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Waco-Mclennan County Public Health District: Pandemic Influenza Exercise After Action Report
"The purpose of this exercise was to foster understanding of concepts, identification of strengths and shortfalls, and education of partner organizations, to include the private sector, in pandemic response. It created an opportunity for participants to evaluate their current response concepts, plans, and capabilities for a community-wide response to a large-scale public health emergency driven by response to an infectious disease."
Waco-McLennan County Public Health District
2006-11-02?
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SEMP Biot #410: Tamiflu Alert! 36 Million Americans Owned Tamiflu in October 2006
"Of America's 300 million residents, about 36 million (12%) owned a supply of Tamiflu (oseltamivir), or similar antiviral drug, according to an October 2006 survey conducted by Robert Blendon, et al, Harvard School of Public Health. Tamiflu, a prescription drug, can reduce the duration of viral replication and improve prospects for survival, provided it is administered within 48 hours following symptom onset, according to the World Health Organization. Tamiflu should be an essential plan of any plan to control pandemic flu, according to the WHO and the U.S. Department of Health and Human Services. This new information about the surprising prevalence of Tamiflu in American homes adds fuel to the ongoing debate as to whether the government or the private sector is better qualified to supply essential public services, such as provision of Tamiflu, for management of a potential or actual flu epidemic or pandemic."
Suburban Emergency Management Project (U.S.)
2006-11-01
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DMORT Standard Operating Procedures for National Transportation Safety Board Activations
From the Synopsis: "This document delineates the general procedures used for DMORT [Disaster Mortuary Operational Response Team] operations when activated under an interagency agreement with the NTSB [National Transportation Safety Board]. They are designed to provide medical examiners, coroners, and other medicolegal authorities with the information they need to understand how DMORT operates in support of the local medico-legal authority in transportation accidents involving fatalities. Medical examiners and coroners should be aware that expectations of family members of accident victims (and by extension the general public, politicians, and the media) concerning identification and morgue operations are high. Non-scientific identifications, such as witness viewing for identification purposes can lead to misidentification, are is not an acceptable practice. Funding alone should not pose an obstacle to accurate and timely identification. Since most transportation carriers (or their underwriters) bear the reasonable costs for victim identification, medical examiner and coroner offices are expected to rely upon acceptable forensic techniques (fingerprinting, dental, radiological, DNA, etc.) for positive identification."
United States. National Transportation Safety Board; Disaster Mortuary Operational Response Teams
2006-11
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Targeted Social Distancing Design for Pandemic Influenza
This article discusses the benefits of simulating social contact networks to better understand the spread of influenza within a specific community. This understanding will allow for the development of targeted social distancing strategies to mitigate a pandemic's effects.
Emerging Infectious Diseases
2006-11
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Preparing For Pandemic Flu: A Call to Action - An Interim Report by the Blue Ribbon Commission on Mega-Catastrophes of the Financial Services Roundtable
This report addresses what needs to be done urgently to prepare for a pandemic, or more specifically, the pandemic flu. The report looks at vaccine production , its limited production and method of development and concludes that the current method of vaccine production and distribution is inadequate in staving off a pandemic flu. It recommends a series of steps to change the current methodologies to be prepared for an inevitable outbreak of a deadly strain. Steps include; developing more timely vaccine technologies; license to maximum dissemination; develop a more aggressive annual flu shots; develop a more robust treatment program from those afflicted; develop and test preparedness plans and work globally to stem the migration of deadly strains
Financial Services Roundtable
Blue Ribbon Commission on Mega-Catastrophes
2006-11-01
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Oregon Public Health Pandemic Influenza Plan
"The 2006 Oregon Pandemic Influenza Plan builds on a planning effort that began in 2001. The detailed federal Health and Human Services plan released in November 2005 and the steady spread of a new type of severe influenza in birds (H5N1) prompted the expansion and revision of the Oregon plan. The Oregon Pandemic Influenza Plan is a 'Hazard-Specific Appendix' of the Health and Medical (ESF 8) Annex of the State of Oregon Emergency Plan; it contains information and concepts that are specific for pandemic influenza and is not intended as a stand-alone plan. […] The World Health Organization (WHO) developed a planning framework that describes 3 periods of pandemic threat: Interpandemic (no threat), Pandemic Alert (possible threat), and Pandemic (outbreak started). This plan follows the WHO scheme with the understanding that actual events may not be so easily characterized. The public health response will intensify as a pandemic appears more likely and with the proximity of a new strain of influenza to North America or the Northwest. If a pandemic occurs, the Oregon State Public Health Division (OSPHD) will be the lead state agency in Oregon and will operate under a National Incident Management System compliant Incident Command System, in collaboration with Oregon's 34 local health departments as well as American Indian tribal jurisdictions. Timely and consistent information for the public, hospitals, health care providers and other partners will be coordinated through a Joint Information Center (JIC). OSPHD and local health departments will support hospitals and health care providers in their efforts to provide essential routine care as well as the additional emergency care needed during a pandemic."
Oregon. Department of Human Services
2006-11-01
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Oregon Department of Human Services Public Health Pandemic Influenza Plan
"This plan is an appendix to the Oregon State Emergency Management Plan. It is organized into the following parts: The appendix explains the roles and strategies of OSPHD [Oregon State Public Health Division] in coordinating the public health response to a pandemic with the federal government, local health departments, the health care community, and other key partners; Attachments to this appendix describe specific OSPHD activities, such as communication, surveillance, and distribution of vaccine and antiviral drugs before, during and after a pandemic; Tabs in each attachment provide more detailed descriptions of these activities."
Oregon. Department of Human Services
2006-11-01
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Preparing Your Business, Pandemic Flu and Other Emergencies: A Scenario
This scenario below is framed around a moderate to severe influenza pandemic. It aims to provide businesses with a starting point to begin to prepare for pandemic influenza. This framework could also apply to other serious communicable disease outbreaks within a community, as it would likely affect the workforce in a similar manner. In addition, much would be equally applicable to a severe snow storm making transportation difficult, a flood, or other emergency.
West Virginia. Department of Health & Human Resources
2006-11-01
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University of North Carolina Pandemic Influenza Response Plan - Incident Level Responsibilities
This document summarizes responsibilities of emergency management personnel and school officials in an event of a pandemic.
University of North Carolina at Chapel Hill
2006-11
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Louisville Metro Department of Public Health and Wellness Pandemic Influenza and Highly Infectious Respiratory Disease Standard Operating Guide
"This SOG describes the roles, responsibilities, and activities of the Louisville Metro Department of Public Health and Wellness while outlining activities to educate and prepare the general public and community partners. This SOG is intended to limit the mortality, morbidity and spread of a pandemic influenza virus or other highly infectious respiratory disease. This SOG supports the LMPHW's EOP and the Emergency Support Function 8 (Health and Medical Services) of the Louisville Jefferson County Emergency Operations Plan.
This SOG operates under the guidance of the Louisville Jefferson County Emergency Operations Plan and the Louisville Metro Department of Public Health and Wellness Emergency Operations Plan. The Louisville Metro Department of Public Health and Wellness's Pandemic Influenza and Highly Infectious Respiratory Disease Standard Operating Guide is a working document subject to change. All modifications, additions, and updates are subject to review. This version has been reviewed for content. Influenza viruses cause significant morbidity and mortality every year throughout the world. Approximately 30,000 people die annually in the United States alone due to influenza. The influenza virus changes a small amount every year via a phenomenon called antigenic drift, allowing the virus to evade community immunity and cause new disease in a population. Antigenic drift occasionally produces a new virus very different than the viruses of the preceding several years. These very different viruses cause influenza pandemics, characterized by sharp increases in the number of people who both become ill and die due to influenza."
Louisville Metro Department of Public Health and Wellness
2006-11
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United States Nuclear Regulatory Commission: Interim Pandemic Response Plan
The NRC's Pandemic Response Plan is intended to equip NRC managers and staff to maintain adequate protection of public health and safety, promotion of the common defense and security, and protection of the environment through the continuity of the agency's more important functions, identified as Pandemic Priority Functions (PPFs), in the event of a pandemic that could significantly increase absenteeism at NRC and in licensed activities. In conjunction with this Plan, each NRC Office and Region will develop Office-level procedures to
support continuation of these priority functions during a pandemic. Unlike the NRC Continuity of Operations (COOP) Plan which provides for continuity of mission-essential agency functions for up to 30 days during and after natural or man-made emergencies that are expected to occur at times and places that are fairly well defined, this Plan provides for continuity of NRC operations in response to a pandemic which could present a more persistent and widespread assault that may grow and fade over a period of many months before finally
dying out.
U.S. Nuclear Regulatory Commission
2006-11-01
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Pandemic Influenza Implementation Plan: Part I of II
"Part I of the HHS Implementation Plan identifies eight cross-cutting issues that encompass many of the themes noted in the HHS [Health and Human Services] Strategic Plan and Guidance for State and Local Partners. These themes include infection control, laboratory diagnostics, surveillance, health care planning, and workforce support. Each chapter outlines actions and specific steps the Department will undertake to fulfill the directives of the HSC [Homeland Security Council] and accomplish pandemic preparedness. The eight cross-cutting issue chapters are: 1) International Activities 2) Domestic Surveillance 3) Public Health Interventions 4) Federal Medical Response 5) Vaccines 6) Antiviral Drugs 7) Communications 8) State, Local, and Tribal Preparedness. The action steps in these eight chapters are organized by the three pillars identified in the National Strategy for Pandemic Influenza: preparedness and communication; surveillance and detection; and response and containment. The implementation of the HHS action steps is contingent upon the availability of resources."
United States. Department of Health and Human Services
2006-11
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America Academy of Pediatrics Comments on Community Containment for Pandemic Flu
These comments by AAP president Jay Berkelhamer address the potential impact of pandemic flu community containment measures on the health and welfare of children.
American Academy of Pediatrics
2006-10-26?
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Pandemic and the Public: Survey Findings
This PowerPoint presentation details the findings of a survey conducted by the Harvard School of Public Health on the public's cooperation with disease containment measures in the event of a pandemic flu outbreak. The survey found that a substantial portion of Americans would willingly comply with public health officials' recommendations and requests during a pandemic.
Harvard School of Public Health
Blendon, Robert J.; Benson, John M.; Weldon, Kathleen J. . . .
2006-10-26
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Guidance for Educational Institutions Pandemic Influenza Response [State of New Hampshire, October 24, 2006]
From the Background: "Influenza is a highly infectious respiratory illness caused by influenza viruses. Influenza viruses are distinctive in their ability to cause sudden, pervasive illness in all age groups worldwide. Previous pandemics, caused by novel virus strains against which the population had no previous immunity, caused disproportionate illness and death in young, previously healthy adults. The recent avian influenza reports are reminders that the potential for efficient person-to-person transmission of a novel virus strain is approaching. Pandemic influenza would be a unique public health emergency due to the fact that outbreaks are expected to occur simultaneously throughout much of the country and in the State, preventing shifts in human and material resources that normally occur in most other natural disasters."
New Hampshire. Department of Health and Human Services
2006-10-24
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Pandemic Influenza Planning in San Francisco
This presentation explains the difference between seasonal, avian and pandemic influenzas in an easily accessible format. It also details preparedness efforts by the City and County of San Francisco to mitigate the effects of pandemic influenza.
San Francisco (Calif.). Department of Public Health
Pan, Erica
2006-10-23
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Pandemic Influenza: Infection Control for the Workplace
This presentation by Dr. Yeva Johnson provides recommendations on infection control for the workplace. The PowerPoint slides include information for business owners regarding infectious diseases and provide guidance on steps to be taken in the case of a pandemic flu outbreak.
San Francisco (Calif.). Department of Public Health
Johnson, Yeva
2006-10-23?
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Pandemic Influenza Business Continuity Guide and Template for San Francisco Businesses
"The primary purpose of the Pandemic Influenza Business Continuity Plan is to enable the [Organization] to respond effectively and efficiently to ensure that essential operations are maintained during an influenza pandemic. Our [Organization's] objectives during a local pandemic influenza are the following: (1) Reduce transmission of the pandemic virus strain among our employees, customers/clients, and partners; (2) Minimize illness among employees and customers/clients; (3) Maintain mission-critical operations and services; (4) Minimize social disruptions and the economic impact of a pandemic."
San Francisco (Calif.). Department of Public Health
2006-10-19
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Pandemic Flu, San Francisco City and County Preparedness
This fact sheet, sponsored by the San Francisco Department of Public Health, Communicable Disease Control and Prevention Section, provides information regarding preparedness efforts by the City and County of San Francisco government.
San Francisco (Calif.). Department of Public Health
2006-10-19
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Infectious Disease Outbreaks: Establishing Separate Triage and Assessment Facilities
"During an infectious disease outbreak, public health and medical professionals may guard against disease transmission in medical settings by setting up separate triage and assessment centers."
Lessons Learned Information Sharing (LLIS)
2006-10-13?
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Guidance for Educational Institutions Pandemic Influenza Response [State of New Hampshire, October 10, 2006]
From the Purpose: "The purpose of this document is to assist educational institutions in their development of institution-specific pandemic influenza preparedness and response plans. Because a pandemic would most likely occur in phases, the activities in this guidance are also separated out by phases (see below). However, the activities are cumulative, and should carry over from one phase to the next. For a checklist of both preparedness and response activities, see Appendix 2: Suggested Checklist. This guidance is a fluid document that may be updated and edited as new information becomes available."
New Hampshire. Department of Health and Human Services
2006-10-10
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Illinois Pandemic Influenza Preparedness and Response Plan
The intent of this plan is to provide the framework for how the state of Illinois would prevent or mitigate the effects of an influenza pandemic should the new strain of the virus which has been found in birds in Asia begin infecting humans here. The plan is intended to be implemented within a unified command structure with representation from local, state and federal responders. LLIS Core Capability: Public Health; State and Local Executive Offices; Community Preparedness
Illinois. Department of Public Health
2006-10-10?
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State of Illinois Pandemic Influenza Preparedness and Response Plan: Version 2.05
"Most of us are familiar with seasonal influenza or the 'flu,' a viral infection that, despite annual vaccinations, results in approximately 36,000 deaths in the United States and more than 200,000 hospitalizations annually. Intermittently over the centuries, changes in the genetic makeup of influenza virus result in a new strain to which people have never been exposed. These new strains have the potential to cause a pandemic or worldwide outbreak of influenza, with potentially catastrophic consequences. In Illinois alone, a pandemic of even modest severity could result in thousands of deaths and the sickening of millions, even among previously healthy persons. A new strain of influenza virus, H5N1, has been found in birds in Asia and Europe, and has shown it can infect humans. If this avian virus undergoes further change, it could very well be the source of a new pandemic. It is impossible to know whether the currently circulating H5N1 strain will cause a human pandemic, but history and science suggest that the world will face one or more pandemics this century. […] The intent of the plan is to describe a framework for Illinois to stop, slow or otherwise limit the spread of an influenza pandemic and sustain infrastructure and mitigate the impact to the economy and reduce social disruption. It provides the executive branch of state government with a set of preparedness activities and response functions, and provides local health departments, health care provider systems, and first responder organizations with preparedness and response expectations."
Illinois
2006-10-10
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Florida Emergency Operations Plan: Pandemic Influenza Annex (2006)
"The purpose of this annex is to describe the coordinated Department of Health efforts relative to a threatened or actual pandemic influenza event in Florida due to a novel virus. The annex provides an overarching strategic approach the department will use in preparing for, and responding to, these events, and offers technical guidelines and supporting material for event decision-making. This annex may serve as a resource for planning efforts for other entities outside of the department. The goals of these coordinated efforts are: Reduce morbidity and mortality resulting from a pandemic event; Provide alignment between local, state, national and international plans."
Florida. Department of Health
2006-10-09
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Quarantine and Isolation: Offering Income Replacement to Quarantined Citizens
"Quarantine and isolation measures that require citizens to be absent from work for a given period of time may result in the loss of income for affected citizens. During the Severe Acute Respiratory Syndrome (SARS) virus outbreak in Toronto, Canada in 2003, the provincial government created a program that compensated individuals who were forced to be absent from work due to SARS-related causes."
Lessons Learned Information Sharing (LLIS)
2006-10-06?
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Quarantine and Isolation: Ensuring Employment Security for Quarantined Populations
"Public health intervention measures such as quarantine and isolation may threaten an individual's employment status by requiring the employee to be absent from work. During the 2003 Severe Acute Respiratory Syndrome (SARS) virus outbreak in Toronto, Canada, the provincial government of Ontario passed legislation that protected the jobs of quarantined and isolated individuals on SARS-related leave."
Lessons Learned Information Sharing (LLIS)
2006-10-06?
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Pandemic Influenza Preparedness: An Ethical Framework to Guide Decision-Making
From the Abstract: "In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework."
BioMed Central Ltd.
Thompson, Alison K.; Faith, Karen; Gibson, Jennifer L. . . .
2006-10-04
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ASTHO Survey of State and Territorial Pandemic Influenza Antiviral Purchase and Stockpiling
"In October 2006, ASTHO [Association of State and Territorial Health Officials] conducted a survey of the states and territories to provide a point-in-time picture of the states' antiviral purchasing and stockpiling activities and plans. This survey is a follow-up to a survey that was conducted in April 2006, the results from which are available on ASTHO's web site. ASTHO received a total of 54 responses from 50 states, the District of Columbia, and 3 territories. State and territorial responses reflect activities as of October 1, 2006."
Association of State and Territorial Health Officials (U.S.)
2006-10
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Pandemic Influenza Response Plan Annex to the UNCW All Hazards Emergency Operations Plan
This plan establishes policies, procedures, and organizational structure for response, to pandemic flu or other infectious disease emergency that may cause a significant disruption of the functions of all or portions of the university. This plan describes, the roles and responsibilities of university departments and individuals in a, pandemic flu or other infectious disease emergency, and should be implemented, when there is a potential pandemic flu threat to the United States.
University of North Carolina at Wilmington
2006-10-01?
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Pandemic Influenza (U) [powerpoint]
This brief covers Pandemic Influenza, how it differs from Seasonal Flu, and how you can be prepared as an organization, individual units, family, and individuals. It also covers influenza vaccines, and the social consequences of pandemic influenza. Human Influenza Disease: occurs mostly during fall/winter in the United States; is spread by airborne droplets; viral shedding begins before symptoms start and may continue after symptoms begin the resolve; the symptoms are: fever, dry cough, aches and pains, malaise, and runny nose; symptoms may last 5-7 days in healthy individuals; and full recovery may be prolonged. Flu viruses change slightly each year and each year vaccines are developed to counter new strains. Vaccines are the single most effective way to protect yourself against: most common and worst strains, severe illness, and keeps it from being spread. Three conditions required for a pandemic to start: new virus is introduced to humans, virus changes to be easily passed from person to person, and people travel and move, carrying the virus. The social consequences are: agricultural impact, overwhelmed infrastructure, and global economic impact. National and international preparedness measures include: preparedness and communication, surveillance and detection, and response and containment.
North American Aerospace Defense Command; United States. Northern Command
2006-10
