Pandemic Influenza Plan - Questar III

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Section 7: Antiviral Medication Procurement, Distribution, and Use Healthcare Partners: • Plan for participation in the data collection system established by the NYSDOH. • Educate staff about their roles in this system. Pandemic Period State Health Department: • Track antiviral supply in the state and redistribute as needed. • Track the speed with which antivirals are able to be delivered. • Collect data on state supplies of antiviral drugs. • Collect data on adverse events following administration of antiviral drugs. • Participate in federal efforts to collect data on the effectiveness of treatment and prophylaxis. • Participate in federal efforts to collect data on the development of drug resistance. Local Health Departments: • Track antiviral supply in the county and redistribute as needed and permitted. • Collect required data using the data collection system established during the interpandemic phase. • Provide feedback on the use of the data system to the NYSDOH reporting any problems encountered or modifications recommended. Healthcare Partners: • Track antiviral supply within health care facilities. • Collect required data using the data collection system established during the interpandemic phase. • Provide feedback on the use of the data system to the NYSDOH reporting any problems encountered or modifications recommended. February 7, 2006 7-19
Appendix 7-A Characteristics of Anti-Influenza Antiviral Medications Inhibits Acts on Administration Common Side Effects Amantadine M2 ion channel Influenza A Oral CNS, GI Rimantadine M2 ion channel Influenza A Oral CNS, GI (less often than Amantadine Oseltamivir Neuraminidase Influenza A Oral GI and B Zanamivir Neuraminidase Influenza A and B Inhaler Bronchospasm These agents differ in mechanisms of action, pharmacokinetics, FDA-approved indications, dosages, cost, and potential for emergence of drug resistance (see July 2005 recommendations of the AHIC: http://www.cdc.gov/mmwr/PDF/rr/rr5408.pdf. ) The neuraminidase inhibitors and rimantadine are superior with regard to the frequency of side effects. The use of M2 inhibitors, particularly for treatment, is likely to lead to the emergency and spread of drug-resistant influenza viruses. (Source: HHS Pandemic Influenza Plan, Part 2-Public Health Guidance Supplements, Supplement 7) February 7, 2006
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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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Appendix 5-J diabetes mellitus), re
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Page 207 and 208: Section 6: Vaccine Procurement, Dis
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Page 223 and 224: Appendix 6-C Vaccine and Antiviral
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Page 253 and 254: Appendix 7-C 7 HCWs in emergency de
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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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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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