1. Annual UW Disaster Exercise
Part 1

2. November: Rural Vietnam
An outbreak of severe respiratory illness hits Vietnam.
More than 30 cases, affecting all age groups
25 people hospitalized
10 deaths
In early November, an outbreak of unusually severe respiratory illness was identified in a rural village in Vietnam. At least 30 cases occurred, affecting all age groups; 25 patients required hospitalization, 10 of whom died.

3. Surveillance Identifies New Cases in the Region
Person-to-person transmission is suspected.
Viral cultures test positive for type A influenza.
The strain is a new type of flu.
Increased surveillance identified new cases throughout the surrounding area. The illness appeared to be transmitted easily from person to person. Viral cultures were collected from several of the initial patients and were positive for type A influenza virus.
The isolates were of a subtype never before isolated from humans indicating a new strain of flu.
Clusters

4. Initial Response to the Outbreak
WHO & CDC disseminate information through the Health Alert Network (HAN).
Development of a vaccine begins.
News media throughout the world prominently feature this story.
U.S. officials get regular briefings on the situation.
The World Health Organization (WHO) alerted the Centers for Disease Control and Prevention (CDC). CDC immediately disseminated a Health Alert Network (HAN) advisory notifying clinicians and U.S. state health departments to be on the alert for patients with severe respiratory illness and a history of travel to Vietnam. Isolates were used to begin to produce a reference strain for vaccine production. The outbreak caused by the novel influenza virus began to make headlines in every major newspaper and became the lead story on major news networks. Key U.S. government officials were briefed on a daily basis as surveillance became intensified throughout Southeast Asia and the Pacific Rim.

5. December 15: Outbreak Spreads
Clusters
New strain is identified as H7N3.
Cases of H7N3 reported throughout S.E. Asia.
Young adults disproportionately affected.
Fatality rates approach 25%.
Vaccine not ready & antiviral drugs limited.
No cases reported in the U.S. yet....
As of today, December 15, human cases of H7N3 (novel influenza virus) have been reported throughout S.E. Asia including locations in Vietnam, Shanghai, Hong Kong, Singapore, South Korea, and Japan. Although cases have been reported in all age groups, young adults appear to be the most severely affected and overall case-fatality rates are approaching 25%. The public is growing uneasy because a vaccine is not yet available and supplies of antiviral drugs are severely limited. However, to date, there are no reports of confirmed human cases in the United States.

6. Local Response
Local health departments, WA DOH, and CDC are on heightened alert for signs of a local outbreak.
PHSKC disseminates fact sheets and personal protection advisories.
Social distancing measures are discussed.
Employers and schools are asked to report increases in absenteeism.
Local news media are reporting that local health departments in the Puget Sound area and the Washington State Department of Health (DOH) are on heightened alert for signs and symptoms suggesting a local outbreak of flu-like cases. Public Health – Seattle & King County (PHSKC) and the State Department of Health are disseminating fact sheets and personal protection measure advisories to the public through the news media and taped messages. Businesses and organizations have been advised to consider “social distancing” measures such as avoiding crowds, social gatherings, and co-workers sick with flu symptoms. Employers have been asked to report unusual or increased absenteeism resulting from colds or flu-like illnesses.

7. Winter Holidays Approach
Port Authority increases surveillance of holiday travelers.
UW campus activities wind down as students and faculty leave for winter break.
Heightened measures are being put into place to screen and educate travelers because of the heavy holiday travel. Activities on the University of Washington campus are winding down as students and faculty are beginning their holiday break between autumn and winter quarters.

8. December 15
Message 1
PHSKC contacts Hall Health to discuss increased surveillance.
Advisory Committee for Communicable Disease (ACCD) notifies Emergency Operations Center (EOC) Director.
All UW administrative units are asked for a status report on plan implementation.
PHSKC contacts Hall Health Center about the need for increased surveillance on campus. Hall Center notifies the University’s Advisory Committee for Communicable Disease (ACCD). The ACCD notifies the EOC director about the need to review and clarify pandemic flu responsibilities. The EOC director requests that all affected University units give a status report for plan implementation.
What steps will you take to respond to this request?

9. Message 2 Absenteeism is increasing among students and staff.
December 15
Message 2
Absenteeism is increasing among students and staff.
Visits to Hall Health climb.
All UW units are asked to report absenteeism figures.
The absenteeism rate among students and staff increase while visits to Hall Health Center have been increasing steadily since early December. The ACCD, through the EOC, requests the status of absenteeism in your unit.
How will you collect and report the status of absenteeism?

10. Message 3 PHSKC recommends adoption of personal protection measures.
December 15
Message 3
PHSKC recommends adoption of personal protection measures.
ACCD advises UW units to implement protection measures.
PHSKC alerts businesses, schools, and organizations to consider instituting personal protection measures, including social distancing. University units are advised by the ACCD to begin public health protection measures.
What measures will you put into place?

11. December 15
Message 4
Students, faculty, and staff express concern about start of winter quarter.
UW officials consider delaying the start of winter quarter.
UW officials request input on this decision from your unit.
You must report within two days—no later than Friday, December 17.
Students, faculty, and university staff express concern to university officials about the start of winter quarter. Some are concerned about school opening with the disease situation in Asia. Others are concerned about the potential effect on their personal lives, including their financial status, delay in education or graduation, and assumed low risk of catching the flu without local cases. University officials consider delaying the start of winter quarter but request input for this decision from individual departments and medical and health officials. Your department, agency, or University unit is asked to provide input and comment within two days, by Friday, December 17.
What criteria will you use to provide recommendations for winter quarter?