This is the html version of the file http://www.vaemergency.gov/wp-content/uploads/drupal/COVEOP_2012_HSA_4_Pandemic_Influenza_Response.pdf. Google automatically generates html versions of documents as we crawl the web.
Tip: To quickly find your search term on this page, press Ctrl+F or ⌘-F (Mac) and use the find bar.
HAZARD-SPECIFIC ANNEX #4 PANDEMIC INFLUENZA RESPONSE
Page 1
COMMONWEALTH OF VIRGINIA
Emergency Operations Plan
HAZARD-SPECIFIC ANNEX #4
PANDEMIC INFLUENZA RESPONSE
(Non-Clinical)
VIRGINIA DEPARTMENT
OF
EMERGENCY MANAGEMENT
2012 August

Page 2
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
i
(Non-Clinical)
TABLE OF CONTENTS
Record of Changes ........................................................................................................................................ ii
Lead Agency ................................................................................................................................................. 1
Support Agencies and Organizations ............................................................................................................ 1
Purpose .......................................................................................................................................................... 1
Scope & Applicability ................................................................................................................................... 1
Planning Assumptions .................................................................................................................................. 1
Policies .......................................................................................................................................................... 2
Organizational Structure ............................................................................................................................... 2
Concept of Operations .................................................................................................................................. 3
Roles & Responsibilities ............................................................................................................................... 4
Authorities & References .............................................................................................................................. 7
Attachment 1 – Response Phases .................................................................................................................. 8
Attachment 2 – Community Strategy for Pandemic Influenza Mitigation ................................................... 9
Appendix A – Agency Action Matrix .................................................................................................... A – 1

Page 3
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
ii
(Non-Clinical)
RECORD OF CHANGES
Change #
Date
Description of Change
Page # Initials

Page 4
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
1
(Non-Clinical)
Lead Agency
Virginia Department of Emergency Management
(VDEM)
Support Agencies and Organizations
▪ Virginia Department of Agriculture and
Consumer Services (VDACS)
▪ Secretariat of Commerce and Trade (SCT)
▪ Department of Education (DOE)
▪ Virginia Department of Health (VDH)
▪ Virginia Department of Fire Programs (VDFP)
▪ Department of General Services (DGS)
▪ Virginia Department of Human Resource
Management (DHRM)
▪ Department of Labor and Industry (DOLI)
▪ Department of Motor Vehicles (DMV)
▪ Department of Rail and Public Transportation
(DRPT)
▪ Virginia Department of Transportation (VDOT)
▪ Virginia Port Authority (VPA)
▪ Virginia Information Technologies Agency
(VITA)
▪ Virginia State Police (VSP)
▪ Department of Military Affairs (DMA)
▪ Virginia Employment Commission (VEC)
▪ State Council of Higher Education for Virginia
(SCHEV)
▪ Virginia Community College System (VCCS)
▪ Office of the Secretary of Veterans Affairs and
Homeland Security (SVAHS)
▪ Economic Crisis Strike Force (ECSF) Agencies
Purpose
The Commonwealth of Virginia Pandemic
Influenza Response Annex is a hazard-specific
component of the Commonwealth of Virginia
Emergency Operations Plan (COVEOP). It has
been developed to provide a sound basis for
pandemic influenza preparedness and to
establish the organizational framework and
operational concepts and procedures designed to
minimize the loss of life and property and to
expedite the restoration of essential services
following an influenza pandemic.
This non-clinical COVEOP annex is designed to
be used in concert with VDH’s clinical
Pandemic Influenza Plan. Together, these
documents represent the Commonwealth’s
approach to respond to and recover from
pandemic influenza.
Scope & Applicability
This annex is designed to mitigate the health,
public safety, social, and economic impacts in
the public and private sectors throughout the
Commonwealth.
Pandemic influenza occurs when a novel virus
emerges that has the ability to infect and be
transmitted between humans. The disease
spreads rapidly, as humans have little or no
immunity to the new strain of virus. The virus
has the ability to mutate, which makes the
development of an effective medical response
more challenging. The virus spreads primarily
by virus-laden droplets which are distributed as
infected people cough, sneeze, or speak.
Symptoms begin to appear 1-2 days following
exposure. The rapid spread of the disease and
the high level of absenteeism will have a
significant impact on the social and economic
fabric of communities, and essential services
across all sectors will be compromised.
Planning Assumptions
▪ Pre-event planning is critical to ensure a
prompt and effective response to a
pandemic influenza, as its spread will be
rapid, recurring (in multiple waves), and
difficult to stop once it begins.
▪ A pandemic disease outbreak may
precipitate infection rates exceeding 25
percent in an affected population, with
projected mortality rates as high as 2
percent among those infected.
▪ Workforce absenteeism may rise as high
as 40 percent at the height of a given
pandemic wave for periods of about two
weeks.

Page 5
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
2
(Non-Clinical)
▪ All operations and services within the
public and private sector will be
compromised in varying degrees
throughout the response and recovery
phases; however, proper planning and
adequate resources may sustain essential
operations/services and mitigate the
effects of the event across all sectors
(e.g., government, education, health,
commerce and trade, critical
infrastructure, etc.)
▪ Due to the universal susceptibility of the
public to an influenza virus and the
anticipated pervasive impact on all
segments of society, the majority of the
medical and non-medical consequences
of the event will be addressed by the
public and private sectors in the context
of the existing emergency management
framework, supporting infrastructure,
available resources, and associated
supply chains with marginal support from
new or external parties.
▪ Although technical assistance and
support will be available through the
federal government prior to, during, and
following the event period, it will be
limited in contrast to other natural and
human-caused events that impact a
specific geographic area in a more
defined, shorter, and nonrecurring
timeframe.
▪ A comprehensive and integrated strategy
will require the involvement of all levels
of government, the private sector, non-
governmental organizations (NGO’s),
and citizens.
▪ Pan Flu planning is inherent in continuity
of operations and business continuity
planning initiatives in the public and
private sectors. It focuses on
implementing strategies and tools
required to adapt to an environment
where there is a reduced capacity to
sustain essential operations, services,
resource support, and critical
infrastructure due to increased illness and
death rates.
▪ Although the Commonwealth is in the
process of developing an inventory of
antivirals adequate enough to treat the
projected population that may be
affected, there will be a significant and
sustained increase in demand for medical
services during each wave that will
overwhelm the healthcare system and
compromise the overall standard of care
provided.
▪ Vaccines will not be available for
approximately six months following
identification of the virus and will be in
limited quantities when made available,
necessitating the need to develop and
implement a distribution plan.
▪ Local and regional health infrastructure
and associated resources will be quickly
committed to providing the necessary
treatment and supporting strategies to
effectively respond to a potentially
developing or actual event.
▪ Non-pharmaceutical interventions, if
applied in a timely manner, will play a
significant role in mitigating the impacts
of the disease at the local and state level.
▪ Telecommunications connectivity may be
limited.
▪ Vital resource shortages may occur.
Policies
▪ All agencies assigned responsibilities
within this annex will develop and
maintain the necessary plans, standard
operating procedures, mutual aid
agreements, and model contracts to
successfully accomplish their tasks.
Organizational Structure
The Virginia Emergency Response Team
(VERT) and associated Emergency Support

Page 6
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
3
(Non-Clinical)
Functions (ESFs) will coordinate response
operations via the Virginia Emergency
Operations Center (VEOC). A pandemic
influenza event will require a comprehensive,
coordinated, and sustained response over an
extended period of time.
Concept of Operations
VDEM will be the lead agency in addressing all
non-clinical issues and needs that may arise
during an outbreak of pandemic influenza and
will provide the necessary guidance to
responders, government agencies, businesses,
and citizens throughout the Commonwealth.
VDH will be the lead agency in addressing all
health and medical issues and needs that may
arise during an outbreak of pandemic influenza
and will provide the necessary guidance to
responders, government agencies, businesses,
and citizens throughout the Commonwealth.
The VDH plan and this annex represent the
Commonwealth’s overall plan to respond and
recover from a pandemic influenza outbreak.
1. Declaration of State Emergency
In order to mobilize the necessary resources to
respond to an influenza pandemic, the Governor
will declare a State of Emergency through the
issuance of an Executive Order. The projected
impact of an influenza pandemic on local and
state government may necessitate a request for
federal assistance. A State of Emergency will be
declared when the Commonwealth response
stage reaches #3 – Pandemic Phase. In addition,
an Executive Order could be issued or an
existing order amended to mandate the closure
of public and private facilities such as, but not
limited to, schools and institutions of higher
education.
2. Measures to Procure and Stockpile
Additional Supplies
Existing measures to provide for needed medical
and non-medical stockpiles include Virginia’s
purchase of an antiviral stockpile (maintained by
a contract vendor responsible for storage and
emergency distribution), Metropolitan Medical
Response System (MMRS) caches in Virginia’s
three (3) MMRS areas (Northern Virginia,
Richmond and Hampton Roads), hospital
supplies provided through Health Resources and
Services Administration/Assistant Secretary for
Preparedness and Response (HRSA/ASPR)
grants, supplies purchased by the Health
Districts and stored onsite for immediate
response purposes, and the Commonwealth of
Virginia Strategic National Stockpile (SNS) Plan
for federal stockpile assets. Virginia may also
request federal assets through the use of the
FEMA Action Request Form process as
described in the SNS Plan.
The response structure will include provisions
for the Finance Section to provide assistance for
acquiring equipment and materials as requested
in coordination with ESF #7 in the VEOC. ESF
#7, in accord with procurement policy, will track
resource requests, make provisions for service
and emergency material delivery (e.g., site
access, ingress routes, etc.), make sure vendors
and suppliers are made aware of site access
requirements, and provide for remote staging
areas. Just-in-time purchasing arrangements
exist through VDH’s pre-approved vendor list as
well as pre-scripted VEOC equipment and
supply lists, available for activation in the event
of a declared emergency. Virginia’s primary
SNS Receive, Store, and Stage (RSS) site, a
state-owned facility, will be made available for
storage and redistribution of received just-in-
time supplies, among other warehousing options.
3. Points of Distribution (PODs)
The Commonwealth has also developed a
database of Points of Distribution (PODs) in
local jurisdictions throughout the
Commonwealth. These PODs follow the typing
recommended by the United States Army Corps
of Engineers (USACE). The database facilitates
the identification of gaps to support the POD at
the local level, which allows the Commonwealth
to address the gaps identified, in coordination
with their local partners, before an event occurs,
thereby ensuring an efficient operation.
Databases have also been developed to compile
Critical Infrastructure Generator information

Page 7
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
4
(Non-Clinical)
needed to support local and state agencies during
events that involve power outages. This
information has also been provided to the
USACE for use by the Prime Power Team, if
needed.
Roles & Responsibilities
Department of Education
▪ Coordinate and facilitate regional
conference calls with school
superintendents in coordination with
VDEM, VDH, and the Virginia
Association of School Superintendents.
▪ Ensure an effective and timely
coordination/interface with school
districts throughout the state during an
event.
▪ Maintain the Pandemic Influenza Plan
Guidelines for Virginia Public Schools.
▪ Work with VDH to facilitate in-school
flu vaccination campaigns.
State Council of Higher Education for Virginia
▪ Coordinate and facilitate regional
conference calls in coordination with
VDEM and VDH
▪ Work with VDH to facilitate in-school
flu vaccination campaigns.
Virginia Community College System
▪ Coordinate and facilitate regional
conference calls in coordination with
VDEM and VDH.
▪ Work with VDH to facilitate in-school
flu vaccination campaigns.
Department of Social Services
▪ Ensure that providers of its facilities
receive information necessary for
planning and developing strategies for
screening, infection control and
precautions, as well as communications
among staff and legal guardians.
Secretary of Veterans Affairs and Homeland
Security
▪ Monitor state government operations
and critical infrastructure/key resource
sectors with regard to their capability to
sustain essential services and provide
adequate resource support throughout
the pandemic influenza event.
Department of Human Resource Management
▪ Consult with the Governor’s Office and
the State Coordinator of Emergency
Management regarding the status of
staffing issues in executive branch
agencies, emergency office closings, and
any related workforce issues that impede
the Commonwealth’s ability to provide
services to the public or that hinder
response and recovery plans.
▪ Administer the Public Health Emergency
Leave and all related human resource
policies, to include application,
interpretation, granting exceptions based
on agency business needs, and advising
the Attorney General’s Office and
Governor of the need for temporary
waivers to existing policies or the
issuance, amendment, or suspension of
the provisions of the Virginia Personnel
Act as required by Executive Order 3
(2010).
▪ Activate the Adjunct Emergency
Workforce (AEW), as necessary.
▪ Collect and organize absenteeism data
from all executive branch agencies and
report results to the State Coordinator of
Emergency Management, State Health
Commissioner, and the Governor’s
Office.
Provide guidance documents and
tools that support and promote

Page 8
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
5
(Non-Clinical)
teleworking in accordance with Code
of Virginia requirements.
▪ Coordinate, on behalf of the Governor’s
Office, a series of employee
communications to promote wellness,
inform employees of state initiatives, and
to clarify the roles, responsibilities, and
expectations of all employees.
▪ Work closely with VDH regarding the
status of the outbreak and its impact on
state agencies to determine what needs to
be communicated to employees.
Virginia State Police
▪ Through ESF #13, provide security for
the transportation and/or storage of
vaccine, antivirals, and other medical
supplies.
▪ Enforce orders of quarantine and
isolation.
▪ Prevent and respond to civil disturbances
associated with the pandemic.
▪ Assist law enforcement agencies that are
unable to provide essential law
enforcement services due to high rates of
absenteeism.
▪ Provide law enforcement support for
providers of medical services. This
includes the free and secure movement of
emergency medical services (EMS)
assets and providing security for medical
facilities.
Virginia Department of Fire Programs
▪ Serve as a coordination point for needed
augmentation personnel in areas most
severely affected by staff absenteeism.
▪ Support local mitigation initiatives by
providing and reinforcing information for
transmission prevention/reduction efforts
by local fire-rescue personnel.
▪ Support local efforts to contain disease
transmission by establishing regional
distribution centers for appropriate
disposable and non-disposable personal
protective equipment.
VDH, Office of EMS
▪ Support the coordination and utilization
of public health surveillance and
epidemiologic techniques for protection
of EMS responders and their patients.
▪ Support the EMS system during an
influenza pandemic to assist with
situational awareness.
▪ Support local EMS in the use of mutual
aid plans to assist them in locating
adequate personnel during all times of
emergency including pandemic events.
▪ Provide field representatives to assist
local jurisdictions and independent EMS
agencies in obtaining equipment,
supplies, and services during times of
emergency or disaster.
▪ Support local EMS in establishing
procedures to legally deviate from
established treatment procedures during
response to pandemic influenza to
support mitigation of and response to
such patients.
▪ Provide field representatives to
disseminate information to localities and
EMS agencies including emerging
protocols before and during an influenza
pandemic.
▪ Distribute information on the protection
of EMS workers and their families during
an influenza pandemic.
Virginia Department of Health
▪ Work with DHRM and DOLI to
disseminate appropriate guidance for

Page 9
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
6
(Non-Clinical)
agencies to follow during all phases of a
pandemic influenza event.
▪ Activate the clinical pandemic influenza
plan.
DOLI, Occupational Safety and Health
▪ Encourage employers and employees to
use [OSHA pandemic influenza planning
guidance] to help identify risk levels in
workplace settings, as well as develop
appropriate control measures based on
the nature of the work environment to
include: good hygiene, cough etiquette,
social distancing, the use of personal
protective equipment, and staying home
from work when ill.
▪ Provide technical assistance and guidance
to employers in regard to an influenza
pandemic based on the OSHA guidance
developed.
Virginia Department of Agriculture and
Consumer Services
▪ Take measures to ensure the safety of
meat, poultry, and egg products in the
event of a human pandemic influenza.
Department of Military Affairs
▪ Provide necessary support to the
Commonwealth.
▪ Conduct linkup and establish working
relationships with local, state, & federal
agencies.
▪ Maintain and update staff estimates and
requirements.
▪ Issue alerts, prepare and issue orders.
▪ Anticipate and be prepared to rapidly
transition to the response phase with little
or no notice.
▪ Ensure forces are immunized according
to DMA’s priority rankings to mitigate
the initial and secondary effects of the
biological pandemic.
▪ Conduct transition activities that postures
for future missions and allows for long-
term recovery from the pandemic.
▪ Maintain communication with other
agency response forces and headquarters.
▪ Be prepared to receive and integrate
additional forces.
Virginia Department of Transportation
▪ Coordinate with federal and state
agencies to address cargo surges and
cargo prioritization precipitated by a
pandemic influenza event to meet the
needs of the Commonwealth.
Secretary of Transportation
▪ Monitor and coordinate, as needed, the
activities of VDOT, VPA, DRPT, and
DOA with transportation-related duties
and responsibilities in order to support
any type of disaster response and
recovery operations including pandemic
flu and to effectively manage
transportation resources across all
supporting agencies.
▪ Facilitate, in coordination with VSP and
affected local governments, traffic
movement during large-scale
evacuations, re-entry and quarantines.
Department of Motor Vehicles
▪ Coordinate the transport of essential
goods and people over all modes in
support of the VERT during emergency
operations and recovery.
Virginia Employment Commission
▪ Assist private-sector workers who may
lose jobs or be unable to work because
they themselves are ill or must stay at
home to care for ill family members.

Page 10
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
7
(Non-Clinical)
▪ Coordinate the provision of basic
unemployment insurance benefits.
▪ Provide written and on-line information
on employment services, job referral, job
development, employer information.
▪ Coordinate the provision of Disaster
Unemployment Insurance Benefits and
Extended UI Benefits when deemed
appropriate by DOLI.
▪ Provide support resource referrals.
▪ Coordinate partnership brokering.
Authorities & References
Authorities
▪ The State Health Commissioner and the
Board of Health have the authority under
the Code of Virginia to take the
necessary actions to protect the public
health.
▪ Reporting of Disease (32.1-35; 32.1-36;
32.1.-37)
▪ Investigation of Disease (32.1-39)
▪ Authority to Examine Records (32.1-40;
32.1-48.015)
▪ Emergency Orders and Regulations
(32.1-13; 32.1-42; 32.1-20)
▪ Disease Control Measures (32.1-43;
32.1-47; 32.1-48)
▪ Isolated or Quarantined Persons (32.1-
44)
▪ Isolation or Quarantine of Persons with
Communicable Disease of Public Health
(32.1-48.05 through 32.1-48.017)

Page 11
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
8
(Non-Clinical)
Attachment 1 – Response Phases
WHO Phases
Federal and Commonwealth Response
INTER-PANDEMIC PHASE
1 – No new influenza virus subtypes have been
detected in humans. An influenza virus subtype
that has caused human infection may be present
in animals. If present in animals, the risk of
human disease is considered to be low.
0 – New domestic animal outbreak in at-risk
country
2 – No new influenza virus subtypes have been
detected in humans. However, a circulating
animal influenza virus subtype poses a
substantial risk of human disease.
PANDEMIC ALERT PHASE
3 – Human infection(s) with a new subtype but no
human-to-human spread or, at most, rare
instances of spread to a close contact.
0 – New domestic animal outbreak in at-risk
country
4 – Small cluster(s) with limited human-to-human
transmission but spread is highly localized,
suggesting that the virus is not well adapted to
humans.
1 – Suspected human outbreak overseas
5 – Larger cluster(s) but human-to-human spread
still localized, suggesting that the virus is
becoming increasingly better adapted to
humans, but may not yet be fully transmissible
(substantial pandemic risk.)
2 – Confirmed human outbreak overseas
PANDEMIC PHASE
6 – Pandemic Phase: increased and sustained
transmission in general population.
3 – Widespread human outbreaks in multiple
locations overseas. Declaration of Emergency
will be considered.
4 – First human case in North America
5 – Spread throughout the United States
6 – Recovery and preparation for subsequent
waves.

Page 12
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
9
(Non-Clinical)
Attachment 2 – Community Strategy for Pandemic Influenza Mitigation
HHS and CDC developed interim planning guidance with regard to the application and timing of non-
pharmaceutical interventions for states and local governments in February 2007 and Virginia has adopted
these standards. This guidance supports the development and implementation of a community’s overall
mitigation strategy that includes both pharmaceutical and non-pharmaceutical measures, in the context of
a Pandemic Severity Index. The Pandemic Severity Index (PSI) provides a framework that integrates the
types of partially effective non-pharmaceutical interventions with suggested implementation and duration
times in an attempt to maximize the overall benefit to the community, while minimizing the potential
cascading consequences of implementing recommended interventions. The PSI uses a case fatality ratio
as the critical factor in categorizing the severity of a pandemic. This tool will serve as a guide in
discussions with schools, colleges and universities, and other community sectors and support the timely
development and implementation of an effective local, regional, and state strategy in the context of an
estimated level of severity.
The guidance recognizes that the connectedness of communities goes beyond spatial proximity to include
ease, speed, and volume of travel between geopolitical jurisdictions. To balance the relationship of
connectedness and optimal timing, the guidance proposes that the geopolitical trigger be defined as the
cluster of cases occurring within a U. S. state or proximate epidemiological region which spans beyond a
state’s boundary.
1. Initiation Interval
When an influenza virus is recognized as the next pandemic strain, the first laboratory confirmed
case of pandemic influenza infection within any state is the trigger that defines the beginning of
the initiation interval. The state simultaneously enters the initiation interval which triggers a
cascade of responses that are coordinated with federal partners and neighboring states. The
primary overall strategy is case based containment utilizing isolation, home quarantine and
antiviral chemoprophylaxis of contacts.
2. Acceleration Interval
A trigger for a state to enter the acceleration interval is when two or more laboratory confirmed
cases of pandemic influenza are verified with no identifiable epidemiologic linkage with any
prior confirmed cases. An alternate trigger is when an increasing number of cases exceed
available resources to provide case based control measures. The nation would enter the
acceleration interval when at least one state in 5 of 10 Federal Emergency Management Agency
(FEMA)/HHS regions has met the acceleration criteria. The primary action for the state at this
point would be the activation of broad community mitigation interventions and social distancing
measures such as school dismissals and closure of childcare facilities, cancellation of large
gatherings and home care of non-critically ill individuals. Public health actions will be
implemented by VDH coordinated with local health departments.
3. Peak Transmission Interval
Virginia will enter the interval of peak transmission when one of the following 3 triggers are met:
1) Greater than 10% of specimens collected from patients with influenza-like illness are positive
for the pandemic strain within a 7 day period; 2) regional influenza activity is reported by the
state; or 3) the state’s health care system is being utilized beyond its surge capacity. The primary

Page 13
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
10
(Non-Clinical)
strategy at this time is the management of limited resources and the maintenance of critical
infrastructure to permit societal function.
4. Declaration Interval
After peak transmission has been achieved, a progressive decrease in the number of new cases is
anticipated. When less than 10% of specimens from patients with influenza-like illness are
positive for the pandemic strain, or when healthcare system capacity is below maximum levels,
the state can be defined as entering the deceleration interval. During deceleration, public health
activities slowly transition to case based investigation and control along with planning for the
discontinuation of community mitigation interventions. Enhanced surveillance would continue for
the detection of new cases. When laboratory confirmed pandemic influenza cases are occurring
sporadically, Virginia will discontinue all community mitigation interventions; government,
healthcare and societal functions will begin recovery and prepare for possible subsequent
pandemic waves.

Page 14
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – i
Appendix A
HAZARD-SPECIFIC ANNEX #4
PANDEMIC INFLUENZA RESPONSE
Appendix A
AGENCY ACTION MATRIX

Page 15
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 1
Appendix A
Stage 1 – Suspected Human Outbreak Overseas
WHO Phase 4
ALL VERT AGENCIES:
1. Exercise, train, and refine continuity plans with an emphasis on pandemic influenza.
2. Provide pandemic influenza related education and training.
3. Review agency communications plan.
4. Review resource inventories and sustainability of supply chains.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Review Avian Flu and Highly Contagious Livestock or Poultry Disease Emergency Operations
Plan.
2. Monitor and respond to avian/swine flu outbreaks.
3. Review prioritized list of essential functions as part of the continuity plan to ensure safety of
meat, poultry, and egg products.
4. Review protocols for maintaining essential functions.
5. Review plans for recording and communicating the status of inspected establishments.
6. Review the communications plan to interface with federal partners.
SECRETARIAT OF COMMERCE AND TRADE:
1. Review long-term recovery process/plans in coordination with support agencies.
2. Review continuity plan pandemic influenza annex.
3. Review communications plan.
DEPARTMENT OF EDUCATION:
1. Review public school pandemic influenza plan.
2. Review communications plan.
3. Review plans to support the coordination of education sector response and recovery operations
during the event.
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Review, exercise, and refine the COVEOP pandemic influenza annex.
2. Review resource needs/inventory/vendors.
3. Prepare to support implementation of travel restrictions.
4. Emphasize preparedness at all levels and sectors.
5. Promote and provide public education.
6. Provide technical assistance and support to agencies regarding continuity planning.
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
1. Review continuity plan and roster of key personnel who may be assigned support positions in
VERT or other operational assignments.
2. Provide staff update training and current situation information.
3. Deploy information advisories for dissemination to local fire-rescue organizations.

Page 16
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 2
Appendix A
4. Identify/confirm access and availability for basic health/medical PPE vendors who provide
materials for agency staff and local fire-rescue personnel.
5. Review the internal communications plan and review external communications/networking
procedures. Provide VEOC current agency status report(s), as requested.
DEPARTMENT OF GENERAL SERVICES:
1. Exercise, train, and refine Continuity Plans with an emphasis on pandemic influenza.
2. Provide pandemic influenza related education and training.
3. Review agency communications plan.
4. Review resource inventories and sustainability of supply chains.
5. Continually develop and enhance resource contract capabilities.
VIRGINIA DEPARTMENT OF HEALTH:
1. Review and exercise the VDH pandemic influenza plan.
2. Continue surveillance.
3. Coordinate with partners.
4. Initiate education campaign.
5. Prepare pre-scripted messages.
6. Review and adjust inventories of selected resources.
7. Coordinate with suppliers.
8. Review and update the fatality management plan.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Review HR policies.
2. Support agency HR needs.
3. Review resource requirements to sustain essential services.
DEPARTMENT OF LABOR AND INDUSTRY:
1. Disseminate OSHA pandemic influenza guidance.
2. Review agency continuity plan with pandemic influenza component to ensure maintenance of
critical functions.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Continue to maintain the state highway system.
2. Review current agency continuity plan and roster of key personnel who may be assigned support
positions in VERT or other operational assignments.
3. Review internal communications plan.
4. Review external communications and networking procedures.
5. Provide the VEOC current agency status report(s), as requested.
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Provide IT/Communications services and support throughout pandemic influenza event including
support of remote access for teleworking employees as well as customers.
2. Check resource inventories/supply chains.
3. Coordinate with private sector partners regarding status of Pan Flu annexes of COOP plans.

Page 17
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 3
Appendix A
VIRGINIA STATE POLICE:
1. Review continuity and pandemic influenza plans to ensure maintenance of critical services
2. Brief staff.
3. Exercise plan.
DEPARTMENT OF MILITARY AFFAIRS:
1. Review continuity and pandemic influenza plans to ensure maintenance of critical services.
2. Brief staff and exercise plan.
3. Maintain situational awareness of Outside Continental United States (OCONUS) deployed forces.

Page 18
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 4
Appendix A
Stage 2 – Confirmed Human Outbreak Overseas
WHO Phase 5
ALL VERT AGENCIES:
1. Continue to brief agency staff, as needed.
2. Review plans, as needed.
3. Reinforce contact and transmission strategies.
4. Review resource inventories.
5. Pre-deploy assets, as appropriate.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Continue surveillance of agricultural sector.
2. Continue to provide technical assistance and support to agricultural community.
3. Respond to requests for assistance, as necessary.
4. Continue to interface with local, state, and federal partners.
5. Continue to conduct inspections to ensure food safety and security.
SECRETARIAT OF COMMERCE AND TRADE:
1. Continue to brief agency staff, as needed.
2. Review plans, as needed.
3. Reinforce contact and transmission strategies.
4. Review resource inventories.
5. Pre-deploy assets, as appropriate.
DEPARTMENT OF EDUCATION:
1. Continue to review plans.
2. Continue to assist schools with continuity plans, as necessary.
3. Disseminate health guidance/updates as necessary.
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Support the implementation of tiered screening measures at entry points.
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
2. Continue to provide agency staff and stakeholders with briefings on the situation.
3. Continue assessing plans and personnel availability.
4. Review and reinforce transmission prevention procedures for staff.
5. Coordinate with agencies for continued development and dissemination of information advisories
for stakeholders.
6. Identify regional (Division) receive, store, and stock points for materials, equipment, or supplies
to support local needs (Division Offices to coordinate regional distribution procedures in case of
need.)

Page 19
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 5
Appendix A
DEPARTMENT OF GENERAL SERVICES:
1. Continue to brief agency staff, as needed.
2. Review plans, as needed.
3. Reinforce contact and transmission strategies.
4. Review resource inventories.
5. Pre-deploy assets, as appropriate.
6. Continue to support agency resource needs as required.
7. Continue to maintain/expand contract services.
8. Continue to provide technical assistance/support in regard to purchasing/contracting.
VIRGINIA DEPARTMENT OF HEALTH:
1. Declare a “public health emergency.”
2. Review and activate appropriate plans.
3. Maintain dialogue with partners.
4. Maintain heightened hospital and community-based surveillance.
5. Continue education/guidance to the public.
6. Support isolation and quarantine initiatives at ports of entry.
7. Monitor health sector.
8. Review and implement anti-viral distribution plans.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Review HR policies.
2. Support agency HR needs.
3. Review resource requirements to sustain essential services.
DEPARTMENT OF LABOR AND INDUSTRY:
1. Continue to disseminate and promote OSHA pandemic influenza guidance.
2. Continue to provide technical assistance support to customers.
3. Review communicants plan.
4. Review continuity plan.
5. Ensure critical services can be maintained.
6. Continue to coordinate with local, state, and federal partners.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Continue to brief agency staff, as needed.
2. Review plans, as needed.
3. Reinforce contact and transmission strategies.
4. Review resource inventories.
5. Pre-deploy assets, as appropriate.
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Continue to support agency IT resource needs as required.
2. Continue to maintain/expand IT contract services.
3. Continue to provide IT technical assistance/support in regard to purchasing/contracting.

Page 20
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 6
Appendix A
VIRGINIA STATE POLICE:
1. Continue to brief agency staff, as needed.
2. Review plans, as needed.
3. Reinforce contact and transmission strategies.
4. Review resource inventories.
5. Pre-deploy assets, as appropriate.
DEPARTMENT OF MILITARY AFFAIRS:
1. Support and coordinate with local, state, and federal partners.
2. Review resource requirements to sustain essential services.
3. Maintain situational awareness of OCONUS deployed forces.

Page 21
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 7
Appendix A
Stage 3 – Widespread Outbreaks Overseas
WHO Phase 6
ALL VERT AGENCIES:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Continue surveillance of agricultural sector.
2. Continue to provide technical assistance and support to agricultural community/ports of entry.
3. Continue to conduct inspections to ensure food safety and security.
4. Continue to interface with local, state, and federal partners.
5. Review Pan Flu annex of continuity plan and place staff on alert.
SECRETARIAT OF COMMERCE AND TRADE:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.
DEPARTMENT OF EDUCATION:
1. Review pandemic influenza annex of the continuity plan.
2. Review communications plan.
3. Alert and brief staff.
4. Disseminate appropriate preparedness information and guidance to students/parents in
coordination with VDH.
5. Reinforce good hygiene practices and protective measures
6. Coordinate with resource providers.
7. Utilize established framework to monitor school status of operations and absenteeism on daily
basis
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Consider declaring a “state of emergency.”
2. Advise public to plan to reduce non-essential domestic travel once epidemic hits U.S.
3. Augment the VEOC .
4. Implement protective measures.
5. Establish aJ oint Information Center.
6. Establish a Joint Public Inquiry Center.
7. Review continuity plan.
8. Coordinate with supply chain providers
9. Maintain dialogue with local, state, federal, and private partners.

Page 22
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 8
Appendix A
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
1. Continue actions from Stages 1 and 2.
2. Test planning communications and networking systems for internal and external use.
3. Prepare database and log system for monitoring localities’ issues relative to absenteeism, illnesses
and personnel resource needs.
4. Disseminate guidance relative to personnel resource sharing, mutual aid, and related issues
including credentialing criteria, cost sharing, etc.
5. Review/disseminate equipment/vehicle decontamination procedural guidance to stakeholders.
DEPARTMENT OF GENERAL SERVICES:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.
VIRGINIA DEPARTMENT OF HEALTH:
1. Maintain heightened hospital and community surveillance.
2. Prepare to implement surge plans.
3. Review and implement anti-viral distribution plans.
4. Continue education and guidance to the public.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Continue to manage admin of workforce planning, HR policy, and benefits.
2. Provide guidance to agencies.
3. Review policies and tools available.
4. Begin monitoring agency absenteeism and reporting results.
5. Review adjunct workforce program.
DEPARTMENT OF LABOR AND INDUSTRY:
1. Continue to review appropriate plans.
2. Alert and brief staff.
3. Ensure adequate supplies available to maintain critical services.
4. Continue to provide technical assistance and support to customers.
5. Continue to coordinate with local, state, and federal partners.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.

Page 23
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 9
Appendix A
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.
VIRGINIA STATE POLICE:
1. Place essential staff on recall.
2. Reach out to critical infrastructure providers to ensure pandemic influenza and continuity plans
are in place.
3. Review resource inventories.
4. Reinforce protective measures.
DEPARTMENT OF MILITARY AFFAIRS:
1. JOC will monitor situation and continue to brief situational awareness to leadership.
2. Maintain and report on situational awareness of OCONUS deployed forces.
3. Initiate force health protection education and training campaign.

Page 24
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 10
Appendix A
Stage 4 – First Human-to-Human Case in North America
WHO Phase 6
ALL VERT AGENCIES:
1. Activate continuity plan across all levels.
2. Limit non-essential domestic travel.
3. Maintain situational awareness.
4. Begin monitoring absenteeism.
5. Implement protective measures.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Begin monitoring of agency absenteeism.
2. Disseminate health and safety measures to employees.
3. Recommend protective measures to sectors.
4. Activate Pan Flu annex of continuity plan.
5. Maintain critical services.
6. Implement communications plan.
7. Support JIC/Public Information.
SECRETARIAT OF COMMERCE AND TRADE:
1. Activate pandemic influenza annex of the continuity plan.
2. Alert essential staff.
3. Monitor staff absenteeism and availability.
4. Ensure availability of adequate resources to sustain critical operations and services.
5. Continue to disseminate preparedness and prevention information/guidance to staff.
6. Implement alternate means of providing services.
7. Maintain coordination and communications with resource providers/ agency partners.
DEPARTMENT OF EDUCATION:
1. Activate plans.
2. Begin monitoring status of school operations and absenteeism.
3. Brief staff.
4. Continue to disseminate preparedness/prevention information/guidance to parents/students.
5. Implement the appropriate protective measures
6. Continue to coordinate with resource providers.
7. Coordinate regional conference calls to develop consistent response strategy.
8. Maintain situational awareness.
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Activate the COVEOP pandemic influenza annex.
2. Alert and brief staff.
3. Monitor state operations and absenteeism
4. Ensure adequate resources available to maintain critical services.
5. Continue to provide technical assistance and support to agencies and communities.
6. Continue to coordinate with local, state, and federal partners.

Page 25
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 11
Appendix A
7. Limit non-essential travel in affected areas.
8. Disseminate preparedness and prevention information/guidance.
9. Implement protective measures/social distancing.
10. Provide guidance to public.
11. Continue to support VEOC, JFO, and JPIC.
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
1. Continue actions from Stages 1, 2 and 3.
2. If necessary, distribute/deploy communications hardware to Division offices or other designated
locations, and test operability.
3. Conduct final reviews and formalize guidance for personnel sharing, mutual aid credentialing,
cost sharing etc.
4. Begin evaluating local, regional, extra-regional, and statewide capabilities to maintain critical
services with reduced personnel resources.
5. Prepare and begin processing of initial materials and supplies procurement paperwork.
6. Ready Division sites for receipt of materials, supplies, equipment, establish inventory
management system.
7. Receive updated information from local stakeholders and review response triage protocols based
on reduced staff capabilities.
DEPARTMENT OF GENERAL SERVICES:
1. Activate continuity plan across all levels.
2. Limit non-essential domestic travel.
3. Maintain situational awareness.
4. Begin monitoring absenteeism.
5. Implement protective measures.
6. Continue to support agency resource needs, as required.
7. Continue to maintain/expand contract services.
8. Continue to provide technical assistance/support in regard to purchasing/contracting.
9. Activate continuity plan.
10. Activate communications plan.
11. Continue to coordinate with state, federal, private sector partners.
VIRGINIA DEPARTMENT OF HEALTH:
1. Maintain heightened hospital and community surveillance.
2. Prepare to implement surge plans.
3. Review and implement anti-viral distribution plans.
4. Continue providing education and guidance to the public.
5. Implement antiviral treatment/targeted prophylaxis.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Monitor agency absenteeism.
2. Prepare to staff VEOC Policy Group/Logistics ESF.
3. Continue to provide HR guidance and support to agencies.
4. Prepare to implement employee reassignment plan/Adjunct Workforce Program.

Page 26
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 12
Appendix A
DEPARTMENT OF LABOR AND INDUSTRY:
1. Prepare to activate plans.
2. Ensure adequate resources available to maintain critical services.
3. Continue to provide technical assistance and support to customers.
4. Continue to coordinate with local, state, and federal partners.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Activate continuity plan across all levels.
2. Limit non-essential domestic travel.
3. Maintain situational awareness.
4. Begin monitoring absenteeism.
5. Implement protective measures.
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Continue to support agency IT resource needs as required.
2. Continue to provide IT technical assistance/support in regard to purchasing/contracting.
3. Continue to coordinate with state, federal, private sector partners.
VIRGINIA STATE POLICE:
1. Activate agency continuity and pandemic influenza plana and begin implementing protective
measures.
2. Begin evaluating critical service delivery in context of resources available and risk.
3. Coordinate with/monitor resource providers.
4. Continue to coordinate with local, state, federal and private sector partners.
DEPARTMENT OF MILITARY AFFAIRS:
1. Begin monitoring agency absenteeism.
2. Disseminate force health/safety protection counter-measures to employees.
3. Recommend force health protective measures/standards to sectors.
4. Maintain critical services.
5. Implement communications plan.
6. Continue to support Commonwealth as directed.
7. Maintain and report on situational awareness of CONUS and OCONUS deployed forces.
8. Maintain and sustain force health protection education and training campaign.

Page 27
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 13
Appendix A
Stage 5 – Spread throughout U.S.
WHO Phase 6
ALL VERT AGENCIES:
1. Maintain situational awareness.
2. Limit non-essential domestic travel.
3. Monitor absenteeism.
4. Implement protective measures.
5. Sustain essential services.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Continue to implement the pandemic influenza annex of the continuity plan.
2. Maintain essential functions and services to the greatest extent possible.
3. Continue to implement the communications plan.
4. Continue to monitor agricultural sector.
5. Support resource needs, as possible.
6. Continue to support JIC/Public Information.
SECRETARIAT OF COMMERCE AND TRADE:
1. Continue to provide services and support through traditional and alternative methods.
2. Monitor staff absenteeism and availability.
3. Ensure availability of adequate resources to sustain critical operations and services.
4. Continue to disseminate preparedness and prevention information/guidance to staff.
5. Maintain coordination and communications with resource providers/ agency/private-sector
partners.
DEPARTMENT OF EDUCATION:
1. Continue to monitor status of school operations and absenteeism.
2. Continue to disseminate preparedness and prevention information/guidance to staff, parents, and
students.
3. Implement the appropriate protective measures.
4. Consider school closures in coordination with the community.
5. Continue to coordinate with resource providers.
6. Continue to coordinate regional conference calls to implement a consistent response strategy.
7. Continue to maintain situational awareness.
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Maintain situational awareness of community/agency needs.
2. Provide support in context of resources available/priorities.
3. Maintain civil order.
4. Support availability of CIKR.

Page 28
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 14
Appendix A
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
1. Consult with/assist local stakeholders with supplemental support.
2. Implement and manage resource tracking system.
3. Provide on-going status reports, as appropriate.
4. Report any critical human resources shortages to SPS and others and provide recommendations
for mitigation.
DEPARTMENT OF GENERAL SERVICES:
1. Maintain situational awareness.
2. Limit non-essential domestic travel.
3. Monitor absenteeism.
4. Implement protective measures.
5. Sustain essential services.
6. Continue to support agency resource needs, as required.
7. Continue to provide technical assistance/support in regard to purchasing/contracting.
8. Continue to coordinate with state, federal, private sector partners.
VIRGINIA DEPARTMENT OF HEALTH:
1. Maintain situational awareness of impacts on the health and medical sector.
2. Continuously evaluate epidemiology of the virus.
3. Update recommendations on treatment and protective actions.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Continue monitoring agency absenteeism.
2. Staff VEOC Policy Group/Logistics ESF.
3. Implement employee reassignment plan and adjunct workforce program.
4. Continue to provide HR guidance to support to agencies and staff.
DEPARTMENT OF LABOR AND INDUSTRY:
1. Activate continuity plan.
2. Activate communications plan.
3. Continue to brief staff.
4. Monitor status of operations and absenteeism.
5. Maintain critical services in context of available resources.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Facilitate, in coordination with VSP and affected local governments, unusual traffic movement
and volumes.
2. Provide transportation service, back-up communications, and other available resources as needed
in support of the VEOC.
3. Operate and maintain the VDOT Transportation Emergency Operations Center (TEOC).
4. Department of Aviation will perform airlift missions in direct support of the VERT during
emergency response operations and provide resources for transport of essential goods via air as
appropriate.

Page 29
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 15
Appendix A
5. Department of Rail and Public Transportation will coordinate with the railroad companies and
public transport entities to maintain systems and provide resources as necessary.
6. Virginia Port Authority will coordinate with the Virginia ports to maintain systems and provide
resources as necessary.
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Continue to support agency IT resource needs as required.
2. Continue to provide IT technical assistance and support in regard to purchasing/contracting.
3. Continue to coordinate with state, federal, private sector partners.
VIRGINIA STATE POLICE:
1. Maintain essential law enforcement functions.
2. Enforce orders of quarantine/isolation as required.
3. Prevent and respond to civil disturbances.
DEPARTMENT OF MILITARY AFFAIRS:
1. Monitor health of employees returning to workplace.
2. Maintain and report on situational awareness of CONUS and OCONUS deployed forces.
3. Maintain and sustain force health protection education and training campaign.
4. Maintain situational awareness and report on agencies ability to respond with essential core
capabilities.

Page 30
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 16
Appendix A
Stage 6 – Recovery/Preparation for Subsequent Waves
WHO Phase 6
ALL VERT AGENCIES:
1. Assess impact on agency personnel and essential services.
2. Adjust plans based on lessons learned.
3. Replenish critical resources.
4. Prepare for subsequent waves.
VIRGINIA DEPARTMENT OF AGRICULTURE:
1. Conduct assessment of impact on sector.
2. Coordinate natural disaster assistance from USDA.
3. Provide technical assistance/guidance to farmers to obtain assistance.
SECRETARIAT OF COMMERCE AND TRADE:
1. Assess impact of the incident and facilitate support from available programs and resources of
state/federal agencies
2. Assist in the comprehensive recovery of impacted communities.
DEPARTMENT OF EDUCATION:
1. Assess impact on schools.
2. Adjust plans based on lessons learned.
3. Evaluate feasibility of resuming school activities.
4. Check status of supply chain and replenish critical resources.
5. Prepare for subsequent waves.
6. Continue to monitor school operations.
7. Continue to stress preventive and preparedness measures to staff, parents, and students.
VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT:
1. Assess impacts in all sectors.
2. Adjust plans based on lessons learned.
3. Replenish critical resources.
4. Prepare for subsequent waves.
5. Coordinate recovery and assistance programs.
VIRGINIA DEPARTMENT OF FIRE PROGRAMS:
1. Continue monitoring resource shortages and assisting in cases when possible. Track critical
shortages and support assistance initiatives.
2. Coordinate with stakeholders and others to provide timely and appropriate training to implement
augmentation strategies for localities and areas severely impacted by personnel shortages.
3. Continue monitoring stock levels of PPE and related supplies and replenish as necessary.
4. Provide on-going status reports and projections to appropriate authorities.

Page 31
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 17
Appendix A
DEPARTMENT OF GENERAL SERVICES:
1. Assess impact on agency personnel and essential services.
2. Adjust plans based on lessons learned.
3. Replenish critical resources.
4. Prepare for subsequent waves.
VIRGINIA DEPARTMENT OF HEALTH:
1. Assess regional impacts on the health and medical sector.
2. Review lessons learned and implement adjustments.
3. Replenish essential resource inventories.
4. Adjust regional staffs to meet needs.
5. Prepare for next wave.
DEPARTMENT OF HUMAN RESOURCE MANAGEMENT:
1. Assess impact on agency personnel.
2. Revise plan based on lessons learned.
3. Support agency HR needs.
4. Prepare for subsequent waves.
DEPARTMENT OF LABOR AND INDUSTRY:
1. Assess impact of event on staff and services.
2. Adjust plans based on lessons learned and resources available.
3. Replenish critical resources to extent feasible.
4. Continue to provide guidance to staff in coordination with VDH.
VIRGINIA DEPARTMENT OF TRANSPORTATION:
1. Assess impact on agency personnel and essential services.
2. Adjust plans based on lessons learned.
3. Replenish critical resources.
4. Prepare for subsequent waves.
VIRGINIA INFORMATION TECHNOLOGIES AGENCY:
1. Assess impact on agency personnel and essential services.
2. Adjust plans based on lessons learned.
3. Replenish critical resources.
4. Prepare for subsequent waves.
VIRGINIA STATE POLICE:
1. Continue to provide necessary law enforcement and security services in coordination with local,
state, federal, and private sector partners.

Page 32
Emergency Operations Plan
Commonwealth of Virginia
2012 August
Hazard-Specific Annex #4 – Pandemic Influenza Response
A – 18
Appendix A
DEPARTMENT OF MILITARY AFFAIRS:
1. Assess impact of incident and support from available programs and resources of state/federal
agencies.
2. Assist in comprehensive recovery of communities impacted and other mission assignments (from
VDEM) as required.
3. Maintain and report on situational awareness of CONUS and OCONUS deployed forces.
4. Maintain/sustain force health protection education and training campaign.