Pandemic Influenza Plan - Questar III

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Section 7: Antiviral Medication Procurement, Distribution, and Use VIII. Activities by Pandemic Period 1. Strategies for the Use of Antiviral Medications Interpandemic and Pandemic Alert Periods State Health Department: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection, and to maintain and develop influenza vaccination infrastructure. • Continue the use of antivirals to control nosocomial outbreaks. • Plan for the use of an IND protocol. • Plan for the implementation of treatment, prophylaxis, and PEP protocols. • Plan for data collection. Local Health Departments: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection and to maintain and develop influenza vaccination infrastructure. • Continue the use of antivirals to control nosocomial outbreaks. • Plan for the use of an IND protocol. • Plan for the implementation of treatment, prophylaxis, and PEP protocols. • Determine the size of priority groups in their jurisdiction. Healthcare Partners: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection and to maintain and develop influenza vaccination infrastructure. • Continue the use of antivirals to control nosocomial outbreaks. • Continue to treat all patients admitted to the hospital with influenza within 48 hours. • Use antivirals in the medical management of novel cases of influenza as outlined in clinical protocols. • Plan for the use of an IND protocol. • Plan for the implementation of treatment, prophylaxis, and PEP protocols. • Develop plans to implement distribution of antivirals to priority groups. Pandemic Period - No Pandemic Influenza Detected in the United States or only Sporadic Cases Reported in the United States State Health Department: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection, and to maintain and develop influenza vaccination infrastructure. February 7, 2006 7-11
Section 7: Antiviral Medication Procurement, Distribution, and Use • Continue the use of antivirals to control nosocomial outbreaks. • Plan for the use of antiviral drugs in the management of persons infected with novel strains of influenza and their contacts. • Work with LHDs and health care partners to disseminate public health guidance that encourages drug-use practices that help minimize the development of drug resistance. Local Health Departments: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection, and to maintain and develop influenza vaccination infrastructure. • Continue the use of antivirals to control nosocomial outbreaks. • Plan for the use of antiviral drugs in the management of persons infected with novel strains of influenza and their contacts. • Work with health care providers to disseminate public health guidance that encourages drug-use practices that help minimize the development of drug resistance. Healthcare Partners: • Continue the administration of seasonal influenza and pneumococcal vaccine to reduce the possibility of co-infection, and to maintain and develop influenza vaccination infrastructure. • Continue the use of antivirals to control nosocomial outbreaks. • Plan for the use of antiviral drugs in the management of persons infected with novel strains of influenza and their contacts. • Target treatment to influenza patients admitted t a hospital who present within 48 hours of symptom onset. • Administer antivirals to all persons sick with influenza that enter the hospital based on clinical algorithms. • Begin treatment of patients with influenza-like illness and a positive rapid antigen test for influenza A. • Base the continuation of treatment decisions on laboratory confirmed subtype identification of the pandemic strain by viral isolations, RT-PCR, or other means recommended by CDC, or the severity of disease and susceptibility of the infective strain in illness caused by other influenza subtypes. • Help to develop and implement health guidance that encourages drug-use practices that minimize the development of drug resistance. Pandemic Period - When Pandemic Influenza is Detected in the United States State Health Department: • Revise the strategies for the use of antivirals as the pandemic progresses, depending on supplies, on what is learned about the pandemic strain, February 7, 2006 7-12
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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 • Up
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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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Section 5: Clinical Guidelines Infe
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Section 5: Clinical Guidelines •
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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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Page 193 and 194: Appendix 5-J Clinical Presentation
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Page 207 and 208: Section 6: Vaccine Procurement, Dis
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Page 249 and 250: Appendix 7-A Characteristics of Ant
Page 251 and 252: Appendix 7-B a The drug package ins
Page 253 and 254: Appendix 7-C 7 HCWs in emergency de
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Page 267 and 268: Appendix 8-A Home or Community-Base
Page 269 and 270: Appendix 8-B Contact Identification
Page 271 and 272: Appendix 8-B • Determine the time
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Page 275 and 276: Appendix 8-D CONTACT DAILY TEMPERAT
Page 277 and 278: Appendix 8-F Definitions: Intervent
Page 279 and 280: Appendix 8-F facility. No specific
Page 281 and 282: Appendix 8-F • Resources Required
Page 283 and 284: Appendix 8-G Business Pandemic Infl
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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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Pandemic Influenza Plan - Questar III

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