Pandemic Influenza Plan - Questar III

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Section 2: Surveillance and Laboratory Testing o Develop a HERDS reporting system for hospitals to report daily aggregate data on the number of suspected and confirmed influenza-associated deaths. It is anticipated that this electronic reporting system will be the primary method to collect daily data necessary to monitor the mortality of the pandemic. o Provide mortality data to CDC as needed to help guide national response measures. Case definitions and reporting procedures will be communicated by CDC via Epi-X. • Participate in national and international surveillance activities as indicated. C. Criteria for Assessing and Reporting Possible Pandemic Influenza Cases NYSDOH will develop and distribute to healthcare providers the current CDC and NYSDOH recommendations for enhanced surveillance, case reporting, and laboratory testing. The criteria listed below are based on the current information known about the novel H5N1 influenza virus. These criteria may need to be modified throughout the pandemic phases according to the circulating virus and the known epidemiology of the infection at that time. It is anticipated that individual case reporting will not be feasible once pandemic influenza has been confirmed in New York State. Surveillance during the pandemic period will focus on data collection mechanisms to assess morbidity and mortality. Select individual case investigations may need to be conducted to guide prevention and control recommendations. Medical provider activities: • Providers should question all patients who present to health care settings with fever and respiratory symptoms regarding possible travel and occupational exposure to influenza A (H5N1) or other novel influenza virus (see Section 5: Clinical Guidelines). Criteria for Assessing a Possible Novel Influenza Case: o Clinical Criteria: • Severe illness: Hospitalized with severe illness, including pneumonia or ARDS • Mild illness: ♦ ♦ Fever (temperature > 38° C or 100.4° F) and One or more of the following: sore throat, cough, or dyspnea o Epidemiologic Criteria: • Travel Risk (within 10 days of symptom onset) ♦ Visited or lived in an area affected by highly pathogenic avian influenza A outbreaks in domestic poultry or where a human case of novel influenza has been confirmed. February 7, 2006 2-9
Section 2: Surveillance and Laboratory Testing ♦ ♦ Had direct contact with poultry, in an area affected by highly pathogenic avian influenza A. Direct contact with poultry is defined as touching well, sick, or dead birds, poultry feces or contaminated surfaces, or consuming uncooked poultry. Had close contact (within 3 feet) with a person with confirmed or suspected novel influenza. • Occupational Risk (within 10 days of symptom onset) ♦ Work on a farm or in a live poultry market or process or handle poultry infected with known or suspected avian influenza viruses. ♦ ♦ Work in a laboratory that contains live animal, bird, or novel human influenza viruses. Healthcare worker in direct contact with suspected or confirmed novel influenza case. Criteria for Reporting: • During the Interpandemic and Pandemic Alert Periods and No Evidence of HPAI or Other Novel Influenza Virus in NYS: Patients meeting the following clinical and epidemiologic criteria should be reported immediately to the local health department: o Severe illness AND, within 10 days of onset, either travel to an affected area (even if no direct contact with poultry or suspected or confirmed human cases) or occupational risk. o Mild illness AND, within 10 days of onset, one or more of the following: direct contact with ill poultry in an affected area, close contact with a suspected or confirmed human case of novel influenza, or occupational risk. • During the Interpandemic and Pandemic Alert Periods and Documented HPAI or Other Novel Influenza Virus in non-human animals in NYS: Patients meeting the following clinical and epidemiologic criteria should be reported immediately to the local health department: o Severe or mild illness AND o Reside in or travel within 10 days of onset to a locally affected area AND o Direct contact with ill poultry or other implicated animal in an affected area OR close contact with a suspected or confirmed human case of novel influenza OR occupational risk. February 7, 2006 2-10
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Page 3 and 4: Introduction Pandemic influenza occ
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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-J Clinical Presentation
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Appendix 5-L Guidelines for Managem
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Section 6: Vaccine Procurement, Dis
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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 • 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 • 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 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 12: Highly Pathogenic H5N1
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-C Overview of the Healt
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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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