H1N1 Preparedness Update by John R. Finnegan, Jr.


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John Finnegan's presentation at the Sept. 10, 2009 H1N1: Lessons from the Southern Hemisphere and Minnesota's Preparedness at the University of Minnesota.

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H1N1 Preparedness Update by John R. Finnegan, Jr.

  1. 1. H1N1 Preparedness Update September 10, 2009
  2. 2. Menu <ul><li>Overview of the University of Minnesota Emergency Management System </li></ul><ul><li>Health Emergency Planning and Response/UM Pandemic Influenza Response Plan </li></ul><ul><li>H1N1 Status and Anticipated Activity through Fall and Winter </li></ul>
  3. 3. Emergency Operations Plan <ul><li>All Hazards Emergency Plan </li></ul><ul><li>(Basic Plan, 18 Annexes) </li></ul><ul><ul><li>Natural disasters </li></ul></ul><ul><ul><li>Chemical leaks </li></ul></ul><ul><ul><li>Transportation accidents </li></ul></ul><ul><ul><li>Laboratory spills </li></ul></ul><ul><ul><li>Terrorism </li></ul></ul><ul><ul><li>www.dem.umn.edu </li></ul></ul>
  4. 4. Officer of the Day <ul><li>Full authority of the President to act in emergencies </li></ul><ul><li>Vice President for University Services is the primary Officer of the Day, 5 back-ups </li></ul><ul><ul><li>Chair EMPC, activate for emergencies </li></ul></ul><ul><ul><li>Activate the EOC </li></ul></ul><ul><ul><li>Authorize activities and expenditures </li></ul></ul><ul><ul><li>Long-range recovery planning </li></ul></ul>
  5. 5. Operational Continuity Planning <ul><li>University policy since 1997 </li></ul><ul><li>“ All Hazard” general planning </li></ul><ul><li>18 Critical Operating units required to plan </li></ul><ul><li>All units encouraged to plan </li></ul><ul><li>Key Aspects: </li></ul><ul><ul><li>Ranked essential functions </li></ul></ul><ul><ul><li>Essential resources/personnel </li></ul></ul><ul><ul><li>Re-allocate </li></ul></ul><ul><ul><li>Triage: must do, defer, eliminate </li></ul></ul><ul><li>Pandemic planning is a specialized “stand alone” section of a department’s plan, implemented separately </li></ul>
  6. 6. Health Emergency Planning & Response on Campus <ul><li>Public Health Annex added in 2003 </li></ul><ul><li>Public Health Officer Preparedness and Emergency Response (AVP for Public Health) created in 2003 </li></ul><ul><li>AHC Office of Emergency Response created in 2004 </li></ul>
  7. 7. Academic Health Center Office of Emergency Response <ul><li>Planning </li></ul><ul><li>Health Emergency Response </li></ul><ul><li>Medical Reserve Corps </li></ul><ul><li>Training </li></ul><ul><li>Exercises and Drills </li></ul><ul><li>Curricular Enhancements and Interdisciplinary Education </li></ul>
  8. 8. Pandemic Influenza Planning on Campus <ul><li>Pandemic Influenza Exercise (May, 2005) </li></ul><ul><ul><li>Important education for players </li></ul></ul><ul><ul><li>Identified unique challenges faced on a large urban campus setting </li></ul></ul><ul><ul><li>Basis for a comprehensive planning initiative </li></ul></ul>
  9. 9. Pandemic Influenza Planning on Campus <ul><li>Extensive Assessment and Planning Initiative, 2005 – 2008 </li></ul><ul><li>University of Minnesota Pandemic Influenza Response Plan </li></ul><ul><ul><li>Added as an annex to the U of M Emergency Operations Plan (Annex R) </li></ul></ul><ul><ul><li>The plan is a useful tool </li></ul></ul><ul><ul><li>The shared planning experience is essential </li></ul></ul>
  10. 10. Pandemic Influenza Response Plan <ul><li>Situation Awareness/ Coordination </li></ul><ul><ul><li>Internal and External Coordination </li></ul></ul><ul><ul><li>Communications </li></ul></ul><ul><li>Student/Staff/Faculty Health </li></ul><ul><ul><li>Health Services </li></ul></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><li>Public Health Response </li></ul></ul><ul><ul><li>Human Resources </li></ul></ul><ul><li>Campus Operations </li></ul><ul><ul><li>Campus Infrastructure </li></ul></ul><ul><ul><li>Teaching </li></ul></ul><ul><ul><li>Research </li></ul></ul><ul><ul><li>Athletics Program </li></ul></ul>
  11. 11. Pandemic Influenza Response Plan <ul><li>Situation Awareness/ Coordination </li></ul><ul><ul><li>Internal and External Coordination </li></ul></ul><ul><ul><li>Communications </li></ul></ul><ul><li>Student/Staff/Faculty Health </li></ul><ul><ul><li>Health Services </li></ul></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><li>Public Health Response </li></ul></ul><ul><ul><li>Human Resources </li></ul></ul><ul><li>Campus Operations </li></ul><ul><ul><li>Campus Infrastructure </li></ul></ul><ul><ul><li>Teaching </li></ul></ul><ul><ul><li>Research </li></ul></ul><ul><ul><li>Athletics Program </li></ul></ul>Series of checklists by time and severity Pandemic Influenza Response Team - 75 members
  12. 12. 2009 H1N1 Influenza: Response Strategies <ul><li>Self-isolation of the ill </li></ul><ul><li>Personal prevention strategies </li></ul><ul><li>Use of N95 respirators for health care workers in close contact with ill persons </li></ul><ul><li>Use of surgical face masks for ill persons </li></ul><ul><li>Vaccination </li></ul><ul><ul><li>Seasonal influenza vaccine, H1N1 vaccine </li></ul></ul>
  13. 13. 2009 H1N1 Influenza: What if H1N1 becomes more severe? <ul><li>Social distancing measures </li></ul><ul><li>Proactive closure of schools </li></ul>
  14. 14. Pandemic Influenza Response Plan <ul><li>Situation Awareness/ Coordination </li></ul><ul><ul><li>Internal and External Coordination </li></ul></ul><ul><ul><li>Communications </li></ul></ul><ul><li>Student/Staff/Faculty Health </li></ul><ul><ul><li>Health Services </li></ul></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><li>Public Health Response </li></ul></ul><ul><ul><li>Human Resources </li></ul></ul><ul><li>Campus Operations </li></ul><ul><ul><li>Campus Infrastructure </li></ul></ul><ul><ul><li>Teaching </li></ul></ul><ul><ul><li>Research </li></ul></ul><ul><ul><li>Athletics Program </li></ul></ul>
  15. 15. Communications <ul><li>Core communications team established with overall coordination provided by URelations </li></ul><ul><li>Central message sent to the entire University system on August 26 </li></ul><ul><li>Targeted messages have been sent to students, parents, faculty, and employees </li></ul><ul><li>Dedicated H1N1 space on U of M homepage with link to H1N1 website ( http://www.umn.edu/h1n1 ) </li></ul><ul><li>All messages are housed on H1N1 website </li></ul>
  16. 18. Health Services <ul><li>Surge plans for increased numbers of ill patients within the clinic </li></ul><ul><li>Use of Nurse Line to answer patient questions without the need for clinic visit </li></ul><ul><li>Seasonal influenza vaccination clinics scheduled earlier than normal - Sept 16 </li></ul><ul><li>Preparations for H1N1 vaccinations </li></ul><ul><li>Modified clinic operations to limit transmission </li></ul>
  17. 20. Housing <ul><li>Residents and parents advised those with “ILI” return home until fever-free for 24 hours. </li></ul><ul><li>Those unable to return home asked to self-isolate. Provided surgical masks and means for meal delivery. </li></ul><ul><li>Support provided by Health Advocates (HAs) and Community Advisors (CAs) who have special training. </li></ul>
  18. 21. Additional Public Health Measures <ul><li>Increasing availability of hand sanitizer in public spaces on campus </li></ul><ul><li>Posters with prevention messages </li></ul><ul><li>Reviewing supplies of personal protective equipment (PPE) for staff in direct contact with ill persons and antivirals for treatment of persons at high risk for complications </li></ul><ul><li>Ensuring that employees who may need to use PPE are properly prepared </li></ul>
  19. 23. Human Resources <ul><li>Reinforce the importance for employees to self-isolate at home when they are ill </li></ul><ul><li>Important role of HR professionals </li></ul><ul><li>Draft policy under review </li></ul>
  20. 24. Teaching <ul><li>Reinforce the importance for students to self isolate when they are ill </li></ul><ul><li>Temporary suspension of doctor’s note requirement for missed classes due to influenza-like illnesses </li></ul><ul><li>Faculty are encouraged to be flexible this semester, use technology as needed </li></ul>
  21. 25. Summary <ul><li>Plans… </li></ul><ul><li>have been enhanced based upon exercises and experience </li></ul><ul><li>They serve as important guidelines and checklists ( http://www.umn.edu/h1n1 ) </li></ul><ul><li>Response Personnel… </li></ul><ul><li>have been identified and trained in key response areas </li></ul><ul><li>Maintain 4 deep redundancy and 24/7 contact information </li></ul>
  22. 26. Summary <ul><li>Response Capabilities </li></ul><ul><li>Infrastructure is in place to support both internal and external situational awareness </li></ul><ul><li>Maintain capacity to rapidly convene teams in response to real-time information </li></ul><ul><li>Reality </li></ul><ul><li>Plans cannot prevent disruption that may occur. Continued communication most important strategy. </li></ul>
  23. 27. Thank you!