being prepared: disaster and crisis planning sarah daignault executive director, nboa mohonk...
TRANSCRIPT
National Business Officers Association
Being Prepared: Disaster and Crisis Planning
Sarah DaignaultExecutive Director, NBOA
Mohonk ConferenceMay 3, 2007
National Business Officers Association
Why are you here today?
Pandemic Info
National Business Officers Association
Why Plan?
Disasters and Crises are a part of human historyPlanning will allow for better response, even though you can’t plan for every contingencyPlanning can be adapted to fit other disaster scenariosOnce a disaster hits, there is no time to plan
National Business Officers Association
How Many Plans?o By type of Disaster
o Fireo Floodo Pestilence
o By type of Responseo Evacuation of Buildingso Lockdowno Evacuation of Campus
National Business Officers AssociationAssess the risks for your school
Likelihood
Severity
Low High
High
Low
National Business Officers AssociationNBOA Disaster Planning Experience
Institute for Advanced Financial Management held in October 200625 business officers and 9 experts worked through a pandemic flu scenarioCreated outline of a disaster plan for independent schools
National Business Officers Association
NBOA Disaster Planning
Breakout Groups Focused on:Business Operations and GovernanceEmployee IssuesFacilitiesStudents and Education
National Business Officers AssociationBusiness Operations and Governance
Risk Management/Crisis Management TeamEnrollment Contracts
Review now, with your culture in mindKeep it flexible
Cash Flow & Institutional RelationshipsHow much cash required for critical needs, and how much do you have at lowest point?Are bank and payroll provider prepared?
National Business Officers AssociationBusiness Operations and Governance
Outside Service ProvidersHave they made adequate plans?Look for backups and cooperative options.
Technology & Redundant Communications
Arrange for backup or remote web-hosting.Arrange for remote access to your system and to bank and payroll providers.
Automated Communications to Families
National Business Officers AssociationBusiness Operations and Governance
Business ContinuityIdentify essential functionsCross-train staffList of passwords, important websites, etc.
Plan for Shutting Down FacilityDisposal of perishable goodsMaintenance issues - how to keep pipes from freezing, etc.
National Business Officers Association
Employee IssuesEmployment Contracts
At will languageDon’t define school year - make it flexible
Leave PoliciesStandard policy that allows flexibilityReturn to work guidelinesWork from home guidelines
National Business Officers Association
Employee IssuesAbility to Continue Salaries and Benefits
Work with faculty to determine best course of actionCoordination of benefits, COBRA, etc.
Emotional/Psychological TollPeople will lose loved onesAcknowledge losses in keeping with your school’s culture
National Business Officers Association
FacilitiesEvacuation Plans (particularly for boarding)
How will you get students home?If they can’t go home, where will they stay?
Proper HygieneConstant hand washingSneeze and cough etiquetteStay home if you’re sick!!!
National Business Officers Association
FacilitiesStockpiling
Need 1000 calories and 2 gallons of water, per person per day
Community Use of FacilitiesCheck with local emergency management officials - might be planning to use your schoolWork with them - what are their priorities and what might your school offer?
National Business Officers Association
FacilitiesPhysical Security
Hope for the best, expect the worst To what extent are you willing to protect your assets?
Isolation, Quarantine, MorgueSeparate those who may be sick and those who are, and plan for a place to hold the dead
If you evacuate, plan for the animals.
National Business Officers Association
Students and EducationContinuing education during closure
Assess ability to offer e-learningFaculty to create 3 weeks’ worth of lessons
Effect of long-term closure (college placement, lost credits, etc.)Communications plan to parentsDeep emergency contact list
National Business Officers Association
Vocabulary Lessono Pandemico Mutationo Reassortmento H5N1o U and W shaped mortality curveso Social Distancing
National Business Officers Association
What is a Pandemic?An epidemic (outbreak of infectious disease) that spreads across a wide geographic region or the worldAccording to the WHO, a pandemic exists when:
there is the emergence of a disease new to the population the agent infects humans, causing serious illness the agent spreads easily and sustainably among humans
National Business Officers Association
Recent Epidemics
AIDS AIDS EbolaEbolaSARSSARSMonkey poxMonkey poxBird fluBird flu
National Business Officers Association
Seasonal vs. Pandemic FluSeasonal influenza
Peaks December thru March in U.S. 36,000 deaths/200,000 hospitalizationsFrail, elderly and very young – U shaped distribution
Pandemic influenzaNo seasonal preferenceComes in waves, lasting a year or moreMillions of deaths
National Business Officers Association
Pandemic Flu HistoryTen recorded over past 300 years
10-49 years between events, with an average of 24 years between eventsNo predictable pattern
Three in the 20th century1918-20 – mutation event with markers similar to those found in birds 1957-58 – reassortment event1967-68 – reassortment event
National Business Officers Association
Mortality Rates1918 Spanish Flu
20-40 million deaths worldwide675,000 deaths in U.S.
1957 Asian Flu1-4 million deaths worldwide70,000 deaths in U.S.
1968 Hong Kong Flu1-4 million deaths worldwide34,000 deaths in U.S.
National Business Officers AssociationWhy the Concern About H5N1?
Highly lethal virus that has resisted eradication efforts (culling of birds)Crossed species, infecting 49 animal species beyond birds, including humansLimited human-to-human transmission has occurredHuman infections result in rapid deterioration and high mortality rates (50%, most of those healthy young adults)
National Business Officers AssociationSimilarities to 1918 Pandemic
High mortality rateAppears to have W shaped mortality curve
Has the same protein tagNS1 protein found in H1N1 (1918 Spanish flu) and H5N1 only ones alike out of 169 virusesMay explain the events leading to respiratory failure and death
National Business Officers Association
Illness 90 million (30%)
Outpatient medical care
45 million (50%)
Hospitalization 9, 900,000
ICU care 1,485,000
Mechanical ventilation 745,500
Deaths 1,903,000
1918 Pandemic Statistics projected onto 2007
National Business Officers Association
National Business Officers Association
WHO Pandemic StagesPhase 1 - Influenza virus subtype may be present in animals, risk of human infection lowPhase 2 - Influenza virus subtype may be present in animals, risk of human infection substantialPhase 3 - Cases of human infection reported, no human-to-human transmissionPhase 4 - Small clusters of limited human-to human transmissionPhase 5 - Larger clusters of human infectionPhase 6 - Increased and sustained human infection
National Business Officers Association
Public Health Challenges
Short incubation period (2-17 days)Virus can survive on surfaces for several daysPeople may be infectious days before symptoms are evidentDroplet infection (sneezing/coughing)
National Business Officers Association
Likely Government ActionsIsolation of the sickQuarantine of the exposedProtective sequestration
Isolating a community before illness enters
Social DistancingActions taken to discourage close social contact between individuals
National Business Officers Association
Social Distancing
No group gatherings (classes, worship services, athletic events, concerts)Risky to use public transportation - people may defer travel or it may be cancelled People can work alone in spaces, drive in their own cars
National Business Officers Association
Social Distancing
Maintain working distances of 4-6 feetDo not share equipment (computers, telephones)Meet by phone or video conferencing, avoid face-to-face meetings
National Business Officers Association
Workplace/Classroom Social Density
http://buildingsdatabook.eren.doe.gov/docs/7.4.4.xls
11.7 feet 3.9 feet
7.8 feet
Elementary Schools
Hospitals
Offices
16.2 feet
Residences
National Business Officers Association
School ClosuresPerceived risk will influence behavior
Will teachers and students show up?What level of absenteeism will force closure?
Pulling the trigger early may help delay outbreak and diminish the overall number of casesIssues with calling it early
Social disruption Child care issuesWorkforce issues
National Business Officers Association
ResourcesPersonalhttp://www.fema.gov/plan/prepare/plan.shtmhttp://www.pandemicflu.gov/plan/individual/index.htmlhttp://www.ncdp.mailman.columbia.edu/program_citizen.htmInstitutionalhttp://www.fema.gov/institution/university.shtmhttp://www.pandemicflu.gov/plan/school/index.htmlhttp://www.ncdp.mailman.columbia.edu/program_school.htm
National Business Officers Association
[email protected] (720) 564-0475