Pandemic Influenza Plan - Questar III

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Each section includes a description of the activities to be undertaken by pandemic period, using the World Health Organization’s classification system (Table below). Activities are designated as to whether they are the role of the state health department, local health department and/or providers and public health partners. World Health Organization Pandemic Periods/Phases Interpandemic Period Pandemic Alert Period Pandemic Period Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase 6 No new influenza virus subtypes in humans. An influenza virus subtype that has caused human infection may be present in animals. If present in animals, the risk of human infection or disease is considered to be low. No new influenza virus subtypes have been detected in humans. However, a circulating animal influenza virus subtype poses a substantial risk of human disease. Human infection(s) with a new subtype, but no human-to-human spread, or at most rare instances of spread to a close contact. Small clusters(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans. Larger cluster(s) but human-to-human spread is still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk). Pandemic phase: increased and sustained transmission in general population. Pandemic influenza planning and preparedness activities should build upon response planning efforts for other emergencies, such as a smallpox recurrence, chemical spills, and natural disasters. In addition, efforts to prepare for an influenza pandemic will significantly enhance New York State’s ability to respond to other emergencies and disasters. This version of the New York State Department of Health’s Pandemic Influenza Plan reflects currently available scientific knowledge regarding the potential for an influenza pandemic, the expected ramifications on New Yorkers, and the most effective strategies and tactics to support our response. It is important to understand that this plan will be updated and revised regularly as additional information and guidance become available. Also, during a pandemic, guidance in this document may change. For February 7, 2006 iii
example, at this time, it is realistic to expect that there will be limits on availability of vaccine and antiviral medications, and most people will not have access to these resources. This fact may change and result in modifications to the current plan. Other revisions to the plan may cover imposition of alternate standards of patient care in response to problems of surge capacity or depletion of essential medical supplies during a pandemic. The document and any revisions will be available on the public website of the New York State Department of Health at www.nyhealth.gov. It is our intention to encourage all New Yorkers to fully familiarize themselves with the contents of the plan. Redactions, if any, will apply only to information that must be kept confidential to protect public security. February 7, 2006 iv
Page 1 and 2: February206 Pandemic Plan NewYorkSt
Page 3: Introduction Pandemic influenza occ
Page 7 and 8: Acronyms (cont.) IND IHANS IRB ISHS
Page 9 and 10: Section 1: Command and Control I. O
Page 11 and 12: Section 1: Command and Control pers
Page 13 and 14: February 7, 2006 Appendix 1-A
Page 15 and 16: Appendix 1-B The Public Health Law
Page 17 and 18: Appendix 1-B communicable diseases
Page 19 and 20: Appendix 1-C Management Office or t
Page 21 and 22: Appendix 1-E Suspension of Public M
Page 23 and 24: Appendix 1-G A Guide to New York St
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Page 27 and 28: Appendix 1-G 8. State Institutions
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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 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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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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Section 9: Communications and commu
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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 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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