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Policies and Procedures HEALTH COMMUNICABLE DISEASE/PANDEMIC POLICY 1. PURPOSE In keeping with its fundamental principles, the University of Lethbridge is committed to promoting a healthy lifestyle for its students, faculty and staff. The University of Lethbridge also acknowledges its legislated responsibility to protect the health and wellbeing of those within the University community by being prepared and responding to the potential for and actual transmission of communicable diseases on campus. This policy is supported by the attached procedures and guidelines (Appendix A), inclusive of the University’s Emergency Response Plan, to assist in the prevention, mitigation, and response concerning the spread of diseases that may threaten the University of Lethbridge. 2. SCOPE This policy applies to all members of the University of Lethbridge community. 3. DEFINITIONS 3.1 “Communicable Disease” means a disease carried by microorganisms and transmitted through people, animals, surfaces, foods, or air. Communicable diseases rely on fluid exchange, contaminated substances, or close contact to travel from an infected carrier to another individual. 3.2 “Pandemic” means it is prevalent throughout an entire country, continent, or the whole world. Global communicable disease pandemics are declared by the World Health Organization. 3.3 “Employee” means anyone hired by the University of Lethbridge to perform specified and/or general duties on a full-time, part-time, permanent, temporary, sessional, casual, or contract basis. 3.4 “Health Crisis” means a notifiable disease, serious illness, or health condition at the University of Lethbridge that has the potential to, or has, spread to numerous people. AUTHORITY: RESPONSIBILITY: Board of Governors Associate Vice-President (Human Resources) EFFECTIVE DATE: October 11, 2012 3.5 “Notifiable Disease” (also known as “reportable disease”) means a disease that must be reported to public health authorities, according to the Public Health Act. See Appendix for list of notifiable diseases. 3.6 “Student” means a student as defined in the University of Lethbridge calendar. 3.7 “Medical Crisis Emergency Response Team” means the group of individuals designated to lead the preparedness, response to, and recovery from either potential or actual large-scale health crises on campus. 3.8 “Medical Crisis Committee” means the group of individuals designated to assist with medical crises management on campus. 3.9 “Communicable Disease Outbreak/Infection Control Plan” provides a general description of the process in which an infectious disease would be dealt with at the University of Lethbridge. These procedures are subject to change on a case-by-case basis to best minimize the morbidity and mortality of the University community. The plan may include the following: (a) Analysis and surveillance of the infectious disease outbreak taking all appropriate measures to reduce the speed of infection among the University community; (b) Planning, preparation, and response to a severe infectious disease emergency through collaboration with a variety of individuals, departments and committees at the University of Lethbridge, including Public Health; (c) Creating and disseminating a community health education strategy; and/or, (d) Re-evaluating and reviewing the preparation and response strategies throughout the situation. 3.10 “University Community” means any student, employee, volunteer, person invited to participate in a University-sponsored event, contractor, patron, or guest of the University. It also extends to visiting professors, visiting students, volunteers, members of the public, and third parties using university facilities. 3.11 “University” means the University of Lethbridge, inclusive of all of its campuses and sites. 4. POLICY 4.1 The University is committed to providing employees and students with the best possible prudent public health practices in managing and controlling communicable diseases. 4.2 Any individual who has, or is suspected of having, a communicable disease (as prescribed in the regulations of the Alberta Public Health Act, Section 20) is required to inform his/her physician. Should the University become aware of the situation, it is obligated to inform the Medical Officer of Health (Alberta Public Health Act, Section 22 (1)). 4.3 The University, in accordance with the Health Information Act and the Freedom of Information and Protection of Privacy Act, will take all reasonable steps to protect the privacy of individuals who have identified communicable diseases. The University will not disclose the identity of any student or employee who has a communicable disease, except as authorized or required by law, for the administration of this policy. 4.4 The goal is to work collaboratively with a variety of internal and/or external resources to ensure all medical response mechanisms are communicated and implemented to address the health and wellbeing of the university community while minimizing the impact upon the University’s operations. 4.5 The University shall, where reasonably possible, continue its essential business activities to enable the delivery of its core services. APPENDIX A - PROCEDURES & GUIDELINES 1. Responsibilities Chief Medical Officer of Health (CMOH), or designate, promotes and protects the health of Albertans under the authority of the Alberta Public Health Act. "Communicable Diseases Regulation" under Section 4 of the Alberta Public Health Act governs the response to communicable disease in Alberta. President: The President of the University of Lethbridge, or designate, holds the ultimate responsibility for health protection at the University. S/he is the identified spokesperson, and will keep the Board of Governors and Senior Administration informed. The University provides the necessary support and resources to the Medical Crisis Emergency Response Team and/or Medical Crisis Committee to enable them to fulfill the functions designated in the Communicable Disease/Pandemic policy. Manager: The Manager, University of Lethbridge Health Centre, (“Manager”) or designate, acts as the in-house health consultant and guides the University to be within the guidelines of medical ethics and the mandates of Alberta Public Health Act. The Manager liaises with the CMOH, or designate, since these health concerns are legally within his/her jurisdiction. In instances where there is a health crisis the Manager will collaborate with others to manage the situation. Medical Crisis Emergency Response Team: The Medical Crisis Emergency Response Team consists of the following: • Director, Security Services who serves as Leader; • Associate Vice President (Human Resources) who works in conjunction with the Leader; • Manager, University Health Centre; • Director, Risk & Safety Services; • Director, Communications; and, • others as appointed by the Team, as dictated by the situation. The Team will assess, plan, implement, and evaluate continuously in their response and management of the crisis. Medical Crisis Committee: The Medical Crisis Committee will be determined by the Medical Crisis Emergency Response Team (MCERT) and may consist of all members of MCERT, and representatives from the various University departments who may provide assistance, as the situation mandates. The committee will assist with crisis/pandemic management as it relates to each member’s area. Public Relations: Communications during a health crisis situation will be critical. Communication will be coordinated by the Director, Communications or designate in accordance with the University’s Crisis Communication Plan. All requests for interviews and/or statements from University administrators on matters of communicable disease should be directed to the Director, Communications, or designate. University Community: Members of the University Community have a responsibility to respond appropriately to a health crisis which could affect University operations and its community. This includes taking necessary precautions to reduce the risk of contracting or transmitting a communicable disease, and complying with the emergency response protocols the University implements in response to the crisis. 2. Reporting Illness Should a communicable disease (as listed in Appendix B) threaten the University, the flow of information is critical to early detection, management, and mitigation. While protecting the privacy of individuals, the reporting of illness or communicable diseases to supervisors and/or Management is required. 3. Response/Action Upon receiving medical crisis information, from within the University or from Public Health authorities, the Manager, University Health Centre will: 3.1 Immediately inform the Associate Vice President (Human Resources), who will disseminate information to President’s Executive. President’s Executive consists of all the Vice-Presidents and the Associate VicePresident (Academic). 3.2 If Public Health Authorities, as designated under the Alberta Public Health Act, are not the source of the crisis information, then the Manager will immediately inform the Medical Officer of Health, or designate, as mandated by the Alberta Public Health Act. The Communicable Disease/Pandemic Plan, as part of the University’s Emergency Response Plan, will be followed. 3.3 Once relevant information has been gathered about the health crisis, the Manager, in collaboration with the Associate Vice President (Human Resources), will convene the Medical Crisis Emergency Response Team. The team will develop a communicable disease outbreak/infection control plan to respond to the crisis. The Medical Crisis Emergency Response Team will engage the Medical Crisis Committee as the situation mandates. 3.4 Resource information on the crisis will be made available as dictated by the circumstances. As reasonably possible, the University Community will be kept informed of crisis status and developments. 4. Crisis Resolution 4.1 Working with internal and external sources of information, the University will return to normal University operations as soon as safely possible. 4.2 A written report detailing the business impact analysis and assessment (including direct and indirect costs) shall be conducted by a person appointed by the Vice President (Finance & Administration). 4.3 The President will formally acknowledge the end of the crisis to the University, following advice from and in consultation with the Incident Commander, Medical Crisis Emergency Response Team. Appendix B Provincial Program Development &Disease Control Alberta Health and Wellness NOTIFIABLE DISEASE LIST Notifiable diseases are monitored and controlled by the Communicable Disease regulations under The Public Health Act. AIDS Acute Flaccid Paralysis (AFP) Amoebiasis Anthrax Botulism Brucellosis Calicivirus Infection: - including Norovirus, Norovirus like viruses & other small round structured viruses (SRSVs) Campylobacteriosis Chancroid Chickenpox (Varicella) Chlamydial Infections Cholera (O1 & O139) Congenital Cytomegalovirus (CMV) Congenital Rubella Infection Congenital Rubella Syndrome (CRS) Congenital Toxoplasmosis Creutzfeldt-Jakob Disease - Classic (CJD) Creutzfeldt-Jakob Disease - Variant (vCJD) Crimean Congo Haemorrhagic Fever Cryptosporidiosis Cyclosporiasis Dengue Fever Diphtheria Eastern Equine Encephalitis (EEE) Ebola Haemorrhagic Fever E. coli O157:H7 Enterovirus Infections: - Including Coxsackie A, B & Echovirus Giardiasis Gonococcal Infections Group A Streptococcal Disease, Invasive (iGAS) Haemophilus Influenzae, Invasive – non-type b Haemophilus Influenzae, Invasive - type b (Hib) Haemolytic Uremic Syndrome (HUS) Hantavirus Pulmonary Syndrome (HPS) Hepatitis A (HAV) Hepatitis B (HBV) Hepatitis C (HCV) Hepatitis (other, viral) HIV Infection Human Metapneumovirus (hMPV) Influenzae A/B Lassa Fever Legionellosis Leprosy Leptospirosis Listeriosis Lyme Disease Lymphogranuloma Venereum (LGV) Malaria Marburg Haemorrhagic Fever Measles/Rubeola Meningococcal Disease, Invasive (IMD) Meningitis (viral) Meningitis (bacterial, see Hib,IMD,IPD,iGAS) Methicillin-Resistant Staphylococcus Aureus (MRSA) Mucopurulent cervicitis (MPC) Mumps Neonatal Herpes Simplex Infection Non-gonococcal urethritis (NGU) Paratyphoid Fever Parvovirus Pertussis Plague Pneumococcal Disease, Invasive (IPD) Poliomyelitis Powassan Encephalitis Psittacosis Q fever Rabies Respiratory Syncytial Virus (RSV) Rocky Mountain Spotted Fever Rotavirus Rubella St. Louis Encephalitis Salmonellosis Severe Acute Respiratory Syndrome (SARS) Shigellosis Smallpox Staphylococcal Intoxication Subacute Sclerosing Panencephalitis (SSPE) Syphilis Tetanus Toxic Shock Syndrome (if iGAS refer to Group A Streptococcal Disease, Invasive) Trichinosis Tuberculosis (TB) Tularemia Typhoid Fever Typhus – Louseborne Typhus – Murine Typhus – Scrub Varicella Zoster, Shingles Vibrio Parahaemolyticus Vibrio cholerae (non O1, non O139) Western Equine Encephalitis (WEE) West Nile Virus Asymptomatic Infection (WNAI) West Nile Virus Non-neurological Syndrome (WN-Non NS) West Nile Virus Neurological Syndrome (WNNS) Yellow Fever Yersiniosis *And any communicable disease that may be added to this list from time to time.