H1N1 / Gripe A Information for US Study Abroad Spain Protocols - Spain Education Programs C. XXI www.spaineduprograms.es

H1N1 / Gripe A
Information for US Study Abroad
        Spain Protocols

                     Information provided by:
           Consejería de Sanidad / Comunidad de Madrid
             Emergencias 112 / Comunidad de Madrid
                         PROMOMADRID

             Spain Education Programs C. XXI
                   www.spaineduprograms.es
                                  September 11, 2009

Relevant Authorities

                          Spanish Government / Ministerio de Sanidad y Politica Social
                          http://www.msc.es/servCiudadanos/alertas/gripeAH1N1.htm

                             Autonomous Communities / Comunidades Autonomas
                         http://www.msc.es/servCiudadanos/alertas/enlacesGripeA.htm

                                             Consejerias de Salud
http://www.madrid.org/cs/Satellite?cid=1142545908620&language=es&pageid=1142545908620&pagename=PortalSalud
                          %2FPage%2FPTSA_pintarContenidoFinal&vest=1142545908620

Competencies

 International Health Issues
       Students Arriving in Spain
       Repatriation                        Spanish Government
 Meets with autonomous communities
 for consensus

    Approves Protocols
    Allocates/finances resources
    Meet with National Government       Autonomous Communities
    for consensus

Design protocols
Estimate resources needed
Implement protocols                    Health Authority / Consejeria
      Actions                                  de Sanidad
      Personnel
      Communications

RESPONSIBILITIES / On-site Directors
I.     GATHER, UPDATE and DISTRIBUTE INFORMATION
II.    IMPLEMENT and COMMUNICATE PREVENTIVE MEASURES
III.   CREATE / IMPLEMENT EMERGENCY RESPONSE PLAN (comprehensive) and GRIPE
       A PROTOCOL (specific)
       i.    SUSPECTED CASES
             a) Students
             b) Faculty
             c) Staff
       ii.   CONFIRMED CASES
           a) Students
           b) Faculty
           c) Staff
IV.    CONSIDER PRIVACY ISSUES
V.     DESIGN COMMUNICATION PLAN addressing different audiences
              a)   Students
              b)   On-site Faculty & Staff
              c)   Parents
              d)   Home universities

I. Gather/Update/Distribute Information
INFORMATION GATHERED FROM
   SAFETI Worskhop, September 11, 2009
   Subdirección de Promoción de la Salud y Prevención / Consejería de Sanidad de la
    Comunidad de Madrid
   112 Emergency Response Service / Comunidad de Madrid
   Numerous web sites at: http://www.msc.es/servCiudadanos/alertas/gripeAH1N1.htm
   U.S. Embassy
   Other:
        Your medical insurance
        Your housing provider/s

UPDATING INFORMATION
   Designate a person responsible for updating and distributing information on a weekly
    basis or more often during a “wave”

DISTRIBUTING INFORMATION
   Decide on how/what/who, before during and after the semester

II. Implement & Communicate Preventive Measures

ON CAMPUS
 Put up posters (downloadable)
 Print / display brochures (downloadable)
 Modify / Increase cleaning services
      o Certain elements must be cleaned daily (at
      least)
              • Door Knobs
              •Light switches
              • Restroom sinks
              • Student desks
 Use soap dispensers and paper towels only
 Install antibacterial soap dispensers
 Other relevant recommendations to students,
regarding risky habits/practices

HOUSING
 Enforce same/similar measures as on campus

ON TRIPS
Remind students to wash hands
 Distribute mini-packs of paper tissues
 Have antibacterial soap available at bus entrance

III. Emergency Response Plan & Gripe A Protocol
    KNOW/CONSIDER your MEDICAL INSURANCE’s PROCEDURES/REQUIREMENTS
    ESTABLISH an ISOLATION housing location for suspected cases (if needed)
    ATTEMPT to identify higher-risk students (respect confidentiality & privacy)
    Establish REPATRIATION guidelines

SUSPECTED CASES (Students, Faculty & Staff)
    Anyone with symptoms has to go home and remain there(isolated) in communication with
     campus-designated staff member
           Enforce Cell. phones & provide internet access at housing
    Continue with courses/work while student/faculty is in isolation (plan for on-line work)
    Keep your insurance company in the loop
    Call 112 if symptoms worsen

WORSENING & CONFIRMED CASES (Students, Faculty & Staff)
    Follow procedures as agreed with your insurance
    Call 112
    Supervise move (if necessary) to:
          Designated isolation housing
          Hospital

IV. Consider Privacy Issues

STUDENTS, FACULTY & STAFF HAVE PRIVACY RIGHTS. THEY ARE
NOT OBLIGED TO RELEASE INFORMATION ON:

 Pre-existing conditions
    • High-risk Groups
         • HIV
         • Diabetes
         • Eating disorders
         • Heart / lungs conditions
         • Other
 Symptoms of H1N1/Gripe A

RESPECT RIGHTS TO PRIVACY ALSO WHEN COMMUNICATING WITH
AUDIENCES

V. Establish a Communication Plan
IDENTIFY YOUR AUDIENCES
          Students
          On-site Faculty & Staff
          Parents
          Home universities

• Agree on type of information to be released, AHEAD OF TIME

• Designate two staff members responsible for communications & have all
information go through that channel

• Stick to the plan (don’t be creative)

• KEEP LOGGS OF ALL EVENTS AND COMMUNICATIONS

Web Sites
SPANISH GOVERNMENT UPDATES
http://www.msc.es/servCiudadanos/alertas/enlacesGripeA.htm

DOWNLOADABLE BROCHURES/POSTERS (CAM)
http://www.madrid.org/cs/Satellite?cid=1142563838677&language=es&pagename=P
ortalSalud%2FPage%2FPTSA_pintarContenidoFinal&vest=1142545908620

ORGANIZACION MUNDIAL DE LA SALUD (OMS)
http://www.who.int/en/index.html

UK NATIONAL HEALTH SERVICE
http://www.direct.gov.uk/en/Swineflu/DG_177831

CENTER FOR DISEASE CONTROL (CDC) ATLANTA, USA
http://www.cdc.gov/h1n1flu/espanol/

U.S. GOVERNMENT
http://www.pandemicflu.gov/index.html

Final Recommendations
 Keep records of all H1N1-related actions (from I. to V.)
 REMEMBER: It’s not only what you do but how you
 communicate it
 Check relevant web sites regularly
 Use APUNE resources
      Create on-line resources
           Info. Updates
           Document templates
 Align your resources with those of your home university/
 stateside headquarters
 Use the resources of your Comunidad Autonoma in Spain

                               Spain Education Programs C. XXI
                                     www.spaineduprograms.es
                                             September 11, 2009