Wisconsin Pandemic Influenza Preparedness Plan
Posted: 11 May 2006 05:55 AM  
Administrator
Total Posts  22
Joined  2006-01-05

Primary Responsibility of the Federal Government

Vaccine research and development.

Coordinating national and international surveillance.

Assessing and potentially enhancing vaccine and antiviral capacity and coordinating public-sector procurement.

Devising a suitable liability program for vaccine manufacturers and persons administering the vaccine.

Developing a national “clearinghouse” for vaccine availability information, vaccine distribution and redistribution.

Developing a national vaccine adverse events report system.

Developing a national information database/exchange/clearinghouse on the Internet.

Developing “generic” guidelines and “information templates” that can be modified and/or adapted as needed at the state and local levels, including:

Fact sheets on influenza, influenza vaccine, and antiviral medications.

Guidelines for triage and treatment of influenza patients in outpatient, inpatient and non-traditional medical care settings.

Guidelines for state and local government for development and implementation of mass vaccination programs.

Guidelines for distribution and use of antiviral agents.

Pursuing mechanisms by which influenza vaccine can be made more rapidly available
and in larger quantities prior to and during the next pandemic.

Issues travel alerts and advisories to areas where the novel strain of influenza is in wide circulation.

Organization of the Wisconsin Influenza Pandemic Document
The Wisconsin Influenza Pandemic Preparedness document as developed using the CDC Planning Guide for State and Local Officials (Draft 2.1). The document is divided into six sections: Command and Management, Surveillance, Communication, Vaccine, Emergency Response-Maintenance of Essential Health and Medical Services and Other Essential Services, and Antiviral Medications. Each section contains a brief overview, followed by the role of the DPH and the role of local health departments (Appendix B). Roles of local public health should be collaborated with those of local emergency management.

The DPH role in each section of the plan includes activities in three stages: Preparation, Implementation and Evaluation. Each stage and the corresponding activities are initiated by a specific reference to a WHO Pandemic Phase (Appendix C).

Each section is labeled to indicate where the activities within that section would fall under Incident/Unified Command System of the National Incident Management System.

The Wisconsin Influenza Pandemic Preparedness Document must be considered a “Work in Progress,” that will be updated when new information and guidelines from the WHO or CDC are available. At any time during the stages, the activities may be changed or cancelled by the DPH.

April 2004 Introduction- 3
COMMAND AND MANAGEMENT
The DPH, DHFS will lead the state response to pandemic influenza. local health departments must also develop and implement a structured parallel system of pandemic influenza preparedness in their jurisdictions with critical functions delineated that include Command and Management

Role of the DPH

The DPH will have responsibility for implementation of the Wisconsin Pandemic Influenza Preparedness Document.

The Administrator of the DPH (State Health Officer) will have primary authority for implementation of the pandemic response plan.

The State Epidemiologist and Chief Medical Officer for Communicable Diseases (Chief Medical Officer) will provide medical guidance to the State Health Officer during the influenza pandemic.

Role of local health departments

Identify administrative and medical decision makers during the pandemic

Develop a local pandemic influenza preparedness plan that corresponds to existing emergency plans

Meet with local stakeholders and review major elements of the local pandemic influenza plan

Decide when the pandemic plan is implemented and assure local emergency plans are implemented during the influenza pandemic

Develop and implement a local mass vaccinatioin plan based on the template provided by the Division of Public Health

Using Flu-Aid software from the CDC develop the local estimated impact of an influenza pandemic

Develop a plan to close and re-open schools, businesses and other public events, if necessary.

Develop a plan to educate the public prior to the onset of the pandemic. Identify administrative and medical decicion makers during the pandemic

Preparation Stage (Activities to be initiated during the following phase)

Phase 0, Inter-pandemic activities; No indications of any novel virus reported
The Chief Medical Officer will convene a Pandemic Influenza Preparedness Committee (PIPC) to develop a Pandemic Influenza Preparedness Document for Wisconsin. (Note: This document is a product of this activity)

The members of the PIPC will advise the Chief Medical Officer on issues related to their specific areas of expertise for implementation of the state’s public health response to pandemic influenza. Members of the PIPC include:

the Physician Supervisor of the Communicable Disease Epidemiology Section (CDES), Bureau of Communicable Diseases (BCD)

the Influenza Surveillance Coordinator

the Director, BCD

April 2004 Command and Management- 4

the Director, Communicable Disease Division, Wisconsin State Laboratory of Hygiene (WSLH)

the Coordinator of the Laboratory Response Network, WSLH

the Director, Wisconsin Immunization Program

the Emergency Response Coordinator, DPH

a family medicine physician consultant to the BCD

the risk communication specialist, Bureau of Environmental Health (BEH), DPH

3. Additional staff providing advice and support to the PIPC includes:

the State Public Health Veterinarian, BCD

the Physician Epidemiologist, BCD

the Bioterrorism Surveillance Epidemiologist, BCD

federal immunization advisors assigned to the BCD

the Infection Control Epidemiologist, BCD

the Bioterrorism Program Director, DPH

the Hospital Bioterrorism Coordinator, DPH

the Coordinator, Strategic National Stockpile (SNS), DPH

the Public Affairs Director, WSLH

the Epidemic Intelligence Service (EIS) Officer assigned to the BCD

the Invasive Bacteria Disease Surveillance Coordinator, BCD

4. Responsibilities of the PIPC include:

develop the DHFS response to pandemic influenza

assist local health departments to prepare for an influenza pandemic

The PIPC will review the Wisconsin Pandemic Influenza Preparation document at least annually and update the document as needed. The Influenza Surveillance Coordinator will be responsible for the review and update of the document.

The Chief Medical Officer will designate a Clinical Management Team that will include:

the Chief Medical Officer

the Physician Supervisor, CDES, BCD

the State Influenza Surveillance Coordinator

the Director, Wisconsin Immunization Program, BCD

the Physician Epidemiologist, BCD

the federal immunization advisors assigned to the BCD

the Bioterrorism Surveillance Epidemiologist, BCD

the Infection Control Epidemiologist, BCD

the EIS Officer assigned to the BCD

the risk communications specialist, BEH

From within the DPH, public health advisors that may be used as technical advisors to the Clinical Management Team include:

the State Public Health Veterinarian, BCD

the Bioterrorism Program Director, DPH

the Hospital Public Health Emergency Coordinator, DPH

the Coordinator of the SNS

the Director, BCD

April 2004Command and Management- 5

the Director, BEH

the Director, Communicable Disease Division, WSLH

the Coordinator of the Laboratory Response Network, WSLH

the Medical Director and Chief, Wisconsin AIDS/HIV Program, BCD

the Chief Medical Officer for Occupational and Environmental Health, DPH

the Chief Medical Officer for Chronic Diseases, DPH

the Chief Medical Officer for Maternal Child and Health, DPH

the Director, Emergency Medical Services, DPH

the Director, Bureau of Occupational Health

the Directors, DPH Regional Offices

8. The Clinical Management Team may request the assistance of technical consultants from outside the DPH to assist in developing health-related recommendations. Technical consultants may include:

bioethicists

infectious disease physicians

primary care physicians

pulmonary physicians

family medicine physicians

emergency medical service representatives

medical examiners and coroners

experts in numerous other related fields

9. The Director, BCD will be assigned as the Pandemic Administrative Coordinator during the influenza pandemic interval

Implementation Stage (Activities to be initiated during the following phase)

Phase 1: Confirmation of onset of pandemic

Pursuant to state statute 250.02 (1), the Secretary, DHFS, assigns the State Health Officer as the leader of the state’s public health response to pandemic influenza.

The Chief Medical Officer provides medical guidance to the State Health Officer regarding the state’s public health response to pandemic influenza.

In the absence of the Chief Medical Officer, the Physician Supervisor, CDES, BCD, will provide medical guidance to the State Health Officer.

The Pandemic Administrative Coordinator will:

monitor the assigned responsibilities of staff

serve as liaison with the State Health Officer, the Secretary of the DHFS and the Director of Public Affairs, DHFS

communication with other Bureaus within the DPH (initially) daily, then as needed regarding the status of the influenza pandemic and the DPH response

provide administrative support during the pandemic response

coordinate program support during the pandemic response

coordinate DPH response activities with those of the local health departments
Link to complete bird flu document

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