Pandemic Influenza Plan - Questar III

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Section 7: Antiviral Medication Procurement, Distribution, and Use • Identify and train NYSDOH and LHD staff that will provide adverse event monitoring. • Plan for active surveillance. Local Health Departments: • Establish antiviral adverse event monitoring procedures based on the NYSDOH monitoring system. • Identify staff that will be responsible for adverse event monitoring. • Identify physicians that can provide medical consultation for adverse events. • Plan for reporting and case investigation of adverse events. • Plan for active surveillance based on NYSDOH recommendations. Healthcare Partners: • Establish antiviral adverse event monitoring procedures based on the NYSDOH monitoring system. • Identify staff that will be responsible for adverse event monitoring. • Identify physicians that can provide medical consultation for adverse events. • Plan for reporting and case investigation of adverse events. • Plan for the monitoring of facility and practice staff taking antiviral medications for the occurrence of adverse events. Pandemic Period State Health Department: • Work with LHDs and HCPs to evaluate the effectiveness of antivirals for prophylaxis and treatment. • Monitor the incidence of antiviral adverse events. • Monitor the emergence of antiviral resistance. • Make antiviral adverse events reportable in NYS by emergency regulation. • Report adverse events to the FDA using the MedWatch monitoring program. • Provide protocols and information to health care providers and encouraging hospitals to download MedWatch forms for distribution to patients. • Engage in active monitoring for adverse events observed at emergency rooms and health care facilities. • Educate health care workers and LHD staff about the recognition and reporting of adverse events. • Distribute MedWatch forms to each end-user that receives antivirals. • Work with CDC to monitor the development of resistance. • Encourage clinicians to obtain specimens from patients who develop severe disease while receiving treatment of prophylaxis. February 7, 2006 7-17
Section 7: Antiviral Medication Procurement, Distribution, and Use Local Health Departments: • Investigate and report all antiviral adverse events. • Engage in active surveillance of antiviral adverse events. • Distribute MedWatch forms to providers and patients as needed. • Work with NYSDOH to monitor resistance and effectiveness of antivirals • Encourage clinicians to obtain specimens from patients who develop severe disease while receiving treatment of prophylaxis. • Provide protocols and information to health care providers and encouraging hospitals to download MedWatch forms for distribution to patients. Healthcare Partners: • Monitor all staff taking antivirals for adverse events. • Report all adverse events to LHD. • Participate with the LHD to investigate all adverse events. • Obtain viral specimens from patients who develop severe disease while receiving treatment or prophylaxis and submit to Wadsworth or CDC according to established protocol. • Provide medical consultation for those in the community that have concerns about potential adverse events. 5. Data Collection Interpandemic and Pandemic Alert Periods State Health Department: • Work with DHHS, LHDs, and HCPs to implement guidance on specifications for tracking distribution, effectiveness, and safety of antivirals. • Work with the Data Management Workgroup to develop the ability to collect important antiviral data. • Provide information to health professionals and the public on issues related to availability and use of antiviral drugs during an influenza pandemic. • Plan for the use of an IND protocol which would require the collection of detailed information on inventory control, participants, consent, and adverse events. Local Health Departments: • Plan for the participation in the data collection system established by the NYSDOH. • Educate staff about their roles in this system. February 7, 2006 7-18
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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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Appendix 5-H Source: U.S. Departmen
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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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Page 207 and 208: Section 6: Vaccine Procurement, Dis
Page 219 and 220: Appendix 6-A Vaccine Priority Group
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Page 223 and 224: Appendix 6-C Vaccine and Antiviral
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Page 249 and 250: Appendix 7-A Characteristics of Ant
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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
Page 285 and 286: Appendix 8-G 4. Allocate resources
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Page 291 and 292: Appendix 8-H NYSDOH Model Influenza
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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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