Emergency Management Working Group 14 July 2014

1. Emergency Management Working Group14 July 2014 Please remember to silence your cell phone.

2. Agenda • Bi-monthly Review • Battle Building • 2014 EOP Update • MERS-CoV • Red Book Update • Webinar Dry-Run

3. Bi-monthly Update • Ambulatory Care Services Interruption TT • Supply Chain Interruption TT • TCH Joint Commission Inspection • Training • BB Evac • Kidney Center Evac • Actual Events • UH Phone Outage • Northridge Power Outage • PCC Code 9 Response

4. Battle Building • Emergency Management • Red Books • Med Sleds • Stair Chairs • Sub-IMT • Emergency Services • Code Carts • Emergency Medical Response

5. 2014 EOP Update • Sub-IMT Concept • Basic Plan Review/Approval

6. SUB-IMT CONCEPT

7. MERS-CoV(Middle East Respiratory Syndrome Coronavirus) • First reported in Saudi Arabia in 2012 • Disease prevalence has spiked in February through May 2014 worldwide with extension into the Unites States (Indiana May 2, 2014 and Florida May 11, 2014) • Countries of origin have been the Arabian Peninsula or travel from this region, • -Saudi Arabia, United Arab Emirates (UAE), Qatar, Oman, Jordan, Kuwait, Yemen, Lebanon • -Travel-associated disease including Europe (e.g. UK, France, Italy), USA, Malaysia • Transmission of MERS-CoV • Spreads person-to-person through close contact (living with/caring for infected person) • No evidence of sustained spreading in community settings to date

8. High Risk Localities Based on Arriving Flights from Saudi Arabia & United Arab Emirates

9. Clinical Presentation • History of travel to the Arabian Peninsula • Common signs and symptoms • Fever • Chills/rigors, headache • Non-productive cough • Dyspnea • Myalgia • Other symptoms can include sore throat, coryza (mucosal inflammation), sputum production, dizziness, nausea and vomiting, diarrhea, and abdominal pain. • Atypical presentations including mild respiratory illness without fever and diarrheal illness preceding development of pneumonia have been reported

10. Planning Assumptions • Incubation period: 2-14 days • Period of infectivity • Patients can shed virus after resolution of symptoms, but duration is unknown • Not contagious during the incubation period • Secondary infection is a great risk • Up to 75% of recently reported cases appear to be secondary cases (acquired from another person) • The majority of secondary cases are mainly healthcare workers • Additional secondary cases were patients hospitalized for other reasons—acquired infection while in the hospital

11. Measuring the Degree of Threat to the Medical Center • The degree of threat to UVA Medical Center and surrounding areas will be determined by proximity of infection. • Level 1: Monitoring & Awareness • Cases introduced into the United States, but not within the region • Level 2: Regional Risks • Confirmed cases within Virginia or adjacent states • Level 3: Institutional Risks • Suspected or confirmed infections within UVA service area

12. Red Book Update • July 2014 Mid-Cycle Update • Webinars start this week (10 total) • New materials being pushed • Focus on WPV

13. BOMB THREAT

14. EVACUATION

15. FIRE

16. WORKPLACE VIOLENCE

17. Webinar Dry-Run

18. Next Meeting: July 14, 2014