University of Illinois at Urbana-Champaign Facilities & Services Division of Safety and Compliance Facilities & Services Infectious Disease Response Incident Action Plan Last Updated 2015 University of Illinois at Urbana-Champaign http://safetyandcompliance.fs.illinois.edu 217-265-9828 PURPOSE AND TRIGGER The purpose of this plan is to guide Facilities & Services in the course of continuing business operations during an infectious disease outbreak. Most likely, an infectious disease outbreak will be brought to the attention of the campus through a local, state, regional or national health department notification to the McKinley Health Service. During such an incident, the Director of McKinley Health Center or his/her designee will determine whether the information reported constitutes a Level 1, 2, or 3 situation, and will notify the Campus Emergency Operations Committee (CEOC) by calling 333-1216. The McKinley Director will also request that the Infectious Disease Work Group (IDWG) be notified so that they can assemble for the purpose of assisting the CEOC. F&S staff will assist the CEOC in addition to implementing the appropriate portions of this document. Campus actions may be coordinated with a larger outbreak involving the emergency response agencies for the cities and the county. ACRONYMS CEOC – Campus Emergency Operations Committee CUPHD – Champaign Urbana Public Health District F&S – Facilities & Services IDWG – Infectious Disease Work Group UIUC – University of Illinois-Urbana-Champaign WHO – World Health Organization BUSINESS CONTINUITY This plan is designed to respond effectively to an infectious disease outbreak while maintaining maximum business efficiency of the organization throughout the process. To this end, response actions are planned with the goal of returning F&S as quickly as possible to full functionality. Three broad phases of action are planned: 1.) Preparedness, 2.) Incident Response, and 3.) Return to Operations. PHASES OF ACTION Phase 1. Preparedness WHO establishes global status categories for infectious disease outbreaks, designated Phase 1 through Phase 6 (see Appendix 1). UIUC has established response levels corresponding to the WHO phases. Actions by F&S personnel, in conjunction with other campus units (see Appendix 2), will be determined with reference to the current WHO phase. Not all F&S personnel will respond to emergencies, and in more advanced phases of disease outbreaks there may be limitations on services provided by F&S. Appendix 3 specifies which F&S services are “critical” and “non-critical” with respect to infectious disease response. Appendix 4 is a detailed list of responses for each work group under the various response categories. 04/08/2015 2 of 11 F&S Infectious Disease Plan_150408.docx Cross-reference between UIUC response levels and WHO disease outbreak phases: UIUC Pre-Level 1 Level 1 Level 2 Level 3 WHO Phases 1 & 2 Phases 2 & 3 Phases 4 & 5 Phase 6 Pre-Level 1 actions (WHO Phases 1 & 2) In many outbreak situations there will not be advance time to prepare for the first case of human to human transmission. Pre-level 1 actions are important to assure that the unit is prepared well in advance of the time that an infectious disease is confirmed. 1. Critical personnel – F&S must determine who the “critical” personnel are in the event of an infectious disease outbreak. The list of “non-critical” personnel should be prepared in addition to “call-off” notices that can be activated on short notice. 2. F&S should clearly communicate the status of critical vs. non-critical services. 3. Assess the quantity of N95 respirators on hand and determine whether an adequate amount is on hand. Determine which groups should be fit-tested for the respirators, Some work groups use respirators during their routine work and will be fit-tested at this time, while others may need them only in an emergency and may be fit-tested in later emergency response actions. 4. The Campus Emergency Operations Committee, assisted by the IDWG, will direct the campus response during an infectious disease outbreak. Individuals with copies of this document are encouraged to review it to assure they understand the protocols. Questions may be directed to Facilities & Services. Additional campus resources (experts in specific fields, unit resources, etc.) will work with the CEOC as part of the Incident Command System (see Appendix 2). 5. Plan for quarantine – the campus should determine the areas/buildings on campus which are suitable for use during quarantine and isolation if needed. This list should be reviewed immediately upon a WHO Phase 2 outbreak to confirm that the areas are available if needed. F&S staff should review their support services in the event that quarantine and isolation facilities are recommended by CUPHD. Level 1 – (WHO phases 3 & 4) Confirmed cases of high risk human-to-human transmission of infectious disease or other serious health risks have occurred somewhere in the world. 1. Assess respiratory protection plan and resources. 2. Train and fit essential personnel for respirator use. 3. Communicate information clearly to the Campus Emergency Operations Committee. Provide a liaison to the CEOC core group if requested. 3 of 11 4. Review protocols for handling dead birds and/or the potential F&S involvement in animal herd or flock depopulation. 5. Review the supply, distribution, and fit testing of N95 respirators to campus essential personnel. 6. Prepare communication fact sheets for distribution to F&S personnel. 7. Review Level 2 actions. Phase 2. Incident Response Level 2 (WHO phases 4 & 5) Suspected or confirmed case(s) of disease have occurred in North America 1. Reassign staff to critical functions as necessary (see Appendix 3). 2. Distribute fact sheets and other communications to F&S personnel as appropriate. 3. Conduct fit testing and distribution of respirators and other appropriate personal protective equipment (PPE) to critical personnel. 4. Review the operational setup plan for Surge activation at the State Farm Center. 5. Review possible actions concerning the handling of dead animals and/or requests to assist with animal herd de-population. 6. Review Level 3 actions. Level 3 (WHO phase 6) There have been confirmed case(s) of infectious disease outbreak with the potential to disrupt campus operations. Non-critical personnel should be instructed to stay home. 1. Assist Health Care Center. 2. Distribute fact sheets and other communications to F&S personnel as appropriate. 3. Distribute appropriate respirators to essential personnel. 4. Issue reminder communications to staff with respirators on proper use, how to extend the life of the respirator and how to obtain replacements. Note: Actions specified within each level are not all inclusive. They are intended as a guide for group response to any given situation which might be covered under this incident action plan (Refer to the CEOC Manual). 4 of 11 Phase 2. Return to Operation For effective return to operations, it is essential to maintain continued communication with employees in both critical services and non-critical services throughout the entire Incident Response phase. Keeping the channels of communication open and functioning will ensure that employees can be contacted when needed, and that they will be able to prepare themselves for return to work. During the outbreak there likely will not be a clearly-defined point of maximum crisis or noted end-point. Health agencies will continue to report new cases and mortality rates even after near-normal levels of work resume. Some of the employee population and their families will be sick, and others recovered or not (yet) affected. Return to normal operations will have these manifestations: 1. Decision. Executive leadership determines that it is safe for return to operations. 2. Recall. Designated critical service workers establish a timetable for return to operations. The schedule for return will depend on factors such as how much disruption was caused during the outbreak and how much work can be done. The communications team begins to contact those who are not at work to inform them when they should report. 3. Transition. Some work resumes, based on the timetable, but others remain at home. 4. Full Operations. Eventually the entire workforce has returned and a full work schedule is in operation. 5 of 11 Appendix 1 WORLD HEALTH ORGANIZATION GLOBAL INFLUENZA PREPAREDNESS PLAN – PANDEMIC PHASES Inter-pandemic period Phase 1 No new influenza virus subtypes have been detected in humans. An influenza virus subtype that has caused human infection may be present in animals. If present in animals, the risk1 of human infection or disease is considered to be low. Phase 2 No new influenza virus subtypes have been detected in humans. However, a circulating animal influenza virus subtype poses a substantial risk1 of human disease. Pandemic alert period Phase 3 Human infection(s) with a new subtype, but no human-to-human spread, or at most rare instances of spread to a close contact.2 Phase 4 Small cluster(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans.2 Phase 5 Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk). Pandemic period Phase 6 Pandemic: increased and sustained transmission in general population.2 1The distinction between phase1 and phase 2 is based on the risk of human infection or disease resulting from circulating strains in animals. The distinction is based on various factors and their relative importance according to current scientific knowledge. Factors may include pathogenicity in animals and humans, occurrence in domesticated animals and livestock only wildlife, whether the virus enzootic or epizootic, geographically localized or widespread, and/or other scientific parameters. 2The distinction between phase 3, phase 4, and phase 5 is based on an assessment of the risk of pandemic. Various factors and their relative importance according to current scientific knowledge may be considered. Factors may include rate of transmission, geographical location and spread, severity of illness, presence of genes from human strains (if derived from an animal strain), and/or other scientific parameters. 6 of 11 Appendix 2 ADDITIONAL CAMPUS RESOURCES Incident Commander (Director of Health Center)/Infectious Disease Work Group Chancellor’s Office Student Affairs McKinley Health Center Study Abroad Microbiology Veterinary Medicine CIO Campus Legal Counsel Housing Division F&S Safety and Compliance Office of Public Affairs Division of Research Safety Division of Public Safety Champaign Urbana Public Health Champaign Co Emerg Mmt Ag CEOC Core Team Chancellor VC Student Affairs Public Affairs Provost VC Research Chief of Police Exec. Dir. F & S Student Affairs VC Student Affairs Housing Division Dir. – Residential Life Dir. – Grad & Family Hsg. Dean of Students Emergency Dean Director of Housing Associate Registrar Dir. – Dining Services Dir. – Facilities Associate Provost – Enrollment Research VC Research IACUC Director Research Safety AACUP University Police Chief of Police Asst. Chief of Police Director of Emergency Planning McKinley Health Center Director Medical Director DAR CZR Patrol Illini EMS F & S Safety & Compliance Executive Director Director Safety & Compliance Media Relations Assoc. Chancellor Director of News Bureau Telecommunications (CITES) CIO Deputy CIO Human Resources Assoc. Provost & Dir. of Acad. HR Dir. Of Personnel Services 7 of 11 Appendix 3 F&S CRITICAL AND NON-CRITICAL SERVICES EMT Critical Services Director Campus Services Maintenance Engineering Safety & Compliance Shared Administrative Services F&S Critical Services Stores MRO Garage (Emergency generators, mechanics Construction Laborers (Asbestos Crew) Waste Haulers Maintenance Management Steam Distribution Systems & Control Custodians (BSWs) Transportation Electricians Minor Construction (ancillary to maintenance and repair) Grounds Planning Resources Service Office IT: Desk Top/Network Support Payroll F&S Non-Critical Services JOC Contracts Planning Design Construction Services Environmental Compliance Engineering Space Management 8 of 11 Appendix 4 FACILITIES & SERVICES INFECTIOUS DISEASE RESPONSE ACTIONS UIUC Level WHO Level EMT Critical Services Director Engineering & Trans OMA Pre-Level 1 1&2 Continue normal functions; determine and communicate critical/non-critical personnel; review EOP Continue normal functions Continue normal functions Level 1 2&3 Level 2 4&5 Level 3 6 Continue normal functions; communicate with CEOC Stop normal functions and support operational priorities Continue normal functions; review supply and distribution of respirators to Campus personnel Continue normal functions; review protocols for F&S involvement in handling dead animals Stop normal functions and support operational priorities; distribute communication fact sheets Stop normal functions and support operational priorities; review operational setup plan for surge activation; review possible actions for handling dead animals Stop normal functions and support operational priorities; make assignments for assisting Health Care Center Stop normal functions and support operational priorities; distribute communication fact sheets Stop normal functions and support operational priorities Capital Programs Continue normal functions; determine quarantine/isolation areas Continue normal functions Stop normal functions and support operational priorities Stop normal functions and support operational priorities Safety & Compliance Continue normal functions; assess quantities of N95 respirators; determine fit-testing needs Stop normal functions and support operational priorities; oversee distribution of respirators to critical personnel Stop normal functions and support operational priorities; oversee distribution of respirators to critical personnel Shared Administrative Services Continue normal functions Continue normal functions; assess respiratory protection plan and resources; fit-test and train critical personnel; prepare communication fact sheets Continue normal functions Stop normal functions and support operational priorities Stop normal functions and support operational priorities 9 of 11 F&S Critical Services Building Maintenance Continue normal functions Continue normal functions Stop normal functions and support operational priorities Stop all functions and support emergencyguided operations Building Services Continue normal functions Continue normal functions Stop normal functions and support operational priorities Stop all functions and support emergencyguided operations Construction Services Continue normal functions Continue normal functions Stop normal functions and reassign staff to critical operations Support emergencyguided operations Garage (Emergency generators, mechanics Continue normal functions Continue normal functions Stop normal functions and support operational priorities Stop all functions and support emergencyguided operations Grounds Operations Continue normal functions Continue normal functions Stop normal functions and reassign staff to critical operations Support emergencyguided operations IT: Desk Top/Network Support Payroll Continue normal functions Continue normal functions Support operational priorities Support emergencyguided operations Continue normal functions Continue normal functions Continue normal functions Continue normal functions Support operational priorities Stop normal functions and support operational priorities Support emergencyguided operations Stop all functions and support emergencyguided operations Continue normal functions Continue normal functions Continue normal functions Continue normal functions Support operational priorities Support Campus MRO and Janitorial Support emergencyguided operations Stop all functions and support emergencyguided operations Systems & Control Continue normal functions Continue normal functions Stop normal functions and support operational priorities Stop all functions and support emergencyguided operations Waste Management Continue normal functions Continue normal functions Stop normal functions and support operational priorities Stop all functions and support emergencyguided operations Planning Resources Service Office Stores MRO 10 of 11 F&S Non-Critical Services - The following F&S services would be suspended under a level 3 emergency, however all F&S personnel will remain in back-up status. JOC Contracts Design Capital Construction Environmental Compliance Engineering Space Management 11 of 11
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