Avian Flu Pandemic Preparedness at the University of West Florida
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Avian Flu Pandemic Avian Flu Pandemic Preparedness at the Preparedness at the
University of West FloridaUniversity of West Florida
Jim Hurd, Student AffairsJim Hurd, Student Affairs
Peter Robinson, Peter Robinson, Administrative AffairsAdministrative Affairs
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Some History
Pandemic: An infectious disease epidemic that affects people worldwide or over an extensive geographical area.
There were three influenza pandemics in the 20th Century.
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Recipe for a PandemicRecipe for a Pandemic Condition One
• –Novel virus
•Condition Two• Crosses species• Humans, pigs, tigers, cats
•Condition Three• Efficient, persistent human-to-human
transmission• Reassortment• Mutation
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New Influenza Subtypes
H3N2 • 1968• Hong Kong Flu• 34,000 US deaths
H1N1• 1918 • Spanish Flu• >500,000 US deaths
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New Influenza Subtypes
H5N1• 2003• Avian Flu *• Worldwide, 98 deaths out of 177 confirmed
infections as of 3-13-06
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Susceptible Human Population
Humans have no pre-existing immunity to novel strains of influenza.
Every time the virus enters a new host, the
potential for mutations is present.
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Country
Total
cases deaths
Cambodia 4 4
China 15 10
Indonesia 29 22
Iraq 2 2
Thailand 22 14
Turkey 12 4
Viet Nam 93 42
Total 177 98
WHO confirmed cases of H5N1 as of 3-13-06
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“No disease the world has ever known even remotely resembles the great influenza epidemic of 1918. Presumed to have begun when sick farm animals infected soldiers in Kansas, spreading and mutating into a lethal strain as troops carried it to Europe, it exploded across the world with unequaled ferocity and speed. It killed more people in twenty weeks than AIDS has killed in twenty years; it killed more people in a year than the plagues of the Middle Ages killed in a century. Victims bled from the ears and nose, turned blue from lack of oxygen, suffered aches that felt like bones being broken, and died. In the United States, where bodies were stacked without coffins on trucks, nearly seven times as many people died of influenza as in the First World War.”
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Historical Facts - 1918Historical Facts - 1918
Death Toll Worldwide: 40 - 100 Million
Death Toll US: 500,000
Normal Season Flu Death Toll: 36,000
Most Susceptible Population Age: 15-34 Number of Flu-Orphans in NYC: 21,000
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Historical FactsHistorical Facts
1957 Asian Flu -- US Deaths 69,800 1968 Hong Kong Flu – US Deaths 34,000 Pandemic Flu Scares: 1976 Swine Flu 1977 Russian Flu 1997 -1999 Avian Flu Non-Flu Scare: SARS Multi-Country Outbreak
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“Let me be clear. It is only a matter of time before we discover H5N1 in America. The migration patterns of the wild fowl that carry the virus make its appearance here almost inevitable.”
Secretary Michael Leavitt, HHS
13 March 2006
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Current Situation -- Avian Flu:
2003-2006 Outbreaks in Cambodia, China, Indonesia, Japan, Laos, South Korea, Thailand, Vietnam, Europe, Southwest Asia and Africa
Bird to Human transmission still very rare
Human to Human transmission –one WHO confirmed case
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World Health Organization World Health Organization Pandemic Alert RatingPandemic Alert Rating
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Florida Department of HealthFlorida Department of Health Once the pandemic takes hold, we have to
assume that there will be little to No Help from the national or state level – not just for days, but for weeks, and perhaps months.
We have to assume that every county and every community will be pretty much on its own in an influenza pandemic.
County Health Department will have ICS Lead.
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Department of Health Department of Health Planning AssumptionsPlanning Assumptions
Establish realistic goals based on experience and discussion. Planning is based on:• The historical record• Rapid world-wide spread – Carnegie Mellon U• Health care systems overload• Medical supplies inadequate – SNS Mock
Activation• Economic and social disruption• Short window for critical decision making• Influenza will spread quickly in a community.
0.01%-1% attack rate in one week.• 1918 influenza crossed U.S. in 3-4 weeks.
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Starting PointStarting Point Background work in progressBackground work in progress
Establish a Planning Task Force to ensure all Establish a Planning Task Force to ensure all areas represented in the planning processareas represented in the planning process
Identify essential functions and personnelIdentify essential functions and personnel
Articulate duties and delegate responsibilitiesArticulate duties and delegate responsibilities
Educate campus about pandemic flu and our planEducate campus about pandemic flu and our plan
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IssuesIssues
ClassesClasses Student absenteeismStudent absenteeism Alternate methods for completing course work – Alternate methods for completing course work –
ITS?ITS? Tuition refundsTuition refunds Traveling Faculty and StudentsTraveling Faculty and Students Resident and International studentsResident and International students Athletic events - on campus and away gamesAthletic events - on campus and away games
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IssuesIssues
Public events – FOG, high school dances, Public events – FOG, high school dances, weddings in conference centerweddings in conference center
Food supplies – ChartwellsFood supplies – Chartwells
SecuritySecurity
ResearchResearch
MaintenanceMaintenance
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IssuesIssues AdmissionsAdmissions
Financial AidFinancial Aid
ProcurementProcurement
InsuranceInsurance
PayrollPayroll
Communications – external & internalCommunications – external & internal
Recovery PlanRecovery Plan
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Taskforce Functional RepresentationTaskforce Functional Representation Per ACHA Planning RecommendationsPer ACHA Planning Recommendations
Academic AffairsAcademic Affairs• International Programs International Programs • Academic Activities Academic Activities • Research Research • Enrollment ServicesEnrollment Services
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Taskforce Functional RepresentationTaskforce Functional Representation Per ACHA Planning RecommendationsPer ACHA Planning Recommendations
Administrative AffairsAdministrative Affairs• Business & Auxiliary Services Business & Auxiliary Services • Financial Services Financial Services • Procurement & Contracts Procurement & Contracts • Facilities Management Facilities Management • Police Department Police Department • Environmental Health and SafetyEnvironmental Health and Safety
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Taskforce Functional RepresentationTaskforce Functional Representation Per ACHA Planning RecommendationsPer ACHA Planning Recommendations
Student AffairsStudent Affairs• Student Health Services Student Health Services • Housing and Residence Life Housing and Residence Life • SGASGA
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Taskforce Functional RepresentationTaskforce Functional Representation Per ACHA Planning RecommendationsPer ACHA Planning Recommendations
President’s DivisionPresident’s Division• Marketing Communications Marketing Communications • Human Resources Human Resources • ITSITS