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H1N1 Preparedness Update by John R. Finnegan, Jr.
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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 seminar at the University of Minnesota.

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

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Transcript

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

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