 
Ebola Preparedness Plan for New York State
Andrew J Lanza
October 17, 2014
Today, New  York State's leadership along with regional hospital and healthcare  representatives outlined the State's plans for Ebola preparedness and assured New Yorkers that the State is taking every precaution to protect their  health and safety. Eight hospitals  statewide have been designated to treat potential  patients with Ebola. Additionally, the State Department of Health has issued a  Commissioner's Order to all hospitals, diagnostic and treatment centers, and  ambulance services in New York State, requiring that they follow protocols for  identification, isolation and medical evaluation of patients requiring care. In  order to ensure that New York is continuously prepared to safely treat anyone  who is exposed to or contracts Ebola, an education session for healthcare  workers will be held in New York City on October 21. 
The Port Authority  will coordinate procedure and practice between all State airports to ensure  proper training is in place for airport personnel, and the Port Authority Police  Department will be deploying two ambulances per shift at each of its airports to  ensure the timely and safe transport of potential patients with Ebola.  Additionally, the MTA will work to ensure that its employees have necessary  equipment and training to protect themselves as well as subway, bus and commuter  railroad customers. As part of the State’s preparedness plan, unannounced drills  currently occurring at hospitals and health care facilities will be expanded to  college campuses as well as subway and mass transit areas. State agencies will  continue to work together and make adjustments as necessary in the weeks and  months to come in order to best protect New Yorkers.
New York State's Ebola plan calls for eight hospitals  statewide to handle all patients diagnosed with Ebola, with plans to designate  additional hospitals going forward. The following eight hospitals have agreed to  the designation and are creating isolation units to accept patients:
- · Mt. Sinai in Manhattan
· New York Presbyterian in Manhattan
· Bellevue in Manhattan
· Montefiore in the Bronx
· North Shore/LIJ Health System in Nassau County
· Upstate University Hospital in Syracuse
· University of Rochester Medical Center in Rochester
· Stony Brook University Hospital on Long Island
Various State  agencies and authorities are already addressing the threat of Ebola,  including:
Department of  Health: In addition to updating protocols and hosting  training exercises, the Department of Health will plan webinars for all hospital  epidemiology, infection control and emergency room staff on Ebola. DOH will also  draft another alert reiterating guidance about emergency department triage and  infection control and take steps to be sure this guidance reaches all parts of  the healthcare system, including clinics, urgent care centers, and primary care.  DOH will also conduct an electronic survey of all hospitals to query Ebola  readiness activities, training, and the availability of personal protective  equipment (PPE). DOH regional staff – including personnel from the Office of  Public Health’s Epidemiology, Infection Control, and Primary Care and Health  Systems Management Offices – will do joint visits to hospitals and other health  care settings using a standard check for things like emergency department  triage, care plan, PPE, and training.
Port Authority: At  JFK, in coordination with personnel from the Centers for Disease Control and  Prevention, Customs and Border Protection and US Coast Guard, advanced  screenings commenced on Saturday using detailed questionnaires for passengers  originating in three West African nations. In addition, personnel from the CDC,  Customs and Border Protection and the US Public Health Service had a practice  drill with the Port Authority Police Department and other Federal, State and  local partners on Friday afternoon at JFK for scenarios in which passengers who  may have been infected with the virus are handled at JFK. Advanced screening  began Saturday at JFK and at this time no passengers at JFK arriving from the  three West African nations have been identified as having the Ebola  virus.
Metropolitan  Transportation Authority: The MTA has developed a protocol  to keep its employees and customers safe during this time of heightened  awareness. This protocol includes ensuring that at-risk employees have  appropriate personal protective equipment to guard against infection and are  trained in its use, as well as following best practices and recommended  standards when cleaning MTA facilities. This protocol was developed in close  consultation with the State Department of Health regarding symptoms and  likelihood of potential exposure. The MTA has been meeting with its labor unions  this week to discuss this protocol and to make sure it is consistent and  thorough in its implementation. The MTA will outline this Ebola virus protocol  to customers through messaging throughout the MTA system in the coming  days.
Public  Safety: The Governor's Office  of Public Safety is working with New York State Police, the New York State  Chiefs and Sheriff's Associations and SUNY Chiefs to coordinate field advise for  police officers regarding recommended equipment and procedures to reduce chance  of contamination. 
Commissioner’s Order: Acting State Health Commissioner Howard Zucker has issued  a Commissioner's Order to all hospitals, diagnostic and treatment centers, and  ambulance services in New York State, requiring that they follow protocols for  identification, isolation and medical evaluation of patients requiring care, and  also mandating that all staff be trained in person in the practice of donning  and removing personal protective equipment. The protocols are in place to ensure  that New York's hospitals can safely care for and treat patients with Ebola. The  Department of Health is also providing guidance to other healthcare  professionals and facilities on the proper management of people with potential  exposure to Ebola. The Commissioner's Order can be viewed HERE. 
More  information about Ebola – including answers to common questions and links to  other resources on the disease – is available HERE.
Training for Health Care Workers: Next week, the State Department of Health will  join representatives from the Centers for Disease Control and Prevention, the  Greater New York Hospital Association, 1199 SEIU and the Partnership for Quality  Care for an Ebola education session for health care workers. The event will  include national and New York City-area infection control experts, and a  hands-on demonstration of wearing and removing equipment. The training will take  place on Tuesday, October 21 from 10 a.m. to 1:30 p.m. at the Javits Center in  New York City.
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