Pandemic Influenza Plan - Questar III

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Appendix 6-C 4. Recovery Phase The recovery phase includes those activities associated with the returning of unused assets to State control. Local public health agencies will be advised by New York State on how excess supplies will be collected and redistributed (if necessary). IV. Logistics 1. Facilities The primary vaccine reception point will be the NYSDOH Vaccine Depot located in Wadsworth Center, Albany, New York. This Albany Vaccine Depot consists of 924 cubic feet of refrigeration space. In addition, 1,000 cubic feet of refrigeration space has been identified for use in Wadsworth Center for a combined total of 1924 cubic feet. Capabilities of the depot to store and distribute vaccine are as follows: • Current storage capabilities are approximately 1.5 million doses in the Albany Vaccine Depot and an additional 1.5 million doses using the additional storage capacity identified in Wadsworth Center for a total of 3 million doses. • Vaccine will be distributed through normal commercial carriers up to 150,000 doses per day for a total of 5 days per week assuming security requirements permit. • Beyond 150,000 doses per day or 3,000,000 doses per month, FedEx custom critical or similar refrigerated vehicles will be used. These vehicles may include or necessitate the use of State identified equipment consistent with assets identified by the State Emergency Management Plan. The primary storage site for antiviral medications available through the MERC is in Albany. However, New York State is in the process of establishing additional MERC storage sites in other areas of the State. • Antiviral supplies requested by local health authorities may be shipped from the New York State operated storage site closest to the county making the request. • Locally maintained sites for storage of antivirals should be temperature controlled (not subject to temperature extremes) and be secure against unauthorized access. • Package inserts for antiviral drugs should be consulted to determine if all FDAestablished storage criteria have been met. 2. Ground Support Local transportation resources, supported by State assets as required, will transport bulk and/or repackaged medications and supplies to designated local staging. Security will be coordinated by State Police. February 7, 2006 4
Appendix 6-C 3. Receipt and Sign-off A designated NYSDOH physician or representative will be dispatched to the mobilization site to meet and sign for assets. The State Health Commissioner may designate a local physician, working under the auspices of the affected LHD, as the SNS receiving physician. 4. Repackaging In consultation with local officials, the determination will be made as to where repackaging efforts will be undertaken. Repackaging may be required if short-term prophylaxis of individuals is directed. Staffing for repackaging efforts will be provided by State agency personnel and/or by local agencies per local plans (if existing), as required. 5. Long-term Dispensing Operations NYSDOH officials will work with local heath officials to determine the need for extended or long-term dispensing efforts. Plans will be developed utilizing pharmacies, postal service, health care facilities and PODs to accomplish these objectives. V. Activities by Pandemic Period Interpandemic Period State Health Department: • Continue to develop and refine pandemic plan. • Ensure that the proper storage requirements exist for the contents of the SNS during storage at the mobilization site and during transport. • Identify overflow storage facilities and make necessary arrangements for use. This may include contracts, memorandums of understanding, etc. • Examine systems requirements for the Vaccine/Antiviral Ordering System to ensure applicable tracking and distribution of influenza vaccine/antiviral. • Identify applicable transportation facilities to distribute vaccine/antiviral. Examples may include UPS and FedEx normal and custom critical. • Identify applicable supplies needed for standard shipping and monitor availability. • Identify applicable staff for backup to assist with receiving and distribution of vaccine/antivirals. • Develop/assemble applicable materials and train staff in storage, handling and distribution. • Identify backup or alternative distribution facilities to be used if required. • Identify sources of pneumococcal vaccine. Local Health Departments: • Determine county requirements based upon the guidance received from the NYSDOH priority groups. • Select a primary county staging site where assets may be delivered. February 7, 2006 5
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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 o Noti
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Section 4: Infection Control Policy
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Section 4: Infection Control The ma
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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 infe
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Section 5: Clinical Guidelines Infe
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Page 207 and 208: Section 6: Vaccine Procurement, Dis
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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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