UCSD Continuity of Operations Plan – Pandemic Influenza Baseline Activities: Mild Pandemic • The virus behaves much like the ‘traditional’ flu virus, causing mild symptoms for most of the infected. • Children under five years of age – and particularly children age 2 and younger – as well as persons with underlying medical conditions are at increased risk. • The case fatality is similar to seasonal influenza and to the 1968 Hong Kong Flu Pandemic. • Work Impact – 5-10% Absenteeism • Voluntary isolation • No quarantine • No school closure • No public gathering restrictions • Business as usual Moderate Pandemic • H1N1 virus has undergone a minor antigenic drift mutation, giving rise to a strain of H1N1 that, similar to the 1957 Asian Flu Pandemic, is effectively twice as virulent as circulating seasonal flu. • The virus is most dangerous for the very young, those with chronic medical conditions, and possibly those over 65. • Work Impact - 10- 20% Absenteeism • More crowded hospitals • Voluntary isolation • Voluntary quarantine • Possible school closure • Possible restrictions on public gatherings Severe Pandemic • H1N1 virus has undergone a major antigenic shift mutation and is more than ten times as deadly as the ”traditional” seasonal flu. • It is most dangerous for the very young and those over 65. • Healthy adults aged 18-64 years are also at risk for severe illness. • This viral strain is similar to the 1918 Spanish Flu Pandemic. • Work Impact 20+% Absenteeism • Voluntary isolation • Voluntary quarantine • Probable school closure • Suspend classes when unable to maintain normal institutional functions. • If classes are suspended, CDC recommends doing so for at least 5–7 calendar days. • Types of class suspension • Reactive: Majority of individuals are sick and not attending classes or institution unable to maintain normal operations. • Preemptive: Used early to decrease spread of flu before students, faculty, and staff get sick. • Class suspension more likely to be effective when used early. • Probable restrictions on public gatherings • Working from home, distance learning • Cancel, postpone, or discourage all on-campus mass gatherings: Sporting events, performances, commencement ceremonies, fraternity and sorority parties. Recovery: After incident(s) UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Pandemic/Epidemic Response Committee (P/ERC) P/ERC Members: AVC-Student Health & Wellness Director, EH&S Director, H&DS Chief, Police Biosafety Officer, EH&S AVC-Aux. & Plant Svcs. Sr. Comm. Advisor, Univ. Comm. Director, Continuity & Emergency Svcs. Provost, Warren College Director of Safety & Security, Medical Center EH&S Business Manager, Preuss School Director, International Education Assistant Dean, OGSR Director, P&CS Director, Employee Relations Director, FSAP Manager, Graduate Housing Director, University Centers Director, Animal Care Program Director of Emergency Svcs., Medical Center EH&S Manager, SIO Facilities & Safety Safety Coordinator, Extension Assistant Director, Facilities Mgmt. AVC- Human Resources Baseline Activities Mild Pandemic 1. Coordinate baseline efforts of entire campus community. Notify key stake-holders from all departments of committee existence and scope of effort. 2. Coordinate all campus specific efforts with those of the County of San Diego and the State Department of Health Services. 3. Draft and publish continuity of operations plan. 4. Disseminate educational materials and set up internet linkages. 5. Conduct weekly conference calls of the P/ERC. Moderate Pandemic Severe Pandemic 1. Convene meeting of P/ERC, review CDC guidance, and advise Emergency Policy Group. 1. 2. Monitor and direct campus wide flu response. As required, serve as staff in the Emergency Operations Center (EOC) Recovery 1. After EOC deactivation, reconvene P/ERC and evaluate lessons-learned. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic 1. Activate EOC. Recovery Emergency Policy Group (EPG) EPG Members: Chancellor Assoc. Chancellor, Chief of Staff VC Business Affairs VC Student Affairs VC Resource Management Planning AVC Undergraduate Education AVC Chief Financial Officer Director, EH&S Chief, Police Director, Continuity & Emergency Services 1. Maintain awareness of this plan. 1. Receive information from P/ERC.. 2. Assist in the development and publishing of public information concerning campus actions. 2. Review content of internal and external public information bulletins and announcements. 3. Provide strategic guidance regarding campus-wide flu response. 4. Consider restricting movement on and off campus for activities/athletic events. 5. Evaluate need to monitor/restrict entry to UCSD of individuals from effected countries 1. Notify UCOP Director of EH&S as EOC Director AVC-Student Health as Operations Chief 2. Notify San Diego County Health and Human Services. 3. Advise Chancellor on need for temporary suspension of classes and non-essential campus services. 4. Require Deans to report numbers of faculty and student absences related to flu. 5. Require department managers to report numbers of non-faculty employee absences due to flu to Human Resources Department. Notify staff of report/return-towork procedures UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Recovery External Relations 1. Be aware of all baseline activities. 1. Draft internal and external announcements in conjunction with P/ERC. University Communications Campus EOC 1. Write and record bulletins and updates on the University’s Emergency Information 800 line. 2. Serve as staff in EOC, establish a media relations center. 3. Coordinate press releases and manage news teams, interviews, etc. 1. Based on guidance from EPG, the EOC is activated. 2. Evaluate information on institutional effects of the incident and set response priorities. 3. Take actions consistent with CDC guidance. Maintain contact with all sectors of campus. Post detail of response actions via campus-wide email and message posted on all campus Web pages. 4. 5. 1. Office of the Registrar 2. Develop plan for communication with students and campus for class disruptions. 1. Initiate steps for class suspension. 2. Initiate communication to students and campus of any class suspension. Coordinate with Academic Affairs on policies and procedure plans and necessary suspension of rules in case of class suspension. 3. Initiate system modifications to accommodate class suspension. 4. Initiate staff response plan. 1. Implement class suspension plan. 1. Notify staff of report/return-towork procedures. 1. Notify staff of report/return-towork procedures. 1. Implement return to class procedures. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Recovery Student Affairs 1. Monitor CDC and SD County Health Dept. websites on weekly basis for info regarding infectious diseases. 1. 2. Update UCSD website with information and links regarding detection, diagnosis, and treatment of flu. 3. Provide students with self-care guidelines for upper respiratory infections. 4. 5. Student Health & Wellness 6. Provide educational materials and outreach to assist students/staff in understanding differences in symptoms of colds vs. flu. Provide outreach to campus community with educational campaign to minimize germ transmission (i.e., hand washing, tissue use, sharing food, missing classes). Update Emergency Action Plan with P/ERC as situation evolves. Communicate with San Diego Health & Human Services (SDH&HS) regarding preliminary planning and surveillance. 1. Notify SDH&HS. 2. Coordinate with Public Health authorities for accurate and timely diagnosis. 2. Issue updated communication(s) to campus community regarding status and university response. 3. Notify Housing & Dining of potential resident students that may require isolation. 3. Initiate e-mail campaign on selfprotection. 4. 4. Post notice on website notifying patients with influenza profile who have traveled to (or have been visited by persons from) affected countries to call Student Health. Provide ongoing communications with campus community regarding signs/symptoms and protocol for referral of suspected cases. 5. Require faculty and staff to report if positive for flu or if family members positive to Student Health Center. 5. Provide in-service training to responders on pandemic influenza. 6. Follow State and County protocol for patient testing. 6. Provide care to affected/ suspected students. 7. Receive respirators & training on respiratory protection. 7. Identify contacts of suspected case. 8. Develop protocol for referral to local hospitals/ emergency departments. 8. 9. Identify students at higher risk because of pre-existing conditions. Communicate with parents of suspected cases and explain procedure. 9. Initiate prophylaxis of contacts based on strength of patient presentation. 10. Provide daily updates on case numbers to Response Coordinator. 11. Communicate with area hospitals/EDs for protocols for admission. Assist with transport of seriously ill students to hospitals/ emergency departments. 12. Coordinate care to students in residential buildings. 13. Arrange for screening of students who have had contact and advise others to seek screening. 14. Contact Coroner’s office, if necessary. 1. Notify staff of report/return-towork procedures. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Counseling Centers (P&CS and FSAP) Baseline Activities Mild Pandemic 1. Serving as consultants on mental health and wellbeing issues affecting the students. 1. Develop educational campaign to minimize spread of infection in residence halls. Housing/Residential Life 2. Develop plan for assistance/ monitoring of ill students in residence halls. 3. Develop plan to educate students re: importance of appropriate room cleaning to minimize disease spread. International Center 1.Put up posters from Student Health and Wellness in all offices: done 2. Hand out information to incoming international students (900) at fall orientation and mention in presentations: done (will do each term, as needed) 3. Provide hand sanitizer pumps to all staff and have larger pumps on all front desks: in progress Inform students, as appropriate, that they can purchase "Get Well Kits" from the Student Health and Wellness: on-going Link to EAP's website on H1N1 (http://eap.ucop.edu/emergency_infor mation/current_alerts/): done Develop information for students going abroad through OAP and GS: done but not yet posted 4.Keep track of what other UCs study abroad offices are doing: on-going (Here is UCLA's H1N1 information: http://www.ieo.ucla.edu/H1N1update .htm 5. UCD's H1N1 information: https://summerabroad.ucdavis.edu/students/healthand-safety.aspx?view=H1N1% 20Update) 6.Contact students in any country where there is an outbreak: on-going 7. Provide support and referrals to students and international scholars who have concerns about the pandemic in their countries or in San Diego: on-going Moderate Pandemic 1. Develop plan to address possible rumors, fears, and distresses. Severe Pandemic Recovery 1. 2. Provide counseling, as needed. Implement plan to address possible rumors, fears, and distresses. 1. Notify staff of report/return-towork procedures. 1. Notify staff of report/return-towork procedures. 1. Initiate steps to prepare for quarantine of students. 1. Arrange for isolation of suspected case(s). 2. Educate RD/RA’s on pandemic influenza. 2. Receive respirators & training on respiratory protection from EH&S. 3. Help disseminate relevant information to residents. 3. Arrange for monitoring/ delivery of medications, meals, and other goods and services to isolated cases. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Recovery Academic Affairs 1. Review of policy and standards re: excused student absences from class when ill. Council of Provosts and Council of Deans 1. 1. Monitor levels of faculty and student absences. 2. Facilitate dissemination of instructions to faculty. 3. Develop criteria for suspension of classes. 4. Develop plan for making missed class time. 2. Disseminate information about risk to community of teaching when ill. 2. 3. Monitor State Department recommendations for traveling abroad. Provide information to faculty as to how to respond to student concerns. 3. Implement plan to care for or bringing back students from affected countries. 1. Develop plan for care and monitoring students in practicum, internships, and community service learning. 4. Develop plan for care and monitoring students studying abroad. Academic Units (Academic Affairs & OGSR) Facilitate dissemination of appropriate information to faculty regarding status and university response. 1. Notify staff of report/return-towork procedures. 1. Notify staff of report/return-towork procedures. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Recovery Business Affairs 1. Initiate an educational campaign regarding avoidance of disease transmission. Human Resources 1. Design reporting system to receive information on staff absences due to flu or family care needs. 2. Determine pay policies for mandated absences. 3. Determine policies for reassignment of staff to fill essential rolls 1. Alert Student Health Center if encountering individual(s) with flulike symptoms Campus Police Environment, Health & Safety Housing & Dining Services Facilities Management Early Childhood Education Center Parking and Transportation services 1. Review current data regarding masks and cleaning products for efficacy against potential pathogens. 1. Assess respiratory protection plan and resources. 1. Display signage and materials for proper hand washing and discourage meal sharing. 1. 1. 1. Implement reporting system. 1. Notify staff of report/return-towork procedures. 1. Notify staff of report/return-towork procedures. 1. Provide staff support as needed. 1. Notify staff of report/return-towork procedures. Formulate a plan for alternate dining services or for the feeding of quarantined students. 1. Arrange for food service to isolated case(s). 1. Notify staff of report/return-towork procedures. Determine the need for specialized cleaning supplies. 1. Train staff who will clean affected areas on use of specialized products, waste handling and use of respirators 1. Notify staff of report/return-towork procedures. 1. Notify campus EOC of status. 2. Identify and provide respirator fit testing and training for essential staff. UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Recovery Preuss School 1. Coordinate baseline efforts of entire school community (teachers, staff, parents, PTA, students, Board). 2. Coordinate all school specific efforts with those of SDUSD, UCSD, the County of San Diego and the State Department of Health Services. 3. 4. 5. 1. Provide CAO as staff for the Emergency Operations Center (EOC) 1. After EOC deactivation, reconvene P/ERC and evaluate lessons-learned. 2. Develop plan for on site quarantine location and staffing, to which ill children are sent while awaiting parent pick up. 2. Notify campus EOC of status. 2. 3. Monitor levels of teacher, staff, and student absences. Notify teachers and staff of report/return-to- work procedures. 4. Facilitate dissemination of instructions to teachers and staff. 3. Notify families of return to school procedures 5. Develop criteria for suspension of classes. 4. 6. Develop plan for making up missed class time. Notify First Student transportation of plan to reopen school 5. 7. Provide counseling, as needed. Notify CDE, SDUSD, and UCSD of plan to reopen school 8. 6. Develop plan to address possible rumors, fears, and distresses. Implement plan to address possible rumors, fears, and distresses. Notify Board of plan to reopen school 9. 7. Issue updated communication(s) to students, teachers, staff, and families regarding status and school response. Provide ongoing communications to students, staff, and families. 10. Require teachers and staff to report if positive for flu or if family members positive. IST review with Administration impact of school closure on instruction and remainder of school year 3. Review of policy and standards re: excused student absences from class when ill. 4. Prepare information dissemination plan for students, staff, and families. 5. Disseminate educational materials and set up internet linkages. 7. Disseminate information to teachers about risk to community of teaching when ill. 9. Be prepared to provide representative to P/ERC when it convenes. Participate in weekly P/ERC conference calls. 6. 8. 1. Disseminate information to parents about risk to student body if sending ill children to school. Update Preuss website with information and links regarding detection, diagnosis, and treatment of flu. 10. Provide educational materials and outreach to assist students, staff, and families in understanding differences in symptoms of colds vs. flu. 11. Provide outreach to students, staff, and families with educational 6. Facilitate dissemination of appropriate information to teachers and staff regarding status and school response. Provide information to teachers and staff as to how to respond to student concerns. 7. Initiate e-mail/mail campaign on self- protection. 8. Obtain facemasks. 9. Develop protocol for referral to local hospitals/ emergency departments. 10. Identify students at higher risk because of pre-existing conditions. 11. Receive information from P/ERC. 12. Review content of internal and external public information bulletins and announcements. 13. Consider restricting movement on and off site for activities/athletic events. 14. Consider restricting visits of non-school personnel (tutors, 11. Provide care to affected/ suspected students until they can be picked up by parent/guardian. 12. Capture reasons for absences for students and staff. 13. Implement plan for class coverage in event of excessive teachers absence 14. Report ILI and confirmed H1N1 cases to P/ERC 15. Provide disinfectant materials to the classrooms. 16. Custodial staff cleans high risk areas (door handles, etc.) 17. Teachers oversee cleaning of desktops, table tops, and computer keyboards. 18. If threshold reached, decide on suspension of classes. 19. Be prepared to receive UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Severe Pandemic Preuss School campaign to minimize germ transmission (i.e., hand washing, tissue use, sharing food, missing classes). 12. Provide disinfectant materials to the classrooms. 13. Provide hand sanitizer to teachers and staff. 14. Instruct students on precautions (hand cleaning, etc.). mentors, interns, etc.) 15. Capture reasons for absences for students, teachers, and staff. 16. Consider cancelling on site mass gatherings (concerts, ASB events, Spring Showcase, etc.) 17. Implement plan for class coverage in event of excessive teacher absence 18. Develop criteria for suspension of classes. 15. Ensure sufficient supplies of disinfectant and hand sanitizer are on hand. 19. Report ILI and confirmed H1N1 cases to P/ERC and SDUSD 16. Custodial staff disinfects high risk areas (door handles, etc.) 20. Plan for medical evacuation of seriously ill students, teachers, or staff 17. Teachers oversee disinfecting of desktops, table tops, and computer keyboards. 21. Provide disinfectant materials to the classrooms. 18. Capture reasons for absences for students and staff. 19. Coordinate regularly with SDUSD. 20. Coordinate regularly with UCSD. 21. Develop plan for class coverage in event of excessive teachers absence 22. Evaluate capability and develop plan for continuing instruction in the event of school closure 23. Develop plan for dealing with non-certificated staff absences 24. Develop plan for dealing with absence of school nurse 25. Plan for and coordinate on site student vaccinations 22. Custodial staff disinfects high risk areas (door handles, etc.) 23. Teachers oversee disinfecting of desktops, table tops, and computer keyboards. 24. Implement communications protocol for advising families, teachers, and staff of school closure or event cancellation (as needed) 25. If decision is made to close the school or cancel an event, notify CDE, UCSD, SDUSD, (see notification procedures) 26. If decision is made to close the school or cancel an event, notify the Board 27. If decision is made to close the school, notify First Student transportation company 28. If decision is made to close school, attempt to notify tutors and mentors 30. Implement plan for directions from outside authority to suspend classes/close school 20. Implement communications protocol for advising families and staff of school closure or event cancellation (as needed) 21. If decision is made to close the school or cancel an event, notify the Board 22. If decision is made to close the school or cancel an event, notify CDE, UCSD and SDUSD 23. If decision is made to close the school, notify First Student transportation company 24. If decision is made to close school, attempt to notify tutors and mentors 31. Implement plan for addressing transportation problems, if bus provider can’t meet staffing requirements 25. Implement plan for addressing meal problems, if kitchen staff or foodstuff delivery problems are encountered Recovery UCSD Continuity of Operations Plan – Pandemic Influenza Responsible Individuals/Units Baseline Activities Mild Pandemic Moderate Pandemic Preuss School 26. Report ILI and confirmed H1N1 cases to P/ERC 27. Develop communications protocol for advising families and staff of school closure or event cancellation (as needed) 28. Develop plan for addressing transportation problems, if bus provider can’t meet staffing requirements 29. Develop plan for addressing meal problems, if kitchen staff or foodstuff delivery problems are encountered addressing transportation problems, if bus provider can’t meet staffing requirements 29. Implement plan for addressing meal problems, if kitchen staff or foodstuff delivery problems are encountered Severe Pandemic Recovery