Big 10 + 2 University Pandemic Influenza Planning Web Conference: Big 10 + 2 University Pandemic Influenza Planning Web Conference University of Minnesota hosts: School of Public Health/ Centers for Public Health Education and Outreach (CPHEO) Center for Infectious Disease Research and Policy (CIDRAP) Boynton Health Service Academic Health Center Emergency Preparedness Program


Participants: Participants Centers for Disease Control and Prevention Michigan State University Northwestern University Ohio State University Penn State University Purdue University University of Chicago University of Illinois University of Indiana University of Iowa University of Michigan University of Minnesota University of Wisconsin-Madison


Slide3: Michael T Osterholm PhD, MPH Director, Center for Infectious Disease Research and Policy Associate Director, DHS National Center for Food Protection and Defense and Professor, School of Public Health, University of Minnesota


Web Conference Agenda : Web Conference Agenda 10:15 Pandemic Flu Planning Overview Speaker: Jill DeBoer 10:40 International Travel Concerns Speaker: John Godfrey, University of Michigan Speaker: Karen Marienau, CDC 11:15 Healthcare Needs Speaker: Ed Ehlinger, University of Minnesota 11:45 Housing Speaker: Laurie McLaughlin, University of Minnesota 12:05 Communication Strategies Speaker: Peg Spear, Penn State University 12:25 CDC and University Planning Priorities Speaker: Toby Merlin, CDC 12:55 Closing Remarks, Ed Ehlinger


Pandemic Influenza Planning at the University of Minnesota : Pandemic Influenza Planning at the University of Minnesota Jill M. DeBoer, MPH Elizabeth McClure, MD, MPH Center for Infectious Disease Research and Policy AHC Emergency Preparedness Program University of Minnesota


Presentation Overview: Presentation Overview Background: Planning for Public Health Emergencies on Campus Pandemic Influenza Tabletop Exercise Preparedness Objectives Current Workplan and Planning Strategy Web Conference Agenda


Planning for Public Health Emergencies on Campus : Planning for Public Health Emergencies on Campus U of M Emergency Operations Plan Coordinated by Department of Emergency Management Policy oversight by Emergency Management Policy Committee Public Health Annex added in 2003 AHC Emergency Preparedness Program


AHC Emergency Preparedness Program: AHC Emergency Preparedness Program Designated Administrator for Response Emergency Response Team Medical Reserve Corps Annual Public Health Tabletop Exercise Online Training Modules Participation in Local, State, Regional Planning


Public Health Tabletop Exercises : Public Health Tabletop Exercises Bioterrorism Exercise (June, 2004) Back-to-back intentional releases of B. anthracis Release 1: Dairy cattle facility (animal cases) Release 2: Major research office and lab complex (human exposures and cases) Pandemic Influenza Exercise (May, 2005) 26 players including: University staff and administrators (16 players) County public health (4 players) State public health (4 players) Campus-based teaching hospital (2 players)


Pandemic Influenza Exercise : Pandemic Influenza Exercise Clarified roles, responsibilities, and expectations among organizations Provided powerful pandemic influenza education for University players Identified numerous areas where further planning is needed


U of M Pandemic Influenza Preparedness Objectives : U of M Pandemic Influenza Preparedness Objectives International Travel Targeted Vaccine Distribution Essential Personnel, Operations, and Services Surveillance and Case Investigation Healthcare Needs Student Housing Needs Communications Internal Communication External Communication Providing Service to the Broader Community


Current Workplan and Planning Strategy: Current Workplan and Planning Strategy 21 action items assigned to either individuals or workgroup (29 people involved total) Each workgroup assigned a convener Aggressive timelines developed for each item Monthly progress reviews by Emergency Response Team “Divide and conquer” Determine process rather than action in some cases


U of M Pandemic InfluenzaPreparedness Objectives : U of M Pandemic Influenza Preparedness Objectives International Travel Targeted Vaccine Distribution Essential Personnel, Operations, and Services Surveillance and Case Investigation Healthcare Needs Student Housing Needs Communications Internal Coordination External Coordination Providing Service to the Broader Community


Targeted Vaccine Distribution : Targeted Vaccine Distribution Assumptions: Late and limited vaccine availability Pre-determined priority groups (based upon health history for patients and position type for employees) Vaccine distribution strategies determined locally Questions: How does your institution fit within the broader state and local public health system? How will you participate in the estimation of vaccine priority group size? How will vaccine distribution be implemented in your jurisdiction?


Essential Personnel, Operations and Services : Essential Personnel, Operations and Services Human welfare Animal welfare Research Teaching Outreach Focus: Business continuity and mission Scenarios: Sudden or increased absenteeism due to public fear and and panic Recommendations from public health officials to cancel public gatherings or close


Essential Personnel, Operations and Services : Essential Personnel, Operations and Services Department of Emergency Management Workgroup (Infrastructure) Protect or serve the human populations on campus Care for the animal populations on campus Assure the security of the campus Administrative Officers Workgroup (Mission) Teaching Research Outreach


Surveillance and Case Investigation : Surveillance and Case Investigation Focus on both humans and animal (particularly avian) cases Focus on both surveillance and case/contact investigation Includes an assessment of on-campus clinic protocols


Internal Coordination : Internal Coordination Questions: Will faculty be allowed to cancel classes based upon personal opinion? What system will be used to ensure consistency and avoid confusion? Action Items: Review Emergency Operations Plan against pandemic influenza scenario Increase campus-wide awareness about the plan and expectations that follow Emergency Operations Center (EOC) activation Establish health Emergency Coordination Center (ECC)


External Coordination : External Coordination State and local health departments State and local emergency managers Local health systems (particularly on campus teaching hospital) Service to the Broader Community Medical Reserve Corps CIDRAP School of Public Health, College of Veterinary Medicine


Comments & Questions: Comments & Questions


International Travel Introduction: International Travel Introduction Planning Focus: Incoming students from H5N1- affected areas (700 new international students to U of MN each fall) Faculty, staff and students studying and working abroad Faculty, staff and students scheduled to travel to affected areas. Issues to be Addressed: Ability to reach incoming students for communication and health screening purposes. Development of a tracking system for faculty, staff and students studying abroad. Speaker: John Godfrey, University of Michigan Role of CDC in screening of international students. Speaker: Karen Marienau, MD, MPH


John B. GodfreyAssistant Dean for International EducationRackham Graduate SchoolUniversity of Michiganjgodfrey@umich.edu: John B. Godfrey Assistant Dean for International Education Rackham Graduate School University of Michigan jgodfrey@umich.edu


Managing crisis information for international travelers via a web-based travel registry and information resource : Managing crisis information for international travelers via a web-based travel registry and information resource University of Michigan International Overseas Travel Registry http://www.umich.edu/~itoc John B. Godfrey, Rackham Graduate School


University of MichiganInternational Travel Oversight Committee (ITOC): University of Michigan International Travel Oversight Committee (ITOC) Provides recommendations to the Provost for international travel safety/security policy and initiatives Implements and oversees university’s international travel safety/security guidelines Provides safety/security information and emergency communication information on behalf of the university and its international travelers


ITOC website: ITOC website University travel guidelines Links to safety/security information— US-DOS, CDC, WHO, etc. International Travel Registry for U-M faculty, staff, students Emergency travel information and updates


International Travel Registry: International Travel Registry International travel registry for individuals and faculty-led groups taking part in study abroad, research, conferences, university-related business, etc. Mandatory for U-M sponsored study abroad and faculty-led student groups Rapid email/phone contact Itinerary and dates Emergency contacts abroad—addresses, phone(s) and email Emergency contacts in US 24/7 coverage: Department of Public Safety and designated ITOC staff can access information by country, traveler, group Travel-tested: DOS travel warnings, Iraq war, SARS, London subway attacks, individual medical/personal emergencies


SARS response: SARS response Immediate concern: student travel to Toronto ITOC coordinated response with University Health Services and U-M’s SARS response team. Alert sent to travelers within hours of first CDC warning Continuously updated web postings University emergency travel guidelines SARS travel bulletins/updates from CDC, WHO, Health-Canada Precautions/screening process for incoming students/visiting scholars


SARS travel policy: SARS travel policy Travel advisory recall students/faculty/staff study abroad suspended no university support for travel precautions required for in-bound travelers Travel alert study abroad suspended postponement of non-essential travel urged precautions recommended for in-bound travelers Travel caution university-sponsored academic travel may proceed, but with caution precautions recommended for in-bound travelers


Slide34: Karen J Marienau, MD, MPH Dr. Marienau is the Quarantine Medical Officer for the Minneapolis Quarantine Station, one of 18 CDC Quarantine stations at U.S. international ports of entry. She is a commissioned officer in the U.S. Public Health Service (USPHS). kqm5@cdc.gov


CDC Quarantine Stations and International Travelers: CDC Quarantine Stations and International Travelers Karen Marienau, MD, MPH Quarantine Medical Officer kqm5@cdc.gov CDC Minneapolis Quarantine Station (612) 725-3005 http://www.cdc.gov/ncidod/dq Center for Disease Control and Prevention January 11, 2006


Objectives: Objectives Discuss the CDC Quarantine Stations (QSs) mission, functions, and locations Discuss CDC Quarantine Stations’ role in the event of a pandemic influenza Provide useful web-sites Division of Global Migration and Quarantine Locations and contact info of all QSs Traveler’s Health


18 CDC Quarantine Stations: 18 CDC Quarantine Stations Division of Global Migration and Quarantine (DGMQ) Has statutory responsibility to make and enforce regulations necessary to prevent the introduction, transmission, and spread of communicable diseases from foreign countries into the U.S. National Center for Infectious Diseases (NCID), Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS)


Mission : Mission To protect the health of the public from communicable diseases through science, partnerships and response at U.S. ports


QS Partners: QS Partners Customs and Border Protection (CBP) Emergency Medical Services (EMS) U.S. Department of Agriculture (USDA) U.S. Department of Fish and Wildlife (USFW) State and local health departments Airport authorities Airlines Cruise lines and commercial shipping


Slide40: VT ME MA NY PA NH WV VA MD NJ RI CT AZ IN WI KY MI OH IA MN MO IL NE KS SD ND AL TN GA SC NC AR LA MS OK Atlanta Chicago Seattle WY ID WA AK OR MT NV UT NM CO East TX Miami FL No.CA So.CA Los Angeles San Francisco CDC Quarantine Stations’ Jurisdictions DE HI Honolulu Washington D.C. El Paso Houston Newark New York Boston GU San Juan Minneapolis Detroit* Anchorage San Diego Effective Dec, 2005 West TX PR


CDC Quarantine Station Functions: CDC Quarantine Station Functions Respond to reports of illness in passengers or crew Monitor health, and collect, distribute and manage medical information of new immigrants, refugees, parolees Perform inspections of cargo and hand-carried items for potential vectors of human infectious diseases Inspect animal and human products posing threat to human health Distribute immunobiologics and investigational drugs Participate in emergency planning and preparedness Provide travelers with essential health information Respond to mass migration emergencies Provide training for our partners


42 CFR, Section 71.21 (b): 42 CFR, Section 71.21 (b) Requires the operator of an international conveyance (plane or ship) to notify the nearest QS of any passenger or crew with the following: Fever (temperature of > 100°F) accompanied by any of the following: Cough, rash, swollen glands, jaundice, or neurological signs Fever lasting for > 2 days Diarrhea severe enough to interfere with normal activities (> 3 stools within 24 hours)


Executive Order 13295: Revised List Of Quarantinable Communicable Diseases : Executive Order 13295: Revised List Of Quarantinable Communicable Diseases Infectious Tuberculosis Cholera Diphtheria Plague Smallpox Yellow Fever Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Crimean-Congo, South American, and others) Severe Acute Respiratory Syndrome (SARS) – April 2003 Influenza caused by novel or re-emergent influenza viruses that are causing, or have the potential to cause, a pandemic – April 2005


Isolation and Quarantine: Isolation and Quarantine Isolation Separating an ill person from those who are healthy to prevent further transmission and spread of the disease May occur in a hospital or other health care facility, or person may be cared for in their home Quarantine Separating people who are healthy, but may have been exposed to an infectious agent and may become ill and infectious Most often will take place at home Memorandum of Agreement (MOA) Hospital Hospital that has signed an agreement with CDC to evaluate and treat patients with a suspect quarantinable disease


Other Illness of Public Health Significance: Other Illness of Public Health Significance Measles Rubella Varicella Mumps Meningococcal meningitis Potential Actions Recommend medical evaluation Recommend interrupt travel Contact state health department Contact medical director of airline


QS Response to Ill Travelers : QS Response to Ill Travelers Work closely with CBP, EMS, airlines If Quarantine staff is on site, perform assessment in conveyance or terminal If Quarantine staff is not on site, obtain EMS assessment via phone Goal is to determine public health risk and take appropriate action, depending on the suspect illness


Pandemic Influenza: Pandemic Influenza A global outbreak of human influenza that occurs when 3 conditions are met: A new Influenza A virus appears in the human population It causes serious illness in people It spreads easily from person-to-person


WHO Pandemic Phases: WHO Pandemic Phases Phase 3 Human infections with a new subtype but no human-to-human, or rare instances of spread to close contacts Phase 4 Small clusters with limited human-to-human transmission; spread is highly localized Phase 5 Large clusters but human-to-human spread is still localized Phase 6 Increased and sustained transmission in the general population HHS/CDC - 6a (outside US), 6b (within US)


QS Response to Travelers with Suspect Pandemic Influenza Virus: QS Response to Travelers with Suspect Pandemic Influenza Virus Will depend on the pandemic phase HHS/CDC along international and other national partners are developing multifaceted response plans specific to each phase, including International community containment International port operations Travel and Occupational Health Domestic community containment


International Port Operations during Pandemic Influenza: International Port Operations during Pandemic Influenza QSs will actively monitor international arrivals from countries where the pandemic is occurring Will most likely begin in WHO Pandemic Phase 5 and continue through 6a (occurring outside of the U.S.) Passengers with Influenza-like illness (ILI) will be isolated and transported to an MOA hospital Other passengers and crew on the flight will be quarantined International airports around the country are developing their plans for quarantining an entire plane


Useful Web-Sites: Useful Web-Sites Division of Global Migration and Quarantine http://www.cdc.gov/ncidod/dq/ Locations and contact info for CDC Quarantine Stations http://www.cdc.gov/ncidod/dq/quarantine_stations.htm CDC Travel Health http://www.cdc.gov/travel/ Travel Notices – In the News Outbreak Notice Travel Health Precautions Travel Health Warning


Comments & Questions: Comments & Questions


Healthcare Needs Introduction: Healthcare Needs Introduction Planning Focus: Strategy to effectively triage and refer ill and/or worried staff and students Ability to rapidly stage and conduct a mass dispensing, mass triage, or mass care sites on campus Ability to monitor health needs of persons housed on campus in isolation/ quarantine conditions Action Items: Patient triage plans/ student health service MDS operational plan Use of MRC volunteer Stockpile of PPE and MDS supplies Plan for caring for and monitoring patients in isolation/ quarantine Speaker: Dr. Ed Ehlinger, M.D. Director of Student Services University of Minnesota


Health Care Needs During Pandemic Flu: Health Care Needs During Pandemic Flu Ed Ehlinger, MD, MSPH Director and Chief Health Officer Boynton Health Service University of Minnesota


William Jamesborn January 11, 1842: William James born January 11, 1842 Practitioner of the philosophy of pragmatism. Wrote "The Meaning of Truth." "The art of being wise is the art of knowing what to overlook.”


U.S. DHHS planning assumptionsrelevant to health care planning: U.S. DHHS planning assumptions relevant to health care planning Susceptibility will be universal Health care providers will not be immune Clinical disease attack rate will be ~ 30% Absenteeism will depend on severity of pandemic May reach 40% in severe pandemic Closing schools and businesses and quarantine will affect absenteeism 50% of those who become ill will seek care In a community the pandemic will last 6-8 weeks


Dealing with pandemic flu is beyond the capacity of any single agency: Dealing with pandemic flu is beyond the capacity of any single agency Collaboration is essential in planning and service delivery – part of “the infrastructure of response.” State and local public health agencies Local hospitals and clinics Schools and businesses Colleges and universities Medical Reserve Corps


Be At the Table: Be At the Table Appropriate representatives need to be part of the planning. Health Services need to be represented Be at the appropriate tables Institutional planning and collaboration table Health care table Appropriate table sitters Administrator Planner Clinician


Alexander Hamilton1st US Treasury SecretaryBorn January 11, 1757: Alexander Hamilton 1st US Treasury Secretary Born January 11, 1757 “Men often oppose a thing merely because they have had no agency in planning it, or because it may have been planned by those whom they dislike."


Dealing with pandemic flu is beyond the capacity of any single agency: Dealing with pandemic flu is beyond the capacity of any single agency What is the role of a university health service? With or without academic health center Role of academic health centers On and off-campus


Health Service Roles: Health Service Roles Planning – institutional and health care Communication With University community members With staff Education Staff education University community education Health care – on and off-site Triage Primary care Residential care Mass clinics Referral


Planning: Planning How to coordinate care with other agencies. On and off-campus Who has responsibility for what? Whom will a health service serve? Students, faculty, staff, general community? Where to get staff and share credentialing? Replacements for absent workers How to meet on-going routine needs Surge capacity


Communication: Communication Communication with staff Monitoring availability Providing direction and information Communication with University community Status of situation How to use the system Approaches Telephone Web E-mail


Education: Education Education of staff Providing pertinent and factual information Training Education of University community Education about WHO/CDC recommendations Education on self-care and assessment Approaches Telephone E-mail Web-sites Mass media Links to other resources


Triage: Triage Phone-based triage Web-based triage Clinic-based triage Mass-triage Protocols, education, and staffing


Health Care: Health Care Primary outpatient care Protocols, flow, staffing, supplies Residential care – residence halls Monitoring and treatment of people in quarantine/isolation Mass clinics Mass dispensing/immunization sites Protocols, staffing, supplies


Supplies: Supplies Personal protective equipment Masks (surgical, N95) and gloves Fit testing Infection control supplies Hand sanitizer Mass dispensing site “Go Kit”


Referrals: Referrals Referral guidelines Availability and accessibility of resources Monitoring and communication


Role of Academic Health Center: Role of Academic Health Center Community resource Hospital Clinics Health care personnel and expertise Public health Clinicians – of all types Other personnel Students Medical Reserve Corps


January 11, 1964: January 11, 1964 Luther Terry issued first Surgeon General’s Report on the health impacts of tobacco.


Comments & Questions: Comments & Questions


Housing Needs Introduction: Housing Needs Introduction Possible Scenario And Anticipated Events: Students may leave campus prior to cancellation of classes or closure of residence halls Department of Health may cancel classes/ cancel group gatherings Some students will be unable to return home secondary to illness or home status Planning Focus: Daily Census Monitor student health in residence halls Thresholds to close or consolidate residence halls Housing options for isolation/ quarantine per DHHS guidelines Risk communication messages for concerned parents and others Speaker: Laurie McLaughlin, Director of Housing and Residential Life, University of Minnesota


Slide73: Laurie McLaughlin Director of Housing & Residential Life University of Minnesota – Twin Cities mclau001@umn.edu


Pandemic Influenza Preparedness Planning: Pandemic Influenza Preparedness Planning Housing & Residential Life and University Dining Services University of Minnesota – Twin Cities January 2006


Areas of Focus: Housing & Dining: Areas of Focus: Housing & Dining Emergency Response Center/Team Daily census Staff absenteeism Residential student health Thresholds and plans for closing/consolidating facilities and operations Options for isolation and quarantine housing


Emergency Response Center/Team: Emergency Response Center/Team Site selection criteria Hours of operation Response Team members Essential employees


Daily Census: Daily Census Daily census reports Self-reporting mechanism Staff monitoring mechanism Communication process


Staff Absenteeism: Staff Absenteeism Daily reporting Absenteeism reports Adjusted service levels


Residential Student Health: Residential Student Health Communicate health precautions Monitor symptoms Provide medical contact information Distribute supplies Identify medical evaluation/examination sites Relocate ill students


Thresholds and Plans for Closing/Consolidating facilities and operations: Thresholds and Plans for Closing/Consolidating facilities and operations Determine occupancy threshold Classes in session Classes cancelled Determine minimal staffing requirements Prioritize facilities Accessibility Proximity to health service/hospital Proximity to Dining operation Accessibility for deliveries Room type/configuration Access to private bathrooms, kitchens, laundry facilities Communicate plan to students and parents


Options for quarantine/isolation: Options for quarantine/isolation Selection of facilities Delivery of meals and medical supplies Clean/disinfect isolation and quarantine areas Communicate to students in isolation and quarantine Determine medical staff needs


Comments & Questions: Comments & Questions


Communications: Communications Objective: Ensure that stakeholders have access to accurate and timely information regarding efforts to respond to pandemic influenza Planning Focus: Cooperation with state EOC Use of University Center for Infectious Disease Research and Policy Website as a communication link and tool Speaker: Dr. Peg Spear, Penn State University Health Services


Slide84: Dr. Margaret Spear Director of University Health Services at Penn State University since 1993. Dr. Spear has worked in college health since 1981, including being a staff physician at the University of California, Cornell University, and Penn State.


Slide85: Pandemic Communications Plan


Communication Challenges: Communication Challenges Complexity of medical/public health information Multiple information sources Rapid change Campus/community differences Official University spokesperson


Identify Levels: Identify Levels Organize Communications Plan according to four basic levels of overall plan: Level A - No human-to-human transmission identified anywhere (PA DOH Stages 1 & 2) (WHO Phases 1, 2 & 3) Level B - Human-to-human transmission elsewhere, but no cases locally (PA DOH Stages 3 & 4) (WHO Phases 4)


Identify Levels: Identify Levels Level C - Early cases suspected locally (PA DOH Stages 4 & 5) (WHO Phases 4 & 5) Level D - Large number of cases locally (PA DOH Stage 6) (WHO Phase 6)


Identify Target Audiences: Identify Target Audiences Students (On & off campus) Families/parents Faculty/staff Community Area Health Care Providers/Partner Agencies


What Needs to be Communicated: What Needs to be Communicated Disease-related information Health information/education Guidance on recommended activities Services available Public information/announcements


Identify Communication ChannelsChannel used depends on type of information : Identify Communication Channels Channel used depends on type of information Press releases Press Conferences PSU and UHS Web site E-mail/letters Ads PSAs Print materials Telephone Hot Line Town meetings


Level A. Anticipatory Public Information and Communication: Level A. Anticipatory Public Information and Communication Series of educational briefs re: Seasonal influenza Avian flu - CDC link: www.cdc.gov/flu/pandemic/ Travel guidelines US State Dept. link: www.travel.state.gov/ Announcements on PSU Web site


Level B. Primary Prevention: Level B. Primary Prevention Update all Level A information Series of briefs: Guidelines re: seeking services Immunization information/services New travel guidelines New information sources (i.e. Hotline) Actual cases (elsewhere) Emphasize prevention


Level C. Early Isolated Cases on Campus or in Area: Level C. Early Isolated Cases on Campus or in Area Series of briefs re: Update all Level A & B information Specific case information Access to services Community containment Hotline E-mails/letters to students in affected areas


Level D. Large Number of Cases on Campus: Level D. Large Number of Cases on Campus Series of briefs/press conferences re: Update all Level A, B & C information Specific case findings Access to services for large number of patients Treatment & prevention options (PODs) Community containment Hotline E-mails/letters to students in affected areas


Sample Information (Briefs, Press Releases, Hotline & E-mail Messages): Sample Information (Briefs, Press Releases, Hotline & E-mail Messages) Framework for response Provides basic structure Organized by level PSU Newswire system effective


Important Considerations : Important Considerations Position University and UHS as “in control” Establish leadership Reassure target audiences Protect public and individual health Coordination within University and with partner agencies


Comments & Questions: Comments & Questions


Slide99: Dr. Toby Merlin Dr. Merlin directs the CDC's new Division of Public and Private Partnerships, which has been responsible for assuring that CDC develops materials that help diverse sectors of society prepare for pandemic influenza and other potential emergencies.  The division is preparing checklists and toolkits for various segments of society.  Dr. Merlin has a long career in pathology, infectious diseases, laboratory medicine, and administration of health care organizations.


Pandemic Influenza ChecklistsToby L. Merlin, MDDirectorDivision of Private and Public PartnershipsNational Center for Health MarketingCoordinating Center for Health Information and ServiceCenters for Disease Control and Prevention: Pandemic Influenza Checklists Toby L. Merlin, MD Director Division of Private and Public Partnerships National Center for Health Marketing Coordinating Center for Health Information and Service Centers for Disease Control and Prevention Further information can be found at www.pandemicflu.gov


Pandemic Influenza Checklists: Pandemic Influenza Checklists State and Local Business Education (K-12) Colleges & Universities Preschool Faith-based & Community Organizations Physician Offices and Ambulatory Care Home Health Emergency Medical Services Travel Industry Further information can be found at www.pandemicflu.gov.


Organizations Consulted for College and University Checklists: Organizations Consulted for College and University Checklists Department of Education Associate Deans, New Mexico State Rollins School of Public Health Iowa State Center for Preparedness American Association of Medical Colleges American Teachers of Preventive Medicine American College Health Association Medical Director of Health Services University of Virginia Further information can be found at www.pandemicflu.gov.


College and University Pandemic InfluenzaPlanning Checklist: College and University Pandemic Influenza Planning Checklist Identify a pandemic coordinator and response team Assign responsibilities and resources Prepare for various contingencies including class cancellation or campus closure Determine legal authorities and thresholds for major decisions Ensure consistency of emergency operations plans with community and state higher education agency Develop continuity of operations plan for essential public health services Coordinate with local health department to plan for surge capacity 1.1 Planning and Coordination


College and University Pandemic InfluenzaPlanning Checklist: College and University Pandemic Influenza Planning Checklist Develop alternative procedures to assure continuity of instruction in the event of closures Create a continuity of operations plan for maintaining essential operations of the college/university 1.2 Continuity of Student Learning and Core Operations


College and University Pandemic InfluenzaPlanning Checklist: College and University Pandemic Influenza Planning Checklist Identify infection control policies and procedures that limit the spread of influenza on campus Provide sufficient and accessible infection prevention supplies Establish employee and student sick-leave policies Employees and students should not return unless symptoms subside and they are physically ready Create a pandemic plan for campus-based health care addresses issues unique to healthcare settings Adopt CDC travel recommendations during an influenza pandemic 1.3 Infection Control Policies and Procedures


College and University Pandemic InfluenzaPlanning Checklist: College and University Pandemic Influenza Planning Checklist Assess readiness to meet communication needs Develop a communication plan with employees, students, and families, including lead spokespersons Develop and test communication channels Allow for redundant communication systems Advise students and employees where to find up-to-date and reliable pandemic information Disseminate information about the college/university’s pandemic preparedness and response plan Distribute information about routine infection control Anticipate and plan communications to address fears and anxieties 1.4 Communications Planning


Comments & QuestionsQuick Polls: Comments & Questions Quick Polls