Influenza Pandemic Project Pandemic Planning

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Influenza Pandemic Project Pandemic Planning
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Key Presentation Objectives

• Project Overview
• What is Pandemic ?
• Pandemic Phases
• World Update
• Pandemic Assumptions

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Key Presentation Objectives

• Police Roles Responsibilities
• Human Resource Issues
• Organizational Issues Requirements
• Preventative Measures

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Pandemic Project Overview
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Project Objectives

• Maintain Public Safety
• Support our Members
• Support our Members Families
• Support our Core Partners

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Project Scope

• Focus on Human Resources
• Bring OPS to a State of Readiness
• Develop an Influenza Pandemic Operational Plan

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Influenza Pandemic What is it?
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Understanding 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.

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What 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

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Pandemic 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

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Pandemic 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

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How 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

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Recurring 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

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Influenza 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
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Current 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

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Current World Update
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Current 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

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Current 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

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Pandemic Impact OTTAWA

• New Cases 30,000
• People seeking medical assessment 16,000
• Hospitalization 350
• Deaths 80
• PER WEEK

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Pandemic Assumptions
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Pandemic 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

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Pandemic 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

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Police Roles Responsibilities
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Policing Realities

• in Police Resources by 30 or more
• Under resourced to deal with average CFS
• CFS Pandemic Crime Disorder
• CFS Pandemic Responsibilities

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Roles Responsibilities

• Assist in Public Alert Procedures
• Response to Missing Persons
• Security for Equipment/Goods/Supplies
• Vehicular/pedestrian congestion
• Response to Death Calls

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Roles Responsibilities

• Enforcement of Quarantine
• Crowd Control at Immunization Sites
• Establish/Securing Temporary Morgues
• Security of Transportation of Anti-virals
• Security of Vaccine

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Roles Responsibilities

• Security/Integrity of Burial Sites
• need for Public Order/Crowd Control
• Crime Disorder Calls
• (looting, demonstrations, riots)

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Deployment 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

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Organizational Issues Requirements
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Human Resource Issues

• Compensation/Benefits
• Pandemic Related Leave
• Health and Safety Related Issues
• Surge Capacity Strategies
• Policy Issues

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Non Human Resources Issues

• Maintenance of infrastructure
• IT
• Telecommunications
• Supplies
• Equipment
• Power / Water
• Fuel/ Vehicle Maintenance

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Personnel Issues

• Health and Safety of our Members
• Family Issues and Support
• Effective Communication
• Information Access
• Workplace Stress and Burnout

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Preventative Measures

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Personal Protective EquipmentProvincially
Identified Stockpile Needs

• Hand Gel
• Gloves
• Eye Protection
• Masks
• Dispensers
• Surface Cleansers
• At least 1 month supply

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Respiratory 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.

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Respiratory 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

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Respiratory 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)
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Respiratory Protection Program Program Elements

• Hazard Assessment
• Training/Education
• Respirator Selection
• Health Assessment
• Fit Testing
• Record Keeping
• Ongoing Program Evaluation

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Preventative Measures

• Hand Washing
• Cough Etiquette
• Clean Work Spaces
• Flu shot
• Decontamination Measures
• Prevention at Home

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Questions ?
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Societal 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

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Avian Influenza

• H5N1 Virus
• H5N1 Virus primarily affects BIRDS
• Confirmed to infect other species HUMANS
• Pandemic POTENTIAL

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Potential for Pandemic

• Monitoring of H5N1 for past 8 years.
• H5N1 - most severe outbreaks on record.
• First infected humans 1997.
• Most cases healthy children / adults

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Global Impact

• H5N1 has the potential for Pandemic
• Global spread is considered inevitable
• Previous pandemics hit in 6 - 9 months
• With international travel 3 months

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Widespread 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

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Personal Impact

• Deaths will occur
• Death Rates determined by 4 factors
• People Infected
• Severity of the Virus
• Vulnerability of the population
• Effectiveness of Preventative Measures

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Pandemic Phases
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Policy Legal Issues

• Mutual Aid / Interagency MOUs
• Enforcement of Quarantine/Isolation
• Quarantine/Compensation
• State of Emergency Authority/Powers
• Arrest/Detentions/Searches/Cellblock
• Curfews/Restriction Access

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Policy Legal Issues

• Enforced Evacuation
• Restricted Movement of People
• Suspension of Sales of Items
• Restriction of Business Operations
• Prohibition of Excessive Pricing
• Charter Issues

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Policy Legal Issues

• Legal Access to Command Centre
• Sick Leave
• Work Refusal
• Responding to Contaminated Sites
• Contaminated Clothing/Equipment
• PPE

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Project Tangibles

• Steering Committee
• Communications Strategy
• Pandemic Framework Developed
• SARS Review 78 recommendations

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Project Tangibles

• Personal Protective Equipment (PPE)
• Anti-viral/Vaccine Enumeration Process
• Review of Police Roles/Responsibilities

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Relevant Issues

• Policy Issues
• Legal Issues
• Antiviral Prioritization
• Personal Protective Equipment
• All Hazards Business Continuity Plan

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Pandemic Framework

• Introduction
• Operational Requirements
• - Pre-Pandemic
• - Pandemic
• - Post-Pandemic
• Pandemic Management (ICS Model)
• Pandemic Recovery

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Functional Group Sessions - Part 1

• Pandemic Overview
• Pandemic Assumptions
• Police Roles/Responsibilities
• Legislative Requirements

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Functional Group Sessions Part 2

• Facilitated Brainstorming Session
• Functional Group Feedback
• Responses to Questionnaire Tool
• Develop Pandemic Operational Plan

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Respiratory 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

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SARS Review Recommendations
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SARS Review

• Working Group
• Communications Internal/External
• Operational Support
• Decontamination
• Partner Agencies
• Partner Policing Agencies
• Operational Planning

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SARS Review Recommendations

• 78 SARS Recommendations
• Pandemic Related
• Re-categorized into
• Pre Pandemic recommendations
• Pandemic recommendations
• Post Pandemic recommendations

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Medical 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

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Policy Issues Requirements
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Policy Issues

• Quarantine/Compensation
• Update Communicable Diseases
• Sick Leave
• Work Refusal
• Arrest, Detention/Cellblock
• Develop Policy re Quarantine Orders

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Policy Issues

• Responding to Contaminated Sites
• Contaminated Clothing
• Contaminated Equipment
• Contaminated Glove disposal system
• Develop/Update Policy re PPE

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State of Readiness
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Human Resource Issues