Presentation is loading. Please wait.

Presentation is loading. Please wait.

1 Pandemic Influenza and Schools: Preparing to Respond.

Similar presentations


Presentation on theme: "1 Pandemic Influenza and Schools: Preparing to Respond."— Presentation transcript:

1 1 Pandemic Influenza and Schools: Preparing to Respond

2 2 Learning Objectives Understand the history and current status of avian influenza and the potential for pandemic influenza Describe the issues and efforts surrounding preparations for pandemic influenza Identify components to be included in your district's crisis management and/or pandemic influenza plan Describe steps districts can take to develop their pandemic influenza plan

3 3 Outline Background Background Planning for Pandemic Influenza Planning for Pandemic Influenza How Can Schools Prepare? How Can Schools Prepare? Developing Your Plan Developing Your Plan Questions and Discussion Questions and Discussion Evaluation Evaluation

4 4 Background

5 5 Influenza-Speak Seasonal flu Seasonal flu Avian flu Avian flu Pandemic flu Pandemic flu What do they mean? How are they different?

6 6 Seasonal Flu Illness in humans caused every year by influenza viruses Illness in humans caused every year by influenza viruses e.g. H1N1, H1N2, H3N2 influenza A viruses, influenza B viruses e.g. H1N1, H1N2, H3N2 influenza A viruses, influenza B viruses 5%-20% of the U.S. population gets the flu every year 5%-20% of the U.S. population gets the flu every year Estimated 36,000 annual deaths in U.S. Estimated 36,000 annual deaths in U.S. Adapted from CDC Influenza (Flu) Key Facts

7 7 Seasonal Flu Spread by respiratory droplets (coughing and sneezing) Spread by respiratory droplets (coughing and sneezing) Usually person-to-person: can infect others from 1 day before getting sick to 5 days after becoming sick Usually person-to-person: can infect others from 1 day before getting sick to 5 days after becoming sick Sometimes from touching infected surfaces Sometimes from touching infected surfaces Vaccine offers effective protection Vaccine offers effective protection Vaccines are developed to match the viral strains expected to circulate each year Vaccines are developed to match the viral strains expected to circulate each year Adapted from CDC Influenza (Flu) Key Facts

8 8 Avian (Bird) Flu Illness in birds caused by avian influenza viruses Illness in birds caused by avian influenza viruses Low pathogenic types Low pathogenic types Highly pathogenic types (e.g. H5N1) Highly pathogenic types (e.g. H5N1) Illness in humans caused by avian influenza viruses Illness in humans caused by avian influenza viruses Spread by direct or close contact with infected poultry or contaminated surfaces Spread by direct or close contact with infected poultry or contaminated surfaces No vaccine currently commercially available No vaccine currently commercially available Adapted from CDC Influenza (Flu) Key Facts

9 9 Pandemic Flu Increased and sustained transmission of influenza in the general population Increased and sustained transmission of influenza in the general population Generally caused by a new influenza virus to which few, if any, people have immunity Generally caused by a new influenza virus to which few, if any, people have immunity New viruses result from new combinations on viral proteins: i.e. a major change in influenza A virus (antigenic shift) New viruses result from new combinations on viral proteins: i.e. a major change in influenza A virus (antigenic shift) Results in viruses that can spread easily from person to person and can cause serious illness due to low levels of immunity in a population Results in viruses that can spread easily from person to person and can cause serious illness due to low levels of immunity in a population

10 10 Pandemics in the Past 100 Years : H1N1 influenza A virus : H1N1 influenza A virus 500,000 U.S. deaths 500,000 U.S. deaths million worldwide deaths million worldwide deaths H1N1 still in circulation today H1N1 still in circulation today : H2N2 influenza A virus : H2N2 influenza A virus 70,000 U.S. deaths 70,000 U.S. deaths : H3N : H3N2 32,000 U.S. deaths 32,000 U.S. deaths H3N2 still in circulation today H3N2 still in circulation today Adapted from CDC Influenza (Flu) Key Facts

11 11 WHO Pandemic Phases Inter-Pandemic Period Phase 1: No new influenza virus subtypes have been detected in humans. An influenza virus subtype that has caused human infection may be present in animals. If present in humans, the risk of human infection or disease is considered low Phase 1: No new influenza virus subtypes have been detected in humans. An influenza virus subtype that has caused human infection may be present in animals. If present in humans, the risk of human infection or disease is considered low Phase 2: No new influenza virus subtypes have been detected in humans. However, a circulating animal influenza virus subtype poses a substantial risk of human disease Phase 2: No new influenza virus subtypes have been detected in humans. However, a circulating animal influenza virus subtype poses a substantial risk of human disease

12 12 WHO Pandemic Phases Pandemic Alert Period Phase 3: Human infection(s) with a new subtype, but no human-to-human spread, or at most rare instances of spread to a close contact Phase 3: Human infection(s) with a new subtype, but no human-to-human spread, or at most rare instances of spread to a close contact Phase 4: Small cluster(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans Phase 4: Small cluster(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans

13 13 WHO Pandemic Phases Pandemic Alert Period Phase 5: Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk) Phase 5: Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk) Pandemic Period Phase 6: Pandemic occurring – increased and sustained transmission in the general population Phase 6: Pandemic occurring – increased and sustained transmission in the general population

14 14 Current Status Through February 2007, there have been 273 laboratory-confirmed cases of avian influenza A/H5N1 among humans reported to WHO Through February 2007, there have been 273 laboratory-confirmed cases of avian influenza A/H5N1 among humans reported to WHO 167 deaths 167 deaths 11 countries – far and middle east, Indonesia, northern Africa 11 countries – far and middle east, Indonesia, northern Africa Avian influenza A/H5N1 has been confirmed in poultry and/or wild birds in these areas as well as India, Russia and Europe Avian influenza A/H5N1 has been confirmed in poultry and/or wild birds in these areas as well as India, Russia and Europe

15 15 Planning for Pandemic Influenza

16 16 Planning Goals Prevent/minimize morbidity and mortality Prevent/minimize morbidity and mortality Limit disease spread Limit disease spread Mitigate disease, suffering and death Mitigate disease, suffering and death Minimize social disruption Minimize social disruption Minimize economic effects Minimize economic effects

17 17 Reducing Morbidity and Mortality Primary strategies for combating pandemic flu Primary strategies for combating pandemic flu Vaccination Vaccination Antiviral medications Antiviral medications Community control measures Community control measures

18 18 Primary Strategies - Vaccination Vaccination would be the single most effective intervention, BUT: Vaccination would be the single most effective intervention, BUT: Unlikely that a well-matched vaccine will be available when a pandemic begins Unlikely that a well-matched vaccine will be available when a pandemic begins Current technology would require 4-6 months for vaccine development after the pandemic begins Current technology would require 4-6 months for vaccine development after the pandemic begins Once developed, production capacity would limit availability Once developed, production capacity would limit availability

19 19 Primary Strategies - Antivirals Antivirals could be used for both treatment and prophylaxis, BUT: Antivirals could be used for both treatment and prophylaxis, BUT: Effectiveness of current antivirals against a future pandemic strain is unknown Effectiveness of current antivirals against a future pandemic strain is unknown Quantities are limited Quantities are limited

20 20 Primary Strategies – Community Control Measures Two approaches: Two approaches: Decrease the probability that contact will result in infection Decrease the probability that contact will result in infection Cough etiquette, hand hygiene, infection control Cough etiquette, hand hygiene, infection control Decrease contact between infected and uninfected individuals Decrease contact between infected and uninfected individuals Isolation, quarantine, travel advisories, cancellation of mass gatherings, social distancing, school closures Isolation, quarantine, travel advisories, cancellation of mass gatherings, social distancing, school closures

21 21 Primary Strategies – Community Control Measures These nonpharmaceutical interventions will These nonpharmaceutical interventions will Help buy time for production and distribution of vaccine Help buy time for production and distribution of vaccine Reduce the total number of cases, thus reducing community morbidity and mortality Reduce the total number of cases, thus reducing community morbidity and mortality

22 22 Primary Strategies – Community Control Measures Pandemic outbreak: no intervention Daily cases Pandemic outbreak: With intervention Days since first case CDC, 2007

23 23 Primary Strategies – Community Control Measures Collins SD, Frost WH, Gover M, Sydenstricker E: Mortality from influenza and pneumonia in the 50 largest cities of the United States First Edition Washington: U.S. Government Printing Office 1930.

24 24 Primary Strategies: Community Control Measures Mayor closes theaters, moving picture shows, schools, pool and billiard halls, Sunday schools, cabarets, lodges, societies, public funerals, open air meetings, dance halls and conventions until further notice Closing order withdrawn Levins, H. What he knew in 1918 could save millions of lives. St. Louis Post-Dispatch Jul

25 25 Primary Strategies – Community Control Measures Mathematical modeling has shown that closing schools at the outset of a pandemic could decrease attack rates in a community by about 33% Mathematical modeling has shown that closing schools at the outset of a pandemic could decrease attack rates in a community by about 33% Compared to the attack rate when not implementing any control measures Compared to the attack rate when not implementing any control measures School closures would likely occur in concert with other control measures School closures would likely occur in concert with other control measures National Academy of Sciences, 2006

26 26 Primary Strategies – Community Control Measures Recommendations for closing schools will depend upon the severity of the pandemic. For example: Category 1 – no closure Category 2 & 3 – short-term closure (~4 weeks) Category 4 & 5 – longer-term closure (~12 weeks) CDC, 2007

27 27 Who will implement these strategies?

28 28 Public Health Officials Federal, state and local public health agencies maintain the lead role in preparing for and responding to pandemic influenza Federal, state and local public health agencies maintain the lead role in preparing for and responding to pandemic influenza Examples Examples Federal – Centers for Disease Control and Prevention (CDC) Federal – Centers for Disease Control and Prevention (CDC) State – Texas Department of State Health Services (TDSHS) State – Texas Department of State Health Services (TDSHS) Local – Harris County Public Health & Environmental Services (HCPHES) Local – Harris County Public Health & Environmental Services (HCPHES)

29 29 Public Healths Authority Chapter 81 of the Texas Health and Safety Code establishes the role of the health authority, a physician appointed to administer laws related to public health within their jurisdiction Chapter 81 of the Texas Health and Safety Code establishes the role of the health authority, a physician appointed to administer laws related to public health within their jurisdiction Including laws related to community control measures Including laws related to community control measures Such measures include isolation, quarantine, immunization, detention, restriction, disinfection, decontamination, disinfestation, chemoprophylaxis, preventive therapy, prevention and education Such measures include isolation, quarantine, immunization, detention, restriction, disinfection, decontamination, disinfestation, chemoprophylaxis, preventive therapy, prevention and education

30 30 Public Healths Authority The authority to compel disease control measures is derived from the states inherent police powers The authority to compel disease control measures is derived from the states inherent police powers Police powers refer to the authority of a state government to enact laws and promote regulations to safeguard the health, safety and welfare of its citizens Police powers refer to the authority of a state government to enact laws and promote regulations to safeguard the health, safety and welfare of its citizens

31 31 Public Healths Authority There are 172 local health authorities in Texas, many affiliated with local health departments There are 172 local health authorities in Texas, many affiliated with local health departments Areas without local health authorities are covered by TDSHS regional health authorities Areas without local health authorities are covered by TDSHS regional health authorities Contact TDSHS Region 6/5S for your local health authority Contact TDSHS Region 6/5S for your local health authority (713) (713)

32 32 Public Health and Pandemic Planning

33 33 Roles and Responsibilities Federal Agencies (CDC, etc.) Federal Agencies (CDC, etc.) Supporting the establishment of stockpiles of vaccines and antivirals Supporting the establishment of stockpiles of vaccines and antivirals Facilitating (and funding) state and local planning Facilitating (and funding) state and local planning Providing guidance to the private sector Providing guidance to the private sector Overall domestic incident management Overall domestic incident management TDSHS TDSHS Developing and exercising preparedness and response plans Developing and exercising preparedness and response plans Managing federal pandemic preparedness grant funding to local agencies Managing federal pandemic preparedness grant funding to local agencies Maintaining state-purchased stockpiles of medications Maintaining state-purchased stockpiles of medications

34 34 Roles and Responsibilities Local Health Departments Local Health Departments Developing and exercising preparedness and response plans Developing and exercising preparedness and response plans Integrating non-health entities in pandemic planning Integrating non-health entities in pandemic planning Providing education to the public and other key stakeholders on pandemic influenza Providing education to the public and other key stakeholders on pandemic influenza Monitoring local disease status Monitoring local disease status Providing local incident management Providing local incident management In Texas, decision-making regarding pandemic influenza will be made at the local level In Texas, decision-making regarding pandemic influenza will be made at the local level

35 35 Assumptions 30% of population may become ill 30% of population may become ill 15% of population will seek outpatient care 15% of population will seek outpatient care 0.3 to 3% of population will be hospitalized 0.3 to 3% of population will be hospitalized 0.07 to 0.64% of population may die 0.07 to 0.64% of population may die

36 36 Assumptions The duration of illness for an uncomplicated case of influenza is five days The duration of illness for an uncomplicated case of influenza is five days Medical care services may be severely taxed or overwhelmed Medical care services may be severely taxed or overwhelmed Illness rates may be up to 40% among school-aged children and 20% among working adults Illness rates may be up to 40% among school-aged children and 20% among working adults 30% or more of the workforce may be out of work due to illness at the peak of a major pandemic influenza wave. 30% or more of the workforce may be out of work due to illness at the peak of a major pandemic influenza wave. This includes work loss while caring for oneself or for ill family members This includes work loss while caring for oneself or for ill family members

37 37 Surveillance In addition to conducting year-round monitoring of influenza in the health-care sector, DSHS collaborates with schools to track reports of influenza-like illness among students In addition to conducting year-round monitoring of influenza in the health-care sector, DSHS collaborates with schools to track reports of influenza-like illness among students Participating schools submit weekly reports of influenza-like illness activity to via fax Participating schools submit weekly reports of influenza-like illness activity to via fax

38 38 Prevention/Containment Discusses local plans for the three strategies of pandemic prevention and containment: Discusses local plans for the three strategies of pandemic prevention and containment: Vaccines Vaccines Antivirals Antivirals Community Control Measures Community Control Measures

39 39 Vaccines and Antivirals DSHS will coordinate decision-making regarding vaccine and antiviral allocation DSHS will coordinate decision-making regarding vaccine and antiviral allocation Once vaccines are available, DSHS 6/5S will implement its Mass Vaccination Plan to provide flu vaccine to the public Once vaccines are available, DSHS 6/5S will implement its Mass Vaccination Plan to provide flu vaccine to the public Once antivirals are widely available, DSHS 6/5S will implement its Mass Dispensing Plan to provide public sector distribution of antivirals Once antivirals are widely available, DSHS 6/5S will implement its Mass Dispensing Plan to provide public sector distribution of antivirals

40 40 Community Control Measures DSHS in coordination with local health authorities will develop and enact control measures within jurisdictions. Examples: DSHS in coordination with local health authorities will develop and enact control measures within jurisdictions. Examples: Isolation and quarantine Isolation and quarantine Social distancing Social distancing Cancelling mass gatherings Cancelling mass gatherings Closing schools Closing schools The types of measures implemented will depend upon the location of cases, size of clusters, availability of vaccine, pandemic severity, etc. The types of measures implemented will depend upon the location of cases, size of clusters, availability of vaccine, pandemic severity, etc. Measures will be undertaken in coordination with other local, state and federal officials Measures will be undertaken in coordination with other local, state and federal officials

41 41 Whats Your Plan? Contact DSHS Region 6/5S to obtain your areas pandemic influenza plan Contact DSHS Region 6/5S to obtain your areas pandemic influenza plan (713) (713)

42 42 How Can Schools Prepare?

43 43 School Planning Schools face several unique challenges: Schools face several unique challenges: Planning assumptions estimate that in the absence of intervention, illness rates would be highest among school- aged children (~40%) Planning assumptions estimate that in the absence of intervention, illness rates would be highest among school- aged children (~40%) Children may be more likely to spread influenza than adults Children may be more likely to spread influenza than adults Unlike many sectors, schools must focus upon protecting their workforce AND their students Unlike many sectors, schools must focus upon protecting their workforce AND their students Schools must address continuity of instruction Schools must address continuity of instruction

44 44 School Planning Every Independent School District (or the equivalent) should ensure plans to protect the health and safety of their staff and students during a pandemic Every Independent School District (or the equivalent) should ensure plans to protect the health and safety of their staff and students during a pandemic Plans should build upon existing Emergency Operations Plans (EOPs) Plans should build upon existing Emergency Operations Plans (EOPs)

45 45 School Planning The U.S. Department of Educations Practical Information on Crisis Planning: A Guide for Schools and Communities is a useful tool for developing and enhancing EOPs The U.S. Department of Educations Practical Information on Crisis Planning: A Guide for Schools and Communities is a useful tool for developing and enhancing EOPs

46 46 School Planning Four domains must be considered when developing plans to prepare for and respond to pandemic influenza: Four domains must be considered when developing plans to prepare for and respond to pandemic influenza: 1. Planning and Coordination 2. Infection Control Policies and Procedures 3. Continuity of Core Operations and Student Instruction 4. Communications

47 47 1. Planning and Coordination Planning and coordination refers to: Planning and coordination refers to: Determining who is responsible for making decisions related to the response to a pandemic Determining who is responsible for making decisions related to the response to a pandemic Carrying out activities before, during and after a pandemic Carrying out activities before, during and after a pandemic Developing and maintaining the response plan Developing and maintaining the response plan

48 48 1. Planning and Coordination Key activities: Key activities: Identify the authorities responsible for executing community response plans and activities, including case identification, isolation, quarantine and community control measures Identify the authorities responsible for executing community response plans and activities, including case identification, isolation, quarantine and community control measures On Page 1 of its Pandemic Influenza Plan, Tomball ISD describes the role of HCPHES, references the HCPHES pandemic influenza plan and lists HCPHES contact information On Page 1 of its Pandemic Influenza Plan, Tomball ISD describes the role of HCPHES, references the HCPHES pandemic influenza plan and lists HCPHES contact information

49 49 1. Planning and Coordination Key activities: Key activities: Identify the authority responsible for activating the districts pandemic influenza plan Identify the authority responsible for activating the districts pandemic influenza plan Provide the contact information for this person(s) to the public health authority so that information regarding community control measures can be communicated efficiently Provide the contact information for this person(s) to the public health authority so that information regarding community control measures can be communicated efficiently

50 50 1. Planning and Coordination Key activities: Key activities: Address pandemic influenza preparedness as part of your districts crisis management plan Address pandemic influenza preparedness as part of your districts crisis management plan Involve all relevant stakeholders Involve all relevant stakeholders Delineate accountability and responsibility Delineate accountability and responsibility Coordinate with other relevant response plans Coordinate with other relevant response plans Establish an organizational structure to manage the execution of the plan, such as an Incident Command Structure – see page 6-19 of the DOE guide Establish an organizational structure to manage the execution of the plan, such as an Incident Command Structure – see page 6-19 of the DOE guide

51 51 1. Planning and Coordination Key activities: Key activities: Test your pandemic plan Test your pandemic plan Implement an internal exercise/drill Implement an internal exercise/drill Participate in exercises of the communitys plan Participate in exercises of the communitys plan Periodically revise your plan Periodically revise your plan

52 52 2. Infection Control Infection control refers to: Infection control refers to: Decreasing the probability that contact will result in infection Decreasing the probability that contact will result in infection Decreasing contact between infected and uninfected individuals Decreasing contact between infected and uninfected individuals

53 53 2. Infection Control Key activities: Key activities: Implement policies and procedures that can limit the spread of influenza at school Implement policies and procedures that can limit the spread of influenza at school Promote of hand hygiene and cough etiquette Promote of hand hygiene and cough etiquette Ensure appropriate supplies are available – soap, tissues, hand sanitizer, waste baskets Ensure appropriate supplies are available – soap, tissues, hand sanitizer, waste baskets Limit face-to-face contact, when possible Limit face-to-face contact, when possible Making good hygiene a habit now can help protect children from many infectious diseases, including flu Making good hygiene a habit now can help protect children from many infectious diseases, including flu

54 54 2. Infection Control Sample policy language from the HCPHES Occupational Health and Safety Manual: Sample policy language from the HCPHES Occupational Health and Safety Manual: Following Centers for Disease Control and Prevention (CDC) hand hygiene guidelines, all HCPHES staff will maintain hand hygiene including, but not limited to, hand washing. HCPHES will ensure that hand hygiene facilities and supplies are readily accessible Following Centers for Disease Control and Prevention (CDC) hand hygiene guidelines, all HCPHES staff will maintain hand hygiene including, but not limited to, hand washing. HCPHES will ensure that hand hygiene facilities and supplies are readily accessible

55 55 2. Infection Control Houstons Grace School has permanently posted handwashing and cough etiquette signs in each restroom and classroom Houstons Grace School has permanently posted handwashing and cough etiquette signs in each restroom and classroom The school nurse provides classroom instruction on proper handwashing techniques The school nurse provides classroom instruction on proper handwashing techniques

56 56 2. Infection Control Hand hygiene and cough etiquette resources Hand hygiene and cough etiquette resources CDC/DHHS hand hygiene materials targeted to schools - CDC/DHHS hand hygiene materials targeted to schools - CDC hand hygiene guidelines - CDC hand hygiene guidelines - CDC Germstopper campaign – CDC Germstopper campaign – CDC Cover Your Cough campaign - CDC Cover Your Cough campaign -

57 57 2. Infection Control At this time, the benefit of wearing disposable surgical masks by asymptomatic persons in a community setting (such as a school) has not been demonstrated to decrease infections during a community outbreak At this time, the benefit of wearing disposable surgical masks by asymptomatic persons in a community setting (such as a school) has not been demonstrated to decrease infections during a community outbreak However, you may anticipate that persons at risk may choose to obtain and wear such masks However, you may anticipate that persons at risk may choose to obtain and wear such masks

58 58 2. Infection Control Key activities: Key activities: Establish special policies and procedures regarding absenteeism that may be unique to a pandemic situation Establish special policies and procedures regarding absenteeism that may be unique to a pandemic situation Non-punitive absenteeism policies for students Non-punitive absenteeism policies for students Relaxed and/or enhanced sick leave and absenteeism policies for employees Relaxed and/or enhanced sick leave and absenteeism policies for employees

59 59 2. Infection Control Sample policy language: Sample policy language: During times of a declared public health emergency and/or large-scale disease outbreak, the district may suspend district policies that penalize students for excessive student absenteeism During times of a declared public health emergency and/or large-scale disease outbreak, the district may suspend district policies that penalize students for excessive student absenteeism During times of a declared public health emergency and/or large-scale disease outbreak, the district may suspend district programs regarding perfect attendance achievement During times of a declared public health emergency and/or large-scale disease outbreak, the district may suspend district programs regarding perfect attendance achievement

60 60 2. Infection Control Sample policy language: Sample policy language: During times of a declared public health emergency and/or large-scale disease outbreak and school remains in session, the district may suspend district policies or temporarily adopt alternate policies regarding staff sick leave and absenteeism During times of a declared public health emergency and/or large-scale disease outbreak and school remains in session, the district may suspend district policies or temporarily adopt alternate policies regarding staff sick leave and absenteeism Example - Harris County has a policy that allows 24 hours of sick leave per year to be used to care for ill family members. This type of policy could be waived or expanded during a pandemic Example - Harris County has a policy that allows 24 hours of sick leave per year to be used to care for ill family members. This type of policy could be waived or expanded during a pandemic

61 61 2. Infection Control Key activities: Key activities: Establish special policies and procedures for staff and students suspected to be ill or who become ill at school, including policies for returning to school Establish special policies and procedures for staff and students suspected to be ill or who become ill at school, including policies for returning to school Grace School amended its policies to require that an employee or student must be fever-free for 24 hours without the use of fever- reducing medicine prior to returning to school Grace School amended its policies to require that an employee or student must be fever-free for 24 hours without the use of fever- reducing medicine prior to returning to school Establish policies for transporting ill students and staff Establish policies for transporting ill students and staff

62 62 2. Infection Control Sample policy language: Sample policy language: Staff and students with a known or suspected communicable disease should not remain at school and should return only after symptoms resolve and they are physically ready. Certification of fitness for duty by a medical professional may be required Staff and students with a known or suspected communicable disease should not remain at school and should return only after symptoms resolve and they are physically ready. Certification of fitness for duty by a medical professional may be required Consider allowing for modification during a pandemic to encourage home quarantine if a family member is ill Consider allowing for modification during a pandemic to encourage home quarantine if a family member is ill

63 63 2. Infection Control Key activities: Key activities: Ensure that school-based health facilities follow national infection control guidelines Ensure that school-based health facilities follow national infection control guidelines See for specific guidance regarding infection control procedures for healthcare facilities during a pandemic See for specific guidance regarding infection control procedures for healthcare facilities during a pandemicwww.hhs.gov/pandemicflu/plan/pdf/S03.pdf

64 64 3. Continuity of Operations and Instruction Continuity of operations refers to ensuring that the capability exists to continue essential agency functions when faced with high absenteeism or temporary school closure Continuity of operations refers to ensuring that the capability exists to continue essential agency functions when faced with high absenteeism or temporary school closure Continuity of instruction refers to minimizing the potential disruption to student learning Continuity of instruction refers to minimizing the potential disruption to student learning

65 65 3. Continuity of Operations and Instruction Key activities: Key activities: Develop a continuity of operations plan (COOP) for essential central office functions Develop a continuity of operations plan (COOP) for essential central office functions Payroll Payroll Communication with staff, students and parents Communication with staff, students and parents The basic elements of a COOP can be found at The basic elements of a COOP can be found at

66 66 3. Continuity of Operations and Instruction Key activities: Key activities: Develop scenarios describing the potential impact of a pandemic on student learning, school closings and extracurricular activities Develop scenarios describing the potential impact of a pandemic on student learning, school closings and extracurricular activities Based on various levels of illness and absenteeism, and different mandates from public health authorities Based on various levels of illness and absenteeism, and different mandates from public health authorities Brainstorm possible alternatives and solutions for each scenario Brainstorm possible alternatives and solutions for each scenario

67 67 3. Continuity of Operations and Instruction Possible scenarios: Possible scenarios: Your public health authority recommends heightening adherence to hand hygiene and cough etiquette and limiting face-to-face contact Your public health authority recommends heightening adherence to hand hygiene and cough etiquette and limiting face-to-face contact Your public health authority recommends cancellation of large group gatherings Your public health authority recommends cancellation of large group gatherings Your district is experiencing a 15% absenteeism rate among staff and 20% among students Your district is experiencing a 15% absenteeism rate among staff and 20% among students Your public health authority recommends school closures for twelve weeks Your public health authority recommends school closures for twelve weeks

68 68 3. Continuity of Operations and Instruction Tomball ISDs plan contains a flow chart describing action steps for each of the following scenarios: Tomball ISDs plan contains a flow chart describing action steps for each of the following scenarios: Less than 10% of students absent Less than 10% of students absent Letter to parents, heightened surveillance, heightened infection control, etc. Letter to parents, heightened surveillance, heightened infection control, etc. 10%-29% of students absent 10%-29% of students absent 30% or more of students absent 30% or more of students absent

69 69 3. Continuity of Operations and Instruction Key activities: Key activities: Brainstorm alternate methods to provide instruction to students in the event of high absenteeism or temporary school closure Brainstorm alternate methods to provide instruction to students in the event of high absenteeism or temporary school closure Tomball ISD plans to use its website and homework hotlines to disseminate lesson plans, with tutorials conducted through its website, s and instant messaging Tomball ISD plans to use its website and homework hotlines to disseminate lesson plans, with tutorials conducted through its website, s and instant messaging Grace School will extend the school year Grace School will extend the school year

70 70 4. Communications Communications planning refers to ensuring accurate and timely information regarding the impact of the pandemic on your operations Communications planning refers to ensuring accurate and timely information regarding the impact of the pandemic on your operations Also refers to assisting public health authorities with disseminating messages to the public Also refers to assisting public health authorities with disseminating messages to the public Schools are a trusted source of information within their communities Schools are a trusted source of information within their communities

71 71 4. Communications Key activities: Key activities: Develop a plan to disseminate information to staff, students and families Develop a plan to disseminate information to staff, students and families Designate a lead spokesperson Designate a lead spokesperson Incorporate links to other communication networks Incorporate links to other communication networks Ensure language, culture and reading level appropriateness Ensure language, culture and reading level appropriateness

72 72 4. Communications Key activities: Key activities: Develop and test any methods for communicating to staff, students and families during a pandemic Develop and test any methods for communicating to staff, students and families during a pandemic Tomball ISD has developed templates for press releases, letters to parents and talking points for school officials in English and Spanish Tomball ISD has developed templates for press releases, letters to parents and talking points for school officials in English and Spanish Grace School has developed templates for blast alerts and canned answering machine messages Grace School has developed templates for blast alerts and canned answering machine messages

73 73 4. Communications Key activities: Key activities: Maintain updated communication contacts of key public health and education stakeholders Maintain updated communication contacts of key public health and education stakeholders Provide updated status information to these contacts during a pandemic as necessary, including absenteeism rates due to influenza Provide updated status information to these contacts during a pandemic as necessary, including absenteeism rates due to influenza

74 74 4. Communications Key activities: Key activities: Inform staff, students and families where they can find up-to-date and reliable pandemic information Inform staff, students and families where they can find up-to-date and reliable pandemic information State website - State website - Federal website - Federal website -

75 75 4. Communications Key activities: Key activities: Disseminate information from public health sources about important pandemic topics: Disseminate information from public health sources about important pandemic topics: Infection control (hand hygiene, cough etiquette) Infection control (hand hygiene, cough etiquette) Disease basics (signs and symptoms, modes of transmission) Disease basics (signs and symptoms, modes of transmission) Personal and family protection strategies (family preparedness, at- home care of ill family members) Personal and family protection strategies (family preparedness, at- home care of ill family members) Tomball ISD has developed templates of letters to parents about family preparedness, caring for ill persons at home and stress/crisis management Tomball ISD has developed templates of letters to parents about family preparedness, caring for ill persons at home and stress/crisis management

76 76 4. Communications Remember to anticipate the potential fear, stress and anxiety of staff, students and families Remember to anticipate the potential fear, stress and anxiety of staff, students and families If possible, minimize rumors and the circulation of misinformation If possible, minimize rumors and the circulation of misinformation Share your plan with all stakeholders BEFORE a pandemic situation Share your plan with all stakeholders BEFORE a pandemic situation

77 77 Developing Your Plan: Next Steps

78 78 Developing Your Plan: Next Steps Identify and engage stakeholders (internal/ external) to be included in planning Identify and engage stakeholders (internal/ external) to be included in planning Determine areas of overlap with EOP Determine areas of overlap with EOP Develop action plan and timelines for new items Develop action plan and timelines for new items Share draft plan with your public health department for feedback (if desired) Share draft plan with your public health department for feedback (if desired) Present completed plan to School Board for approval Present completed plan to School Board for approval Communicate plan to others Communicate plan to others

79 79 Identify and Engage Stakeholders Director of Risk Management Director of Risk Management Superintendent Superintendent Director of Health Services Director of Health Services Director of Human Resources Director of Human Resources Director of Curriculum & Instruction Director of Curriculum & Instruction Principals (elementary, middle, high school) Principals (elementary, middle, high school) Teachers Teachers Counselors/Mental Health professionals Counselors/Mental Health professionals Director of Administrative Services Director of Transportation Public Health Director of Child Nutrition Director of Maintenance Office of Public Information Local Emergency Response Local Law Enforcement Director of Technology Parent representatives Who will assist with preparing, responding and recovering from an event?

80 80 Develop Action Plan & Timeline Key activities: Key activities: Delineate roles and responsibilities for key stakeholders engaged in planning and executing specific components of the plan. Delineate roles and responsibilities for key stakeholders engaged in planning and executing specific components of the plan. Develop Action Plan using the Pandemic Influenza Planning Tool Develop Action Plan using the Pandemic Influenza Planning Tool Ensure timelines are determined Ensure timelines are determined Completion by the beginning of the school year is recommended Completion by the beginning of the school year is recommended

81 81 Mitigation and Prevention TaskResponsible Person(s) Existing Resources Next StepsTimeline Identify or create district committee to provide guidance to school sites regarding pandemic flu preparations Example: Jim (Director of Risk Management) EOP Strategic Planning Work Group developed EOP last year. Identify and contact district stakeholders and schedule a time to meet. March 14, 2007 Review district emergency response and communicable disease policies and procedure Director of Risk Management & other key stakeholders EOP developed last year with an existing communicable disease plan. Stakeholders to review additional needs re: Pan Flu planning for their department. April 2, 2007 Determine if any additional policies/procedures need to be in place All key stakeholder stakeholders EOP Suggested Pan Flu policies and procedures Stakeholders will outline further areas for development. April 2, 2007 Develop communications plan for possible school closures Work with Human Resources regarding schools functioning with 30% of work force absent. Look at alternatives such as staggered school times, changes in bussing, and telecommunications Assess financial impact of alternate scheduling or school closures Pandemic Influenza Planning Tool

82 82 Resources School District Pandemic Influenza Planning Checklist - School District Pandemic Influenza Planning Checklist - Pandemic Influenza Community Mitigation Interim Planning Guide for Elementary and Secondary Schools (see p. 87) - Pandemic Influenza Community Mitigation Interim Planning Guide for Elementary and Secondary Schools (see p. 87) - Pandemic Flu: A Planning Guide for Educators - guide/index.html Pandemic Flu: A Planning Guide for Educators - guide/index.html guide/index.html guide/index.html Practical Information for Crisis Planning: A Guide for Schools and Communities - Practical Information for Crisis Planning: A Guide for Schools and Communities -

83 83 Resources Contra Costa Health Services Pandemic Flu School Action Kit – Contra Costa Health Services Pandemic Flu School Action Kit – Texas A&M Center for Rural Public Health Preparedness Pandemic Flu Toolkit Training – CD provided at registration table Texas A&M Center for Rural Public Health Preparedness Pandemic Flu Toolkit Training – CD provided at registration table HCPHES School Pandemic Flu Preparedness PowerPoint Template – HCPHES School Pandemic Flu Preparedness PowerPoint Template –

84 84 Recognition Special thanks to Harris County Department of Public Health and Environmental Services for the use of this presentation.

85 85 Questions? Brian Winegar, MPH Public Health Preparedness Program


Download ppt "1 Pandemic Influenza and Schools: Preparing to Respond."

Similar presentations


Ads by Google