Pandemic Flu Plan

Level One - Suspected/Confirmed Cases of Human-to-Human Transmission of Avian Flu

  1. Public Safety will contact all necessary members of the Campus Emergency Resource Team (see Chapter 3) and convene them for a meeting.
  2. The Director of Student Health will coordinate with the Southeast District Health Department to determine an appropriate University response and will be responsible for educating the Resource Team regarding the latest information.
  3. The Incident Commander, Director of Public Safety, will be responsible for coordinating the implementation of the following roles:
  4. 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
    • Identification of and care for cases per CDC Directives.
    • 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, Residence Life, Physical Plant, 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:

  • Have personnel receive updated information on Avian Flu.
  • Have essential personnel be fit tested for N95 respirators.
  • Obtain and learn how to use appropriate Personal Protective Equipment.
  • Prepare appropriate signage for isolation or quarantine.
  • Consider a transportation plan.

C. Facilities Management:

  • 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, Tech 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. Dean of Students Office:

  • Coordinate communication to students and parents.
  • Coordinate implementation of the isolation, quarantine.
  • Work with Chartwells, Housing and Public Safety.
  • Deal with enforcement issues.
  • 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.

Level Two - There is a suspected case on campus or suspected/confirmed cases in Southeast Idaho

  1. The Campus Emergency Resource Team will convene and be provided the latest information on Avian Flu.
  2. Student Health Center will be responsible for educating the Campus Emergency Resource Team.
  3. The Incident Commander, Director of Public Safety, 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. Facilities Management:

  • 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.Dean of Students Office:

  • 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 (telecom?).
  • Report any possible cases to Public Safety and/or 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.

Level Three - Confirmed Case On Campus (Only essential personnel required to report to campus)

The Campus Emergency Resource Team will convene and be provided the latest information on Avian Flu.

  • Student Health Center will be responsible for educating the Campus Emergency Resource Team.
  • The Incident Commander, or Director of Public Safety, will be responsible for coordinating the implementation of the following roles:

A.Student Health Center:

  • Notify the Southeast District Health Department.
  • 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. Facilities Management:

  • 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. Dean of Students Office:

  • 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
  • Deal with enforcement issues
  • 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:
    • Athletic and other University events
    • Classes
    • Assist Dean of Student's Office with student 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.

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.

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.

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.

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, shoe 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.

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.

Related Links

Centers for Disease Control and Prevention
Southeastern Idaho District Health Department

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