Avian Flu Pandemic Preparedness at the University of West Florida

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Avian Flu Pandemic Preparedness at the University
of West Florida

• Jim Hurd, Student Affairs
• Peter Robinson, Administrative 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 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
• gt500,000 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 Total
Country   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 - 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 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 Pandemic Alert Rating
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Florida 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 Planning
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 Point

• Background work in progress
• Establish a Planning Task Force to ensure all
  areas represented in the planning process
• Identify essential functions and personnel
• Articulate duties and delegate responsibilities
• Educate campus about pandemic flu and our plan

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Issues

• Classes
• Student absenteeism
• Alternate methods for completing course work
  ITS?
• Tuition refunds
• Traveling Faculty and Students
• Resident and International students
• Athletic events - on campus and away games

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Issues

• Public events FOG, high school dances, weddings
  in conference center
• Food supplies Chartwells
• Security
• Research
• Maintenance

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Issues

• Admissions
• Financial Aid
• Procurement
• Insurance
• Payroll
• Communications external internal
• Recovery Plan

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Taskforce Functional Representation Per ACHA
Planning Recommendations

• Academic Affairs
• International Programs
• Academic Activities
• Research
• Enrollment Services

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Taskforce Functional Representation Per ACHA
Planning Recommendations

• Administrative Affairs
• Business Auxiliary Services
• Financial Services
• Procurement Contracts
• Facilities Management
• Police Department
• Environmental Health and Safety

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Taskforce Functional Representation Per ACHA
Planning Recommendations

• Student Affairs
• Student Health Services
• Housing and Residence Life
• SGA

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Taskforce Functional Representation Per ACHA
Planning Recommendations

• Presidents Division
• Marketing Communications
• Human Resources
• ITS