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New York State Department of Health Severe Acute Respiratory Syndrome (SARS) Model Voluntary Home Isolation and Quarantine Agreements
The New York State Department of Health (NYSDOH) Division of Legal Affairs has developed the Model Voluntary Home Isolation Agreement and the Model Voluntary Home Quarantine Agreement for the local health departments (LHD) to use when asking a suspect or probable SARS patient or contact to submit to voluntary isolation or quarantine.
New York (State). Department of Health
2006
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Position Statement: Pandemic Influenza Antiviral Stockpiling
"Pandemic influenza poses a tremendous threat to the United States and to the world, with the potential to impact not only the health of the population, but society overall. Antivirals are one of several measures to control the impact of pandemic influenza, and their use must be balanced with other countermeasure and containment options. The Department of Health and Human Services' (HHS) Pandemic Influenza Plan, released in November 2005, calls for stockpiling antivirals to treat 25% of the U.S. population during a pandemic - approximately 81 million treatment courses. This represents a significant investment of resources, including time and money, at both the state and federal levels. The current antiviral stockpiling proposal, announced by the federal government in early 2006, is a joint activity primarily between the states and the federal government, with the federal government purchasing a total of 50 million doses and the states purchasing up to 31 million doses at a subsidized price through federally-negotiated contracts with two drug manufacturers. This countermeasure must be managed and used in the most efficient and equitable manner to ensure maximum impact."
Association of State and Territorial Health Officials (U.S.)
2006
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Modeling Community Containment for Pandemic Influenza: A Letter Report
The Institute of Medicine (IOM) Committee on Modeling Containment for Pandemic Influenza was charged with convening a major workshop to review: 1) the quality of existing models about a potential influenza pandemic and their utility for predicting the effects of various community containment policies on disease mitigation; 2) the available science and previous analyses of the efficacy of community mitigation approaches; and 3) the historical record of community interventions utilized during previous influenza pandemics and other relevant outbreaks. This document is the letter report based primarily on information from the workshop. It includes conclusions and recommendations.
National Academies Press (U.S.)
2006
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State Pandemic Influenza Summits: Building Partnerships for Pandemic Preparedness
"All states and territories were asked to hold a pandemic influenza planning summit during the first half of 2006, as part of the national pandemic influenza planning process. U.S. Secretary of Health and Human Services (HHS), Michael O. Leavitt, requested the summits to inform and involve public health, emergency response, political, economic and community leadership in the pandemic planning process and to facilitate coordination among all of these groups. The summits were planned by the states, with input from federal coordinators. While state governors led the summits, state health agencies were most often the lead agency in planning the event. Each state summit was organized differently-some occurred in the morning, some were afternoon summits, and some states had all-day summits with morning or afternoon break-out sessions. This report captures the general trends, experiences, and outcomes of the summits, and highlights innovative planning mechanisms that may be adapted for other health-related purposes. The information in this report comes from debriefing interviews that the Association of State and Territorial Health Officials (ASTHO) conducted with 37 states following their individual summits. ASTHO appreciates the collaborative work being done by HHS, including the Centers for Disease Control and Prevention (CDC), and the Department of Homeland Security (DHS) to ensure the nation is prepared for an influenza pandemic. Their participation in these summits helped raise public, political, and media attention for pandemic preparedness and reinforced on-going planning and preparedness efforts by state and local public health agencies."
Association of State and Territorial Health Officials (U.S.)
2006
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Michigan School Lockdown/Shelter-in-Place Policy
This document includes the State of Michigan's drill policy, lockdown suggestion actions template, shelter-in-place suggested actions template, drill documentation form, and drill suggestions and guidelines.
Michigan. Department of Education; Michigan. Emergency Management and Homeland Security Division
2006
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Shelter in Place at Your Office: A General Guide for Preparing a Shelter in Place Plan in the Workplace
This is an example of a plan that a business could develop for shelter in place actions. The following plan can be, used to assist in developing more organization-specific plans. LLIS Core Capability: Occupational Safety and Health; HazMat; Private Sector; Private Sector
National Institute for Chemical Studies (U.S.)
2006-01-01?
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Preparing for Pandemic Influenza: A Personal and Family Guide
From the Secretary of Health: "Most of us are familiar with influenza or 'the flu' that comes each year, but there is another type of flu as well. It begins in birds or animals and then passes to humans. It has the potential to make millions sick in our country and around the world, and it could be far more deadly than the seasonal flu. Many health experts believe the current avian flu outbreak that began in Asia could start the next worldwide flu pandemic. We cannot be certain of that, but we know flu pandemics happen regularly. We need to be ready, and as recent events have shown, it is wise to be prepared for the worst. That will take the people of our communities, business and government working together. This guide is designed to answer some of your questions about a flu pandemic and to suggest simple things you can do to prepare. Taking precautions like washing your hands, covering your cough and avoiding others when you are sick are surprisingly powerful ways to fight the spread of disease. Knowing what could happen is the first step toward being prepared. I hope you will take the time to read through this information, share it with others and take action. You can make a difference, and help keep Washington safe and healthy."
Washington (State). Department of Health
2006-01-01?
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Pandemic Flu and You What If Schools Close?
Internet resources for parents of school-aged children in the event of school closure due to a pandemic. LLIS Core Capability: Community Preparedness
Washington County (Or.)
2006-01-01?
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Adams County, WA Flu Pandemic Preparedness for Schools
This document provides information for citizens on influenza pandemic planning for schools, including: "mitigation"; "business continuity planning"; "educating staff for recognizing flu symptoms"; "monitoring the illness"; "antivirals and vaccines"; as well as "communication".
Adams County (Wash.). Health Department
2006-01-01?
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In Case of Emergency Are You Ready? Important Things to Know about Disease Control, Natural Disasters, Hazardous Materials, Injury Prevention, Food & Water Safety, Coping with Disasters, Pandemic Influenza
"Many types of disasters can create public health problems--weather, chemical, radiological and biological. Injury or illness can occur as a direct result of the event, or as a result of people trying to cope with the event. The most important fact to remember about any disaster is this: by being prepared, you can help prevent or reduce harm to your family, yourself and others. This booklet was written to give you basic disaster preparedness education. I urge you to take the time to read the information and make your own emergency plans with family, friends, caregivers and co-workers. You should update these plans at least once a year, or when there is an important change in contacts or other information."
Alabama. Department of Public Health
2006
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Pandemic Influenza: What's This Bird Flu That Everyone Is Talking About
This is a video presentation by Sharon Medcalf that provides information regarding the bird flu. In this presentation she compares seasonal flu to avian influenza, discusses how these illnesses spread, and also explains the differences between a pandemic and an epidemic.
Center for Biopreparedness Education
Medcalf, Sharon
2006
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Oregon Pandemic Influenza Fact Sheet
This guide offers Oregon citizens information on what pandemic influenza is, surveillance and detection, prevention, risks, and treatment.
Oregon. Department of Human Services
2006-01-01?
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Macon County, IL Pandemic Influenza Guide
This guide provides information on what a pandemic influenza is. In addition, it offers citizens information on preparing for a potential outbreak.
Macon County (Ill.)
2006-01-01?
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Health Care Response to Pandemic Influenza
"Substantial epidemiological research and medical evidence in recent years have highlighted the necessity of planning to safeguard the American public against the threat of pandemic influenza. Although no new strain of influenza virus has yet achieved the capacity for easy transmission between humans, experts are concerned that one will in the near future. The morbidity and mortality that could occur as a result of this development is not precisely predictable, but the impact would be felt by all human populations around the world. Of particular concern is an influenza A subtype known as H5N1 or avian flu. Now spreading through bird populations across Asia and recently reaching into Europe, this new influenza strain has infected domesticated birds like ducks and chickens as well as long-range migratory birds. In 1997, the first recorded outbreak among people took place in Hong Kong. Avian flu struck again in late 2003 and has infected 184 people since then. Currently, avian flu is primarily an animal disease. Unless people come into direct, sustained contact with infected birds, it is unlikely they will contract the disease. The American College of Physicians (ACP) supports the U.S. Government's foresight in developing a national strategic response plan and the efforts of state and local leadership in addressing this threat to public health. A comprehensive health care response to this threat is necessary to save lives, decrease illness, and avoid disruption to the economy."
American College of Physicians
Barnitz, Laura
2006
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Incident Annex, Disease Outbreak, Pandemic Influenza [Draft]
This annex to the Colorado Department of Public Health and Environment Internal Emergency Response Plan serves as Colorado's draft pandemic influenza response plan. As such, it provides guidance to state agencies and departments to counter the anticipated impact of a pandemic flu outbreak. LLIS Core Capability: Emergency Management; Public Health; Community Preparedness; Emergency Management
Colorado. Department of Public Health and Environment
2006-01-01?
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Interim Pandemic Response Plan
"The NRC [Nuclear Regulatory Commission] Pandemic Response Plan [...] is intended to be complementary to the COOP [Continuity of Operations Plan] in that it provides for continuity of mission essential operations in response to a pandemic which could present a more persistent and widespread assault that may grow and fade across the Nation over a period of many months before finally dying out."
U.S. Nuclear Regulatory Commission
2006-01-01?
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Schools Respond to Infectious Disease
This document published by the Emergency Response and Crisis Management (ECRM) Technical Assistance Center discusses the need for schools and school districts to develop a comprehensive emergency response plan against infectious diseases. "Every year, schools confront a range of infectious diseases such as chicken pox, lice, ringworm and seasonal influenza. In response, faculty and staff work together to control the outbreak, quell fears and dispel rumors. For example, school administrators may educate faculty about the disease, send notices home to parents to warn about the dangers of an outbreak and work collaboratively with the school nurse and other trained staff to accurately identify and treat sick children. However, a new strain of influenza--such as a mutation of the avian influenza virus (N5H1)--that spreads easily from person to person and triggers a pandemic, or global outbreak, would pose incredible challenges not only to health care providers, but also to schools and school districts. Now is the time for the education community to begin planning for an emergency health care response that will protect the health and well-being of students and staff. [...] Schools tend to be affected by outbreaks more than other settings because their occupants--primarily children--easily transmit illnesses to one another as a result of their close proximity and their inefficiency at containing the droplets issued by their coughs and sneezes. Compared to seasonal influenza outbreaks that are usually short-lived and more easily managed (e.g., instruction can proceed with substitute teachers and assignments can be sent home to ill students), an influenza pandemic could seriously disrupt the daily operations of a school."
United States. Department of Education
2006
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Project Bioshield Reauthorization Issues: Hearing Before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Ninth Congress, Second Session, April 6, 2006
From the opening statement of Nathan Deal: "We are pleased to have a very special group of individuals to testify before the committee today on two separate panels. Today, we are going to be reviewing one of the critical pieces of our biodefense structure. This committee has important responsibilities in this area and has passed a number of pieces of legislation to deal with chemical, biological, radiological, and nuclear threats. I want to commend the leadership of the President in leading the way on pandemic flu preparedness and biodefense preparedness. I know activities are underway at multiple Departments, including HHS, the Department of Homeland Security, and the Department of Defense, dealing with these issues. A great deal has been done with respect to the first round of material threats as defined by the Department of Homeland Security. There are many continuing questions about how to access threats, whether these should include naturally occurring threats, and how to develop an appropriate response." Statements, letters, and materials submitted for the record include those of the following: Nathan Deal, Joe Barton, Frank Pallone, Jr., Joe Barton, Barbara Cubin, Alex M. Azar, Tara O'Toole, Peter F. Young, Bruce Cohen, David P. Wright, and Martin Blaser.
United States. Government Printing Office
2006
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Preparing for Pandemic Flu: Hearing Before the Special Committee on Aging, United States Senate, One Hundred Ninth Congress, May 25, 2006
From the opening statement of Gordon Smith: "We have heard a great deal in the last several years about emergency planning and response. The tragedies of September 11 and Hurricanes Katrina and Rita showed us all just how vulnerable we can be to both man-made and natural disasters. Applying the lessons we learned from the past, we move forward with preparing to address the potential threats of tomorrow. While much may still be unknown about those threats, more and more indicators suggest that we may soon face a pandemic outbreak of a new influenza virus. One does not have to look far back into history to see how devastating a severe pandemic flu can be to our society. In 1918, Spanish flu killed an estimated 2 percent of the world's population, mainly the young and the healthy. The milder Hong Kong flu outbreak in 1968 killed 34,000 in the U.S. alone, and caused between $71 and $166 billion in economic losses. We have been fortunate not to experience a catastrophic flu outbreak for many decades, but the emergence of the highly aggressive avian flu virus in the late 1990's has generated a sense of urgency among the world's public health officials. Just this week, a case of human-to-human transmission of the avian flu virus was reported in Indonesia. Reports such as these suggest that the next severe influenza outbreak could be looming on the horizon. In response to this threat, the United States has undertaken a significant effort to prepare for the next pandemic. Just recently, the Homeland Security Council released a lengthy pandemic influenza implementation plan. This report provides broad directives for all sectors of our society to follow in order to effectively prepare for the next flu outbreak." Statements, letters, and materials submitted for the record include those of the following: Gordon Smith, Herb Kohl, Michael O. Leavitt, Nancy Donegan, J. Steven Cline, and Hillary Rodham Clinton.
United States. Government Printing Office
2006
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Preparing for Pandemic Flu: A Family Checklist [video]
This video defines flu variations and suggests four things parents can do to prepare for it.
United States. Department of Education
2006
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Pandemic Influenza Preparedness: Adaptive Responses to an Evolving Challenge
"In the United States, preparation for a potential influenza pandemic is receiving heightened media coverage and scrutiny. Scientific attention is focused on the potential for the current Southeastern Asian avian flu virus, influenza A (H5N1), to become a pandemic threat through genetic mutation and viral reassortment. It is imperative that we act now, as we face an evolving and advancing disease state with insufficient national preparation. Existing preparedness plans address laboratory and disease surveillance, community containment and border protection, and mass dispensing and vaccination strategies. However, little attention has been directed to identifying and managing psychological and social factors likely to influence human behavior during a pandemic. All of our health and medical strategies require people to behave in prescribed ways to avoid exposure, prevent infection, or halt disease transmission. This article provides timely expert panel recommendations for pandemic influenza response and recovery by addressing human behavior and adaptation."
Berkeley Electronic Press
Reissman, Dori B.; Watson, Patricia J.; Klomp, Richard W. . . .
2006
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Vaccines and Antiviral Drugs in Pandemic Preparedness
"While measures such as closing schools and social distancing may slow the effects of pandemic influenza, only vaccines and antiviral drugs are clearly efficacious in preventing infection or treating illness. Unless the pandemic strain closely resembles one already recognized, vaccine will not be available early. However, studies can be conducted beforehand to address questions concerning vaccine dose, frequency of inoculation, and need for adjuvants. In contrast, antiviral drugs, particularly the neuraminidase inhibitors, will be effective for treatment and available if stockpiling takes place. Special questions need to be answered if a highly lethal virus, such as influenza A (H5N1), produces the pandemic. Both vaccines and antiviral drugs will be required for a coordinated strategy."
Emerging Infectious Diseases
Monto, Arnold S.
2006-01
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National Influenza Pandemic Preparedness and Response Plan [Tonga]
This document is the pandemic influenza response plan for the country of Tonga effective 2006. "This Plan aims at providing guidance for strategic activities for Tonga to be undertaken by respective stakeholders in order to address the threat and in response to an event of an influenza-pandemic. The Plan is targeted to be used by wide range of people who will be involved in the planning and responding to the threat of a pandemic, namely the Ministry of Health staffs [public and clinical health staffs, auxillary services eg laboratory, health administrators/planners], other essential service providers [eg Immigration, Police, Defense, Justice, Education, Red Cross, others], Border control [Aviation, Port Authority], Media and Communication, civil society. It is to provide national guidance for all the stakeholders, as represented in the Epidemic/Pandemic taskforce, to plan and operationalise strategic response to the threat or the even of an influenza-pandemic. It is also to be used not only as an advisory tool to the Government but also as a guide for monetary assumptions for funding and/or seek funding of the Plan The development of the Plan is in accordance to the revised Global pandemic phases as provided by the World Health Organization (WHO) pandemic plan 2005. There are prescribed activities as per phase but they are not limited to that phase only, and in accordance to some assumptions that may be appropriate for Tonga."
Tonga
Kupu, Seini
2006
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Australian Health Management Plan for Pandemic Influenza: Important Information For All Australians [2006]
Taken from the Introduction: "Despite advances in medicine, science and technology, when a new disease emerges human beings will always be susceptible for a time until effective vaccines and treatments can be developed. From time to time, new forms of the influenza virus, against which many people have little or no immunity, emerge in animals and in humans. Such viruses have the potential to cause a pandemic. […] This Australian Health Management Plan for Pandemic Influenza outlines (from a health perspective) what the Commonwealth Government is doing--and what the health sector, key stakeholder groups, organisations, the community and individuals can do--to prepare for a pandemic. It builds on the original Australian Management Plan for Pandemic Influenza released in June 2005, drawing on the latest expert epidemiological advice and on extensive consultations with the health sector, key industry sectors and the community."
Australia. Department of Health and Ageing
2006
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After-Action Report (AAR): University of Washington Disaster Resistant University (Dru) Pandemic Influenza Functional Tabletop Exercise
"The University of Washington's (UW) 2006 annual emergency preparedness exercise was held on Wednesday, May 31, 2006. The exercise involved a simulated communicable disease outbreak that affected the Seattle, Bothell, and Tacoma campuses, and the entire region. There were 56 participants, representing UW administrators, unit leaders, and departments as well as external agencies. The primary purpose of this exercise was to test the adequacy of the University's emergency response plan during all phases of a simulated pandemic influenza (flu) event. This report is based upon the observations and evaluations of the exercise, and is intended to assist UW units and operating departments in enhancing emergency preparedness."
University of Washington
2006?
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Howard County, MD Local Pandemic Influenza Plan
As required by the Code of Maryland Regulation, the Howard County Health, Department is taking the lead role in planning for and responding to an influenza pandemic. The goal of the Department's local pandemic planning and response is to minimize the health, social and economic consequences of an influenza pandemic in Howard County. This document describes how Howard County is implementing the planning process and what its goals are.
Howard County (Md.)
2006-01-01?
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Human Capital Planning for Pandemic Influenza: Information for Agencies and Departments
"The President's Implementation Plan for the National Strategy for Pandemic Influenza (Implementation Plan), issued on May 3, 2006, called on the Office of Personnel Management (OPM) to provide guidance to Federal departments and agencies on human capital management and continuity of operations planning criteria related to pandemic influenza. In addition, the Implementation Plan required OPM to update its Telework Guide to provide guidance to Federal departments and agencies regarding workplace options during a pandemic. OPM's Human Capital Planning for Pandemic Influenza: Information for Departments and Agencies (Guide), issued in three installments beginning in June 2006, is our response to the President's directive. The Guide was developed in coordination with the Emergency Preparedness Subcommittee of the Chief Human Capital Officers Council, including representatives from the Departments of Agriculture, Defense, Health and Human Services, Homeland Security, Labor, State, and Transportation, and the Nuclear Regulatory Commission. While the Guide has been prepared specifically with the possibility of a pandemic influenza in mind, most of the information is equally applicable in other pandemic health crisis situations as well as in many other emergency situations. A quick glance at the Table of Contents shows the guide has been organized to present policy guidance in a variety of formats, including comprehensive statements of policy guidance; fact sheets and guides intended for various audiences; planning guides for agencies, human resources professionals, and managers; and questions and answers. The Table of Contents identifies the specific audiences for which each kind of guidance may be useful."
United States. Office of Personnel Management
2006
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Pandemic Flu Plan: Lummi Nation, Draft
"The primary goal of this plan is to give local decision makers a clear and easy to read guide that defines roles, responsibilities and predetermined decision points that are likely to occur throughout the pandemic. In addition to being a guide to response, the plan should also serve as a lightning rod for the potentially politically charged and complicated questions that need to be asked and answered well before the onset of any pandemic."
Northwest Tribal Emergency Management Council
2006
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Pandemic Planning: Overview of Pandemic Influenza & Planning Update
This 62-slide presentation from the Massachusetts Executive Office of Health & Human Services provides extensive detail about pandemic flu, preparedness, and response in Massachusetts. The presentation details state and local planning efforts, continuity of operations planning processes, and the regional strategy within the Commonwealth. [Note: the date in the presentation reflects the date it was accessed and stored, not the date it was prepared.]
Massachusetts. Executive Office of Health & Human Services
2006
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Working through an Outbreak: Pandemic Flu Planning and Continuity of Operations, Hearing Before the Committee on Government Reform, House of Representatives, One Hundred Ninth Congress, Second Session, May 11, 2006
From the opening statement of Tom Davis: "We are going to have two very distinguished panels of witnesses here today to discuss what health experts describe as one of the largest dangers facing our Nation - the threat of pandemic flu. We don't know when or where the next pandemic will strike. We don't know what strain of influenza will be the culprit, although much evidence points to the avian flu. The virulent H5N1 strain has already caused 115 deaths in Southeast Asia, China, and the Middle East. Nor do we know if avian flu will turn out to be more like swine flu, a pandemic that never materialized. But regardless, we need to improve our readiness because we can be sure that the next flu pandemic is a matter of when, not if. And when that time does come, the stakes will be enormous...It is our responsibility to make sure America is prepared, not just prepared to address the massive health implications of a pandemic, but prepared for the enormous economic and societal disruptions as well. Beyond efforts to protect human health, Government agencies and private sector businesses must have the ability to maintain essential functions through an outbreak. Recent natural disasters and terrorist attacks raise questions about how the Federal Government will continue to operate during emergencies." Statements, letters, and materials submitted for the record include those of the following: Tom Davis, Scott Kriens, Paul B. Kurtz, Alonzo Plough, David M. Walker, Linda D. Koontz, Linda Springer, John O. Agwunobi, Jeffrey W. Runge, Dan Burton, Elijah E. Cummings, Darrell E. Issa, Dennis J. Kucinich, Paul B. Kurtz, and Henry A. Waxman.
United States. Government Printing Office
2006