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1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

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Page 1: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

1

Community Name

Pandemic Planning Steering Committee Chair Person:

Band Administration Phone Number:

Health Facility Phone Number:

Page 2: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

2

Human Resource ListPosition Name

Ph.# office

Ph.#Home

AlternateName &PH.

AlternateName & Ph.

Page 3: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

3

Steering CommitteeNAME POSITION PHONE

Page 4: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

4

SurveillancePREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Surveillance Responsibility for surveillance rests with Band Council. -assistance of physicians, nurses and EHOs as well as band staff, health directors and teachers collect ILI data and transmit data to FNIHB Ontario for analysis

Page 5: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

5

Vaccines

PREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Vaccines Responsibility for estimating the size ofthe population and priority groups rest with Band Council.Responsibility for vaccine program restswith physicians and nurses who:• increase uptake of influenza and pneumococcal vaccine immunization in FN community;• identify appropriate (i.e. refrigerated, locked) space for vaccine storage;• develop plans to identify and reach priority; groups for vaccination during pandemic.• develop plans for mass vaccination clinic.• develop plans to redeploy staff and volunteers to administer vaccines;

Page 6: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

6

Antivirals and AntibioticsPREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Antivirals and Antibiotics

Responsibility for antivirals and antibiotics rests with physiciansand nurses who:• identify the number of people in priority groups for access to antivirals;• identify an appropriate and secure location within each community where antivirals can be stored.

Page 7: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

7

Health ServicesPREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Health Services

Responsibility for health services rests with Band Council. Band staff (CHR and health director) alonewith physicians, nurses and EHOs:

•Develop material management (i.e. equipment list) for the health facilities;• Nurses to provide self care training.

Page 8: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

8

Emergency ResponsePREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED DUE DATE

Emergency Response

Responsibility for emergency response rests with Band Council.Band staff (CHR, health directors) along with physician, nurses and EHO:•Refine emergency plans based on results;Community and spiritual leaders and EHOs:•Participate in simulation exercises;•Develop plan for corpse storage and disposal including plans under winter conditions where fuel is not available for excavation equipment;•Identification of temporary morgue sites.

Page 9: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

9

Emergency ResponsePREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Emergency Response (cont.)

Band Council has responsibility to ensure business continuity for services which the band has primary responsibility:•Band office business continuity•Water and sewage•Snowplowing•Non-medical transport e.g. food, equipment•Volunteers•dentification of temporarymorgue sites•Transportation)•Telecommunications•Hydro•Social services•Fire control service•other

Page 10: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

10

Public Health MeasuresPREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Public Health Measures

Responsibility for public health measures in the community rests with Band Council, while physicians and nurses are responsible for public health measures within health facilities.

• Band staff (CHR, health directors) and physicians, nurses and EHOs to collaborate.

Page 11: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

11

CommunicationsPREPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Communications Responsibility for the communication plan rests with the Band Council.

Page 12: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

12

Surveillance PANDEMIC PHASE LOCAL FIRST NATIONS

COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

SurveillanceResponsibility for surveillance rests with Band Council:•physicians, nurses and EHOs as well as band staff (health directors and teachers) heighten community surveillance of influenza activity on reserve.

Page 13: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

13

Vaccine PANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Vaccine Responsibility for vaccine program rests with physicians and nurses who:•Identify potential vaccinators and ensures training materials are provided to them.•Identify and vaccinate persons associated with priority groups. •Hold mass vaccination clinics as vaccine becomes available for the community.

Monitor vaccine supply, demand, distribution and uptake.

Monitor vaccine coverage

and adverse vaccine reactions.

Page 14: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

14

Health ServicesPANDEMIC PHASE LOCAL FIRST NATIONS

COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Health Services Responsibility for health services rests with Band Council. Band staff (CHR, health director) physicians and Nurses to collaborate.

.

Page 15: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

15

Health Services PANDEMIC PHASE LOCAL FIRST NATIONS

COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Health Services Responsibility for Health Services plan rests with Band Council, Health Director and Health Care Workers.•Development of a health services plan to ensure basic health services are maintained in community.•Establishe alternate care locations, as needed.

Page 16: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

16

Emergency Response PANDEMIC PHASE LOCAL FIRST NATIONS

COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Emergency Response (Community Essential Services)

Responsibility for emergency response rests with Band Council.

Page 17: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

17

Public Health MeasuresPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Public Health Measures

Responsibility for public health measures in the community rests with Band Council, while physicians and nurses are responsible for public health measures within health facilities.

•Band staff (health directors, community leaders) and physicians and nurses will implement public health measures regarding case and contact management,

isolation, etc.

Page 18: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

18

Communications PANDEMIC PHASE LOCAL FIRST NATIONS

COMMUNITY PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Communications Responsibility for the communication plan rests with Band Council. The plan incorporates: •Community designated spokesperson (informs community about the pandemic, antiviral use, vaccine, availability of health services, etc.).•Algorithm for communication with external an internal partners.

Page 19: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

19

Surveillance POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Surveillance Responsibility rests with:

•Physicians, nurses and EHOs as well as band staff (health directors and teachers) resume routine disease surveillance.

Page 20: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

20

Vaccine POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Vaccine Responsibility rests with physicians and nurses:

•Disposal of excess vaccine as directed.•Evaluate response and revise the vaccine plan.

Page 21: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

21

Antivirals POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Antivirals Responsibility rests with physicians and nurses:

•Disposal of excess antivirals as directed.•Evaluate and revise plans.

Page 22: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

22

Health Services POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Health Services Responsibility rests with Band staff (CHR, health director) and physicians and nurses:• Evaluate and revise the current plan in order to resume normal services.

Page 23: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

23

Emergency Response POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Emergency Response (Essential Services)

Responsibility rests with Band Council:•Evaluate and revise the current plan in order to resume normal services.

Page 24: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

24

Public Health Measures POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Public Health Measures

Responsibility rests with physicians and nurses and band staff (health directors, community leaders):•Evaluate and revise the current plan in order to resume normal services.

Page 25: 1 Community Name Pandemic Planning Steering Committee Chair Person: Band Administration Phone Number: Health Facility Phone Number:

25

Communications POSTPANDEMIC PHASE

LOCAL FIRST NATIONS COMMUNITY

PERSON RESPONSIBLE

TASKS TO BE COMPLETED

DUE DATE

Communications Responsibility rests with Band Council along with physicians and nurses:•Evaluate and revise the current plan in order to resume normal services.


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