Pandemic Influenza Plan - Questar III

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Appendix 8-A Consideration Yes No Basic utilities (running water, electricity, adequate heating or air-conditioning) Central Air Conditioning Has the central air conditioning unit/system been modified to prevent air from the influenza patient’s room from circulating throughout the home/facility? Window Air Conditioning Units Number of units _______ Is the air conditioning unit condensate drain hard-plumbed to the sewer system? * Cooling is accomplished by removing moisture from the air and the condensate liquid may contain infectious material and should be handled accordingly. Services for removal of waste. (No special precautions for removal of waste are required as long as persons remain asymptomatic.) Adequate rooms and bathrooms for each case/contact Is there a separate (bed)room available to be used only by each influenza patient during the isolation period? Can the (bed)room window be opened? Is each (bed)room physically separated by walls from adjacent rooms? Does each (bed)room have a door which can be kept closed? Is there a designated bathroom for the influenza patient(s)? Is the patient area carpeted? Mechanism for communication, including functioning telephone (for monitoring by health staff, reporting of symptoms, gaining access to support services, and communicating with family) Access to food and food preparation Delivery systems for food, supplies, and other needs Mechanism for addressing special needs (e.g., filling prescriptions) Basic supplies (clothing, linens, etc.) Sufficient medical supplies (gloves, surgical masks, hand-hygiene supplies and disinfectant) Access to supplies such as thermometers, fever logs, phone numbers for reporting symptoms or accessing services, and emergency numbers (these can be supplied by health authorities if necessary) Available household member/facility staff person to be the patient’s primary caregiver (isolation) and/or monitor contacts at least daily for fever and respiratory symptoms (quarantine) Accessibility to healthcare workers or ambulance personnel Transportation for treatment/medical evaluation for persons who worsen (isolation) or develop symptoms (quarantine) Access to mental health and other psychological support services. Adequate security for those in the home/facility Sign posted on the patient’s door restricting access only to the Caregiver/Staff Other occupants of the home relocated (if possible) Contingency for emergencies been developed (e.g., who to notify) Caregiver(s), Staff and patient(s) instructed on the proper procedures for disposing of waste materials and laundering Caregiver/staff instructed how to clean/disinfect the influenza patient’s room Patient(s) instructed to restrict his/her mobility and take precautions (e.g. surgical mask) February 7, 2006 2
Appendix 8-B Contact Identification and Management Surveillance of contacts of cases infected with a novel influenza virus may be helpful in early control efforts. Through rapid identification, evaluation, and monitoring of exposed contacts, further transmission of disease may be prevented or reduced. Contacts who are found to be clinically ill can be quickly isolated to avoid further novel influenza virus transmission. When contact identification and management is indicated, surveillance of contacts will be conducted by LHDs, with assistance from NYSDOH as needed. NYSDOH, in consultation with CDC and LHDs, will provide guidance regarding if and when contact tracing should be conducted. • Definitions o Close Contact: A person who cared for or lived with a person with a novel influenza virus or who had a high likelihood of direct contact with respiratory secretions and/or body fluids of a person with a novel influenza virus (during encounters with the patient or through contact with materials contaminated by the patient), during the period of 24 hours prior to the patient’s onset to 14 days after onset of symptoms (note: the definition of the infectious period is under discussion with the CDC). Examples of close contact include kissing or embracing, sharing eating or drinking utensils, close conversation (< 3 feet), physical examination, and any other direct physical contact between persons. Close contact does not include activities such as walking by a person or sitting across a waiting room or office for a brief time. o Infectious Period: Period of time from the 24 hours prior to onset symptoms to up to 14 days after the onset of symptoms (note: the definition of the infectious period is under discussion with the CDC). • Contact Identification and Tracing o Determine the time period in which the case was infectious. o Initiate identification of a case’s contacts as soon as possible after a diagnosis of probable or confirmed infection with a novel influenza virus. • Obtain information about the case and all contacts from the case, next of kin, workplace representatives, or others with appropriate knowledge of the case-patient’s recent whereabouts and activities. o Attempt to locate and contact all close contacts within 12 hours of the case/contact report. • Use work and school contact numbers, telephone directories, voting lists, neighborhood interviews, site visits, etc. to trace contacts when locating information is unknown or incomplete. • If having difficulty locating a contact, consult with STD and/or TB staff who have contact tracing experience. February 7, 2006 1
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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 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 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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