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Schools’ Pandemic Influenza & Public Health Emergency Exercise Program. EXERCISE NAME. A part of the LACOE Series sponsored by the Los Angeles County Department of Public Health. EXERCISE DATE. Welcome & Introductions. Exercise Logistics. Phones, Pagers, Blackberries, iPhones, etc.

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schools pandemic influenza public health emergency exercise program

Schools’ Pandemic Influenza & Public Health Emergency Exercise Program

EXERCISE NAME

A part of the LACOE Series sponsored by the Los Angeles County Department of Public Health

EXERCISE DATE

slide2

Welcome &

Introductions

exercise logistics
Exercise Logistics
  • Phones, Pagers, Blackberries, iPhones, etc.
  • Restrooms
  • Refreshments
  • Parking Validation
  • Seating Arrangements
situation manual
Situation Manual
  • Exercise Schedule
  • Introduction
  • Module 1:Pandemic Outbreak Overseas
  • Module 2: Outbreak in the U.S.
  • Module 3: Outbreak in LA County Schools
  • Appendices
    • Acronyms & Glossary of Terms
    • Toolkit Overview
    • The PSI & Student Dismissal/Social Distancing FAQs
    • Pandemic Influenza & COI Resources
    • Presentations and Notes Pages
feedback form
Broken down by Exercise Section/Module

Record Notes, Thoughts, Issues, Strengths, Recommendations

Complete throughout exercise

Be thorough

Turn in at the conclusion of the exercise

Feedback Form
exercise schedule
Exercise Schedule

8:00 am – Welcome and Introduction

8:20 am – Presentation

Presentation Name

8:50 am – Presentation

Presentation Name

9:10 am – Presentation

Presentation Name

9:30 am – Break

9:40 am – Module 1: Pandemic Outbreak Overseas

10:20 am – Module 2: Outbreak in the U.S.

11:05 am – Module 3: Reported Cases within LA County Schools

11:50 am – Evaluations and Closing Remarks

A detailed agenda can be found under the “Exercise Schedule” tab.

slide7

Exercise

Overview

exercise program overview
Exercise Program Overview

Facilitate partnerships, communication and coordination between schools, school districts and LACDPH; and

To increase awareness of the issues regarding planning for and responding to an influenza pandemic or other public health emergency.

The Schools’ Pandemic Influenza and Public Health Emergency Exercise Program is sponsored by LACDPH and is being conducted to:

Please turn to page 5 in your SITMAN

exercise scope
Exercise Scope
  • This exercise will focus on the roles of LACDPH, LACOE and individual schools in mitigating, preparing for, and responding to, a potential influenza pandemic or other infectious disease outbreak.

Please turn to page 6 in your SITMAN

exercise purpose
Exercise Purpose
  • The purpose of this exercise is to provide participants an opportunity to assess current capabilities for an influenza pandemic or other public health emergency in Los Angeles County.
  • The exercise will focus on the policies and procedures that guide public health, schools and LACOE in command and control coordination, critical decisions, notifications, and the integration of external assets necessary to save lives and protect public health and safety.
  • The role of public information strategies will also be critical to the overall response effort.

Please turn to page 6 in your SITMAN

slide11
Goal

To provide relevant, timely and useful information to school districts in Los Angeles County to enhance schools’ ability to mitigate, prepare for, and respond to an influenza pandemic or other public health emergency.

Please turn to page 8 in your SITMAN

objectives
Objectives
  • Familiarize participants with the specific roles, responsibilities and capabilities of LACDPH and LACOE in managing the response to an influenza pandemic or other public health emergency.
  • Discuss the issues, concerns and impact regarding potential social distancing measures and school closure/distance learning strategies.

Please turn to page 8 in your SITMAN

objectives cont
Objectives (cont.)
  • Present ideas, methodologies and materials regarding pandemic influenza and other public health emergencies to assist schools in educating children, parents, teachers, support staff, and administrators.

Please turn to page 8 in your SITMAN

slide14

Exercise Structure

Presentations

Scenario & Discussion

Facilitated Feedback

Evaluation & Adjournment

slide16

gimme a break!

BREAK

Please return in 10 minutes.

slide17

Schools’

Toolkit

schools toolkit
Schools’ Toolkit
  • Purpose
    • The purpose of the Schools’ Toolkit is to assist schools and school districts in Los Angeles County to mitigate, prepare for, respond to, and recover from an influenza pandemic or other public health emergency.
    • Structure & Layout
      • Master
      • Administrator Toolkit

Note: Toolkit provided via CD-ROM in your SITMAN.

schools toolkit19
Schools’ Toolkit
  • Parent & Staff Letters
  • Disease Catalogue that provides approved language for a number of public health diseases of concern to schools, such as pandemic influenza and MRSA
  • FAQs for each disease in the Catalogue
  • COOP information
  • Informational Posters
  • PowerPoint Presentations
  • NIMS/ICS resources
  • Annotated index describing the Toolkit elements
  • Introduction that explains how to use the Toolkit
slide20

Exercise

Scenario

slide21

Roles and Responsibilities

Participantsrespond to the situation presented based on expert knowledge of plans and procedures.

Observers support the discussion groups as they develop responses to the situation in the caucus sessions.

Facilitatorsprovide situation updates and moderate discussions.

assumptions artificialities
Assumptions/Artificialities
  • Scenario is based upon a pandemic influenza outbreak; but the exercise takes an all-hazards approach.
  • Scenario time period: September 2008 and continues through March 2009.
  • Scenario is plausible and events occur as presented.
  • Use existing plans, policies, procedures.
ground rules

Exercise Ground Rules

  • This is a safe, open environment.
  • there is no “textbook” solution.
  • Keep the goals and objectives in mind.
  • Treat the scenario as real.
  • Play your role.
  • Participate openly.
  • respect the observations, opinions and perspectives of others.
  • This is an opportunity to discuss and present multiple options and possible solutions.
  • Ask questions, share thoughts, offer solutions.
  • Stay focused.
Ground Rules
background
Pandemics occur cyclically:

3 in the 20th Century

Experts agree: We are long overdue

Bird/Avian Flu (H5N1) incited global concern in recent years.

1997 Hong Kong Outbreak (6 deaths)

WHO Alert Phase 3 since November 2005.

Background
background26
Background

Schools are potential sites for the spread of disease, including influenza.

Schools are an information source for community residents.

Schools are sources of valuable resources for emergency response.

Schools are sources of health monitoring information.

september 2008
September 2008
  • Chain of infection began with a 37-year old woman exposed to dead poultry & chicken feces.
  • She passed the virus to her 10-year old nephew who then passed it on to his father.
  • Human-to-human transmission of avian influenza – 8 cases total.
  • Viral cultures collected are identified as type AH7N1, a subtype never before isolated in humans.
september october 2008
September/October 2008
  • A containment strategy was implemented, however, several additional cases were reported.
  • The WHO solicits Tamiflu donations, while the CDC begins work on a reference strain for vaccine.
  • Riots begin to occur in major cities throughout Southeast Asia.
september october 200829
September/October 2008
  • Additional outbreaks are confirmed throughout Southeast Asia at an average attack rate of 30%.
  • The novel influenza virus begins to make headlines worldwide and becomes the lead story on major U.S. new networks and newspapers.
  • WHO investigations indicate extensive person to person transmission and multiple strains.
october 2008
October 2008
  • In the U.S., pre-pandemic vaccine and antiviral stockpiles are deployed as supplies allow.
  • The WHO notifies the CDC and other national health agencies of the progress of the pandemic.
  • LACDPH coordinates with school districts to review pandemic guidance documents.
  • LACOE Superintendent schedules an impromptu conference call to discuss preparedness measures.
casualties
Casualties

Reported Cases of Pandemic Influenza, as of November, 2008:

breakout group session
Breakout Group Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which questions to focus on.
  • Identify:
    • Additional Questions
    • Critical Issues
    • Decisions to be addressed
  • Record notes on the Evaluation & Feedback Form.
    • Focus on Strengths & Areas for Improvement
  • Use the information available & make the best decision possible.
slide33

Discussion

Session

slide34

Feedback

Session

november december 08
November/December 08
  • The WHO recommends that each country implement its pandemic plan.
  • Meanwhile, influenza continues to spread throughout Southeast Asia.
  • An unusually severe influenza cluster is identified in 5 individuals living in Miami, FL.
  • More cases identified in Europe, Africa, and Canada.
december 08 january 09
CDC confirms the pandemic strain in Miami.

Several U.S. cities and transportation hubs begin to report cases; reaching as far west as Texas.

The local press contacts LACOE for a statement.

December 08/January 09
  • Discussions take place at the Federal and State levels with unions and professional associations of educators, administrators & school boards regarding the unfolding events.
  • LACOE maintains a proactive posture.
casualties38
Casualties

Reported Cases of Pandemic Influenza, as of January, 2009:

discussion session
Discussion Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which questions to focus on.
  • Identify:
    • Additional Questions
    • Critical Issues
    • Decisions to be addressed
  • Record notes on the Evaluation & Feedback Form.
    • Focus on Strengths & Areas for Improvement
  • Use the information available & make the best decision possible.
slide40

Discussion

Session

slide41

Feedback

Session

february 2009
February 2009
  • Pandemic influenza is confirmed in CA, with over a dozen confirmed cases within Los Angeles County schools.
  • A Public Health Emergency is proclaimed by the LAC Health Officer.
february 200944
February 2009
  • Emergency Operations Centers (EOC) are activated at the State and local levels.
  • Order to dismiss students from all schools is issued.
  • Staff will continue to be paid under the disaster proclamation.
february 200945
February 2009
  • The State issues the following guidance –
    • Individual services may be reduced or discontinued.
    • Meals, school projects/assignments and phone tutoring may be modified.
    • Delivery of health-social service programs should be re-evaluated.
    • Continuing learning methodologies should be evaluated for implementation.
  • School superintendents are working with school districts and health officials to facilitate coordination.
march 2009
March 2009
  • 2% of Americans infected with H7N1 die.
  • Hospitals are overwhelmed and staff shortages limited capacity at the height of the outbreak.
  • Parents appeal to the media regarding their growing concerns of child safety once schools reopen.
  • Rumors and misinformation are abundant among several internet sources frequented by students, such as MySpace and Facebook.
casualties47
Casualties

Reported Cases of Pandemic Influenza, as of March, 2009:

discussion session48
Discussion Session
  • You have 25 minutes to discuss the questions.
  • Select a spokesperson.
  • Your facilitator will let you know which questions to focus on.
  • Identify:
    • Additional Questions
    • Critical Issues
    • Decisions to be addressed
  • Record notes on the Evaluation & Feedback Form.
    • Focus on Strengths & Areas for Improvement
  • Use the information available & make the best decision possible.
slide49

Discussion

Session

slide50

Feedback

Session

after action report
After-Action Report
  • Lists strengths and makes actionable recommendations for improvement
  • Data collected via Evaluation Documents and Evaluators
  • Provided to exercise planning team for revision and approval
  • Contact lead agencies to obtain a copy
feedback form52
Feedback Form

Remember to Record:

  • Notes
  • Thoughts
  • Issues
  • Strengths
  • Recommendations
thank you for your participation

Thank you for your participation!

Please remember to turn in:

  • Feedback & Evaluation Forms
  • Post-Exercise Survey
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