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Infectious Disease Emergency Response Plan
From the Background and Purpose: "Infectious disease emergencies are circumstances caused by biological agents, including organisms such as bacteria, viruses or toxins with the potential for significant illness or death in the population. Infectious disease emergencies may include naturally occurring outbreaks (e.g., measles, mumps, meningococcal disease), emerging infectious diseases (e.g., SARS [severe acute respiratory syndrome], avian influenza), and bioterrorism. The circumstances of infectious disease emergencies may vary by multiple factors, including type of biological agent, scale of exposure, mode of transmission and intentionality (bioterrorism), and many others. Public health measures to contain such outbreaks are especially important for diseases with high morbidity or mortality and limited medical prophylaxis and/or treatment [...] The purpose of the Infectious Disease Emergency Response (IDER) Plan is to contain an outbreak of disease caused by an infectious agent or biological toxin, or respond to other infectious disease emergencies as defined above. This is consistent with the San Francisco Department of Public Health's (DPH) mission to protect the public from illness and/or death."
San Francisco (Calif.). Department of Public Health
2011-02
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What Does Shelter-in-Place Mean?
This document explains what it means to shelter-in-place, and under what scenarios this response should be used. It also provides links to additional information about sheltering-in-place.
Kings County (Calif.)
Hall, Elizabeth
2011-01-31
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Contact Tracing Risk Assessment Profile (CT‐RAP) for Public Ground Transport
From the Introduction: "This document is based on information from the following sources: analysis of European passenger data, comprehensive and structured literature review, compilation of pathogen specific epidemiology, structured expert consultations including the application of the Delphi-Method, and an expert survey. Scientific evidence combined with expert experience led to the development of a semi‐quantitative tool; the rating of values on scales as presented in a CT [contact tracing]‐RAP [risk assessment profile] cannot deliver binding recommendations but provides the public health expert with orientation. Prior to making the decision to CT on ground transport, epidemiologists should take into account that the CT‐RAP's provided in this document cannot cover every aspect or factor potentially influencing decision making, e.g., the epidemiological situation in each country. This document describes the tool and its rationale. It focuses on the transmission of infectious diseases on public ground transport."
Robert Koch-Institut
Mohr, Oliver, 1967-; Askar, Mona; Hermes, Julia . . .
2011-01-31?
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Global Health Security Initiative: 10 Years of Collaborative Action
"The term global health security is often used to describe preparedness for and response to serious health incidents that are cross-border in nature and that pose a risk to security, destabilize economies, disrupt social cohesion, and affect the critical business of government. Key risks to global health security being addressed by governments and international bodies include chemical, biological, radiological and nuclear threats (CBRN) and the spread of pandemic influenza. Events that have influenced the global health security landscape include the 1995 sarin gas attack in the Tokyo subway, the 2001 mailing of anthrax spores through the United States postal system, the 2003 emergence of Severe Acute Respiratory Syndrome (SARS), the Pandemic (H1N1) 2009 and the accident at TEPCO's Fukushima nuclear power station in Japan. The Global Health Security Initiative provides an effective forum to convene representatives from member delegations to discuss current and future global health security concerns. The Initiative also works with other institutions to improve preparedness efforts worldwide, through better coordinated surveillance, detection and response efforts."
Global Health Security Initiative; European Commission
2011?
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Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Workers: Update 2010
"In 2009, the H1N1 influenza pandemic brought to the forefront the many unknowns about the virulence, spread, and nature of the virus, as well as questions regarding personal protective equipment (PPE) for healthcare personnel. In this book, the Institute of Medicine assesses the progress of PPE research and identifies future directions for PPE for health care personnel."
National Academies Press (U.S.)
Liverman, Catharyn T.; Larson, Elaine
2011-01
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New York State Guidance: County Mass Fatality Annex With Emphasis on Pandemic Influenza Preparedness [2011]
"The State of New York is subject to a wide variety of natural, technological and human-caused hazards. The occurrence of such hazards has the potential to impact public and private property and critical infrastructure; they can also cause great economic hardship, and a significant toll in human lives...Other events, such as a pandemic influenza, have the potential to cause more death and illness than any other public health threat...The purpose of this annex is to ensure that there is a mass fatality plan in place that coordinates the activities of all partners in the county to: 1) properly process human remains as efficiently, effectively and respectfully as possible, and 2) protect public health. This document will serve as an annex to the county CEMP [Comprehensive Emergency Management Plan] which can be used for all-hazards mass fatality management, and includes specific mechanisms in response to mass fatalities that originate from pandemic influenza."
New York (State). Department of Health; New York (State). Division of Homeland Security and Emergency Services
2011-01
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Recommendations for Good Practice in Pandemic Preparedness for National Influenza Centres
"To assist Member States with the revision of their pandemic plans with respect to laboratory activities after the 2009 influenza H1N1 pandemic, WHO/Europe [World Health Organization] performed an evaluation of the usefulness of pandemic plans and preparedness activities undertaken by laboratory networks and WHO in the response to the pandemic. Using a systematic approach, National Influenza Centres and national influenza reference laboratories in six Member States were interviewed by telephone. Six major themes considered essential to pandemic preparedness for laboratories were identified: communication; coordination/collaboration; capacity; adaptation; leadership; and support. Key issues and recommendations for good practice in pandemic preparedness for National Influenza Centres and WHO were subsequently identified. Pandemic preparedness had generally been successful, with close collaboration between laboratory networks in countries, formal plan approval, laboratory accreditation process and international/national information sourcing emerging as important success factors. Future preparedness activities should continue to emphasize these areas, as well as improve planning for: diagnostic capacity building; control on high diagnostic demands; clinical-laboratory feedback mechanisms; management of media requests to laboratory staff; and real-time monitoring of antiviral resistance."
World Health Organization. Regional Office for Europe
Jean-Gilles, Lucie; Pereyaslov, Dimitriy; Brown, Caroline . . .
2011
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Pandemic Influenza Preparedness Framework for the Sharing of Influenza Viruses and Access to Vaccines and Other Benefits
"The objective of the Pandemic Influenza Preparedness Framework is to improve pandemic influenza preparedness and response, and strengthen the protection against the pandemic influenza by improving and strengthening the WHO [World Health Organization] global influenza surveillance and response system ('WHO GISRS'), with the objective of a fair, transparent, equitable, efficient, effective system for, on an equal footing: (i) the sharing of H5N1 and other influenza viruses with human pandemic potential; and (ii) access to vaccines and sharing of other benefits."
World Health Organization
2011
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Summary of the First Post-pandemic Influenza Season in the WHO European Region: 2010-2011
From an abstract provided by the World Health Organization (WHO): "This document provides an overview of the 2010-2011 influenza season, including information about: influenza surveillance in the WHO European Region (epidemiological surveillance, virological surveillance, sentinel SARI [Severe Acute Respiratory Infections] surveillance); underlying conditions associated with severe disease due to influenza 2010-2011; vaccine match in the 2010-2011 influenza season; antiviral resistance and clinical care of patients; and influenza activity in the temperate regions of the southern hemisphere 2011 influenza season."
World Health Organization. Regional Office for Europe
2011
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Disease Surveillance Systems
From the thesis abstract: "Recent advances in information and communication technologies have made the development and operation of complex disease surveillance systems technically feasible, and many systems have been proposed to interpret diverse data sources for health-related signals. Implementing these systems for daily use and efficiently interpreting their output, however, remains a technical challenge. This thesis presents a method for understanding disease surveillance systems structurally, examines four existing systems, and discusses the implications of developing such systems. The discussion is followed by two papers. The first paper describes the design of a national outbreak detection system for daily disease surveillance. It is currently in use at the Swedish Institute for Communicable Disease Control. [...] The second paper discusses methodological issues in computational epidemiology, and presents the lessons learned from a software development project in which a spatially explicit micro-meso-macro model for the entire Swedish population was built based on registry data."
Kungl. Tekniska högskolan
Cakici, Baki
2011
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Environmental Assessment for the Presence of Influenza Viruses (2009 Pandemic Influenza a H1N1 and Seasonal) in Dental Practices - Ohio
"No 2009 pandemic influenza A H1N1 virus was found in any air or surface samples at two dental practices, but seasonal influenza A was found in the air of the pediatric dental practice. Influenza vaccination rates for staff at the dental practices were below national rates for healthcare personnel during the 2009-2010 influenza season. We recommend that all staff get the seasonal influenza vaccine every year."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
2011-01
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Shelter-in-Place: When? Where? Why?
"There may be times when you and your family may need to 'shelter-in-place' meaning you stay put wherever you are (home, school, work, or car) until hazardous weather passes or the area is safe. This is a precaution aimed to keep you protected while remaining indoors. Chemical, biological, or radiological contaminants may be released accidentally or intentionally into the environment. Should this occur, information will be provided by local authorities on television and radio stations on how to protect you and your family. For example, during a tornado warning you should seek shelter in a basement or an inside room away from windows. However, during a hazardous spill or chemical attack you should take shelter in a room above ground and possibly seal off the room to keep gas or fumes from coming in."
District of Columbia. Homeland Security and Emergency Management Agency
2011?
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Empire County Comprehensive Emergency Management Plan: Pandemic Influenza Annex - A Sample Plan to Assist Counties in Developing a Pandemic Influenza Annex to the County Comprehensive Emergency Management Plan [2011]
"The purpose of the CEMP [Comprehensive Emergency Management Plan] is to identify the county's overarching policies, authorities and response organizational structure that will be implemented in an emergency or disaster situation. In addition, the CEMP identifies the lines of coordination and the centralized coordination of resources that will be utilized in directing the county's response agencies and requesting State assistance. Further, the CEMP serves as the foundational framework for the county's response levels, and serve as the operational basis of which other functional and hazard-specific annexes will build upon. The purpose of this Annex is to ensure that the strategic and broad-based nature of the Empire County CEMP is more defined to allow the county to adequately prepare for, respond to and recover from a pandemic. This will include utilizing county agency activities and the interoperability with the State in its response. State planning efforts identify the key mechanisms in coordinating with the local response and identify the lines of coordination to interoperate with the federal response, including the U.S. Department of Health and Human Services Plan for Pandemic Influenza, via the National Response Plan."
New York (State). Division of Homeland Security and Emergency Services
2011-01
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LLIS Lesson Learned: Shelter-in-Place and Evacuation: Developing Standard Press Release Language for Shelter-in-Place and Evacuation Messages
"Public information officers (PIOs) should consider developing standard press release language for when the public is ordered to shelter - in - place or evacuate. This can help ensure that joint information center (JIC) personnel communicate accurate information to the public. […] The California Governor's Office of Homeland Security Exercise Branch conducted the California Golden Guardian 2010 Statewide Full-Scale Exercise (FSE) in May 2010. This FSE was the sixth statewide homeland security and disaster preparedness exercise in the governor's annual Golden Guardian Exercise series. The exercise was conducted at 7 different venues and involved more than 3,000 Federal, state, local, and private sector participants. The FSE scenario included terrorist attacks at the ports of San Diego, Los Angeles, Long Beach, Oakland, Redwood City, and Sacramento as well as at the California State University San Marcos (CSUSM) campus. The California Governor's Office of Homeland Security Exercise Branch sponsored the California Statewide Golden Guardian FSE conducted by the County of San Diego on May 18, 2010. Participants included 1,200 representatives from Federal, state, county, and local agencies; 22 healthcare centers; and the military. The purpose of the FSE was to test the ability of response agencies in the County of San Diego to respond to multiple simultaneous terrorist attacks. The exercise scenario included three suspicious backpacks placed at public transit locations, a residential structure fire in the city of Coronado, and an active shooter incident and detonation of a radiological dispersal device on the CSUSM campus. One of the objectives of the FSE was to demonstrate effective communication of shelter-in-place instructions and evacuation orders to the citizens of San Diego and the surrounding area."
Lessons Learned Information Sharing (LLIS)
2010-12-03
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Final Report: Planning for NS/EP Next Generation Network Priority Services During Pandemic Events
"In the event of a major outbreak of infectious disease, e.g., a pandemic flu, there will be a tendency toward social distancing where large groups of people telecommute to avoid exposure to the disease caused by clustering in common locations. [...] This report demonstrates the need for its recommendations to be implemented across government and the communications industry, including continued development of NS/EP NGN [National Security and Emergency Preparedness Next Generation Networks] Priority Services and IP-based networks to support priority services using the capabilities being defined in the Standards Development Organizations (SDOs), partnerships and fora. As detailed in this report, there is a high probability that communications traffic during a pandemic event or a physical or cyber event such as a hurricane or cyber attack will be generated by a nationwide, large NS/EP community. If 50% of NS/EP users rely solely on IP-based [Internet Protocol] communications, by 2014 it is probable that the entire community will likely originate and terminate a sizable level of traffic over IP-based networks. As a result, it is critical that the NS/EP NGN Priority Services and IP-based network infrastructures support communications using priority service markings for relevant traffic. All networks need to recognize the priority services markings, and provide priority treatment to traffic with these markings."
United States. Federal Communications Commission
2010-12
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Extensively Drug-Resistant Tuberculosis (XDR-TB): Emerging Public Health Threats and Quarantine and Isolation [November 26, 2010]
"The international saga of Andrew Speaker, a traveler thought to have XDR-TB, a drug-resistant form of tuberculosis, placed a spotlight on existing mechanisms to contain contagious disease threats and raised numerous legal and public health issues. This report presents the factual situation presented by Andrew Speaker. It also discusses the application of various public health measures available to contain an emerging public health threat posed by an individual who ignores medical advice and attempts to board an airplane or take other forms of public transportation. These measures include quarantine and isolation authorities, the 'Do Not Board' List, and application of certain provisions of the International Health Regulations. This report also examines constitutional issues relating to due process and equal protection. Legal issues which may be raised by application of federal nondiscrimination laws when emergency public health measures are used to contain emerging public health threats are also discussed."
Library of Congress. Congressional Research Service
Swendiman, Kathleen S.; Jones, Nancy Lee
2010-11-26
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Conference Report: Improving Global Health, Strengthening Global Security
From the Introduction: "'Improving Global Health, Strengthening Global Security' was held in Washington, DC, on November 22, 2010. With the support of the Alfred P. Sloan Foundation, the Center for Biosecurity of UPMC [University of Pittsburgh Medical Center] hosted this invitational meeting to bring together nearly 200 leaders from the federal government, the policy community, top think tanks, academia, and major media outlets. The meeting focused on policies and programs important to improving global public health and to strengthening global security--efforts that collectively comprise global health security. Such efforts include international cooperation in support of the Biological Weapons Convention (BWC) and the International Health Regulations (IHR); disease surveillance for outbreaks of international importance and urgency; exchange of technical information and new pathogens for vaccine, medicine, and diagnostic development; and prevention, early warning, and control of serious animal disease outbreaks."
University of Pittsburgh Medical Center. Center for Biosecurity
2010-11-22
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Alternate Care Site Pandemic Surge Optimization Plan, A Planning Guide for the District of Columbia Department of Health, Health Emergency Preparedness and Response Administration
From the Background: "The District of Columbia Department of Health (DOH), Health Emergency Preparedness Administration (HEPRA) has identified the need for technical assistance with the development of an Alternative Care Site Concept of Operations Plan (ACS CONOP) template. Originally conceived and developed under the direction of the U.S. Army Soldier and Biological Chemical Command's Biological Weapons Improved Response Program, the concept of operations for the Alternative Care Site (ACS) was 'to be a supplement to the existing health care system in managing the overwhelming number of casualties that most likely would result from [acts of terrorism carried out by the use of weapons of mass destruction].' As natural biological threats (pandemic influenza, SARS [severe acute respiratory syndrome], etc.) have captured the public's attention, agencies charged with safeguarding the public's health have begun to recognize the key role that ACSs will play in their response to these types of events as well. The purpose of this project is to provide the District of Columbia's Department of Health with a template that will aid in the development of a comprehensive and prescriptive response plan. This template incorporates best practices research and the unique characteristics of the District to provide an optimal approach to identifying appropriate locations, providing for adequate supply and staffing levels, and ensuring efficient operations."
Braintree Solution Consulting, Inc.
2010-11-06
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National EMS Pandemic Influenza Preparedness Index
"The National Association of State Emergency Medical Services Officials (NASEMSO) is the professional organization of the administrative officials of EMS systems in each of the states, territories and the District of Columbia. As part of its core mission to improve emergency medical services nationwide, NASEMSO conducts periodic assessments of state/territory EMS [Emergency Medical Services] systems to assist policy-makers in understanding the nature and scope of existing and emerging challenges. [...] This report examines the levels of pan-flu preparedness reported by state/territory EMS offices. The magnitude and complexity of a pandemic disease outbreak requires the concerted and coordinated efforts of the whole nation's healthcare system. Emergency Medical Services are the front line of the health care system. Complete integration of EMS into the nation's pandemic influenza planning and response is essential to assuring the health and safety of the public."
National Association of State Emergency Medical Services Officials (U.S.)
2010-11
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Emergency Medical Services Agency Draft: Pediatric/Neonatal Disaster and Medical Surge Plan and Preparedness Toolkit
"The events of the Katrina Hurricane (2008), H1N1 Pandemic Flu (2009), and Haiti Earthquake (2010) demonstrate the need for a strong collaborative approach integrating newborns, infants and children into disaster planning. The resources required for the care of neonates and children are limited and regionally distributed. Successful neonatal and pediatric all-hazard preparedness relies on a strong network of committed public health agencies, emergency medical services, hospitals and communities. First steps to effective response include preserving bed capacity, competency and equipment to support a system of emergency care for infants and children within the county under normal conditions."
Contra Costa County (Calif.). Health Services Department
2010-11
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H1N1 & Higher Ed: Lessons Learned: Pandemic Influenza Tools, Tips, and Takeaways from the Big 10+2 Universities
"Colleges and universities played key roles in the nation's response to the 2009 H1N1 influenza pandemic. The goal of The Big 10 + 2 Universities H1N1 Lessons Learned Project has been to find and tell the success stories from this experience and to raise the many issues yet to be resolved before the next influenza pandemic. Information was collected through (1) key informant interviews conducted between March and July 2010, (2) an online conference hosted May 18, 2010, for the Big 10+2 universities, their respective state health departments, and Centers for Disease Control and Prevention (CDC) partners, and (3) follow-up interviews. University of Minnesota coordination and staffing support for the project was provided by the Center for Infectious Disease Research and Policy (CIDRAP), Academic Health Center, Boynton Health Service, and School of Public Health, with CDC funding provided by the Association of State and Territorial Health Officials (ASTHO). In addition to this report, CIDRAP has (1) posted the webinar and presentation slides from the May 18 event and (2) published Promising Practices for higher education at www.PublicHealthPractices.org."
Center for Infectious Disease Research & Policy; Association of State and Territorial Health Officials (U.S.)
2010-11
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Communicating Effectively About Vaccines: New Communication Resources for Health Officials
From the Project Overview: "Communicating effectively with parents about the importance of vaccines is a key issue for the public health community to address. In August 2009, ASTHO [Association of State and Territorial Health Officials] commissioned a survey of U.S. parents and guardians to gather information about effective messages and materials for state and territorial health officials to use to better address parental concerns and promote the benefits of vaccines. ASTHO partnered with Porter Novelli, a global public relations agency to develop and test new, innovative messages based on data from this study to reach parents about the importance and safety of vaccines. The messages are included in this packet along with a few basic communications tools to help state and territorial health officials create new and effective vaccine campaigns."
Association of State and Territorial Health Officials (U.S.)
2010-11
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WHO Interim Protocol: Rapid Operations to Contain the Initial Emergence of Pandemic Influenza (Updated October 2007)
"The purpose of the rapid containment strategy is to help national authorities, with the assistance of WHO and international partners, to stop the development of pandemic influenza when it is initially detected and before the virus has been able to spread more widely. The strategy evolved from 1) recognition that the potential for widespread harm and social disruption from an influenza pandemic is considerable; 2) recognition, based in part on the experience with SARS, that mobilization of large and complicated public health operations is possible in the modern era; and 3) from mathematical modelling studies suggesting that containment of a pandemic might be possible in the initial stages if the initial outbreak of human cases is localized and antiviral prophylaxis, movement restrictions, and non-pharmaceutical interventions are implemented in the affected area within the first 3 weeks."
World Health Organization
2010-10
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Evaluation of 2009 Pandemic Influenza A (H1N1) Virus Exposure Among Internal Medicine Housestaff and Fellows
"In August 2009, NIOSH [National Institute for Occupational Safety and Health] received an HHE [Health Hazard Evaluation] request from the director of the internal medicine residency program at UUSM [University of Utah, School of Medicine] concerning the exposure of internal medicine housestaff to the pH1N1 virus. A number of internal medicine housestaff were reportedly diagnosed with pH1N1 in June 2009, and more housestaff were reported to have ILI [Influenza-like illness], leading to significant absenteeism in this program. The exact extent of the disease, risk factors leading to infection, and modes of transmission among the internal medicine housestaff were unknown at the time of the request."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services; National Institute for Occupational Safety and Health . . .
de Perio, Marie A.; Brueck, Scott E.; Mueller, Charles A.
2010-10
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Supply and Demand: The Case for Community Medical Resiliency
"Events such as 9/11, Hurricane Katrina, and pandemic flu have led emergency response professionals to recognize the urgent need to plan for catastrophic medical events. How could the medical system deal with a large number of casualties--due to a nuclear detonation, massive earthquake, biological disease (intentional or novel), etc.--when the majority of hospitals operate at peak capacity normally and overcrowding is common during the normal flu season? Not since the Spanish Influenza of 1918 has the U.S. been pressed to manage the ill or injured on a national scale. Patients were cared for in public venues (arenas and concert halls) and even tents because the requisite hospital beds were not available. Half of all Americans were infected and reportedly 675,000 died, approximately half between the ages of 20-40.1 Yet despite the knowledge that we have less medical capacity now on a per capita basis, policy makers and emergency planners still fail to adequately address the most important aspect of emergency management: the ability to provide care to citizens during a catastrophe. Given that the supply of medical services has limitations, which can be quickly overwhelmed during a natural or manmade catastrophic incident, it is apparent that we must fundamentally evaluate our ability to reduce the demand side of the equation during these rare, but certain to occur events. Adequately reducing the demand for medical services will require development of 'community medical resiliency.'"
Homeland Security Policy Institute (George Washington University)
Lord, Gregg; Bogis, Arnold
2010-09-17
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Meeting the Ethical Challenges of a Severe Pandemic Influenza
From the Document: "During a severe pandemic flu, the U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) will be faced with extraordinary ethical challenges. [...] Goals of VA [Department of Veterans Affairs] pandemic planning and response are to protect our Veterans and staff, to keep vital VA operations going, to communicate effectively, and to contribute to the national response effort. Ethical challenges center on responsibilities, or the duty to provide care to patients, family and others in pandemic influenza; allocation of scarce resources; and restrictions to individual liberty that may be necessitated during a public health crisis such as a pandemic influenza outbreak."
United States. Department of Veterans Affairs
2010-09
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Law Enforcement Preparedness for Public Health Emergencies: An Executive Summary of the Resources Series
"A pandemic flu outbreak will affect how local law enforcement agencies operate. Most importantly, departments will lose staff members. Some experts predict that the percentage of employees affected in some way (e.g., exposed, infected, or unable to work because of sick loved ones) will range from 10 to 40 percent.8 Agencies will need to activate their internal emergency operations plans, shifting resources to the most critical duties. Calls for service will likely increase dramatically; however, with fewer officers available to work, response time will suffer and services will be reduced. Outbreaks often circle the globe in waves, so these issues will likely hit departments several times over the course of the pandemic. A public health emergency may result in closure of public gathering places (e.g., shopping malls, places of worship), the dismissal of students from local schools, the creation of special mechanisms for the distribution of medication and vaccines, and the overcrowding of medical facilities. Law enforcement agencies will be expected not only to maintain public order, but also to assist public health officials in ensuring compliance with federal, state, or local public health orders. Most law enforcement agencies have pre-established communication networks that will be called upon to help broadcast public health messages. Also, law enforcement representatives will have to work with officials from other community agencies to ensure that their pandemic communication plans complement and support each other."
United States. Bureau of Justice Assistance; Police Executive Research Forum
2010-09
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LLIS Lesson Learned: Emergency Operations Centers: Establishing Shelter-in-Place Procedures for Alternate Facilities
In the context of this document, LLIS stands for Lessons Learned Information Sharing. "Emergency managers should establish shelter-in-place procedures for alternate emergency operations center (EOC) facilities. This can help protect staff members at the alternate facility during response to a hazardous materials (HazMat) release or other event. [...] The California Governor's Office of Homeland Security Exercise Branch developed, coordinated, and led the California Statewide Golden Guardian Oakland Venue Full-Scale Exercise (FSE) on May 18, 2010. Personnel from 21 federal, state, and local organizations participated in the FSE. The FSE tested multi-agency coordination, communications, shelter-in-place, decontamination, and HazMat response capability of participating agencies and organizations. The exercise scenario simulated an improvised explosive device terrorist attack against a merchant ship docked at the Port of Oakland, California. The simulated explosion caused a shipboard fire, the rupture of several cargo containers, and the release of thionyl chloride."
Lessons Learned Information Sharing (LLIS)
2010-08-13
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Report to the President on Reengineering the Influenza Vaccine Production Enterprise to Meet the Challenges of Pandemic Influenza
This report "examines how the Nation can more rapidly and reliably produce effective vaccines, at a sufficient scale to protect all of the Nation's residents, in response to the emergence of pandemic influenza. [...]. The report recommends a number of steps that can be taken over the next one to two years to cut several weeks from the time currently needed to produce the first doses of a new vaccine. In addition, PCAST [President's Council of Advisors on Science and Technology] identified actions that could greatly improve the reliability of the vaccine manufacturing enterprise over a two to ten year timeframe, further shortening the time required to provide vaccine to the entire U.S. population. Several of the recommendations can also improve the Nation's ability to mount medical counter-measures against a variety of infectious agents. Finally, the successful production of an effective pandemic influenza vaccine requires coordinated actions on the part of government and the private sector; as part of its review, PCAST identified ways to better utilize public-private partnerships to optimize the Nation's vaccine production enterprise."
United States. Executive Office of the President
President's Council of Advisors on Science and Technology (U.S.)
2010-08
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Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration
From the Executive Summary: "The 'Implementation Plan for the National Strategy for Pandemic Influenza' (2006) charges Federal agencies to develop guidance for the allocation of scarce health and medical resources during a pandemic flu event. As the lead agency, the Department of Health and Human Services (HHS) produced initial guidance in 2007 (Agency for Health Care Quality and Research, 2007). This VA guidance document draws on the HHS planning guide and other key documents to provide specific guidance targeted to the Veterans Health Administration (VHA). This document also fulfils the charge in VA's Pandemic Influenza Plan (Department of Veterans Affairs, 2006) to develop 'criteria and transparent processes for allocation decisions regarding resources that may not be available in sufficient quantities during a pandemic.' [...]This guidance addresses decision processes for allocation of scarce clinical resources that are potentially life saving, such as ventilators and other critical care resources, as well as related questions concerning the ethical duty to provide care and reciprocal institutional obligations, hospice and palliative care planning and response, and limits on individual liberties related to influenza containment. Guidance regarding allocation of countermeasures such as vaccines and antivirals is being developed by Federal interagency work groups."
National Center for Ethics in Health Care (U.S.)
2010-07
