PURDUE UNIVERSITY INFECTIOUS DISEASE PLAN

PURDUE UNIVERSITY INFECTIOUS DISEASE PLAN
Version 2
July 2, 2012
Emergency Preparedness and Planning Office
Terry Memorial House
205 South Martin Jischke Drive
West Lafayette, IN 47907
(765) 494-0446
PURDUE UNIVERSITY
CAMPUS EMERGENCY PREPAREDNESS & PLANNING OFFICE

PURDUE UNIVERSITY Version 2
INFECTIOUS DISEASE PLAN
TABLE OF CONTENTS
INFECTIOUS DISEASE PLAN
Section 1: Plan Fundamentals .............................................................................3
Section 2: Phases of Emergency Management ...................................................5
Section 3: Concept of Operations ........................................................................7
Section 4: Organizational Resources ...................................................................8
Section 5: Acronyms and Definition of Terms ......................................................9
APPENDICES
APPENDIX 1 – ISDH Reportable Instances
APPENDIX 2 – ISDH Confidential Report of Communicable Diseases
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Section 1: Plan Fundamentals
1.1 Purpose
A) The purpose of the Purdue University Infectious Disease Plan (IDP) is to provide
basic procedures, resources, and guidance in preventing, preparing, and
responding to communicable disease outbreaks (i.e., meningitis, tuberculosis)
and more emergent infectious diseases (i.e., pandemic influenza).
B) The Infectious Disease Plan provides a general description of the process in
which an infectious disease would be controlled on the Purdue University
campus. These procedures are subject to change on a case by case basis to
best minimize the morbidity and mortality of Purdue population.
1.2 Scope
A) The resources and strategies outlined in this plan are designed to give
assistance to students, faculty and staff at the Purdue University main campus.
B) The primary stakeholders involved in managing infectious disease situations
may include Purdue University Student Health (PUSH) and Purdue Campus
Emergency Preparedness & Planning Office in accordance with the Tippecanoe
County Health Department (TCHD) and the Indiana State Department of Health
(ISDH). Planning, preparation, and response to a severe infectious disease
emergency (i.e., pandemic influenza) will require additional collaboration with
the Purdue University Public Health Emergency Committee.
1.3 Laws, Policies and Authorities
A) Purdue University’s Infectious Disease Plan will follow the laws, policies, and
standards given by the federal, state, and local governments in accordance with
Purdue University’s integrity and values. Such laws considered include the
Health Insurance Portability and Accountability Act (HIPAA) and State and
Federal laws giving public health officials the authority to act during a public
health emergency.
B) Federal and State Laws:
1) Federal Civil Defense Act, as amended (50 USC 2251 et seq.), 1950
2) Defense Authority Act 1977 (PL 94-361)
3) Superfund Amendment and Reauthorization Act (also known as the
Emergency Planning and Community Right to Know Act), PL 99-499, 1986
4) Robert T. Stafford Disaster Relief and Emergency Assistance Act, PL 100-
707, as amended (42 USC 5131 et seq.), 1988
5) United States Code, Title 42, Public Health and Welfare
6) Chapter 68, Disaster Relief
7) Health and Human Services: Health and Information Privacy
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1.4 Situation
8) Code for Federal Regulations: Title 45-Public Welfare and Human Services
9) Chapter 9: Communicable Disease: Imposition of Restrictions on
Individuals with Certain Communicable Diseases
A) The infectious disease plan may be activated when a student, staff, or faculty
member tests positive to a reportable communicable disease. Incidents that
qualify to activate the infectious disease plan include pandemic influenza,
tuberculosis, meningitis, and hepatitis among others. (For a full list of
reportable infectious diseases, see Appendix 1). If necessary, the Tippecanoe
County Health Department (TCHD) may work alongside Purdue University
Student Health (PUSH) and other relevant Purdue University entities to ensure
the infected individuals are informed and the risk of infection to others is
minimized.
1.5 Assumptions
A) The infectious disease is reportable to ISDH (see Appendix 1)
B) The infectious disease is transmittable from human to human
C) The transmission of the disease will impose a significant risk of morbidity
D) The infectious disease transmission can be minimized by using prevention,
preparation, and response strategies
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Section 2: Phases of Emergency Management
2.1 The phases listed below are general responses to a public health emergency
involving an infectious disease outbreak at the Purdue University campus (See
Figure 1). Strategies such as providing education to the community, raising
awareness of infectious disease resources and plans, and responding and
recovering to an infectious disease outbreak will vary due to the severity of an
outbreak, the current resources available, and the decisions made amongst the
Purdue University stakeholders to best fit the response to situation.
Figure 1: Phases of Emergency Response
2.2 Prevention and Mitigation (Educate prevention strategies to reduce the risk of
contracting and spreading infectious diseases.)
A) Primary Prevention (Stop infectious diseases before they happen):
1) Wash hands regularly
2) Keep up-to-date on vaccinations
3) Receive regular medical examinations
4) Maintain a healthy diet
5) Exercise regularly
6) Get an adequate amount of sleep
7) Maintain proper hygiene
8) Drink plenty of water
9) Find healthy ways to reduce stress
B) Secondary Prevention (Keep infectious diseases from getting worse):
1) Seek medical attention as necessary (See Section 4 for hospitals in your
area)
2) Comply to your medical regimen as advised by your doctor
3) Reduce spread of disease to others
4) Drink plenty of water
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5) Maintain a healthy diet
6) Get an adequate amount of sleep
2.3 Preparation (Gain knowledge regarding infectious disease information in your
area):
A) Keep up to date on infectious disease outbreaks around Purdue University
B) Review all organizational resources available to you
1) (See Section 5: Organizational Resources)
2.4 Response (Possible responses by the TCHD & PUSH to reduce the spread of
infection. For more detailed response information go to Section 4: Concept of
Operations)
A) Analysis and surveillance of infectious disease outbreak
B) Dissemination of information and education to the public
C) Take all appropriate measures to reduce the spread of infection among the
Purdue community
2.5 Recovery (Potential recovery strategies to improve the health of the Purdue
Community):
A) Re-evaluation of preparation and response strategies to reduce the spread of
infectious diseases
B) Continue to re-evaluate community health education strategies to inform the
Purdue community of infectious disease risks
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Section 3: Concept of Operations
Figure 2: Concept of Operations*
A Purdue University resident that tests
positive (both active and latent cases) for a
reportable communicable disease will be
reported to ISDH and the Tippecanoe
County Health Department (TCHD). Upon
notification, the TCHD may inform PUSH
and obtain information from the infected
individual if seen necessary. Dependant
on the severity of the disease and the risk
associated with spreading the disease, the
TCHD and PUSH will work together on a
variety of levels to ensure the safety of the
Purdue community.
The basic concept of operations (See
Figure 2) is created to show what may
happen if a Purdue Resident is tested for
an infectious disease. These operations
are subject to change on a case by case
basis at any point in time. Infectious
diseases that are applicable for TCHD
involvement and the information needed by
the TCHD can be viewed in Appendix 1 &
Appendix 2 respectively.
* Concepts of operation are subject to change
** For applicable infectious diseases see Appendix 1
*** For information that may be needed see Appendix 2
Situations of higher risk (i.e., TB, food handlers with highly communicable infectious
disease) may warrant further measures if the patient is incompliant to their medical
regimen or exposing others to high risk disease. Such heightened measures may
include direct observation therapy, self-isolation, testing to individuals in close
proximity, and potentially local law enforcement involvement. (For laws supporting
these measures, see Section 2: Laws, Policies, and Authorities)
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Section 4: Organizational Resources
4.1 Lafayette Hospitals
‣ Saint Elizabeth Regional Health
1501 Hartford Street,
Lafayette, IN 47904
(765) 423-6011
Map and Locations
4.2 Purdue University Resources
‣ Purdue University Student Health
601 Stadium Mall Dr.
West Lafayette, IN 47907
(765) 494-1700
‣ Clarian Arnett Hospital
5165 McCarty Ln.
Lafayette, IN 47905
(765) 448-8000
Map and Locations
‣ Purdue Campus Emergency
Preparedness & Planning Office
‣ Purdue ALERT
‣ Emergency Procedures Handbook
4.3 Health Departments
‣ Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204
(317) 233-1325
Map and Locations
Twitter: ISDH_DHS
‣ Tippecanoe County Health
Department (TCHD)
629 N. 6th Street
Lafayette, IN 47901
(765) 423-9221
Map and Locations
4.4 Additional Resources
‣ Centers for Disease Control and Prevention
Facebook: CDC
Twitter: CDCEmergency
‣ World Health Organization
Twitter: WHONEWS
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Section 5: Acronyms and Definition of Terms
5.1 Acronyms:
CDC
HIPAA
IDP
ISDH
PU
PUSH
SARS
TB
TCHD
WHO
Centers for Disease Control and Prevention
Health Information Portability and Accountability Act
Infectious Disease Plan
Indiana State Department of Health
Purdue University
Purdue University Student Health
Severe Acute Respiratory Syndrome
Tuberculosis
Tippecanoe County Health Department
World Health Organization
5.2 Definitions
Active Cases: An infectious disease that can spread from the infectious individual
to others.
Communicable Disease: A disease that is able to transmit from human to
human.
Direct Observation Therapy: Direct observation by a medically trained
professional to ensure the patient is adhering with recommended medical
protocols.
Health Information Portability and Accountability Act (HIPAA): A federal law
protecting the privacy of an individual by making personal records confidential.
For more information visit: http://www.hhs.gov/ocr/privacy/
Hepatitis: A liver disease caused that ranges in severity based on the type of
virus. For more information visit: http://www.cdc.gov/hepatitis/index.htm
Latent Cases: A case in which an individual has the disease, but is not able to
infect others with it.
Law Enforcement Involvement: An incident in which an individual with a serious
communicable disease refuses to comply with recommended measures may be
subjected to LE involvement to ensure the public’s safety.
Meningitis: A disease causing inflammation of the brain and spinal cord. Severity
of illness can range based on the cause of the infection.
For more information visit: http://www.cdc.gov/meningitis/index.html
Morbidity: A state of illness due to a disease or medical condition.
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Mortality: Death due to a disease or a medical condition.
Outbreak: An event in which an infectious disease has spread in a localized area.
Pandemic Influenza: A novel strain of the flu virus that sustains transmission of
the disease globally.
For more information visit: http://www.pandemicflu.gov/
Primary Prevention: Prevention strategies that stop a disease from happening
before it starts.
Self-Isolation: Additional measures to reduce the spread of the infectious disease
by isolating the infected individual.
For more information visit: Indiana Bench Book Update: Isolation and Quarantine
Testing to Individuals in Close Proximity: Individuals that reside in close
proximity to an individual with a serious highly communicable disease may be
offered a screening test in order to reduce further spread of the illness.
Tuberculosis (TB): A condition in which bacteria called mycobacterium
tuberculosis attacks the lungs.
For more information visit:
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APPENDICES
APPENDIX 1 – ISDH Reportable Instances
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APPENDIX 2 – Confidential Report of Communicable Diseases
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