The Director of Student Health will coordinate with the Southeast
District Health Department to determine an appropriate University
response and will be responsible for notifying/educating the
President’s Executive Group and the Incident Command Team regarding the
latest information.
The Incident
Commander will be responsible
for coordinating the implementation of the following roles:
A. Student Health
Center will be responsible for:
Increased disease
surveillance according to CDC and State Health Directives in the
following areas:
Student Health
Center
Office of
International Admissions
Athletics
Housing
Ordering more
Personal Protective Equipment or PPE (i.e., gloves, masks, etc.).
Confirm network for
obtaining antiviral medications and vaccines.
Obtain appropriate
standing orders
.Set up different
traffic flow in the Student Health Center.
Obtain current
information on Avian Flu (or other types) and work with the University
Relations to put out informative and preventive information on
Avian Flu to the University Community.
Work with appropriate
University personnel to prepare for possible isolation and quarantine.
Isolation is used for
a person suspected or diagnosed with the disease. The person should be
in isolation in the hospital or at their own home. A place to isolate a
person here on campus is needed if we have an on-campus resident who
was unable to be immediately transported home.
Quarantine will be
used for healthy persons who have been exposed to the suspected or
diagnosed case. The person(s) should be kept in a place where they have
no contact with others for the duration of the incubation period. If no
symptoms develop in that time frame they may be taken out of
quarantine. If a person develops symptoms they are to be moved to
isolation.
Provide training for
appropriate University Personnel (i.e., Public Safety, University
Housing,
Facility Services, etc.) on Avian Flu.
The Director of
Student Health will serve as liaison between the Southeast District
Health Department and the Incident Commander.
Prepare a Mental
Health Plan.
B.
Public Safety:
A. Have personnel receive updated
information on Avian Flu.
B. Have
essential personnel be fit tested for N95 respirators.
C. Obtain and
learn how to use appropriate Personal Protective Equipment.
D. Prepare
appropriate signage for isolation or quarantine.
E. Consider a
transportation plan.
C. Facility Services:
Work with Housing and
Technical Safety to identify needed ventilation systems and to provide
negative pressure areas.
Have essential
personnel be fit tested for N95 respirators.
D.
Technical Safety:
Assess respiratory
protection plan and resources.
Do fit testing for
essential personnel.
Prepare for
additional hazardous material cleanup.
E.
University Relations:
Work with Campus
Emergency Resource Team, Incident Commander, Director of Student
Health, Technical Safety to draft internal and external bulletins and
announcements for all target populations (students, faculty/staff,
parents, etc.).
Assist with the
production of signs for isolation and quarantine.
F.
Office of Student Affairs:
Coordinate
communication to students and parents.
Coordinate
implementation of the isolation, quarantine.Work with Chartwells,
Housing and Public Safety: 1) Deal with enforcement
issues; 2) Parent issues.
G.
President’s Office:
Based on
recommendations from U.S. State Department, CDC, and the Southeast
District Health Department be prepared to modify athletic events,
exchange programs and University related travel to and from other
countries, class schedules, etc.
H.
University Housing:
Enact planning for
isolation and quarantine of students.Student Health
Center/Tech Safety will train essential personnel on risks and response.
Fit test essential
personnel.
Order appropriate
Personal Protective Equipment.
Identify potential
rooms and/or buildings to be used for quarantined students. Update by
semester based on current occupancy.
Notify current
occupants in spaces that will be needed of the potential or need for
them to move.
I.
Food Services(Director of Student Union):
Ensure emergency
response menu is planned for various degrees of need.
Stockpile additional
food stuffs and water.
Ensure food delivery
process is planned and delivery supplies are on hand.
Have essential
personnel receive fit test and training on respiratory protection from
Technical Safety.
10.2 Level Two - There is a
suspected case on campus or suspected/confirmed cases in Southeast Idaho
The
President’s Executive Group and the Incident Command Team will
convene
and be provided the latest information on Avian Flu.
Student Health Center will be responsible for notifying/educating the
President’s Executive Group and the Incident Command Team.
The Incident
Commander will be responsible
for coordinating the implementation of the following roles:
A. The Student
Health Center:
Notify the Southeast
District Health Department.
Notify the
Campus Emergency Resource Team.
Notify Housing
and Food Services on number of persons who may be required to be
isolated or quarantined.
Monitor persons
in quarantine.
Ongoing
communications with campus community regarding signs/symptoms, protocol
for referral of suspected cases.
Initiate poster,
e-mail campaign on self-protection.
Preparation for
prophylactic treatment of contacts.
Implementation
of mental health plan.
Assist Housing staff
in how to deal with needs of persons in quarantine.
B.
Public Safety:
Have personnel
receive updated information on Avian Flu.
Review use of
Personal Protective Equipment and respiratory protection.
Place signage
for isolation, quarantine.
Enforce
isolation, quarantine.
Implement policy
on transporting individuals to the hospital.
C.
Facility Services:
Work with Housing and
Technical Safety/Student Health to identify needed ventilation systems
and to provide negative pressure areas.
Have essential
personnel be fit tested for N95 respirators.
D.
Technical Safety:
Assess respiratory
protection plan and resources.
Do fit testing for
essential personnel.
Prepare for
additional hazardous material cleanup.
Inform
essential janitorial personnel of their risk when cleaning Student
Health, etc.
E.
University Relations:
Work with the Campus
Emergency Resource Team, Incident Commander,
Technical Safety,
Student Health to draft internal and external bulletins and
announcements for all target populations (students, faculty/staff,
parents).
Handle media
coverage.Assist with information to families.
F. Office of Student
Affairs:
Coordinate
communication to students and parents.
Possible
implementation of call center.
Coordinate
implementation of the isolation, quarantine.
Work with Food
Services, Housing staff, Public Safety. Deal with enforcement issues.
Parent issues.
Handle parent calls,
those wanting to come to campus.
G.
President’s Office:
Based on
recommendations from U.S. State Department, CDC, Southeast Idaho Health
Department be prepared to modify:
Athletic and
other University events
Exchange programs and University related travel to
and from other countries
Class Schedules
H. Housing:
Implement plan for
isolation and quarantine.
Prepare staff for how
to deal with needs of persons in quarantine.
Bring together
essential staff for information update on Avian Flu (include
maintenance and janitorial staff).
Review use of
Personal Protective
Equipment and N95 respirators.
Work with telephone
control center (Telecommunications).
Report any possible
cases to Public Safety and Technical Safety.
Work with Food
Services on the delivery of food.
I.
Food Services (Director of Student Union):
Ensure emergency
response menu is planned for various degrees of need.
Stockpile additional
food stuffs and water.
Ensure food delivery
process is planned and delivery supplies are on hand.
Have essential
personnel receive fit test and training on respiratory protection from
Technical Safety.
10.3 Level Three - Confirmed
Case On Campus (Only essential personnel required to report to campus)
The
President’s
Executive Group and the Incident Command Team will convene
and be provided the latest information on Avian Flu.
Student Health Center will be responsible for notifying/educating the
President’s Executive Group and the Incident Command Team.
The Incident
Commander will be responsible for coordinating the
implementation of the following roles:
All direction on how
to proceed will be received from the Southeast District Health
Department.
The Director of
Student Health will serve as liaison between the Southeast District
Health Department and the Incident Commander.
Notify the Campus
Emergency Resource Team.
Notify Housing and
Food Services on number of persons who may be required to be isolated
or quarantined.
Prophylactic
treatment of contacts.
Continue with use of
Personal Protective Equipment.
Essential personnel
receive N95 respirators.Monitor person(s) in quarantine.
Care for person(s) in
isolation.
Ongoing
communications with campus community regarding signs/symptoms, protocol
for referral or suspected cases.
Continuation of
e-mail campaign on self-protection.
Implementation of
mental health plan.
B.
Public Safety:
Have personnel
received updated information on Avian Flu.
Essential personnel
will receive N95 respirators.
Secure buildings and
place signage for isolation, quarantine.
Enforce isolation,
quarantine.
Implement policy on
transporting individuals to the hospital.
C.
Facility Services:
Work with Housing and
Student Health/Technical Safety to identify needed ventilation systems
and to provide negative pressure areas.
Essential personnel
will receive N95 respirators.
Stand by to shut off
utilities as directed by Incident Commander.
D.
Technical Safety:
Assist the Student
Health Center.Distribute N95 respirators to essential personnel.
Coordinate disposal
of hazardous material cleanup.
Work with janitorial
staff to implement appropriate cleaning measures.
E.
University Relations:
Work with Campus
Emergency Resource Team, Incident Commander, Director of Student
Health/Technical Safety to draft internal and external bulletins and
announcements for all target populations (students, faculty/staff,
parents).
Handle media coverage.
Assist with
information to families.
F. Office of Student
Affairs:
Coordinate
communication to students and parents.
Possible
implementation of call center?Coordinate implementation of the
isolation, quarantine.
Work with Food
Services, Housing and Public Safety: 1) Deal with enforcement issues;
2) Parent issues
Handle parent calls,
those wanting to come to campus.
G.
President’s Office:
Based on
recommendations from the U.S. State Department, CDC, and the Southeast
District Health Department be prepared to modify or suspend: 1)
Athletic and other University
events; 2) Classes.
Assist the Office of
Student Affairs with student and parent issues.
Provide assistance in
supporting University Offices in dealing with issues as they pertain to
faculty and staff.
H.
Housing:
Implement plan for
isolation and quarantine as directed by the Southeast Idaho District
Health Department. Coordinate removal of non-contact students if
directed by the Southeast Idaho District Health Department.
Essential personnel
will receive N95 respirators.Work with telephone control center
(Telecommunications).
Report any possible
cases to Student Health/Technical Safety.Work with Food Services on the
delivery of food.
I.
Food Services (Director of Student Union):
Ensure emergency
response menu is planned for various degrees of need.
Stockpile additional
food stuffs and water.Ensure food delivery process is planned and
supplies are on hand.
Essential personnel
will receive N95 respirators.
10.4
Infection
Control and Health/Safety Precautions For Handling Dead Birds
These
guidelines are intended for any person handling dead birds. The
risk of infection with West Nile Virus (WNV) from this type of contact
is small. The risk of infection with H5N1 (Avian Flu) from
handling dead birds is difficult to quantify and is likely to vary with
each situation. Risk is related to the nature of the work environment,
the number of birds to be collected, and the potential for
aerosolization of bird feces, body fluids, or other tissues. The
most important factor that will influence the degree of infection risk
from handling wild birds is whether Avian Flu has been reported in the
area. Local public health officials will be consulted to help in
selecting the most appropriate PPE for the situation (see
Sections 10.4.1 and 10.4.2 below).
When the carcass of a dead bird is found on campus, call Public Safety
to respond. Public Safety Dispatch will contact Animal
Control. If Animal Control cannot be contacted or cannot respond,
then Public Safety will contact Grounds. If for some reason
Grounds cannot be contacted or cannot respond, then Public Safety
will remove the dead bird following these general precautions.
If possible, before disposing of any dead bird, you need to consult
with the local Fish & Game to inquire whether dead bird reports are
being tallied and if the dead bird in question might be a candidate for
WNV or Avian Flu testing. If the dead bird has been dead under 24
hours, Fish & Game will do testing if someone brings the bird
to them. If the bird has been dead for longer than 24 hours, it
needs to be disposed of. In both cases, Animal Control will pick
up the dead birds, depending on how busy their officers are.
10.4.1 General
Precautions for Collection of
Single Dead Birds These
precautions are applicable to all ISU employees as well as the
general public. When collecting dead birds, the risk of infection from
WNV, Avian Flu or any other pathogen may be eliminated by avoiding
contamination of mucous membranes, eyes, and skin by material from
birds. This can be accomplished by eliminating any direct contact with
dead birds with use of the following safety precautions:
When picking up any dead bird, wear disposable
impermeable
gloves and protective eyewear,
and place the dead bird directly into a plastic bag. Gloves will be
changed or not used if torn or otherwise damaged. If gloves are
not available, use an inverted double plastic bag technique for picking
up carcasses or use a shovel to scoop up the carcass into a plastic bag.
For situations in which the bird carcass is in a
wet
environment or in other situations in which splashing or aerosolization
of viral particles is likely to occur during disposal, safety goggles
or glasses and a surgical mask will be worn to protect mucous membranes
against splashed droplets or particles.
Bird carcasses will be double bagged and placed
in a trash
receptacle that is secured from access by children and animals. If the
carcass is to be submitted for testing, hold it in a cool location
until pickup by or delivery to the appropriate authorities.
Carcasses should not be held in close contact with food (e.g., not in a
household refrigerator or picnic cooler).
After handling any dead bird, avoid touching the
face with
gloved or unwashed hands.
Any PPE that was used (e.g., gloves, safety
glasses, mask)
will be discarded or disinfected, and hands will then be washed with
soap and water. Use an alcohol-based hand gel when soap and water
are not available (see the CDC Clean Hands Campaign website).
If possible, before disposing of any dead bird, you
need to
consult with the local animal control, health district office, wildlife
or agricultural agency, or other such entity to inquire whether dead
bird reports are being tallied and if the dead bird in question might
be a candidate for WNV or Avian Flu testing.
10.4.2 Additional
Precautions for Personnel
Tasked With Collecting Dead Birds in Higher-Risk Settings (e.g.,
when collecting large numbers or in confined indoor spaces,
particularly once Avian Flu has been confirmed on or around campus)
Minimize any work activities that generate
airborne
particles.
For example, during the cleanup phase of the bird removal, Do Not
washing surfaces with pressurized water or cleaner (i.e., pressure
washing) which could theoretically aerosolize Avian Flu viral particles
that could then be inhaled. The
use of PPE (i.e., a filtering face-piece respirator (N95), coveralls,
gloves, show covers and protective eyewear) will be authorized,
particularly while repeatedly handling large quantities of dead birds
as part of a regular work assignment.
If using safety glasses, a mask, or a
respirator, do not
remove
any of these items until after gloves have been removed and hands
washed with soap and water. Use an alcohol-based hand gel when
soap and water are not available. After PPE has been removed,
hands will immediately be cleaned again. Personal Protective
Equipment worn (e.g., gloves, mask or clothing) will be disinfected or
discarded.
Appropriate bio-safety practices and PPE use are
available
from
Technical Safety.
10.4.3
Recommendations for PPE Disinfection
For machine-washable reusable PPE: Disinfect PPE in a washing
machine
with detergent in a normal wash cycle. Adding bleach will increase the
speed of viral inactivation as will hot water, but detergent alone in
cold water is also effective. Follow manufacturer instructions
for drying the PPE.
Non machine-washable reusable PPE should be cleaned following the
manufacturer’s recommendations for cleaning.
