Title: Influenza Pandemic Project Pandemic Planning
1Influenza Pandemic Project Pandemic Planning
2Key Presentation Objectives
- Project Overview
- What is Pandemic ?
- Pandemic Phases
- World Update
- Pandemic Assumptions
3Key Presentation Objectives
- Police Roles Responsibilities
- Human Resource Issues
- Organizational Issues Requirements
- Preventative Measures
4Pandemic Project Overview
5Project Objectives
- Maintain Public Safety
- Support our Members
- Support our Members Families
- Support our Core Partners
6Project Scope
- Focus on Human Resources
- Bring OPS to a State of Readiness
- Develop an Influenza Pandemic Operational Plan
7Influenza Pandemic What is it?
8Understanding Pandemic
- Epidemic serious outbreak in a single community,
population or region - Pandemic epidemic spreading around the world
affecting hundreds of thousands of people, across
many countries and continents.
9What is Influenza PANDEMIC
- Virus outbreak that occurs in multiple geographic
areas. - Simultaneously with virtually explosive
capability to infect across national borders and
continents. - A GLOBAL epidemic
10Pandemic 3 Conditions
- A new influenza virus subtype emerges
- It infects humans causing serious illness
- It spreads easily and sustainably among humans
- Avian Influenza A (H5N1) virus meets first 2
conditions
11Pandemic Waves
- 3 month warning from first pandemic outbreak to
local outbreaks - 1st wave - often out-of-season, may last 6-8
weeks (peak at 3-4 weeks) - 2nd wave - 3-9 months later may be more
severe - 3rd wave may also occur
12How is Influenza Spread?
- Can spread rapidly between people
- Talking,Coughing or Sneezing
- Transmitted through
- Breathing droplets containing the virus
- Touching infected persons or contaminated surface
- Certain strains more severe than others
- Highly Infectious
13Recurring Events
- Pandemics are rare, RECURRING
- 3 Pandemics in previous century
- Unpredictable - not always in winter
- Great variations in
- Mortality
- Severity of illness
- Illness pattern / age
14Influenza Strains and Pandemics in 20th
Century 1918-19 1957-58
1968-69
Spanish Flu
Asian Flu
Hong Kong Flu
1 million deaths
20-40 million deaths
1 million deaths
H1N1
H2N2
H3N2
1920 1940 1960 1980 2000
15Current Alert Phase
INTER-PANDEMIC PHASE Low risk of human cases 1
New virus in animals, no human cases Higher risk of human cases 2
PANDEMIC ALERT No or very limited human to human transmission 3
New virus causes human cases Evidence of increased human to human transmission 4
Evidence of significant human to human transmission 5
PANDEMIC Efficient and sustained human to human transmission 6
16Current World Update
17Current Pandemic Situation WHO
- Presently NO pandemic occurring
- State of Pandemic ALERT
- H5N1 virus is of greatest concern
- H5N1 virus has been confirmed in Asia, Europe,
Africa
18Current Pandemic Situation WHO
- H5N1 reported human cases 241
- H5N1 reported human deaths 141
- Azerbaijan, Cambodia, China, Djibouti, Egypt,
Indonesia, Iraq, Thailand, Turkey, Vietnam - No evidence human-to-human transmission
19Pandemic Impact OTTAWA
- New Cases 30,000
- People seeking medical assessment 16,000
- Hospitalization 350
- Deaths 80
- PER WEEK
20Pandemic Assumptions
21Pandemic Assumptions
- Limited warning of oncoming pandemic
- 1/3 of your staff NOT available
- Pandemic will hit in WAVES
- Focus CALLS FOR SERVICE
- State of EXIGENT circumstances
- HR focused Operational Plan
22Pandemic Assumptions
- Certain functions suspended/shutdown
- Certain sections shutdown
- Vaccine not available 4-6 months
- Anti-virals may be in short supply
- Alternate Police Resources - scarce
- Social disruption / social distancing
23Police Roles Responsibilities
24Policing Realities
- in Police Resources by 30 or more
- Under resourced to deal with average CFS
- CFS Pandemic Crime Disorder
- CFS Pandemic Responsibilities
25Roles Responsibilities
- Assist in Public Alert Procedures
- Response to Missing Persons
- Security for Equipment/Goods/Supplies
- Vehicular/pedestrian congestion
- Response to Death Calls
26Roles Responsibilities
- Enforcement of Quarantine
- Crowd Control at Immunization Sites
- Establish/Securing Temporary Morgues
- Security of Transportation of Anti-virals
- Security of Vaccine
27Roles Responsibilities
- Security/Integrity of Burial Sites
- need for Public Order/Crowd Control
- Crime Disorder Calls
- (looting, demonstrations, riots)
28Deployment of Resources
- Survey of all sections
- Established staffing needs
- Calls For Service Working Group
- Re-Prioritization of Calls for Service
- Alternate or Deferred Response Strategies
29Organizational Issues Requirements
30Human Resource Issues
- Compensation/Benefits
- Pandemic Related Leave
- Health and Safety Related Issues
- Surge Capacity Strategies
- Policy Issues
31Non Human Resources Issues
- Maintenance of infrastructure
- IT
- Telecommunications
- Supplies
- Equipment
- Power / Water
- Fuel/ Vehicle Maintenance
32Personnel Issues
- Health and Safety of our Members
- Family Issues and Support
- Effective Communication
- Information Access
- Workplace Stress and Burnout
33Preventative Measures
34Personal Protective EquipmentProvincially
Identified Stockpile Needs
- Hand Gel
- Gloves
- Eye Protection
- Masks
- Dispensers
- Surface Cleansers
- At least 1 month supply
35Respiratory Protection Program Purpose
- OPS is committed to providing comprehensive
- programs to support and promote the health and
- safety of all members.
Implementation of a comprehensive RPP will ensure
members are trained in the
- Proper selection, use and care of respirators,
- as well as, the effective administration of a
- respiratory protection program for the OPS.
36Respiratory Protection Program Legislative
Requirements
- Ontario Occupational Health and Safety Act
states - every employer shall
take every precaution reasonable in the
circumstances for the protection of a worker
- Canadian Standards Association Z94.4-02
- sets out the requirement for Selection, Use,
- and Care of Respirators
37Respiratory Protection Program Project Team
Project Owner (Sue McLaren / Mark Ford)
Program Coordinator (Brian Catlin)
Project Support Personnel (Cst. Jeannette
Kramer)
RPP Administrator (External Firm Subject Matter
Expert)
38Respiratory Protection Program Program Elements
- Hazard Assessment
- Training/Education
- Respirator Selection
- Health Assessment
- Fit Testing
- Record Keeping
- Ongoing Program Evaluation
39Preventative Measures
- Hand Washing
- Cough Etiquette
- Clean Work Spaces
- Flu shot
- Decontamination Measures
- Prevention at Home
40Questions ?
41Societal Impact
- High rate of Worker Absenteeism
- Economic Disruption
- Crime and Disorder Issues
- Impairment of Social Services
- Schools, Churches, Community Gatherings
- Impairment of Essential Services
- Power, Transportation, Communication
42Avian Influenza
- H5N1 Virus
- H5N1 Virus primarily affects BIRDS
- Confirmed to infect other species HUMANS
- Pandemic POTENTIAL
43Potential for Pandemic
- Monitoring of H5N1 for past 8 years.
- H5N1 - most severe outbreaks on record.
- First infected humans 1997.
- Most cases healthy children / adults
44Global Impact
- H5N1 has the potential for Pandemic
- Global spread is considered inevitable
- Previous pandemics hit in 6 - 9 months
- With international travel 3 months
45Widespread Illness
- Most people will NOT have immunity
- Infection rates higher than normal flu
- No vaccine will be available
- Anti-virals will be in short supply
- Major impact upon health care system
46Personal Impact
- Deaths will occur
- Death Rates determined by 4 factors
- People Infected
- Severity of the Virus
- Vulnerability of the population
- Effectiveness of Preventative Measures
47Pandemic Phases
48Policy Legal Issues
- Mutual Aid / Interagency MOUs
- Enforcement of Quarantine/Isolation
- Quarantine/Compensation
- State of Emergency Authority/Powers
- Arrest/Detentions/Searches/Cellblock
- Curfews/Restriction Access
49Policy Legal Issues
- Enforced Evacuation
- Restricted Movement of People
- Suspension of Sales of Items
- Restriction of Business Operations
- Prohibition of Excessive Pricing
- Charter Issues
50Policy Legal Issues
- Legal Access to Command Centre
- Sick Leave
- Work Refusal
- Responding to Contaminated Sites
- Contaminated Clothing/Equipment
- PPE
51Project Tangibles
- Steering Committee
- Communications Strategy
- Pandemic Framework Developed
- SARS Review 78 recommendations
52Project Tangibles
- Personal Protective Equipment (PPE)
- Anti-viral/Vaccine Enumeration Process
- Review of Police Roles/Responsibilities
53Relevant Issues
- Policy Issues
- Legal Issues
- Antiviral Prioritization
- Personal Protective Equipment
- All Hazards Business Continuity Plan
54Pandemic Framework
- Introduction
- Operational Requirements
- - Pre-Pandemic
- - Pandemic
- - Post-Pandemic
- Pandemic Management (ICS Model)
- Pandemic Recovery
55Functional Group Sessions - Part 1
- Pandemic Overview
- Pandemic Assumptions
- Police Roles/Responsibilities
- Legislative Requirements
56Functional Group Sessions Part 2
- Facilitated Brainstorming Session
- Functional Group Feedback
- Responses to Questionnaire Tool
- Develop Pandemic Operational Plan
57 58Respiratory Protection Program - RPP Program
Elements
- Record Keeping
- Training/Education
- Use of Respirators
- Program Evaluation
- Fit Testing
- Roles and Responsibilities
- Hazard Assessment
- Respirator Selection
- Health Assessment
59SARS Review Recommendations
60SARS Review
- Working Group
- Communications Internal/External
- Operational Support
- Decontamination
- Partner Agencies
- Partner Policing Agencies
- Operational Planning
61SARS Review Recommendations
- 78 SARS Recommendations
- Pandemic Related
- Re-categorized into
- Pre Pandemic recommendations
- Pandemic recommendations
- Post Pandemic recommendations
62Medical Supplies
- 2 most important medical interventions
- Anti-virals
- Vaccine
- Virus will be new therefore no vaccine
- Vaccine cannot be made until the virus has been
identified
63Policy Issues Requirements
64Policy Issues
- Quarantine/Compensation
- Update Communicable Diseases
- Sick Leave
- Work Refusal
- Arrest, Detention/Cellblock
- Develop Policy re Quarantine Orders
65Policy Issues
- Responding to Contaminated Sites
- Contaminated Clothing
- Contaminated Equipment
- Contaminated Glove disposal system
- Develop/Update Policy re PPE
66State of Readiness
67Human Resource Issues