Pandemic Influenza Plan - Questar III

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Section 2: Surveillance and Laboratory Testing collection. Serum samples will be stored until appropriate reagents become available. • Samples that will not be tested o Samples with insufficient volume cannot be tested. o Samples that are leaking since they are a safety hazard to laboratory staff. o Samples shipped at room temperature because of the potential for false-negative results. o Improperly labeled samples will be tested, but the report will not be released until the required information is obtained. • Forms to be submitted with specimens sent to the Wadsworth Center The Wadsworth Center Virus History Form must be completed. The form is available as Attachment 2-D. The completed form must be shipped with the sample. Place the completed form in a plastic bag on top of the outer shipping container but inside the cardboard box before sealing. • How to ship specimens to the Wadsworth Center o It is essential that influenza virus specimens be sent to the Wadsworth Center as soon as possible after collection. If shipped within two days of collection, ship with cold packs to keep sample at 4ºC. Do NOT use wet ice. If shipment is delayed >2 days, then the specimens should be frozen at -70ºC and shipped on dry ice All original paperwork must be complete and accompany each specimen. o Packaging, shipping and transport of specimens from influenza cases must follow the current edition of the International Air Transport Association (IATA) Dangerous Goods Regulations. The following resources will be useful; (http://www.iata.org/dangerousgoods/index) and US DOT 49 CFR Parts 171- 180 (http://hazmat.dot.gov/rules.htm). o Note that it is the shipper’s responsibility – not the transport company’s - to provide the appropriate packaging materials and documentation that complies with the IATA regulations. Apart from the materials provided to participants in the Sentinel Provider Network, the Wadsworth Center does NOT routinely provide shipping materials. o All influenza specimens must be shipped in accordance with IATA packing instructions 650 as a "Diagnostic Specimen". Appropriate UN/IATA certified shipping materials must be used. Diagnostic specimens transported under the IATA Regulations are assigned to UN Identification number 3373. Follow the step-by-step packaging guidelines given in "Packing Diagnostic Specimens for Transport: Summary Instructions" at http://www.cdc.gov/ncidod/sars/pdf/packingspecimens-sars.pdf. It should be noted that if shipment on dry ice is necessary, IATA hazardous material regulations should be followed. February 7, 2006 2-17
Section 2: Surveillance and Laboratory Testing o All specimens must be shipped "Priority Overnight" and received within 24 hours via chosen carrier. Confirm that the selected carrier guarantees next day, morning delivery for diagnostic specimens. o Prior to shipment of a specimen from a patient with a travel history to a country with endemic novel influenza or suspected to be infected with a novel influenza virus, medical providers need to contact the LHD or appropriate NYSDOH Regional Epidemiologist, who will arrange testing with the Wadsworth Center if appropriate. Do not send these specimens to the Wadsworth Center without prior notification. o Samples should be shipped to: Wadsworth Center, NYSDOH Griffin Laboratory Virus Reference and Surveillance Laboratory 5668 State Farm Road (Route 155) Slingerlands, NY 12159 • When to ship specimens to Wadsworth Center At this time the Wadsworth Center laboratory will perform influenza testing only during regular working hours Monday to Friday. Specimens should therefore ONLY be shipped Sunday - Thursday so that appropriate laboratory personnel can be present to accept and process specimens. Samples should not be shipped to arrive on a public holiday. Arrangements may be made to perform after business hours testing under unusual circumstances. Please contact the NYSDOH Regional Epidemiologist and the Wadsworth Center to discuss. • Receipt of specimens o When specimens for influenza testing are received at the Wadsworth Center, the specimen will be accessioned and entered into the clinical laboratory information management system (CLIMS). o Once accessioned, the record will be uploaded to the NYSDOH Electronic Clinical Laboratory Reporting System (ECLRS) by 8:00AM daily. • Reporting of results <strong>Influenza</strong> test information will be reported through the ECLRS to the LHD and a paper report sent to submitters. o Results will be uploaded to ECLRS by 8.00AM each day. o It should be noted that several reports will be available for each sample. • The first report will be at the level of influenza A or B based on the real-time PCR assay. • The second report will be for the sub-type. • A third report will be issued only for isolates that are identified to the level of strain. Although all isolates will be sub-typed, not all isolates will be identified to the level of strain. o The final report will be marked as such. February 7, 2006 2-18
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February206 Pandemic Plan NewYorkSt
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Introduction Pandemic influenza occ
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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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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
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Page 23 and 24: Appendix 1-G A Guide to New York St
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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 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 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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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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Pandemic Influenza Plan - Questar III

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