St. Cloud State University Pandemic Plan Update August 28, 2006 A MEMBER OF THE MINNESOTA STATE COLLEGES AND UNIVERSITIES SYSTEM

St. Cloud State University Minnesota State Colleges and Universities, Office of the Chancellor - Pandemic Planning Timeline: February 27, 2006 – Charged February 27, 2006 – Charged March 16, 2006 – First Committee Meeting March 16, 2006 – First Committee Meeting June 16, 2006 – Draft I Due June 16, 2006 – Draft I Due July 13, 2006 – Draft I Plan Presented at Regional Meeting July 13, 2006 – Draft I Plan Presented at Regional Meeting September 15, 2006 – Draft II Due September 15, 2006 – Draft II Due

St. Cloud State University Coordinating Committee Coordinating Committee Co-Chairs Coordinating Committee Co-Chairs Michael Spitzer Michael Spitzer Steve Ludwig Steve Ludwig Subcommittee Co-Chairs Subcommittee Co-Chairs Academic Administration: Mitchell Rubinstein, Michael Spitzer Academic Administration: Mitchell Rubinstein, Michael Spitzer Communications: Loren Boone, Jill Rudnitski Communications: Loren Boone, Jill Rudnitski Facilities: Miles Heckendorn III, James Williams Facilities: Miles Heckendorn III, James Williams Health Care: Corita Beckermann, Wanda Overland Health Care: Corita Beckermann, Wanda Overland Operations: Larry Chambers, Larry Christenson Operations: Larry Chambers, Larry Christenson

What is Influenza (“Flu”)?  Respiratory infection  Spread through coughing and sneezing  Symptoms include rapid onset of fever, chills, body aches, sore throat, non- productive cough, runny nose, headache  Most people have some immunity  Flu vaccine available  Cover cough, wash hands

Annual Impact of Influenza in the U.S. 114,000 excess hospitalizations/yr 43% 65+ yrs 20,000 deaths/yr >90% 65+ yrs

What is Avian Influenza (“Bird Flu”)?  An influenza virus (H5N1) found in form of avian flu strain  Believed to be spread by co-mingling wild and domestic birds  Symptoms range from typical influenza-like symptoms to pneumonia and other life- threatening complications  No immunity  No vaccine

Avian Flu Transmission  Predominantly via contact with feces from infected birds  Handling infected poultry  Disposing of dead infected poultry  No sustained human to human transmission to date

Avian Influenza - H5N1 Why do we care?  238 documented cases, 139 deaths as of August 14, 2006 (58%)  Mutating little by little  Has potential to mutate into a human strain

What is Pandemic Influenza?  A new influenza virus emerges not previously known to infect humans  Easily transmissible from person to person  Highly infectious – spreads worldwide quickly  Virus causes serious illness  Population has little to no immunity  The virus will infect all age groups  No adequate supply of vaccine available  Supply of anti-viral limited

Recent Pandemics 1918/1919 Spanish Influenza 1918/1919 Spanish Influenza 40/50 million deaths worldwide 40/50 million deaths worldwide 1957 Asian Flu 1957 Asian Flu 2 million deaths worldwide 2 million deaths worldwide 1968 Hong Kong Flu 1968 Hong Kong Flu 1 million deaths worldwide 1 million deaths worldwide

Projected Impact of Pandemic Influenza in Minnesota  1,544,000 ill  772,000 outpatient medical care  15, ,000 hospitalized  2, ,700 ICU care  1, ,900 mechanical ventilation  3, ,900 influenza deaths  Outbreak period weeks

World Health Organization Influenza Pandemic Phases Interpandemic Period Novel subtypes in animals but not humans Phase 1 Circulating subtypes in animals posing threat to humans Phase 2 Pandemic Alert Period Novel subtypes in humans, but no human-to-human transmission Phase 3 Limited human-to-human transmission Phase 4 Localized clusters of human cases Phase 5 Pandemic Period Increased and sustained transmission in the general population on a large scale Phase 6

Could the H5N1 virus cause the next pandemic?  Possibly… So far the virus cannot pass easily from human to human.  But… Eventually, there will be another pandemic, we just can’t be sure it will be caused by this H5N1 virus

Academic Administration Pre-Plan Meet and Confer Meet and Confer Designate web location for every course to extent possible Designate web location for every course to extent possible Assess capacity of LR&TS to provide training Assess capacity of LR&TS to provide training Provide training or refreshers for faculty use of D2L and other technologies Provide training or refreshers for faculty use of D2L and other technologies Encourage faculty to plan for a pandemic or other emergency (including person/family preparedness) Encourage faculty to plan for a pandemic or other emergency (including person/family preparedness) Develop college/department contingency plans Develop college/department contingency plans Review academic policies with Academic Review academic policies with Academic Policy Committee Policy Committee

Responses If University Remains Open Perform work from home as possible Perform work from home as possible Expand use of web sites and D2L Expand use of web sites and D2L Monitor daily attendance Monitor daily attendance Continuously update grades Continuously update grades Maintain grades in accessible place Maintain grades in accessible place Suspend student appeals and postpone deadlines Suspend student appeals and postpone deadlines Suspend/postpone faculty evaluations and reviews Suspend/postpone faculty evaluations and reviews Suspend other academic policies and extend deadlines Suspend other academic policies and extend deadlines

Other Issues and Actions Students studying abroad Students studying abroad International Students on campus International Students on campus Campus designated as treatment or quarantine site Campus designated as treatment or quarantine site

Contingencies for Closure A. After the Twelfth Week of a Semester Semester to have concludedSemester to have concluded Students will receive gradesStudents will receive grades B. After the Tenth Week but before the End of the Twelfth Week of a Semester Twelfth Week of a Semester Semester to have concludedSemester to have concluded Students will receive either an S or UStudents will receive either an S or U C. After the Eighth Week but before the End of Tenth Week of a Semester Week of a Semester Suspend the semesterSuspend the semester Reschedule semester for later dateReschedule semester for later date D. Before the End of the Eighth Week of a Semester Cancel the semesterCancel the semester No recognition of student academicNo recognition of student academicperformance

Other Issues and Actions Faculty discretion to permit completion of courses Faculty discretion to permit completion of courses Host organizations provide for students registered in off-campus internships, clinical experiences, etc. Host organizations provide for students registered in off-campus internships, clinical experiences, etc. Official withdrawal for students not returning Official withdrawal for students not returning Suspend: Suspend: Student appeals and extend deadlines Student appeals and extend deadlines Other academic policies and extend deadlines Other academic policies and extend deadlines Faculty evaluations and reviews Faculty evaluations and reviews Continue work of essential employees Continue work of essential employees

Post-Plan Issues that will require additional attention include: Conduct backlog of students’ grade appeals Conduct backlog of students’ grade appeals Undertake new grade appeals Undertake new grade appeals Compute and process grades Compute and process grades Reschedule uncompleted portion of a semester Reschedule uncompleted portion of a semester Reschedule subsequent semester(s) Reschedule subsequent semester(s) Reschedule faculty evaluation and reviews Reschedule faculty evaluation and reviews

Communications Pre-Plan “Cover Your Cough” posters are displayed in every restroom on campus accomplished in early May, 2006 “Cover Your Cough” posters are displayed in every restroom on campus accomplished in early May, 2006 Develop programs for Convocation Week 2006 Develop programs for Convocation Week 2006 Frequently Asked Questions posted on web site Frequently Asked Questions posted on web site Planning information in campus publications Planning information in campus publications Department phone tree Department phone tree List serve access List serve access Announcements on Promo-TV Announcements on Promo-TV

Communications Responses Ascertain facts Ascertain facts Proactive communication plan Proactive communication plan Web site information Web site information Update fact sheet and news release Update fact sheet and news release Manage news media on site Manage news media on site Ascertain facts Ascertain facts Use range of communication vehicles Use range of communication vehicles Web site information Web site information Initiate calling tree Initiate calling tree Update fact sheet and news release Update fact sheet and news release Distribution to news media Distribution to news media Special communications, i.e. inoculation Special communications, i.e. inoculation Manage news media Manage news media Notify student workforce Notify student workforce

Facilities Pre-Plan Obtain germicidal and disinfectant supplies Obtain germicidal and disinfectant supplies Maintain operations and contract services Maintain operations and contract services Confirm succession plans for key positions Confirm succession plans for key positions

Facilities Responses Continue operations of Buildings & Grounds and Public Safety Continue operations of Buildings & Grounds and Public Safety Designate on-campus reception and storage facilities for supplies Designate on-campus reception and storage facilities for supplies Clean up and mitigate contamination Clean up and mitigate contamination Adjust HVAC systems to isolate or dilute any contaminant Adjust HVAC systems to isolate or dilute any contaminant Consider reduction of staff to essential Consider reduction of staff to essential Support on-campus students Support on-campus students Consider closing individual facilities or segments of campus Consider closing individual facilities or segments of campus Provide protective equipment and supplies Provide protective equipment and supplies to personnel

Healthcare Pre-Plan Train identified groups Train identified groups Work with local clinics for crisis coverage Work with local clinics for crisis coverage Personal and family preparedness training Personal and family preparedness training Determine scope of practice for health and counseling services Determine scope of practice for health and counseling services Monitor and update campus about status of avian flu spread Monitor and update campus about status of avian flu spread

Healthcare Responses Follow public health protocols Follow public health protocols Maintain staffing Maintain staffing Provide referrals to “worried well” Provide referrals to “worried well” Extend hours of operation Extend hours of operation Department of Residential Life: assist residents Department of Residential Life: assist residents Provide protective equipment and supplies to personnel Provide protective equipment and supplies to personnel Adjust service delivery to reduce face to face contacts Adjust service delivery to reduce face to face contacts

Operations Responses Focus on meeting needs of students Focus on meeting needs of students Cancel all student led tours and campus visits Cancel all student led tours and campus visits Consolidate student union services Consolidate student union services Prioritize business services Prioritize business services No routine purchasing; only “emergency” items No routine purchasing; only “emergency” items Change purchasing card limits Change purchasing card limits Assign Information Systems employees to critical technology support Assign Information Systems employees to critical technology support Staff may work off-site Staff may work off-site Combine essential services Combine essential services Possibly combine workforce with other Possibly combine workforce with other state universities/colleges

Operations Responses (cont.) Cancel public activities on campus Cancel public activities on campus Ensure continuity of paychecks and health insurance Ensure continuity of paychecks and health insurance Monitor resident student health Monitor resident student health Provide essential services for campus residents Provide essential services for campus residents Close non-essential buildings Close non-essential buildings Continue off-site access to ISRS and online systems Continue off-site access to ISRS and online systems Residential Life evaluate housing options Residential Life evaluate housing options Dining Services prepare/deliver meals Dining Services prepare/deliver meals Cancel public events Cancel public events

Questions