Pandemic Influenza Plan - Questar III

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Section 2: Surveillance and Laboratory Testing • During the Pandemic Period and No Documented Pandemic Influenza Virus 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 Within 10 days of onset travel to a locally affected area (even if no direct contact with poultry or suspect or confirmed human cases) OR occupational risk. Once an influenza pandemic has begun, it is expected that it would only be a brief period of time before the virus is identified in NYS. Therefore it is anticipated that individual case reporting of suspect cases during the pandemic will be brief. • During the Pandemic Period and Documented Pandemic Influenza Virus in NYS: Patients meeting the mild illness clinical criteria will be classified as a suspected pandemic influenza case. However, individual case reporting will likely be suspended. The local and/or state health department will investigate any unusual cases reported by medical providers. In NYC, web-based reporting will be available for provider reporting. Outside NYC, hospital infection control practitioners are able to report individual cases of influenza through the NYSDOH Communicable Disease Electronic Surveillance System (CDESS). Reporting: • Healthcare providers should immediately report any patient meeting the surveillance and reporting criteria for novel influenza based on the current pandemic period to the LHD. o If unable to reach the LHD, contact the NYSDOH: During business hours contact the appropriate Regional Epidemiologist. If unavailable, contact the Bureau of Communicable Disease Control at (518) 473-4436. • Outside of business hours, contact the NYSDOH After-Hours Duty Officer at 1-866-881-2809. • In New York City, contact the New York City Department of Health and Mental Hygiene (NYSDOHMH) through the Provider Access Line at 1-866- NYC-DOH1 (1-866-692-3641) during business hours. At all other times, call the Poison Control Center at 1-212-764-7667. • The NYSDOH Pandemic Influenza Case Report Form (Appendix 2-B) or other form being used at that time of the report should be completed immediately and forwarded to the LHD. LHD Surveillance and Control Activities during Periods of Individual Case Reporting: • Receive reports from healthcare providers of potential human novel influenza cases to determine if the patient meets the surveillance criteria using the Novel Influenza Case Screening Form (Appendix 2-E). February 7, 2006 2-11
Section 2: Surveillance and Laboratory Testing • If the patient meets the surveillance and reporting criteria for a novel influenza virus infection, review appropriate infection control precautions with the medical provider. o Respiratory hygiene and cough etiquette, o Droplet precautions when entering patient room, and o Standard precautions to include gloves and gowns when indicated. These precautions should be continued for a minimum of five days (see Section 4: Infection Control). Home isolation may be employed early during an influenza pandemic, as outlined in Section 8, Travel-Related Disease Control and Community Prevention, to slow the spread of influenza in communities. Refer to Section 8 for patient management in the home if the patient is discharged within five days of onset of symptoms or is symptomatic. • Patients meeting the current surveillance case definition, or those with an influenza infection with an unusual clinical presentation should be interviewed using the NYSDOH Novel Influenza Case Report Form (Appendix 2-B) or other form being used at that time of the report to determine possible risk factors and mode of transmission. When indicated in Section 8, use the Pandemic Influenza Contact Record form (Appendix 8-C) to identify close contacts. • Assess case information to determine if there is increased likelihood of a novel influenza infection: o Interpandemic and Pandemic Alert Periods: • Direct contact with a case of suspected or confirmed human novel influenza. • Direct contact with poultry (well, sick, or dead), consumption of uncooked poultry, or direct exposure to environmental contamination with poultry feces in affected area. o Pandemic Period and No Documented Pandemic Influenza Virus in NYS: Close contact in an affected area with an ill person or non-human animal suspected or confirmed to have novel influenza virus infection. • Report immediately by telephone to the appropriate NYSDOH Regional Epidemiologist or BCDC any patient who meets the novel influenza surveillance criteria based on the period of the pandemic (Appendix 2-A). • The report should be initiated on the NYSDOH CDESS. If influenza testing at Wadsworth is indicated, the Health Information Network (HIN) identification number generated needs to be included on all paperwork associated with the case, including the lab specimen submission form. • In conjunction with the NYSDOH, ensure that appropriate specimens are collected and shipped for testing at Wadsworth (Attachment 2-C). February 7, 2006 2-12
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Page 3 and 4: Introduction Pandemic influenza occ
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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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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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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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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-C Vaccine and Antiviral
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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 9-C PROTECTIVE MESSAGE MAP
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Appendix 9-C TREATMENT MESSAGE MAP:
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FACILITY- BASED RNs FACILITY- BASED
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Appendix 13-A NYSDOH Roles Notified
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Table 3. Organization
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Pandemic Influenza Plan - Questar III

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