TTX Pandemic Influenza Simulations

1
TTXPandemic Influenza Simulations

• Pandemic Influenza Contingency(PIC)

PIC / OCHA
2
Ongoing Preparedness Actions
4
Joint Exercise
3
Skill Drill

• Goal
• To Test Multi-Actor
• Coherence
• (5 days)
• ? Full-scale, Multi-actor
• Dress Rehearsal
• Success
• ? SOPs are fully
• understood and carried out

2
Functional Exercise
1
Table Top Exercise

• Goal
• To Test Systems SOPs
• (1/2 day)
• Test the SOPs
• Test the Phone tree
• Can the staff / systems perform as
  trained/planned?
• Success
• Key systems work
• Key staff can use them

• Goal
• To Raise Awareness of
• the impact of an
• influenza pandemic
• (1 day)
• Buy-in at high level
• Identification of key
• preparedness elements
• Identification of areas
• required to support
• national preparedness
• e.g. PIC TTX
• Success
• High-level participation
• Gaps follow-up
• Actions identified

• Goal
• To Test the Plan
• (conceptually / logically)
• (1-2 day)
• Does the plan make sense?
• Are there gaps?
• Clear up misunderstandings
• e.g. UNCT simulation
• Success
• Participants werefamiliar with the plan
• Plan held up during test

PIC / OCHA
3
The TTX Scenario
Time Period of 6 Weeks

• Confusion, confirmation and containment
• Initial confused reports of respiratory illness.
• Government commences a containment operation.
• Confirmation of a novel highly pathogenic virus
  with human to human transmission.
• Area Affected
• Limited to regional non bordering country

• Virus spreads
• Containment operation fails to prevent a rapid
  spread of the virus.
• Commencement of border controls and travel
  restrictions.
• Disruption to many essential services
• Area Affected
• Spreads through the region and reaches your
  country

• Pandemic
• Virus spreads throughout your country.
• Continuation of operations affected by lack of
  staff and disruption to public services.
• Increase in mortality rate.
• Humanitarian crisis.
• Area Affected
• Global pandemic with varying degrees of severity
  by region

PIC / OCHA
4
TTX Simulation Process

• Participatory approach involving senior level
  officials and key staff
• Forum to discuss and examine simulatedemergency
  situations to test assumptions and arrangements
  of an emergency plan and identify gaps
• Time scale is usually few hours
• Table-top guided by simulated series of events

PIC / OCHA
5
Planning elements

• Organisational Structure modes of operation to
  be used during the various stages of pandemic
  including the command and control and mechanisms
  for internal coordination.
• Triggers identification of triggers, policies
  and actions to be taken based on the agreed
  organisational structure.
• Continuity of operations prioritisation of
  essential programmes to be continued and
  identification of the requirements / resources
  needed to ensure this continuity.
• Staff health and safety measures to be
  considered in order to ensure staff are able to
  continue to provide essential services.
• Support to National Government assistance to
  national planning and preparedness and
  identification and planning for possible
  additional support during pandemic
• External communications determine the protocols
  and messages for external communications

PIC / OCHA
6
TTX Simulation Objectives

• Raise the level of awareness of an influenza
  pandemic and the impact that it might have on
  staff health / safety and continuity of business.
• Understand through the use of scenarios the key
  requirements for preparedness measures to ensure
  health / safety of staff and continuity of
  essential services during pandemic.
• Plan for addition possible additional
  requirements to support national pandemic
  preparedness actions.

PIC / OCHA
7
Agenda
0915- 0945 Welcome and introduction 0945 -
1000 Simulation briefing 1000 - 1030 Scenario
1 1030 - 1115 Scenario 2 1115 - 1130 Coffee
break 1130 - 1245 Scenario 3 1300 -
1400 Lunch 1400 - 1425 Breakout Groups
identification of key issues / gaps 1430 -
1440 Group presentations summaries 1445 -
1530 Plenary discussion Strengths Weaknesses
of UN System Influenza Contingency
Planning 1530 - 1545 Coffee break 1600 -
1620 Breakout Groups prioritisation and next
steps 1620 1640 Group presentations 1640
1700 Summary 1700 Questions and open issues
8
EXERCISE