PANDEMIC INFLUENZA RESPONSE GUIDE

LAWRENCE CAMPUS

Presented By:Carol Seager and Mike Wildgen

Agenda

I. IntroductionII. Definition of TermsIII. PurposeIV. Pandemic HistoryV. Pandemic at KUVI. WHO Pandemic PhasesVII.Pandemic Guide Format

Definition of TermsPandemic – A widespread out break of disease that occurs throughout the world for which there is no natural immunity.

Isolation – Separation of people who are ill from those who are healthy and the restriction of their movement to stop the spread of the illness.

Quarantine – Separation and restriction of movement of persons who are not yet ill but have been exposed.

Social Distancing – Infection control strategies that reduce the duration of social contact and thereby limit the transmission of influenza.

Guide PurposeBuild a structure for decision-making that:

1. Follows the pandemic stages of the World Health Organization (WHO)

2. Identifies Response Outcomes and Response Units

In order to:

SAVE and PROTECT lives

Ensure institutional continuity and recovery.

PANDEMIC HISTORY

Pandemic Historical Perspective1918 – 1919: Spanish Flu Most Severe – Caused at least 675,000 U.S. deaths and up to 50 million deaths worldwide.

1957 – 1958: Asian Flu Moderately Severe – Caused at least 70,000 U.S. deaths and 1-2 million deaths worldwide.

1968 – 1969: Hong Kong Flu Caused at least 34,000 U.S. deaths and 700,000 deaths worldwide.

IT IS DIFFICULT TO PREDICT WHEN THE NEXT PANDEMIC WILL OCCUR OR HOW SEVERE IT WILL BE.

KU’s History with Pandemic FluSpanish Flu Pandemic – October 1918

KU was to be closed for a week. Instead, it was closed for a month.

Students were forbidden to leave Lawrence to prevent the spread of infection.

Nearly 1,000 faculty, students and staff were afflicted with the disease.

Resulted in 24 deaths.

Future Pandemic?1997 – First Outbreak of Avian Influenza (H5N1) reported in Hong Kong.

Domestic birds died suddenly and tested positive for H5N1. Public Health officials recommended destroying 1.5 million birds, which successfully eradicated the outbreak.

There have been 277 cases worldwide (as of 3/5/07).

167 deaths Fatality rate = 60%

Avian to Human Transmission

Migratory birds can be flu virus carriers.

Domesticated birds in contact with infected migratory birds also become infected.

Domesticated birds usually die from lack of immunity.

Humans become infected through close contact with birds.

To date, very rare human-to-human transmission of avian influenza has occurred.

Migratory Bird PatternThere are ZERO cases of bird or human avian flu in North and South America.

PANDEMIC AT KU

KU Pandemic Response GuideThe pandemic response guide is an appendix to the University’s Emergency Response Plan.

This is designed to be used as a guide for responses and decisions.

Unique Aspects of a Pandemic

Emerging/Developing (not a surprise)

Global (federal and state guidance with limited resources)

Long-lasting

Recurring

Decision-making/instructions from and/or with external entities (ex. Public Health Department)

What to Expect at KUThe anticipated nature of the pandemic will result in:

Anticipate multiple waves for 1 – 2 years

Each wave could last 6 – 8 weeks resulting in campus closure of 2–3 months.

Historical data shows young healthy adults will be hit the hardest.

50 – 60% mortality rate for avian influenza. During a pandemic the mortality rate is anticipated to be lower.

25 – 33% reduction in availability of university staff and services.

Implementation of social distancing measures before infection hits the community.

WHO PANDEMIC PHASES

Pandemic WHO Phases 1 and 2INTERPANDEMIC PERIOD

Phase 1: No new flu virus subtypes detected in humans. A flu virus subtype that has caused human infection may exist in animals, but the risk of human infection or disease is considered low.

Phase 2: No new flu virus subtypes detected in humans, however, a circulating animal flu virus subtype poses a substantial risk of human disease.

Pandemic WHO Phases 3, 4 and 5PANDEMIC ALERT PERIOD

Phase 3: Human infection with a new subtype has occurred, but no human-to-human spread has occurred, or at most there have been rare instances of spread to a close contact.

Phase 4: Small clusters with limited human-to-human transmission are detected, but spread is highly localized, suggesting that the virus is not well-adapted to humans.

Phase 5: Larger clusters but human-to-human spread is still localized, suggesting the virus is becoming increasingly better adapted to humans but may not yet be fully transmissible.

Pandemic WHO Phases 6 and 7PANDEMIC PERIOD

Phase 6: Transmission increases and is sustained in the general population

POSTPANDEMIC PERIOD

Phase 7: Return to Phase 1.

RESPONSE GUIDE FORMAT

Response OutcomesCommand Leadership – University’s pandemic response will be guided by the members of the EOC.

Community Support Service – University’s pandemic response efforts will be coordinated externally with all relevant external partners.

Essential services and operations – Identification and purchase of essential supplies, services and operations.

Fatality Management – University will work with relevant community partners to appropriately dispose of human remains.

Response OutcomesHealthcare Delivery – Utilization of all available resources to meet student outpatient healthcare needs. Triage, surveillance and monitor student needs. Implement mass treatment.

Infection Control / Social Distancing – Provide information, health screening and support to KU community traveling to/from pandemic area, promote receipt of the influenza vaccine and creation of public health messages.

Learning Continuity – Clarification and communication of decision makers. Communication, identification and implementation of systems and processes. Identification of existing research activity.

Response Outcomes

Operational Communications – Ensures all stakeholders have access to consistent, accurate and timely information.

Public Information – Provide accurate and timely information regarding the public-at-large regarding University’s response.

Vaccination Distribution – Mass distribution of vaccine and medication to members of the University and Douglas County, as prioritized by the CDC.

Response UnitsThese departments will be called upon to respond:

Athletics, Department of Intercollegiate CAPSChancellor, Office of theComptroller, Office ofDeans/Directors/ChairsDining Services, Memorial and Burge UnionsEnvironmental Health and SafetyFacilities Operations, Dept. ofFacultyGeneral Counsel, Office of

HREOInformation Services, Office of International Programs, Office of Kansas Board of RegentsProvost, Office ofPublic Safety, Office of Research, Office of Vice ProvostStudent Health ServicesStudent HousingStudent Success, Office of Vice ProvostUniversity Communications, Office of

Pandemic Response Matrix EXAMPLEKU – LEVEL 0

Non-Emergency/ Administrative/ Special Events

KU – LEVEL 1Monitor

KU – LEVEL 2Standby

KU – LEVEL 3Emergency

KU – LEVEL 0Recovery

RESPONSE UNIT

RESPONSE OUTCOME

WHO PHASES 1 – 3:Interpandemic &

Pandemic Alert Period

WHO PHASE 4:Elevated Pandemic

Risk

WHO PHASE 5:Pandemic Imminent

WHO PHASE 6:Pandemic

WHO PHASE 7:Recovery

STUDENT HOUSING

Leadership Participate in development and practice of system wide plan. Develop unit-specific plans.

Review plans to provide housing during pandemic.

Advise EOC on housing readiness.

Advise EOC on housing services.

Advise EOC regarding processes required to ready residence halls for occupancy

Essential Services andOperations

Confirm essential staffing. Identify sources and appropriate stock levels for supplies/ equipment. Develop plan for financial response to occupants of closed residence halls.

Confirm staffing plans. Monitor levels of essential supplies. Confirm vendor lists. Confirm communication channels with essential staff.

Stockpile essential supplies. Modify personnel structures as needed to provide reduced services. Stockpile necessary supplies and equipment.

No action identified.

Prepare facilities for residents return Communicate reassignment of residents, as necessary. Re-establish traditional supply lines and staffing patterns. Rebuild financial health of department.

Healthcare Facilitate delivery of public health messages to residents.

Facilitate the delivery of public health messages to residents. Review and further develop response plans, including expedited hall closure process, storage options, reduced staffing structures, stockpiling, sanitation and employee health and safety.

Initiate expedited checkout process and close halls, if campus is closed. Identify students who are unable to leave campus and reassign them to a selected hall (Ellsworth, Hashinger, Lewis, Templin) as needed. Continue to operate Stouffer Place and Jayhawker Towers apartment communities. Facilitate the delivery of public health messages to residents.

Operate halls housing well students. Facilitate the delivery of food, supplies and information to residents. As able, track daily occupancy of halls.

Facilitate continued delivery of public health messages and support resources to residents.

Response Matrix EXAMPLE (continued)KU – LEVEL 0

Non-Emergency/ Administrative/ Special Events

KU – LEVEL 1Monitor

KU – LEVEL 2Standby

KU – LEVEL 3Emergency

KU – LEVEL 0Recovery

RESPONSE UNIT

RESPONSE OUTCOME

WHO PHASES 1 – 3:Interpandemic & Pandemic Alert

Period

WHO PHASE 4:Elevated

Pandemic Risk

WHO PHASE 5:Pandemic Imminent

WHO PHASE 6:Pandemic

WHO PHASE 7:Recovery

STUDENT HOUSING

Infection Control & Social Distancing

No action identified. No action identified. Limit public eating areas. Ill students will isolate in Oliver Hall.

Close public eating areas Support Oliver hall housing of ill students Facilitate the delivery of food, supplies and information to residents.

Open public eating areas. Clean and sanitize areas where ill students have been housed.

Operational Communication

Develop communication channels with essential staff, University leadership and community partners.

Confirm communication channels with essential staff, University leadership and community partners.

Implement communications.

Maintain communications. Review effectiveness of communications.

Public Information

Develop messages to be used in the event of closure of residence halls.

No action identified. Communicate residence hall closure and relocation facilities for those unable to leave campus. KU Info coordinate information with EOC and University Relations.

Communicate residence hall closure and relocation facilities for those unable to leave campus. KU Info coordinate information with EOC and University Relations.

Communicate re-opening of residence halls.

Vaccination and Medication Distribution

Develop messages to be used in the event of closure of residence halls.

No action identified. No action identified. No action identified. No action identified.