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Pandemic Influenza Response Plan

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Pandemic Influenza Response Plan ARIZONA PANDEMIC INFLUENZA RESPONSE PLAN May 2019.v2 The May 2019 Arizona Pandemic Influenza Plan was supported in part by the Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) Cooperative Agreement, Catalog of Federal Domestic Assistance (CFDA) 93.074. The contents are solely the responsibility of the authors and do not necessarily represent the official views of Centers for Disease Control and Prevention or the U.S. Department of Health & Human Services. Table of Contents Record of Change .............................................................................................................................................................. 5 Purpose ................................................................................................................................................................................ 6 Scope .................................................................................................................................................................................... 6 Situation Overview ............................................................................................................................................................ 6 Hazard Analysis Summary .......................................................................................................................................... 6 Planning Assumptions .......................................................................................................................................................7 Concept of Operations ..................................................................................................................................................... 8 Federal Guidance and Direction ............................................................................................................................... 8 Local Support ................................................................................................................................................................ 8 Public Health Incident Management System (PHIMS) ........................................................................................ 8 Statewide Emergency Response ............................................................................................................................... 8 Ethical Considerations ................................................................................................................................................ 9 Tribal Health Activities ................................................................................................................................................ 9 Border Health Activities .............................................................................................................................................. 9 At-Risk and Special Needs Populations ............................................................................................................... 10 Organizations and Assignment of Responsibilities ................................................................................................ 10 Direction, Control, and Coordination ..........................................................................................................................17 Supplement 1: Surveillance and Epidemiology ................................................................................................ 1-1 Supplement 2: Laboratory Diagnostics ................................................................................................................ 2-1 Supplement 3: Health Care Coordination and Surge Capacity ......................................................................3-1 Supplement 4: Infection Control ...........................................................................................................................4-1 Supplement 5: Clinical Guidelines ........................................................................................................................ 5-1 Supplement 6: Vaccine Distribution and Use ....................................................................................................6-1 Supplement 7: Antiviral Drug Distribution and Use ..........................................................................................7-1 Supplement 8: Community Disease Control and Prevention ........................................................................8-1 Supplement 9: Managing Travel-Related Risk of Disease Transmission .....................................................9-1 Supplement 10: Public Health Communications ............................................................................................ 10-1 Supplement 11: Pandemic Influenza Information Management .................................................................11-1 Supplement 12: Preparedness Activities ........................................................................................................... 12-1 Information Collection, Analysis, and Dissemination .............................................................................................19 ARIZONA PANDEMIC INFLUENZA RESPONSE PLAN 3 May 2019.v2 Communications ...............................................................................................................................................................19 Administration, Finance, and Logistics .......................................................................................................................19 Plan Development and Maintenance ..........................................................................................................................19 Authorities and References .......................................................................................................................................... 20 ARIZONA PANDEMIC INFLUENZA RESPONSE PLAN 4 May 2019.v2 Record of Changes ADHS maintains the Arizona Pandemic Influenza Response Plan as a living document intended to be annually reviewed and revised, with input from all stakeholders. PLAN REVIEW, EVALUATION, AND CHANGES Date of Recommendation and Summary of Activity Plan Section Change Entry Made By Plan Revision 06/2018 Remove appendix 13 and incorporated into All through ADHS the base plan Data updated in Supplement 6 including 05/2019 All through ADHS appendix 1 and 2 Plan Revision—v.1 with minor design and 08/2019 layout changes to the plan All through ADHS Incorporated Stakeholder comments ADHS is committed to ongoing training, exercise, and engagement for the Arizona Pandemic Influenza Response Plan, to validate public health and health care capabilities. TRAINING, EXERCISE, AND ENGAGEMENT ACTIVITY Date Summary of Activity Partners Involved Entry Made By Vaccine & Antiviral DEMA, ADHS, PVGS, AZDA, County Public 11/2018 Priorization Advisory ADHS Health and Emergency Management Committee (VAPAC) Multitude of Federal Partners: Office of the Assistant Secretary for Public Affairs (ASPR), Center for Disease Control (CDC). National Level Exercise: State Agencies: ADHS, DEMA, ADE, and Crimson Contagion— ADOA. 08/2019 ADHS Pandemic Influenza Local Government: Local Health scenario Department and Tribal Government and Health Department Health Care Coalition: Arizona Health Care Association ARIZONA PANDEMIC INFLUENZA RESPONSE PLAN 5 May 2019.v2 Purpose It is likely that another influenza pandemic will occur sometime in the future. Arizona needs to be prepared for such an event. To lessen the impact of an influenza pandemic, the State of Arizona has created this Influenza Pandemic Response Plan to promote an effective response throughout the pandemic. The plan was originally crafted in 2000, through a coordinated effort of the Arizona Department of Health Services (ADHS), Department of Emergency and Military Affairs (DEMA), local health departments and other partners and stakeholders, and updated again in 2011. The United States Department of Health and Human Services (HHS) has incorporated the World Health Organization (WHO) Pandemic Planning Periods and Phases into its influenza pandemic response plan. These periods represent different levels of impact on society, based on the progression of a novel influenza virus and its potential to cause a pandemic; therefore, pandemic preparedness requires determining the appropriate capabilities, roles, and responsibilities needed to respond to the different periods. In keeping with the national model, the Arizona Influenza Pandemic Response Plan identifies responsible parties and prescribes necessary actions, based on the WHO/HHS pandemic periods. Scope While a pandemic response is primarily a public health response, many agencies, organizations, and private institutions will need to work in a coordinated and collaborative manner to ensure an effective overall response in Arizona: • ADHS is the lead agency for preparedness and response to an influenza pandemic in Arizona. • Local health departments (including county and tribal health departments) are the critical local response entities and should be the center of gravity for community level planning. • Emergency management and homeland security agencies will be important for ensuring overall coordination of government resources. • First responder agencies have important manpower and logistical resources that will be necessary for ensuring the safety of individuals and communities. • Hospitals and health care institutions will be the frontline of a pandemic
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