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| Action Plan on Pandemic Preparedness and Response for managing Novel Influenza A H1N1 or that arising from any other novel strain of influenza | ||
| Check List of Actions to be undertaken at Level of State Governments | ||
| Serial No. | Action Point | Remarks |
| Institutional Framework of Pandemic Management | ||
| 1 | State level Workshop may be convened to sensitize administrators on pandemic and actions to be taken in health and sectors beyond health. | Refer section 3.4 of Pandemic Plan (105 kb)  |
| 2 | A Technical Committee may be constituted under DHS to provide technical support. | Refer section 3.4 of Pandemic Plan (105 kb) |
| 3 | The State Health Department may draw up its pandemic plan and test it. | Refer section 3.4 of Pandemic Plan (105 kb) |
| 4 | SDMA may meet periodically to review the preparedness in the districts and ensure that adequate steps are being taken. | Refer section 3.5 of Pandemic Plan (105 kb) |
| 5 | Technical Advisory committee may be set up at state level to provide technical inputs on Pandemic control. | Refer section 4.1 of Pandemic Plan (143 kb) |
| 6 | States may issue directions to all health facilities including private practitioners, nursing homes, and private hospitals to report clusters of influenza like illness and severe acute respiratory illness. | Refer section 4.2.1 of Pandemic Plan (143 kb) |
| 7 | The Chief Secretary may convene a meeting of Secretaries of Health, Revenue, Home, Finance, Panchayati Raj, Local Self Governance, Public Works, Transport and Education Departments where the Health Secretary will appraise everybody of the Government of India Guidelines / Treatment Protocols and the State Control and Containment Plans. | Refer section 3.4 (105 kb) and 4.3 of Pandemic Plan (143 kb) |
| 8 | The State may Communicate the role of each department to the field formation. | Refer section 4.3 of Pandemic Plan (143 kb) |
| 9 | CS may review the state level preparedness and response on a fortnightly or as and when required basis. The reviews would go into setting up and training RRTs and physicians, stock of medicines, PPEs and other critical care equipment, public awareness, movement control/ restriction orders, etc. | Refer section 4.3 of Pandemic Plan (143 kb) |
| 10 | State Level Officers of Department of Health, Revenue, Police, Home, PWD, Education and Panchayati Raj may issue clear communications to their ground level staff in all aspects of preparedness, control and containment in accordance with the Action Plan and Guidelines. | Refer section 4.3 of Pandemic Plan (143 kb) |
| 11 | The Secretary Health at state level may Review the hospital preparedness especially in the context of isolation facility and critical care facility and they would be strengthened. | Refer section 4.3 of Pandemic Plan (143 kb) |
| 12 | The Department of Health may issue directions to the field formation and ensure that all hospitals would have hospital disaster manual with sub sections on the pandemic preparedness, modalities for surge capacity and for continuity of operations. | Refer section 4.3 of Pandemic Plan (143 kb) |
| 13 | If the infection becomes overwhelming with severe morbidity / mortality, Chief Secretary may review the situation for continuity of essential services in the State. | Refer section 5.2 of Pandemic Plan (116 kb) |
| 14 | If the infection becomes overwhelming with severe morbidity / mortality, the crisis management plan of NDMA may be activated. The individual sectors would be monitored for continuity of operations. | Refer section 5.2 of Pandemic Plan (116 kb) |
| 15 | Daily updates / press releases may be issued. The identified spokesperson would brief the media. | Refer section 5.2 of Pandemic Plan (116 kb) |
| 16 | The Chief Minister may convene a meeting of the State Disaster Management Authority to review the response for the pandemic in health sector and sectors other than health. The action plan would be reviewed, gaps identified and filled. | Refer section 5.2 of Pandemic Plan (116 kb) |
| Monitoring the Pandemic response | ||
| 17 | The progress on various components of the State Pandemic Plan may be reviewed periodically. (Including surveillance for early detection of cases, institute preparedness measures, provide training to State and District RRTs, stock personal protective equipments and provide necessary infrastructure for clinical management of cases.) | Refer section 3.4 of Pandemic Plan (105 kb) |
| 18 | Operationalise the protocol for monitoring coordinated preparedness and response with existing disaster management frame work at State level. This would include a co-ordinated mechanism of health and sectors beyond health for maintaining essential services and continuity of operations in States and districts. Such co-ordination mechanism would be established between Government and Non-Government entities. The District plans of all may be approved by SDMA and implementation monitored. | Refer section 3.5 of Pandemic Plan (105 kb) |
| Research initiatives & Engagement with NGOs | ||
| 19 | States to set up a formal advisory committee to engage with professional bodies in the state such as Indian Medical Association and Indian Academy of Paediatrics etc. A convener to be designated to mentor regular discussions. | Refer section 4.2.1 of Pandemic Plan (143 kb) |
| Surveillance & Entry/Exit Screening | ||
| 20 | Process the orders for strengthening of the 24x7 Call Centre of the IDSP for reporting of clusters of ILI. | Refer section 4.2.1 of Pandemic Plan (143 kb) |
| 21 | Process the directions for school closure as a social distancing measure. The stage of the pandemic should be examined before this decision is taken. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 22 | Process the mechanism to discourage and if required , cancel Mass gatherings such as festivals; sporting, religious, political events, funeral gatherings etc. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 23 | Process the mechanism to restrict the entry of general public to airports and railway stations etc. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 24 | Process the mechanism to restrict public transportation on need basis. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 25 | Business work place, market closure and ‘weekend market’ closure may be considered in a worst case scenario. But before taking such decision it should be ensured that essential commodities are available and families are maintaining essential ration for two weeks. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 26 | Enforcing social distancing measures also necessitates maintaining law and order. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 27 | The micro plan at the operational level would specify the responsible officer and the framework for enforcing and monitoring social distancing measures. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 28 | A compendium of all the administrative orders & procedures required for enforcing the Non pharmaceutical interventions may be prepared in advance and kept ready to be executed during response phase. | Refer section 4.2.6.3 of Pandemic Plan (143 kb) |
| 29 | The State may identify the extent of cluster formation, the morbidity and mortality. | Refer section 5.2 of Pandemic Plan (116 kb) |
| 30 | The capacity of the district(s) to contain/ control the outbreak may be assessed and additional support provided. | Refer section 5.2 of Pandemic Plan (116 kb) |
| 31 | Operationalise social distancing measures if the disease gets widespread. | Refer section 5.2 of Pandemic Plan (116 kb) |
| Expanding Hospital Capacity to manage cases | ||
| 32 | Process directions to all health facilities in the community (PHC, CHC), District and Sub-District Hospitals, medical colleges, private nursing homes and hospitals to be prepared for the Pandemic in Phase 5 and 6. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 33 | Designate hospitals for clinical management, isolation and critical care management of cases identified at the International airports and at other places. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 34 | Identify and designate isolation facilities in medical colleges and district hospitals. If required, the facilities at these centres may be strengthened. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 35 | Prepare background plan and draft guidelines for surge capacity by using every available space, discharging routine cases and only entertaining emergencies in generic and super specialties in case there are sustained and wide spread infection. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 36 | Process an executive order to engage the services of private hospitals if required. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 37 | Identify and list sites such as school buildings, Panchayat offices / community spaces etc to set up temporary hospitals for a worst case scenario. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 38 | Identify and list the facilities available with alternate system of medicine which may be put to use. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 39 | Process directions for adherence to infection control practices and waste management protocols at all health facilities to protect the health personnel. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 40 | Deliver copies of hospital disaster manual to all hospitals. The manual should list the actions expected of the facility. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 41 | The health care providers are at increased risk. Take steps to counter large scale absenteeism and draw up a sub plan in the hospital disaster manual to ensure continuity of operations anticipating large scale work absenteeism. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 42 | In long term, states may work towards strengthening existing state and district hospitals to treat cases of emerging and remerging disease that require isolation and critical care. | Refer section 4.2.3 of Pandemic Plan (143 kb) |
| 43 | Process mechanism for stratification of persons according to risk profile. The RRT may be the final authority in deciding the risk stratification. | Refer section 4.2.6.4.2 of Pandemic Plan (143 kb) |
| 44 | Ensure negative pressure, air control (10-12 air changes per hour), double door entry and dedicated staff at the Isolation facility. | Refer section 4.2.6.4.2 of Pandemic Plan (143 kb) |
| 45 | Set up mechanism that if dedicated isolation room is not available, then patients can be cohorted in a well ventilated isolation ward with beds kept (at least ) one meter apart. | Refer section 4.2.6.4.2 of Pandemic Plan (143 kb) |
| 46 | Identify and list all facilities at state capitals where patients or suspected cases may be isolated. | Refer section 4.2.6.4.2 of Pandemic Plan (143 kb) |
| Training & Capacity Building | ||
| 47 | Prepare Training plan and Calendar for undertake training of health workers and volunteers for domestic triage so that large number of cases can be managed in domestic settings. | Refer section 4.2.4 of Pandemic Plan (143 kb) |
| 48 | Initiate proposals for capacity building in human resources for investigating the outbreak, instituting public health measures and for clinical, respiratory and ventilatory management of the cases. | Refer section 4.2.9 of Pandemic Plan (143 kb) |
| 49 | State may replicate the training of trainers of the RRTs which was earlier done by the MOHFW. | Refer section 4.2.9 of Pandemic Plan (143 kb) |
| 50 | The Department of Health may finalise the training plan & calendar for training of District RRTs, physicians of the district and sub-district hospital, CHCs and PHCs on clinical management etc using the faculty trained by the MOHFW. | Refer section 4.3 of Pandemic Plan (143 kb) |
| Pharmaceuticals & Other Consumables Stock | ||
| 51 | Issue some deterrent stock of Oseltamivir to State RRT teams when proceeding to investigate a cluster. | Refer section 4.2.7 of Pandemic Plan (143 kb) |
| 52 | The State Government may also review their requirement of PPE sets, N-95 masks, three layered surgical masks and maintain appropriate stock. | Refer section 4.2.7 of Pandemic Plan (143 kb) |
| 53 | State may stock the Oseltamivir received from the central stockpile and would factor in its own stock of PPE, N-95 mask and three layered surgical masks. | Refer section 4.3 of Pandemic Plan (143 kb) |
| IEC/ BCC Planning | ||
| 54 | Operationalise a clear risk reduction IEC Plan | Refer section 4.2.8 of Pandemic Plan (143 kb) |
| 55 | States may operationalise IEC campaign with focus on simple public health measures to prevent the disease (hand washing, cough etiquettes, staying away at least arms length from an affected person) and flu wise campaign (report to authorities about illness and seek treatment). | Refer section 5.2 of Pandemic Plan (116 kb) |
| 56 | State may plan large scale IEC campaign through print and visual media. | Refer section 4.3 of Pandemic Plan (143 kb) |
| Psycho Social Management | ||
| 57 | Plan special programmes, to assist the health workers cope with, and recover from the social and psychological challenges of emergency work. | Refer section 4.2.10 of Pandemic Plan (143 kb) |