Pandemic Influenza Plan - Questar III

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Section 8: Travel-Related Disease Control and Community Prevention seeking assistance from the court. These models may be used as is or the LHD may choose to modify them as necessary to meet the needs of the particular situation, especially with regard to quarantine. We encourage LHDs to add or remove provisions or change the language of the agreements as necessary to make them more patientspecific. Section 1, Command and Control, contains appendices on the NYSDOH General Counsel’s opinion regarding the quarantine powers of local health officers and boards of health, and the NYS Education Law regarding school closure during an emergency. IV. Roles and Responsibilities by Pandemic Period Interpandemic and Pandemic Alert Periods State Health Department: • Develop plans with state partners on how the state will respond to pandemic influenza, including law enforcement, first responders, healthcare facilities, mental health professionals, local businesses, and the legal community. Address legal, logistic, and social challenges associated with individual and community-based containment measures. Identify procedures at the Statelevel for issues related to employment compensation and job security. • Identify potential surge capacity for isolation and quarantine as a back-up to LHD capacity. • Advise LHDs when to implement isolation of ill persons and quarantine of contacts arriving from an area where pandemic influenza has emerged. • Review pertinent legal authorities and how they apply in a public health emergency, in particular, laws and procedures for closing businesses or schools and suspending public meetings during a declared state of emergency. • Improve readiness to implement travel-related disease containment measures. • Provide public health information to travelers who visit areas countries where pandemic influenza has been reported. • Investigate illness among travelers returning from affected areas and implement isolation and quarantine, as needed. Local Health Departments: • Develop a community response plan for pandemic influenza in collaboration with local partners, including law enforcement, first responders, healthcare facilities, mental health professionals, local businesses, and the legal community. • Develop plans for isolating ill persons and quarantining of contacts at home and at special isolation and quarantine facilities, including identification of appropriate staff. Conduct training. • Develop plans to provide community support services for the provision of food, water, medicine and medical consultation, transportation to medical February 7, 2006 8-10
Section 8: Travel-Related Disease Control and Community Prevention treatment, if required, and other essential supplies/services (e.g., day care or elder care) to those confined at home, hard to reach/special needs groups, children, and persons with disabilities. Conduct training. • Promote awareness of CDC and WHO travel advisories. • During the pandemic alert period, implement individual-level containment measures (e.g., patient isolation and identification, monitoring, and quarantine of contacts) that may be useful in slowing the spread of pandemic influenza. • Consider community-level containment measures that decrease social contact within groups or whole communities (e.g., quarantine of groups of exposed persons, cancellation of public events, closing recreational facilities, public buildings, snow days, and self-shielding). Schools, Workplaces: • Develop a pandemic plan that includes continuity of essential operations and modified operation during “snow days.” Identify procedures for issues related to employment compensation and job security. Shopping Areas, Theatres, Sports Arenas: • Develop a pandemic plan for containment measures that decrease social contact (e.g., cancellation of public events, closing recreational facilities and public buildings, and snow days). Pandemic Period State Health Department: • Early in the pandemic period, support federal quarantine station personnel at all land, water, and air ports of entry. • Implement procedures at the State-level for issues related to employment compensation and job security. • Determine when individual case management and travel-related containment measures are not warranted and advise LHDs. • Coordinate operation of isolation and quarantine as a back-up to LHD capacity. Local Health Departments: • Implement community response plan for pandemic influenza in collaboration with local partners. • Isolate ill persons and quarantine contacts to the ill person arriving in an area where influenza has not begun to circulate, as needed. • Conduct assessments of homes and special isolation and quarantine facilities to ensure their suitability for isolation and quarantine. • Coordinate the monitoring of individuals in isolation and quarantine for as long as individual case management is warranted. • Coordinate operation of specialized isolation facilities, as needed. • Coordinate community-level containment measures that decrease social contact within groups or whole communities (e.g., quarantine of groups of February 7, 2006 8-11
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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 • De
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Section 4: Infection Control • Pr
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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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Appendix 5-J resistant S. aureus (M
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Appendix 5-K eight patients—all o
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Appendix 5-L Guidelines for Managem
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Appendix 5-L testing should be perf
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Appendix 5-L February 7, 2006 5
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Section 6: Vaccine Procurement, Dis
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Page 271 and 272: Appendix 8-B • Determine the time
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Page 277 and 278: Appendix 8-F Definitions: Intervent
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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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