1. Background
2. Impact on New Jersey

Table 1 – Comparison of WHO Global Pandemic Phases, Stages for the Federal Government Response, NJ Situations, and NJDHSS Situations

1. Primary Agency
2. Support Agencies 

  Overview [pdf 44k]
  NJDHSS 17 Situations [pdf 40k]
  Table 2 – Response Action Triggers by Situation [pdf 116k]

       A. Surveillance

Overview [pdf 15k]
Plan [pdf 43k]
Appendix List [pdf 9k]
Appendices (including Attachments if they appear in the above Appendix List)

1. Virologic and Disease Surveillance for Influenza [pdf 1m]
2. Reporting Cases of Severe Respiratory Illness [pdf 15k]
3. Role of NJDHSS in Animal Surveillance for Novel Influenza [pdf 46k]
4. Animal Exposure Guide [pdf 20k]
5. Animal Worker Surveillance for Novel Influenza [pdf 36k]
6. Communication Data [pdf 39k]
7. Outbreak Response Structure - Influenza Surveillance [pdf 23k]
8. Epidemiologic Studies [pdf 10k]
9. Enhanced Passive Surveillance for Novel Strains of Influenza [pdf 339k]
10. Contact Tracing [pdf 73k]
11. Tracking Case Counts [pdf 154k]

       B. Laboratory Diagnostics

Overview [pdf 15k]
Plan [pdf 36k]
Appendix List [pdf 10k]
Appendices (including Attachments if they appear in the above Appendix List)

1. Virologic Surveillance for Influenza [pdf 17k]
2. Instructions for Collection, Testing, and Shipping of Influenza Specimens [pdf 26k]
3. CDC/APHL Protocol for Novel Virus testing
   (This document contains sensitive information and is not included here.)
4. PHEL Cross-Training Procedure for Novel Influenza Testing [pdf 9k]
5. Equipment, Vendor, Supply List (including back up supplier and current stock) [pdf 8k]
6. Surge Capacity Plan for Specimen Receipt and Disposal: [pdf 88k]
7. Surge Capacity Plan for Eliminating Non-Essential Lab Services [pdf 13k] 

       C. Healthcare Planning

Overview [pdf 15k]
Plan [pdf 33k]
Appendix List [pdf 16k]
Appendices (including Attachments if they appear in the above Appendix List)

1. Influenza Pandemic Plan Guide for Healthcare Facilities [pdf 205k]
2. Surge Capacity Guidance for General Hospitals [pdf 87k]
3. Influenza Preparedness Planning Template for Federally Qualified Health Centers [pdf 135k]
4. Provisions for the management of the blood supply during a pandemic as outlined by the American Association of Blood Banks (AABB) Task Force on Pandemic Influenza
   • Bulletin on Influenza Pandemic Planning [pdf 22k]
   • Efforts to Ensure a Safe, Available Blood Supply [pdf 77k]
   • Pandemic Influenza Issues Outline [pdf 142k]
   • Blood Collection Facility and Transfusion Service Checklist [pdf 64k]
   • Disaster Operations Handbook [pdf 372k]
   • Disaster Operations Handbook – Hospital Supplement [pdf 84k]
     

       D. Infection Control

Overview [pdf 15k]
Plan [pdf 26k]
Appendix List [pdf 10k]
Appendices (including Attachments if they appear in the above Appendix List)

1. Infection Control Guidelines in Healthcare Settings [pdf 53k]
2. Infection Control Guidelines in Non-Healthcare Settings [pdf 30k]
3. Interim Public Health Guidance for the Use of Facemasks and Respirators in Non-Occupational Community Settings during an Influenza Pandemic (May 2007) [pdf 101k]

       E.  Clinical Guidelines

Overview [pdf 15k]
Plan [pdf 51k]
Appendices

1. MMWR Prevention and Control of Influenza
2. MMWR Prevention of Pneumococcal Disease
3. MMWR Preventing Pneumococcal Disease Among Infants and Young Children
4. WHO Rapid Advice Guidelines for pharmacological management of sporadic human infection with avian influenza A (H5N1) virus
   (Lancet Infect Dis 2007; 7:21-31)
   1. Summary of WHO Rapid Advice Guidelines for pharmacological management of sporadic human infection with avian influenza A (H5N1) virus
      
5. Clinical Presentation and Complications of Seasonal Influenza
   (HHS Plan Appendix 1)
6. Clinical Presentation and Complications of Illnesses Associated with Avian Influenza (H5N1) and Previous Pandemic Influenza Viruses
   (HHS Plan Appendix 2)
7. Special Situations and Exceptions to Clinical Criteria Plan
   (HHS Box 3)
8. NJDHSS Protocol for Surveillance and Testing for Influenza A (H5N1) in Humans during Pandemic Alert Period
   (May 2006 version)
9. Avian Screening Form
   (March 2006 version)  
10. Clinical Evaluation of Patients with Influenza-like Illness during the Interpandemic and Pandemic Alert Periods Plan
    (HHS Box 2)
11. Case Detection and Clinical Management during the Interpandemic and Pandemic Alert Periods
    (HHS Plan Figure 1)
12. Infectious Diseases Society of America (IDSA) Guidelines for the Management of Community-acquired Pneumonia
13. British Thoracic Society (BTS) Guidelines for the Management of Community-acquired Pneumonia in Childhood
14. Pneumonia PORT Severity Index (PSI) Calculation 
    (HHS Plan Table 1)
15. Pneumonia Severity Index Risk Classification
    (HHS Plan Table 2)
16. CURB-65 Scoring System
    (HHS Plan Table 3)
17. Recommended site of care based on CURB-65 system
    (HHS Plan Table 4)
18. Home Care Infection Control Guidance for Pandemic Influenza Patients and Household Members
    (HHS Plan Box 4)
19. Case Detection and Clinical Management during the Pandemic Period
    (from HHS Plan)

       F. Vaccine Distribution and Use

Overview [pdf 15k]
Plan [pdf 32k]
Appendix List [pdf 7k]
Appendices (including Attachments if they appear in the above Appendix List)

1. New Jersey Pandemic Influenza Vaccine Distribution and Administration Plan [pdf 36k]
2. Draft Guidance on Allocating and Targeting Pandemic Influenza Vaccine (CDC) [pdf 719k]

       G. Antiviral Drug Distribution and Use

Overview [pdf 15k]
Plan [pdf 39k]
Appendix List [pdf 7k]
Appendices (including Attachments if they appear in the above Appendix List)

1. Antiviral Distribution Plan [pdf 176k]
2. CDC "Interim Guidance for Protection of Persons Involved in U.S. Avian Influenza Outbreak Disease Control and Eradication Activities" [pdf 102k]
3. "OSHA Guidance Update on Protecting Employees from Avian Flu (Avian Influenza) Viruses" [pdf 963k]

       H. Community Disease Control and Prevention
           (including Managing Travel-Related Risk of Disease Transmission)

Overview [pdf 15k]
Plan [pdf 38k]
Appendix List [pdf 11k]
Appendices (including Attachments if they appear in the above Appendix List)

1. CDC Guidance for Community Strategy for Pandemic Influenza Mitigation
2. Public Health Packet for Community Containment [pdf 136k]
3. N.J.S.A 26:4-2 Powers of State department and local board [pdf 10k]
4. Tracking Community Containment Measures [pdf 9k]
5. N.J.S.A. 26:13-1 et seq.  Emergency Health Powers Act [pdf 93k]

       I. Public Health Communications

Overview [pdf 19k]
Plan [pdf 42k]
Appendix

1. Department of Health and Senior Services Risk Communications Plan [pdf 40k]

       J.  Psychosocial Considerations

Overview [pdf 15k]
Plan [pdf 50k]
Appendix List [pdf 8k]
Appendices (including Attachments if they appear in the above Appendix List)

1. NJ Division of Mental Health Services - Disaster and Terrorism Branch Staff Telephone Numbers*
2. Response Partners*
3. DHS and NJDHSS Public Information Officers*
4. DHS Website Keepers*
5. Informational Materials [pdf 39k]
6. Description of Web Based and Tele Crisis Options and How to Access Them [pdf 18k]
7. NJ Association of County Mental Health Administrators [pdf 19k]
   
   * Appendices 1 through 4 are not included in the public version of this plan due to the personal information they contain.

• Letter from Dr. Bresnitz about the Local Public Health Pan Flu Checklist [pdf 35k]
• Local Public Health Pan Flu Checklist (Guidance for local planning efforts) [pdf 25k]
• NJDHSS Pan Flu Partner Chart  - Lists when Public Health Partners (LINCS, LHDs, Hospitals, HCP, Primary and FQHC, Home Care, LTCF, Other) need to take a new action [pdf 18k]
• Plan cover page [pdf 57k]
• Tab template for organizing plan in binder [pdf 7k]