Oshkosh Flu Plan
By
H.O.Z.E.T.H.
Megan Hanke, Derek O’Connell, Raegan Ziegler, *Rachel Eberhardt, Gary Tuschy,
Jeremiah Henning
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Emergency Taskforce
In the case of a pandemic occurring, an emergency taskforce will be developed in
order to oversee the distribution of supplies, the care of the sick, the disposal of the dead,
and the security and overall peace in the community during this time. This taskforce will
be made up of several individuals. This includes the Mayor of the cities in Winnebago
County, the Chief of Police for each police department, the Fire Chief of each fire
department, the Executives from each hospital, the Winnebago County Board of Health,
the Oshkosh Board of Health, Executives for the local TV and radio stations, and a
Webmaster. If the individuals listed are unable to perform their duties, due to illness or
death, that individual will be replaced on the taskforce by the individual next in line in
that particular organization.
The duties of the taskforce are to coordinate emergency and medical care during
this time, inform the public of any necessary information, and organize the movement of
hospital employees, police, firefighters, and utility workers. The taskforce is also in
charge of organizing the movement of ambulances, fire rescue response, and police
response to 911 calls. They are also to maintain a close working relationship with all
groups working in the cities and throughout the county.
The county of Winnebago and the city of Oshkosh will be divided up into
corresponding geographical quadrants. Each quadrant will have an entire team dedicated
to only that quadrant and will not be sharing team members with another quadrant. These
quadrant teams are under the supervision of the taskforce. The division of the county can
be seen on the attached maps.2
Each Quadrant team will consist of:
a.) 5 to 6 police officers
- To ensure; food, drug, and material needs among the citizens of its
quadrant,
- setting up quarantining zones and maintaining them
- would be responsible for working with pharmacists, department stores
(Wal-Mart, Kmart, Target or Shopko), and grocers to aid in getting
supplies for desperate citizens
b.) 5 to 6 health care workers
- help citizens to whatever extent is possible
- answering questions of patients
c.) 3 to 4 fire fighters
- maintain quarantine blocks
- removal of deceased citizens
d.) 1 to 2 personnel from the Winnebago County Health Department
- maintaining accurate reports of the number of new cases, the number of
deaths, the location of new infections
- maintain surveillance of the spread of the disease
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- suggest which areas to be quarantined
Media
The media will play an important part during the time of the pandemic.
Therefore, the media will be overseen by the taskforce. This will allow necessary
information to be spread rapidly and accurately. All important information briefings of
the public will be given by a member of the taskforce. This will allow citizens to be
confidant that the information given is accurate and necessary. Information will be
spread through local radio and TV stations, the disaster website, and by an informational
telephone hotline. If any section of the city/county is quarantined, that section will
receive information through the above listed methods, and by police on megaphones/loud
speakers if the information is critical for that section.
The Flu-Hotline that will be established and maintained during the pandemic is
(920) 232-3026 and (920) 727-8645. This hotline will be set up and maintained by
members of the local news departments, such as radio, TV, and newspaper. Also, four
healthcare workers will be assigned on a rotating basis to be on hand to answer medical
questions that are called into the hotline. The local radio stations that would still be
broadcasting during the pandemic are WRST 90.3 FM, WVCY 690 AM, and WOSH
101.9 FM. The TV stations are OCAT CitiCable Chanel 10, and OCAT CATV Chanel 2.
Supplies and Medications
Each sector of the county has a Division overseeing that the sector’s needs are
met. In each sector, a team of police officers, doctors, and health officials will move the
vaccinations and critical supplies, and will oversee the dispersal of the critical supplies.
Grocery store owners will take the lead on setting up food ration, with managers in
charge of getting the workers to help divide and sort out food rations. Food will be
distributed by mailmen, because the postal department is already set up to deliver
supplies to individual houses. Critical supplies will be kept in an undisclosed location
that will be guarded by the police or National Guard. The following is a general critical
supply list for the whole county. These items are not necessarily needed by each
individual. Therefore, they are listed separately from the essential supplies every
individual should have stored at all times.
 Hospital supplies
o Gloves
o Gowns
o Masks
 Medicines
o Over the counter
o Prescription
 Cleaning supplies
o Bleach
o Disinfectants
 Clean water
 Food
 Fuel
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For each individual to be prepared for a possible pandemic, it is suggested that
these supplies be on hand at all times. The items are broken down into sections to aid an
individual in obtaining and organizing the supplies. The city of Oshkosh will not be able
to provide supplies to prevent the spread of disease to every individual. During this time
there will be a shortage of these supplies that are available to purchase. Therefore, all
citizens are encouraged to purchase these supplies ahead of time. For a complete list of
supplies to keep on hand, see the Individual Preparedness section of this flu plan.
a) Flu Care Kit (per person)
 6 boxes of latex-free hospital gloves of your size
 3 boxes each of latex-free hospital gloves of other sizes
 2 rolls of large trash bags
 1 roll of small trash bags
 7 bottles of hand disinfectant gel
 7 bars of soap
 7 gallons of bleach, 4 bottles of Lysol for clothes
 7 containers of Lysol disinfectant wipes
 20 disposable ice packs
 7 blankets
 45 boxes of facial tissue
 150 throat lozenges
 2 bottles of cough syrup
 thermometer
 Gatorade
 Pedialyte
 Multivitamins
 3 24-package of white soda – settles stomachs
 120 plastic cups, bowls, plates, silverware, straws
 12 rolls of paper towels
 100 N-95 respirator safety masks $29.50/box of 20 masks1
b) Food (5-6 weeks, per person)
 45 cans of assorted canned fruit
o 20 cans of peaches
o 20 cans of pears
o 5 jars of applesauce
 45 cans of assorted canned vegetables
o 15 cans of green beans
o 15 cans of corn
o 15 cans of peas
 Meat
o 7 bags Beef Jerky
o 40 cans of canned meat
 Beef
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 pork
o 30 cans of tuna/chicken
45 cans of soup
o Chicken noodle
o Chicken and rice
o Beef and noodle
o Vegetable
20 ramen noodles
15 packages of assorted pasta
2 jars spaghetti sauce
4 boxes of instant rice or potatoes
6 boxes of instant oatmeal
4 boxes of assorted granola/breakfast bars
20 pudding snacks or fruit cups
5 jars of peanut butter
4 jars of jelly/jams
6 boxes of crackers
assorted chocolate
3 cans of assorted nuts
2 jars of honey, 1 bottle of lemon juice
o tea for sore throats
powdered fruit drinks
6 gallons of juices
powdered milk
assorted herbal teas
assorted alcohol of your choice and items needed to make those particular
drinks (chose a few of high alcohol percentages to be used as a
disinfectant if needed
assorted spices
2 pounds of butter
cooking oil
10 lbs of flour
10 lbs of sugar
baby food
pet food
2 can openers
c) Water (5-6 weeks, per person)
 45 gallons
 water purification tablets
 water purification system
d) Miscellaneous
 battery operated am/fm radio/cd player
o 6 extra sets of batteries
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emergency radio with list of emergency radio stations
o 6 extra sets of batteries
propane/gas operated space heater
o 3 extra fuel sorces
2 flash lights
o extra light bulbs – 10
o extra batteries - 30
camping lantern – 3
o -fuel source – 12
camping cook-stove
o 6 extra fuel sources for cook-stove
light bulbs that emit the full spectum of light (like sunlight)
6 boxes of candles
3 large boxes of kitchen matches
$1000/person in cash
bottles of Ibuprofen, Tylenol, aspirin
extra medicine, contact lenses, and contact lens solution
12 rolls of toilet paper/person
ample feminine supplies
condoms (what else do you do when you’re bored?)
washcloths and towels
mouthwash
duct tape
winter window kit
all purpose tool
shovels
weapons—guns, knives, and tasers
books to read
games to play
medical diagnostic/treatment books
credit cards, birth certificates, social security cards, passports, drivers
licenses, medical histories
Pharmacies
The pharmacies through out Winnebago County play an important role in a
pandemic situation before the pandemic even starts. Pharmacies should encourage
customers to buy and extra prescription out-of-pocket if possible, to stock up on supplies,
like needles, insulin test strips, lancets, band aids, and disinfectants, before a pandemic
occurs, and to watch their prescriptions and have them refilled before they are low.
During a pandemic, pharmacies should attempt to supply as much medicine as possible,
50-70% of their total supply, to those who need it the most—the high risk individuals.
Pharmacies will retain 30-50% of their supply to be used later in the pandemic when
medicines are no longer coming into the county. This retained supply will be compiled
and stored in the same well-guarded, secured location as any possible vaccine and
specific flu medications. The pharmacy buildings may have to be guarded by the police
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and possibly the National Guard if the citizens of the county start to loot and attack the
pharmacies. Security for critical businesses will be provided by police officers assigned
to that area. Benefits, tax breaks, will be given to citizens who report looting, peace
disturbances, and violence. Punishment for looters will be to pick up the dead bodies
under the supervision of the fire department/hazmat team
Drug supply
The supply of drugs to the citizens of the county will be critical during this time.
Therefore, all pharmaceutical companies, pharmacies, and all health plans/insurance
companies will work together with these government agencies in order to attempt to
supply the medicinal needs of the nation at a reasonable cost to all.
 US department of Health and Human Services
 World Health Organization
 Federal Emergency Management Agency
 Centers for Disease Control and Prevention
High risk individuals
These individuals are those in the community with special health needs. They are
considered at high risk for having complications if the supply of their medications is
disrupted. These are not necessarily the individuals at the highest risk of contracting the
specific flu that caused the pandemic.
 Elderly
 Terminally ill
 Diabetics,
 Transplant recipients
 Individuals dependent on heart medication
Quarantine, Mass Gatherings, and Curfew
Quarantine
The area/city/town where the outbreak occurs will be quarantined. This will be
enforced in order to protect individual citizens and to slow down or stop the spread of the
disease. If a small area of a city or town is infected, the police will be able to quarantine
it. If the outbreak is widespread throughout Winnebago County, then the whole county
will be quarantined. If the outbreak is isolated to Winnebago County and not the rest of
the state, the outside help from the military or National Guard will be needed to ensure
that the quarantine of the county is in full affect at all times. Travel into and out of
quarantined areas will be strictly monitored. Only personal to remove dead bodies for
disposal and to remove the sick and bring them to a hospital/quarantine center will be
allowed to enter. These individuals must be properly attired in protective clothing, masks
and gloves, and decontaminated after they leave the area. Masks must be worn at all
times by the patients who have been removed from the quarantined area. Individuals
may leave the quarantined area if they have a “work permit” and are properly attired—are
wearing a mask. In this way, businesses necessary for the operation of the county/city
may remain open during the pandemic. Food will be brought to specific, designated
areas in the quarantine section for distribution among the citizens.
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There will be no designated house checks on any individuals during the pandemic
by a designated group of people. Individuals who live alone will be on their own, just
like everyone else. They may be checked on by family members or friends who are in
the same quadrant of the county. The quadrant itself may decide to set up a list of
individuals within that quadrant that may need to be checked on and set up a group of
individuals from that quadrant to do the checking. There will not be enough individuals
from the whole area to be able to assign massive home checks weekly for the whole
community. Also, massive home checks would be limited to only within a quadrant due
to the high risk of rapidly spreading the disease throughout the area. Massive home
checks of all the quadrants by the same group of individuals would not be permitted due
to quarantine measures.
In each of the quarantined areas there will be a designated building in which sick
individuals are brought to. There will be a daily collection of the sick/dead by properly
attired removal personnel. Schools in remote locations will make excellent locations for
emergency hospitals. The doctors and nurses who live in that remote area can staff those
emergency hospitals without leaving the quarantine areas. If possible, sick individuals
will be brought to one of the hospitals or clinics listed below.
Hospitals3,4,5
Mercy Medical Center
500 S Oakwood Rd, Oshkosh, WI
920-223-2000
 15 negative pressure, isolation rooms
 5th floor is negative pressure, so it could easily be an isolation floor
 157 beds
 300 medical staff
Aurora Medical Center
855 N Westhaven Dr, Oshkosh, WI
920-303-8700
Aurora Health Center
1370 S Commercial St, Neenah, WI
920-729-6101
Winnebago Mental Health Institue
4100 Treffert Dr, Winnebago, Wi
920-235-4910
 315 beds
 4 Residents
St. Elizabeth Hospital
1506 S Oneida St, Appleton, WI
920-738-2000
 352 beds
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420 medical staff
ThedaCare
 100 doctors
Children’s Hospital
130 2nd St, Neenah, WI
920-729-3100
Theda Clark
130 2nd St, Neenah, WI
 138 beds
Berlin Memorial Hospital
225 Memorial Dr, Berlin, WI
920-361-1313
Clinics3,4,5
Affinity clinics
 1855 S. Koeller St, Oshkosh, WI
 2725 Jackson St, Oshkosh, WI
 515 S Washburn St, Oshkosh, WI—Behavioral Health
Aurora clinics
 Omro
1805 Huckleberry Ave, Omro, WI
920-685-7280
 Winneconne
 Menasha
1151 Midway Rd, Menasha, WI
920-722-7275
Mass gatherings
Individuals inside of the quarantined areas are allowed to gather with other
individuals inside of that same area. Individuals outside of the quarantined area are
allowed to gather with other individuals outside of that same area. Individuals inside of
the quarantine cannot have mass meetings with individuals outside of the quarantined
areas. Small meetings will be permitted if extreme safety precautions are in place. All
schools, large malls, and all churches will be closed during the pandemic.
Church/Worship services may be broadcasted over the radio on WVCY 690 AM. No
funeral services will be held. Memorial services will be postponed until 30 days after the
disease has dropped to less than 1% of the population. During a pandemic, there is
usually a high mortality rate. Due to this fact and the fact that the bodies could
potentially spread the disease to more individuals, there will be specific burial procedures
that have to be followed in all cases. There will be no exception. The burial procedures
are as follows,
 All bodies will be brought to a specific location inside each of the quarantined
areas for removal.
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Removal will be done by appropriately dressed members of the Hazmat Team,
under the supervision of Chief Neil Cameron or Chief Tim Franz6. The two
Hazmat trucks will be designated to carry the bodies to the crematory. If needed,
one or two ambulances will also be designated to carry bodies only. After the
pandemic is over, the trucks and ambulances will be disinfected completely. If
this is not possible, the vehicles will be destroyed.
Bodies will be brought to one of the crematories in and near Oshkosh.
Cremation is mandatory. This will be the only way to ensure that the bodies are
no longer contagious and that all of the viruses have been destroyed. All
materials that are not able to be sanitized will be cremated with the bodies,
including masks, gloves, and protective clothing.
The cemetery supervisor, William Sturm, will be in charge of overseeing the
disposal/placement of the ashes.7
Curfew
There will be a curfew imposed during the nighttime hours. It will be lifted
during the daylight hours. This will limit the amount of fuel used during the pandemic,
decrease the incidences of transmission of the disease, and decrease possible looting and
violence. The “work permit” pass will give permission to those who work during the
curfew hours to travel to and from their jobs. The “work permit” identifies who that
individual is, where that individual lives, where the job is, and when the job is—time of
day.
Businesses
During a pandemic, certain businesses are essential to the daily operation of a
city. These businesses must remain open during this time and their employees are also
critical to the maintenance of the city. A list of businesses to remain open and
operational follows.
 Water treatment plants
City of Oshkosh Wastewater Treatment Plant
233 N Campbell Road, Oshkosh, WI
 Electrical power plants
Wisconsin Public Service
3300 N Main Street, Oshkosh, WI
 Gas stations
 Garbage collection
Oshkosh Garbage Collection
639 Witzel Ave, Oshkosh, WI
Winnebago County Solid Waste
105 W Cty Rd Y, Oshkosh, WI
Menasha Waste Management
1860 Novak Dr, Menasha, WI
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Hospitals
Grocery stores
Funeral homes/Crematories
All other businesses are optional as to their necessity. These businesses will
probably suffer financially during this time, and may not survive the pandemic.
Antiviral Medication
Antiviral medications would be used in cases with the following criteria. The
individual works in an essential occupation. An essential occupation is an occupation
that is needed for life to continue peacefully in the county and the maintenance of the
city/county. The individual works in an essential occupation are
 Health care providers
 Doctors
 Nurses
 Workers in long-term care facilities
 Water treatment personnel
 Electrical personnel
 Waste removal
 Police officers
 Firefighters
 Biohazard team members
 Crematory personnel
 Communication personnel—phone, radio, TV
After all of the above individuals have received the medication, individual who
are in otherwise good health and have a chance of recovery would receive it next. The
limited medicine will not be wasted on the elderly or immunocompromised. So far the
flu attacks those with healthy immune systems harder, so they will need to be treated
first. Those with suppressed immune systems, like the elderly, are not at a higher risk of
contracting the flu than individuals who are young to middle aged. Antiviral medications
may then be used to treat individuals in all other cases if there is a large supply.
Vaccine
If a vaccine becomes available during the pandemic, a hierarchy of individuals to
receive the vaccine has been established. The top priority individuals are those who
come in direct contact with possible contaminated objects. These individuals include
healthcare providers, such as doctors, nurses, and nursing home workers, individuals in
essential occupations, such as electricity, water, and waste removal, and individuals who
remove the dead and dispose of them. The second priority individuals are police officers
and firefighters. The third priority individuals are members of the emergency taskforce,
city/county officials, and all healthy individuals between the ages of 18 and 45. The last
priority of individuals are individuals with compromised immune systems 18-45, the
elderly >45, and the really young <18.
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Due to the fact that any vaccine developed for this pandemic will be fast-tracked,
the vaccine may not be distributed to the fourth priority group even if there is plenty of
the vaccine to go around. The reason for this is that there may possibly be unknown sideeffects from the vaccine that could be extremely harmful to those individuals with poor
immune systems, such as the elderly, immunocompromised, and the really young. Also,
this particular virus appears to not hit that group of individuals as hard as the other three
groups. Therefore, it would be best to not possibly harm this group of individuals who
may be better off not receiving the vaccine.
Reference:
1. http://www.websoftsolutions.net/bird_flu_protection_respirator_mask_respirators_masks_s/423.htm
2.https://webmail.uwosh.edu/attach/Winnebago%20Cty.gif?sid=&mbox=INBOX&chars
et=escaped_unicode&uid=1037&number=4&filename=Winnebago%20Cty.gif
3.http://www.ahd.com/freelist.php3?mname=&mcity=&mstate%5B%5D=&mzip=&mph
one=920&submitted=Search
4.http://www.hospital-data.com/hospitals/WINNEBAGO-MENTAL-HEALTHINSTITUE
5.http://www.affinityhealth.org/pate/amgclinicpage.html
6. http://www.ci.oshkosh.wi.us/Fire/NEWRHT_Home.htm
7. http://www.ci.oshkosh.wi.us/Department_Contacts.htm
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