HCMC -- Pandemic Influenza Informational Resources

Pandemic Influenza
Informational Resources

Pandemic Influenza Informational Resources

Pandemic Influenza: Not "If," but "When"

New Information Added (11-26-09):

Ilustrated instructions on donning the 3M N-95 mask (pdf file)

Interim Respirator Reuse Protocol (pdf file )
A disposable N95 respirator can be reused with the following precautions

Protective covering such as a clear plastic face shield may be worn over the respirator to protect it from surface contamination
The inside of the mask should not be handled with contaminated gloves or hands
Masks should be carefully stored in a paper bag between uses
Masks can be used for multiple patients but should not be used for more than 1 shift

Temporary Guidelines for H1N1 Influenza Infection Prevention and Control summarized by Hennepin County Medical Center staff (pdf file)
The MN Department of Health (MDH) published a new Interim 2009 H1N1 Infection Prevention and Control Guidelines Including Prioritized Respirator Use Mode for Minnesota Hospitals on November 6, 2009. The guidelines may be viewed in their entirety at, http://www.health.state.mn.us/divs/idepc/diseases/flu/hcp/ic/icili.html.

What is Pandemic Influenza?

Pandemic Flu Interim Guidance - August 2009 - presentation by Dr. Brian Mahoney download for local viewing; click "file save as... (Presentation for download and viewing locally with Adobe Reader 9) Download Adobe Reader 9

Pandemic Flu Preparations - May 2009 presentation by Dr. Brian Mahoney download for local viewing; click "file save as... (Presentation for download and viewing locally with Adobe Reader 9) Download Adobe Reader 9

Pandemic Flu Preparations -May 2009 Presentation PowerPoint slides (PowerPoint Presentation for download)

MDH What It Is factsheet.pdf
Description of what Pandemic Flu is and isn’t, with common general questions.

VA Brochure 1 What is Panflu.pdf
Highlights the differences between “Seasonal Flu” and “Pandemic Flu.”

Frequently Asked Questions About Pandemic Flu (created 8-12-09)
Below is the first of many frequently asked questions and answers.
Q: What is the Minnesota Department of Health’s vision for the H1N1 in the fall?
A: It is uncertain at this time how severe subsequent waves of a novel H1N1 outbreak will be in terms of illness and death compared with other influenza viruses or the spring 2009 wave. Other pandemics in the 20th century have followed a consistent pattern with multiple waves. If the pattern holds true, the United States could see a second wave of the disease in the early fall of 2009 into the winder of 2010. If the virus follows the pandemic patterns of the 20th century, healthcare providers should prepared for the potential of higher level of virulence in the fall wave, which occurred in both 1918 and 1967. Patterns would suggest cases could appear in early fall and will be occurring well into the normal seasonal flu months. If this occurs, the population will not have an available vaccine, and similar patterns of infection are expected, with high prevalence in children and young adults.

The Commissioner of Health has directed MDH to be ready to respond to a moderate to severe pandemic influenza by September 30, 2009.

Flu Center Plan Case Statement (MDH August 2009)
Making the case for the use of Flu Centers.

Frequently Asked Questions and Answers on Pan Flu (MDH August 2009)
Frequently Asked Questions and Answers on Pan Flu (MDH August 2009)

What is a Flu Center? (MDH update August 2009)
Flu centers can be used to provide an assessment of people with influenza-like illness to take pressure off primary care facilities and emergency departments. Public education and lay home/self-care information can be reinforced from the Minnesota Department of Health website. Flu centers can be planned to meet the needs of uninsured and underinsured as part of the community’s response to pandemic influenza.

What can individuals do to prepare?

NEJM Hands Give It Away.pdf (August 2009)
Displays images that illustrate the critical importance of hand hygiene in caring for
patients, including those not known to carry antibiotic-resistant pathogens.

MDH What You Can Do factsheet.pdf (August 2009)
What you can do to be ready.

CDC Family Info Sheet.pdf (August 2009)
Create a family emergency health plan using the attached form. Fill in information for
each family member in the space provided. Like much of the planning for a pandemic,
this can also help prepare for other emergencies.

http://www.pandemicflu.gov/plan/checklists.html
CDC information for families and individuals.
Information available in a variety of languages.

VA Brochure 3 Control Spread FINAL.pd f (August 2009)
Guide for how to control the spread of the flu.

VA Brochure 4 Home Care FINAL.pdf (August 2009)
Guide for caring for a person with the flu.

CDC Individual Checklist.pdf (August 2009)
You can prepare for an influenza pandemic now. You should know both the magnitude
of what can happen during a pandemic outbreak and what actions you can take to help
lessen the impact of an influenza pandemic on you and your family. This checklist will help
you gather the information and resources you may need in case of a flu pandemic.

American Red Cross Flu Care.pdf (August 2009)
Summary guide from the American Red Cross on what is Pan Flu and what to do to prepare, including caring for family affected.

http://store.channing-bete.com/onlinestore/search.html?vid=20050104004&da=H908R
"How You Can Be Prepared for a Flu Pandemic" available for purchase from channing-bete publishers.

CDC Health Care Personnel Vaccination Poster (August 2009)

(Poster to promote vaccinations for healthcare providers)

What resources are available to public safety agencies to help prepare?

Home Care Instructions for use during Level Red Operations
These Home Care Instructions are for use during specified times of
severe pandemic influenza, courtesy of the Metro Region EMS System,
Metro Emergency Services Board.

Draft - Sample Templates for First Responder Antiviral Program (Sept 2009)

Draft - Template_Antiviral_Form_for_First_Responders_9-14-09
Antiviral medication for likely case of 2009 H1N1 influenza in a first responder – Information
and patient permission sheet

Draft - Template_Protocol_for_Antiviral_Medication_for_First_Responders_9-14-09
Protocol for Antiviral medication for likely case of 2009 H1N1 influenza in a first responder

Draft - Template_Employee_information_sheet_for_antivirals_9-14-09.pdf
Employee information sheet for Antiviral medication for likely case of 2009 H1N1 influenza in a first responder

http://www.pandemicflu.gov/plan/states/#checklists
CDC various Preparation Checklists (in general):
A pandemic occurs in many localities - perhaps even worldwide - almost simultaneously.
Because of this, much of the planning for a pandemic must be the responsibility of state
and local governments. Community strategies that delay or reduce the impact of a pandemic
(also called non-pharmaceutical interventions) may help reduce the spread of disease until a vaccine is available.

http://www.pandemicflu.gov/plan/checklists.html
For Law Enforcement:
In the event of pandemic influenza, law enforcement agencies (e.g., State, local, and tribal
Police Departments, Sheriff’s Offices, Federal law enforcement officers, special jurisdiction
police personnel) will play a critical role in maintaining the rule of law as well as protecting
the health and safety of citizens in their respective jurisdictions. Planning for pandemic
influenza is critical.

http://www.pandemicflu.gov/plan/healthcare/emgncymedical.html
For EMS:
Planning for pandemic influenza is critical for ensuring a sustainable health care response.
The Department of Health and Human Services (HHS) and the Centers for Disease Control
and Prevention (CDC) have developed the following checklist to help emergency medical
services (EMS) and non-emergent (medical) transport organizations assess and improve
their preparedness for responding to pandemic influenza.

http://www.nhtsa.gov/people/injury/ems/PandemicInfluenza/
For 9-1-1:
Preparing for Pandemic Influenza:
Recommendations for Protocol Development for
9-1-1 Personnel and Public Safety Answering Points (PSAPs)

What have EMS Systems done to prepare?

2008 Patient Care Guidelines 03-31-08.pdf
Minneapolis Fire Department EMS 2008 Patient Care Guidelines
Contributors:
Charlotte Holt, MFD EMS Chief
Brian Mahoney, MD HCMC Emergency Medical Services
Cindy Anderson, HCMC EMS Instructor (MFD EMS Coordinator)
George Vasquez, HCMC EMS Instructor (CPR Study Coordinator)

MFD ICP December 2009.pdf
MINNEAPOLIS FIRE DEPARTMENT INFECTION CONTROL POLICY 2009
Contributors:
Charlotte Holt, EMT-P, BGS, R.N., MFD Deputy Chief EMS
Jeremy Norton, MFD Fire Captain
Dr. John Hick, M.D., Hennepin Faculty Associates
Mary Ellen Bennett, RN, MPH, CIC, Hennepin County Medical Center

MFD All Hazard - Pandemic Flu Plan Protocols.pdf
Minneapolis Fire Department All Hazard - Pandemic Flu Protocols and Patient Care Guidelines (July 2009)
Contributors:
Charlotte Holt, MFD EMS Chief
Brian Mahoney, MD HCMC Emergency Medical Services
Dr. John Hick, M.D, FACEP, Hennepin Faculty Associates
Suzanne Gaines, EMS Unit, Hennepin County Human Services & Public Health Department

http://www.health.state.mn.us/divs/idepc/diseases/flu/pandemic/plan/plan.html
MDH Pandemic Influenza Plan
The MDH plan is very long and contains many details. This plan is being revised.
The version posted at this site is the current approved plan- Version 2.5, April, 2006.

Minnesota Emergency Medical Services Regulatory Board (EMSRB)

Pandemic Flu Response Plan – Draft 2008

To provide a coordinated EMS response to a Pandemic Influenza outbreak using the National Incident Management System (NIMS) and following the National Response Framework (NRF).

(Supplement to HSEM and MDH-OEP Pandemic Influenza Plans)

What is the EMS Council doing to prepare?

Pandemic Inluenza Appendix Approved 4-9-09 (pdf format)
Patient transport guidelines to use if we are in "Level Red" operations.
Approved by the EMS Council 4-9-09.
These standing orders will be used to provide the best pre-hospital care to the greatest number of people during an extreme situation. They will only be put into place when resources are defined by the system as “Level Red,” which means EMS services are pending or not answering calls for which there is a significant risk of death for the patient. They do not supersede other protocols. You will be notified when this status is in effect.

Panflu TF Work Plan and accomplishments 4-2-08.pdf
Work Plan for the Panflu Task Force

Goal: EMS in Hennepin County will be prepared to respond to pandemic influenza

Objective 1: The EMS workforce is ready to come to work during a panflu event
Objective 2: The EMS system has triage responses prepared for different levels of
demand and capacity during a panflu event
Objective 3: The EMS system has developed a structure to respond to a panflu event

Special thanks are extended to the following:

Charlotte Holt, EMT-P, BGS, R.N.
EMS Chief, Minneapolis Fire Department

Suzanne Gaines for helping create this informational resource page, and providing
many of the links to information and documents listed above.

Suzanne Gaines, EMS Unit,
suzanne.gaines@co.hennepin.mn.us
612-348-5653
Hennepin County Human Services & Public Health Dept.
525 Portland Ave. S. (mc L963)
Minneapolis, MN 55415