PANDEMIC INFLUENZA PLAN North Bay Parry Sound District June 1, 2006 Presented to the Board of Health: May 24, 2006 TABLE OF CONTENTS FIGURES..................................................................................................................................................... 4 TABLES....................................................................................................................................................... 4 ABBREVIATIONS..................................................................................................................................... 5 GLOSSARY OF TERMS........................................................................................................................... 7 RECORD OF AMENDMENTS .............................................................................................................. 14 MESSAGE FROM THE MEDICAL OFFICER OF HEALTH........................................................... 15 EXECUTIVE SUMMARY ...................................................................................................................... 16 SECTION 1 – INFLUENZA .................................................................................................................... 21 Influenza .................................................................................................................................................. 22 Pandemic Influenza................................................................................................................................. 23 Avian Influenza....................................................................................................................................... 24 SECTION 2 – THE PLAN ....................................................................................................................... 26 Purpose and Scope................................................................................................................................... 27 Goals........................................................................................................................................................ 27 Objectives ................................................................................................................................................ 27 Planning Assumptions ............................................................................................................................. 28 Key Stakeholder Approach...................................................................................................................... 29 Impact of a Pandemic in North Bay Parry Sound District....................................................................... 31 Legislation ............................................................................................................................................... 31 SECTION 3 – ROLES AND RESPONSIBILITIES.............................................................................. 35 International – World Health Organization ............................................................................................. 36 Public Health Agency of Canada............................................................................................................. 37 First Nations............................................................................................................................................ 37 Ontario Ministry of Health and Long-Term Care.................................................................................... 37 Public Health Division of the MOHLTC................................................................................................. 38 Emergency Management Unit................................................................................................................. 38 Provincial Infectious Disease Advisory Committee................................................................................ 38 Role of the Coroner ................................................................................................................................. 39 Role of the Municipalities and the Public Health Unit............................................................................ 40 Public Health........................................................................................................................................... 41 Pandemic Influenza Implementation Group............................................................................................ 41 Incident Management System.................................................................................................................. 42 SECTION 4 – SURVEILLANCE............................................................................................................ 48 Objectives ................................................................................................................................................ 49 Current Surveillance................................................................................................................................ 50 Planned Surveillance............................................................................................................................... 52 SECTION 5 – VACCINES AND ANTIVIRALS ................................................................................... 55 Objectives ................................................................................................................................................ 56 Vaccines – Phase I................................................................................................................................... 56 Phase II – Part 1 (Priority Groups 1, 2 and 3).......................................................................................... 57 Phase II (Priority Groups 4, 5 and 6)....................................................................................................... 61 Vaccines – Other Populations.................................................................................................................. 61 Antiviral Medication................................................................................................................................ 63 Priority Groups........................................................................................................................................ 64 Current Planning...................................................................................................................................... 64 June 1, 2006 Page 1 of 126 SECTION 6 – PUBLIC HEALTH MEASURES ................................................................................... 66 Objectives ................................................................................................................................................ 67 Public Education...................................................................................................................................... 68 Case Management.................................................................................................................................... 68 Self Isolation............................................................................................................................................ 69 Management of Contacts of Cases .......................................................................................................... 70 Quarantine ............................................................................................................................................... 71 Community Based Disease Control Strategies ........................................................................................ 72 Community Use of Masks ....................................................................................................................... 73 Travel and Border Related Measures....................................................................................................... 74 SECTION 7 – HEALTH SERVICES...................................................................................................... 75 Objectives ................................................................................................................................................ 76 Communication ....................................................................................................................................... 76 Occupational Health, and Infection Prevention and Control................................................................... 76 Environmental Cleaning.......................................................................................................................... 77 Acute Care Facilities................................................................................................................................ 77 Long Term Care Homes .......................................................................................................................... 78 Retirement Homes................................................................................................................................... 78 Triage Sites.............................................................................................................................................. 81 Equipment and Supplies .........................................................................................................................