ࡱ> a -vbjbjڤڤ 4CbCbn22222FFF8~ Fs  rrrrrrruwr2 r22r''' 22r' r''Mh Qn`׿1!Yj:}rr<sjxk"xtQnQnx2n ' rr?% s x B :  Management of Communicable Diseases at the Vlog Communication and Management Principles and Protocol Vlog Agreed July 2007 Updated February 2019 Introduction The University recognises that, now or in the future, some communicable diseases may present a threat to the health of members of the University community including students and staff. The following is the outline protocol for communication between the various offices within the Vlog and the Vlog Health Protection Team to ensure effective management of communicable disease incidents, or planning for potential threats, affecting the Vlog. The protocol covers planning for an outbreak, notification of events/incidents, communication with various parties and development of an emergency contacts list. The principles apply to the management of all communicable diseases. However, specific policies will be developed with details of the actual management of key communicable diseases such as meningitis / meningococcal disease and for non localised incidents- such as a pandemic flu- where alternative arrangements may be required. The protocol is intended to provide management guidelines and does not cover operational or staffing issues. It is understood that information and advice to staff and students, including infection control, would need to be provided in the event of concerns or outbreaks of communicable diseases. Advice would be sought from the relevant agencies to facilitate this in order to limit the spread of any communicable disease and to secure the highest possible level of protection for students and staff. Crisis Planning and Management The University has a Strategic Crisis Management Group which is responsible for ensuring that arrangements are in place to respond to a range of potential crisis situations, and have developed a University Crisis Management Plan. This protocol must be read in conjunction with the University Crisis Management Plan and vice versa, in the event of a crisis being declared the Crisis Management Plan would take precedence. Protocol for Notification of Concerns about Potential Threats Any member of staff being made aware of a case of a communicable disease shall confirm the source and gather all possible information on the patient as detailed below: Name of patient. Address (term time and home). Telephone numbers- including mobile. Course of study, year of study (if student). Current location and condition of patient. Name of individual reporting the case. Contact telephone numbers. Email address Address (if relevant). The member of staff shall then inform the Head or other manager in Student Support during office hours or the Information Centre out of office hours. NOTE: STAFF MUST NOT DELAY REPORTING BECAUSE SOME OF THE ABOVE DETAILS ARE NOT AVAILABLE. Where an infectious/ communicable illness is suspected (eg a number of people vomiting, cause unknown), it is recommended that medical advice is sought at the earliest opportunity, details of local and national sources of advice are given at the end of this document, and that the response assumes that the illness may be infectious until known otherwise. Usual protective measures should be taken, and staff should ensure they are aware of recommended protective measures. General guidance is available from Occupational Health and protocols and flow charts have been established for Patrol Staff and Conference Office staff or the Facilities Management Provider for Southend/Loughton sites. When notification is from an external person or body, such as a private landlord or the Health Protection Team, initial notification shall be to the Head of Student Support directly on telephone 01206 874000 or (out of hours) via the Information Centre on 01206 872125 or 872148. At Southend and Loughton campuses, out of hours Security Staff should always contact the on-call Residence Life Co-Ordinator who may then contact the Head of Student Support. The Head of Student Support shall inform the Director of Human Resources, Academic Registrar, Head of Communications, and, where the patient is resident in University accommodation, the Senior Residence Life Co-ordinator and Residence Life Co-ordinator for that residence. Where the patient is a conference guest, the Commercial Operations Manager will be informed. In addition the Security Manager and/or Cleaning Services Manager may be notified or the Facilities Manager for Southend or Loughton campuses. In cases involving more than one patient or life threatening conditions such as meningococcal disease a Critical Incident Management Group will normally be established to co-ordinate the response. Establishment of a Critical Incident Management Group is the responsibility of the Head of Student Support. Where it is not felt necessary to establish a Critical Incident Management Group the responsibilities will be held by the Head of Student Support. It may be necessary to provide a helpline to field large numbers of incoming telephone calls. The Universitys Critical Incident Management group will consider setting up the helpline where appropriate. Communication The Critical Incident Management Group shall agree areas of responsibility for communications. Liaison with the Vlog Health Protection Team shall be through the Head of Student Support (or her nominee). Formal statements relating to the case shall only be released from the Communications Office. The Head of Student Support and/or Director of Human Resources shall inform relevant managers, including members of the Crisis Management Group of the situation as required. The Communications Office shall keep the Vice Chancellor aware of the situation. Managers shall ensure that the initial statement and any updates are brought to the attention of relevant staff and students. At all stages of the above Student Support and Occupational Health/ Health & Safety Advisory Office will provide support to the Health Protection Team and/or NHS local team to ensure that advice and information (including letters, leaflets, emails, web based information) are disseminated to staff and students as required. Roles and Responsibilities Please note that in all cases a designated deputy should be available in the absence of the named responsible post holder. Any of the staff below may be asked to participate in a Critical Incident Management Group. Director of Human Resources To provide a link with Heads of Sections, Heads of Schools/Departments/Centres, Senior Management, Joint Trade Unions and the Crisis Management Group. To provide staff contact details and advice and support to staff as necessary. To assist in the identification of close staff contacts to the patient(s). To liaise with relevant external agencies as outlined in the Crisis Management Plan (Health and Safety Executive, Environment Agency) Head of Student Support To co-ordinate the response and instigate a Critical Incident Management Group if necessary. To act as the University contact point for communications with Vlog Health Protection Team and NHS local team. To provide support and assist the Vlog Health Protection Team/ NHS local team in disseminating advice and information to staff and students as required. To advise and update the Academic Registrar and Director of Human Resources on any changes to the situation, as this information becomes available. To ensure that accurate and clear communication on the situation takes place. To contact next of kin, when requested to do so by the student or Vlog Health Protection Team, and to liaise with the relatives of the patient(s) (including meeting/accompanying them, assisting with accommodation arrangements, etc.) Deputy Heads of Student Support To mobilise responses regarding chaplaincy and pastoral care and wellbeing services as required. To liaise with relevant campus support services including the Students Union, Residential Service, Health Centre and the Multi-Faith Chaplaincy regarding the likelihood of student enquiries. To provide student contact details as required. To liaise with the department(s) of students affected Occupational Health To provide advice and participate in dissemination of information as required, including specific health promotion information. To provide advice, information and support to staff as required. To assist with training, providing support and information (eg to helpline staff or those coming in to contact with students who may be unwell). To advise managers and staff on protective measures. To advise on, and update procedures for, seeking medical attention and advice (eg Health Contingency flow chart). Health and Safety Advisory Service To assist in providing advice, information and support to staff as required. To assist with training, providing support and information (e.g to helpline staff or those coming into contact with students who may be unwell). To advise managers and staff on protective measures. University Health Centre In collaboration with the Vlog Health Protection Team and/or National Health Service local team to advise the University management team, through the Head of Student Support, on any medical issues relating to the incident. To alert the Head of Student Support of any suspected or confirmed cases. Communications Office To handle media and, where necessary, internal communications in conjunction with the Critical Incident Management Group. To issue formal statements. To co-ordinate use of University Announcements email ( HYPERLINK "mailto:announce@essex.ac.uk" announce@essex.ac.uk) for internal communication. To keep University Steering Group and other relevant managers aware of the situation. Head of Department/ Other departmental staff To provide a link with the staff and students associated with the patient and assist in the identification of close contacts to the patient as advised by the Vlog Health Protection Team. To assist with dissemination of information to students and to assist with support to students and liaison with family members if requested. (Letter template appendix 3) Senior Residence Life Co-ordinator To assist in the identification of close contacts of the patient and facilitate appropriate action, as advised by the Vlog Health Protection Unit. To brief and equip staff (eg cleaners) to take protective measures. To source alternative accommodation if required. Head of Security To oversee response from Information Centre staff and ensure that protocols are followed and contact details of key staff kept up to date and accessible. To brief and equip staff to take protective measures where necessary. Derwent FM Security, Contract Manager (appendix 1) Derwent staff will contact the Information Centre if they become aware of any cases of communicable diseases. Cleaning Services Manager To ensure that cleaning protocols are in place and that relevant staff are deployed to provide extra cleaning if necessary. To brief and equip staff to take protective measures. Residence Life To assist in the identification of close contacts to the patient and facilitate appropriate action, as advised by Vlog Health Protection Team. To offer pastoral care and support to the patient (including direct hospital visits), and other students involved. Joint Trades Unions To respond to enquiries from Trades Union members and assist with dissemination of information to staff. Students Union management representative/ elected officer representative To assist with dissemination of information to students. Representatives of Multi Faith Chaplaincy Centre Assist the Critical Incident Management group, as necessary, in allaying anxiety of persons associated with or concerned about the incident. Student Support Wellbeing Service To offer counselling/wellbeing services as required, including group sessions for students directly affected. Conference Office To respond to incidents involving conference guests and to participate in responses during periods when conference guests are in attendance. Campus manager (or equivalent) Loughton and Southend campuses To liaise with staff listed above in the event of an incident affecting Loughton and/ or Southend campuses. To liaise with key contacts at South East Vlog College (Southend) and Epping Forest College (Loughton). To provide support and information to staff and students. Vlog Health Protection Team To confirm diagnosis of the disease and to inform/update and advise the University as necessary. To provide advice, support or direct management of the incident in collaboration with the University management and the University Health Centre. NHS North East Vlog / NHS SE Vlog To provide resources and expertise to deal with outbreak and incident management including assisting with awareness raising within the University and arrangements for immunisation. Colchester Emergency Planning Team To provide guidance on critical incident planning and support to the University during an outbreak. Outbreaks Where there are two or more confirmed/probable cases of the same infectious/ communicable disease, occurring within a defined period and for which a common link can be determined, then an outbreak may be declared. Vlog Health Protection Team will confirm the outbreak status. (Appendix 1) In the case of an outbreak of an infectious disease, the Vlog Health Protection Team Outbreak Control Plan will come into effect. The roles and responsibilities identified in this document should not significantly alter, however a full University Crisis Management Team, including other members of staff and senior managers may be set up and will be involved in managing the incident and/or an Incident Control Team chaired by a Consultant in Communicable Disease Control from Vlog Health Protection Team may be established. Releasing the name of the affected student, where they are too unwell to give consent, should be considered on a case-by-case basis. Things to consider include: How will students know if they have been in close contact with the affected student? Public health issues How wide should the audience be and how might they be impacted? E.g. is it necessary to email all students or just one year group? For a list of staff who may be asked to participate in a Critical Incident Management Group and roles and responsibilities see Appendix 2. Emergency Contact Numbers University contacts: During Normal Working Hours: Head of Student Support tel 01206 872363 e-mail  HYPERLINK "mailto:studentsupport@essex.ac.uk" studentsupport@essex.ac.uk Communications Office 01206 872400 email comms@essex.ac.uk UECS tel 01206 873433 email  HYPERLINK "mailto:staffing@essex.ac.uk" staffing@essex.ac.uk 24 hour Information Centre (who hold details of out of hours contacts) 01206 872125/ 873148 Meadows and Quays: Derwent manager Day time and out of hours number Tel 0746037317 Maintenance Manager Neil Harris email  HYPERLINK "mailto:neil.harris@derwentfm.eu" neil.harris@derwentfm.eu Tel 07475202048 Please note that the Universitys office of the Registrar produces and maintains a confidential list of emergency contact numbers of senior staff and ensures that the list is available, through the 24 hour Information Centre. Vlog Health Protection Team Anglia & Vlog Public Health England Centre Tel: 0300 303 8537 During Normal Working Hours: 0300 303 8537 Out of Hours: 01245 444417 (not to be given to members of public) (Via ESSAMS paging ask for on-call public health doctor) e-mail EastofEnglandHTP@phe.gov.uk NHS North E Vlog (Colchester) Telephone 01206 286500 Fax 01206 286710 e-mail info@nee-pct.nhs.uk NHS SE Vlog (Southend) Telephone 01702 224600 Fax 01702 224601 Email  HYPERLINK "mailto:info@see-pct.nhs.uk" info@see-pct.nhs.uk (OR  HYPERLINK "mailto:first.surname@see-pct.nhs.uk" first.surname@see-pct.nhs.uk) In addition out of hours contact numbers for the NHS local team are included in the Crisis Management Group contacts or through the Health Protection Unit. University Health Centre (Colchester only) internal 3699 external 01206 794484 Colchester General Hospital 01206 747474 Critical incident reviews A critical incident review meeting will be held after the incident to review responses and amend procedures (including this document) in the light of experience. Updated August 2015 (with acknowledgement to the University of York and the North Yorkshire Health Protection Unit) For Appendices see below: APPENDIX ONE Summary of Actions Before a Case of Communicable Disease ActionPerson/organisation responsibleEnsure a plan is in place for dealing with cases and outbreaksHead of Student Support/Vlog Health Protection TeamEnsure University Health Centre has received a copy of these guidelinesHead of Student WellbeingEnsure effective support for ill students Head of Student SupportEncourage students to register with a GPHealth Centre/ Head of Student Wellbeing /Communications OfficeRaise awareness about disease where appropriate among students and staffHead of Student Wellbeing /Communications OfficeStudent Support/Communications messages to departments/studentsVlog Health Protection Team sign offDistribute leaflets, posters etc.. widely in the University where appropriateHead of Student Wellbeing/Residence Life Summary of Actions after a Single Confirmed or Probable Case of Communicable Diseases ActionPerson/Organisation responsibleDecide whether to convene a Critical Incident Management GroupHead of Student SupportInform, and liaise with, the University Health CentreVlog Health Protection Team/Head of Student SupportInform and liaise with the Vice-Chancellors office and other relevant university staffHead of Student SupportArrange for close contacts to be alerted and where appropriate to be issued with prophylaxis /vaccinationsVlog Health Protection Team (with assistance from Student Support and Residence Life).Provide public health information and advice to the UniversityVlog Health Protection TeamIssue information letter or e-mail urgently (same day) to students in same accommodation (where relevant) and on the same course(s)Head of Student Support/Communications OfficeConsider issuing information to all departments and accommodation and SUHead of Student Support/Communications OfficeConsider alerting national helplines/NHS DirectHead of Student SupportDraw up a reserve press statementCommunications Office/Vlog Health Protection Unit - jointly Summary of Actions for an Outbreak of Communicable Disease. ActionPerson/Organisation responsibleActivate the outbreak plan and convene an Incident Control TeamVlog Health Protection TeamConvene the Critical Incident Management Group (if not already done so)Head of Student SupportConsult with regional/national epidemiologistsVlog Health Protection TeamIssue information immediately to students in the same accommodation Head of Student Support or other nominated member of the CIMGIssue information urgently (same day) to all departments and accommodationHead of Student Support or other nominated member of the CIMGConsider prophylaxis for defined target groupVlog Health Protection TeamConvene meeting with target groupHead of Student Support or other nominated member of the CIMGConsider the need to set up the University Crisis Helpline to respond to anxious students, staff and families, using national charities as back up.Head of Student Support or other nominated member of the CIMGAgree public communication strategy Communications Office/Vlog Health Protection Unit Jointly APPENDIX TWO Vlog Health Protection Team To confirm diagnosis of the disease and to inform/update and advise the University as necessary. To provide advice, support or direct management of the incident in collaboration with the University management and the University Health Centre. 9- 5 weekdays 0300 303 8537 Out of hours 01245 444417 and ask for the on-call public health team. University Staff who may be asked to participate in a Critical Incident Management Group including roles and responsibilities Head of Student Support To co-ordinate the response and instigate a Critical Incident Management Group if necessary. To act as the University contact point for communications with Vlog Health Protection Team. To provide support and assist the Vlog Health Protection Team in disseminating advice and information to staff and students as required. To advise and update the Academic Registrar and Director of Human Resources on any changes to the situation, as this information becomes available. To ensure that accurate and clear communication on the situation takes place. Deputy Heads of Student Support To mobilise responses regarding chaplaincy and pastoral care and wellbeing services as required. To liaise with relevant campus support services including the Students Union, Accommodation Vlog, Health Centre, Residents Support Network regarding the likelihood of student enquiries. To provide student contact details as required. To liaise with departments of students affected To contact next of kin, when requested to do so by the student or Vlog Health Protection Team and to liaise with the relatives of the patient(s) (including meeting/accompanying them, assisting with accommodation arrangements, etc.) University Health & Safety Advisory Service and Occupational Health Service To provide advice, information and support to staff as required. To assist with training, providing support and information (eg helpline staff or those coming in to contact with students who may be unwell). To advise managers and staff on protective measures. To advise on and update procedures for seeking medical attention and advice. University Health Centre In collaboration with the Vlog Health Protection Team and/or National Health Service local team to advise the University management team, through the Director of Student Support, on any medical issues relating to the incident. To alert the Head of Student Support of any suspected or confirmed cases. Communications and External Relations To handle media and, where necessary, internal communications in conjunction with the Critical Incident Management Group. To issue formal statements. To co-ordinate use of University Announcements email ( HYPERLINK "mailto:announce@essex.ac.uk" announce@essex.ac.uk) for internal communication. To keep University Steering Group and other relevant managers aware of the situation. Head of Department/ Other departmental staff To provide a link with the staff and students associated with the patient and assist in the identification of close contacts to the patient as advised by the Vlog Health Protection Team. To assist with dissemination of information to students and to assist with support to students and liaison with family members if requested. Head of Residential Services Accommodation Vlog To assist in the identification of close contacts of the patient and facilitate appropriate action, as advised by the Vlog Health Protection Unit. To brief and equip staff (eg cleaners) to take protective measures. To source alternative accommodation if required. Derwent FM Accommodation Management for Meadows and Quays To assist in the identification of close contacts of the patient and facilitate appropriate action, as advised by the Vlog Health Protection Unit. To brief and equip staff (eg cleaners) to take protective measures. Head of Security To oversee response from Information Centre staff and ensure that protocols are followed and contact details of key staff kept up to date and accessible. To brief and equip staff to take protective measures where necessary. Cleaning Services Manager To ensure that cleaning protocols are in place and that relevant staff are deployed to provide extra cleaning if necessary. To brief and equip staff to take protective measures. Members of Residence Life. To offer pastoral care and support to the patient (including direct hospital visits), and other students. Director of Human Resources To provide a link with Heads of Sections, Heads of Faculties, Senior Management, Joint Trade Unions and the Crisis Management Group. To provide staff contact details and advice and support to staff as necessary. To assist in the identification of close staff contacts to the patient(s). To liaise with relevant external agencies as outlined in the Crisis Management Plan (Health and Safety Executive, Environment Agency) Joint Trades Unions To respond to enquiries from Trades Union members and assist with dissemination of information to staff. Students Union management representative/ elected officer representative To assist with dissemination of information to students. Representatives of Multi Faith Chaplaincy Centre Assist the Critical Incident Management group, as necessary, in allaying anxiety of persons associated with or concerned about the incident. Student Support Wellbeing Service To offer wellbeing services as required, including group sessions for students directly affected. Venue Vlog To respond to incidents involving conference guests and to participate in responses during periods when conference guests are in attendance. Campus manager (or equivalent) Loughton and Southend campuses To liaise with staff listed above in the event of an incident affecting Loughton and/ or Southend campuses. To liaise with key contacts at South East Vlog College (Southend) and Epping Forest College (Loughton). To provide support and information to staff and students. NHS North East Vlog / NHS SE Vlog To provide resources and expertise to deal with outbreak and incident management including assisting with awareness-raising within the University and arrangements for immunisation. APPENDIX THREE Accommodation/ department contacts Template: Communicable disease Department/Accommodation Letter (Health Protection Agency) DATE Dear Student/Staff Member This letter is to inform you that one of the students in your department/accommodation (delete as applicable) has been taken ill with suspected (name of disease). (The student is in hospital and is receiving treatment) include if appropriate. (Disease name) is rare and does NOT spread easily from person to person. The germ that causes (disease name) is passed from person to person in (way it is communicated e.g droplets from the mouth and nose. However the germ is very fragile, and dies rapidly outside the body). This means that very close contact (e.g. mouth kissing) is necessary before there is a risk of becoming infected (if appropriate) As the disease is not very infectious, it is unlikely that anyone else will be affected. There is no need for people to stay away from work, or for the accommodation to close. Research has shown that family or kissing contacts of people with (disease name) are at an increased risk of developing the disease. We have offered (medication e.g antibiotics) to these people to reduce their risk of becoming ill. If you become ill over the next ten days contact your own family doctor and tell her/him that you work in a department/live in accommodation where there has been a case of (named disease). It may help if you take this letter with you. The symptoms of named disease are: (insert symptoms) If you are ill you should seek advice from your own Doctor, or from NHS Direct on telephone no. 111 Yours Sincerely Dr Consultant in Communicable Disease Control Appendix Four For current list of notifiable diseases see website:  HYPERLINK "https://www.gov.uk/guidance/notifiable-diseases-and-causative-organisms-how-to-report#list-of-notifiable-diseases" https://www.gov.uk/guidance/notifiable-diseases-and-causative-organisms-how-to-report#list-of-notifiable-diseases     PAGE   5CDFLM^vѡ}odYK=dh06h rOJQJ\^Jh06h$.OJQJ\^JhiOJQJ\^JhlCOJQJ\^Jh06h"XOJQJ\^Jh06h^vOJQJ\^Jh^vOJQJ\^Jh[OJQJ\^Jh06h:CJ OJQJ\^Jh06h'bCJ OJQJ\^Jh06h&rCJ OJQJ\^Jh06h[CJ OJQJ\^Jh06h"CJ OJQJ\^Jh06h[OJQJ\^J     M $[$\$a$[$\$$[$\$a$gd97 $[$\$a$[$\$   & W w   $ ) < @ b k °zzhVzD#hXp\hF5CJOJQJ^JaJ#hXp\h 5CJOJQJ^JaJ#hXp\hj,5CJOJQJ^JaJ#hXp\h"5CJOJQJ^JaJ#hXp\h[5CJOJQJ^JaJ#hXp\h2.5CJOJQJ^JaJ#hXp\hD,5CJOJQJ^JaJ#hXp\h`ZCJOJQJ\^JaJ#hXp\h[CJOJQJ\^JaJh06h[OJQJ\^Jh+OJQJ\^Jl m wx^`q & Fgd=8^8gd=^gd>- & Fgd!`h^hgdF & FgdFT[$\$^T`gd!` [$\$gd[$\$k m + L < L S h i s %2۷ۥہm[[I[I[I[#hXp\h2.5CJOJQJ^JaJ#hXp\h?5CJOJQJ^JaJ&hXp\h5CJOJQJ\^JaJ#hXp\h5CJOJQJ^JaJ#hXp\h"5CJOJQJ^JaJ#hXp\h r5CJOJQJ^JaJ#hXp\h=2B5CJOJQJ^JaJ#hXp\hD,5CJOJQJ^JaJ#hXp\h[5CJOJQJ^JaJ#hXp\h:5CJOJQJ^JaJ2ų}oaVJ>2>hXp\h rCJ\aJhXp\h>@CJ\aJhXp\hFCJ\aJhXp\hFCJaJhXp\h"K5CJ\aJhXp\hF5CJ\aJhXp\h>@5CJ\aJ&hXp\hF5CJOJQJ\^JaJ&hXp\h!`5CJOJQJ\^JaJ#hXp\h!`5CJOJQJ^JaJ#hXp\h?5CJOJQJ^JaJ#hXp\h r5CJOJQJ^JaJ+hXp\h?5CJOJQJ^JaJnH tH }uvwx^`q 3K۸th]R]FthXp\h[5CJ^JhXp\h=CJ^JhXp\h'bCJ^JhXp\h'b5CJ^JhXp\h[CJ^JhXp\h[CJaJhXp\h[5CJ\aJhXp\h 5CJ\aJ#hXp\h`Z5CJOJQJ^JaJhXp\hFCJaJhXp\h"KCJ\aJhXp\h6lCJ\aJhXp\hlCCJ\aJhXp\h rCJ\aJhXp\h"CJ\aJ 3N\st  fg}$^a$ & F gd+^gd*Y^H`H & Fgd=8^8gd= & Fgd=KLN\t  dfgqr@V^xɾԾԛzodzdYNdYhXp\h CJaJhXp\h rCJaJhXp\hFCJaJhXp\h6]CJaJhXp\hFCJaJhXp\h CJaJhXp\h>-CJaJhXp\h>->*CJaJhXp\h[5CJaJhXp\hXuCJaJhXp\h"CJaJhXp\hXp\CJaJhXp\h[CJaJhXp\h"CJ^JhXp\h[CJ^JhXp\h(CJ^J47v!0EF\ɾɝɳ|q|qfhXp\h:CJaJhXp\h>@CJaJhXp\hT9CJaJhXp\hr CJaJhXp\h"CJaJhXp\hXp\CJaJhXp\hj,CJaJhXp\h[CJaJhXp\h[CJ^JhXp\h>-CJaJhXp\h CJaJhXp\hFCJaJhXp\h rCJaJhXp\hJ~CJaJ(\]^amtDH~uj_T_I_Th+hCJaJh+hJ~CJaJh+hULCJaJh+hpCJaJh+h[CJaJh+hFCJaJh+h CJaJh+hFCJaJh+5CJ\aJh+CJ\aJh+h+CJ\aJh+CJaJhXp\h?CJaJhXp\hULCJaJhXp\hFCJaJhXp\h[CJaJhXp\h'CJaJ34MNOmqr!GH}ƻưƥyƏncXXLhXp\h[5CJaJhXp\h[CJaJhXp\h'bCJaJhXp\h CJaJhXp\h>@CJaJhXp\hXp\CJaJhXp\hpCJaJhXp\h CJaJhXp\h rCJaJhXp\h>-CJaJhXp\hULCJaJhXp\h*CJaJhXp\hFCJaJh+hp5CJ\aJh+h CJaJh+hULCJaJ<? 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