UNC CH Response to H1N1

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1 UNC CH Response to H1N1 Mary Beth Koza, Director Department of Environment, Health & Safety Dr. Mary Covington Campus Health Services

2 UNC CH Response to H1N1 Prompt Cooperative Challenging 2

3 UNC CH Response to H1N1 Prompt & Cooperative Initial utilization of University Emergency Warning Committee as incident command for response Identification of additional key support personnel to UNC Pandemic Plan Group 3

4 University H1N1 Pandemic Team 48 members Academics Winston Crisp & Dr. Ron Strauss Communications Mike McFarland Human Resources Brenda Malone & Gina Carter Student Affairs/ Campus Health Chris Payne & Dr. Covington Athletics John Blanchard Medical Expertise Dr. Weber & Dr. Goldstein 4

5 UNC CH Response to H1N1 Challenges Many Unknowns Managing a Pandemic Emergency Event Level One (all planning was based on worst case scenarios). Managing an influenza, similar in morbidity and mortality to a seasonal influenza. 5

6 Goal Maintain a fully functioning University to support the educational mission and minimize the impact to operations. 6

7 April Present Planning & Actions Intense planning/reviewing/updating Informational updates 23 to date Alert Carolina: Source of information The University s EHS website has the planning components

8 April June Key Activities Formation of University H1N1 Pandemic Team Travel policy for Students studying aboard 5 Campus wide notices Guidance for UNC Summer Camps 8

9 Key Activities 9 July August All functions asked to update Pandemic plans & identification of CDMEs Verification of compliance CDC Guidance for Institutions of Higher Education Supplied Orange County with the number of H1N1 vaccines needed for the UNC community Guidelines for Fall Semester to Students and Parents Guidelines for Fall Semester to Faculty and Staff Update to UNC Pandemic Plan and H1N1 Response Plan

10 Key Activities September Academic Planning Guidance Relative to H1N1 Flu New Student Recommendations Poster campaign to all campus Continual Updates posted to Alert Carolina UNC Flu clinics started the week of 9/22. Special flu clinic for employees family members held vaccines given. 9/1 9/30: Presentations to campus leadership 10

11 Key Activities October to Present Distribution of H1N1 vaccine based on U.S. Government release of vaccine and distribution guidelines via 13 clinics. Contingency planning around N95 respirators. 11

12 Future Activities Continue educational and informational alerts to campus. Continue distribution of H1N1 vaccine Signing of Memorandum of Agreement with Orange Country for Mass distribution of H1N1 vaccination. 12

13 General Conditions & UNC Emergency Plan Event Levels UNC Actions University Operations Condition Levels Level Zero: No current hazard to persons. Level One Limited hazard to students, faculty and staff. Very Low morbidity/mortality/transmissibility. Intense planning for potential increases in threat. Mild to moderate illness. 13

14 General Conditions & UNC Emergency Plan Event Levels UNC Actions University Operations Condition Levels Level Two Increased hazard to students, faculty and staff. 20%> students present with flu like symptoms. Greater numbers of Residential Students requiring support longer than one week. Public health authorities urge to prepare for social distancing. 14

15 General Conditions & UNC Emergency Plan Event Levels UNC Actions University Operations Condition Levels Level Three Local public health dept/governor recommends canceling public activities. Public Emergency may be declared. Classes suspended/school closed. Rising employee absenteeism 25%> 15

16 H1N1 & Seasonal Influenza Websites

17 UNC CH Response to H1N1 Mary Beth Koza, Director Department of Environment, Health & Safety Dr. Mary Covington Campus Health Services

18 Managing a Communicable Disease on Campus Influenza spread by droplet contact coughing, sneezing, touching surfaces Susceptible population living in close quarters Voluntary self-isolation in a Residence Hall or other communal living environment How to deal with demands on resources and academic issues 2

19 3 Influenza-Like Illness

20 4 Percentage of Visits

21 Basic Issues How do we slow the spread of the illness? Diagnosis and treatment issues Care and feeding of affected students Academic Issues 5

22 Slowing the spread of the illness Evolution of Public Health Strategy Isolation Mandatory- public health authority 7 days from onset of symptoms 24 hours after fever disappears without the use of fever reducing medicine 6

23 Diagnosis and Treatment Diagnosis on basis of symptom complex= Influenza like illness Testing available for special circumstances through UNC Healthcare Early treatment recommended for individuals with a high risk condition 7

24 Care and Feeding of the Ill Student Presumptive diagnosis Go home if possible (not by public transportation) Stay in room with minimal communal area contact if living off campus If staying in residence hall, discuss with roommate, practice good respiratory etiquette 8

25 Nurturance Institution of a flu buddy program Encouragement of students to be prepared with supplies Dispensing of Flu Kits Work with Dining Services where the flu buddy could pick up individual meals or a 3 day supply of non-perishable food 9

26 Academic Issues Flexible attendance policies Flexible policies on making up work Planning for faculty absences Policy for dealing with ill students in the classroom Exam excuses 10

27 11 Is it over?

28 Best Primary Prevention Strategy is Vaccination 12

29 13 # of Vaccines

30 14 Questions?

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