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INFLUENZA PANDEMIC PLAN for the Campaspe Municipal District

Central Copy Code No: Issue No: 7, November 2015

Issue 7 – November 2015 Influenza Pandemic Plan for the Campaspe Municipal District of 45

PURPOSE The Municipal Emergency Management Plan for the Campaspe Municipal District (MEMPlan) has been produced pursuant to Part 4 of the Emergency Management Act 1986 and the Emergency Management Act 2013.. The Influenza Pandemic Plan is a sub plan of the MEMPlan.

SCOPE Pandemics have been experienced in the past and are expected to occur again in the future and the impact on the organisation and community in such an event could be devastating. This Plan outlines the operations of agencies during a pandemic as well as public health information and community support.

AUDIT The plan will be reviewed on an annual basis in line with the Municipal Emergency Management Plan.

DOCUMENT TRANSMITTAL

Document Transmittal Forms will be forwarded to copy holders with any changes mailed out. Hard copy holders: are to replace pages according to instructions, and return the signed Document Transmittal Form to the Executive Officer. CD holders: are to replace the new issue and destroy the old issue, and return the signed Document Transmittal Form to the Executive Officer. Electronic copy holders: Copy holders are to replace the new issue and delete the old issue, and respond by return email that they have done so.

PUBLIC VERSIONS In the publicly available document (eg library, Council web site) any personal or confidential details will be removed.

Integrated Management Framework

INFLUENZA PANDEMIC PLAN FOR THE CAMPASPE MUNICIPAL DISTRICT


TABLE OF CONTENTS

TABLE OF CONTENTS ................................................................................................................ 3

ISSUE AND CONSIDERATION DATE LISTING ........................................................................... 5

PART 1: INTRODUCTION............................................................................................................ 6

1. GENERAL ....................................................................................................................................................... 6

2. MAINTENANCE OF THE PLAN ...................................................................................................................... 6

PART 2: FRAMEWORK AND BACKGROUND ........................................................................... 7

1. FRAMEWORK ................................................................................................................................................. 7

2. PANDEMIC INFLUENZA BACKGROUND ..................................................................................................... 7

3. HISTORY OF PANDEMICS ............................................................................................................................. 8

PART 3: AIMS AND OBJECTIVES .............................................................................................. 9

1. AIMS ................................................................................................................................................................ 9

2. OBJECTIVES .................................................................................................................................................. 9

3. PLAN ACTIVATION PROCEDURE ................................................................................................................ 9

4. PREDICTED IMPACT OF AN INFLUENZA PANDEMIC .............................................................................. 10

5. ROLE OF LOCAL GOVERNMENT .............................................................................................................. 11

PART 4: COMMUNITY PROFILE .............................................................................................. 12

1. POPULATION ............................................................................................................................................... 12

2. VULNERABLE COMMUNITIES .................................................................................................................... 12

3. INDUSTRY .................................................................................................................................................... 13

4. MUNICIPAL EVENTS AND FACILITIES ....................................................................................................... 13

PART 5: HEALTH SERVICES PLANNING ................................................................................ 15

1. HEALTH SERVICES WITHIN THE SHIRE OF CAMPASPE ......................................................................... 15

2. DESIGNATED STATE HOSPITALS ............................................................................................................. 15

PART 6: COMMUNITY SUPPORT AND RECOVERY ............................................................... 16

1. EMERGENCY MANAGEMENT ARRANGEMENTS ..................................................................................... 16

2. SOCIAL AND ECONOMIC IMPACTS ON THE COMMUNITY ...................................................................... 17

3. COMMUNITY SUPPORT ARRANGEMENTS ............................................................................................... 18

4. POST IMPACT (LOSS) ASSESSMENT ........................................................................................................ 19

PART 7: MASS FATALITY PLAN .............................................................................................. 20

1. FUNERAL HOMES, CEMETERIES AND CREMATORIA IN THE SHIRE OF CAMPASPE.......................... 20

2. RELIGIOUS AND SOCIAL CONSIDERATIONS ........................................................................................... 20

PART 8: DELIVERY OF FOOD SERVICES ............................................................................... 21

1. FOOD SERVICE PROVIDERS FOR THE SHIRE OF CAMPASPE ............................................................... 21

2. FOOD BUSINESS OPERATORS WITHIN THE SHIRE OF CAMPASPE ..................................................... 21


PART 9: COMMUNITY INFORMATION AND COMMUNICATION ............................................ 22

1. COMMUNITY EDUCATION .......................................................................................................................... 22

2. MUNICIPAL EMERGENCY MANAGEMENT PLAN ARRANGEMENTS ...................................................... 23

PART 10: SHIRE OF CAMPASPE BUSINESS CONTINUITY PLAN ......................................... 24

1. ESSENTIAL SERVICES ................................................................................................................................ 24

2. CONTRACTORS ........................................................................................................................................... 24

3. BUSINESS CONTINUITY TABLES .............................................................................................................. 26

PART 11: STAFF SUPPORT AND INTERNAL ARRANGEMENTS .......................................... 27

1. STAFF EDUCATION ..................................................................................................................................... 27

2. PERSONAL PROTECTIVE EQUIPMENT ..................................................................................................... 27

3. OTHER INTERNAL ARRANGEMENTS ........................................................................................................ 28

PART 12: REVIEW AND EXERCISE ......................................................................................... 29

1. REVIEW AND EXERCISE ............................................................................................................................. 29

PART 13: CONTACT DIRECTORY ........................................................................................... 30

PART 14: APPENDICES ............................................................................................................ 31

APPENDIX A : EDUCATION MATERIALS ................................................................................. 31

APPENDIX B : DHHS GUIDANCE NOTE FOR HOUSEHOLD SUPPORT ................................ 34

APPENDIX C : HOME AND COMMUNITY CARE REFERRAL DOCUMENT ............................ 40

PART 15: DISTRIBUTION LIST ................................................................................................. 45


ISSUE AND CONSIDERATION DATE LISTING

Issue No Date

considered by Council

Distribution Date

Comments

1 20/10/2009 22/02/2010 First issue.

2 16/11/2010 19/11/2010 Second issue.

3 18/10/2011 11/11/2011 Reissue. All sections reviewed, minor changes made.

4 11/12/2012 19/12/2012 Reissue. All sections reviewed, contact details

updated and other minor changes.

5 19/11/2013 27/11/2013 Reissue. All sections reviewed, statistics and

contact details updated and other minor changes.

6 18/11/2014 28/11/2014 Reissue. All sections reviewed and updated.

7 17/11/2015 11/12/2015 Reissue. All sections reviewed and updated.

PART 1: INTRODUCTION


PART 1: INTRODUCTION 1. GENERAL Pandemic is defined as an epidemic that is geographically widespread; occurring throughout a region or even throughout the world. Pandemics have been experienced in the past and are expected to occur again in the future and the impact on the organisation and community in such an event could be devastating. The Influenza Pandemic Plan was developed in 2009 and forms part of emergency management planning for the Campaspe Municipal District. The plan outlines the operations of the Shire of Campaspe and other agencies during a pandemic as well as public health information and community support. The Influenza Pandemic Plan is a sub plan of the Municipal Emergency Management Plan for the Campaspe Municipal District and will be approved by the Municipal Emergency Management Committee and considered by Council. It is emphasised that the pandemic plan is to work in conjunction with the Emergency Management Plans and arrangements for the municipal district. The Shire of Campaspe will continue to deliver essential services to the community during a pandemic and attempt to maintain a high level of service delivery across all areas.

2. MAINTENANCE OF THE PLAN The plan will be reviewed on an annual basis in line with the Municipal Emergency Management Plan. This will be done by the Influenza Pandemic and Mass Vaccination Planning Committee. Note: Reissue of the Plan, with minor changes such as updating contact details and procedural matters, can be undertaken by Council Officers at any time (this includes the period between the recommendation for adoption of the Plan by the MEMPC and a report being considered by the Shire of Campaspe). However, once a year the MEMPlan should be considered by Council. The Shire of Campaspe holds the master copy of the document and it is expected that central receivers of the various agencies who hold copies of the Plan, will have internal processes in place to ensure distribution of the Plan within their organisation.

PART 2: FRAMEWORK AND BACKGROUND



1. FRAMEWORK COMMONWEALTH PLANS National Action Plan for Human Influenza Pandemic – Australian Government Department of Prime

Minister and Cabinet - September 2011 Australian Health Management Plan for Pandemic Influenza – Australian Government Department of

Health - April 2014. STATE PLANS Victorian Emergency Management Manual Victorian Action Plan for Influenza Pandemic – August 2015 Victorian Health Management Plan for Pandemic Influenza – Victorian Department of Health –

October 2014 - http://health.vic.gov.au/pandemicinfluenza/ The Whole of Government Communication Strategy Action plans for all government departments The Victorian Human Influenza Pandemic Plan – Community Support and Recovery Sub Plan. OTHER PLANS

Municipal Emergency Management Plan for the Campaspe Municipal District Influenza Pandemic Plan for the Campaspe Municipal District Mass Vaccination Plan for the Campaspe Municipal District.

2. PANDEMIC INFLUENZA BACKGROUND DISEASE DESCRIPTION Influenza is an acute respiratory disease caused by influenza type A or B viruses. Symptoms usually include: fever, cough, lethargy, headache, muscle pain and sore throat. Infections in children, particularly type B and A (H1N1), may also be associated with gastrointestinal symptoms such as nausea, vomiting and diarrhoea. The incubation period for influenza is usually one to three days. Adults shed the influenza virus from one day before developing symptoms and up to seven days after the onset of illness. Young children can shed the influenza virus for longer than seven days. Generally, shedding peaks early in the illness, typically within a day of symptom onset. The influenza virus remains infectious in aerosols for hours and potentially remains infectious on hard surfaces for one to two days. TRANSMISSION Human influenza virus is primarily transmitted via droplets. This occurs when droplets from the cough or sneeze of an infected person are propelled through the air (generally up to one metre) and land on the mouth, nose or eye of a nearby person. Influenza can also be spread by contact transmission. This occurs when a person touches respiratory droplets that are either on another person or an object – and then touches their own mouth, nose or eyes (or someone else’s mouth, nose or eyes) before washing their hands.

http://health.vic.gov.au/pandemicinfluenza/



In some situations, airborne transmission may result from medical procedures that produce very fine droplets (called fine droplet nuclei) that are released into the air and breathed in. These procedures include: Intubation Taking respiratory samples Performing suctioning Use of a nebuliser.

3. HISTORY OF PANDEMICS Previous pandemics have started abruptly without warning, swept through populations with rapid escalation, and left considerable damage in their wake. The twentieth century had three recognised influenza pandemics (Spanish influenza 1918-19; Asian influenza 1957-58; and Hong Kong influenza 1968). All three pandemics were associated with increased mortality rates in Australia. The influenza pandemic of 1918-19 was unprecedented in terms of loss of human life – between 20 and 40 million people died worldwide, with the highest numbers of deaths among those aged between 20 and 40 years. The Asian influenza of 1957-58 had infection rates reported to range between 20% to 70%, but case fatality rates were low, ranging from one in 2000 to one in 10,000 infections. Age-specific mortality rates showed that those aged over 65 years were most affected. The Hong Kong influenza was similar, with the highest mortality rates appearing in those over the age of 65 and infection rates of 25% to 30%. Since then the world has experienced one other pandemic; H1N1 influenza virus. A new H1N1 influenza virus derived from human, swine and avian strains was initially reported in April 2009 in Mexico and subsequently spread around the world. In Australia during 2009, there were 37,636 cases of pandemic (H1N1) influenza 2009, including 191 associated deaths. The median age of those dying was 53 years, compared to 83 years for seasonal influenza. The differences in past pandemics show the need for flexible contingency plans, capable of responding efficiently to any pandemic threat.

PART 3: AIMS AND OBJECTIVES



1. AIMS

To assist in reducing the impacts of an influenza pandemic on the community. To provide support and recovery assistance throughout the durations of the influenza pandemic. To ensure response activities are consistent across the whole of government.

2. OBJECTIVES Preparedness - have arrangements in place to reduce the impact on the community during a

pandemic. Containment – prevent transmission, implement infection control measures, and provide support

services to people who are isolated or quarantined within the municipality. Maintain essential municipal services – provision for business continuity in the face of staff

absenteeism and rising demand on local government services. Mass Vaccination – assist in providing vaccination services to the community, if pandemic vaccine

becomes available. Communication – develop media and communication messages, in line with whole of government

messages, to inform the community and staff of any changes to normal municipal service delivery. Community support and recovery – ensure a comprehensive approach to emergency recovery

planning in the Municipal Emergency Management Plan, with specific focus on influenza pandemic.

3. PLAN ACTIVATION PROCEDURE The Influenza Pandemic Plan will be activated if any of the following occurs: a) a request is made by the State, b) a request is made by the Control Agency (Department of Health and Human Services), c) a request is made by the Police Municipal Emergency Response Coordinator (MERC) or

Regional Emergency Management Inspector (REMI); d) a request is made by Council’s Chief Executive Officer or Executive Management Group, e) a request is made by the Municipal Emergency Resource Officer (MERO) or Municipal Recovery

Manager (MRM). f) Council’s Municipal Emergency Coordination Centre is established in response to the pandemic. Before activation of the plan contact will be made with the Pandemic Coordinator, Pandemic Planning Sub-Committee, Municipal Emergency Management Committee, Council’s Environmental Health Department and Executive Management Group to discuss arrangements. In a pandemic, Council’s Environmental Health Coordinator will be appointed as the Pandemic Coordinator. If they are unable to carry out these duties one of Council’s Environmental Health Officers will be appointed. Individual departments within Council may activate their Business Continuity Plans as necessary. It may be necessary that only some aspects of the plan are activated during a pandemic depending on the severity of the disease and the impact it has on the community and the needs of the community. The Pandemic Planning Sub-Committee will meet throughout the pandemic planning process and throughout the pandemic. This will most likely be via teleconference to avoid close contact and reduce the risk of the virus spreading.



4. PREDICTED IMPACT OF AN INFLUENZA PANDEMIC Modelling the potential impacts of influenza pandemics involves a high degree of uncertainty. Factors such as the virulence and infection rate of the next pandemic strain limit our abilities to characterise the next pandemic with any accuracy. It is, however, possible to model various pandemic scenarios given a series of pre-determined assumptions and limitations. The Victorian Health Management Plan for Pandemic Influenza (VHMPPI), October 2014, shows the following: Pandemic Impact, unprepared vs prepared

Pandemic as severe as the one that occurred in 1918 and we were not prepared and unable to respond

Pandemic as severe as that in 1918, but we were prepared and were able to respond effectively

Estimated population showing clinical signs of infection

40 per cent (2.2 million people) 10 per cent (540,000 people)

Estimated deaths 2.4 per cent of those affected would die (around 53,000 people)

1.2 per cent of those clinically affected would die (around 6,500 people)

Work absenteeism 50 per cent 30 – 50 per cent

Duration of the pandemic Several waves each, lasting up to 12 weeks

7 – 10 months, in a single wave

Disruption of services As long as two years 7 – 10 months

Based on this rate, it is expected that approximately 14,800 people would be infected with pandemic influenza in the Shire of Campaspe, and of those, approximately 355 people would die over the duration of the pandemic. The VHMPPI states “While each pandemic is unique, the VHMPPI will consider the severity of illness caused by the virus and categorise it as low, moderate or high, based on the available evidence and emerging epidemiology. Scenario 1: If clinical severity is low The level of impact on the community may be similar to sever seasonal influenza or the 2009 H1N1 pandemic. Scenario 2: If clinical severity is moderate The number of people presenting for medical care is likely to be higher than for severe seasonal influenza. Pressure on health services will be more intense. The level of impact may be similar to the 1957 Asian influenza. Scenario 3: If clinical severity is high Widespread severe illness will cause concern and challenge the capacity of the health sector. The level of impact may be similar to the 1918 Spanish influenza. Responses will be proportionate to the observed impact and may fall between these scenarios.”



5. ROLE OF LOCAL GOVERNMENT In the event of an emergency such as a pandemic it is the role of Local Government, as the closest level of government to the community, to ensure the provision of essential services to the community. The Shire of Campaspe considers the following items to be of high priority during a pandemic: Continuation of essential services provided to the community by Council eg. Aged care services etc.

For further details see the Business Continuity section of this plan. Provision of services as outlined in the Municipal Emergency Management Plan, including recovery

assistance. Provision of Public Health information and education to the community. As an existing immunisation provider, deliver a pandemic vaccination program (if / when vaccine is

available). Additional services will be provided on an as need basis. The State Government will advise Council of any further assistance they may require at a local level.

PART 4: COMMUNITY PROFILE



1. POPULATION

The population of the Campaspe municipal district is approximately 37,000. The significant population centres within the Shire of Campaspe are Echuca, Tongala, Kyabram, Rochester, Rushworth, Gunbower, Stanhope, Girgarre and Lockington. The population of Echuca is approximately 13,000 with the retail catchment population considered to be over 50,000 from within a 70 kilometre radius of Echuca. The major focus for Echuca Moama is the tourism sector. Information from Echuca Moama & District Tourism Association suggests that total visitor numbers for Echuca are estimated to be 1.6 million per annum. Adjacent towns within the Shire obviously benefit from this type of influx. A break down of the Shire population by age can be found in Appendix H of the Shire of Campaspe – Mass Vaccination Plan.

2. VULNERABLE COMMUNITIES In an influenza pandemic the following communities are considered to be vulnerable to severe disease in the Campaspe municipal district: The elderly aged 65 and over – The district has a population of approximately 7000 people aged 65

and over. A list of all aged care facilities within the Shire of Campaspe can be found in the MEMPlan. People with chronic respiratory conditions including asthma and Chronic Obstructive Pulmonary

Disease – The district does not have an increased rate of these types of illnesses compared with the Victorian average.

Pregnant women – there are approximately 450 children born in the district each year. Visits to Maternal Child Health Nurses are high.

Indigenous persons - The district has an indigenous population of approximately 2.5%. Specific health assistance is available to the indigenous population through Njernda Aboriginal Corporation, refer Part 5 – Health Services Planning for further details.

The obese – approximately 20% of men and 19% of females within the district are considered obese. People with other predisposing conditions such as cardiac disease, diabetes, renal failure etc – the

number of people who have diabetes has significantly increased for the district and is above the state average.

People with suppressed immunity including those with cancer, HIV/Aids etc – The district does not have an increased rate of these types of illnesses compared with the Victorian average.

Children under five – The district has a population of approximately 2200 children aged zero to four years.

People with a disability, physical or mental illness – The district has links with service providers within the area, including Murray Human Services.

Statistics taken from:

Australian Bureau of Statistics – Census of Population and Housing 2006 and 2011;

Municipal Public Health and Wellbeing Plan 2013 – 2017;

Profile.id 2015.



3. INDUSTRY Tourism is a major generator of income and employment throughout the municipal district, in particular in Echuca. The Historic Port Precinct and Murray River attract thousands of visitors to the region every year. Primary and secondary industries such as manufacturing and food processing industries are well established and provide a major source of income and employment for the municipality. Agriculture also plays a key role in providing for the community thorough, dairy farming, beef cattle farming and crop farming. Further details of local industry can be found in the Municipal Emergency Management Plan.

4. MUNICIPAL EVENTS AND FACILITIES EVENTS Tourism is a main focus of the Campaspe municipal district and during holiday periods and long weekends the region experiences increased population growth through visitors to the area. In particular during the warmer periods such as Christmas and Easter the population of Echuca increases significantly providing significant income for local business operators. The Campaspe municipal district has many regular community events throughout the region including numerous farmers, produce and craft markets. The shire also has numerous other events such as annual shows, rodeos, and agricultural field days. The region also experiences some larger scale events that attract large numbers of visitors to the region. These include: Echuca-Moama Triathlon – held in January in Echuca Riverboats Music Festival – held in February in Echuca / Moama Southern 80 Ski Race – held in February in Echuca / Moama Echuca Moama Celtic Festival – held in March in Echuca Echuca Steam Rally – held on the Queen’s birthday weekend in June in Echuca Winter Blues Festival – held in July in Echuca Tour of the Murray – held in September within the Campaspe municipal area Elmore Field Days – held in October 5km east of Elmore Echuca Heritage Family Festival – held in October at the Port of Echuca, in Echuca Sweat vs Steam - held in October in Echuca Murray Marathon – held in December, passing through Echuca Kyabram Rodeo – held in March in Kyabram Vintage Engine and Machine Rally – held in March in Kyabram Beneath the Gums - held in March in Kyabram Rushworth Easter Festival – held over Easter in Rushworth Elmore Summer Send Off – Labour Day weekend in March in Elmore Lockington Heritage Rally – held in April in Lockington.



FACILITIES The Campaspe municipal district has the following facilities:

Council Service Centre and Offices – 3x Echuca, 1x Kyabram, Tongala, Rushworth, Rochester. Council Depots – 1x Echuca, Kyabram, Tongala, Rushworth, Rochester. Libraries – 1x Echuca, Kyabram, Tongala, Rushworth, Rochester. Public Halls – 21 Public Halls located throughout the municipality, details available on Council’s

database. Schools – 28 Primary and Secondary Schools located throughout the municipality Kindergartens – 13 Preschools located in the municipality Hospitals – four hospitals located throughout the municipality Medical Practices – 11 medical practices located in the municipality Aged Care Facilities – nine aged care facilities throughout the municipality Child Care Facilities - six Childcare Centres located throughout the municipality Vaccines Storage – See Mass Vaccination Plan for details. Cemeteries – eight cemeteries located throughout the municipality Funeral Homes – four funeral homes in the municipality For contact details of all facilities, refer to the Municipal Emergency Management Plan Contact Directory.

PART 5: HEALTH SERVICES PLANNING


PART 5: HEALTH SERVICES PLANNING 1. HEALTH SERVICES WITHIN THE SHIRE OF CAMPASPE Individual Health Service providers will have their own pandemic arrangements that will be implemented at their discretion. Hospitals may elect to set up separate flu clinics to reduce the number of patients presenting at emergency and to reduce the contact with the general hospital population. Advice will be received from the Department of Health in relation to the responsibilities of local hospitals and general practitioners throughout the pandemic. A list of Hospitals, General Practices and Health Services throughout the Campaspe municipal district is contained in the MEMPlan.

2. DESIGNATED STATE HOSPITALS The Victorian Health Management Plan for Pandemic Influenza states: “patients with suspected pandemic influenza may present at any health service (or general practice) during any stage of a pandemic. All health services need to develop a process for separating, triaging, assessing and admitting people with influenza-like illness during a pandemic. Hospitals and health services may consider establishing influenza wards or influenza clinics as patient numbers increase.”

PART 6: COMMUNITY SUPPORT AND RECOVERY



1. EMERGENCY MANAGEMENT ARRANGEMENTS Under the current emergency recovery arrangements, Emergency Management Victoria is the lead agency for Recovery in Victoria. Regionally DHHS leads recovery and Local Government plays a key role in assisting DHHS in the provision of services at a local level due to the close relationship Council has with the community. The Municipal Emergency Management Plan (MEMPlan) outlines arrangements in place in relation to the provision of aide and support in the event of an emergency. In the event of an influenza pandemic, recovery arrangements will be similar to those outlined in the MEMPlan. This includes the following: Provision of material aide as required (see 3 of this section for further details). Assistance from various recovery agencies (see 3 of this section for further details). Provision of information (recovery centre) Establishment of a Community Recovery Committee. Post Impact (Loss) Assessment In an emergency situation a Recovery Centre is usually established as a one stop shop for information for people that have been affected by the emergency. In the event of an influenza pandemic this will not be able to be established due to requirements for social distancing to reduce spread and contain the virus. Therefore, virtual Recovery Centre will be established via the Council website and via telephone and email contact. This will involve information being provided on an ongoing basis via the Council website updating people with the most recent information available. For those that do not have access to the internet they will be able to contact an on call number and will be provided with the information they require, depending on the enquiry. An independent email will also be available that will be monitored by recovery volunteers and staff throughout the pandemic. The community will be able to email specific questions relating to their concerns and can either be emailed back the information or be contacted by telephone by a recovery staff member or volunteer. To drive the recovery process for the community a Community Recovery Committee will be established. This committee will be the instigator of community recovery activities for the Shire of Campaspe. This committee will consist of Shire of Campaspe staff, recovery agencies and community members. The committee will be focused on three of the four environments for health, the Social Environment, the Economic Environment and the Built Environment. The committee will assess the impact the pandemic has had on the community as well as anticipating ongoing impacts and will establish arrangements to assist the community. It is anticipated that the Social and Economic impacts will have the greatest effect on the community and that the Built Environment will only be impacted if utilities such as power and water supply are affected. The Community Recovery Committee will have close links with the Municipal Emergency Management Planning Committee and the details and progress of recovery activities will be reported back to the group.



2. SOCIAL AND ECONOMIC IMPACTS ON THE COMMUNITY It is anticipated that the social and economic impacts from an influenza pandemic will have the biggest impact on the community. These impacts will need to be identified and programs developed to address them. Some possible impacts have been identified below; others will arise throughout the pandemic and will be addressed at the time. INCREASED LEVELS OF UNCERTAINTY, FEAR AND ANXIETY During an influenza pandemic there will be high levels of uncertainty and anxiety within the community as many people will not have experienced a pandemic before. It will be important to maintain good communication with the community to reassure people that their concerns are being addressed and that all is being done to reduce the impact on the community and to reduce the spread of the virus. BREAKDOWN IN COMMUNITY SUPPORT MECHANISMS During a pandemic many people will be isolated in their homes due to various reasons including being unwell, caring for someone who is unwell and fear of the virus spreading. This will have negative effect on the community, in particular those that live alone and rely on gatherings for social interaction. It will be important to try to connect with as many people in the community as possible through open communication and through volunteers checking on people who may be isolated. INCREASED NUMBERS OF VULNERABLE PEOPLE AND EMERGENCE OF NEW GROUPS Until the pandemic is upon us we will not know who will be most affected. In most cases the vulnerable populations as listed in Part 4 are at highest risk from the influenza virus. However, in the case of a wide spread pandemic we may see the emergence of different vulnerable groups. This may include people who are of a lower socio-economic status and may not have access to health care and essentials needed during this time. It will be important to ensure that any emerging vulnerable populations are identified and that any assistance they require is provided. This will involve encouraging people to look out for each other and the use of volunteers to check on those most at risk. HIGH WORKFORCE ABSENTEEISM It is expected that up to 40% of the population may be affected in an influenza pandemic meaning that a large proportion of the workforce will be unwell and unable to attend work. This will create problems for businesses and many may not be able to operate with such staff losses. This will have dramatic economic impact on businesses, in particular small businesses that rely on only two or three staff members to run the business day to day and rely on the income to operate. The Shire of Campaspe Economic Development department will be asked to assist in this area to ensure businesses are offered any assistance that is available, as part of the Recovery Committee. WIDESPREAD ECONOMIC DISRUPTION The economic operations of the community will be greatly disrupted due to less staff being available to work in local businesses due to illness. It will also impact businesses as less people will be spending money due to illness, isolation or fear. Again Council’s Economic Development Department will be asked to assist the community in this area and consider ways of how this issue can be addressed in the community. It may be suggested that small businesses alternate the days they open rather than opening every day. This will reduce the burden on the staff and assist the business in saving some money on the cost of operating.



ECONOMIC IMPACT ON TOURISM The Campaspe municipal district, in particular Echuca, has a large focus on tourism which is the main source of income for many small businesses within the municipality. These businesses will be greatly affected by the pandemic as people will not be travelling due to illness or fear of catching the virus. It will be important for the Council to work closely with Echuca Moama Tourism after the peak of the pandemic to promote the area as an interesting, safe and affordable place to visit to try and increase tourism numbers again and support the local economy.

3. COMMUNITY SUPPORT ARRANGEMENTS The MEMPlan details arrangements regarding community support during an emergency. This includes details of various recovery agencies that offer support and the type of support service they provide. As an influenza pandemic will be different to other emergencies some other arrangements have been put in place to ensure anyone in need of additional support is provided with assistance. A referral process has been developed with all local hospitals and GP’s to ensure anyone in need of personal care when they are being sent home from the doctors or hospital can be cared for. The existing Home and Community Care (HACC) Services will be utilised for people that are being discharged from hospital but will need some additional care once at home. This process will include an assessment of the person to determine the level of care they require. Other persons who only require assistance such as provision of groceries and other essential items will be dealt with through the recovery process. A person can be referred to the recovery centre from GP’s, hospitals or the general public or a person requiring some assistance can contact the recovery centre themselves. It is anticipated that basic needs such as groceries and the supply of medications will be the main items required by isolated persons and should be relatively easy to obtain. The person will be asked if they have anyone else like a family member or friend that is able to help them out and if not arrangements will be made to assist them. Details of what they require will be taken by the recovery centre staff member or volunteer and passed on to the Pandemic Coordinator or Recovery Manager for approval. Agencies such as the Salvation Army and Red Cross will be asked to assist in arranging the items the person requires and deliver them to the person’s home. These agency volunteers will be provided with strict instructions about making contact with the person and will be provided with suitable protective equipment including masks, goggles and gloves. Community groups such as the Rotary Club and Lions Club may be asked to assist in their local communities as well. As they have local knowledge they may be asked to check on people who are known to live alone and are considered vulnerable to see if they require any assistance. Again these volunteers will be provided with instructions relating to contact with the person and social distancing and provided with protective equipment as needed. All volunteers will be coordinated by the Municipal Recovery Manager with the assistance from key Recovery agencies. This will be in line with current emergency management arrangements as outlined in the Municipal Emergency Management Plan.



The Shire of Campaspe will also seek advice from the Department of Health and Human Services and other municipalities for any other alternative arrangements that may be able to be utilised within the municipality. As a result of the 2009 Influenza H1N1 (Swine Flu) pandemic the Department of Health and Human Services have developed a Guidance Note for Household Support which can be found in Appendix B. This will be used to assist Council in the provision of assistance throughout the municipality.

4. POST IMPACT (LOSS) ASSESSMENT Following an emergency it is important to conduct a Post Impact (Loss) Assessment as soon as possible to prioritise recovery activities for the community. An assessment of public health risks will ensure key messages are provided to the community in a timely manner which will be very important in trying to contain the pandemic. An immediate assessment will be conducted to examine how the population has been affected. During a pandemic this should be done as soon as cases have been confirmed within the Campaspe municipal district. This will provide for the opportunity to assess the current number of people affected and provide information to the public and in particular those affected. The immediate assessment should also identify any continuing hazards or issues that need to be addressed allowing measures or actions to be undertaken. A more detailed assessment should follow the immediate assessment. This should include specific numbers of those affected including cases and deaths. An assessment of essential services should be conducted at this stage including both community services and internal services provided by the Shire of Campaspe. Business continuity plans should be activated at this stage, the level in which these are done will depend on the impact the pandemic has had on the community. The needs of the community should be more clearly known by this stage and recovery services can be activated. Ongoing assessment will continue throughout the pandemic and recovery phase to ensure the priorities of the community are being met. The Post Impact (Loss) Assessment will be carried out by the Pandemic Coordinator with the assistance of Council’s Environmental Health Officers.

PART 7: MASS FATALITY PLAN


PART 7: MASS FATALITY PLAN

1. FUNERAL HOMES, CEMETERIES AND CREMATORIA IN THE SHIRE OF CAMPASPE

As previously mentioned a mortality rate of 2.4% will result in approximately 355 additional deaths for the Campaspe municipal district. Contact details for all funeral directors and cemeteries within the district can be found in the MEMPlan. Alternative arrangements for the storing of the deceased may be required if capacity of these facilities is exceeded. Access to mobile refrigerated containers or existing refrigeration systems at private businesses will be considered as alternatives if further storage is required.

2. RELIGIOUS AND SOCIAL CONSIDERATIONS The Shire of Campaspe recognise that a number of religious and ethnic groups have special requirements associated with the management of bodies after death. These requirements will be met wherever possible. However, it is possible that due to public health issues this may not be able to be met and assistance will be sought from relevant religious leaders at the time. In particular the needs of the indigenous population will be discussed through the Njernda Aboriginal Corporation.

PART 8: DELIVERY OF FOOD SERVICES


PART 8: DELIVERY OF FOOD SERVICES 1. FOOD SERVICE PROVIDERS FOR THE SHIRE OF CAMPASPE The Shire of Campaspe utilise several different contractors and approved suppliers for the catering of meals on wheels and Council functions. Details of the meals on wheels contractors can be found under Section 11 – Shire of Campaspe Business Continuity Plan. Further details of delivery schedules and numbers can be accessed from Council’s Aged and Disability Department. Council maintains a list of approved suppliers for the purchasing of products. The Shire has several local food businesses located throughout the Shire that are able to provide catering for large numbers of people. If necessary these businesses will be contacted to assist in the provision of additional meals for isolated persons.

2. FOOD BUSINESS OPERATORS WITHIN THE SHIRE OF CAMPASPE The Campaspe municipal district has several large and small supermarkets throughout the municipality. These businesses provide essential food and household supplies to the township in which they are located as well as the surrounding district. It is also common for people from outside the municipality to travel to the bigger towns such as Echuca and Kyabram to shop at these supermarkets. Many smaller communities throughout the municipality such as Toolleen, Nanneella, Colbinabbin and Gunbower also rely on small general stores for day to day essentials. These stores also provide a means of communication and local information for people living in the community who do not access the larger townships on a regular basis. Many of these businesses are owned and run by local community members and in the event of a pandemic would be greatly affected by loss of staff. These stores will be an essential means of communication and local information in the event of a pandemic. There are also several large food manufacturers within the municipality that may be asked to assist in the provision of foods if needed. This will depend on the types of foods required and whether these are available from these manufacturers.

PART 9: COMMUNITY INFORMATION AND COMMUNICATION



1. COMMUNITY EDUCATION The Shire of Campaspe will not initiate any community education or public health control measures without guidance from the Department of Health and Human Services. The Department of Health and Human Services will provide information to the media and to local newspapers etc regarding good personal hygiene practices and precautions the public should be taking to protect themselves. General information will be provided to the Shire of Campaspe call centre to deal with enquiries from the general public regarding the pandemic. This will include some Frequently Asked Questions and details of Federal and State Government websites and contact numbers. Members of the public will also be referred to an Environmental Health Officer or to the Immunisation Coordinator if needed. Some general information regarding the pandemic including personal hygiene information and posters will be provided to the large businesses throughout the municipal district. This will be done in the early stages of the pandemic to increase community awareness and reduce the spread of the virus. This will include information similar to that used to educate internal staff, see Appendices A and B for examples. Existing community networks may also be used to advise the community of important advice or activities being carried out by the Shire of Campaspe. Places such as general stores in small towns and neighbourhood houses may be provided with newsletters and posters to provide to people in the community or display on notice boards. The Council will be discouraging mass gatherings so it is important to select locations that a lot of people will access but will not gather with large numbers of people. Other community education may be carried out depending on the severity of the pandemic and how quickly the community are affected. This will be determined by the Pandemic Coordinator and the Sub-Committee throughout the event. The key messages that will be given to the community will be in line with State and Federal Government information. The key messages will include details of: Cancellation of services delivered by the Shire of Campaspe. Cancellation of events and facilities throughout the shire including school closures, mass gatherings. Response and Recovery activities being carried out. Where people can go to get information. Reminders of personal hygiene practices and social distancing. Information will be prepared via the Municipal Emergency Coordination Centre (MECC) by the Pandemic Coordinator in conjunction with the Emergency Management Planning Committee and Executive Management Group. Council’s Communications Coordinator will play a key role in ensuring information is being distributed to the public via existing channels to capture as much of the community as possible.



2. MUNICIPAL EMERGENCY MANAGEMENT PLAN ARRANGEMENTS The Municipal Emergency Management Plan (MEMPlan) outlines details regarding communication in relation to the set up of the Municipal Emergency Coordination Centre (MECC). These arrangements will be followed in the event of an Influenza Pandemic. The municipal district has good communication infrastructure including landline and mobile phone coverage. Media coverage is also widespread throughout the municipality with local newspapers in all township areas and good radio coverage. In the event of a pandemic normal emergency management arrangements will be utilised to communicate to the public and will include but is not limited to: Department of Health and Human Services Liaison Radio stations Television Police advice line Local telephone information lines Newspapers Ethnic groups, radio stations, newspapers Community Newsletters and Community Houses Information Centres throughout municipality Church/religious groups Internet Social media Decisions will be made on how to communicate at the time of the influenza pandemic and may vary throughout stages of the pandemic depending on the need of the community and the ability for people to access information they require. Further advice on communication will be sort from the State and Federal Government.

PART 10: SHIRE OF CAMPASPE BUSINESS CONTINUITY PLAN



1. ESSENTIAL SERVICES The Shire of Campaspe has reviewed all services and identified those that are considered essential to provide to the community in the event of a pandemic. The severity of the pandemic and the impact it has on the local community will greatly impact on the decision to reduce service provision. The Shire of Campaspe may elect to reduce services provided to the public such as closing childcare centres and cutting back on non-essential projects and works. The Community Information and Communication section of this plan provides information on how the community will be notified of these changes. The Shire of Campaspe has identified the following as essential community services that must be provided during a pandemic: Aged and Disability Services including personal care and meals on wheels. Children’s Services. Environmental Health Call Centre Operations and Customer Service Media & Communication Operations Emergency Management Arrangements Public Works Department Local Laws Ranger Services Immunisation Services Statutory Building Services Aerodrome Operation The following are additional essential support services needed to operate the above listed essential community services: Information Technology Services Strategic Procurement including purchasing Human Resources including payroll, OH&S Administration including business continuity implementation A detailed breakdown of the specific roles of these departments and essential tasks to be carried out can be found in point 3 of this section, Business Continuity Tables.

2. CONTRACTORS The Shire of Campaspe utilise the services of many different contractors in order to provide adequate services to the community. During a pandemic the contractors that will continue to provide services to the Shire of Campaspe and the community include the Meals on Wheels providers and Garbage and Recycling Service contractors. For internal services the Cleaning contractors employed to clean the Shire offices and buildings will also be required to continue to provide their service.



MEALS ON WHEELS Currently the Shire of Campaspe utilises the services of local hospitals throughout the shire to provide the meals on wheels service. The current providers are: Echuca Regional Health – supplying Echuca, Torrumbarry and Gunbower. Kyabram & District Health Services – supplying Kyabram and Stanhope. Rochester & Elmore District Health Services – supplying Rochester and Lockington. Goulburn Valley Health - Waranga Hospital – supplying Rushworth. Tongala & District Aged Care Facility – supplying Tongala. These facilities will continue to provide this service to residents of the Shire of Campaspe in the event of a pandemic to the best of their ability. Types of meals provided may vary depending on the facilities ability to continue to provide the service for example instead of providing cooked meals they will consider offering cold meals only or another suitable alternative. In the event that the current providers are unable to continue to supply the meals on wheels service alternative arrangements will be made with local food businesses in the townships to cater for the existing meals on wheels clients. Other community groups or organisations may also be called on to assist in this situation. GARBAGE AND RECYCLING SERVICES The Shire of Campaspe utilises the services of a contractor for the provision of waste and recycling services to the municipality. Ellwaste provide the collection of garbage and green waste and the recycling collection. The contractor will continue to provide services to the Shire of Campaspe in the event of a pandemic. The frequency of collections may vary to the current arrangements depending on how they have been affected by the pandemic. Reduced collections or cancellation of some collections such as green waste may be an option in order to ensure that the service is still being provided. Further discussions will be held with the current contractors around these arrangements. CLEANING SERVICE CONTRACTORS The Shire of Campaspe currently uses the services of one cleaning contractor for the cleaning of all Council buildings including offices, childcare centres, preschools and halls. In the current contracts for these services the request of additional cleaning can be made and may be utilised in the event of a pandemic. Contact information is available from Council’s Purchasing Officer.



3. BUSINESS CONTINUITY TABLES The Shire of Campaspe maintains a list of essential services to be provided to the community and the requirements for these services to operate.

The following table outlines how available Council staff that are not included as an essential service may be utilised in the event of a pandemic.

Possible Available Staff Skills that can be utilised Areas they can assist

Childcare Centre Staff Trained in infection control Aware of outbreak procedures

Aged & Disability Environmental Health

Maternal Child Health Nurses

Qualified nurses Trained in infection control

Aged & Disability Immunisation

Governance Officers Administration

Communications

Finance and Accounting Officers

Administration Strategic Procurement

Community & Wellbeing staff

Close contact with the community and community groups.

Emergency Management (Recovery)

Environment Staff Knowledge of Environmental Health systems Knowledge of waste management systems

Environmental Health Emergency Management (Recovery) Waste Management

Community & Economic Development

Local knowledge and close contact with the community

Emergency Management (Recovery)

Library Staff Administration Call Centre / Service Centre Recovery Centre

Refer to Municipal Emergency Management Plan contact list for assistance in MECC setup and Recovery Centre Staff.

PART 11: STAFF SUPPORT AND INTERNAL ARRANGEMENTS



1. STAFF EDUCATION The Shire of Campaspe currently employs 605 staff, including casual staff, located throughout the municipality at various Service Centres, depots and offices. Further details of staff numbers and locations are available from Councils payroll department. During the development of the Influenza Pandemic Plan various internal departments have been consulted and are members of the Pandemic Planning Sub-committee. Once completed the plan has been presented to all managers within the Shire of Campaspe ensuring they are aware of the plan and its content. The plan has also been approved by Council and will be available for all staff via Councils intranet page. Shire of Campaspe staff will be provided with information relating to the influenza pandemic through the email system. If email is unavailable hard copy notices will be used. Information will include details about personal hygiene measures that staff should be taking to protect themselves and their family. This information will be prepared by the Environmental Health Department throughout the pandemic on an as need basis. Staff will be encouraged to stay away from work if they are unwell to prevent further spread of the virus. An example of advice that will be provided is attached in AppendixA – Education Materials. Educational posters about correct cough etiquette and hand washing will be placed in toilets and tearooms throughout the Shire offices as a reminder to staff of correct personal hygiene practices. Antibacterial hand gel will be provided throughout shire buildings and staff will be encouraged to use this in conjunction with regular hand washing. Staff will be encouraged to share any information on non confidential matters such as personal hygiene and social distancing with family and friends to assist in community wide communication, information sharing and education. It is also important to ensure that staff are notified of changes to the provision of services before members of the public. This will ensure staff are kept informed and will assist in improved staff confidence and moral.

2. PERSONAL PROTECTIVE EQUIPMENT The Shire of Campaspe maintains a stockpile of Personal Protective Equipment (PPE) for use by staff that have direct contact with the community during the pandemic. Currently this includes , disposable gloves, safety glasses and antibacterial hand gel. P2 respirator masks will be purchased as required. These will be available to staff that have close contact with members of the community and with people who may be unwell. This includes personal carers in the aged and disability area and maternal child health nurses. These will be supplied to staff on an as need basis at the discretion of the Pandemic Coordinator with the assistance of internal staff, in particular the managers of these areas, Councils Occupational Health and Safety Officer and Environmental Health Officers. The Shire of Campaspe uses several suppliers for the provision of PPE. The reliability of these services during a pandemic has been discussed and deliveries are usually available within 3-4 days, providing the items are available.



3. OTHER INTERNAL ARRANGEMENTS Additional cleaning of Shire buildings will be arranged through the current cleaning contractor employed by Council. Staff will also be encouraged to regularly clean their own work areas especially those that are shared with other members of staff. Focus will be on high contact areas such as computers, telephones, door handles, light switches and high traffic areas such as tea rooms and meeting rooms. The collection of sharps has been considered and arrangements are in place for routine collections and deliveries of containers. An adequate supply of containers is on hand if deliveries cannot be made and secure storage is available for full containers to be stored until collection can be arranged. Personal Support for staff and their immediate family is available through the Employee Assistance Program. This is a counselling service that staff can access for a range of issues at any time.

PART 12: REVIEW AND EXERCISE


PART 12: REVIEW AND EXERCISE 1. REVIEW AND EXERCISE

The Shire of Campaspe Influenza Pandemic Plan will be reviewed on an annual basis in line with the review of the Municipal Emergency Management Plan which this forms a sub-plan. The review will be conducted by the Influenza Pandemic and Mass Vaccination Planning Committee in conjunction with the Municipal Emergency Management Planning Committee. A desktop exercise will be developed and carried out every two years to ensure the plan is still effective. This exercise will involve all agencies and relevant personal as listed in the contact list and any others deemed necessary for the purpose of the exercise. A desktop assessment toolkit has been developed by the Department of Health and Human Services and will be utilised to develop an exercise for the Shire of Campaspe.

PART 13: CONTACT DIRECTORY


PART 13: CONTACT DIRECTORY

Refer to the Municipal Emergency Management Plan for all contact information.

PART 14: APPENDICES


PART 14: APPENDICES

APPENDIX A : EDUCATION MATERIALS

1. KEY MESSAGES Personal Hygiene is the key to protecting yourself and your family. Remember to wash your hands thoroughly and regularly. Cover your cough with your hands or a tissue. Dispose of tissue and wash your hands. Cover your mouth with your hands or a tissue when sneezing. Dispose of the tissue and wash your hands. If you are unwell, stay home to reduce the risk of you spreading illness. While you may have a mild illness it may be more severe for others. If you share a work area with others keep it clean, wipe down the commonly used areas such as the computer keyboard, telephone etc. It is important to be aware of your health and the health of your family and people you are in close contact with. Children in particular are susceptible as they do not have the same social distancing and personal hygiene as most adults. Don’t share personal items – The flu virus can spread when someone touches an object which has the virus on it and then touches his or her eyes, nose or mouth. If someone in your household has the flu keep personal items, such as towels, bedding etc separate. Clean surfaces regularly – the flu virus can live on surfaces for up to 24 hours. Regularly clean surfaces such as tables, benches, fridge doors, light switches and door handles. Encourage children to wash their hands and educate them about good personal hygiene. Avoid close contact with others – keep at least one metre away from people to help reduce the spread of the illness. Look out for others that are at higher risk of severe illness, in particular avoid contact with them if you are unwell. Be prepared – in the event of an outbreak you may need to be isolated if you are unwell. Ensure you have taken measures so that you can stay home for about a week. This includes having enough supplies such as food and personal items. Make contact with friends or family members so they know what you plan to do if your family is affected. If you live alone ask a neighbour, friend or relative to check on you now and then to make sure you are okay. If you are concerned about your illness contact your GP to discuss your concerns and arrange to see them if needed.

PART 14: APPENDICES


PART 14: APPENDICES


APPENDIX B : DHHS GUIDANCE NOTE FOR HOUSEHOLD SUPPORT

PART 14: APPENDICES


PART 15: DISTRIBUTION LIST


APPENDIX C : HOME AND COMMUNITY CARE REFERRAL DOCUMENT

PANDEMIC REFERRAL SCREENING TOOL The Shire of Campaspe recognises that the needs of the community may change as a result of any pandemic that occurs within the municipality. This tool has been designed as a guide to assist health professionals to make appropriate referrals to Council’s Home & Community Care Department for emergency assistance for anyone who meets the set criteria and requires assistance as a result of an illness suffered relating to the pandemic. Emergency assistance covers things such as personal hygiene, shopping for food stuffs or food preparation and transport to medical appointments where the client does not have family or neighbours who are able to assist, or in the case of transport the client is unable to access public transport. All referrals must be made on the Service Coordination Tool Template (Consumer Information profile, Summary and Referral profile, Consent page) and should be accompanied by this completed screening tool. Referrals should be sent via encrypted email to [email protected] or be faxed directly to the HACC Assessment Team on 03 5480 7829. Please complete the following questions to allow us to determine eligibility for assistance during the acute phase of the illness. CLIENT NAME: ______________________________________________ ADDRESS: _________________________________________________ if Yes if Yes Is the client unable to take care of their personal hygiene needs?

Is there a family member who is able to assist?

Is the client unable to prepare their own meals?

Is there a family member or a neighbour who can assist?

Is the client able to shop for basic food stuffs?

Is there a family member or neighbour who can assist?

Is the client able to transport themselves for medical appointments?

Are they able to use public transport, or is there family member or neighbour who may assist?

mailto:[email protected]




Name

Information

withheld for

privacy reasons

Title Organisation Branch Plan No.

Dataworks Shire of Campaspe Echuca 1

Municipal Emergency

Coordinator

Shire of Campaspe Echuca 2

Manager, Public Health Department of Health and Human

Services Loddon Mallee Region

Bendigo 3

Emergency Management

Manager

Department of Health and Human

Services Loddon Mallee Region

Bendigo 4

Infection Prevention and

Control Officer

Echuca Regional Health Echuca 5

Infection Control Consultant Goulburn Valley Health – Waranga 6

Director of Clinical Services Kyabram & District Health Services Kyabram 7

Infection Control Officer Rochester & Elmore District Health

Services

Rochester 8

Executive Officer Campaspe Primary Care

Partnerships

Rochester 9

Regional Emergency

Management Inspector –

Western Region

Victoria Police Bendigo 10

11

Government Publications

Technician

State Library of Victoria Melbourne 12

A copy of this Plan can be found on the Shire of Campaspe website: www.campaspe.vic.gov.au

influenza pandemic plan - campaspe.vic.gov.au · influenza pandemic plan is a sub plan of the...

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