1. 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

2. 2 Human Resource List PositionName Ph.# office Ph.# Home Alternate Name &PH. Alternate Name & Ph.

3. 3 Steering Committee NAMEPOSITIONPHONE

4. 4 Surveillance PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE SurveillanceResponsibility for surveillance rests with Band Council. -assistance of physicians, nurses and EHOs as well as band staff, health directors and teachers collect ILI data and transmit data to FNIHB Ontario for analysis

5. 5 Vaccines PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITYPERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE VaccinesResponsibility for estimating the size of the population and priority groups rest with Band Council. Responsibility for vaccine program rests with physicians and nurses who: increase uptake of influenza and pneumococcal vaccine immunization in FN community; identify appropriate (i.e. refrigerated, locked) space for vaccine storage; develop plans to identify and reach priority; groups for vaccination during pandemic. develop plans for mass vaccination clinic. develop plans to redeploy staff and volunteers to administer vaccines;

6. 6 Antivirals and Antibiotics PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITYPERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Antivirals and Antibiotics Responsibility for antivirals and antibiotics rests with physicians and nurses who: identify the number of people in priority groups for access to antivirals; identify an appropriate and secure location within each community where antivirals can be stored.

7. 7 Health Services PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Health Services Responsibility for health services rests with Band Council. Band staff (CHR and health director) alone with physicians, nurses and EHOs: Develop material management (i.e. equipment list) for the health facilities; Nurses to provide self care training.

8. 8 Emergency Response PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETEDDUE DATE Emergency Response Responsibility for emergency response rests with Band Council. Band staff (CHR, health directors) along with physician, nurses and EHO: Refine emergency plans based on results; Community and spiritual leaders and EHOs: Participate in simulation exercises; Develop plan for corpse storage and disposal including plans under winter conditions where fuel is not available for excavation equipment; Identification of temporary morgue sites.

9. 9 Emergency Response PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITYPERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Emergency Response (cont.) Band Council has responsibility to ensure business continuity for services which the band has primary responsibility: Band office business continuity Water and sewage Snowplowing Non-medical transport e.g. food, equipment Volunteers dentification of temporary morgue sites Transportation) Telecommunications Hydro Social services Fire control service other

10. 10 Public Health Measures PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITYPERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Public Health Measures Responsibility for public health measures in the community rests with Band Council, while physicians and nurses are responsible for public health measures within health facilities. Band staff (CHR, health directors) and physicians, nurses and EHOs to collaborate.

11. 11 Communications PREPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE CommunicationsResponsibility for the communication plan rests with the Band Council.

12. 12 Surveillance PANDEMIC PHASELOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Surveillance Responsibility for surveillance rests with Band Council: physicians, nurses and EHOs as well as band staff (health directors and teachers) heighten community surveillance of influenza activity on reserve.

13. 13 Vaccine PANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITYPERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Vaccine Responsibility for vaccine program rests with physicians and nurses who: Identify potential vaccinators and ensures training materials are provided to them. Identify and vaccinate persons associated with priority groups. Hold mass vaccination clinics as vaccine becomes available for the community.  Monitor vaccine supply, demand, distribution and uptake.  Monitor vaccine coverage and adverse vaccine reactions.

14. 14 Health Services PANDEMIC PHASELOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Health ServicesResponsibility for health services rests with Band Council. Band staff (CHR, health director) physicians and Nurses to collaborate..

15. 15 Health Services PANDEMIC PHASELOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Health ServicesResponsibility for Health Services plan rests with Band Council, Health Director and Health Care Workers. Development of a health services plan to ensure basic health services are maintained in community. Establishe alternate care locations, as needed.

16. 16 Emergency Response PANDEMIC PHASELOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Emergency Response (Community Essential Services) Responsibility for emergency response rests with Band Council.

17. 17 Public Health Measures PANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Public Health Measures Responsibility for public health measures in the community rests with Band Council, while physicians and nurses are responsible for public health measures within health facilities. Band staff (health directors, community leaders) and physicians and nurses will implement public health measures regarding case and contact management, isolation, etc.

18. 18 Communications PANDEMIC PHASELOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE CommunicationsResponsibility for the communication plan rests with Band Council. The plan incorporates: Community designated spokesperson (informs community about the pandemic, antiviral use, vaccine, availability of health services, etc.). Algorithm for communication with external an internal partners.

19. 19 Surveillance POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Surveillance Responsibility rests with: Physicians, nurses and EHOs as well as band staff (health directors and teachers) resume routine disease surveillance.

20. 20 Vaccine POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Vaccine Responsibility rests with physicians and nurses: Disposal of excess vaccine as directed. Evaluate response and revise the vaccine plan.

21. 21 Antivirals POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE AntiviralsResponsibility rests with physicians and nurses: Disposal of excess antivirals as directed. Evaluate and revise plans.

22. 22 Health Services POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Health ServicesResponsibility rests with Band staff (CHR, health director) and physicians and nurses: Evaluate and revise the current plan in order to resume normal services.

23. 23 Emergency Response POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Emergency Response (Essential Services) Responsibility rests with Band Council: Evaluate and revise the current plan in order to resume normal services.

24. 24 Public Health Measures POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE Public Health Measures Responsibility rests with physicians and nurses and band staff (health directors, community leaders): Evaluate and revise the current plan in order to resume normal services.

25. 25 Communications POSTPANDEMIC PHASE LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE TASKS TO BE COMPLETED DUE DATE CommunicationsResponsibility rests with Band Council along with physicians and nurses: Evaluate and revise the current plan in order to resume normal services.