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• Employee absenteeism may reach 40% • The illness is expected to be highest among school -aged children • People may be asymptomatic while infectious. Asymptomatic persons can transmit the illness and will likely develop immunity • The incubation period for influenza is typically two days • On average, each infected individual will transmit the infection to two other people • Community pandemic waves will last approximately six to eight weeks. Multiple waves can be expected • There will be limited or no ability for regional, state or federal support and assistance because of the likelihood of simultaneous community outbreaks across the U.S. • Vaccines and antiviral medication will be delayed and/or in short supply • Vaccines will be under the control of the federal government. As the State of California receives the vaccine, it will be distributed on a priority basis • The federal government has assumed responsibility for devising liability programs for vaccine manufacturers and persons administering the vaccine • Secondary bacterial infections such as pneumonia have the potential to strain antibiotic supplies • Education, public health interventions, and limiting or eliminating public gatherings may be a required response • Isolation and quarantine authority is held by the County and State Health Departments • Effective response will require coordinated community -wide local efforts that include private businesses, citizens, elected officials and community leaders • When a Local Emergency is proclaimed, the Mayor is authorized to issue an emergency proclamation and impose all necessary regulations to preserve the peace and order of the City including: imposing curfew, closing businesses, public buildings, streets or other public places CONCEPT OF OPERATIONS This Section addresses how the City will prepare for and respond to a potential or actual pandemic. Pandemic Stages The World Health Organization's (WHO) Influenza pandemic phases are used as the template for federal, state and county pandemic planning. The City will use the WHO pandemic phases to provide a consistent and coordinated planning effort with federal, state and county public health agencies. This annex includes a set of matrices that outline each department's strategies and responses during each pandemic phase. The matrices also include strategies and policies that will be used City-wide. D-23