Pandemic Influenza Plan - Questar III

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Section 2: Surveillance and Laboratory Testing Once an influenza pandemic has been confirmed, public health epidemiologic resources would likely need to be diverted from intense case investigation and contact tracing to tracking the geographic distribution of illness, calculating the morbidity and mortality, and determining the overall epidemiology of the outbreak. This will be critical to target public health resources and modify prevention and control measures for local health departments and medical providers. New York State Department of Health would identify and recruit staff for the epidemiology surge team. Persons would be assigned roles based on the experience and receive just in time training. Roles would include case investigator, supervisor of case investigators, and data collection and management, and data entry/clerical support staff. The NYSDOH epidemiologic surge capacity training and response will be coordinated by BCDC and the Regional Offices. VI. Activities by Pandemic Period Interpandemic and Pandemic Alert Periods State Health Department: • Epidemiology: o Develop materials and help educate healthcare providers about novel and pandemic influenza. o Provide consultation to LHDs and healthcare providers, as needed, on suspect novel influenza cases. o Upon request and as resources allow, Regional offices may send staff to LHDs to assist them with investigation, data entry, etc. o Provide updated surveillance information and materials to LHDs. o Work with LHDs and Wadsworth Center to coordinate testing. o Continue to recruit medical providers to participate in the CDC Influenza Sentinel Provider Network. o Maintain current influenza surveillance systems to monitor morbidity and mortality. o Identify critical resources for epidemiologic surge capacity. • Personnel needed to assist with epidemiological investigations. • Establish and maintain (update) contact lists, including other agencies involved in non-human animal disease control (e.g., NYSDAM, NYSDEC, USDA state offices). • Wadsworth Center: o Routine sample testing: • Perform molecular influenza A detection coupled with virus isolation in cell culture. • Sub-typing will be performed by RT-PCR on either the original sample or the cell-culture harvest and strain identification will be based on sequence for a sub-set of samples. February 7, 2006 2-21
Section 2: Surveillance and Laboratory Testing o Rule-in of other respiratory pathogens by molecular methods and cell culture will be performed. o For suspected cases of novel influenza infection, including highly pathogenic H5N1, meeting the current surveillance criteria: • Molecular influenza A detection will be performed. • Sub-typing and strain identification will be attempted on the original diagnostic sample before cell culture is attempted. • Virus isolation will be done provided the subtyping indicates that highly pathogenic H5N1 is not present in the sample. o Surveillance will be based on the current sentinel physician system. o Ensure that primers are available to sub-type all influenza A viruses. o Ensure that sufficient quantities of all diagnostic reagents are available for the Wadsworth Center’s needs. Local Health Departments: • Help educate healthcare providers about novel and pandemic influenza. • Provide consultation and investigation of suspected novel influenza cases to healthcare providers in conjunction with the state health department. • Consult on collection of specimens of suspected novel influenza testing. • Facilitate the transfer of specimens to the Wadsworth Center. • Conduct follow-up of suspected novel influenza cases, including contact investigations. • Identify critical resources for epidemiologic surge capacity. o Personnel needed to assist with epidemiological investigations. o Establish and maintain (update) contact lists. • Investigate community outbreaks of influenza-like illness. • Assist with identifying medical providers willing to participate in the CDC Influenza Sentinel Provider Network Healthcare Providers: • Be aware of case definitions; procedures for screening, infection control, laboratory testing, and antiviral regimens for influenza A (H5N1) and other novel influenza viruses by accessing the NYSDOH Health Provider Network (HPN) (https://commerce.health.state.ny.us/hpn/). • Notify local health departments (LHD) about suspected novel influenza cases and fatalities. • Collect recommended specimens for diagnosis of novel influenza in consultation with the LHD. • Forward specimens to the Wadsworth Center after consultation with the LHD. February 7, 2006 2-22
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February206 Pandemic Plan NewYorkSt
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Introduction Pandemic influenza occ
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example, at this time, it is realis
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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
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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 Alth
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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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