Department of Education and Early Childhood Development Human Influenza Pandemic Incident Response Procedures August 2013 Prepared by Emergency Management Division Regional Services Group Contents Purpose ............................................................................................................................... 3 Influenza Pandemic Characteristics .................................................................................. 3 Impact on Schools and Early Childhood Services ........................................................... 4 Pandemic Planning ............................................................................................................. 5 National Context ................................................................................................................. 5 Victorian Action Plan for Human Influenza Pandemic ..................................................... 5 Department/Agency Responsibilities ................................................................................ 5 Department of Health – Lead/Control Agency ............................................................................... 5 Department of Human Services –- Recovery .................................................................................. 5 Victoria Police – Coordination ........................................................................................................ 6 Municipalities – Local focus ............................................................................................................ 6 DEECD Responsibilities ..................................................................................................... 6 Business continuity ......................................................................................................................... 6 Communications ............................................................................................................................. 6 Containment ................................................................................................................................... 7 School Nurse Responsibilities ........................................................................................... 7 Decision Making and Communications Paths ........................................................................... 8 Victorian Government Context........................................................................................... 8 Pandemic Stages ............................................................................................................................... 9 Appendix A ........................................................................................................................ 12 Appendix B ........................................................................................................................ 19 Appendix C ........................................................................................................................ 25 Appendix D ........................................................................................................................ 30 Appendix E ........................................................................................................................ 36 Appendix F ........................................................................................................................ 38 Appendix G ........................................................................................................................ 40 Page 2 of 40 Background Purpose All state government departments are required to have specific pandemic management plans in place to manage the operational aspects of responding to and recovering from a pandemic. This procedures document outlines the Department of Education and Early Childhood Development’s response and is relevant to central office, regions and schools. It is also relevant to education and care services and DEECD registered training organisations that provide vocational education and training and Victorian Universities (herein referred to as ‘higher education and skills providers’) - all of which are responsible to develop and implement their own emergency management plans including pandemic response. The information contained will also be provided to the Catholic Education Office and Independent Schools Victoria for distribution to their sectors. DEECD will also coordinate with the Catholic Education Office and Independent Schools Victoria regarding pandemic/epidemic response and recovery activities. DEECD’s Higher Education and Skills Group will disseminate information as appropriate to industry associations for the vocational education and training sector (Victorian TAFE Association and the Australian Council for Private Education and Training). DEECD’s Emergency Management Division located within Regional Services Group is responsible for the development and implementation of this plan (when required). Influenza Pandemic Characteristics An influenza pandemic occurs when: a new subtype of influenza virus emerges in humans which most people have not been previously exposed to and are, therefore, highly susceptible the virus has potential to cause disease in humans and the virus is easily and rapidly spread between humans, infecting large numbers of people worldwide with the potential to cause many deaths. In late April 2009, the World Health Organisation (WHO) announced the emergence of a novel influenza A virus. This particular H1N1 strain had not circulated previously in humans. The virus was contagious, spreading easily from person-to-person, and from one country to another. Based on available evidence and expert assessment, on 11 June 2009 the WHO’s Director-General declared that the world was at the start of the pandemic (H1N1) 2009. Globally, the 2009 influenza pandemic was considered to be of moderate severity with the majority of patients experiencing mild symptoms and making a rapid and full recovery. However, severe cases occurred in people with underlying chronic conditions such as respiratory diseases, cardiovascular disease, diabetes, autoimmune disorders and obesity. Pregnant women and indigenous Australians were also at an increased risk of serious disease. It is difficult to predict how quickly a pandemic will progress. Based on experience from pandemic (H1N1) 2009, together with data and assumptions drawn from previous pandemics and seasonal influenza and their treatments, it is anticipated that a pandemic could last from seven-to-ten months in Australia. However, the social, economic and health system impacts could last longer depending on the severity of the health impacts of the virus. It is not possible to predict when the next pandemic will occur, how severe it will be or how long it will last. Page 3 of 40 Whilst influenza is the most likely virus to cause a pandemic and the cause of the most recent pandemic, the aim of this procedures document is to be adaptable to any biological agent threatening to cause either an epidemic or a pandemic within the community. Impact on Schools and Early Childhood Services The spread of influenza in schools can be significant. Once influenza is in the school environment it can spread quickly impacting families and the community. Therefore schools and early childhood services play a major role in pandemic influenza preparedness and management. Previous influenza pandemics have shown that children, and the environments in which they tend to gather, contribute uniquely to the spread of influenza in the community for the following reasons: Children typically have higher rates of infection than adults. Children with no pre-existing immunity to circulating influenza virus are more susceptible than adults to novel strains. Children are typically infectious for longer than adults. Children are less likely to comply with hygiene measure than adults. Children are often in close proximity with other children for long periods of time. Page 4 of 40 Pandemic Planning National Context The Department of Prime Minister and Cabinet co-ordinates national pandemic preparedness and planning in collaboration with state, territory, local governments and other Commonwealth agencies. In the event of a pandemic it will direct the national response, including public communications, through the Council of Australian Governments, the National Pandemic Emergency Committee and the Commonwealth Deputy Secretaries' Inter-departmental Committee on Influenza Pandemic Prevention and Preparedness. The National Action Plan 2011 outlines the roles and responsibilities of the Commonwealth, states and territories and local governments and the coordination arrangements for the management of a human influenza pandemic and its consequences in Australia. The National Action Plan 2011 builds on the health response outlined in the Australian Health Management Plan for Pandemic Influenza 2009 (AHMPPI). Victorian Action Plan for Human Influenza Pandemic The Victorian Department of Human Services, in close co-operation with the Victorian Department of Health developed the Victorian Action Plan for Human Influenza Pandemic in June 2012. Its approach builds on and is consistent with the National Action Plan 2011, the Australian Health Management Plan for Pandemic Influenza 2009 and the Emergency Management Manual Victoria. The Victorian Action Plan for Influenza Pandemic describes the arrangements and key strategies to prepare for, respond to and recover from an influenza pandemic in Victoria. This plan is consistent with the proposed revised stages of the Victorian Action Plan for Influenza Pandemic. It is scalable depending on the circumstances of the contagion and the rate of spread and morbidity. Strategies are flexible enough to operate in a dynamic and changeable environment. Please note that the stages within this procedures document and Victorian pandemic stages may differ to the phases or stages in other states and territories and under other global jurisdictions. The Department of Health and Ageing and the Department of Health, in coordination with the World Health Organisation will designate Australia and Victoria’s pandemic stages. This plan will remain in effect until the scheduled changes in national and state influenza plans come into effect and impending changes to the emergency management arrangements in Victoria are made. Department/Agency Responsibilities Department of Health – Lead/Control Agency The Department of Health is the lead agency for control of the response activities for incidents involving human illnesses and epidemics, including a human influenza pandemic. In the case of an epidemic, the Department of Health will provide overall direction and ensure that adequate planning and logistics are in place to support the response to human influenza pandemic. Department of Human Services –- Recovery In the case of a pandemic, the Department of Human Services will coordinate recovery at state and regional levels in Victoria. The Executive Director, Service Delivery and Performance (Department of Human Services) is the State Emergency Recovery Co-ordinator and is responsible for co-ordinating emergency recovery activities. Page 5 of 40 Victoria Police – Coordination If a pandemic is announced, Victoria Police will coordinate the activities of all agencies with emergency roles. The Chief Commissioner of Police will be the State Emergency Response Coordinator. State government departments will work together to ensure activities are coordinated at all levels. Municipalities – Local focus Local government is the closest level of government to the community and is often the first point of contact for assistance, advice and information. It will play a key role in community preparedness, particularly for the continued provision of essential community services such as water, waste water, and waste management. DEECD Responsibilities If a pandemic strikes, DEECD will be responsible for managing the impact on the Department’s workplaces, early childhood organisations and schools. DEECD will liaise with relevant state government departments to ensure DEECD’s requirements are considered in response and recovery arrangements. Higher education and skills providers will be responsible for their own responses to a pandemic, however, DEECD will liaise with these entities as appropriate and provide relevant communications to assist them in responding to the situation. Business continuity DEECD business continuity planning identifies critical services required in the event of an emergency or major disruption to service. In the event of a pandemic, it is predicted that up to 40% of the population could be affected1. The Audit and Risk Division, People and Executive Services Group has assisted in the development of business continuity plans for divisions identified as performing critical functions and regions to enable the continued delivery of identified critical functions. Importantly, business continuity plans include response strategies and contingency arrangements for situations where personnel may be unavailable such as in the case of a pandemic. DEECD’s overarching business continuity management plan is currently under development. Communications Throughout all stages of a pandemic, DEECD will provide up-to-date and timely pandemic information to its workforce, government schools, early childhood organisations, the Catholic Education Office, Independent Schools Victoria and Higher Education and Skills Group (to forward to their providers and Victorian TAFE Association and the Australian Council for Private Education and Training as appropriate). At times, communications may focus on hygiene and containment activities that may need to be undertaken in the event of a pandemic. Please refer to the communications strategy at Attachment D for more details. During the Response stage, national announcements or messages pertaining to the national approach may need to be made. These will be made by the Prime Minister (or delegate), following consultation with state and territories and relevant Commonwealth agencies. 1 AHMPPI 2009 Page 6 of 40 Containment DEECD may need to ensure workplace safety through implementation of prevention and, as appropriate, containment activities. DEECD will follow the advice of the Department of Health if containment activities (eg social distancing in the form of closures) need to be implemented at the school, early childhood or workplace level. School Nurse Responsibilities In the event of an influenza pandemic in Victoria, school nurses employed within the DEECD School Nursing Program may be required to undertake a public health role in affected schools and early childhood facilities. In this instance, DEECD would deploy School Nursing Program staff to provide health information and support to affected children and staff. Following advice from the Chief Health Officer in consultation with region/s and DEECD’s Principal Medical Adviser, decisions would be made to mobilise school nurses to an affected school or early childhood facility. The Manager, Nursing Programs would be responsible for coordinating the state-wide operational management of the school nurses in consultation with Regional Directors to determine allocation to schools and early childhood facilities. In the context of the 0-4 population, staff from the Maternal and Child Health line may be requested to provide additional support for the maternal and child health nurses attending early childhood facilities. Page 7 of 40 Decision Making and Communications Paths Victorian Government Context The diagram below represents decision making and communication paths in Victoria during a pandemic. Decision Making and Communications Paths – Victorian Action Plan Prime Minister Council Of Australian Governments Premier Victorian Decision Makers National Decision Makers Minister for Health Department Of Health and Ageing (Commonwealth) National health subcommittees on influenza responses Minister for Health Security & Emergencies Committee of Cabinet Minister for Police and Emergency Services Chief Health Officer Central Government Response Committee Victorian Emergency Management Council Commonwealth Decision Makers NOTE: The Department of Health (DH) is the designated control agency for responding to a human influenza pandemic. The nominated Incident Controller for DH is the Chief Health Officer (CHO) Chief Medical Officer National health subcommittees on influenza responses Victorian Pandemic Influenza Plans Department of Health In the event of a pandemic the CHO will occupy a chair on the Central Government Response Committee All Government Departments State State Regional Region/Area of Operations Local Incident Victorian Emergency Management Arrangements Community Includes DEECD Page 8 of 40 Pandemic Stages The Victorian Department of Health has adopted a four-stage approach (Preparedness, Standby, Response, Stand-down) to its operational plan. Please see table below. Pandemic Stage Description/Trigger New novel influenza virus with pandemic potential has been detected. It is causing PREPAREDNESS severe disease in humans who have had contact with infected animals. There is no effective transmission between humans. The novel influenza virus has not arrived in Australia Surveillance data indicates that the novel influenza virus is likely to impact negatively on STANDBY Australia in the short term. There may be human to human transmission of the virus in or outside the country of origin a. Transmission of the novel influenza virus is occurring in Australia. Limited specific details about the virus are available. RESPONSE b. Community transmission of the novel influenza virus is occurring in Australia. More details of clinical severity and transmissibility known STAND-DOWN Pandemic controlled in Australia Incident Management Team Functions The table below details associated functions to be undertaken by nominated/rostered personnel once a central office Incident Management Team is activated. Where Incident Management Teams are established in regional locations or worksites, the broad role functions assumed by regional personnel will be consistent with those described below but will be scaled to the region or worksite’s operations. At school and early childhood sites, available personnel and the scale of the pandemic will influence how roles are allocated. Role Function Responsibility Incident Controller Emergency Management Division, Regional Services Group Assumes overall management responsibility Activates Incident Management Team Manages the Ministerial interface regarding the pandemic (with Communications Division) Identifies and liaises with relevant stakeholders with Communications Officer Ensures that briefings occur at all levels of the incident management structure Approves implementation of the Incident Action Plan Page 9 of 40 May acts as DEECD’s media spokesperson in consultation with the Communications Officer Determines reporting frequency Maintains incident management log Manages: Communications o o Officer Operations Officer Logistics Officer Communications Division, People and Executive Services Group Supports development and implementation of the Incident Action Plan including requirements for communicating with employees, government agencies and school and education and care services communities Develops rules on release of information Identifies stakeholders with Incident Controller Develops and disseminates internal and external key messages Arranges stakeholder and media briefings Monitors media Confirms and liaises with nominated spokesperson Maintains incident management log Planning Officer internal communication external communications Collects and analyses information from relevant central government departments and agencies Develops forecasts on the impact of the pandemic on DEECD and its operations Determines information requirements and reporting schedules for Incident Management Team Develops appropriate reports (situation reports) for internal and external distribution Conducts internal and external situation analysis Coordinates development of Incident Action Plan and monitoring its implementation Maintains incident management log Emergency Management Division, Regional Services Group Contributes to the development of the Incident Action Plan Controls all operations in accordance with the Incident Action Plan Initiates recommendations for release of resources Manages any pandemic response requirements (eg liaison with School Nurse Manager, supply of additional staff to regions) Liaises with Logistics Officer for required resources Obtains briefings/instructions from Incident Controller Maintains incident management log Student Wellbeing and Engagement Division, School Education Group Supports incident management and has responsibility for: o o o facilities e.g. telecommunications, accommodation, etc services e.g. information technology support, catering, security, legal, finance, etc establishment of emergency call centre (including training and recruitment of Programs and Partnerships Division, Early Childhood Development Group Procurement Division, People and Executive Services Group Page 10 of 40 o telephony staff) materials e.g. records Identifies resources and support required for planned actions and contributes to the logistics component of Incident Action Plan Prepares logistics briefings Maintains incident management log Page 11 of 40 Appendix A Emergency Management Division and Regional Managers, Operations and Emergency Management Influenza Pandemic Actions Preparedness - New novel influenza virus with pandemic potential has been detected. It is causing severe disease in humans who have had contact with infected animals. There is no effective transmission between humans. The novel influenza virus has not arrived in Australia. Response Category Proposed Actions Whole of government Emergency Management Division will liaise with the state Department of Health and the Department of Human Services as appropriate Emergency management plans By the beginning of ‘flu season’ (April), Emergency Management Division will ensure its approach aligns with national and state incident response plans In April, Emergency Management Division will remind regions, schools and early childhood organisations to review their emergency management plans and ensure pandemic planning is updated as appropriate Central office and regions to have identified business areas that perform critical functions Critical business areas to review business continuity plans In April, Emergency Management Division will distribute and promote personal hygiene measures to central office, regions, schools and early childhood organisations (refer to the communications strategy at Appendix D for more details) Information to be shared with the Catholic Education office and Independent Schools Victoria Business continuity Hygiene measures *Higher Education and Skills Group to determine appropriateness of messaging for delivery to providers and industry associations Page 12 of 40 Communications Emergency Management Division to work with Communications Division as appropriate to implement preparedness stage of communications strategy including promoting personal hygiene messages (see above), availability of vaccinations, etc *Higher Education and Skills Group to determine appropriateness of messaging for delivery to providers and industry associations Standby - Surveillance data indicates that the novel influenza virus is likely to impact negatively on Australia in the short term. There may be human to human transmission of the virus in or outside the country of origin. Whole of government Emergency Management Division (and Principal Medical Adviser) to continue to liaise with the state Departments of Health and Human Services and seek advice re next steps and messaging to DEECD staff, schools, early childhood organisations and parents Incident management The DEECD central office (and/or regional office) Incident Controller may brief potential Incident Management Team (including Manager, Nursing Programs and/or Regional Nurse Manager(s)) and/or decide to establish a central office/regional Incident Management Team Emergency Management Plans Emergency Management Division will distribute national/state health messages and remind regions, schools and early childhood organisations to review their emergency management plans and ensure pandemic planning (including business continuity planning) is up to date Business continuity Central office and regions to prioritise work functions to ensure adequate workforce availability to deliver critical services Critical business areas to review business continuity plans Emergency Management Division (in consultation with Communications Division) to follow Department of Health/Department of Health and Ageing advice and distribute appropriate messaging (that may include use of individual protective measures) to central office, regions, schools, early childhood organisations and parents etc Hygiene measures Page 13 of 40 Information to be shared with the Catholic Education Office and Independent Schools Victoria *Higher Education and Skills Group to determine appropriateness of promoting hygiene measures to providers and industry associations as stated above DEECD will follow the advice of the Department of Health/Department of Health and Ageing including potential closure of services and other proposed social distancing measures Closures should be advised to the Municipal Association of Victoria via an email to emergencymgt@mav.asn.au Vaccinations At the advice of the Department of Health, DEECD to reinforce availability of vaccinations as appropriate School nurses Manager, Nursing Programs will review and update School Nursing Program deployment database in case of activation Travel DEECD will follow the advice of the Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zw-cgi/view/Advice/ and provide approved travel advice to staff, schools and early childhood organisations Communications Emergency Management Division to work with Communications Division as appropriate to implement standby stage of communications strategy (for more details refer to Appendix A) Emergency Management Division to liaise with central office Logistics Officer re readiness of emergency call centre (if required) The Communications Officer (central office Incident Management Team) may consider the establishment of an Emergency Call Centre in the next stage of response if required and prepare scripts as appropriate Containment Page 14 of 40 Response - Transmission of the novel influenza virus is occurring in Australia. Limited specific details about the virus are available. Community transmission of the novel influenza virus is occurring in Australia. More details of clinical severity and transmissibility known. Whole of government Incident management Emergency Management Division to continue to liaise with the Department of Health, Department of Human Services and the Department of Health and Ageing and seek advice re next steps and messaging to DEECD staff, schools, early childhood organisations and parents Mild, Moderate and/or Severe The DEECD central office Incident Controller will establish a central office Incident Management Team (eg including the potential appointment of a school nurse manager and business continuity manager) Reporting DEECD may assist with the collection of data as requested by the state Department of Health and the Department of Health and Ageing Emergency Management Plans Emergency Management Division will remind regions, schools and early childhood organisations to enact emergency management plans (if and where required) Business continuity Mild and Moderate Central office and regions to prioritise work functions to ensure adequate workforce availability to deliver critical services Critical business areas to review business continuity plans and be prepared to implement Business Continuity Officers to report any issues Business Continuity Manager (to be confirmed) Severe Critical business areas to review business continuity plans and be prepared to implement them if required Business Continuity Team Leaders report any issues to Logistics Officer (to be confirmed July 2014) Page 15 of 40 Hygiene measures Mild Emergency Management Division will follow state Department of Health and Department of Health and Ageing advice and distribute appropriate messaging (including appropriate use of individual protective measures) to central office, regions, schools, early childhood organisations and parents Information to be shared with the Catholic Education office and Independent Schools Victoria Logistics Officer (Incident Management Team) to conduct quality review of existing cleaning and assist in implementation of Department of Health /Department of Health and Ageing recommendations as required Moderate Emergency Management Division will follow state Department of Health/Department of Health and Ageing advice and distribute appropriate messaging (including appropriate use of individual protective measures) to central office, regions, schools, early childhood organisations and parents as appropriate Information to be shared with the Catholic Education office and Independent Schools Victoria Logistics Officer (Incident Management Team) to conduct quality review of existing cleaning and assist in implementation of Department of Health/Department of Health and Ageing recommendations as required Severe Emergency Management Division will follow Department of Health/Department of Health and Ageing advice and distribute appropriate messaging (including appropriate use of individual protective measures) to central office, regions, schools, early childhood organisations and parents Information to be shared with the Catholic Education office and Independent Schools Victoria Logistics Officer (Incident Management Team) to conduct quality review of existing cleaning procedures and assist in implementation of Department of Health/Department of Health and Ageing recommendations (if applicable) which may include use of personal protective equipment *Higher Education and Skills Group to determine appropriateness of promoting hygiene measures to providers Page 16 of 40 and industry associations as stated above Containment Mild and Moderate DEECD will follow the advice of the state Department of Health eg public access to premises, social distancing, etc and scale-up or scale-down depending on the severity of the influenza determined by the Department of Health) Severe DEECD will follow the advice of the Department of Health eg public access to premises, social distancing, etc and scale-up or scale-down depending on the severity of the influenza determined by the Department of Health) Municipal Association of Victoria should be advised of closures via an email to emergencymgt@mav.asn.au Vaccinations At the direction of the Department of Health, DEECD to promote availability of vaccinations as appropriate School nurses School Nursing Programs Manager will liaise with DEECD Principal Medical Adviser regarding scope and severity and liaise with Regional Director(s) in affected region(s) to determine which schools and education and care services require public health support Travel DEECD will follow the advice of the Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zw-cgi/view/Advice/ and distribute approved travel advice to staff, schools and early childhood organisations Communications Communications Officer to work with Emergency Management Division as appropriate to implement response stage of communications strategy including status/situation, promoting personal hygiene messages, containment measures (if necessary), availability of vaccinations, and messaging to staff about travel The Communications Officer may consider the establishment of an Emergency Call Centre (in consultation with the Incident Controller and the Logistics Officer), particularly if the incident is considered severe Page 17 of 40 Stand-down - Pandemic controlled in Australia. Whole of government DEECD to follow directions of lead agency with a view of returning to ‘business as usual’ Incident management Incident Controller de-activates Incident Management Team and conducts final debrief(s) Reporting DEECD continues reporting (as required) Emergency Management Plans Review effectiveness of Emergency Management Plans and update as appropriate Business continuity Work areas to implement business continuity plans for resumption of full business activity Hygiene measures Logistics officers (or equivalent) to replenish personal protective equipment Containment DEECD to follow the containment advice of the Department of Health/Department of Health and Ageing (if applicable) School nurses School Nursing Programs Manager to conduct final debrief (s) Travel Information to be based on Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zwcgi/view/Advice/ Communications Information to focus on local status, incorporating Department of Health and Department of Health and Ageing advice Page 18 of 40 Appendix B Influenza Pandemic Actions for Schools STAGE 1 PREPAREDNESS AND STAGE 2 STANDBY New novel influenza virus with pandemic potential has been detected. It is causing severe disease in humans who have had contact with infected animals. There is no effective transmission between humans. The novel influenza virus has not arrived in Australia. Surveillance data indicates that the novel influenza virus is likely to impact negatively on Australia in the short term. There may be human to human transmission of the virus in or outside the country of origin. Response Category Emergency management plan preparation Actions Comments In April, ensure emergency management plans are up to date and pandemic planning arrangements are included Ensure contact lists of staff, students, families, local services – Department of Health, Department of Human Services, Local Government Emergency Management Coordinators are up to date Ensure your call tree of key staff is circulated along with nominated school Incident Management Team members Prepare to enact pandemic section of emergency management plan with stakeholders and school Incident Management Team Identify minimum requirements and key staff for continued school operations (including planning for the absence of the principal and school council) Hygiene measures Promote basic hygiene measures within schools (posters are provided every April by the Emergency Management Division, Regional Services Group) including: o Regular hand washing with soap and water Page 19 of 40 o o o Appropriate home-based exclusion from school among children with flu-like illness and their non-school-aged carers and siblings Covering mouth with a tissue when coughing or sneezing Careful disposal of used tissues Provide students, faculty and staff with information about the importance of hand hygiene (see http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/handwashing_why_it's_important) Provide convenient access to water and liquid soap and/or alcohol-based hand sanitiser Educate employees and students about covering their cough to prevent the spread of germs (see the germ stopper posters developed by DEECD) Communicate the risk of influenza and how to identify cases of possible influenza based on the current up to date case definition by the Chief Health Officer, Department of Health Travel Follow the advice of the Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zwcgi/view/Advice/ Where appropriate, implement procedures to repatriate Australian students who are overseas if there is a risk of travel restrictions and overseas border closures, or risk of pandemic in a nearby country For international students studying in Australia, provide advice to students and their parents that in the event of an increased influenza pandemic risk, students may be sent home and, if travel restrictions apply, how the school will meet its duty-of-care obligations, etc Communications In April, ensure hygiene information eg posters provided by the Emergency Management Division, Regional Services Group (central office) are displayed In late autumn/early winter hold briefings with school staff, students and parents (as appropriate) about: o influenza symptoms o best practice hygiene measures o vulnerable children Page 20 of 40 Follow Department of Health/Department of Health and Ageing advice provided by DEECD and distribute consistent messaging to staff, students and parents/carers, etc. Communicate status/situation, personal hygiene measures, availability of vaccinations and travel messages to staff, students and parents/carers as appropriate (especially those people/families at a greater risk of infection) School Nursing Program nurses may assist with information dissemination (provided by the Department of Health) as directed by Regional Nurse Managers (based at regional offices). Prepare sample letters for parents for next stage with advice from DEECD (if required) Direct media queries to the DEECD media unit on 9637 2871 STAGE 3 RESPONSE Transmission of the novel influenza virus is occurring in Australia. Limited specific details about the virus are available. Community transmission of the novel influenza virus is occurring in Australia. More details of clinical severity and transmissibility known. Response Category Proposed Actions Emergency management plan enactment Enact emergency management plans where necessary Containment Follow the advice of the Department of Health and DEECD regarding containment activities and exclusion periods for infectious diseases Comments Activate school Incident Management Team Page 21 of 40 Help lower risk of exposure by reducing non-essential school interactions and minimising attendance at mass gatherings such as sports days and school fetes If required, identify a designated area to keep sick students quarantined from the general school population until they can be taken home by parents School nurses may be asked to assist the Department of Health in the distribution of antiviral medication at the direction of Regional Nurse Managers (based in regions) Outbreak management Report confirmed incidents of influenza via Security Services Unit on 9589 6266 Management of school workforce Encourage staff who develop flu-like symptoms during a pandemic to stay away from school until completely well School closures Contact your Regional Director regarding schools closure policy You will be advised of any additional reporting requirements by DEECD and/or the Department of Health Ensure staff who develop influenza-like illness at school leave immediately and seek medical attention Schools, if required, may be closed by: o the Regional Director in consultation with the Chief Health Officer, Department of Health o the school council, with the approval of the Regional Director If required to close, advise the Security Services Unit on 9589 6266 and the Manager, Operations and Emergency Management in your region Inform teachers of their obligations during school closures For students at home, provide access to educational materials including online learning Page 22 of 40 Travel Follow the advice of the Department of Health and the Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zw-cgi/view/Advice/ Communications Follow the advice from DEECD and distribute information about individual protective measures and school cleaning procedures Communicate status/situation, personal hygiene measures, containment measures (if necessary), availability of vaccinations and travel messages to staff, students and parents/carers as appropriate (especially those people/families at a greater risk of infection) School Nursing Program nurses may assist with information dissemination as directed by Regional Nurse Managers (based at regional offices) Communicate plans for closure if applicable and send letters to staff, parents and carers as appropriate Direct media queries to the DEECD media unit on 9637 2871 STAGE 4 STAND DOWN Pandemic controlled in Australia. Response Category Emergency management plan review Proposed Actions Comments Develop a recovery plan to help regain education of students and stabilize families and the community including: o staff availability o procedures to re-open (if applicable) o provision of counselling to students and staff (if required) Page 23 of 40 o monitoring cumulative effects of pandemic and identifying and supporting those who may need assistance Replenish personal protective equipment (if required) Incident controller to de-activate Incident Management Team and conduct final debrief(s) Review effectiveness of Emergency Management Plans and update as appropriate – involve relevant staff and others eg school nurses Be aware that multiple waves of the virus may occur and that review and revision of the plan may be required between waves Travel Continue to follow advice of Department of Foreign Affairs and Trade at http://smartraveller.gov.au/zw-cgi/view/Advice/ Communications Communicate status of situation to staff and parents/carers including supports that may be available Page 24 of 40 Appendix C Influenza Pandemic Actions for Education and Care Services STAGE 1 PREPAREDNESS AND STAGE 2 STANDBY New novel influenza virus with pandemic potential has been detected. It is causing severe disease in humans who have had contact with infected animals. There is no effective transmission between humans. The novel influenza virus has not arrived in Australia. Surveillance data indicates that the novel influenza virus is likely to impact negatively on Australia in the short term. There may be human to human transmission of the virus in or outside the country of origin. Response category Emergency management plan preparation Actions Comments In April, ensure emergency management pans (including emergency numbers and key contacts) are up to date and pandemic planning arrangements are included Ensure contact lists of staff, students, families, local services – Department of Health, Department of Human Services, Local Government Emergency Management Coordinators are up to date Ensure your call tree of key staff is circulated along with nominated school Incident Management Team members Prepare to enact pandemic response section of emergency management plan with stakeholders and prepare to activate Incident Management Team Identify minimum requirements and key staff for continued operations (including planning for the absence of the director) Hygiene measures Promote basic hygiene measures Page 25 of 40 Review cleaning procedures and determine whether frequency or other processes should change Communicate the risk of influenza and how to identify cases of possible influenza based on the current up to date case definition by the Chief Health Officer, Department of Health Communications In April, ensure hygiene information is displayed (refer to Staying Healthy in Childcare (2005)) In May, consider providing information sessions for staff and parents about: o pandemic influenza symptoms o preferred hygienic practices o vulnerable children Communicate status/situation, personal hygiene measures, containment measures (if necessary), availability of vaccinations etc to staff and parents/carers as appropriate (especially those people/families at a greater risk of infection) School Nursing Program nurses may assist with information dissemination Direct any media queries to the DEECD media unit on 9637 2871 STAGE 3 RESPONSE Transmission of the novel influenza virus is occurring in Australia. Limited specific details about the virus are available. Community transmission of the novel influenza virus is occurring in Australia. More details of clinical severity and transmissibility known. Response Category Emergency management Proposed Actions Comments Enact emergency management plans where necessary Page 26 of 40 plan enactment Activate Incident Management Team Containment Follow the advice of the Department of Health and DEECD including service closures and exclusion periods for infectious diseases Identify a designated area to keep sick children quarantined from others until they can be taken home by parents Following any closures, notify: o The Quality Assessment and Regulation Division according to the requirements of the relevant legislative framework. Further information is available at www.education.vic.gov.au/childhood/providers/regulation Inform carers of their obligations during closures School Nursing Program nurses may be asked to assist the Department of Health with the distribution of antiviral medication at the direction of the Regional Nurse Manager (based in regions) Outbreak management Notify the Quality Assessment and Regulations Manager of a serious incident according to the requirements of the relevant legislative framework. Further information is available at www.education.vic.gov.au/childhood/proividers/regulation You will be advised of any additional reporting requirements by DEECD and/or the Department of Health Management of workforce Encourage staff who develop flu-like symptoms during a pandemic to stay away until completely well Service closures Contact the Quality Assessment and Regulations Manager regarding service closure policy Ensure staff who develop influenza-like illness to leave immediately and seek medical attention Following any closures, notify: o The Quality Assessment and Regulation Division according to the requirements of the relevant legislative framework. Further information is available at www.education.vic.gov.au/childhood/providers/regulation Page 27 of 40 Inform staff of their obligations during service closures Communications Follow the advice from the Department and distribute information about individual protective measures and cleaning procedures Communicate status/situation, personal hygiene measures, containment measures (if necessary), availability of vaccinations to staff and parents/carers as appropriate (especially those people/families at a greater risk of infection) Communicate plans for closure if applicable and send letters to staff, parents and carers as appropriate Direct any media queries to the DEECD media unit on 9637 2871 Page 28 of 40 STAGE 4 STAND DOWN Pandemic controlled in Australia. Response Category Emergency management plan review Proposed Actions Comments Develop a recovery plan for return to normal operations which includes: o staff availability o procedures to re-open (if applicable) o provision of counselling (if required) o monitoring cumulative effects of pandemic and identifying and supporting those who may need assistance Incident controller to de-activate Incident Management Team and conduct final debrief(s) Review effectiveness of Emergency Management Plans and update as appropriate – involve relevant staff and others eg school nurses Replenish personal protective equipment (if required) Be aware that multiple waves of the virus may occur and that review and revision of the plan may be required between waves Communications Communicate status of situation to staff and parents/carers including supports that may be available Page 29 of 40 Appendix D Influenza Pandemic Communications Strategy Introduction This communications strategy supports the Pandemic Incident Response Procedures document. Communication Coordination As Victoria’s control agency, the Department of Health is the lead agency for control of the response activities for a human influenza pandemic. The Department of Health will provide overall direction and ensure that adequate planning and logistics are in place to support the response to a human influenza epidemic. The Department of Human Services will coordinate recovery at state and regional levels in Victoria. If the pandemic reaches the Standby stage, a national information campaign may be activated by the Commonwealth Department of Health and Ageing to alert the public that the likelihood of an influenza pandemic has increased. In the case of a human influenza pandemic, DEECD will work closely with these key agencies and internal stakeholders (including DEECD’s Chief Medical Officer and the Department of Health’s Chief Health Officer) to plan and coordinate a consistent communications response regarding pandemic influenza issues. Target Audiences This communications strategy primarily focuses on the information needs of DEECD central office, regions and schools. It will also apply to early childhood services funded and/or regulated by DEECD (herein referred to as ‘early childhood organisations’) and DEECD registered training organisations to provide vocational education and training and Victorian Universities (herein referred to as ‘higher education and skills providers’). This strategy will also include communications to the Catholic Education Office and Independent Schools Victoria. This strategy may also be used by the Higher Education and Skills Group to provide appropriate information to higher education and skills providers (and industry associations, if appropriate) who are responsible for developing and implementing their own pandemic response plans as independent legal entities. Communications Approach During the Preparedness stage, communications activities will build awareness and understanding around the risk of a human influenza pandemic. Throughout most of the Standby stage, the communication strategy will ensure that target audiences have access to clear and current information that supports actions to minimise the risk of illness. Activities during the Response stage will focus on minimising the impact of influenza on vulnerable people. Activities during the Stand-down stage will focus on returning to normal business. Communications Response according to Phase Page 30 of 40 Preparedness stage Preparedness stage New novel influenza virus with pandemic potential has been detected. It is causing severe disease in humans who have had contact with infected animals. There is no effective transmission between humans. The novel influenza virus has not arrived in Australia Key Communications Objectives Communications activities during the Preparedness stage aims to build a base level of awareness and understanding across the target audiences regarding the threat of an influenza pandemic. Key Messages will explain What is an influenza pandemic. The current disease situation (where appropriate). Basic hygiene measures that will help restrict the spread of any influenza virus. Why it is important that eligible people get vaccinated. Where to get further information. Communications Tactics DEECD website and internal eduGate site The DEECD external website and internal eduGate site will inform central office, regions, early childhood organisations, schools and higher education and skills providers (and industry associations as appropriate) about health measures, warnings and the current situation. It will include information and/or links to: NURSE-ON-CALL 1300 606 024 (24 hours, 7 days a week) Maternal and Child Health Line 132 229 (24 hours) Doctor, local community health centre or emergency department of nearest hospital Victorian Government Health Information http://www.health.vic.gov.au/pandemicinfluenza/index.htm Commonwealth Department of Health and Ageing http://www.flupandemic.gov.au/internet/panflu/publishing.nsf World Health Organisation http://www.who.int/en/ Posters Posters will be made available for corporate (central and regional staff) and all schools and early childhood organisations. They will be able to be downloaded from the internal eduGate site and included in any DEECD mails/circulars and made available to the Catholic Education Office and Independent Schools Victoria. The Higher Education and Skills Group may make these posters available as appropriate to higher education and skills providers (and industry associations as appropriate). DEECD mails/circulars DEECD mails/circulars will be sent out at the beginning of ‘flu season’ i.e. mid-April reminding staff of good hygiene practice. Inspire magazine Page 31 of 40 Beginning mid-April, Inspire magazine will contain articles about the importance of good hygiene measures and where to obtain information and posters for students/children. DoHA Free call information line (1800 004 599) The Commonwealth Department of Health and Ageing information line will be available to all individuals who wish to seek further information. Standby stage Surveillance data indicates that the novel influenza virus is likely to impact Standby stage negatively on Australia in the short term. There may be human to human transmission of the virus in or outside the country of origin. Key Communications Objectives Communications activities during Standby stage will aim to ensure that the target audiences have access to clear and current information that supports actions to minimise the risk of illness. Key Messages will explain Facts about the virus presenting the pandemic threat - symptoms and mode of infection. Strategies to help protect individuals and prepare for and respond to the threat including school and/or early childhood facility closures. Information about what to do if staff think they have or know of a new strain of influenza. The importance of practising prevention and containment strategies to slow the spread of the disease. What the government is doing to contain the threat. Where to get further information. Specific Messages for School and Early Childhood Staff As above plus specific information about: personal protective measures the procedures for identifying and managing students with pandemic influenza or a new strain of influenza Communications Tactics DEECD website and internal eduGate site The DEECD external website and internal eduGate site will be updated to inform central office, regions and schools, early childhood organisations and higher education and skills providers (and industry associations as appropriate) about the current situation. It will also include information and/or links to: NURSE-ON-CALL 1300 606 024 (24 hours, 7 days a week) Maternal and Child Health Line 132 229 (24 hours) Doctor, local community health centre or emergency department of nearest hospital Victorian Government Health Information http://www.health.vic.gov.au/pandemicinfluenza/index.htm Commonwealth Department of Health and Ageing http://www.flupandemic.gov.au/internet/panflu/publishing.nsf World Health Organisation http://www.who.int/en/ Page 32 of 40 DEECD mails/circulars DEECD mails/circulars will be sent out providing information. National Information campaign (first phase) During this phase, a national information campaign may be activated by the Commonwealth Department of Health and Ageing to alert the public that the likelihood of an influenza pandemic has increased. DEECD will communicate consistent national messages and may assist to distribute any additional resources made available. DoHA Free call information line (1800 004 599) The Commonwealth Department of Health and Ageing information line will be available to all individuals who wish to seek further information. Response stage Response stage Transmission of the novel influenza virus is occurring in Australia. Limited specific details about the virus are available. Community transmission of the novel influenza virus is occurring in Australia. More details of clinical severity and transmissibility known. Key Communications Objectives Communications activities during x stage will inform and reinforce the need for the appropriate actions to minimise disease transmission and support the maintenance of essential community services that may include schools and early childhood facilities. Key Messages will explain Any school and/or early childhood facility closures. Facts about the pandemic virus, symptoms and modes of infection. Personal protection, prevention and treatment options. The importance of practising prevention and containment strategies to slow the spread of the disease. What you need to do if you think you have influenza. What the government is doing. What services and support is available. Availability and access to anti-viral medication. Where to get further information. Specific Messages for School and Education and Care Services Staff As above plus specific information about: the procedures for identifying and managing students/children with pandemic influenza. Page 33 of 40 what the government is doing to contain infection Communications Tactics DEECD website and internal eduGate site The DEECD external website and internal eduGate site will be updated to inform central office, regions, schools, early childhood organisations and higher education and skills providers (and industry associations as appropriate) about the current situation. It will include information/links to: NURSE-ON-CALL 1300 606 024 (24 hours, 7 days a week) Maternal and Child Health Line 132 229 (24 hours) Doctor, local community health centre or emergency department of nearest hospital Victorian Government Health Information http://www.health.vic.gov.au/pandemicinfluenza/index.htm Commonwealth Department of Health and Ageing http://www.flupandemic.gov.au/internet/panflu/publishing.nsf World Health Organisation http://www.who.int/en/ DEECD mails/circulars DEECD mails/circulars will be sent out providing information about the current situation. National Information Campaign (second phase) Once human-to-human transmission has been established a second national information campaign may be implemented to provide information on the situation and to encourage appropriate disease containment practices. It may also convey information around the Government response and what to do if individuals become ill. DoHA Free call information line (1800 004 599) The Department of Health and Ageing information line will be available to all individuals who wish to seek further information. Stand-down stage Stand-down stage Pandemic controlled in Australia. Key Communications Objectives Communications activities during the Stand-down stage will support restoration of public confidence and a return to more normal living and working arrangements. Key Messages will explain The containment of the pandemic. What support services are available for people who were affected by the disease. What the government is doing to minimise any future disease outbreaks. Where to get further information. Communications Tactics Page 34 of 40 DEECD website and internal eduGate site The DEECD external website and internal eduGate site will be updated. DEECD mails/circulars DEECD mails/circulars will be sent out providing information. DoHA Free call information line (1800 004 599) The information line will continue to be available. Page 35 of 40 Appendix E Nursing Programs Manager tasks On notification of an influenza pandemic, the central office Incident Controller, in consultation DEECD’s Principal Medical Advisor will appoint the Manager, Nursing Programs, Programs and Partnerships, as the key liaison with regional health staff. The Manager, Nursing Programs with support from the central office IMT will undertake tasks including: 1. Making contact with the Regional Director in the affected region/s to determine the number of schools and education and care services requiring public health support. 2. Once resourcing requirements are clear and confirmed, the Manager, Nursing Programs will activate the Nurse Deployment Database and contact nursing staff with deployment arrangements. 3. Nursing staff who confirm availability for deployment (see below) will be placed on a duty roster. This roster will be developed to adequately address the resourcing requirements of the affected region/s, and should cover a minimum of two to four working days at a time. 4. The Manager, Nursing Programs, with support from central office IMT will need to contact Regional Director/s and Regional Nurse Managers from the regions where school nurses will be drawn from, to inform them of the planned deployment. 5. At all times the Manager, School Nursing Programs, will liaise with the central office Incident Management Team and senior medical staff from the DEECD and the Department of Health to confirm the status of the pandemic and the potential impact on the region/s. 6. Once the roster is complete and staff to be deployed are confirmed, the Manager, School Nursing Programs will, following advice from DEECD’s Principal Medical Advisor and in consultation with affected region/s, set a date, time and place to conduct a pre-deployment brief. Prior to deployment, the Manager, School Nursing Programs will arrange for a briefing to be conducted by the Regional Nurse Manager in the affected region. The content for the briefing will need to be approved by the Regional Director. 7. The pre-deployment briefing will contain information relating to: a. where staff are to be deployed - schools and education and care services b. the activities that school nurse staff will be undertaking c. who to report to on site d. human resources details such as length of shift(s), remuneration, accommodation, transport and on-site support arrangements e. what to take and what to expect – see deployment checklist at Attachment X f. contact details of the Manager, School Nursing Programs and the DEECD Principal Medical Advisor and appropriate regional staff. 8. Once staff is deployed, Manager, School Nursing Programs will contact the region to ensure that all staff members have been briefed and deployed appropriately. Deployment requirements School nurses who nominate for deployment will be drawn from the DEECD Nurse Deployment Database. These staff members hold a current registration with the Nurses Board of Victoria. All nurses employed in DEECD’s funded programs are registered Division 1 nurses. Page 36 of 40 Knowledge and skills required for pandemic management and public health support will be updated with advice from the Chief Health Officer, Department of Health, relating to the required role of school nurses in a pandemic. This will be coordinated in conjunction with DEECD’s Principal Medical Advisor. These include: detail of the pandemic, symptoms and impact of spread of the virus an understanding of public health and infection control. an understanding of the service system, and referral capacity administration of medication if appropriate provision of prepared health information. Page 37 of 40 Appendix F Nursing Role Statements Role Statement –Manager, Nursing Programs Reports to: Incident Controller, in conjunction with the Principal Medical Advisor. The Manager, Nursing Programs, will be required to undertake activities that could include: coordinating the deployment of school nurses to affected schools and education and care services. liaising with the regional emergency management coordinator in the preparation of the daily situation report. managing the nurse deployment database and roster in accordance with current workplace agreements to provide adequate workforce coverage. providing input to, and feedback from emergency management meetings. ensuring that appropriate regional and local briefing and debriefing processes are in place. ensuring the distribution of updated medical advice to relevant health staff. Role Statement - Regional Nurse Manager Reports to: Regional Director and Manager, Nursing Programs Liaises with: Operations and Emergency Management Manager in Region and/or Regional Incident Controller The Regional Nurse Manager is based in the region and will: be the contact point for the Manager, Nursing Programs in relation to school nurse deployment in a region allocate school nurses to an area and provide them with an initial briefing liaise with principals and student wellbeing teams in schools as required manage school nurse human resource requirements, for example: travel reimbursement, leave applications ensure that briefing and debriefing mechanisms are accessible to school nurses as required monitor workloads to ensure school nurses’ health and wellbeing provide day-to-day support/supervision to the school nurses as required liaise with Regional Incident Management Team to ensure coordination and consistency provide feedback to regional emergency management coordinators and ensure Incident Management Team members are updated as required arrange debriefing of all the school nurses who are deployed in their region with specialist debriefing services if required. Page 38 of 40 Role Statement - School Nurse Reports to: Regional Nurse Manager The school nurse will work in schools and early childhood facilities affected by the pandemic and will provide health services that include, but are not limited to: the administration of prescribed oral medication appropriate referral for students and staff providing public health advice and information to school staff, parents and students concerning all aspects of a pandemic supporting school communities to address pandemic health and social issues with community based health services providing the Regional Nurse Manager with regular updates on resourcing, emerging issues, completed activities and other information relevant to the deployment environment self-monitoring workload to maintain health and wellbeing liaising with principals and student welfare teams in schools as required throughout the duration of the deployment and the recovery process. Page 39 of 40 Appendix G School Nurse deployment checklist In the event of influenza pandemic that impacts on a region/s, school nurses on the Nurse Deployment Database may be deployed to provide health support. If a school nurse is deployed the following checklist is provided to support this role: take personal requisites with you familiarise yourself with surroundings and resources take and wear appropriate clothing carry and display the correct identification attend briefing and debriefing sessions – briefing before you start your shift – briefing may be carried out by your manager or be part of the daily all-staff briefing and debriefing when your shift ends – this should be conducted immediately off-shift and separate from the work area provide information updates to the Regional Nurse Manager as required throughout the shift and at the end of a shift ensure you have access to required requisites to undertake your emergency management role agree on adequate workspace and access to medication storage - Regional Nurse Manager to negotiate as required take regular breaks - specified in accordance with existing workforce agreements, preferably to be taken out of sight wherever possible eat and drink properly get plenty of rest seek emotional support if or when required access adequate transport arrangements reimbursement/access cards etc make regular contact with your family. - e.g. the use of cab charges/parking Page 40 of 40