Facilities & Services Infectious Disease Response Incident Action Plan

Transcription

1 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

2 PURPOSE AND TRIGGER The purpose of this plan is to guide Facilities & Services in the course of continuing business 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 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. 04/08/ of 11 F&S Infectious Disease Plan_ docx

3 Cross-reference between UIUC response levels and WHO disease outbreak phases: UIUC WHO Pre-Level 1 Phases 1 & 2 Level 1 Phases 2 & 3 Level 2 Phases 4 & 5 Level 3 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. 3 of 11

4 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 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. 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). 4 of 11

5 Phase 2. Return to Operation For effective return to, 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 will have these manifestations: 1. Decision. Executive leadership determines that it is safe for return to. 2. Recall. Designated critical service workers establish a timetable for return to. 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. 5 of 11

6 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 risk 1 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 risk 1 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 Phase 5 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 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. 6 of 11

7 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 Provost Chief of Police VC Student Affairs VC Research Exec. Dir. F & S Public Affairs Student Affairs VC Student Affairs Dean of Students Emergency Dean Housing Division Director of Housing Associate Registrar Dir. Residential Life Dir. Dining Services Dir. Facilities Dir. Grad & Family Hsg. Associate Provost Enrollment Research VC Research Director Research Safety DAR IACUC AACUP CZR University Police Chief of Police Asst. Chief of Police Patrol Director of Emergency Planning McKinley Health Center Director Medical Director Illini EMS F & S Safety & Compliance Executive Director Media Relations Assoc. Chancellor Director Safety & Compliance Director of News Bureau Telecommunications (CITES) CIO Deputy CIO Human Resources Assoc. Provost & Dir. of Acad. HR Dir. Of Personnel Services 7 of 11

8 EMT Critical Services Director Campus Services Maintenance Engineering Safety & Compliance Shared Administrative Services Appendix 3 F&S CRITICAL AND NON-CRITICAL 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 8 of 11

9 Appendix 4 FACILITIES & SERVICES INFECTIOUS DISEASE RESPONSE ACTIONS UIUC Level Pre-Level 1 Level 1 Level 2 Level 3 WHO Level 1&2 2&3 4&5 6 EMT Critical Services Director Engineering & Trans OMA ; determine and communicate critical/non-critical personnel; review EOP ; communicate with CEOC ; review supply and distribution of respirators to Campus personnel ; review protocols for F&S involvement in handling dead animals Stop normal Stop normal ; distribute communication fact sheets Stop normal ; review operational setup plan for surge activation; review possible actions for handling dead animals Stop normal ; make assignments for assisting Health Care Center Stop normal ; distribute communication fact sheets Stop normal Capital Programs ; determine quarantine/isolation areas Stop normal Stop normal Safety & Compliance Shared Administrative Services ; assess quantities of N95 respirators; determine fit-testing needs ; assess respiratory protection plan and resources; fit-test and train critical personnel; prepare communication fact sheets Stop normal ; oversee distribution of respirators to critical personnel Stop normal Stop normal ; oversee distribution of respirators to critical personnel Stop normal 9 of 11

10 F&S Critical Services Building Maintenance Stop normal Stop all and Building Services Stop normal Stop all and Construction Services Stop normal and reassign staff to critical Support emergencyguided Garage (Emergency generators, mechanics Stop normal Stop all and Grounds Operations Stop normal and reassign staff to critical Support emergencyguided IT: Desk Top/Network Support Payroll Planning Resources Support operational priorities Support operational priorities Stop normal Support emergencyguided Support emergencyguided Stop all and Service Office Stores MRO Support operational priorities Support Campus MRO and Janitorial Support emergencyguided Stop all and Systems & Control Stop normal Stop all and Waste Management Stop normal Stop all and 10 of 11

11 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 11 of 11