs, and vaccines during a pandemic. • Develop a national stockpile of antiviral drugs for use during a pandemic. • Work with partner organizations to discuss and resolve clinical issues related to pandemic influenza response. • Assist ministries of health and WHO in characterizing cases of human infection with avian influenza A (H5N1) or other novel strains of influenza, particularly with regard to antiviral susceptibility, transmission parameters, and clinical outcomes. • Work with state and LHDs to investigate and manage suspected cases of human infection with avian influenza A (H5N1) or other novel strains of influenza. • Establish case definition and reporting mechanisms. <strong>Pandemic</strong> Period Healthcare Providers: • Regularly consult updates on case definitions, screening, laboratory testing, and treatment algorithms for pandemic influenza by accessing the NYSDOH Health Provider Network (HPN) (https://commerce.health.state.ny.us/hpn/). • Report pandemic influenza cases or fatalities as requested by the LHD and NYSDOH. • Collect recommended specimens for ongoing pandemic influenza surveillance and forward specimens as requested to NYSDOH Center after consultation with LHD. February 7, 2006 5-13
Section 5: Clinical Guidelines • Report atypical cases, breakthrough infections while on prophylaxis, or any other abnormal cases throughout the duration of the pandemic as directed by the LHD and/or NYSDOH. Local Health Departments: • Update providers regularly as the influenza pandemic unfolds. • Provide or facilitate testing and investigation of pandemic influenza cases. • Work with NYSDOH to investigate and report special pandemic situations. State Health Department: • Update LHDs and providers regularly as the influenza pandemic unfolds. • Work with LHDs and Wadsworth Center to coordinate testing. • Work with LHDs to investigate and report special pandemic situations. HHS Agencies: • Update and disseminate national guidelines on influenza diagnostic testing and use of antiviral drugs and vaccines during the pandemic. • Develop a pandemic influenza vaccine. • Work with healthcare partners to refine clinical management guidelines and issue regular updates on treatment issues. • Conduct observational and interventional studies with partner institutions to investigate pandemic influenza pathogenesis and develop disease prevention and treatment strategies. • Monitor pandemic influenza cases for antiviral resistance and transmission parameters. • Monitor antiviral drug use and inventories. • Collect information on clinical features, outcomes, and treatments. 1 Uyeki TM. <strong>Influenza</strong> diagnosis and treatment in children: a review of studies on clinically useful tests and antiviral treatment for influenza. Pediatr Infect Dis J. 2003 Feb;22(2):164-77. February 7, 2006 5-14
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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 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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