I



Avian Flu Plan

Group 9 – The Bird Catchers

Stacey Holl*, Vai Lor, Tamera Regenold,

Kelli Schlaak, and Scott Vanderwielen

Spring 2006 Virology

I. Individuals will need to prepare for the survival of one-self or the survival of the family.

* Each family will vary in the supply and preparedness, but having more is better. These numbers are based on ONE ill individual.

1. Flu Care Kit

• Antiseptic wipes (2 boxes of 24 count)

• Cough drops (3 dozen)

• Throat lozenges (2 dozen)

• Thermometer (2 – one for backup)

• Over-the-counter flu medicine, both Adult and Child (i.e. Triaminic Severe Cold and Fever Liquid, Infant Tylenol Cold and Cough…) (2 bottles of preferred medicine)

• Pain reliever [i.e. Acetaminophen (Tylenol), Ibuprofen (Advil)] (200 count bottle)

• Nasal spray (2 bottles)

• Instant cold compresses – To help with fever (3 reusable)

• Antiviral Facial Tissue (8 large boxes)

• Protective non-latex gloves (Nitrile) – Box of 100

2. Food

*Food stockpiles will vary between families, but the stockpile should last the family for 5-8 weeks maybe longer.

• Easily prepared foods which require adding water and boiling (packaged pasta, ramen, rice dishes, etc)

• Canned goods (fruits, vegetables, fish, raviolis, soups, stews, etc)

• Packaged snacks (crackers, granola bars, chips, cookies, fruit snacks, etc)

• Dried food (powder milk, dried fruits, dried herbs and spices, etc)

• Bulk food (salt, sugar, flour, rice, beans, cooking oil, etc)

• Baby food (easily digestible food incase of illness)

3. Fluid

• Water

o Drinking water - every family should have one gallon of drinking water per person per day.

o Daily water – Families should have stock piles of water for cooking and minor daily usage, including hand washing.

o Families should prepare water collection equipment for rain water and be knowledgeable in water treatment to treat the rain water or other sources of water.

o Water filtration or purification systems

• Juice – another hydrator and good source of nutrients

4. Miscellaneous Items

• Tamiflu - Currently Tamiflu is the most effective drug against the Avian Flu, but it is in short supply and needs to be prescribed by a doctor. Tamiflu is recommended if you can acquire the drug.

• Prescription medicines - Discuss with your doctor and make preparations for future emergencies.

• Flu medications and pain relievers are included in the Flu Care Kit.

• Multivitamins – containing essential ions and vitamins

• Calcium supplements

• Bandages and band-aids, scissors, cotton balls, q-tips, Triple Antibiotic ointment, and other first aid materials.

• CPR face shields with one way airflow

• Contamination collection bags – large plastic bags with zip lock or slider seal (quart and gallon size)

• Paper product - toilet paper, paper towel, napkins, and antiviral facial tissue

• Plastic utensils

• Baby products – baby wipes, diapers, etc

• Toiletries – soap, shampoo, feminine hygiene products, toothpaste, etc

• Gasoline – a few gallons of gasoline should be stored away to give the option of vehicle transportation or communication

• Bleach and other disinfectants (Lysol, Oust) - good for sterilizing the surroundings

• Duct tape and plastic sheeting – good for creating a sterile environment by sealing doors and windows

• Lighters, matches, candles – for lighting

• Flashlight and batteries – multiple sizes for various items (flashlights, clocks, radios, portable entertainment devices, etc)

• Wood and lighter fluid – a great source for heating and cooking when electricity and gas are not available

• Shovels and hoes - useful for creating camping toilets in the yard when the sewage system is unavailable

• Money – money should be set aside incase banks are not open and ATMs are not functional

• Forms of entertainment - books and other reading materials, crossword puzzles, board games, cards, etc.

5. Masks

• Nano Masks

o Protects against viruses smaller than 0.3 microns. (the N95 by 3M only protects against organisms larger than 0.3 microns.) The Avian Flu virus is smaller than 0.3 microns, so the N95 is not effective enough to protect individuals from the virus.

o The masks have chemical agents which help destroy the pathogenic organism, rather than just trap it like the N95 does.

o The Nano Mask is produced by Emergency Filtration, in Las Vegas, NV. (This company has been working with the U.S. military on this technology, which is just now moving to the public sector.)

o The NanoMask has a shelf life of two years. The filter should be changed after a 48 hour period. The mask can be sterilized by soaking in a diluted bleach solution. Always wash hands after changing a filter.

o The cost is $10.99 per mask, and $10.99 for a package of ten filters. They can be purchased many places online including the following websites:







*Information provided by , , and .

I. Emergency Actions

1. Priority vaccination – If a vaccine becomes available, there will be a set order to who receives the vaccine. For details, see Section 10 – Vaccines.

2. Management (Emergency Workers)

Wisconsin Board of Health

The Wisconsin Board of Health will keep in contact with the counties’ Boards of Health, and notify each county of any pandemic that has or might occur. The State Board of Health will also make announcements on TV and radio stations to start an early chain of warning events.

Winnebago Board of Health

The Winnebago County Board of Health will keep in contact with the State Board of Health and warn the cities’ boards of health of any pandemic or future possible occurrences. The Winnebago County Board of Health will also make announcements on TV and radio stations to enforce the warnings.

Oshkosh Board of Health

Oshkosh Board of Health will keep in contact with the Winnebago County Board of Health for news of any pandemic or possible future outbreaks. In anticipation of a pandemic, the Oshkosh Board will contact the City District Voting Council to pass on news about the pandemic and make local announcements to the public.

City District Voting Council

The City District Voting Council consists of one chosen representative from each voting district of Oshkosh by District Block Managers. The council will meet during a reported pandemic and relay messages between the Oshkosh Board of Health, to request for supply of help, and the District Block Managers.

District Block Managers

A District Block Manager is a person chosen by a few neighborhoods, much like the Senate and House of Representative. In a pandemic the District Block Manager will tour their designated area for signs of the flu. If a family is infected, they are to contact their District Block Manager so the manager can report the incident to the council for help and immediate quarantine.

*If everybody complies and co-operates with management levels, there will be quick and efficient emergency response.

3. Planing

Schools

In a pandemic, schools will be shut down in an effort to slow or stop the spread of the Avian Flu. Parents should be prepared to home school or keep their child/children occupied.

Public Places

Public places such as museums, parks, malls, banks, libraries and etc…will be closed. Unnecessary interaction with infected or non-infected persons can prevent the spread of the Avian Flu.

Grocery Stores

Grocery stores will be kept at minimal operation for minimal contamination. Food will be limited to canned goods, dried goods, and other prepackaged goods only. Fresh foods are restricted in an effort to stop spreading of the flu. All checkout personnel will have to wear masks and gloves while checking out the customers. Costumers entering a store during a pandemic will be required to wear a mask and gloves to minimize the danger of spreading or catching the avian flu. The number of people allowed in to the store will be monitored by the Authoritarian Force. All those waiting to enter the store shall wait in their cars in a single file line. There will be no exceptions to the rule, all those who cut line will be sent to the back or removed from the premises. All checkout personnel will have to wear a mask and gloves while in contact with customers.

*Food and water will be rationed depending on the availability of supplies.

Gas Stations

Gas stations will be guarded by Authoritarian Forces. Each car will be limited to a certain amount of gas, depending on the supply available. All checkout personnel will have to wear a mask and gloves while in contact with customers.

Pharmacy

Pharmacies will be heavily guarded by the Authoritarian Forces. Extreme force will be used against any who try to take the vaccines or other medications by force. Medicines are to be given to those who are qualified first.

*Refer to Section XI – City Issues – Business: for details on which stores, gas stations, and pharmacies will remain open.

II. Role of Media

1. Flu Hotline - symptoms of Avian Flu, information about who is in charge and what they are in charge of, steps to take to prevent infection and the spread of influenza, steps to take if believed to have symptoms, and locations of general supplies.

2. TV - will have hourly updates regarding outbreaks, and the number of recent reported cases will be announced, however no information regarding the number of deaths will be publicly provided. The Flu Hotline number will be scrolling across the bottom of the television set at all times. WRST Channel 10

3. Radio - will provide local information about who is in charge and what they are in charge of, the number of recent reported cases, however no information regarding the number of deaths will be publicly provided, and how to contact local Flu Hotline. WRST 90.3 FM, WOSH 1490 AM

4. Newspapers – (The Northwestern) background information about Avian Flu, the details of the Pandemic Flu Plan which includes the following:

a. What the individual families should do to prepare. (stockpiling food, water, masks, medicines, miscellaneous)

b. What is, and who is on, the emergency workforce team.

c. The role the media will play in educating the community. How the information will be dispersed.

d. How community communication will be handled. (e.g. moving goods and services)

e. What will be the Quarantine measures/Prevention/Travel advise/Curfews/Crime Prevention tactics, etc.

f. Information on the new public gathering policies.

g. What will occur at hospitals and other clinics.

h. How drugs will be handled at Pharmacies, and other health plans like stockpiling antiviral drugs.

i. What will happen with the current long-term care, including nursing home residents and elderly living alone.

j. How vaccines will be obtained, if available, who will receive one, and in which predetermined order.

k. What will be done about city issues such as: garbage collection, electricity, water treatment, burial procedures, business plans, etc.

l. How the Oshkosh Board of Health will play a role in the pandemic.

III. Community Communication

1. Critical supplies:

Medicine:

• Needles and syringes, biohazard bags, rubbing alcohol and cotton balls, band aids – all are needed to administer a flu vaccine if one becomes available

• Flu vaccine – the vaccine will help protect susceptible and vital people (if one becomes available)

• Flu medication – Medications are needed to supplement for the flu shot for those who are unable to receive it (if available) or those who are already ill.

• Pain Reliever – pain relievers like Acetaminophen (Tylenol) and Ibuprofen (Advil) are needed to ease the suffering of the ill, or those who are injured that are unable to receive normal medical attention due to the new pandemic hospital procedures

• Over the counter cold and flu medicines – Adult and Child (i.e. Triaminic Severe Cold and Fever Liquid, Advil Cold and Flu, Infant Tylenol Cold and Cough)

• Disinfectant – disinfectants are needed clean infected areas.

• Masks – masks will be needed to stop the spread of the flu

• Chronic Illness Medicines – Heart medications, insulin for diabetics, hypertension medications, etc

Food:

• Easily prepared foods which require adding water and boiling (packaged pasta, ramen, rice dishes, etc)

• Canned goods (fruits, vegetables, fish, raviolis, soups, stews, etc)

• Packaged snacks (crackers, granola bars, chips, cookies, fruit snacks, etc)

• Dried food (powder milk, dried fruits, dried herbs and spices, etc)

• Bulk food (salt, sugar, flour, rice, beans, cooking oil, etc)

• Baby food (easily digestible food incase of illness) supplement for fresh products

• Water – Water is an essential product which is important to everybody’s survival.

Misc:

• Paper products - toilet paper, paper towel, napkins, and antiviral facial tissue

• Baby products – baby wipes, diapers, etc

• Toiletries – soap, shampoo, feminine hygiene products, toothpaste, etc

• Gasoline – a few gallons of gasoline should be stored away to give the option of vehicle transportation or communication

• Duct tape and plastic sheeting - good for creating a sterile environment by sealing doors and windows

• Lighters, matches, candles – for lighting

• Flashlight and batteries – multiple sizes for various items (flashlights, clocks, radios, portable entertainment devices, etc)

2. Critical Supply Transportation:

Truck Drivers

• Gas Truck Drivers – essential for gas transportation so other trucks are able to perform their purposes

• Food Truck Drivers – necessary to transport food and other essential supplies to grocery stores for the community

• Armored Truck Drivers – needed to transport essential medications which are in short supply and flu vaccines. These will be normal semi-trucks with two armed military personnel on board.

Authority:

• Police Force – at loading and unloading stations to help guard and supervise the process, as well as protect gas stations, grocery stores, pharmacies, and hospitals from raids and upsurges of the public

• Military – help guard the medical supply trucks, as well as aid the police in keeping guard as they are available

IV. Quarantine/Travel/Crime Prevention

1. Quarantine:

In the event of an avian flu pandemic, all the roads entering the city of Oshkosh will be closed and monitored with surveillance 24/7. Neighboring towns will be asked to comply with the City of Oshkosh and shut down too in the effort to stop the spreading of the flu. The military will be in charge of the main roads and highways entering into the city. All the minor roads will be closed and monitored by the local police forces at all times. No one will leave or enter the city unless they have a permit. The permits will only be issued by the mayor of the city with the approval of the city board of health.

At each check point into the city, there will be a physician who will inspect the health of the person entering or leaving the city. They will look for the following symptoms: sneezing, coughing, and fever. If they have any of these symptoms they will not be allowed to enter or leave the city, regardless of whether the symptoms are as a result of the avian flu. Those who are allowed to leave or enter the city are truck drivers transporting critical supplies, and anybody who has obtained a permit from the mayor.

Everyone is to remain at their residence to prevent the spread of the Avian Flu. If a person is infected with Avian Flu, they will remain in their home, and a sign will be posted on their door stating that influenza is present. Students from UW-Oshkosh who have a permanent residence in Oshkosh will be asked to go home. Those whose permanent residence is elsewhere will be quarantined in their dormitories.

2. Travel:

All recreational travel will be stopped. Out of city or incoming family visitations will be stopped. Family visitations of the dead and dying will be permitted but can be denied in certain circumstances, depending on the severity of the pandemic in Winnebago County.

3. Prevention:

During a flu pandemic, curfews will be established to protect the community. The city curfew will start at 5 PM and all citizens will be expected to be indoors by 6 PM. The firefighters and policemen will patrol the city for anybody trying to break the curfew. Anybody found breaking the curfew will be escorted to their home and receive possible post-pandemic punishments, i.e. fines, jail time.

4. Crime Prevention:

Firefighters and policemen will be on constant patrol throughout the city. Anybody caught looting, breaking and entering, starting fights, or any kind of civil disturbance will be arrested.

V. Public Gathering

In the event of a pandemic, all public gathering will be prohibited. Schools, parks, theaters, bars, public libraries and non-essential stores (Family Video, Radioshack, Best Buy, etc…) will be closed. No churches will be open, as churches are not a necessary place needed to survive. Worship can be done in the home. The few selected grocery stores, gas stations, and pharmacies will be restricted to the curfew of 5 pm.

*Refer to Section XI – City Issues – Business: for details on which grocery stores, gas stations, and pharmacies will remain open.

VI. Hopsitals

The two major hospitals capable of life support in Winnebago County are Theda Clark and Mercy Hospital. Theda Clark has 214 beds and Mercy has 172 beds staffed together giving 386 beds. The population of Winnebago County is about 160,000 people which means there is one bed for every 415 people in the county. In the event of a pandemic more than one in every 415 people is going to require medial help showing the extreme lack of bed space. The two hospitals do not have enough space or large enough rooms for isolation wards during a pandemic. Alternative isolation wards will need to be created using school gymnasiums which provide a large space to care for a large number of sick.

Hospitals (In Oshkosh)

o Aurora Medical Center

Address: 855 N. Westhaven Drive

Telephone: 920-456-6000

o Mercy Medical Center

Address: 500 S Oakwood Road

Telephone: 920-223-0199

o Oshkosh Medical & Rehabilitation Center

Address: 1850 Bowen Street

Telephone: 920-233-4011

Isolation Hospital:

• The UWO field house will be used to supplement for the influx if sick patients once the hospitals are full. There will be approximately ten trained physicians to oversee the situation. Nursing students will apply their knowledge to help the patients with the help of the attending physicians. The field house will receive as many vaccine shots and flu medications as the hospitals can spare during the pandemic.

• The Park Plaza Hotel will be used as another supplementary hospital for those who are ill. There will be approximately six to seven trained physicians, nurses, and nursing students to provide care at the hotel.

• The whole complex of Oshkosh North High and West High will also be used as a supplementary hospital if the UWO field house and Park Plaza Hotel begin to fill. Paramedics along with two to three trained physicians (approximation) and nursing students will attend to the sick at the high schools.

Beds will be needed in the form of cots along with food and water for the patients. Beds will also be moved from Gruenhagen and other dormitories to areas needed. Cooking and food distribution supplies will also be needed like cups and plates; along with soap and disinfectant such as 5% bleach. Due to the shortage of medical supplies there will not be much for the isolation wards in terms of life support. Nurses will be needed to work the isolation wards which will put a strain on the supply of nurses. Volunteers with some degree of medical knowledge will also be asked to volunteer if provided safety measures. The lack of hospital space and medical personnel is a difficult problem to prepare for but isolation wards can be planned for properly in advance.

VIII. Pharmacies/Health

Pharmaceutical Supplies

All medical supplies will be used in the first attempt to quarantine the first wave of flu outbreak and stop the spread of the flu. When the flu is deemed uncontrollable, pharmacies will go into lock down with armed guards. Pharmacies will be guarded 24/7 until the crisis is over. The lock down will be an attempt to ration the remaining healthcare supply to the necessary workers. Healthcare workers, government officials, and law enforcement will get first priority to necessary dosage of medication in order to keep order in the city. Age, experience, and personal risk factor will be considered in each prioritized field.

• High risk groups with special needs

o persons with heart and lung conditions and/or other serious illness

o those with weakened immune system (cancer patients, organ transplant patients, elderly, infants, or other immunodeficiencies)

o persons with infectious disease

o mentally or physically challenged persons

• Those who need prescription medications can buy early and pay for what insurance companies do not cover. If they wait, there is no guarantee that the medicines will be available at the pharmacies.

Since it is already known that a pandemic this is not a matter of if, but when, the city should be stockpiling these necessary drugs. Staff of the Division of Public Health will manage the stockpiling of medical supplies as well as hypertension medication, pain relievers, Tamiflu, insulin (as well as sterile needles), antibiotics, etc. Tamiflu as well as other anti-influenza drugs, if and when available, should be considered the first line for prevention of pandemic influenza and is only to be used if the community detects symptoms of the flu. The overall decision to use these drugs will be approved by the local health officials. However, vaccine production requires the acquisition of the seed virus and therefore cannot be initiated until the pandemic virus has already infected humans.

The Federal/Local/State government will all play a role in distributing the medical supplies. However when the supplies are distributed to the Oshkosh area, the Northeastern Division of Public Health will regulate the distribution of the medical supplies. Those persons directly correlated to the Oshkosh area are:

o Dennis Hibray Regional Direction (920)448-5220 hibrada@dhfs.state.wi.us 

o Mary Watts, Regional Office Manager

(920)448-5232 wattsme@dhfs.state.wi.us 

o Mary Johnson, LTE, Public Health Educator

(920)448-4802 johnsme@dhfs.state.wi.us 

o Cathy Sendelbach, Public Health Educator

(920)448-5221 sendecg@dhfs.state.wi.us 

o Jean Zastrow, Public Health Educator, Immunization Program

(920)448-5231 zastrja@dhfs.state.wi.us 

These members will put a policy in action and will ensure that the pharmacies are guarded and the supplies are rationed as necessary.

IX. Long-term care, including nursing home residents and elderly living alone.

The following list names the order in which antivirals would be used in the occurrence of a pandemic in the City of Oshkosh. The antivirals will be saved until cases are detected in the area as a way to stockpile the medicines for when they are necessary and to avoid running out of them. The following list, in descending order of priority, includes the plan for use of antivirals in the community.

1. Treatment of those who are hospitalized for the Avian Influenza – at this time a physician will determine how far the illness has progressed. In the severe cases where survival is unlikely, antivirals will no longer be provided.

NOTE: Life support will be given to all who have the greatest chance of survival, as determined by a physician. The attending physician will also make decisions on the continuation of medical treatment to a severely ill patient, including the choice to take that patient off of life support. These cases will only be those in which survival is very unlikely.

2. Treatment of health care and emergency workers who are ill – (“Ill” refers to a disease or pathogen that is not Avian Influenza in numbers 2 and 3.) These workers will be needed to care for patients who become infected with influenza.

3. Health care workers – This will be done as a measure to prevent possible infection, as these persons will be working close with the infected individuals.

4. Those in nursing homes and other chronic care facilities - Control outbreaks in high-risk residents of institutions.

NOTE: If possible, any elderly who can live with a close surviving relative will be asked to do so. If the elderly have no relatives, they will stay in the nursing home. Any elderly living alone will be requested to live with a relative or be taken to a nursing home. The elderly will have the rights to refuse any help offered, but they will have to comply with any quarantine regulation in effect.

5. Essential service workers - (Authoritarian Forces, Truck Drivers, Sanitation Division, Utilities Division – Sewer and Water, Electrical Division, Store workers) This will be done as a precaution for those who will come in contact with infected individuals.

6. Individuals hospitalized for illnesses other than influenza – This will be done as a precautionary measure.

7. Individuals at high-risk - due to contact with an infected individual.

X. Vaccines

In the event that a vaccine becomes available, the list below will prioritize the vaccination sequence.

*All vaccinations will be given to the qualified person only, excluding any other family members who are not qualified. Listing states the most qualified to least qualified.

Government

The Mayor (William Castle), Chief of Police (Michael Mellard), Chief of the Fire Department, (Timothy R. Franz) and the Hospital Managers (Aurora – Hospital Administrator, Fran Finely; Mercy – Chief Operating Officer of the Southern Region, Clifford Lehman) will receive the vaccine first because they will be in charge of making vital decisions that will govern the city during the pandemic.

Doctors, Physicians, Nurses

Medical personnel will receive vaccination next because they will be needed to treat and care for other ill patients, which in turn will increase the rate of survival of the community as a whole.

Authoritarian Forces (Police, Fire Fighter, and Special Forces)

During a pandemic, law and order will be maintained no matter how dire the situation. The police force, firefighters, and other special forces will have to undertake special training on how to handle violent, irrational crowds which might result in riots. Gatherings will not be permitted in an effort to stop the spreading of the Avian virus. If necessary, the Authoritarian Forces will use any kind of force applicable to the situation to calm and disperse the crowd.

Emergency Workers

Emergency workers will be needed to quarantine infected areas and, if possible, treat the infected space. If the area is unable to be disinfected, the emergency workers will operate with the Authoritarian Forces to quarantine and lockdown the structure or area in effort to stop the spreading of the virus. The emergency workers will also be responsible for the necessities (besides vaccines) of the persons (infected or not) in the quarantined structure or area.

Essential service workers - Authoritarian Forces, Truck Drivers, Sanitation Division, Utilities Division – Sewer and Water, Electrical Division, manufacturers of critical supplies, Store workers – gas stations, grocery stores, pharmacies

Adolescent-Adults in mid 40’s

Adolescents to adults in their mid 40’s will be vaccinated because this age range has the healthiest immune systems. Avian flu attacks those with health immune systems. Also, this range will be the strongest workforce to revive the economy after the pandemic. If needed, adolescents and adults in their mid 30’s are also reproductively ready to offset population losses.

Children

Children will be vaccinated, but their underdeveloped immune system will also contribute to their survival. With the help and care of medical teams and parents, children will have a higher chance of survival without any vaccinations.

Later Adults to Seniors

Remaining vaccines will be given to adults 40 and older. With the help of the whole community, the chances of survival will increase.

XI. City Issues

1. City Preparations

• The City of Oshkosh will not provide any infection-control supplies to the citizens unless they are essential employees with a proper identification card.

• The City of Oshkosh will properly dispose of any material that could be or is infected with the disease.

2. City Maintenance

During a pandemic there will be shortages of critical employees needed to maintain the city in proper functioning order. Back up personals will be trained in case the main operators of certain positions fall ill and are unable to perform their duties.

Street Sanitation: The table below is a list of employees from The City of Oshkosh: Table of Organization from August of 2005. The table lists the number of employees required for the City of Oshkosh to function properly under normal condition, which is critical to maintain during a pandemic.



Water/Sewer: The table below is the list of employees working for the utility division which is critical to the proper operation of the City of Oshkosh water supply.

Chlorine: All of the drinking water in the United States is disinfected by some chlorine-based process to keep the water clean and safe.  Without the use of chlorine, many illnesses due to bacteria, algae, and fungi would be more prevalent as it is in many developing countries.  The use of these chlorine-based methods prevents many waterborne diseases.  The city of Oshkosh would last somewhere between 15 and 45 days without a new shipment of chlorine.



Electricity: Electrical companies will remain open and stay operational to the best to their abilities. Electricity is not necessary for personal survival during a pandemic, but is needed for hospitals’ care and refueling of necessary vehicles, therefore it should be maintained. Families and individuals will have to be prepared to provide their own lighting and use other alternative methods to compensate for the lost of electricity.

Snow Removal: The removal of snow will be performed by selected city employees. The process will be completed as normal but only when absolutely necessary, and on major roads needed to reach essential locations.

Fire Fighters/Police: The fire and police departments are essential for keeping law and order in the city. The table below is a list of the number of employees and the positions available. Each employee is essential in their respective positions in order for each department to function properly and optimally.



3. Business

a. All business will be shut down during a pandemic. Only certain stores and gas stations will remain open for the public to use.

The stores which will remain open are:

i. Pick ‘N Save (North) on 1900 Jackson St.

ii. Festival Foods on 2415 Westowne Ave

iii. Walgreens on 1880 Jackson St.

iv. Walgreens on 855 N. Westhaven Dr.

v. WalMart on 351 S. Washburn St. (also serves as pharmacy)

vi. U.S. Bank on 1620 W. 20th Ave

vii. Chase Bank on 300 N. Main St.

The gas stations which will remain open are:

viii. Kwik Trip on 2222 Jackson St

ix. Mobile Mart on 2020 S Koeller St

x. Shell on 2250 Westowne Ave

*All the gas stations will be necessary for the refueling of critical workers’ vehicles, emergency vehicles like police cars and fire trucks, and goods and service transportation trucks only.

*J&R Auto Services on 629 North Main St. will remain open to repair police and fire department vehicles.

b. Sick leave will be permitted during a pandemic if:

i. The employee is the only one capable of taking care of their family

ii. The employee is showing signs of sickness

iii. The employee has a chronic disease (only applies to those who comes in contact with customers)

*In the event of a pandemic, only strong and healthy employees are allowed to work in effort to reduce the spread to the disease.

4. Deaths

a. The number of deaths due to the pandemic will vary greatly, but will fall into the extremes with high numbers of deaths.

b. An estimated 3,000 body bags should be in supply, but these 3,000 bags and the available freezers for preserving the bodies will not be enough for the large numbers who perish.

c. Mortuaries will not be able to handle the number of deaths.

i. Oshkosh has six mortuaries total. (Names and addresses listed below)

d. In death, every family wishes a personal grave site for their loved ones. During a pandemic, mass grave will be required when the number of death becomes unmanageable. The surviving family members can opt for cremation if they do not wish for a mass burial. This wish will be granted.

*The table below lists the funeral homes and their information, from US Funerals On-Line at:

.

|Konrad-Behlman Funeral Homes Ltd |Fiss & Bills Funeral Home |

|402 Waugoo Avenue |130 Church Avenue |

|Oshkosh |Oshkosh |

|Wisconsin 54901 |Wisconsin 54901 |

|Phone: (920) 231-1510 |Phone: (920) 235-1170 |

|Seefeld Family Of Funeral Chapels |Seefeld Family Of Funeral Chapels |

|300 N Eagle Street |1025 Oregon Street |

|Oshkosh |Oshkosh |

|Wisconsin 54902 |Wisconsin 54902 |

|Phone: (920) 236-7750 |Phone: (920) 236-7750 |

|Poklasny Funeral Home |Konrad-Behlman Funeral Homes Ltd |

|870 W South Park Avenue |100 Lake Pointe Drive |

|Oshkosh |Oshkosh |

|Wisconsin 54902 |Wisconsin 54904 |

|Phone: (920) 235-1170 |Phone: (920) 231-1510 |

XII. Winnebago County Health Department’s Board of Health and the Oshkosh Board of Health

• OSHKOSH BOARD OF HEALTH

In the event of a pandemic, the members listed below will be on the Oshkosh Board of Health:

Dr. Barbara Strand – Chair, Affinity Medical Group

Jamie Bonell, CFNP, APNP, Aurora Medical Group

Burk Tower - Council Representative

Christine Kniep, UW-Extension

Susan Panek, United Way

Stan Kline- Alternate

Mardell Sowers – Alternate

*Information gathered from the City of Oshkosh Department of Community Development Health Services Division

WINNEBAGO COUNTY HEALTH DEPARTMENT

The Winnebago County Board of Health has eight members. In the event of a pandemic, the following members will stay active on the Winnebago County Health Department’s Board of Health:

BOARD OF HEALTH MEMBERS

Jim Koziczkowski

Joanne Sievert

Steve Arne

Dr. Joseph Bachman

Nancy Barker

Jill Collier, RN, MSN

Bernard Egan

Tom LaFuze

*Information obtained via email on 4/13/06, from Winnebago County Health Department, Health@co.winnebago.wi.us.

According to and email on 4/14/06, from Doug Gieryn, Director/Health Officer, Winnebago County Health Department, The Winnebago County Board of Health is “working on a pandemic influenza preparedness plan. Our departments work with one of 12 public health preparedness consortia. Our consortia consists of six counties and the 10 health departments that provide services within them.  To varying degrees we are all sharing information with schools, businesses, special populations, the general public and our elected officials.  We will have all completed a draft pandemic flu plan and participated in at least a tabletop exercise of a plan by fall.”

• Management Procedures/Roles

*Refer to Section II. Emergency Actions – Part 2. Management for details on how these boards will interact and conduct during a pandemic.

*If everybody complies and co-operates with management levels, there will be quick and efficient emergency response.

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