Communicable Disease Plan Template - OSU Youth Programs
Communicable Disease Plan (CDP) Template – For University-Sponsored Youth ProgramsTo be used as a sample resource for OSU units to develop communicable disease plans.Unless otherwise noted, all forms are intended for internal program use and not for publicdistribution. Contact youthsafety.compliance@oregonstate.edu for questions on usage.Instructions for using this template: Refer to current OSU guidance, including the COVID Safety and Success Policy [6/30/21 Update]oLatest Updates to OSU COVID-19 guidance: https://covid.oregonstate.edu/latest-updatesoOther applicable OSU resources: Safety of Minors Policy, Youth Safety Standards of BehaviorRefer to current Oregon Health Authority (OHA) sector and supplemental guidance and the latestOSU policies, as the information may have changed. Remember that HECC guidance may also apply.oLatest OHA COVID-19 Updates: 1 Update] Summer and Youth Programs Reopening Public Health Recommendationsand Requirements from OHAo[6/25/21 Update] Child Care Provider COVID-19 Requirements and Recommendations fromOregon Early Learning Division (ELD) Review the template and forms to determine what is appropriate for your specific program. Modify the forms, as needed. Consider unit-specific questions such as: oWhat are appropriate isolation/quarantine procedures for your program or facility thatcomply with OHA guidelines?oHow does my unit’s record retention policy align with the 4 weeks required by OHA to retainthe daily log?oWhat supplemental training will be offered to staff related to privacy, procedures, logs, etc.?Keep program stakeholders (staff, parents and participants) informed about any new or heightenedrequirements related to your communicable disease plan. Consider including the followingstatements in program documentation and enrollment materials:oPublic health is a shared responsibility.oLocal public health authorities will be notified of any outbreaks, including names andinformation of symptomatic individuals for contact tracing, if needed.oFailure to follow public health guidance and program requirements may result in your childbeing unable to participate in the program.Consider whether program procedures need to be updated to address refunds for youth who areunable to participate due to illness/exposure, or in the event the program must be suspended,modified or cancelled due to an outbreak.Revised 07.02.2021
Cover pageCOMMUNICABLE DISEASE MANAGEMENT PLANFOR:[Name of Unit/College/Extension][Program/Camp Name]Effective Dates: [Start date – End date]Person responsible for managing this plan:[Contact Name][Phone and Email]Local Public Health Authority point-of-contact:[Contact Name][Phone and Email]Date of Last Review: [Review date]Next Review Scheduled: [Review date]Revised 07.02.2021
Sample Plan – Prevention, Intervention and Recovery/Mitigation for COVID-19Communicable Disease Management PlanPREVENTIONResources and ToolsUnit-specific plan / NotesPre-program actions: Ask parents to conduct a health check of their child forCOVID-19 symptoms before they arrive and requireadult staff to conduct a self-check before arriving. Part of OSU’s public healthcampaign Inform staff and families about health checkprocedures and the Daily Log before they arrive. Daily Log template Secure protective equipment: face coverings, gloves. OSU COVID Safety & Success Policy(direct link) Order cleaning and sanitizing supplies, including soapand alcohol-based hand sanitizer (60 to 95%). See CDC’s “Reopening Guidance forCleaning and Disinfecting . . .” (link) Conduct training on communicable disease plan priorto program start date. Sample Training sign-in sheet Define criteria for launching CDP INTERVENTION. See If an outbreak occurs below Identify an isolation room/area and process forsending participants home and closing program. Refer to Youth Safety Standards ofBehavior for Supervision standards Local Public Health Authority (LPHA)Directory by County (link)Add planning notes here: Develop plans to support staff, youth and familiesexperiencing trauma or challenges related to COVID. Consult local public health authority regardingregional quarantine guidelines and outbreak controlmeasures.Revised 07.02.2021
During program actions: Orient all participants on protocols to prevent aCOVID-19 outbreak through training, posters, etc. Refer to EHS COVID-19 Health &Safety Resources (Link) See Sample Script for Staff See CDC’s Symptoms of Coronavirus(COVID-19) (.pdf resource for print) ELD’s Health & Safety Guidelines(Daily Health Check, p 17-18)Add planning notes here: Designate a drop off/pick up area that is outside offacilities. Set designated drop off time slots to avoid crowding. During check in, conduct a health check by asking eachchild/adult to verbally verify the following:oothat the individual has not been exposed to aperson with a positive or presumptive case ofCOVID-19 in the past 14 days;that the individual does not have COVID-19and/or it has been more than 10 days sincethe individual tested positive for COVID-19,plus 24 hours after fever subsides. Drop off time, emergency contacts and “Pass/Fail”results of health check are noted in a daily log. ELD’s Exclusion Summary Chart Monitor absenteeism of participants and staff. Minimize contact during drop off and pick up, allowingparents to remain outside of buildings for sign-in/out. Eliminate large group gatherings (larger than cohort). Restrict non-essential visitors and volunteers.Revised 07.02.2021
INTERVENTIONResources and ToolsUnit-specific plan / NotesIf outbreak occurs (i.e., any person with COVID-19symptoms, a reported exposure to a positive case, or apositive test): Appropriately isolate symptomatic or exposedperson(s), following physical distancing protocols. Follow unit-specific isolation planand closure criteria. Provide adequate care and support for sick individuals,including food, access to restroom facilities, etc. Refer to CDC’s If You are Sick orCaring for Someone (Link) Initiate cleaning and disinfecting process, includingclosure of room(s)/area(s) used by exposed person(s). Refer to CDC’s Cleaning andDisinfecting guide (Link) Notify Local Public Health Authority of confirmedCOVID-19 cases or any cluster of illness. Local Public Health Authority (LPHA)Directory by County (Link) Notify OSU. Follow OSU Notification andResponse Process Follow CDC/OHA guidance for exclusion, including noreturn for at least 10 days after symptoms start and 24hours after fever is gone and symptoms improve. Refer to CDC’s When You Can beAround Others After You Had orLikely Had COVID-19 (Link) Advise those who have had close contact with apresumed sick individual to stay home, self-monitorand follow CDC guidance if symptoms develop. Refer to CDC’s What to Do If You AreSick guide (Link)Add planning notes here: Establish contact with parent(s)/guardian(s) to arrangefor pick up of any symptomatic or exposed youth.Revised 07.02.2021
Closing program actions: Notify all staff and families of closures and/orrestrictions put in place due to COVID-19 exposure. See Parent Letter Template 1 and 2 If possible, wait at least 24 hours before cleaning anddisinfecting facilities, shared objects, etc. Refer to CDC’s Cleaning andDisinfecting guide (Link)Add planning notes here: Designate a point person and central repository(website, voicemail greeting) for messaging related toclosures and/or restrictions.RECOVERY/MITIGATIONResources and ToolsUnit-specific plan / NotesKeeping the program open / Re-opening actions: Secure authorization to resume/reopen fromappropriate Dean/Director/Department Head. Use Planning Checklist for UniversitySponsored Youth ProgramsOperating During COVID-19 (Link) Debrief incident/outbreak and mitigation plans priorto returning to routine activities. See Incident Report templateAdd planning notes here: Update/revise staffing and/or supervision plans toaddress any gaps or deficiencies. Communicate to staff and families any changes orupdates to CDP and associated protocols.Revised 07.02.2021
Confidential Daily Log Template – attach additional pages as necessaryDate:Child name (First Last)Stable Group:Arrivaltime inAdult dropping off(Name / Contact #)Contact onfile? (Y/N)Health Checkverbal verify ( )Departtime outAdult picking up(Name / Contact #) Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass FailStaff Log for Stable Group – include any caregiver, staff member, or adult who interacts with the groupStaff Name (First Last)Staff Typestable/floaterArrivaltime inHealth Checkself-attest ( )Break End breaktime out time inHealth Checkself-attest ( ) Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass FailDeparttime outLog to be retained for 4 weeks* following the final day of the camp/program (*or 2 years per child care rules)Revised 07.02.2021
Sample Script for Staff on Daily Log / Health Check ProceduresNote: Employees should refer to OSU’s Self-Screening protocol: g check in, program staff must check for new COVID-19 symptoms for anyone entering theprogram facility/area or working with youth and staff.Using a daily log, document that a daily health check was completed on every person enteringthe program by indicating ‘pass’ or ‘fail’ only. In order to maintain privacy, do not recordsymptoms, temperatures, COVID-19 test results or vaccine status on the daily log sheet.Inability to provide verbal verification to the questions below requires temporary exclusion fromthe program, unless otherwise directed by the local public health authority (LPHA).SCREENING QUESTIONS:1. “In the past 10 days, have you [or NAME OF CHILD] had COVID-19 or tested positive forCOVID-19?If YES, the person should be sent home and must be excluded from the program for at least 10days after onset of illness or, if the individual is asymptomatic, at least 10 days after they testedpositive, plus 24 hours after fever is gone, without use of fever-reducing medication.Exceptions to mandated exclusion based on confirmed COVID-19 cases include: No exceptions, unless otherwise directed by the LPHA or a health care provider.2. “In the past 14 days, have you [or NAME OF CHILD] been exposed to someone knownto or suspected to have COVID-19?”If YES, any ‘susceptible’ person* should be sent home and must be excluded from the programfor a period of time specified in the rules adopted by OHA after exposure to COVID-19.Exceptions to mandated exclusion based on exposure include: A fully vaccinated person (who received full dosage, plus 14 days since their final dose)who has no COVID-19 symptoms. A susceptible person who has no COVID-19 symptoms, and for whom the LPHAauthorizes a shortened exclusion period.*According to OAR 333-019-0010, ”susceptible” means: (A) For a child, lacking documentation of immunizationrequired under OAR 333-050-0050, (B) For an employee, lacking evidence of immunity to the disease.Note: OSU does not require that children or program staff be tested for COVID-19. Individuals conducting dailyhealth checks should not ask for, collect or retain COVID-19 test results or vaccination documentation that may bevoluntarily shared as part of the daily health check.Revised 07.02.2021
Training Sign-In Sheet TemplateTraining Documentation Formfor Unit or Program-Specific COVID-19 Communicable Disease PlanProgram/Unit name:NameDate:Training DateSignatureBy signing this log, you confirm that you have been provided with training related to COVID-19 andyour unit’s Communicable Disease Plan, that the content is understood, and that you have had theopportunity to ask questions.Revised 07.02.2021
Incident Report Template[Program/Camp Name]Confidential COVID-19 Incident Report TemplateIntended for internal program use onlyName of person completing this form:Date form completed:IncidentDate and Time that symptoms and/or exposures were noted:Name(s) of person(s) displaying symptoms and the names of those exposed:Description of the incident / symptoms displayed:Witnesses (including contact details):Reporting of the incident to LPHA and OSUReported to (LPHA point of contact name):Date and method (e.g., using this form, email, phone):Reported to (OSU point of contact name):Date and method (e.g., using this form, email, phone):Follow Up ActionDescription of actions to be taken:Revised 07.02.2021
Parent Letter Template 1: Individual child sent home due to symptomsILLNESS REPORTDate:.Dear Parent/Guardian,, displayed the following indicators of not feeling well today:.Child’s Temperature:.Time:.Based on the indicators listed above, your child is being sent home due to displaying possiblesymptoms of COVID-19 (e.g., unusual cough, fever, shortness of breath).CDC Guidance: The child should stay home for at least 10 days after the onset of the illness, anduntil 24 hours after fever resolves, without the use of fever reducing medicine, and otherCOVID-19 symptoms (unusual cough, shortness of breath, loss of taste/smell) improve.OSU does not require that your child be tested for COVID-19, and we will not ask for, collect, orretain any COVID-19 test results or vaccination documentation that may be voluntarily shared.However, please keep us updated as to the child’s recovery process. We have notified thechild’s group and their parents as to their exposure to a child with the symptoms, and theprogram is taking all necessary precautions for cleaning and sanitization. Following OregonHealth Authority guidance, any absences due to illness have been recorded in our Daily Logsand any positive case of COVID-19 will be reported to the Local Public Health Authority (LPHA).Unless otherwise directed by the LPHA, your child may not return to the program for 10 days,plus 24 hours symptoms-free. This means their earliest return date is: .If you have any questions or concerns, please do not hesitate to contact us.Thank you again for trusting us with your child.Sincerely,Program/Camp Director NameTitleRevised 07.02.2021
Parent Letter Template 2: Group notification of COVID-19 exposureProgram/Camp NameDate:Notice of exposure to COVID-19To: Parent/ GuardianDear Parent or Guardian,We regret to inform you that despite all our precautionary measures, your child may have beenexposed to a case of COVID-19. The timeline for the exposure was from to .Upon learning of this exposure, any person displaying signs or symptoms was immediatelyisolated and sent home, and your child’s entire group has since been notified. The room andfacilities will be cleaned and disinfected according to CDC and Oregon Health Authoritystandards prior to continuation of use.We will keep you updated if we are able to provide any additional helpful information aboutthe exposure, but no personal information will be given.OSU does not require that your child be tested for COVID-19, and we will not ask for, collect, orretain COVID-19 test results or vaccination documentation that is voluntarily shared. Ourprogram will be in communication with the county health authority to determine appropriatesteps, including when and if exposed individuals may return to our program after exposure.In the meantime, we ask that you keep your child at home to observe possible symptoms ofCOVID-19. If your child develops symptoms, please keep them at home until the signs andsymptoms are gone, in accordance with public health guidelines.We would not be offended if you decide to withdraw your child from the program/session andresume participation at a future date, or request a refund.Thank you again for trusting us with your child.Sincerely,Program/Camp Director NameTitleRevised 07.02.2021
Training Sign-In Sheet Template Training Documentation Form . for Unit or Program-Specific COVID-19 Communicable Disease Plan . Program/Unit name: Date: Name Training Date Signature By signing this log, you confirm that you have been provided with training related to COVID-19 and your unit’s Communicable Disease Plan, that the content is .
Communicable Disease Management Page 6 of 14 3.2. Communicable diseases of concern Table 1 - Communicable Disease Definitions, Modes of Transmission, and Signs and Symptoms Disease Definition Transmission Signs & Symptoms Tuberculosis (TB) TB is an infectious disease that primarily affects the lungs, but it can attack almost any
Pandemic Response Plan to form a Comprehensive Communicable Disease Management Plan . This plan was adapted (with permission) from Dr . Jan Olson and team’s comprehensive communicable disease management plan for the Molalla River School District, by the MESD School Health Services department in collaboration with district administration .
Barry County: 330 W. Woodlawn Ave., Hastings MI 49058 Eaton County: 1033 Health Care Dr., Charlotte, MI 48813 Communicable Disease Phone Line: (269) 798-4152 (517) 541-2641 www.barryeatonhealth.org COMMUNICABLE DISEASE Linking Health Care Providers with Local Public Health CD Link: May 2018 Lyme disease is an increasingly important health issue
OSU Extension, Scioto County & South Centers Extension Educator- GAPs Trainer 740-289-2071 ext. 136 bergefurd.1@osu.edu Beth Scheckelhoff, PhD OSU Extension, Greenhouse Systems Extension Educator-GAPs and Produce Safety Alliance Lead Trainer 419-592-0806 scheckelhoff.11@osu.edu Mary Griffith OSU Extension, Madison County
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The Economics of Non-Communicable Diseases in Indonesia report was written by Bloom, D. E., Chen S., McGovern M., Prettner K., Candeias V., Bernaert A. and Cristin S. 3 4 6 9 11 12. The Economics of Non-Communicable Diseases in Indonesia 3 Overview and purpose Non-communicable diseases (NCDs) have been
Communicable Disease Management in the Camp Setting Linda E. Erceg, RN, MS, PHN – October 2020 Purpose Statement Campers and staff arrive ready to participate in the camp program. When communicable illness strikes, it impacts that participation and changes the camp experience in unanticipated ways.
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