Pandemic Planning Pandemic Planning 2015 National Campus Safety - PowerPoint PPT Presentation

University Emergency 911 Pandemic Planning Pandemic Planning 2015 National Campus Safety Summit 2015 National Campus Safety Summit Las Vegas, Nevada Las Vegas, Nevada 1 February 23, 2015 February 23, 2015

Welcome & Introduction John A. Troccoe John A. Troccoe Emergency Management Consultant Emergency Management Consultant Office of Emergency Management Office of Emergency Management University of San Francisco Department of Public Safety University of San Francisco Department of Public Safety Direct: Office: 415.422.4321 Direct: Office: 415.422.4321 jatroccoe@usfca.edu jatroccoe@usfca.edu & Principal of: & Principal of: 2

Agenda & Learning Objectives Purpose Purpose  To enable colleges and universities to be prepared to  To enable colleges and universities to be prepared to manage and respond to an influenza pandemic. manage and respond to an influenza pandemic.  Discuss the importance of planning and how to get started.  Discuss the importance of planning and how to get started.  Describe specific areas that should be included in planning.  Describe specific areas that should be included in planning.  Meeting the health and safety needs of staff & students.  Meeting the health and safety needs of staff & students.  Addressing planning issues for the campus-wide response.  Addressing planning issues for the campus-wide response. 3

Agenda & Learning Objectives Objectives Objectives  A Pandemic Plan outlining the structure and management of the plan  A Pandemic Plan outlining the structure and management of the plan will be covered. It will focus on a discussion of six scenario stages (from will be covered. It will focus on a discussion of six scenario stages (from Pre-event planning, to evidence of increased local human-to-human Pre-event planning, to evidence of increased local human-to-human transmission, to efficient and sustained local human-to-human transmission, to efficient and sustained local human-to-human transmission, and to recovery and subsequent waves). transmission, and to recovery and subsequent waves).  A staffing shortage planning tool will be reviewed that will enable each  A staffing shortage planning tool will be reviewed that will enable each university’s school and department to assess their critical operations and university’s school and department to assess their critical operations and decide what actions to take as staff availability declines due to a decide what actions to take as staff availability declines due to a pandemic. pandemic.  And finally, the discussion will briefly cover public health emergencies  And finally, the discussion will briefly cover public health emergencies involving the opening of a Points of Dispensing (POD) site on the campus, involving the opening of a Points of Dispensing (POD) site on the campus, in conjunction with local Public Health Departments. in conjunction with local Public Health Departments. 4

Why Plan? • Business Continuity Plan? • Emergency Plan? – Pandemic Plan – Pandemic Plan – Staffing Shortage Plan • Linked? • How? 5

Why a Pandemic Plan? • More effective response to any public health emergency. • Pandemics are a part of human history. history. • There will be little time to act once the event starts. 6

Seasonal vs Pandemic Flu • Seasonal influenza • Pandemic influenza – Peaks usually – Rapid, global spread December thru March among humans, in North America. – No seasonal – 36,000 preference. deaths/200,000 deaths/200,000 – Comes in waves. – Comes in waves. hospitalizations/yr. – Total duration a year – Frail, elderly and very or more. young – U shaped – Potential millions of distribution. deaths. 7

Pandemic Threat Through History • Five in the past century. • Twelve recorded over past 300 years: – Range between events 10- 49 years, average 24. – No predictable pattern. – 1957-58 – reassortment – 1957-58 – reassortment event. – 1967-68 – reassortment event. – 1918-20 – mutation event with markers similar to those found in birds. 8

Pandemics Over the past 100 years 9

Pandemic Planning 10

Ebola fast facts… • • According to the World Health Organization, "there is no specific treatment or According to the World Health Organization, "there is no specific treatment or vaccine," and the fatality rate can be up to 90% . vaccine," and the fatality rate can be up to 90% . • • First identified in Africa in 1976. First identified in Africa in 1976. • • Named after the Ebola River (where the virus was first recognized) in 1976 (CDC). Named after the Ebola River (where the virus was first recognized) in 1976 (CDC). • • Ebola is extremely infectious but not extremely contagious. It is infectious, because an Ebola is extremely infectious but not extremely contagious. It is infectious, because an infinitesimally small amount can cause illness. infinitesimally small amount can cause illness. • • Instead, Ebola could be considered moderately contagious , because the virus is not Instead, Ebola could be considered moderately contagious , because the virus is not transmitted through the air. (Most contagious diseases, such as measles or influenza, transmitted through the air. (Most contagious diseases, such as measles or influenza, virus particles are airborne.) virus particles are airborne.) • • Humans can be infected by other humans if they come in contact with bodily fluids Humans can be infected by other humans if they come in contact with bodily fluids from an infected person or a contaminated object from an infected person . from an infected person or a contaminated object from an infected person . • • Most likely natural hosts are fruit bats . Most likely natural hosts are fruit bats . • • Typically, symptoms appear 8-10 days after exposure to the virus, but the incubation Typically, symptoms appear 8-10 days after exposure to the virus, but the incubation period can span two to 21 days . period can span two to 21 days . • • Ebola is not transmissible if someone is asymptomatic or once someone has recovered Ebola is not transmissible if someone is asymptomatic or once someone has recovered from it. from it. 11

Ebola fast facts… • 2014-2015 West Africa Outbreak: Cases listed below include confirmed, probable or suspected cases of Ebola as of February 1, 2015 (World Health Organization and CDC): Country Cases Deaths Guinea 2,975 1,944 Liberia 8,745 3,746 Mali Mali 8 8 6 6 Nigeria 20 8 Senegal 1 (origin Guinea) 0 Sierra Leone 10,740 3,276 Spain 1 0 United Kingdom 1 0 United States 4 (2 US,1 Liberia,1 Guinea) 1 TOTALS 22,495 8,981 (40%) 12

If Ebola Strikes… Level 5 Level 5 Level 5 Level 5 Go Go Go directly directly directly to to to Level 1 Level 1 Level 1 of your of your of your of your Plan Plan Plan Plan 13

Goal of Public Health in a Flu Pandemic: Slow down spread • Isolation of the sick. • Quarantine of the exposed. • Protective sequestration. – Isolating a community before illness enters. • Social Distancing. • Social Distancing. – Actions taken to discourage close social contact between individuals. • Public education. – Accurate, clear information. – Consistent with those being given by other public health authorities.

What is the role of the Student Health Service in a Flu Pandemic? • To be knowledgeable about pandemic planning guidelines and recommendations. • To be an active participant in the • To be an active participant in the campus-wide planning process. • To develop a detailed plan for Student Health operations.

Role con ’ t • To identify and establish contacts in the local health care community including hospitals, local health departments, emergency response personnel. • To provide sound medical and public health information to the incident commander, key decision makers and the campus community.

Challenges to Planning • Requires multi-faceted, multi-departmental effort over time. • Deficits in knowledge. – No case definition. – No case definition. – Gaps in our understanding of viruses. – Gaps in our understanding of which strategies are most effective.

Challenges to Planning • Considering the ‘what ifs.’ – we can’t send all students home? – we have students who are ill and the local health systems are overwhelmed? – we must work with a reduced staff? – we must work with a reduced staff? • Allocation of resources. –Stockpile goods? How much? –Questions of ethical nature.

Planning in the Present • Based on current knowledge and understanding. • Inclusive, collaborative. • Plans must be flexible, adaptable, resilient. • Plans must be tailored to the particular type of • Plans must be tailored to the particular type of institution. • Plans must be tested and rehearsed.

Getting Started • Who is responsible for emergency preparedness on your campus? • Does your school have an emergency response plan/template? • Can it be adapted for pandemic • Can it be adapted for pandemic planning? • Who do you engage in the conversation on your campus to get pandemic planning on the table?