Community Pandemic Flu Plan Assignment
Flu Man Group
Phil Anderson
Joshua Rose
Becci Schmitz
Stephanie Sue Sillito
Sai Xiong
Flu Kit
Supply
Estimated Cost in USD
Medical Supplies
Thermometer
$9.95
Pain Reliever/ Fever Reducer
$5.95
Cold Packs (24 pack)
$20.00
Decongestant
Explore FFP 2 (20 pack) – masks
$6.95
Anti-diarrhea Meds
$4.00
Prescription Medications (8 week supply)
variable
- this includes any prescription medications that an individual is currently
taking, such as hypertension medications, birth control pills,
antidepressants, diabetes medications…(this will be different for every
person and should be the responsibility of each individual to assure that
proper stocks of their medications are available in their home)
If available (very unlikely that these will be available):
Tamiflu (H5N1 strain)
Relenza/Amantadine (standard flu strains)
Quick Vue Influenza Test Kit
- to make sure you don’t use your Tamiflu unless you
absolutely have to
Other Items
Radio (Battery Operated/ Wind Up)
Batteries (24 pack)
Disinfectant (wipes, hand sanitizer etc.)
Towels, Rags
Paper Towels, Toilet Paper, Feminine Hygiene Products
Containers for contaminated articles
Clean Clothes
Cash ($500+)
Nutritional Supplements (i.e. Centrum)
Flashlight
Duct tape
variable
variable
$25.00
$45.00
$29.95
$10.00
$3.95
N/A
N/A
N/A
N/A
N/A
$8.95
N/A
N/A
Food/Water
55 gallon water storage x 2
$85.90
Water purification tablets (50pack)
$3.95
Total Cereal x 50
$247.50
Canned Goods
variable
- vegetables:
 corn
 green beans
 asparagus
 carrots
 spinach
 peas
 potatoes/sweet potatoes
- fruit:
 peaches
 pineapple
 mandarins/oranges
 fruit cocktail
 pears
- soup
 non condensed soups would be preferable because the water
needed to make condensed soup may be contaminated
 soups with meat in them such as beef or chicken soups would
be a good source of protein
 soups with vegetables in them should be purchased to help
fulfill one’s daily vegetable requirements
- meats
 tuna
 chicken
 salmon
Nutrition Bars x 5
Dried Fruit
 cranberries
 bananas
 prunes
 raisins
Total Estimated Costs (8 week isolation)
$94.75
variable
$601.80
Note: The supplies with the N/A under the estimated costs column are things that most people already have in their homes. If a
person is lacking in any of those supplies he/she should make sure to stock up on them.
Note: The list of foods under canned goods and dried fruits is only a suggestion. A person may purchase any canned goods and dried
fruit that they desire but they must ensure that the foods they do buy add up to a well balanced diet .
Emergency Workforce Team Plan
Development of an emergency management team in the event of a pandemic is a high
priority that must be accomplished BEFORE any outbreak occurs. This team may include
individuals already employed by the city for similar duties or may include new
individuals that may be hired for the strict purpose of dispatching and coordinating the
team.
The team should consist of five parts:
-
Fire Dept / EMT
Police
Hazmat
Coordinating team
Laboratory
The five parts of the emergency response team (ERT) are explained as follows:
1. Fire Dept/ EMT
The duties of the fire dept/ EMTs are to provide safe transport of individuals showing
symptoms of infection to a proper healthcare facility. The fire dept is to assess
immediate danger and provide support for EMTs. Their duties will be similar to their
current operation.
2. Police
The police are to provide safe passage of EMTs to a healthcare facility and prevent
violence or altercations that may arise as a result of intense situations. The police are
also to assist hazmat in quarantining infected households or businesses and
preventing the possible contamination of bystanders and other civilians. Their duties
will include their current operational procedures.
3. Hazmat
Hazmat is to assess the situation of reported infections by: a) creating a secure and
quarantined area of the reported infection location, b) performing immediate scans
and tests of the areas in which the infected individual was located, c) collecting
samples and sending them off to be tested for possible influenza presence. After test
samples are taken the hazmat team is responsible for fully quarantining and
disinfecting the immediate area. The quarantine is to be assisted by local or state
police and fire dept personnel.
4. Coordination Team
The coordination team is to consist of a panel of local and state healthcare officials,
city council members and an epidemiology/pandemic expert. The purpose of the team
is to develop strategies for the following:
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
Quarantine procedures
Emergency response procedure
Hospital and Clinic procedure *
Treatment options and procedure **
Disposal and sanitation of medical waste and personal property
Burial and body disposal procedure
Direction of human services for children and elderly
Transportation and city wide quarantine efforts
Access and shipment control of flu vaccine and specialty medical
supplies
* hospital administration will retain their current duties and have control of their
healthcare facilities
** Discussed in conjunction with the hospital administration and lead attending
physician
The Role of the Media
The main purpose of the media, prior to the flu pandemic, is to inform the public about
the necessary preparations one should make. The media (television, news papers, radio
etc.) should provide people with a list of supplies (including quantities) that the public
should have stocked in their homes. The media should also provide the people with
information about the flu (how the virus is spread, who is most susceptible, what can one
do to avoid contracting the flu) without causing the population to panic.
During the pandemic, the media needs to notify the public about which cities/states are
affected, especially if the outbreak is occurring in neighboring communities. Death tolls
and number of new flu cases should be reported on a daily basis so as to inform the
public of the seriousness of the pandemic.
At this point, television stations and news paper rooms may no longer be in operation,
thus the main source of information will probably be the radio. A cell-phone-a-thon
should also be set up so that cell phone users could call an information hotline and hear
recorded updates of the flu pandemic.
The media should inform the public about appropriate quarantining procedures as well as
protocols for dealing with the dead. One should be informed about what to do if one falls
ill, or if one’s friend or family member becomes infected.
The media shall be solely a means to educating the community. It should not
sensationalize the flu pandemic in any way. The members of the community need to be
educated and prepared for the pandemic, not terrified. The media should refrain from
spreading fear throughout the community to avoid a Y2K type frenzy.
Community Communication (e.g. moving goods and services)
During a pandemic, critical supplies shall be transported by the National Guard in order
to ensure safe arrival of the goods. If large quantities of supplies need to be moved,
firefighters shall be called to aid in the transport, a few police officers shall be asked to
accompany the firefighters to protect the goods and keep order.
Critical supplies include:
-
-
food
water and water filtration products
gasoline
flu drugs and vaccines
medical supplies (IV’s, masks, gloves etc.)
Quarantine measures/Prevention/Travel/Crime Prevention
During a pandemic, individuals residing in Oshkosh (except for essential workers such as
doctors, nurses, policemen, firemen, grocery store workers, etc.) will have to stay in their
homes until the pandemic subsides. Individuals from neighboring towns in Winnebago
County shall be prevented from entering Oshkosh. Only those individuals involved in the
transport of critical supplies, i.e. the National Guard, shall be allowed in or out of the
city.
The police shall enforce the quarantine with the aid of the military. Anyone who shows
signs of being sick during a pandemic shall be asked to stay home, unless they become
critically ill, in which case they will be permitted to go to the hospital.
During a pandemic, businesses may become vulnerable to security issues, but because
individuals are required to stay in their homes, (except essential workers) the police shall
be arresting anyone who is caught wondering the street. This should help to protect
businesses to some degree. Unfortunately, for the most part, businesses shall be
responsible for ensuring their own security (security systems, gates, deadbolts etc.)
Public Gatherings
In the event of a flu pandemic, all public gatherings shall be prohibited. Schools will be
closed. No church services shall be performed in a public setting. If church leaders
(priests, pastors etc.) choose to do so, they may give religious talks over the radio once a
week. Each religious denomination shall be entitled to no more than one hour of airtime
per week should they choose to use this resource. The rest of the air time shall be
reserved for the news and updates about the pandemic. Public libraries as well as movie
theatres shall be shut down until the pandemic subsides. If people choose to hold public
gatherings during the pandemic, they will be fined and sent back home. If they resist, all
persons instigating conflict shall be forced into confinement (i.e. jail) until law
enforcement officers feel that the persons in question have calmed down and will no
longer pose a threat to themselves or others.
Fines:
1st offense - $150
2nd offense - $300
3rd offense – an individual shall be put in jail for one week
4th offense – the individual shall remain in jail until the pandemic subsides
Hospitals
Mercy Medical Center
500 S. Oakwood Rd
Oshkosh, WI 54904
(920) 223-2000
Mercy Medical Center shall be used for flu patients. All inpatients shall be isolated on
the top floor. The rest of the floors in the hospitals will be used to care for flu victims.
According to the affinity health website, www.affinityhealth.org , Mercy Medical
possesses 157 patient beds. Once the hospital beds are all in use, patients shall be put on
couches, mattresses on the floor etc., until there is no more room left. (See floor map
attached at the end of the flu plan)
Aurora Medical Center
855 North Westhaven Drive
Oshkosh, WI 54904
(920) 456-6000
Aurora Medical Center shall remain open for the public’s non-flu related emergencies as
well as for the isolation of flu victims. On the first floor, the ICU and Diagnostic
Imaging rooms shall be used for non-flu hospital patients. The surgery, physical therapy,
medical oncology, and dialysis wards shall be reserved for flu patients. The first floor
also possesses a pharmacy which shall be guarded by two police officers round the clock.
All three inpatient units (two on the second floor, and one on the third) will continue to
be used for patients already residing in the hospital. On the second floor, the
cardiopulmonary services ward shall be used for flu patients, and, on the third floor, the
labor and delivery ward, pediatric unit, and the OBGYN clinic shall also be used for flu
patients. All physician offices, as well as the conference center shall be used for patient
overflow. (See floor map attached at the end of flu plan)
Resources of Aurora Medical Center
Beds
Medical/Surgical
ICU Beds
Pediatric Beds
ED beds
48
12
6
13
Ventialtors
7 (6 can be used for pediatric patients)
Current isolation capacity
ED Bay
ED Triage
Adult med/surg
Ped's
ICU
1
1
3
2
1
Decontamination
2 fixed rooms
Information on Aurora Medical Center Resources obtained from:
Frances R. Finley, DHA, FACHE
Administrator
(920) 456-7606
Alternatives to Hospitals
Once both hospitals are full, aurora and affinity healthcare clinics shall open their doors
to the sick. A list of clinics is provided on a different sheet of paper. A list of clinics in
neighboring cities is also provided.
Once the clinics are full, local high schools will serve as an alternative Isolation Hospital.
North High School
1100 W. Smith Ave
Oshkosh, Wi 54901
West High School
375 N Eagle St
Oshkosh, Wi 54902
Phone: (920) 424-7000
Phone: (920) 424-4090
Equipment to Supply Makeshift Clinics & Its personnel
Equipment used in temporary isolation sites would be similar to that in an ordinary
hospital. Many modern machines and life support systems used in hospitals today are
designed for transfer to and from various sites.
Oxygen:
Most hospitals have a large oxygen supply system located in the basement or on the roof
that distributes oxygen to the rooms through interconnected pipes in the walls. Obviously
this isn’t practical in an off site location. So oxygen supplies would need to be provided
in liquid O2 tanks. Along with the tanks, oxygen regulators should be used to regulate the
outflow. Optional biofilters are available for the regulators to allow for sterile feed.
Standard flow tubes and delivery masks will also be a requirement.
Cots/Beds:
Using hospital grade beds is very unlikely in a temporary isolation site due to the cost of
the beds, size, and availability. However, camping cots and makeshift beds (i.e tables w/
sleeping bags, household mattresses, etc) can suffice. Sheets and pillows will be needed
as well.
Plastic Wrap/Tarps:
Since makeshift isolation wards are crude places for containing microbes and viruses,
sealing off patients is important. Plastic wrap, while crude, can provide a good barrier for
a short period around a patient. Taping plastic wrap to the ceiling and walls around a
patient’s bed can create a small “bubble” in which most of the air exhaled will be trapped
or prevented from dispersing in large areas.
Standard Medical Supplies:
As with any hospital or clinic, standard medical supplies (i.e. antibiotics, surgical tools,
blood pressure machines/cuffs, stethoscopes, ventilators, etc) will be needed. Since many
of the makeshift places can be set up in local clinics and immediate care facilities, those
should not be a problem. Other supplies can be obtained from the university, schools, and
stores.
Since much of the effects of influenza are untreatable except without antivirals, rest and
ventilation, the best thing to do is, prevent secondary infection, contamination, and
suffering.
Any staff needed to run a makeshift isolation center is the same as a regular hospital. At
least one physician should be present, but if not available, a well trained RN should be
the lead healthcare provider. CNAs should run the routine checkups and treatments.
Since the makeshift locations are not as well designed as an ordinary hospital, at least one
armed guard should be posted at each clinic to prevent riot, theft or panic.
Pharmacies/Health Plans
Many individuals require medications every day, unfortunately, during a pandemic,
pharmaceuticals may be in short supply due to the fact that most of them are not
manufactured in the United States of America. This will place the burden of divvying out
medications on local pharmacies (such as Walgreen’s, Morton’s, Wal-Mart Pharmacy).
During a situation like this, pharmacies should run on a first come first serve basis and
they should be guarded 24/7 by the National Guard to prevent rioting. Pharmacies may
substitute some medications for others with similar effects if they run out of one
medication (such as blood pressure medications that may be necessary for a person’s
survival). Antibiotics should be used sparingly and those that are terminally ill or very
old should not receive medicines that would better serve the young and healthy.
Many health plans will not pay for medications purchased from other countries, therefore
making the individual responsible for financing his or her own medicinal needs. The
WHO, NIH and CDC should coordinate together to decide how much of each medicines
should be stockpiled and preserved for a national crisis should a pandemic occur. Many
countries will be on their own if a pandemic occurs, but if these countries so desire, they
may ship drugs to the US. The import laws regarding medicinal drugs should be bent
during the pandemic so as to ensure that adequate drugs are being supplied to
communities. The movement of medicines such as Tami flu should be the responsibility
of the National Guard to ensure its safe transport and arrival.
Some groups of people in the community may be ignored. These groups are considered
high risk groups and will not likely get the drugs they depend on for a normal lifestyle
once the pharmacies run out.
High Risk Groups Include:
-
-
immuno-suppressed : such as HIV patients, individuals who have had organ
transplants or who have autoimmune diseases and are on immune suppressing
medications
the elderly
young children
special needs communities :. those with mental retardation or physical disabilities
Tami flu and other anti-influenza drugs will be reserved for those that are at a higher risk
for infection such as healthy individuals between the ages of 17 and 35 years of age.
Winnebago county as well as other communities should start stockpiling Tami flu and
other anti-influenza drugs. Although there is no proof any of these drugs will work for
the Avian Flu, these drugs are the only defense we currently have. These anti-influenza
drugs should be dispensed immediately when medical professionals and personnel
assisting in the crisis begin to show signs of the flu.
Discrimination on who shall receive these medications may create tension in the
community. This could anger the public and cause rioting as well as looting thus the
medications and pharmacies should be guarded 24/7 by the National Guard.
Long-term care (nursing homes, and elderly living alone)
Recipients of antiviral drugs shall include (in order of priority):
-
people who work in essential occupations:



-
healthcare workers: doctors, nurses, physician assistants, nurse
practitioners, CNA’s
city servants : firefighters, police, EMTs, HAZMAT
army: National Guard
only individuals between the ages of 17 and 35 who have severe cases of the flu
shall be treated with antiviral medications because they are the most vulnerable
Antiviral medications shall under no circumstance be used to prevent additional cases of
the flu because individuals would have to take antivirals until the pandemic was over.
This would take away medications that should be used to treat the sick.
Individuals in long-term care facilities shall continue to receive care from such facilities,
but they shall not receive special treatment in regards to the pandemic. Antiviral
medications shall be reserved solely for young adults who are more susceptible to the
virus. The elderly who live on their own or in small group homes shall be the
responsibility of their family members. Those without family members shall be on their
own. Unfortunately, resources during a pandemic will be very limited and checks on the
elderly will not be a possibility. The majority of the efforts will be in preventing further
spread of the disease and treating sick individuals between 17 and 35.
Vaccines
Vaccine Recipients:
1. Doctors
2. Nurses/Nurse Practitioners
3. Community/Pandemic City Board Members
4. City Servants (firefighters, police, EMTs, Hazmat)
- Only city servants over the age of 17 and under the age of 35 will receive the
vaccine. Since this is the most vulnerable age group, priority is given to them.
5. Essential workers between the ages of 17 and 35, such as gas station attendants,
grocery store clerk, etc.
6. All remaining vaccine will be administered to anyone under 35 years and over 17 years
because they are the individuals who are most at risk. This will be done on a first come
first serve basis.
7. Elderly and intensive care patients will receive vaccinations only if additional vaccines
are available.
City Issues
Employees Critical to Maintaining the City
-
healthcare workers
firemen/policemen
army
grocery workers
gas station employees
water treatment plan employees
garbage collection employees
Wisconsin public works employees
The impact of a pandemic on local business will be devastating. All non essential
businesses shall be forced to shut down until the ban on public gatherings as well as the
quarantine is lifted. There are no immediate sick leave policies in place for individual
businesses. Each business shall decide their own sick leave policies until bans on public
gatherings and quarantines are imposed on the city of Oshkosh.
Essential Businesses Include:
-
healthcare facilities
pharmacies
grocery stores
gas stations
water treatment plants
garbage collection agencies
mortuaries
The city will not provide infection-control supplies to the general public because
Oshkosh will not be able to handle the financial burden of doing so during a crisis, and
mass distribution of supplies would pose a problem (people’s skills and time will mostly
be required in healthcare, and maintenance of order in the city). Each individual is
responsible for obtaining their own infection control supplies such as tissues, masks,
gloves, etc. The city will provide general information about the flu, proper cough
etiquette and glove disposal in the form of pamphlets.
Sewage Treatment Plant
According to Melvin Keifer, manager at the Oshkosh sewage treatment plant, the plant
will not shut down during an emergency. Even if electricity were to go out, there are
enough generators on site to provide the energy required to properly filter the water. The
Oshkosh plant also has a half a years worth of chlorine (18 tons) which will maintain the
quality of Oshkosh’s water supply provided that the pandemic in Oshkosh does not
exceed six months. Keifer said that if a pandemic were to exceed six months, it was
highly unlikely that, during these months, the sewage treatment plant would not receive
more chlorine.
Melvin Keifer
Sewage Treatment Plant Manager
(920) 232-5325
Funeral Homes
Oshkosh
Konrad-Behlman Funeral Homes Ltd
402 Waugoo Ave
Oshkosh
Wisconsin 54901
Phone: (920) 231-1510
Fiss & Bills Funeral Home
130 Church Ave
Oshkosh
Wisconsin 54901
Phone: (920) 235-1170
Seefeld Family Of Funeral Chapels
300 N Eagle St
Oshkosh
Wisconsin 54902
Phone: (920) 236-7750
Seefeld Family Of Funeral Chapels
1025 Oregon St
Oshkosh
Wisconsin 54902
Phone: (920) 236-7750
Poklasny Funeral Home
870 W South Park Ave
Oshkosh
Wisconsin 54902
Phone: (920) 235-1170
Konrad-Behlman Funeral Homes Ltd
100 Lake Pointe Dr
Oshkosh
Wisconsin 54904
Phone: (920) 231-1510
Online Funeral Guide Directory
USAfuneralhomesonline.com
http://www.usafuneralhomesonline.com/funeral-homes-by-state/wisconsin-funeralhomes/wisconsin-funeral-directors07.html
During a pandemic, bodies will be stored in hospitals and mortuaries until the maximum
storage capacity is reached. If there is no longer any room to store the bodies, they shall
be brought to an abandoned barn/building in the country and burnt. Cremation shall be
mandatory to keep the streets free of corpses and prevent the spread of the flu or other
diseases.
Winnebago County Health Department’s Board of Health and the
Oshkosh Board of Health Role
Oshkosh Members for the Board of Health.
Dr. Barbara Strand – Chair, Affinity Medical Group
Jamie Bonell, CFNP, APNP, Aurora Medical Group
Burk Tower - Council Representative
Christine Kniep, UW-Extension
Susan Panek, United Way
Stan Kline- Alternate
Mardell Sowers – Alternate
Winnebago County Health Department’s Board of Health
Chair – Stephan Rankin
Vice-Chair – James Koziczkowski
Tom LaFuze
Denise McHugh
Joanne Sievert
Steve Arne
Dr. Joseph Bachman
Nancy Barker
Nurse Coordinator – Kathy Hanlon
Sanitation – Kris Murphy
Financial Advisor - Tom Geske
They are currently working on a flu plan though no date has been posted on their website
as to when they will next update for it will be but the last update was 2/14/06.
Information has been posted though on government, WHO, CDC, Individual, and
business plans.
http://www.ci.oshkosh.wi.us/Health/Health.htm
http://www.ci.oshkosh.wi.us/Health/Bioterrorism.htm
Aurora Medical Center Floor Plan
Mercy Medical Floor Plan