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• Metropolitan Medical Response System Program (MMRS) and Pandemic Flu Preparedness [presentation]

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  This presentation covers the Metropolitan Medical Response System Program and pandemic flu preparedness options for the U.S. House of Representatives Committee on Homeland Security staff.

  United States. Department of Homeland Security

  2005-12-29
• Local Mitigation Strategies for Pandemic Influenza

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  "Local, open-outbreak mitigation strategies for pandemic influenza that target zones of high infectious contact within a community's social network may be very effective. A networked agent-based model was used to instantiate the contact network within a stylized small town and vary the behavior of targeted groups. Simulations show that until sufficient vaccine becomes available, influenza could be halted solely through social distancing whereby children and teenagers stay home while the rest of the population continues normal day-to-day activities. Subsequent vaccinations that start with children and teenagers return the community to normalcy most rapidly, with the least illness, death, and vaccine."

  Sandia National Laboratories

  Glass, Robert J.

  2005-12-21
• Pandemic Flu Emergency Response Plan: Summary Report to Governor Donald L. Carcieri

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  This report, based on the December 2005 version of Rhode Island's pandemic flu plan, summarizes the major strategies for a statewide response to a pandemic flu event.

  Rhode Island

  Rhode Island. Pandemic Flu Working Group

  2005-12-20
• Rhode Island Pandemic Flu Emergency Response Plan

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  This document analyzes pandemic flu and the possible reactions to an outbreak in the state of Rhode Island. It details plans for action currently in place and makes suggestions for improving them.

  Rhode Island Emergency Management Agency

  2005-12-20
• Jefferson County Avian Influenza Workshop: December 14, 2005 [Colorado]

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  From the Executive Summary: "Avian Flu-H5N1 (AI) is a rapidly spreading disease that endangers both domestic and wild bird population. In its current form, it does not pose a significant threat to the general population. People who come in close contact with birds are at greater risk of contracting a life threatening infection that requires significant amounts of medical care and resources for successful treatment. The arrival of AI in Colorado will require an aggressive and coordinated multi-disciplinary response which will bring a large number of our response personnel into potentially dangerous contact with infected birds. It will also increase concerns about public health, environmental impacts, and possible infections of other domestic and wild species. AI is not currently rapidly transmissible among human beings. However, there is concern it may contribute to the emergence of a flu strain similar to the 1918 pandemic which killed millions of people globally. The probability, timing and nature of the emergence of pandemic flu are topics of significant debate within the public health community. This concern and the general public's lack of understanding of the differences between the current AI and the potential pandemic flu further complicate this issue. […] In support of this goal, the Jefferson County Division of Emergency Management and the Jefferson County Department of Public Health and Environment co-hosted a multi-disciplined workshop to discuss seven 'focus questions' to determine our current level of preparedness for AI, identify gaps, and facilitate an on-going effort to improve our readiness for AI. Although our current all-hazards efforts provide a solid basis for response to AI, there are several areas requiring additional enphasis. The following is a summary of this initial workshop."

  Jefferson County (Co.). Division of Emergency Management

  Moser, Greg

  2005-12-14
• Pandemic Influenza Planning in Minnesota: Presentation by the Minnesota Commissioner of Health

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  This presentation was given during the Minnesota Pandemic Response and Emergency Planning Summit. It discusses the State's influenza planning efforts and identifies the State's public awareness efforts and overall response capabilties improvements to date.

  Minnesota. Department of Health

  2005-12-14?
• Avian Flu Pandemic Response Plan Template

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  This Template was created as a GUIDE to help plan for business or government continuity during a Pandemic. LLIS Core Capability: Community Preparedness; Public Health; Private Sector; Private Sector; Private Sector; Private Sector

  eBRP Solutions

  2005-12-13?
• Federal and State Quarantine and Isolation Authority [December 12, 2005]

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  From the Summary: "In the wake of recent terrorist attacks and increasing fears about the spread of highly contagious diseases, such as severe acute respiratory syndrome (SARS) and pandemic influenza, federal, state, and local governments have become increasingly aware of the need for a comprehensive public health response to such events. An effective response could include the quarantine of persons exposed to infectious biological agents that are naturally occurring or released during a terrorist attack, the isolation of infected persons, and the quarantine of certain cities or neighborhoods. [...] This report provides an overview of federal and state public health laws as they relate to the quarantine and isolation of individuals, a discussion of constitutional issues that may be raised should individual liberties be restricted in a quarantine situation, and federalism questions that may arise where federal and state authorities overlap. In addition, the possible role of the armed forces in enforcing public health measures is discussed, specifically whether the Posse Comitatus Act would constrain any military role, and other statutory authorities that may be used for the military enforcement of health measures."

  Library of Congress. Congressional Research Service

  Elsea, Jennifer; Swendiman, Kathleen

  2005-12-12
• Pandemic Flu: For Servicemembers and their Families

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  "Pandemic flu is a global outbreak of flu that occurs when a new flu virus appears in people, causes serious illness, and spreads easily from person to person. A pandemic is a global outbreak of disease, while an epidemic is a widespread or regional outbreak. During the 20th Century, new influenza viruses caused three pandemics, the most recent in 1968. The most severe was the 1918-1919 'Spanish Flu', which caused more than 500,000 deaths in the United States and 20-40 million deaths worldwide. Nearly half of those who died were young, healthy adults. The first documented human cases of H5N1 avian flu were found in 1997 when six people were infected and died in Hong Kong during a large outbreak of influenza among poultry. Beginning in late 2003, outbreaks among poultry were reported throughout Southeast Asia with extension into Central Asia, Russia, and Eastern Europe. Scattered human cases of H5N1 avian flu have occurred among people who had direct contact with sick poultry or who ate undercooked poultry infected with the virus. So far, spread of H5N1 avian flu virus has been rare and has not continued beyond one person."

  United States. Department of Defense; United States. Air Force Institute for Operational Health

  2005-12-07
• Influenza 2005: The Laboratory's Role in Pandemic Preparedness and Response [presentation]

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  PowerPoint presentation from the Wisconsin State Laboratory of Hygiene that presents information on influenza antigenic characteristics, laboratory diagnostic methods, surveillance for new strains of influenza viruses, and the overall laboratory role in preparedness. LLIS Core Capability: Public Health; Community Preparedness

  Wisconsin State Laboratory of Hygiene

  Shult, Pete A.; Kirk, Carol

  2005-12-06?
• Business Pandemic Influenza Planning Checklist

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  "In the event of pandemic influenza, businesses will play a key role in protecting employees health and safety as well as limiting the negative impact to the economy and society. Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist for large businesses. It identifies important, specific activities large businesses can do now to prepare, many of which will also help you in other emergencies. Further information can be found at www.pandemicflu.gov and www.cdc.gov/business."

  United States. Department of Health and Human Services

  2005-12-06
• State and Local Pandemic Influenza Planning Checklist

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  "Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist. It identifies important, specific activities you can do now to prepare. Many are specific to pandemic influenza, but a number also pertain to any public health emergency. This checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners, but is not intended to set forth mandatory requirements. Each state and local jurisdiction should determine for itself whether it is adequately prepared for disease outbreaks in accordance with its own laws and procedures."

  United States. Department of Health and Human Services

  2005-12-02
• Department of Health and Human Services State and Local Pandemic Influenza Planning Checklist

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  This checklist, released by HHS [Health and Human Services] and the CDC [Centers for Disease Control and Prevention], identifies important activities that state and local agencies and organizations should undertake to prepare for a pandemic flu outbreak. The checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners. LLIS Core Capability: Community Preparedness

  United States. Department of Health and Human Services

  2005-12-02?
• Citizen Voices on Pandemic Flu Choices: A Report of the Public Engagement Pilot Project on Pandemic Influenza

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  From the Executive Summary: "This Public Engagement Pilot Project on Pandemic Influenza (PEPPPI) was initiated in July 2005 to discuss and rank goals for a pandemic influenza vaccination program and to pilot test a new model for engaging citizens on vaccine related policy decisions (The Vaccine Policy Analysis CollaborativE, VPACE). The Pilot Project was sponsored by a network of interested organizations listed on the cover of this report. To conduct this public consultation, the sponsors engaged stakeholders from various organizations with an interest in pandemic influenza (the National Stakeholder Group), and individual citizens-at-large from the four principal regions of the United States. The anticipated major benefits from this public consultation were the development of an improved plan to combat pandemic influenza and one more likely to gain public support, and a demonstration that citizens can be productively engaged in informing vaccine related policy decisions."

  University of Nebraska Public Policy Center

  2005-12
• Health Care Planning for Pandemic Influenza [presentation]

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  This presentation was given by Dr. Debra E. Berg, of the Department's Bioterrorism Hospital Preparedness Program, at a November 30, 2005 meeting of the Greater New York Hospital Association. It discusses the contents of the U.S. Department of Health and Human Services Pandemic Preparedness Plan, the recommendations of the citywide pandemic tabletop exercise after-action report, and how the Department's intitiatives involve New York area healthcare facilities. LLIS Core Capability: Healthcare; Public Health; State and Local Executive Offices

  New York (N.Y.). Department of Health and Mental Hygiene

  Berg, Debra E.

  2005-11-30
• Systematic Analytic Approach to Pandemic Influenza Preparedness Planning

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  "An analytic approach for traffic safety injury epidemiology and prevention was developed by Dr. William Haddon, Jr. in the 1960s, and has since been termed 'the Haddon matrix.' This matrix provides a multidimensional approach to understanding the contributing factors to injury before, during, and after an event. Although the Haddon matrix may seem unfamiliar to some infectious disease scientists, it incorporates familiar analytic elements in a systematic way. The four columns represent the classical epidemiologic triad of host, agent, and environment (physical and sociocultural). The three rows are equivalent to primary, secondary, and tertiary prevention of disease outbreaks. Indeed, Haddon himself used his analytic matrix to describe an outbreak of polio, and this matrix has been recently applied to other public-health emergency preparedness challenges such as SARS. Comprehensive public health emergency preparedness and response efforts require effective pre-event (preventive), event (mitigation), and post-event (consequence management) strategies. By identifying the factors that may modify the outcome in each of these phases, one can prescribe the appropriate measures necessary to tackle each factor. To this end, we specifically applied the Haddon matrix to pandemic influenza planning and response, systematically identifying relevant factors in each phase (pre-event, event, post-event) and on each axis (human, agent/vector, physical environment, sociocultural environment). We then identified factors that may be associated with opportunities for public health intervention, and marked these factors in bold within the matrix."

  Public Library of Science

  Barnett, Daniel J.; Balicer, Ran D.; Lucey, Daniel R.

  2005-12
• SEMP Biot #302: Emergency Departments and Epidemics: The 2003 Toronto SARS Experience

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  This document addresses the medical unfolding of the SARS [Severe Acute Respiratory Syndrome] epidemic in Toronto in 2003. The health epidemic disaster highly stressed the medical and public health systems, exposing hidden weaknesses, which were related to medical, economic and political practices. LLIS Core Capability: 2003: SARS Outbreak

  Suburban Emergency Management Project (U.S.)

  2005-11-27
• Pandemic Influenza Continuity of Operations Plan (COOP) for Massachusetts Hospitals

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  "This plan outlines a comprehensive approach to ensure the continuity of essential services during an influenza pandemic while ensuring the safety and well being of employees, the emergency delegation of authority, the safekeeping of records vital to the agency and its clients, emergency acquisition of resources necessary for business resumption, and the capabilities to work at alternative work sites until normal operations can be resumed."

  Massachusetts. Executive Office of Public Safety and Security

  2005-11-18
• Pandemic Influenza Exercises in Canada

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  This document contains an overview of pandemic influenza exercises in Canada. The document includes the specific details necessary to effectively conduct a pandemic flu exercise.

  Public Health Agency of Canada

  Macey, Jeannette; Tam, Theresa; King, Arlene

  2005-11-16?
• Pandemic Influenza: Domestic Preparedness Efforts [November 10, 2005]

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  "Global pandemic preparedness and response efforts are coordinated by the World Health Organization (WHO). The U.S. Department of Health and Human Services (HHS) released a draft pandemic flu preparedness and response plan in August 2004, and a final plan in November 2005. President Bush announced a national strategy to coordinate pandemic preparedness and response activities across federal agencies. Domestic response activities will be carried out under the broad, all-hazards blueprint for a coordinated federal, state and local response laid out in the National Response Plan, released by the Department of Homeland Security (DHS) in 2004. Even in light of the plans discussed above, if a flu pandemic were to occur in the next several years, the U.S. response would be affected by the limited availability of a vaccine (the best preventive measure for flu), as well as by limited availability of certain drugs used to treat severe flu infections, and by the general lack of surge capacity within our healthcare system. The U.S. healthcare system is largely private, while the public health system is largely based in state, rather than federal, authority. This structure creates numerous challenges in assuring the needed response capacity, and coordinating the various response elements. Planning is further complicated by the fact that while periodic influenza pandemics have been seen over the years, their timing and severity have been unpredictable."

  Library of Congress. Congressional Research Service

  Lister, Sarah A.

  2005-11-10
• Remarks on the National Strategy for Pandemic Influenza Preparedness and Response in Bethesda, Maryland, November 1, 2005

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  This document presents the text of a speech given by President George W. Bush in Bethesda, Maryland on November 1, 2005. In this speech the President discusses the pandemic influenza and offers commentary on the need for the United States to continue taking the offensive in the fighting this epidemic. Finally, President Bush describes what actions the United States has taken combat the spread of pandemic influenza.

  United States. Government Printing Office

  2005-11-07
• Letter to the Speaker of the House of Representatives on Funding for the National Strategy for Pandemic Influenza Preparedness and Response

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  This document contains the text of a letter sent by President Bush to the Speaker of the House asking Congress to consider his request to allocate $7.1 billion to the Departments of Health and Human Services, Defense, Homeland Security, the Interior, State, and Veterans Affairs so these departments could prepare the country to combat the threat of avian and pandemic influenza.

  United States. Government Printing Office

  2005-11-07
• Iowa Pandemic Influenza Annex Executive Summary

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  This Executive Summary of Iowa's Pandemic Influenza Annex provides an overview of the annex's objectives and of the various responsibilities to be delegated to the Iowa Department of Public Health during a pandemic influenza outbreak.

  Iowa. Department of Public Health

  2005-11-04
• Utah Pandemic Influenza Response Plan

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  "The goals of this plan are, first, to minimize serious illness and death, and second, to limit societal disruption and economic losses. The plan is intended to coordinate with global and national plans developed by the World Health Organization (WHO) and U.S. Department of Health and Human Services (DHHS). This plan outlines activities and responsibilities for government public health agencies and builds upon preparedness assets developed at federal, state, and local levels of government and in the private sector. Nevertheless, a serious influenza pandemic would pose substantial challenges to existing capabilities. The next phase of planning should involve wider community efforts to address those challenges. We have identified six critical policy questions that should guide those efforts."

  Utah. Department of Health

  Sundwall, David N.; Rolfs, Robert T.

  2005-11-02
• Preparing for Pandemic Influenza - What You Can Do

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  This document provides information for communities, businesses and individuals in the preparation of a pandemic influenza outbreak.

  United States. Department of Health and Human Services

  2005-11-02
• HHS Pandemic Influenza Plan [Summary Sheet]

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  "This document, the HHS [Health and Human Services] Pandemic Influenza Plan, serves as a blueprint for all HHS pandemic influenza preparedness planning and response activities. This plan updates the August 2004 draft HHS Pandemic Influenza Preparedness and Response Plan and features important additions and refinements. The Plan integrates changes made in the 2005 World Health Organization (WHO) classification of pandemic phases and expansion of international guidance and now is consistent with the National Response Plan (NRP) published in December 2004. The HHS Pandemic Influenza Plan has three parts, the first two of which are contained in this document. Part 1, the Strategic Plan outlines federal plans and preparation for public health and medical support in the event of a pandemic. It identifies key roles of HHS and its agencies in a pandemic and provides planning assumptions for federal, state and local governments and public health operations plans. Part 2, Public Health Guidance for State and Local Partners, provides detailed guidance to state and local health departments in 11 key areas. Parts 1 and 2 will be regularly updated and refined. These documents will serve as tools for continued engagement with stakeholders, state and local partners. Part 3, which is currently under development, will consist of HHS Agencies Operational Plans."

  United States. Department of Health and Human Services

  2005-11-02
• Conference On The Global Threat Of Pandemic Influenza [website]

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  "This day-long conference, which was held at the Council on Foreign Relations in New York City, examined preparedness and planning efforts in the United States as the world faces the possibility of an influenza pandemic caused by H5N1, the avian flu virus." This website offers transcripts, audio, and video materials related to the conference.

  Council on Foreign Relations

  2005-11
• Pandemic Influenza: Preparedness Guidelines for Manitoba Local Governments

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  This guide is part of a strategy by the Province of Manitoba to prepare government, businesses and other organizations to help create a co-coordinated, effective response to a pandemic. It includes guidelines, communications and training sessions. LLIS Core Capability: Public Health; Community Preparedness

  Manitoba. Department of Health

  2005-11
• National Strategy for Pandemic Influenza

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  "The National Strategy for Pandemic Influenza guides our preparedness and response to an influenza pandemic, with the intent of (1) stopping, slowing or otherwise limiting the spread of a pandemic to the United States; (2) limiting the domestic spread of a pandemic, and mitigating disease, suffering and death; and (3) sustaining infrastructure and mitigating impact to the economy and the functioning of society. The Strategy will provide a framework for future U.S. Government planning efforts that is consistent with The National Security Strategy and the National Strategy for Homeland Security." Key components of this strategy include preparedness and communication, surveillance and detection, and a section on response and containment.

  United States. White House Office

  United States. Homeland Security Council

  2005-11
• Quarantine Stressing Voluntary Compliance

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  "A 1-day table-top exercise in San Diego, California, in December 2004 emphasized voluntary compliance with home quarantine to control an emerging infectious disease outbreak. The exercise heightened local civilian-military collaboration in public health emergency management. Addressing concerns about lost income by residents in quarantine was particularly challenging. In a study of quarantine implementation in the greater Toronto area during its 2003 outbreak of severe acute respiratory syndrome (SARS) (1), investigators identified several factors that influenced compliance with quarantine restrictions (with rare exceptions, identified contacts of SARS patients in the area were quarantined in their own homes). Key factors were fear of income lost while quarantined, consistent information about the threat and measures to contain it, and adequate logistic and psychosocial support to those confined. Using these findings, we organized a 1-day table-top exercise in San Diego, California, in late 2004 that revolved around an emerging infectious disease caused by an easily transmitted novel respiratory virus."

  Centers for Disease Control and Prevention (U.S.)

  DiGiovanni, Cleto; Bowen, Nancy; Ginsberg, Michele . . .

  2005-11