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Illinois Pandemic Influenza Preparedness and Response Plan March 2020Version 5.1i
FOREWORD
Influenza is an acute viral infection that spreads easily from person-to-person. It causes illnesses, hospitalizations and deaths every year in Illinois. Intermittently over the centuries, changes in the genetic makeup of influenza virus have resulted in new strains to which people have never been exposed. These new strains have the potential to cause a pandemic or worldwide outbreak of influenza, with potentially catastrophic consequences. In Illinois alone, a pandemic of even modest severity could result in thousands of deaths and the sickening of millions, even among previously healthy persons.
In 2009, a new strain of influenza virus, 2009A(H1N1)pdm, emerged. The U.S. Centers for Disease Control and Prevention (CDC) worked with manufacturers to develop a vaccine; however, the time it took to develop a vaccine caused a severe shortage in available vaccine
The Illinois Pandemic Influenza Preparedness and Response Plan was developed:
To identify steps that need to be taken by state government and its partners prior to a pandemic to improve the level of preparedness;and
To coordinate state government-wide response activities in the event a pandemic occurs.
These preparedness and response activities are organized according to the six pandemic phases identified by the World Health Organization (WHO).
This plan was developed through a collaborative process involving Illinois Department of Public Health offices and divisions and partner state agencies that have a pandemic response role.
well page ii, table shows version 5.10 was written in March 2020,
5.00 / 04/25/2014 / Executive Overview / Title changed to Executive Overview 5.10 / 03/02/2020 / All / Modified version of the plan
does this make any sense that this is written in late February 2020 with Influenza all over the document when the Sars-cov-2 health emergency had already been declared for the U.S. on Jan 31, 2020?? not to me, unless they are saying plan was modified with original influenza plan not redacted et al, lame excuse but maybe they would claim that.
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Federal Government
The federal government has assumed primary responsibility for a number of key elements of the national plan,including:
Vaccine research and development.
Coordination of national and international surveillance.
Assessment and potential enhancement of the coordination of vaccine and antiviral capacity and coordination of public-sector procurement.
Assessment of the need for and scope of a suitable liability program for vaccine manufacturers and persons administering the vaccine.
Development of a national “clearinghouse” for vaccine availability information, vaccine distribution and redistribution.
always about the stupid fucking vaccine, as though that will save everybody...
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Influenza pandemic will place a substantial burden on inpatient and outpatient health care services. Because of the increased risk of exposure to pandemic virus in health care settings, illness and absentee ism among healthcare workers in the context of increased demand will further strain the ability to provide quality care.
In addition to a limited number of hospital beds and staff shortages, equipment and supplies may be in short supply. The disruptions in the health care system that result from a pandemic also may have an impact on blood donation and supply.
page 21 in table
Role and Responsibilities
Maintain a 24-hour communications center for communicating with emergency response personnel from all agencies and organizations.
Coordinate, integrate and manage over all state efforts involving the collection, analysis, planning, reporting and displaying of information.
Provide, direct and coordinate logistical/resource operations with the assistance of the designated support agencies. Allocate state response resources effectively and according to need; monitor their location when in use.
Request a Disaster Mortuary Operational Response Team (DMORT)2 through FEMA and/or the National Disaster Medical System (NDMS) when local jurisdictions are overwhelmed and have requested state assistance to implement mass fatality management activities. (planned mass graves here?)
Develop scripted emergency public information messages for broadcast over Emergency Alert System (EAS) following disaster.
Coordinate state monitoring and enforcement of community-based isolation and quarantine orders.
Maintain critical infrastructure and implement contingency plans in the absence or failure of such critical infrastructure.
Coordinate high volume public information hotlines and a mechanism for tracking call types for rumor control purposes
I'm sure they will argue "scripted" doesn't mean fake simulation, but combined with "rumor control", now come on wtf!..
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Restriction of Movement or Activities to Control Disease Spread Primary Agency:IDPH Support Agencies: Governor’s Office, AG, IEMA, ISP and IDCMS
PurposeThis annex outlines the state’s authorities and capabilities to impose restrictions on the movements or activities of persons for the purpose of preventing or controlling the spread of a dangerous infectious disease.
Scope
The restriction of movement and/or activities involves the ability of state and local jurisdictions to be prepared legally, procedurally and materially to contain and monitor: exposed individuals or those suspected of being exposed (term: quarantine); infected individuals (term: isolation); defined groups or locations, such as individual schools, workplaces, malls and public transit systems, as determined on a case by case basis (term: focused measures to increase social distance); and entire communities, ranging from voluntary widespread cancellation of most activities (term: snow days), eliminating large gatherings of people, such as sporting events, shutting down other places where people congregate, such as schools and places of employment, or enforced restriction of movement into and out of defined areas.
Key Terms
Isolation: Isolation is the separation of a person or a group of persons infected or believed to be infected with a contagious disease to prevent the spread of infection. Ill persons are usually isolated in a hospital, but they also may be isolated at home or in a designated community-based facility, depending on their medical needs.
Quarantine: Quarantine is the separation and restriction of movement or activities of persons who are not ill, but who are believed to have been exposed to infection, for the purpose of preventing transmission of diseases.
Modes of application include:•Persons are usually quarantined in their homes, but they also may be quarantined in community-based facilities.
Quarantine can be applied to an individual or to a group of persons who are exposed at a large public gathering or to persons believed exposed on a conveyance during international travel.
Quarantine also can be applied on a wider population or geographic-level basis (e.g., snow days) with the voluntary or enforced prohibition of movements or activities. This measure is usually not technically considered quarantine because it is not directly linked to a known or highly suspect exposure (at best, the basis might be some degree of likelihood of exposure due to circumstantial or indirect evidence, such as high disease prevalence in a particular town or neighborhood ). These options are described and compared in the attachment following this annex (Attachment8-1)
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•Quarantine (a period of isolation to prevent disease spread) is not effective in controlling multiple influenza outbreaks in large, immunologically naïve populations, because the disease spreads too rapidly to identify and to control chains of transmission. Even if quarantine were somewhat effective in controlling influenza in large populations, it would not be feasible to implement and enforce with available resources, and would damage the economy by reducing the workforce. Most people will voluntarily quarantine themselves in their home.
Quarantine may be of limited use in slowing the spread of disease during the earliest stages of influenza outbreaks, only if special circumstances apply. For example, were a case of influenza-like illness to be identified in an isolated group, such as the passengers and crew of an airplane, public health officials could prevent or slow the spread of disease to other groups by:-Quarantining all passengers and crew members for several days-Transferring all who become ill to isolation wards for treatment-Treating all influenza-like illness in the wider community with suspicion
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Gain access to and utilize facilities and property Upon the declaration of a disaster pursuant to Section 7 of the IEMA Act (20 ILCS 3305/7), the governor may exercise, among other things, the following emergency powers: recommend the evacuation of all or part of the population from any stricken or threatened area within the state if the governor deems this action necessary (20 ILCS 3305/7(a)(6)); prescribe routes, modes of transportation, and destinations in connection with evacuation (20 ILCS 3305/7(a)(7)); and control ingress and egress to and from a disaster area, the movement of persons within the area, and the occupancy of premises therein (20 ILCS 3305/7(a)(
).•Appropriate private property for public use Upon the declaration of a disaster pursuant to Section 7 of the IEMA Act (20 ILCS 3305/7), the governor may, on behalf of the state, take possession of, and acquire full title or a lesser specified interest in, any personal property as may be necessary to accomplish the objectives set forth in Section 2 of the act, including airplanes, automobiles, trucks, trailers, buses and other vehicles; coal, oils, gasoline and other fuels and means of propulsion; explosives, materials,
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Impose isolation, quarantine, and closure
at no substantial danger to the public’s health any longer exists (20 ILCS 2305/2(b)). (they won't force this upon people, ...) No person may be ordered to be quarantined or isolated and no place may be ordered to be closed and made off limits to the public, (unless they have to of course, ha ha) however, except with the consent of the person or the owner of the place or upon the order of a court of competent jurisdiction (20 ILCS 2305/2(c)). In order to obtain a court order, IDPH must prove, by clear and convincing evidence, that the public’s health and welfare are significantly endangered and all other reasonable means of correcting the problem have been exhausted and no less restrictive alternative exists (20 ILCS 2305/2(c)).
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Rumor Control
When widespread rumors, inaccuracies or misperceptions are identified, the JIC will be consulted so correct information can be promptly communicated to the public through the media. These miscommunications may be identified in media broadcasts, in print media or through public inquiries.
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Planning Assumptions and Considerations
The 1918 Spanish flu pandemic killed approximately 40 million people. It is estimated that in the United States a “medium-level” pandemic could cause 89,000 to 207,000 deaths. Based on current modeling from CDC’s FluAid 2.0, projections of statewide fatalities range from 7,907 to 47,462 based on low-to-high severity flu deaths.
initially, in the event of an influenza outbreak, the responsibility of fatality management will reside at the local level. Planning and response may require the participation and cooperation of local agencies, such as, but not limited to:
1.County coroners/medicalexaminers2.Funeraldirectors3.Municipaloffic ials4.Emergency managementagencies5.Firedepartments6.Emergency medicalservices7.Rescueservices8.Hospitals9.Munici pal and state law enforcementagencies10.Ancillary volunteer agencies (e.g., American Red Cross)
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Temporary Morgues
In a pandemic influenza outbreak, once local capabilities are exceeded, the state will assist local government in securing resources and assist with the establishment of temporary morgues.A temporary morgue should be established after determining that the expected number of cases will exceed the capacity of normal operations.
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Documentation
Documentation refers to maintaining timely and accurate records concerning personnel involved and expenditures of time and money.Record all incoming personnel, equipment and time of arrival. Issue identification and a task description to people reporting to the staging area(s). As noted, preparing a method of identification before an incident will save time and help reduce confusion at the scene. Document all expenditures, ordered goods, services or equipment, to include the requestor, arrival and departure times.
Documentation is essential for:
a.Management of the crime scene
b.Effective handling of tasks during the incident
c.Reconstruction of incident events
d.Protection against lawsuits
e.Lessons Learned for future events and modification of existing plans
f.Financial reimbursement
Precautionary note: While it is important to document events and actions, consider that over-documentation can hinder the operations.
essential information for covering up the crime scene hoax, in this case the 'covid' murder hoax
DMORT Activation
Upon notification of a mass fatalities incident, IEMA may request that the U. S. Public Health Service (USPHS) provide a team of experts to assist the coroner/medical examiner in assessing the situation to determine if federal government assistance is required.
Dignity of the Deceased
The deceased must be treated with respect and dignity in all thoughts and actions.
but afterwards, just toss em'
A bioethics committee will be consulted before any decisions are made on the mass burial or disposal of victims.
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7.0 Training and Exercise Schedule and Plan
Planning Assumptions and Considerations•All exercises will be designed and conducted in compliance with state exercise standards, as defined by the Illinois Terrorism Task Force.•Local health departments are funded to prepare and respond to all hazardous events including a pandemic in local communities.•Training and exercise requirements are outlined in annual preparedness grants to local health departments.•All public information is coordinated by the Office of the Governor’s communications staff.•All agencies and staff will be NIMS compliant, as required by executive order.•Staff need to be trained and exercises conducted in advance so staff are aware of the NIMS and ICS structure androles
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Drill
A drill is a coordinated, supervised exercise activity, normally used to test a single specific operation or function. With a drill, there is no attempt to coordinate organizations or fully activate an emergency response plan and operating structure. Its role in a comprehensive exercise program is to practice and to perfect one small part of the response plan and to help prepare for more extensive exercises designed to coordinate and to test several functions and involve a wider spectrum of participants. Drills also are used to provide training with new equipment, to develop new policies or procedures, or to practice and to maintain current skills. The utility of a drill is its focus on a single, relatively limited portion of the overall emergency management system, thereby permitting a targeted, highly intensive look at a potential problem area.
Tabletop Exercise
A tabletop exercise is a facilitated analysis of an emergency situation in an informal, stress-free environment. It is designed to elicit constructive discussion as participants examine and resolve problems based on existing operational plans and identify where those plans need to be refined. The success of the exercise is largely determined by group participation in the identification of problem areas. There is minimal attempt at simulation in a tabletop exercise. Equipment is not used, resources are only deployed on paper, and time pressures are not introduced.
Functional Exercise
A functional exercise is an interactive, fully-simulated test of an organization’s ability to affect a coordinated response to a stressful situation under time-pressured and more-or-less realistic circumstances. This type of exercise gets its name from the fact it tests one or more functions of an organization’s operations plan. The range of suitable objectives for this type of undertaking is broad, and encompasses the coordination, integration and interaction of an organization’s policies, procedures, roles and responsibilities before, during or after an event.The intended audience for a functional exercise consists of policy, coordination and operations personnel who will practice responding in a realistic way to carefully planned and sequenced messages given to them by “simulators.”
Because these messages should reflect ongoing events and problems that might occur in a real emergency, they must be scripted in a manner likely to cause participants to make decisions and then act on them. This complexity makes the functional exercise more difficult and time-consuming to design than drills and tabletop exercises.Participants will be required to make on-the-spot decisions and then act on them. These actions can generate a variety of actual consequences, such as responses from other players and resource shortages. These secondary consequences can, in turn, further stimulate activity within the realm of the exercise environment.Functional exercises make it possible to test several functions and to include several agencies or departments within an agency without incurring the cost of a full-scale exercise (described below). Thus, in almost all cases, a functional exercise is a prerequisite to a full-scale exercise. In some instances, taking part in a functional exercise also may serve as a full-scale exercise for a participating organization (e.g., a hospital may conduct its own full-scale exercise as part of a community-wide functional exercise)
Full-scale Exercise
A full-scale exercise simulates a real event as closely as possible. It is designed to evaluate the operational capabilities of emergency management systems in a highly stressful environment, and attempts to simulate the full spectrum of conditions that those with a response role might face. (not all healthcare workers will really know it's all just an exercise, to see how they will respond, I would think here, not everybody is "in on it" anyhow, yada yada) To accomplish these things, a full-scale exercise must include the actual mobilization and movement of emergency personnel, equipment and resources. Ideally, a full-scale exercise should test and evaluate most of the functions provided for in the applicable emergency operations plan(s).
A full-scale exercise differs from a drill in that it coordinates the actions of several entities, tests several emergency functions and puts participants in actual v. simulated operating environments (e.g., state, state agency and/or local emergency operations centers;dispensing and vaccination centers; “on-scene” command posts.The requisite level of realism is achieved through a variety of techniques,including:•“On-scene” actions and decisions• Simulated victims•Search and rescue requirements•Use of actual emergency communication protocols, channels and devices•Actual v. “on paper only” allocation and deployment of personnel, equipment, supplies and other critical resources
Full-scale exercises are regarded as the ultimate in the test of response effectiveness “trial by fire” that is as close as practicable to an actual event. Because they are expensive and time consuming, it is advisable this form of exercise be reserved for the highest priority hazards and functions, and they be conducted only after the applicable emergency response plans and operational structure are well developed, widely understood and tested through one or more of the four less resource-intensive processes described elsewhere in this document
Is not all this basically the same as the EVENT 201 and Clade X scenarios???
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