The flow chart outlines the steps a school would take in response to a flu pandemic, beginning with monitoring cases and heightening surveillance if cases are detected. If cases increase above a threshold, the health officer would be notified and could declare a local outbreak. Letters would be sent to parents with further instructions depending on the severity and spread of the pandemic, up to possible student dismissal. The chart accounts for multiple waves of a pandemic over time.

1. School Response to Pandemic Flu Flow Chart
(Depending on Severity - not all steps will apply *)
Flu Standard
No Surveillance
Cases?
Reporting
Health Services
Notification to begin Yes
Heighten Surveillance
Begin Heightened Surveillance
Reporting
Local Outbreak * Health Officer
ADA Support
Letter/Epidemic
Declaration
*Health
Officer may Fewer than
decide Number of 10% Letter #3 to parents
student (prevent, prepare)
Students Ill? *
dismissal
depending on
severity of
Pandemic 10% or more
Letter #4 to parents
Begin Intensive (stay home) Press Release A
Surveillance Reporting
YES
Increase in ill
NO NO Resume
students? * Continue New Standard
Heightened cases? Surveillance
Surveillance Reporting
YES
Health Officer * Contact CCHS
issues declaration
of student
dismissal
Dismiss Students
Parent Letter #5
Yes
Press Release B
Pandemic may have three waves
October 2007