Transcript Document
Schools’ Pandemic Influenza & Public Health Emergency Exercise Program LOCAL DISTRICT TABLETOP EXERCISE (TTX)
A part of the LAUSD Series sponsored by the Los Angeles County Department of Public Health
LOCAL DISTRICTS 6, 7 & 8 MAY 14, 2008
Exercise Logistics
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Phones, Pagers, Blackberries, iPhones, etc.
Restrooms Refreshments Parking Validation Seating Arrangements
Situation Manual
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Exercise Schedule Introduction Module 1:Pandemic Outbreak Overseas Module 2: Outbreak in the U.S.
Module 3: Outbreak in LAUSD Appendices
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Acronyms & Glossary of Terms Toolkit Overview The PSI & Student Dismissal/Social Distancing FAQs Pandemic Influenza Resources LAUSD & LACDPH Contact Lists Presentations and Notes Pages
Reference Graphics
Feedback Form
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Broken down by Exercise Section/Module
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Record Notes, Thoughts, Issues, Strengths, Recommendations
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Complete throughout exercise
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Be thorough Turn in at the conclusion of the exercise
Exercise Schedule
8:00 am – Welcome and Introduction 8:20 am – Presentation
LAC Department of Public Health
8:50 am – Presentation
LAUSD Student Medical Services
9:10 am – Presentation
LAUSD Emergency Services & District Nursing Services
9:30 am – Break 9:40 am – Presentation
LAUSD District Nursing Services & Medweb
9:50 am – Module 1: Pandemic Outbreak Overseas 10:20 am – Module 2: Outbreak in the U.S.
11:00 am – Module 3: Reported Cases within LAUSD 11:55 am – Evaluations and Closing Remarks
A detailed agenda can be found under the “Exercise Schedule” tab.
Exercise Program Overview
The Schools’ Pandemic Influenza and Public Health Emergency Exercise Program is sponsored by LACDPH and is being conducted to:
1. Facilitate partnerships, communication and coordination between schools, school districts and LACDPH; and 2. To increase awareness of the issues regarding planning for and responding to an influenza pandemic or other public health emergency.
Please turn to page 5 in your SITMAN
Exercise Program Overview
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Consists of two primary series: LAUSD
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3 Local District Exercises
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1 EOC Exercise
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LACOE
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1School Nurse Administrator Exercise
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1 Special Populations Exercise
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1 School District Administrator Exercise
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Exercise Scope
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This exercise will focus on the roles of LACDPH, LAUSD and individual schools in mitigating, preparing for, and responding to, a potential influenza pandemic or other infectious disease outbreak. Target audience members for this exercise include LACDPH Service Planning Area (SPA) representatives, LAUSD Local District Parent Ombudsmen, School Administrators, Nurse Administrators, and Local District Operations Coordinators.
Please turn to page 6 in your SITMAN
Exercise Purpose
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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 LAUSD 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
LAUSD Series Goal
To enhance the ability of the Los Angeles Unified School District to mitigate, prepare for, and respond to an influenza pandemic or other public health emergency.
Please turn to page 7 in your SITMAN
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LAUSD Series Objectives
Familiarize participants with the specific roles, responsibilities and capabilities of LACDPH and LAUSD 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
LAUSD Series Objectives
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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.
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Discuss the communicable disease surveillance and reporting process(s) for schools, particularly at locations where school nurses are not onsite.
Please turn to page 8 in your SITMAN
Exercise Structure
Presentation s Scenario & Discussion Facilitated Feedback Evaluation & Adjournment
gimme a break!
Schools’ Toolkit
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Purpose
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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.
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Structure & Layout
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Master
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Administrator Toolkit
Note: Toolkit provided via CD-ROM in your SITMAN.
Schools’ Toolkit
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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 Supply Lists Informational Posters PowerPoint Presentations NIMS/ICS resources Annotated index describing the Toolkit elements Introduction that explains how to use the Toolkit
MASTER TOOLKIT
Contains all Toolkit information. Maintained by LAUSD Nursing and Emergency Management
Sample Elements in Master Toolkit:
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Letters to Parents signed by LAUSD & LACDPH Catalogue of Infectious Diseases with approved language from LACDPH & LAUSD Corresponding FAQs for each disease in catalogue Reference posters, PowerPoints, etc. for catalogued diseases Some elements distributed to Schools via the Administrator Toolkit.
% SCHOOL ADMINISTRATOR TOOLKIT
Provided on CD-ROM to Exercise Participants & available to all school administrators.
X X FOR LAUSD NURSING ONLY.
Disseminated to schools as needed.
Sample Elements in School Administrator Toolkit:
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Letters to Parents signed by LAUSD
for Head Lice & Chicken Pox
Pan Flu v. Bird Flu Fact Sheets & FAQs Handwashing Posters Pan Flu Basics PowerPoint
Roles and Responsibilities
Participants
respond 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.
Facilitators
provide situation updates and moderate discussions.
Assumptions/Artificiali ties
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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 1. This is a safe, open environment. 2. there is no “textbook” solution. 3. Keep the goals and objectives in mind. 4. Treat the scenario as real.
5. Play your role. 6. Participate openly. 7. respect the observations, opinions and perspectives of others. 8. This is an opportunity to discuss and present multiple options and possible solutions.
9. Ask questions, share thoughts, offer solutions. 10. Stay focused.
Background
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Pandemics occur cyclically:
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3 in the 20th Century
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Experts agree: We are long overdue
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Bird/Avian Flu (H5N1) incited global concern in recent years.
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1997 Hong Kong Outbreak (6 deaths)
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WHO Alert Phase 3 since November 2005.
Background
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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
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Human-to-human transmission of avian influenza – 8 cases total.
Viral cultures collected are identified as type AH7N1, a subtype never before isolated in 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.
September/October 2008
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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 2008
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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
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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 LAUSD & other school districts to review pandemic guidance documents.
LAUSD leadership schedules an impromptu conference call to
Casualties
Reported Cases of Pandemic Influenza, as of November, 2008: 1,090 0 Worldwide 436 U.S.
0 381 0
Breakout Group Session
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You have 15 minutes to discuss the questions.
Select a spokesperson.
Your facilitator will let you know which questions to focus on.
Identify:
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Additional Questions
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Critical Issues Decisions to be addressed Record notes on the Evaluation & Feedback Form.
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Focus on Strengths & Areas for Improvement Use the information available & make the best decision possible.
November/December 08
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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
December 08/January 09
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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 LAUSD
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levels with unions and professional associations of educators, administrators & school boards regarding the unfolding events.
LAUSD maintains a proactive posture.
Casualties
Reported Cases of Pandemic Influenza, as of January, 2009: 183,750,041 10,375,082 0 Worldwide 61,250,035 U.S.
1,125,006 Los Angeles County 0 5,145,006 241,509 0
Discussion Session
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You have 20 minutes to discuss the questions.
Select a spokesperson.
Your facilitator will let you know which questions to focus on.
Identify:
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Additional Questions
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Critical Issues Decisions to be addressed Record notes on the Evaluation & Feedback Form.
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Focus on Strengths & Areas for Improvement Use the information available & make the best decision possible.
February 2009
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Pandemic influenza is confirmed in CA, with over a dozen confirmed cases within LAUSD.
A Public Health Emergency is proclaimed by the LAC Health Officer.
February 2009
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LAUSD Emergency Operations Centers (EOC) is activated. Order to dismiss students from all schools is issued.
Staff will continue to be paid under the disaster proclamation .
February 2009
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The State issues the following guidance –
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Individual services may be
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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
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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.
Casualties
Reported Cases of Pandemic Influenza, as of March, 2009: 551,250,041 31,125,082 95,172 Worldwide 183,750,041 U.S.
3,375,021 Los Angeles County 10,575 15,435,006 724,560 2,220
Discussion Session
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You have 25 minutes to discuss the questions.
Select a spokesperson.
Your facilitator will let you know which questions to focus on.
Identify:
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Additional Questions
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Critical Issues Decisions to be addressed Record notes on the Evaluation & Feedback Form.
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Focus on Strengths & Areas for Improvement Use the information available & make the best decision possible.
Post-Exercise Survey
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Part of a pre- and post exercise assessment
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Questions regarding exercise content
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Used to measure effectiveness of exercise
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Results reflected in After-Action Report
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Used to determine content for future training and exercise events
After-Action Report
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Lists strengths and makes actionable recommendations for improvement
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Data collected via Evaluation Documents and Evaluators
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Provided to exercise planning team for revision and approval
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Contact lead agencies to obtain a copy
Feedback Form Remember to Record:
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Notes
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Thoughts Issues Strengths Recommendations
Please remember to turn in:
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Feedback & Evaluation Forms Post-Exercise Survey