Emergency Operation Plan - Elizabeth City State University

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Pandemic Influenza / Infections Disease / Strategic National StockpileAnnex1.0 PurposeThe purpose of the Elizabeth City State University Influenza Response Plan is to providea guide for the University to follow in the event of an influenza pandemic in NorthCarolina. The Pandemic Flu Planning Committee in their research has conducted areview of similar response plans from universities in the University of North CarolinaSystem and the North Carolina Pandemic Influenza Plan. This plan outlines the keyactions for Elizabeth City State University that should occur during each phase of thepandemic as defined by the World Health Organization. The plan will be coordinatedwith the plans of the community, state and federal partners. The overall purpose of theplan is to: 1) reduce the number of illnesses and deaths; 2) preserve continuity ofessential University functions; 3) minimize social disruption; and 4) minimize economiclosses.1.1 Introduction and BackgroundAccording to the World Health Organization, “an influenza pandemic occurs when a newinfluenza virus against which the human population has no immunity, resulting inseveral, simultaneous epidemics world wide with enormous deaths and illness.”During the last century, three influenza pandemics have occurred. The Spanish Influenzapandemic of 1918 killed over 500,000 people in the United States and 20 to 40 millionworldwide. The Asian influenza, which involved two influenza A, in 1957, caused69,800 deaths in the United States. Lastly the Hong Kong pandemic in 1968-1969 wasestimated to be responsible for 30,000 deaths in the United States.Influenza viruses cause annual epidemics because of their ability to change genetically.Both influenza A and B viruses have the capability to undergo genetic variations knownas antigenic drift. For this reason, the influenza vaccine is changed every year.Influenza A virus can infect animals and can also undergo a major genetic reassortmentknown as antigenic shift. This recombination results in a new subtype of influenza A towhich the human population has little or no immunity against. An antigenic shift isalmost always followed by an influenza pandemic (source: www.pandemicflu.gov).1.2 ScopeThe plan focuses on the roles, responsibilities, and activities of Elizabeth City StateUniversity. However, specific responsibilities of key community partners are included toidentify points of coordination between agencies during a pandemic.1.3 Planning AssumptionsA. A pandemic influenza will result in the rapid spread of infection with outbreaks.throughout the world. Communities across the state and the country may beimpacted simultaneously.137
B. The University will not be able to rely on timely or effective mutual aid resources,such as State or Federal assistance to support local response efforts.C. An influenza pandemic may occur in waves and last 12 to 24 months.D. The University community may be required to function independently withoutlocal assistance for a significant period of time during an influenza epidemic.E. Antiviral medications will be in extremely short supply.F. A vaccine for the pandemic influenza strain will likely not be availableimmediately.G. The number of ill people requiring outpatient medical care and hospitalizationwill overwhelm the local health care system.H. There will likely be a significant disruption of public transportation, commerce,utilities, public safety, and communications.I. Social distancing strategies aimed at reducing the spread of infection such asclosure of the University and other public gathering places will be implemented.1.4 Impact of a PandemicThe following table illustrates the impact of pandemic influenza on North Carolinaand was calculated using North Carolina total population of 8,541,263.Gross Attack RatesAge Group 20% 30% 50%Deaths 0-19 49 73 12120-64 2,169 3,254 5,42365+ years 2,223 3,335 5,558Total Deaths 4,441 6,662 11,102Hospitalizations 0-19 868 1,302 2,17120-64 12,815 19,222 32,03765+ years 5,927 8,891 14,818Totalhospitalizations19,610 29,415 49,026OutpatientVisits0-19 274,974 412,464 687,44020-64 534,942 802,413 1,337,35465+ years 105,245 157,868 263,113Total outpatientvisits915,163 1,372,745 2,287,907Source: NC Pandemic Influenza Plan1.5 World Health Organization Phases of an Influenza PandemicPHASE 1:138
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ESF - 8: Health, Mental Health, and
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Mental Health1. The University Coun
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c. Provide for triage at emergency
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2. Medical supplies should be maint
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(13) All available means will be us
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ESF - 10: Hazardous MaterialsLead D
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ESF - 11: Food and WaterLead Depart
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13. At the discretion of the Food S
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2. Mission critical central computi
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ESF - 13: Law EnforcementThis ESF d
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ESF - 14: Public InformationThis ES
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(1)Initial(a) Identify stakeholders
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ESF - 15: Damage Assessment and Rec
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d. Develop, review and update proce
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B. Survey teams for damage assessme
Page 87 and 88: individuals immediately.4. Do not t
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Page 91 and 92: 1. Close all doors.2. Evacuate the
Page 93 and 94: university, such as drainage and pi
Page 95 and 96: academic policies will be suspended
Page 97 and 98: 2. Essential personnel will report
Page 99 and 100: such issues. Maintain current conta
Page 101 and 102: o Placement on Emergency Hotline.
Page 103 and 104: PRIOR TO HURRICANE SEASONHURRICANE
Page 105 and 106: DURING THE HURRICANE• A skeleton
Page 107 and 108: • Update staffing changes and eme
Page 109 and 110: • Evaluate the feasibility of saf
Page 111 and 112: • Notify the Director of Auxiliar
Page 113 and 114: • Update staffing changes and eme
Page 115 and 116: RECOVERY• Report all major damage
Page 117 and 118: DURING THE HURRICANE• The Directo
Page 119 and 120: • Power off and wrap high speed a
Page 121 and 122: o Resident Assistants will remind s
Page 131 and 132: HURRICANE CHECKLISTSchool of Mathem
Page 135 and 136: HURRICANE WARNING - 24 hours prior
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Page 141 and 142: 4. Review and modify guidelines for
Page 143 and 144: • Lead drafting of “ECSU Pandem
Page 145 and 146: Procurement & Materials ManagementO
Page 147 and 148: • Hold press briefings as appropr
Page 149 and 150: • Review guidelines for mass vacc
Page 151 and 152: Phase 5Essential personnel will rec
Page 153 and 154: • There will be no general access
Page 155 and 156: community, lock-down procedures wil
Page 157 and 158: Non-governmental agencies, such as
Page 159 and 160: The following are a list of specifi
Page 161 and 162: as a result of a hazardous material
Page 163 and 164: threatened areas. For localized eva
Page 165 and 166: a. Develop and implement when neces
Page 167 and 168: GLOSSARYClasses Canceled - The peri
Page 169 and 170: ABBREVIATIONS & ACRONYMSBEC - Build
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Emergency Operation Plan - Elizabeth City State University

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