Pandemic Influenza Plan - Questar III

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Section 7: Antiviral Medication Procurement, Distribution, and Use susceptibility of the pandemic strain, and on when a vaccine becomes available. • In conjunction with CDC authorize the use of antivirals to treat and control the spread of disease from individuals and small clusters, if cases of novel influenza should occur in the US. • In conjunction with CDC authorize the tracing of and use of antivirals to prophylax close contacts of persons with novel influenza. • As the pandemic becomes more widespread it will no longer be practical or useful to prophylax against outbreaks. • Monitor the amount of people that receive antivirals for prophylaxis to preserve and extend supplies available to treat those persons at the highest risk of serious morbidity and death. • Assist with the acquisition, distribution, and administration of antivirals to identified priority groups. • Implement mass distribution of antivirals if needed. Local Health Departments: • In conjunction with NYSDOH, CDC, and health care partners administer antivirals to control the spread of disease in small cluster outbreaks or outbreaks in contained settings. • Trace and prophylax close contacts of confirmed cases if authorized to do so by CDC and NYSDOH. • Assist with the distribution and administration of antivirals to identified and confirmed priority groups. • Implement mass distribution of antivirals if needed. Healthcare Partners: • With increasing disease activity base treatment decisions on: o Laboratory confirmation of infection with a pandemic subtype, o Detection of influenza A by rapid antigen test, or o Epidemiologic and clinical characteristics. • Initiate treatment before laboratory confirmation is obtained. • Continue treatment awaiting confirmatory tests. • Target prophylaxis to priority groups. • Use PEP to control small well-defined disease clusters and to protect individuals with a known exposure to a pandemic virus, such as household contacts. • PEP may be used to protect those prioritized during the period between vaccination and the development of immunity. • If possible reserve the use of antivirals for prophylaxis only during period of peak viral circulation if that information is available. February 7, 2006 7-13
Section 7: Antiviral Medication Procurement, Distribution, and Use Pandemic Period – When there is Widespread Transmission of Pandemic Influenza 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, susceptibility of the pandemic strain, and on when a vaccine becomes available. • Distribute information about changes in the prioritization guidelines, viral susceptibility, resistance, or supply as available. • As the pandemic becomes more widespread it will no longer be practical or useful to prophylax against outbreaks. • Monitor the amount of people that receive antivirals for prophylaxis to preserve and extend supplies available to treat those persons at the highest risk of serious morbidity and death. • Assist with the acquisition, distribution, and administration of antivirals to identified priority groups. • Assist with the distribution and administration of antivirals to identified and confirmed priority groups. • Continue mass distribution of antivirals if needed. Local Health Departments: • Distribute information about changes in the prioritization guidelines, viral susceptibility, resistance, or supply as available. • Assist with the distribution and administration of antivirals to identified and confirmed priority groups. • Decrease use of antivirals as needed once a vaccine is available • Continue mass distribution of antivirals if needed. Healthcare Partners: • As the pandemic becomes more widespread treatment decisions are made more on clinical characteristics and epidemiologic features. Laboratory confirmation will no longer be necessary. • Treat those at highest risk of severe illness and death if antiviral supplies are limited. • Decrease use of prophylactic antivirals as needed once a vaccine is available. • Continue to administer antiviral prophylaxis between the first and second dose, or until immunity develops if recommended. • Continue to administer antiviral prophylaxis to those for whom the vaccine is contraindicated or whose response to the vaccine is likely to be inadequate. February 7, 2006 7-14
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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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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 E. Coh
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Section 4: Infection Control If wid
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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 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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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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Appendix 5-H Source: U.S. Departmen
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Page 207 and 208: Section 6: Vaccine Procurement, Dis
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Page 277 and 278: Appendix 8-F Definitions: Intervent
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Page 281 and 282: Appendix 8-F • Resources Required
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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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