Pandemic Influenza Plan - Questar III

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Appendix 6-C II. Operational Assumptions • All SNS vaccine/antiviral materiel will be procured by CDC and arrive at a State Mobilization Site (NYSDOH Vaccine Depot or designated site) after CDC’s decision to deploy the vaccine/antivirals. • NYS will activate its SNS Plan to facilitate the widespread distribution of vaccines/antivirals. • Influenza vaccine will be distributed rapidly to the public sector through partnership arrangements with LHDs. • Multiple shipments of vaccine/antivirals may be requested and deployed. • There may be multiple local requests for vaccine/antiviral assets. • There may be competing requests for vaccine/antiviral assets from neighboring states. • Upon receipt of the vaccine/antivirals from the CDC, New York State will assume responsibility for the vaccine/antivirals until they are delivered to the affected locality. • State agency resources and personnel will likely be needed to support local distribution and dispensing efforts. • The affected locality will be responsible for vaccine/antivirals delivered to it and will have identified suitable locations for storage and distribution. • The State may return all undistributed supplies to the federal authorities. • NYS maintains a supply of antivirals in the State Medical Emergency Response Cache (MERC). • If vaccines with applicable influenza strains are not immediately present during initial stages of the pandemic, it will take 4 to 8 months between the pandemic alert and vaccine availability. • No more then 20% of the total vaccine needs for New York State will be available to immunize the population on a monthly basis. III. Vaccine and Antiviral Deployment The goal of deployment is to quickly and orderly deliver needed supplies to local agencies to allow them to immunize, treat or prophylax members of their communities. When appropriate, distribution will be via the State’s SNS plan. Receipt and distribution of vaccine/antiviral assets will involve numerous local, State, Federal, volunteer, and private agencies. There are five critical centers that must coordinate actions and ensure a smooth flow of information: 1. State Emergency Coordination Center 2. Local Emergency Operations Centers 3. State Mobilization Site/Vaccine Storage Depot 4. Local Staging Sites 5. Points of Dispensing/Treatment Centers. The deployment of vaccine/antivirals to NYS will be broken down into four distinct phases. February 7, 2006 2
Appendix 6-C 1. Request Phase The request phase includes the local and State analysis of the situation potentially requiring the deployment of vaccine/antivirals and the request itself. Assets may be requested by the State or CDC may allocate certain amounts to the state. The NYSDOH will assume the lead role in requesting the assets with support from SEMO. Local jurisdictions can request vaccines/antivirals through the local emergency management offices to the State Emergency Coordination Center after coordination among appropriate local agencies. State Emergency Management will coordinate all local requests with the NYSDOH. 2. Mobilization and Staging Phase The mobilization phase of distributing vaccine/antiviral assets involves all activities associated with the receipt, off-loading, staging, processing, repackaging, and transportation of materiel. NYS agencies, regional agencies, and some counties will be responsible for all activities associated with the mobilization effort. Local resources may also be utilized, where available, to assist with mobilization efforts. Local resources, when utilized, will be integrated into State activities. Counties should plan for establishing a local staging site within the county limits that will receive shipments from the State Mobilization Site. This staging site should have the ability to maintain cold chain management of vaccines or proper environmental conditions for storage of antivirals. 3. Immunization/Dispensing Phase The immunization/dispensing phase includes those activities associated with the set-up and operation of POD and treatment center facilities, which provide immunization, treatment and/or prophylactic medications to affected members of the public, or provide medications to treatment centers, such as hospitals, clinics, etc. NYSDOH will provide guidance to counties detailing priority groups, duration of prophylaxis, etc. Collection, storage and transmission of information on individuals who are vaccinated will be undertaken by local public health agencies using the HERDS framework under the supporting architecture of the NYS Commerce System. Information concerning administration of vaccine and tracking of vaccine supplies will be achieved through the use of a countermeasures response system that is integrated with the Clinic Data Management System (CDMS) and HERDS. A description of this system and the detailed requirements for data collection are included in the Informatics section of this plan. The NYSDOH will provide specific guidance on the disposition of vaccine and antiviral medications to local public health authorities to ensure that circumstances surrounding their use and administration are consistent with established priorities. All recipients of State supplied vaccine and antivirals will be required to follow the guidance provided by the NYSDOH. February 7, 2006 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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Virus Detection History NYS Lab Num
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Section 3: Healthcare Planning and
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Section 4: Infection Control I. Ove
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Section 4: Infection Control I. Ove
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Section 4: Infection Control A. Bas
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Section 4: Infection Control Drople
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Section 4: Infection Control • Pe
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Section 4: Infection Control o Noti
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Section 4: Infection Control E. Coh
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Section 4: Infection Control If wid
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Section 4: Infection Control • En
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Section 4: Infection Control should
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Section 4: Infection Control Policy
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Section 4: Infection Control o Staf
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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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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 web pages
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Section 9: Communications Local Hea
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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 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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