Avian Flu Plan
Group 9 – The Bird Catchers
Stacey Holl*, Vai Lor, Tamera Regenold,
Kelli Schlaak, and Scott Vanderwielen
Spring 2006 Virology
I.
Individuals will need to prepare for the survival of one-self or the
survival of the family.
* Each family will vary in the supply and preparedness, but having more is better.
These numbers are based on ONE ill individual.
1. Flu Care Kit
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Antiseptic wipes (2 boxes of 24 count)
Cough drops (3 dozen)
Throat lozenges (2 dozen)
Thermometer (2 – one for backup)
Over-the-counter flu medicine, both Adult and Child (i.e. Triaminic
Severe Cold and Fever Liquid, Infant Tylenol Cold and Cough…) (2
bottles of preferred medicine)
Pain reliever [i.e. Acetaminophen (Tylenol), Ibuprofen (Advil)] (200
count bottle)
Nasal spray (2 bottles)
Instant cold compresses – To help with fever (3 reusable)
Antiviral Facial Tissue (8 large boxes)
Protective non-latex gloves (Nitrile) – Box of 100
2. Food
*Food stockpiles will vary between families, but the stockpile should last the
family for 5-8 weeks maybe longer.
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Easily prepared foods which require adding water and boiling (packaged
pasta, ramen, rice dishes, etc)
Canned goods (fruits, vegetables, fish, raviolis, soups, stews, etc)
Packaged snacks (crackers, granola bars, chips, cookies, fruit snacks, etc)
Dried food (powder milk, dried fruits, dried herbs and spices, etc)
Bulk food (salt, sugar, flour, rice, beans, cooking oil, etc)
Baby food (easily digestible food incase of illness)
3. Fluid
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Water
o Drinking water - every family should have one gallon of drinking
water per person per day.
o Daily water – Families should have stock piles of water for cooking
and minor daily usage, including hand washing.
o Families should prepare water collection equipment for rain water and
be knowledgeable in water treatment to treat the rain water or other
sources of water.
o Water filtration or purification systems
Juice – another hydrator and good source of nutrients
4. Miscellaneous Items
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Tamiflu - Currently Tamiflu is the most effective drug against the Avian
Flu, but it is in short supply and needs to be prescribed by a doctor.
Tamiflu is recommended if you can acquire the drug.
Prescription medicines - Discuss with your doctor and make preparations
for future emergencies.
Flu medications and pain relievers are included in the Flu Care Kit.
Multivitamins – containing essential ions and vitamins
Calcium supplements
Bandages and band-aids, scissors, cotton balls, q-tips, Triple Antibiotic
ointment, and other first aid materials.
CPR face shields with one way airflow
Contamination collection bags – large plastic bags with zip lock or slider
seal (quart and gallon size)
Paper product - toilet paper, paper towel, napkins, and antiviral facial
tissue
Plastic utensils
Baby products – baby wipes, diapers, etc
Toiletries – soap, shampoo, feminine hygiene products, toothpaste, etc
Gasoline – a few gallons of gasoline should be stored away to give the
option of vehicle transportation or communication
Bleach and other disinfectants (Lysol, Oust) - good for sterilizing the
surroundings
Duct tape and plastic sheeting – good for creating a sterile environment by
sealing doors and windows
Lighters, matches, candles – for lighting
Flashlight and batteries – multiple sizes for various items (flashlights,
clocks, radios, portable entertainment devices, etc)
Wood and lighter fluid – a great source for heating and cooking when
electricity and gas are not available
Shovels and hoes - useful for creating camping toilets in the yard when the
sewage system is unavailable
Money – money should be set aside incase banks are not open and ATMs
are not functional
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Forms of entertainment - books and other reading materials, crossword
puzzles, board games, cards, etc.
5. Masks
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Nano Masks
o Protects against viruses smaller than 0.3 microns. (the N95 by 3M only
protects against organisms larger than 0.3 microns.) The Avian Flu
virus is smaller than 0.3 microns, so the N95 is not effective enough to
protect individuals from the virus.
o The masks have chemical agents which help destroy the pathogenic
organism, rather than just trap it like the N95 does.
o The Nano Mask is produced by Emergency Filtration, in Las Vegas,
NV. (This company has been working with the U.S. military on this
technology, which is just now moving to the public sector.)
o The NanoMask has a shelf life of two years. The filter should be
changed after a 48 hour period. The mask can be sterilized by soaking
in a diluted bleach solution. Always wash hands after changing a
filter.
o The cost is $10.99 per mask, and $10.99 for a package of ten filters.
They can be purchased many places online including the following
websites:
http://2hdistributors.com/
http://birdfluprotection.com/
http://buynanomask.com/
*Information provided by http://www.common-cold-cure-influenza-fluvaccine.com/nano-mask.html, http://buynanomask.com/faq.php, and
Http://www.flepharmacy.com/nanomask/html.
II.
Emergency Actions
1. Priority vaccination – If a vaccine becomes available, there will be a set order to who
receives the vaccine. For details, see Section 10 – Vaccines.
2. Management (Emergency Workers)
Wisconsin Board of Health
The Wisconsin Board of Health will keep in contact with the counties’ Boards
of Health, and notify each county of any pandemic that has or might occur.
The State Board of Health will also make announcements on TV and radio
stations to start an early chain of warning events.
Winnebago Board of Health
The Winnebago County Board of Health will keep in contact with the State
Board of Health and warn the cities’ boards of health of any pandemic or
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future possible occurrences. The Winnebago County Board of Health will
also make announcements on TV and radio stations to enforce the warnings.
Oshkosh Board of Health
Oshkosh Board of Health will keep in contact with the Winnebago County
Board of Health for news of any pandemic or possible future outbreaks. In
anticipation of a pandemic, the Oshkosh Board will contact the City District
Voting Council to pass on news about the pandemic and make local
announcements to the public.
City District Voting Council
The City District Voting Council consists of one chosen representative from
each voting district of Oshkosh by District Block Managers. The council will
meet during a reported pandemic and relay messages between the Oshkosh
Board of Health, to request for supply of help, and the District Block
Managers.
District Block Managers
A District Block Manager is a person chosen by a few neighborhoods, much
like the Senate and House of Representative. In a pandemic the District Block
Manager will tour their designated area for signs of the flu. If a family is
infected, they are to contact their District Block Manager so the manager can
report the incident to the council for help and immediate quarantine.
*If everybody complies and co-operates with management levels, there will be
quick and efficient emergency response.
3. Planing
Schools
In a pandemic, schools will be shut down in an effort to slow or stop the
spread of the Avian Flu. Parents should be prepared to home school or keep
their child/children occupied.
Public Places
Public places such as museums, parks, malls, banks, libraries and etc…will be
closed. Unnecessary interaction with infected or non-infected persons can
prevent the spread of the Avian Flu.
Grocery Stores
Grocery stores will be kept at minimal operation for minimal contamination.
Food will be limited to canned goods, dried goods, and other prepackaged
goods only. Fresh foods are restricted in an effort to stop spreading of the flu.
All checkout personnel will have to wear masks and gloves while checking
out the customers. Costumers entering a store during a pandemic will be
required to wear a mask and gloves to minimize the danger of spreading or
catching the avian flu. The number of people allowed in to the store will be
monitored by the Authoritarian Force. All those waiting to enter the store
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shall wait in their cars in a single file line. There will be no exceptions to the
rule, all those who cut line will be sent to the back or removed from the
premises. All checkout personnel will have to wear a mask and gloves while
in contact with customers.
*Food and water will be rationed depending on the availability of supplies.
Gas Stations
Gas stations will be guarded by Authoritarian Forces. Each car will be limited
to a certain amount of gas, depending on the supply available. All checkout
personnel will have to wear a mask and gloves while in contact with
customers.
Pharmacy
Pharmacies will be heavily guarded by the Authoritarian Forces. Extreme
force will be used against any who try to take the vaccines or other
medications by force. Medicines are to be given to those who are qualified
first.
*Refer to Section XI – City Issues – Business: for details on which stores, gas
stations, and pharmacies will remain open.
III.
Role of Media
1. Flu Hotline - symptoms of Avian Flu, information about who is in charge and
what they are in charge of, steps to take to prevent infection and the spread of
influenza, steps to take if believed to have symptoms, and locations of general
supplies.
2. TV - will have hourly updates regarding outbreaks, and the number of recent
reported cases will be announced, however no information regarding the
number of deaths will be publicly provided. The Flu Hotline number will be
scrolling across the bottom of the television set at all times. WRST Channel
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3. Radio - will provide local information about who is in charge and what they
are in charge of, the number of recent reported cases, however no information
regarding the number of deaths will be publicly provided, and how to contact
local Flu Hotline. WRST 90.3 FM, WOSH 1490 AM
4. Newspapers – (The Northwestern) background information about Avian
Flu, the details of the Pandemic Flu Plan which includes the following:
a. What the individual families should do to prepare. (stockpiling food,
water, masks, medicines, miscellaneous)
b. What is, and who is on, the emergency workforce team.
c. The role the media will play in educating the community. How the
information will be dispersed.
d. How community communication will be handled. (e.g. moving goods
and services)
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e. What will be the Quarantine measures/Prevention/Travel
advise/Curfews/Crime Prevention tactics, etc.
f. Information on the new public gathering policies.
g. What will occur at hospitals and other clinics.
h. How drugs will be handled at Pharmacies, and other health plans like
stockpiling antiviral drugs.
i. What will happen with the current long-term care, including nursing
home residents and elderly living alone.
j. How vaccines will be obtained, if available, who will receive one, and
in which predetermined order.
k. What will be done about city issues such as: garbage collection,
electricity, water treatment, burial procedures, business plans, etc.
l. How the Oshkosh Board of Health will play a role in the pandemic.
IV.
Community Communication
1. Critical supplies:
Medicine:
 Needles and syringes, biohazard bags, rubbing alcohol and cotton
balls, band aids – all are needed to administer a flu vaccine if one
becomes available
 Flu vaccine – the vaccine will help protect susceptible and vital people
(if one becomes available)
 Flu medication – Medications are needed to supplement for the flu
shot for those who are unable to receive it (if available) or those who
are already ill.
 Pain Reliever – pain relievers like Acetaminophen (Tylenol) and
Ibuprofen (Advil) are needed to ease the suffering of the ill, or those
who are injured that are unable to receive normal medical attention
due to the new pandemic hospital procedures
 Over the counter cold and flu medicines – Adult and Child (i.e.
Triaminic Severe Cold and Fever Liquid, Advil Cold and Flu, Infant
Tylenol Cold and Cough)
 Disinfectant – disinfectants are needed clean infected areas.
 Masks – masks will be needed to stop the spread of the flu
 Chronic Illness Medicines – Heart medications, insulin for diabetics,
hypertension medications, etc
Food:
 Easily prepared foods which require adding water and boiling
(packaged pasta, ramen, rice dishes, etc)
 Canned goods (fruits, vegetables, fish, raviolis, soups, stews, etc)
 Packaged snacks (crackers, granola bars, chips, cookies, fruit snacks,
etc)
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Dried food (powder milk, dried fruits, dried herbs and spices, etc)
Bulk food (salt, sugar, flour, rice, beans, cooking oil, etc)
Baby food (easily digestible food incase of illness) supplement for
fresh products
Water – Water is an essential product which is important to
everybody’s survival.
Misc:
 Paper products - toilet paper, paper towel, napkins, and antiviral facial
tissue
 Baby products – baby wipes, diapers, etc
 Toiletries – soap, shampoo, feminine hygiene products, toothpaste, etc
 Gasoline – a few gallons of gasoline should be stored away to give the
option of vehicle transportation or communication
 Duct tape and plastic sheeting - good for creating a sterile
environment by sealing doors and windows
 Lighters, matches, candles – for lighting
 Flashlight and batteries – multiple sizes for various items (flashlights,
clocks, radios, portable entertainment devices, etc)
2. Critical Supply Transportation:
Truck Drivers
 Gas Truck Drivers – essential for gas transportation so other trucks
are able to perform their purposes
 Food Truck Drivers – necessary to transport food and other
essential supplies to grocery stores for the community
 Armored Truck Drivers – needed to transport essential medications
which are in short supply and flu vaccines. These will be normal
semi-trucks with two armed military personnel on board.
Authority:
 Police Force – at loading and unloading stations to help guard and
supervise the process, as well as protect gas stations, grocery
stores, pharmacies, and hospitals from raids and upsurges of the
public
 Military – help guard the medical supply trucks, as well as aid the
police in keeping guard as they are available
V.
Quarantine/Travel/Crime Prevention
1. Quarantine:
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In the event of an avian flu pandemic, all the roads entering the city of
Oshkosh will be closed and monitored with surveillance 24/7. Neighboring
towns will be asked to comply with the City of Oshkosh and shut down too in
the effort to stop the spreading of the flu. The military will be in charge of the
main roads and highways entering into the city. All the minor roads will be
closed and monitored by the local police forces at all times. No one will leave
or enter the city unless they have a permit. The permits will only be issued by
the mayor of the city with the approval of the city board of health.
At each check point into the city, there will be a physician who will inspect
the health of the person entering or leaving the city. They will look for the
following symptoms: sneezing, coughing, and fever. If they have any of these
symptoms they will not be allowed to enter or leave the city, regardless of
whether the symptoms are as a result of the avian flu. Those who are allowed
to leave or enter the city are truck drivers transporting critical supplies, and
anybody who has obtained a permit from the mayor.
Everyone is to remain at their residence to prevent the spread of the Avian
Flu. If a person is infected with Avian Flu, they will remain in their home,
and a sign will be posted on their door stating that influenza is present.
Students from UW-Oshkosh who have a permanent residence in Oshkosh will
be asked to go home. Those whose permanent residence is elsewhere will be
quarantined in their dormitories.
2. Travel:
All recreational travel will be stopped. Out of city or incoming family
visitations will be stopped. Family visitations of the dead and dying will be
permitted but can be denied in certain circumstances, depending on the
severity of the pandemic in Winnebago County.
3. Prevention:
During a flu pandemic, curfews will be established to protect the community.
The city curfew will start at 5 PM and all citizens will be expected to be
indoors by 6 PM. The firefighters and policemen will patrol the city for
anybody trying to break the curfew. Anybody found breaking the curfew will
be escorted to their home and receive possible post-pandemic punishments,
i.e. fines, jail time.
4. Crime Prevention:
Firefighters and policemen will be on constant patrol throughout the city.
Anybody caught looting, breaking and entering, starting fights, or any kind of
civil disturbance will be arrested.
VI.
Public Gathering
In the event of a pandemic, all public gathering will be prohibited. Schools,
parks, theaters, bars, public libraries and non-essential stores (Family Video,
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Radioshack, Best Buy, etc…) will be closed. No churches will be open, as
churches are not a necessary place needed to survive. Worship can be done in the
home. The few selected grocery stores, gas stations, and pharmacies will be
restricted to the curfew of 5 pm.
*Refer to Section XI – City Issues – Business: for details on which grocery stores,
gas stations, and pharmacies will remain open.
VII. Hopsitals
The two major hospitals capable of life support in Winnebago County are Theda
Clark and Mercy Hospital. Theda Clark has 214 beds and Mercy has 172 beds
staffed together giving 386 beds. The population of Winnebago County is about
160,000 people which means there is one bed for every 415 people in the county.
In the event of a pandemic more than one in every 415 people is going to require
medial help showing the extreme lack of bed space. The two hospitals do not
have enough space or large enough rooms for isolation wards during a pandemic.
Alternative isolation wards will need to be created using school gymnasiums
which provide a large space to care for a large number of sick.
Hospitals (In Oshkosh)
o Aurora Medical Center
Address: 855 N. Westhaven Drive
Telephone: 920-456-6000
o Mercy Medical Center
Address: 500 S Oakwood Road
Telephone: 920-223-0199
o Oshkosh Medical & Rehabilitation Center
Address: 1850 Bowen Street
Telephone: 920-233-4011
Isolation Hospital:
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The UWO field house will be used to supplement for the influx if sick
patients once the hospitals are full. There will be approximately ten
trained physicians to oversee the situation. Nursing students will apply
their knowledge to help the patients with the help of the attending
physicians. The field house will receive as many vaccine shots and flu
medications as the hospitals can spare during the pandemic.
The Park Plaza Hotel will be used as another supplementary hospital for
those who are ill. There will be approximately six to seven trained
physicians, nurses, and nursing students to provide care at the hotel.
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The whole complex of Oshkosh North High and West High will also be
used as a supplementary hospital if the UWO field house and Park Plaza
Hotel begin to fill. Paramedics along with two to three trained physicians
(approximation) and nursing students will attend to the sick at the high
schools.
Beds will be needed in the form of cots along with food and water for the
patients. Beds will also be moved from Gruenhagen and other dormitories to
areas needed. Cooking and food distribution supplies will also be needed like
cups and plates; along with soap and disinfectant such as 5% bleach. Due to
the shortage of medical supplies there will not be much for the isolation wards
in terms of life support. Nurses will be needed to work the isolation wards
which will put a strain on the supply of nurses. Volunteers with some degree
of medical knowledge will also be asked to volunteer if provided safety
measures. The lack of hospital space and medical personnel is a difficult
problem to prepare for but isolation wards can be planned for properly in
advance.
VIII. Pharmacies/Health
Pharmaceutical Supplies
All medical supplies will be used in the first attempt to quarantine the first
wave of flu outbreak and stop the spread of the flu. When the flu is deemed
uncontrollable, pharmacies will go into lock down with armed guards.
Pharmacies will be guarded 24/7 until the crisis is over. The lock down will
be an attempt to ration the remaining healthcare supply to the necessary
workers. Healthcare workers, government officials, and law enforcement will
get first priority to necessary dosage of medication in order to keep order in
the city. Age, experience, and personal risk factor will be considered in each
prioritized field.
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High risk groups with special needs
o persons with heart and lung conditions and/or other serious illness
o those with weakened immune system (cancer patients, organ
transplant patients, elderly, infants, or other immunodeficiencies)
o persons with infectious disease
o mentally or physically challenged persons
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Those who need prescription medications can buy early and pay for what
insurance companies do not cover. If they wait, there is no guarantee that
the medicines will be available at the pharmacies.
Since it is already known that a pandemic this is not a matter of if, but when,
the city should be stockpiling these necessary drugs. Staff of the Division of
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Public Health will manage the stockpiling of medical supplies as well as
hypertension medication, pain relievers, Tamiflu, insulin (as well as sterile
needles), antibiotics, etc. Tamiflu as well as other anti-influenza drugs, if and
when available, should be considered the first line for prevention of pandemic
influenza and is only to be used if the community detects symptoms of the flu.
The overall decision to use these drugs will be approved by the local health
officials. However, vaccine production requires the acquisition of the seed
virus and therefore cannot be initiated until the pandemic virus has already
infected humans.
The Federal/Local/State government will all play a role in distributing the
medical supplies. However when the supplies are distributed to the Oshkosh
area, the Northeastern Division of Public Health will regulate the distribution
of the medical supplies. Those persons directly correlated to the Oshkosh area
are:
o Dennis Hibray Regional Direction
(920)448-5220 hibrada@dhfs.state.wi.us
o Mary Watts, Regional Office Manager
(920)448-5232 wattsme@dhfs.state.wi.us
o Mary Johnson, LTE, Public Health Educator
(920)448-4802 johnsme@dhfs.state.wi.us
o Cathy Sendelbach, Public Health Educator
(920)448-5221 sendecg@dhfs.state.wi.us
o Jean Zastrow, Public Health Educator, Immunization Program
(920)448-5231 zastrja@dhfs.state.wi.us
These members will put a policy in action and will ensure that the pharmacies
are guarded and the supplies are rationed as necessary.
IX. Long-term care, including nursing home residents and elderly
living alone.
The following list names the order in which antivirals would be used in the
occurrence of a pandemic in the City of Oshkosh. The antivirals will be saved
until cases are detected in the area as a way to stockpile the medicines for when
they are necessary and to avoid running out of them. The following list, in
descending order of priority, includes the plan for use of antivirals in the
community.
1. Treatment of those who are hospitalized for the Avian Influenza – at
this time a physician will determine how far the illness has progressed.
In the severe cases where survival is unlikely, antivirals will no longer
be provided.
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NOTE: Life support will be given to all who have the greatest chance
of survival, as determined by a physician. The attending physician
will also make decisions on the continuation of medical treatment to a
severely ill patient, including the choice to take that patient off of life
support. These cases will only be those in which survival is very
unlikely.
2. Treatment of health care and emergency workers who are ill – (“Ill”
refers to a disease or pathogen that is not Avian Influenza in numbers 2
and 3.) These workers will be needed to care for patients who become
infected with influenza.
3. Health care workers – This will be done as a measure to prevent
possible infection, as these persons will be working close with the
infected individuals.
4. Those in nursing homes and other chronic care facilities - Control
outbreaks in high-risk residents of institutions.
NOTE: If possible, any elderly who can live with a close surviving
relative will be asked to do so. If the elderly have no relatives, they
will stay in the nursing home. Any elderly living alone will be
requested to live with a relative or be taken to a nursing home. The
elderly will have the rights to refuse any help offered, but they will
have to comply with any quarantine regulation in effect.
5. Essential service workers - (Authoritarian Forces, Truck Drivers,
Sanitation Division, Utilities Division – Sewer and Water, Electrical
Division, Store workers) This will be done as a precaution for those
who will come in contact with infected individuals.
6. Individuals hospitalized for illnesses other than influenza – This will
be done as a precautionary measure.
7. Individuals at high-risk - due to contact with an infected individual.
X.
Vaccines
In the event that a vaccine becomes available, the list below will prioritize the
vaccination sequence.
*All vaccinations will be given to the qualified person only, excluding any other
family members who are not qualified. Listing states the most qualified to least
qualified.
Government
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The Mayor (William Castle), Chief of Police (Michael Mellard), Chief of the
Fire Department, (Timothy R. Franz) and the Hospital Managers (Aurora –
Hospital Administrator, Fran Finely; Mercy – Chief Operating Officer of the
Southern Region, Clifford Lehman) will receive the vaccine first because they
will be in charge of making vital decisions that will govern the city during the
pandemic.
Doctors, Physicians, Nurses
Medical personnel will receive vaccination next because they will be needed
to treat and care for other ill patients, which in turn will increase the rate of
survival of the community as a whole.
Authoritarian Forces (Police, Fire Fighter, and Special Forces)
During a pandemic, law and order will be maintained no matter how dire the
situation. The police force, firefighters, and other special forces will have to
undertake special training on how to handle violent, irrational crowds which
might result in riots. Gatherings will not be permitted in an effort to stop the
spreading of the Avian virus. If necessary, the Authoritarian Forces will use
any kind of force applicable to the situation to calm and disperse the crowd.
Emergency Workers
Emergency workers will be needed to quarantine infected areas and, if
possible, treat the infected space. If the area is unable to be disinfected, the
emergency workers will operate with the Authoritarian Forces to quarantine
and lockdown the structure or area in effort to stop the spreading of the virus.
The emergency workers will also be responsible for the necessities (besides
vaccines) of the persons (infected or not) in the quarantined structure or area.
Essential service workers - Authoritarian Forces, Truck Drivers, Sanitation
Division, Utilities Division – Sewer and Water, Electrical Division,
manufacturers of critical supplies, Store workers – gas stations, grocery stores,
pharmacies
Adolescent-Adults in mid 40’s
Adolescents to adults in their mid 40’s will be vaccinated because this age
range has the healthiest immune systems. Avian flu attacks those with health
immune systems. Also, this range will be the strongest workforce to revive the
economy after the pandemic. If needed, adolescents and adults in their mid
30’s are also reproductively ready to offset population losses.
Children
Children will be vaccinated, but their underdeveloped immune system will
also contribute to their survival. With the help and care of medical teams and
parents, children will have a higher chance of survival without any
vaccinations.
Later Adults to Seniors
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Remaining vaccines will be given to adults 40 and older. With the help of the
whole community, the chances of survival will increase.
XI. City Issues
1. City Preparations
 The City of Oshkosh will not provide any infection-control supplies to the
citizens unless they are essential employees with a proper identification
card.
 The City of Oshkosh will properly dispose of any material that could be or
is infected with the disease.
2. City Maintenance
During a pandemic there will be shortages of critical employees needed to
maintain the city in proper functioning order. Back up personals will be
trained in case the main operators of certain positions fall ill and are unable to
perform their duties.
Street Sanitation: The table below is a list of employees from The City of
Oshkosh: Table of Organization from August of 2005. The table lists the
number of employees required for the City of Oshkosh to function
properly under normal condition, which is critical to maintain during a
pandemic.
http://www.ci.oshkosh.wi.us/Personnel/OrgChartExcel.PDF
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Water/Sewer: The table below is the list of employees working for the
utility division which is critical to the proper operation of the City of
Oshkosh water supply.
Chlorine: All of the drinking water in the United States is disinfected
by some chlorine-based process to keep the water clean and safe.
Without the use of chlorine, many illnesses due to bacteria, algae, and
fungi would be more prevalent as it is in many developing countries.
The use of these chlorine-based methods prevents many waterborne
diseases. The city of Oshkosh would last somewhere between 15 and
45 days without a new shipment of chlorine.
http://www.ci.oshkosh.wi.us/Personnel/OrgChartExcel.PDF
Electricity: Electrical companies will remain open and stay operational to
the best to their abilities. Electricity is not necessary for personal survival
during a pandemic, but is needed for hospitals’ care and refueling of
necessary vehicles, therefore it should be maintained. Families and
individuals will have to be prepared to provide their own lighting and use
other alternative methods to compensate for the lost of electricity.
Snow Removal: The removal of snow will be performed by selected city
employees. The process will be completed as normal but only when
absolutely necessary, and on major roads needed to reach essential
locations.
Fire Fighters/Police: The fire and police departments are essential for
keeping law and order in the city. The table below is a list of the number
of employees and the positions available. Each employee is essential in
their respective positions in order for each department to function properly
and optimally.
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http://www.ci.oshkosh.wi.us/Personnel/OrgChartExcel.PDF
3. Business
a. All business will be shut down during a pandemic. Only certain stores and
gas stations will remain open for the public to use.
The stores which will remain open are:
i. Pick ‘N Save (North) on 1900 Jackson St.
ii. Festival Foods on 2415 Westowne Ave
iii. Walgreens on 1880 Jackson St.
iv. Walgreens on 855 N. Westhaven Dr.
v. WalMart on 351 S. Washburn St. (also serves as pharmacy)
vi. U.S. Bank on 1620 W. 20th Ave
vii. Chase Bank on 300 N. Main St.
The gas stations which will remain open are:
viii. Kwik Trip on 2222 Jackson St
ix. Mobile Mart on 2020 S Koeller St
x. Shell on 2250 Westowne Ave
*All the gas stations will be necessary for the refueling of critical workers’
vehicles, emergency vehicles like police cars and fire trucks, and goods
and service transportation trucks only.
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*J&R Auto Services on 629 North Main St. will remain open to repair
police and fire department vehicles.
b. Sick leave will be permitted during a pandemic if:
i. The employee is the only one capable of taking care of their family
ii. The employee is showing signs of sickness
iii. The employee has a chronic disease (only applies to those who
comes in contact with customers)
*In the event of a pandemic, only strong and healthy employees are
allowed to work in effort to reduce the spread to the disease.
4. Deaths
a. The number of deaths due to the pandemic will vary greatly, but will fall
into the extremes with high numbers of deaths.
b. An estimated 3,000 body bags should be in supply, but these 3,000 bags
and the available freezers for preserving the bodies will not be enough for
the large numbers who perish.
c. Mortuaries will not be able to handle the number of deaths.
i. Oshkosh has six mortuaries total. (Names and addresses listed
below)
d. In death, every family wishes a personal grave site for their loved ones.
During a pandemic, mass grave will be required when the number of death
becomes unmanageable. The surviving family members can opt for
cremation if they do not wish for a mass burial. This wish will be granted.
*The table below lists the funeral homes and their information, from US
Funerals On-Line at:
http://www.us-funerals.com/funeral-homes-by-state/wisconsin-funeraldirectors.html.
Konrad-Behlman Funeral Homes Ltd
Fiss & Bills Funeral Home
402 Waugoo Avenue
130 Church Avenue
Oshkosh
Oshkosh
Wisconsin 54901
Wisconsin 54901
Phone: (920) 231-1510
Phone: (920) 235-1170
Seefeld Family Of Funeral Chapels
300 N Eagle Street
Oshkosh
Wisconsin 54902
Phone: (920) 236-7750
Seefeld Family Of Funeral Chapels
1025 Oregon Street
Oshkosh
Wisconsin 54902
Phone: (920) 236-7750
Poklasny Funeral Home
870 W South Park Avenue
Oshkosh
Wisconsin 54902
Phone: (920) 235-1170
Konrad-Behlman Funeral Homes Ltd
100 Lake Pointe Drive
Oshkosh
Wisconsin 54904
Phone: (920) 231-1510
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XII. Winnebago County Health Department’s Board of Health and
the Oshkosh Board of Health

OSHKOSH BOARD OF HEALTH
In the event of a pandemic, the members listed below will be on the Oshkosh
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
*Information gathered from the City of Oshkosh Department of
Community Development Health Services Division
http://www.ci.oshkosh.wi.us/Health/Health.htm

WINNEBAGO COUNTY HEALTH DEPARTMENT
The Winnebago County Board of Health has eight members. In the event of a
pandemic, the following members will stay active on the Winnebago County
Health Department’s Board of Health:
BOARD OF HEALTH MEMBERS
Jim Koziczkowski
Joanne Sievert
Steve Arne
Dr. Joseph Bachman
Nancy Barker
Jill Collier, RN, MSN
Bernard Egan
Tom LaFuze
*Information obtained via email on 4/13/06, from Winnebago County
Health Department, Health@co.winnebago.wi.us.
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According to and email on 4/14/06, from Doug Gieryn, Director/Health
Officer, Winnebago County Health Department, The Winnebago County
Board of Health is “working on a pandemic influenza preparedness plan. Our
departments work with one of 12 public health preparedness consortia. Our
consortia consists of six counties and the 10 health departments that provide
services within them. To varying degrees we are all sharing information with
schools, businesses, special populations, the general public and our elected
officials. We will have all completed a draft pandemic flu plan and
participated in at least a tabletop exercise of a plan by fall.”

Management Procedures/Roles
*Refer to Section II. Emergency Actions – Part 2. Management for details on how
these boards will interact and conduct during a pandemic.
*If everybody complies and co-operates with management levels, there will be quick
and efficient emergency response.
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