Pandemic Influenza Plan - Questar III

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Section 2: Surveillance and Laboratory Testing • Hospital/Healthcare Facility Surveillance: o Nosocomial Outbreak Reporting: Acute care and long-term care facilities are required throughout the year to report any increased incidence in respiratory illness, including suspected and confirmed influenza outbreaks, to NYSDOH Bureau of Communicable Disease Control (BCDC). o Weekly Influenza Hospitalizations: During the influenza season, acute care facilities report weekly via the Healthcare Emergency Response Data System (HERDS) the number of inpatients with laboratory-confirmed influenza by age group. Weekly data analysis provides an indicator of severity of illness by age group. o Emerging Infections Program (EIP) Pediatric Influenza Hospitalization Surveillance: • Prospective Surveillance: The NYSDOH Emerging Infections Program performs active surveillance throughout the influenza season for laboratoryconfirmed pediatric influenza hospitalizations in 15 counties in the Capital District (N=8) and Western New York (N=7) Regions. NYSDOH surveillance officers (SO) in these regions perform active influenza surveillance by utilizing HERDS, ECLRS and the HIN. In addition, they routinely communicate with the hospital laboratories and infection control practitioners throughout the season. A case report form, which captures vaccine history, underlying illness, co-morbidities, and testing methods used by the laboratory, is completed on each identified pediatric influenza hospitalization. This data is entered into a database and transmitted to CDC each week. • Retrospective Surveillance: At the end of each influenza season, the SOs participate in a retrospective audit of pediatric influenza hospitalizations. The CDC has supplied each state with a list of ICD-9 codes that correspond with a wide range of symptoms including fever, pneumonia, and bronchiolitis. The goal is to determine if any children were admitted to a hospital during the flu season, but were not captured using active surveillance. To accomplish this, the NYSDOH Division of Epidemiology Statistical Unit obtains SPARCS data, which includes the hospital, medical record number, date of birth, admission and discharge dates and ICD-9 codes, from hospitals in two to four counties. Using these lists, the SOs review approximately 400-600 charts to determine if any child may have had an influenza test performed in a doctors office prior to admission. The extracted data is transmitted to the CDC. • New Vaccine Surveillance Network: Children hospitalized for influenza who are born from November 1, 2003 through April 1, 2005 and reside in the surveillance area of Monroe County on the date of hospital admission will be eligible for enrollment as cases. Case children will be enrolled after consent February 7, 2006 2-5
Section 2: Surveillance and Laboratory Testing to participate has been received from the child’s parent or guardian. Attempts will be made to enroll four children not hospitalized with influenza for each child hospitalized with an influenza infection to evaluate the vaccination program. • State-level Assessment of Influenza Activity: State and Territorial Epidemiologists Report: Current influenza activity level throughout the state is assessed weekly and reported to the CDC from October to May. Definition of Influenza Activity Levels: Activity ILI activity/Outbreaks Laboratory data Level No activity Low And No lab-confirmed cases Not increased And Isolated lab-confirmed cases Sporadic OR Not increased And Lab-confirmed outbreak in one institution Increased ILI in one region; ILI activity in other regions is not increased And Recent (within the past 3 weeks) lab evidence of influenza in region with increased ILI Local 2 or more institutional outbreaks (ILI or lab- confirmed) in one region; ILI activity in other regions is not increased OR And Recent (within the past 3 weeks) lab evidence of influenza in region with the outbreaks; virus activity is no greater than sporadic in other regions Regional Widespread Increased ILI in ≥ two but less than half of the regions Institutional outbreaks (ILI or lab confirmed) in ≥ two and less than half of the regions Increased ILI and/or institutional outbreaks (ILI or lab confirmed) in at least half of the regions And OR And And Recent (within the past 3 weeks) lab confirmed influenza in the affected regions Recent (within the past 3 weeks) lab confirmed influenza in the affected regions Recent (within the past 3 weeks) lab confirmed influenza in the state. • Mortality Surveillance: o Surveillance for Influenza and Pneumonia Deaths: As part of the 122 cities surveillance system for pneumonia and influenza deaths, eight cities in NYS report weekly the total number of deaths and those with influenza or pneumonia listed as a contributing cause of death. February 7, 2006 2-6
Page 1 and 2: February206 Pandemic Plan NewYorkSt
Page 3 and 4: Introduction Pandemic influenza occ
Page 5 and 6: example, at this time, it is realis
Page 7 and 8: Acronyms (cont.) IND IHANS IRB ISHS
Page 9 and 10: Section 1: Command and Control I. O
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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 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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Appendix 6-A Vaccine Priority Group
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Appendix 6-B Mass Clinic Planning O
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Appendix 6-C Vaccine and Antiviral
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Appendix 6-C 1. Request Phase The r
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Appendix 6-C 3. Receipt and Sign-of
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Appendix 6-C • Work with local he
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Section 7: Antiviral Medication Pro
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Appendix 7-A Characteristics of Ant
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Appendix 7-B a The drug package ins
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Appendix 7-C 7 HCWs in emergency de
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Section 8: Travel-Related Disease C
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Appendix 8-A Home or Community-Base
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Appendix 8-B Contact Identification
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Appendix 8-B • Determine the time
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Appendix 8-C Administrative Data: S
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Appendix 8-D CONTACT DAILY TEMPERAT
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Appendix 8-F Definitions: Intervent
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Appendix 8-F facility. No specific
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Appendix 8-F • Resources Required
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Appendix 8-G Business Pandemic Infl
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Appendix 8-G 4. Allocate resources
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Appendix 8-H CDC guidelines suggest
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Appendix 8-H If I am not masked I
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Appendix 8-H NYSDOH Model Influenza
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Appendix 8-H I understand that if
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Section 9: Communications I. Overvi
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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-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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