


Introduction
This plan has been developed in accordance with the most recent CDC and ACHA recommendations. At this point in time, emphasis is on identifying "influenza like illness" as opposed to testing for the H1N1 virus. With this approach, individuals with upper respiratory symptoms and a fever of 100 degrees or higher are treated as if they have a flu virus and appropriate containment measures are employed. The CDC, along with the Cambria County health authorities, continues to emphasize prevention activities including vaccinating as many individuals as possible with the seasonal flu vaccine. The most recent information regarding the H1N1 vaccine indicates it should be available in mid to late October. High risk persons will have first priority for this vaccine. High risk groups are identified on www.flu.gov.
Pre-Incidence of Influenza Like Illness (ILI) on Campus
Communication and Education
Prevention Support Activities
Academic Preparations
Level 1: Initial and Limited Occurrence of Influenza like Illness on Campus
Students
Individuals with flu-like symptoms and a fever of one hundred degrees or higher should contact Student Health Services as soon as possible after the onset of fever, even if they intend to seek medical care from a family physician. Students with these symptoms will be asked to go home until they are free of fever without the use of fever reducing medication for 24 hours. Residential students who are unable to go home will be temporarily relocated to a quarantine space. The director of Student Health Services and Residence Life professional staff will monitor the condition of students in quarantine. RA's will maintain daily electronic contact with quarantined resident students. Flu buddies will be identified for each quarantined student to deliver meals. These "buddies" will be provided with surgical masks as required.
Student Health Services will use current procedures to notify appropriate faculty regarding a student's absence from class. Students must also follow established policies and procedures for notifying clinical instructors and agencies if they are going to be absent. All students are responsible for contacting their instructors regarding missed classes even when Student Health has notified the instructor.
Athletic Teams: Student athletes will be asked to go home or quarantined as with other students. The AMCC Commissioner will be informed immediately if illness on a team risks forfeiture of a conference contest and/or NCAA requirements for minimum contests. Current NCAA provisions regarding H1N1 will be followed and additional information sought from the NCAA as necessary.
Employees
Employees with flu-like symptoms and a fever of one hundred degrees or higher will also be asked to stay at home until they are free of fever without the use of fever reducing medication for 24 hours. Employees will follow current sick leave policies and procedures. Staff role coverage will be arranged within individual departments. Faculty course coverage will also be arranged under current procedures within departments/divisions.
Metz and ARAMARK employees with flu-like symptoms will be sent home. Coverage for operations will be arranged by each vendor utilizing current company procedures to maintain services to the College. Both vendors will monitor the need for temporary assistance from other Metz or ARAMARK locations. They will also closely watch their inventory and supply chains. Essential employees will be identified at this level, to continue services at levels II and III.
Communication
Level II: Increased Incidence of Influenza like Illness on Campus
Students
At this level, an increased incidence could begin to affect entire cohorts of students on campus, i.e., an athletic team, all students in a clinical site, or a Capstone seminar.
Actions will depend upon the affected cohorts. In clinical disciplines, existing policies regarding missed courses and regulatory agency requirements will need to be reviewed and utilized as appropriate. In athletics, determinations regarding a team's season will be decided in concert with appropriate institutional personnel, the AMC conference commissioner and the NCAA. Each affected area will need to determine with their PEC member the appropriate responses to their particular situation with students.
Employees
At this level, work productivity is being impacted as multiple one and two person offices are uncovered due to illness. Faculty coverage of missed classes may be strained as multiple course sections require coverage. Adjunct faculty and qualified administrative staff may be tapped to substitute in certain courses. Department chairs in consultation with their division chairperson will determine whether a class may be canceled. If they have influenza like symptoms, clinical instructors should consult with their department chairs who will work with agencies and hospitals regarding covering the clinical and/or canceling the clinical session.
The HR director will monitor and review the number of employees out sick and ensuing departmental coverage arrangements.
Operations
Identification of any departmental operation impacts which are critical to the overall college functioning.
Ongoing review by PEC and communication regarding operational impacts, which may be localized but serious, in individual departments.
Metz and ARAMARK also anticipate service impacts at this level and will utilize temporary employees for extended absences. Both vendors will confer with College officials regarding possible service impacts and planned resolutions to address any impacts.
Metz will review and limit communal serving areas within the dining hall. ARAMARK staff will be provided with personal protective equipment for entering common areas with a high risk of transmission of the influenza virus (i.e., residence halls).
Communications
Campus e-mail updates and use of other media will be necessary to convey any operational impacts and temporary resolutions.
Level III: Widespread Incidence of Influenza like Illness on Campus and Surrounding Community
It is possible at this level that the Cambria County Health Department will move to their pandemic response plan. This plan includes qualified college personnel and clinical program students assisting with widespread vaccinations and possibly, large quarantine sites.