Infectious Disease Response Plan - University of Illinois Facilities

Transcription

Infectious Disease Response Plan - University of Illinois Facilities
University of Illinois at Urbana-Champaign
Facilities & Services
Division of Safety and Compliance
Facilities & Services Infectious Disease Response
Incident Action Plan
Last Updated 2015
University of Illinois at Urbana-Champaign
http://safetyandcompliance.fs.illinois.edu
217-265-9828
PURPOSE AND TRIGGER
The purpose of this plan is to guide Facilities & Services in the course of continuing business operations
during an infectious disease outbreak. Most likely, an infectious disease outbreak will be brought to the
attention of the campus through a local, state, regional or national health department notification to the
McKinley Health Service. During such an incident, the Director of McKinley Health Center or his/her
designee will determine whether the information reported constitutes a Level 1, 2, or 3 situation, and will
notify the Campus Emergency Operations Committee (CEOC) by calling 333-1216. The McKinley
Director will also request that the Infectious Disease Work Group (IDWG) be notified so that they can
assemble for the purpose of assisting the CEOC. F&S staff will assist the CEOC in addition to
implementing the appropriate portions of this document. Campus actions may be coordinated with a
larger outbreak involving the emergency response agencies for the cities and the county.
ACRONYMS
CEOC – Campus Emergency Operations Committee
CUPHD – Champaign Urbana Public Health District
F&S – Facilities & Services
IDWG – Infectious Disease Work Group
UIUC – University of Illinois-Urbana-Champaign
WHO – World Health Organization
BUSINESS CONTINUITY
This plan is designed to respond effectively to an infectious disease outbreak while maintaining maximum
business efficiency of the organization throughout the process. To this end, response actions are planned
with the goal of returning F&S as quickly as possible to full functionality. Three broad phases of action
are planned: 1.) Preparedness, 2.) Incident Response, and 3.) Return to Operations.
PHASES OF ACTION
Phase 1. Preparedness
WHO establishes global status categories for infectious disease outbreaks, designated Phase 1 through
Phase 6 (see Appendix 1). UIUC has established response levels corresponding to the WHO phases.
Actions by F&S personnel, in conjunction with other campus units (see Appendix 2), will be determined
with reference to the current WHO phase. Not all F&S personnel will respond to emergencies, and in
more advanced phases of disease outbreaks there may be limitations on services provided by F&S.
Appendix 3 specifies which F&S services are “critical” and “non-critical” with respect to infectious disease
response. Appendix 4 is a detailed list of responses for each work group under the various response
categories.
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F&S Infectious Disease Plan_150408.docx
Cross-reference between UIUC response levels and WHO disease outbreak phases:
UIUC
Pre-Level 1
Level 1
Level 2
Level 3
WHO
Phases 1 & 2
Phases 2 & 3
Phases 4 & 5
Phase 6
Pre-Level 1 actions (WHO Phases 1 & 2)
In many outbreak situations there will not be advance time to prepare for the first case of human to
human transmission. Pre-level 1 actions are important to assure that the unit is prepared well in advance
of the time that an infectious disease is confirmed.
1. Critical personnel – F&S must determine who the “critical” personnel are in the event of an
infectious disease outbreak. The list of “non-critical” personnel should be prepared in addition to
“call-off” notices that can be activated on short notice.
2. F&S should clearly communicate the status of critical vs. non-critical services.
3. Assess the quantity of N95 respirators on hand and determine whether an adequate amount is on
hand. Determine which groups should be fit-tested for the respirators, Some work groups use
respirators during their routine work and will be fit-tested at this time, while others may need them
only in an emergency and may be fit-tested in later emergency response actions.
4. The Campus Emergency Operations Committee, assisted by the IDWG, will direct the campus
response during an infectious disease outbreak. Individuals with copies of this document are
encouraged to review it to assure they understand the protocols. Questions may be directed to
Facilities & Services. Additional campus resources (experts in specific fields, unit resources, etc.)
will work with the CEOC as part of the Incident Command System (see Appendix 2).
5. Plan for quarantine – the campus should determine the areas/buildings on campus which are
suitable for use during quarantine and isolation if needed. This list should be reviewed
immediately upon a WHO Phase 2 outbreak to confirm that the areas are available if needed.
F&S staff should review their support services in the event that quarantine and isolation facilities
are recommended by CUPHD.
Level 1 – (WHO phases 3 & 4)
Confirmed cases of high risk human-to-human transmission of infectious disease or other serious health
risks have occurred somewhere in the world.
1. Assess respiratory protection plan and resources.
2. Train and fit essential personnel for respirator use.
3. Communicate information clearly to the Campus Emergency Operations Committee. Provide a
liaison to the CEOC core group if requested.
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4. Review protocols for handling dead birds and/or the potential F&S involvement in animal herd or
flock depopulation.
5. Review the supply, distribution, and fit testing of N95 respirators to campus essential personnel.
6. Prepare communication fact sheets for distribution to F&S personnel.
7. Review Level 2 actions.
Phase 2. Incident Response
Level 2 (WHO phases 4 & 5)
Suspected or confirmed case(s) of disease have occurred in North America
1. Reassign staff to critical functions as necessary (see Appendix 3).
2. Distribute fact sheets and other communications to F&S personnel as appropriate.
3. Conduct fit testing and distribution of respirators and other appropriate personal protective
equipment (PPE) to critical personnel.
4. Review the operational setup plan for Surge activation at the State Farm Center.
5. Review possible actions concerning the handling of dead animals and/or requests to assist with
animal herd de-population.
6. Review Level 3 actions.
Level 3 (WHO phase 6)
There have been confirmed case(s) of infectious disease outbreak with the potential to disrupt campus
operations. Non-critical personnel should be instructed to stay home.
1. Assist Health Care Center.
2. Distribute fact sheets and other communications to F&S personnel as appropriate.
3. Distribute appropriate respirators to essential personnel.
4. Issue reminder communications to staff with respirators on proper use, how to extend the life of
the respirator and how to obtain replacements.
Note: Actions specified within each level are not all inclusive. They are intended as a guide for group
response to any given situation which might be covered under this incident action plan (Refer to the
CEOC Manual).
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Phase 2. Return to Operation
For effective return to operations, it is essential to maintain continued communication with employees in
both critical services and non-critical services throughout the entire Incident Response phase. Keeping
the channels of communication open and functioning will ensure that employees can be contacted when
needed, and that they will be able to prepare themselves for return to work.
During the outbreak there likely will not be a clearly-defined point of maximum crisis or noted end-point.
Health agencies will continue to report new cases and mortality rates even after near-normal levels of
work resume. Some of the employee population and their families will be sick, and others recovered or
not (yet) affected. Return to normal operations will have these manifestations:
1. Decision. Executive leadership determines that it is safe for return to operations.
2. Recall. Designated critical service workers establish a timetable for return to operations. The
schedule for return will depend on factors such as how much disruption was caused during the
outbreak and how much work can be done. The communications team begins to contact those
who are not at work to inform them when they should report.
3. Transition. Some work resumes, based on the timetable, but others remain at home.
4. Full Operations. Eventually the entire workforce has returned and a full work schedule is in
operation.
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Appendix 1
WORLD HEALTH ORGANIZATION GLOBAL INFLUENZA PREPAREDNESS PLAN –
PANDEMIC PHASES
Inter-pandemic period
Phase 1
No new influenza virus subtypes have been detected in humans. An influenza virus
subtype that has caused human infection may be present in animals. If present in animals,
the risk1 of human infection or disease is considered to be low.
Phase 2
No new influenza virus subtypes have been detected in humans. However, a circulating
animal influenza virus subtype poses a substantial risk1 of human disease.
Pandemic alert period
Phase 3
Human infection(s) with a new subtype, but no human-to-human spread, or at most rare
instances of spread to a close contact.2
Phase 4
Small cluster(s) with limited human-to-human transmission but spread is highly localized,
suggesting that the virus is not well adapted to humans.2
Phase 5
Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is
becoming increasingly better adapted to humans, but may not yet be fully transmissible
(substantial pandemic risk).
Pandemic period
Phase 6
Pandemic: increased and sustained transmission in general population.2
1The
distinction between phase1 and phase 2 is based on the risk of human infection or disease resulting from circulating strains in animals. The distinction is
based on various factors and their relative importance according to current scientific knowledge. Factors may include pathogenicity in animals and humans,
occurrence in domesticated animals and livestock only wildlife, whether the virus enzootic or epizootic, geographically localized or widespread, and/or other
scientific parameters.
2The distinction between phase 3, phase 4, and phase 5 is based on an assessment of the risk of pandemic. Various factors and their relative importance
according to current scientific knowledge may be considered. Factors may include rate of transmission, geographical location and spread, severity of illness,
presence of genes from human strains (if derived from an animal strain), and/or other scientific parameters.
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Appendix 2
ADDITIONAL CAMPUS RESOURCES
Incident Commander (Director of Health Center)/Infectious Disease Work Group
Chancellor’s Office
Student Affairs
McKinley Health Center
Study Abroad
Microbiology
Veterinary Medicine
CIO
Campus Legal Counsel
Housing Division
F&S Safety and Compliance Office of Public Affairs
Division of Research Safety
Division of Public Safety
Champaign Urbana Public Health
Champaign Co Emerg Mmt Ag
CEOC Core Team
Chancellor
VC Student Affairs
Public Affairs
Provost
VC Research
Chief of Police
Exec. Dir. F & S
Student Affairs
VC Student Affairs
Housing Division
Dir. – Residential Life
Dir. – Grad & Family Hsg.
Dean of Students
Emergency Dean
Director of Housing
Associate Registrar
Dir. – Dining Services
Dir. – Facilities
Associate Provost – Enrollment
Research
VC Research
IACUC
Director Research Safety
AACUP
University Police
Chief of Police
Asst. Chief of Police
Director of Emergency Planning
McKinley Health Center
Director
Medical Director
DAR
CZR
Patrol
Illini EMS
F & S Safety & Compliance
Executive Director
Director Safety & Compliance
Media Relations
Assoc. Chancellor
Director of News Bureau
Telecommunications (CITES)
CIO
Deputy CIO
Human Resources
Assoc. Provost & Dir. of Acad. HR
Dir. Of Personnel Services
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Appendix 3
F&S CRITICAL AND NON-CRITICAL SERVICES
EMT Critical Services
Director
Campus Services
Maintenance
Engineering
Safety & Compliance
Shared Administrative Services
F&S Critical Services
Stores MRO
Garage (Emergency generators, mechanics
Construction Laborers (Asbestos Crew)
Waste Haulers
Maintenance Management
Steam Distribution
Systems & Control
Custodians (BSWs)
Transportation
Electricians
Minor Construction (ancillary to maintenance and repair)
Grounds
Planning Resources
Service Office
IT: Desk Top/Network Support
Payroll
F&S Non-Critical Services
JOC
Contracts
Planning
Design
Construction Services
Environmental Compliance
Engineering
Space Management
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Appendix 4
FACILITIES & SERVICES INFECTIOUS DISEASE RESPONSE ACTIONS
UIUC Level
WHO Level
EMT Critical
Services
Director
Engineering & Trans
OMA
Pre-Level 1
1&2
Continue normal
functions; determine
and communicate
critical/non-critical
personnel; review
EOP
Continue normal
functions
Continue normal
functions
Level 1
2&3
Level 2
4&5
Level 3
6
Continue normal
functions;
communicate with
CEOC
Stop normal functions
and support
operational priorities
Continue normal
functions; review
supply and
distribution of
respirators to Campus
personnel
Continue normal
functions; review
protocols for F&S
involvement in
handling dead animals
Stop normal functions
and support
operational priorities;
distribute
communication fact
sheets
Stop normal functions
and support
operational priorities;
review operational
setup plan for surge
activation; review
possible actions for
handling dead animals
Stop normal functions
and support
operational priorities;
make assignments for
assisting Health Care
Center
Stop normal functions
and support
operational priorities;
distribute
communication fact
sheets
Stop normal functions
and support
operational priorities
Capital Programs
Continue normal
functions; determine
quarantine/isolation
areas
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop normal functions
and support
operational priorities
Safety & Compliance
Continue normal
functions; assess
quantities of N95
respirators; determine
fit-testing needs
Stop normal functions
and support
operational priorities;
oversee distribution
of respirators to
critical personnel
Stop normal functions
and support
operational priorities;
oversee distribution
of respirators to
critical personnel
Shared Administrative
Services
Continue normal
functions
Continue normal
functions; assess
respiratory protection
plan and resources;
fit-test and train
critical personnel;
prepare
communication fact
sheets
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop normal functions
and support
operational priorities
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F&S Critical
Services
Building Maintenance
Continue normal
functions
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop all functions and
support emergencyguided operations
Building Services
Continue normal
functions
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop all functions and
support emergencyguided operations
Construction Services
Continue normal
functions
Continue normal
functions
Stop normal functions
and reassign staff to
critical operations
Support emergencyguided operations
Garage (Emergency
generators, mechanics
Continue normal
functions
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop all functions and
support emergencyguided operations
Grounds Operations
Continue normal
functions
Continue normal
functions
Stop normal functions
and reassign staff to
critical operations
Support emergencyguided operations
IT: Desk
Top/Network
Support
Payroll
Continue normal
functions
Continue normal
functions
Support operational
priorities
Support emergencyguided operations
Continue normal
functions
Continue normal
functions
Continue normal
functions
Continue normal
functions
Support operational
priorities
Stop normal functions
and support
operational priorities
Support emergencyguided operations
Stop all functions and
support emergencyguided operations
Continue normal
functions
Continue normal
functions
Continue normal
functions
Continue normal
functions
Support operational
priorities
Support Campus
MRO and Janitorial
Support emergencyguided operations
Stop all functions and
support emergencyguided operations
Systems & Control
Continue normal
functions
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop all functions and
support emergencyguided operations
Waste Management
Continue normal
functions
Continue normal
functions
Stop normal functions
and support
operational priorities
Stop all functions and
support emergencyguided operations
Planning Resources
Service Office
Stores MRO
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F&S Non-Critical Services - The following F&S services would be suspended under a level 3 emergency, however
all F&S personnel will remain in back-up status.
JOC
Contracts
Design
Capital Construction
Environmental
Compliance
Engineering
Space Management
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