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Pandemic Influenza Emergency Management Plan
This document is part of the State of Oregon Emergency Management Plan. The purpose of this document is to lessen the impact of an influenza pandemic on the residents of Oregon.
Oregon. Department of Human Services
2008-12-01?
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Public Health Planning for Vulnerable Populations and Pandemic Influenza
"This thesis addresses planning for vulnerable populations, those segments of each community that are normally independent but that may require special assistance during a health emergency such as an influenza pandemic. Analysis of plans from sixty of Georgia's 159 counties provides insight into the extent to which vulnerable populations are defined and identified; relevant agencies are engaged in planning; and opportunities are identified for improvement. Recommended strategies will enable local jurisdictions to more effectively plan for vulnerable populations. Some strategies have now been implemented and others are in progress."
Naval Postgraduate School (U.S.). Center for Homeland Defense and Security; Naval Postgraduate School (U.S.)
Cameron, Wendy K.
2008-12
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Government of Saint Lucia: National Influenza Plan, Volume 8: Essential Services: Pandemic Influenza Planning Guidelines for the Transportation Sector
"This Sector-specific guideline is a stand-alone document but forms part of the Saint Lucia National Pandemic Plan and intends to assist the Sub-Sectors of Transportation, and the public and private sector businesses within the Sector, plan for pandemic influenza. Organizations that fail to prepare for such a prolonged catastrophic event may find themselves without the staff, equipment, or supplies necessary to continue providing essential transportation services for their customers and the nation. […] The guideline serves as a non-prescriptive reference for owner-operators and a practical tool that business planners can use to augment and tailor their existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate your pandemic influenza plan with your existing business continuity and emergency response plans. The sections addresses [sic] the unique challenges the various aspects of the Transport Sector may face during a pandemic influenza outbreak, as well the seven major areas of vulnerability the sector should fully assess in planning for pandemic influenza."
Saint Lucia
2008-11-09
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Quarantine and Isolation: Selected Legal Issues Relating to Employment [Updated November 1, 2008]
"This report examines the employment-at-will doctrine, possible application of the public policy exception in the case of a potential influenza pandemic, the Family and Medical Leave Act (FMLA), and possible application of the nondiscrimination mandates of the Americans with Disabilities Act (ADA). The report will be updated as developments warrant. […] The emergence and rapid spread of a new avian influenza virus (H5N1) and its potential for causing a human influenza pandemic have given rise to issues relating to the use of quarantine and isolation. Questions relating to employment are among the most significant issues, since, if individuals fear losing their employment or their wages, compliance with public health measures such as isolation or quarantine may suffer. Although the common law doctrine of employment-at-will, which allows an employer to terminate an employee from employment for any reason other than those prohibited by statute, is generally applicable, there is an exception to this doctrine for public policy reasons."
Library of Congress. Congressional Research Service
Shimabukuro, Jon O.; Jones, Nancy Lee
2008-11-01
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Isolation and Quarantine Benchbook
"Public health law governs 'the legal powers and duties of the state to assure the conditions for people to be healthy (e.g., to identify, prevent, and ameliorate risks to health in the population) and the limitations on the power of the state to constrain the autonomy, privacy, liberty, or other legally protected interests of individuals for the protection or promotion of community health.' In recent years, the focus of public health law has turned increasingly to determining how these principles should be implemented in the event of an outbreak of a life-threatening communicable disease, whether naturally occurring (such as severe acute respiratory syndrome [SARS] or avian flu) or resulting from a bioterrorism attack. Plans for a public-health response to such a crisis necessarily include the possibility of isolation or quarantine (I/Q) - that is, the confinement within a proscribed area of persons who have been exposed to or contracted a communicable disease, to guard against the spread of the disease to the general public."
Minnesota. Judicial Branch
2008-11
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Shelter-In-Place Functional Annex Development Toolkit for Long-Term Health Care Facilities in Colorado
"This Toolkit helps a facility create a Shelter-in-Place Functional Annex. It is designed for use in conjunction with the other emergency planning toolkits provided by the Colorado Department of Health and Environment (available online at www.healthfacilities.info under the Emergency Planning Resources link) but it may also be used independently. However, the Hazard-Specific Appendices Toolkit and the other Functional Annex Toolkits will greatly compliment this toolkit and facilities are strongly encouraged to use them together."
Colorado. Department of Public Health and Environment
2008-11?
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Push Partner Registry Guide: A Healthcare Provider's Guide to Provider-Based Distribution of Pandemic Influenza Vaccine in Kent County
"The Push Partner Registry (PPR) is a network of Health Care Providers in Kent County who have agreed to distribute government-sponsored vaccine to their staff and/or patients in the event of an influenza pandemic. Partners receive free vaccine and instructions directly from the Kent County Health Department (KCHD). [...] A timely public health response is crucial to reduce morbidity and mortality during an influenza pandemic. A primary component of the response will be the appropriate use of vaccine should it become available. The distribution of government-sponsored therapies likely will come via the local health department."
Kent County (Mich.)
2008-11
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Baptist Health South Florida Pandemic Influenza Preparedness Plan
"The foregoing plan and procedure attempts to address how BHSF will prepare for and confront the outbreak of a pandemic of potentially unknown proportion. This policy sets forth guidelines based on BHSF [Baptist Health South Florida] ethical framework that outlines ethical values in case of a pandemic, reflecting the overall mission of compassionate healthcare at Baptist Health. The scale and impact of such a pandemic can only be estimated, and it is likely that if an outbreak were to occur, BHSF will need to address on an immediate and continuous basis the guidelines set forth herein and their continued applicability to the current situation."
Baptist Health Systems of South Florida
2008-11
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Would an Influenza Pandemic Qualify as a Major Disaster Under the Stafford Act? [October 20, 2008]
"This report provides a legal analysis of the eligibility of an influenza pandemic (flu pandemic) to be declared by the President as a major disaster under the Robert T. Stafford Disaster Relief and Emergency Assistance Act. In 1997, the discovery of a virulent H5N1 strain of avian influenza (bird flu) raised the possibility of a flu pandemic occurring in the United States. In such an event, the Stafford Act could provide authority for federal assistance. Although it is widely agreed that emergency assistance under the Stafford Act could be provided by the President in the event of a flu pandemic, questions remain as to whether major disaster assistance would be available. An analysis of the Stafford Act suggests that this issue was not addressed by Congress when it drafted the current definition of a major disaster, and that neither inclusion nor exclusion of flu pandemics from major disaster assistance is explicitly required by the current statutory language."
Library of Congress. Congressional Research Service
Liu, Edward C.
2008-10-20
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Pandemic Influenza and Excess Intensive-Care Workload
This article provides estimates for peak demand for healthcare workers during an epidemic or pandemic, factoring in healthcare worker absenteeism and using estimates from published epidemiologic models on the expected evolution of pandemic influenza in relation to the impact on peak surge capacity of healthcare facilities and intensive care units. The article shows that even during the peak of a pandemic, all patients requiring hospital and ICU admission can be served, including those who have non-influenza-related conditions. Please Note: This record has been imported to the HSDL as part of the LLIS Consolidation project and has not yet been reviewed by HSDL staff. Some information may be incomplete, missing, or inaccurate. For more information on the LLIS Consolidation project, please see here: [http://www.hsdl.org/?llis]
Centers for Disease Control and Prevention (U.S.)
Nap, Raoul E.; Andriessen, Maarten P.H.M.; Meessen, Nico E.L. . . .
2008-10
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Next Flu Pandemic: What to Expect
"A flu (influenza) pandemic is an outbreak caused by a new human flu virus that spreads around the world. Because the pandemic flu virus will be new to people, many people could get very sick or could die. Seasonal flu shots do not protect people from pandemic flu. […] Public health experts say it's not a matter of IF a flu pandemic will happen, but WHEN. We cannot predict when the next flu pandemic will happen."
Centers for Disease Control and Prevention (U.S.)
2008-10
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Pandemic Influenza Planning Electronic Toolkit for Wisconsin Schools
"Every school needs to develop a plan to address a possible influenza pandemic. Leading health authorities tell us that it is not a matter of if a pandemic will occur, but rather when it will occur. Making this plan a part of the school's overall crisis or safety plan allows the developers to move ahead quickly using many of the components which are already in place. This electronic toolkit is designed to help schools quickly and easily locate the large volume of pandemic influenza information and resources that are already available around the country. A variety of topics relevant to both seasonal and pandemic influenza are listed and sample web site links are provided. As new materials become available, updates will be added."
Wisconsin. Department of Public Instruction
2008-10
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Pandemic Influenza Surge Plan for Managing In-and Out-of-Hospital Deaths
From the Overview: "A pandemic influenza (PI) event is defined as a global outbreak of disease in the human population, resulting in serious illness and death. A pandemic event is different from seasonal outbreaks or epidemics, since pandemic outbreaks are caused by new virus subtypes that have never circulated among people, or by subtypes that have not circulated for a long time. When a major change in the virus genetic subtype occurs, usually involving a new hemagglutinin antigen derived from a bird or animal influenza strain, numerous illnesses and deaths result because most humans have no pre-existing immunity."
New York (N.Y.). Office of Chief Medical Examiner
Hirsch, Charles S. (Charles Sidney), 1937-2016
2008-10
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Avian and Pandemic Influenza: The Global Response
"The international focus on the avian flu threat has generated action worldwide. Nearly all governments have put in place basic planning for avian and pandemic flu activities. National surveillance systems with supporting laboratory and field investigation services have been extensively reinforced. Global progress achieved in pandemic preparedness and the ability to respond to avian flu outbreaks reflects the concerted efforts of governments and their citizens and industries, the International Partnership on Avian and Pandemic Influenza, bilateral donor agencies, the European Commission, international and regional organizations, and international financial institutions."
United States. Department of State
2008-10
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CBO Paper: U.S. Policy Regarding Pandemic-Influenza Vaccines
In 2005, the Department of Health and Human Services (HHS) published a plan that includes a series of measures to be taken in the case of an influenza pandemic. This paper focuses on the federal government's role in the vaccine market that is outlined in the HHS plan. The report provides information on the current state of readiness, the additional expenditures likely to be necessary to achieve HHS's vaccine-related goals, the expenditures that are likely necessary to maintain preparedness, and the approaches of other countries as they too face the prospect of an influenza pandemic.
United States. Congressional Budget Office
2008-09-01?
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Pandemic Influenza Fact Sheet
"The U.S. Government remains concerned about the possibility of an influenza pandemic that will affect Americans abroad. This fact sheet offers advice on measures Americans can take to prepare for and cope with a possible pandemic. It also includes information on the U. S. Government's efforts to plan for and respond to such an event."
United States. Bureau of Consular Affairs
2008-09
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Pandemic Preparedness in the States: An Assessment of Progress and Opportunity
"This paper presents an overall assessment of the current level of pandemic preparedness in the states, based on the NGA Center's observations and an analysis of the information provided by workshop participants. It focuses specifically on preparedness in four sectors or disciplines that are common to all states--healthcare, commerce, education and public safety--and identifies five broad areas in which new or improved policies, procedures, capabilities or strategies are needed to improve overall pandemic preparedness." These areas are workforce policies, schools, situational awareness, public involvement, and public-private sector engagement. […] "Over the course of 2007 and early 2008, the National Governors Association Center for Best Practices (NGA Center) conducted nine regional pandemic preparedness workshops involving all 50 states, the District of Columbia, and four of the five U.S. territories. The workshops were designed to examine state pandemic preparedness, particularly in non-health-related areas such as continuity of government, maintenance of essential services, and coordination with the private sector. The workshops also examined the strengths and weaknesses of coordination activities among levels of government, both vertically (state-federal and state-local) and horizontally (state-state) as well as with the private sector."
National Governors' Association
2008-09
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U.S. Policy Regarding Pandemic Influenza Vaccines
"The possibility of an influenza pandemic is cause for concern among policymakers, public health experts, and the world's populations. Against that prospect, in 2005, the Department of Health and Human Services (HHS) published a plan that includes a series of measures, first to monitor the spread of disease in the event of a worldwide outbreak and then to facilitate a rapid response. That second step includes developing influenza vaccines and expanding the nation's capacity for producing influenza vaccine; creating stockpiles of antiviral drugs and other medical supplies (to avert an influenza pandemic or minimize its effects); coordinating federal, state, and local preparations; and planning for public outreach and communications. HHS's plan has two specific goals that relate to vaccines. The first goal is to have in place by 2011 domestic production capacity sufficient to supply vaccine to the entire U.S. population within six months of the onset of a pandemic. The second goal is to stockpile enough doses of vaccine to inoculate 20 million people as soon as possible after the onset of a pandemic. This Congressional Budget Office (CBO) paper, which was prepared at the request of the Senate Majority Leader, focuses on the government's role in the vaccine market that stems from HHS's plan. It provides information on the current state of readiness, the additional expenditures likely to be necessary to achieve HHS's vaccine-related goals, the expenditures that are likely to be needed to maintain preparedness, and the approaches of other countries as they too face the prospect of an influenza pandemic. In keeping with CBO's mandate to provide objective, nonpartisan analysis, this paper makes no recommendations."
United States. Congressional Budget Office
2008-09
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Pandemic Influenza Preparedness: Conducting Workshops for Elected and Appointed Officials
Regional pandemic planners should consider hosting workshops to provide education to elected and appointed officials about pandemic preparedness efforts. Senior officials should be encouraged to attend in person and not to send staff members in their place.
Lessons Learned Information Sharing (LLIS)
2008-08-22?
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LLIS Lesson Learned: Pandemic Influenza Planning: Collaboration with Agricultural and Animal Health Experts
"Regional pandemic planners should consider engaging applicable agricultural and animal health experts to ensure that poultry and avian species disease surveillance and response efforts are linked to public health planning. The Louisiana Department of Health and Hospitals/Office of Public Health sponsored a series of pandemic influenza tabletop exercises (TTX) throughout the state from December 2006 to February 2007. On January 31, 2007, the Louisiana Office of Public Health (OPH) Region VI conducted a TTX in Alexandria, LA. TTX participants represented 5 state organizations and 37 regional and local organizations. The goal of the TTX was to engage community partners in a discussion of Emergency Support Function (ESF)-8 (public health and emergency medical) roles and responsibilities, expectations, and anticipated challenges in the face of an influenza pandemic. One TTX objective was to assess the familiarity of pandemic influenza planning among internal (ESF-8) and external stakeholders. The TTX scenario consisted of a severe influenza pandemic emerging in OPH Region VI."
Lessons Learned Information Sharing (LLIS)
2008-08-08?
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Public Health and Medical Preparedness and Response: Issues in the 110th Congress [Updated August 1, 2008]
This updated CRS report "discusses key issues in public health and medical preparedness and response, citing additional CRS reports and other resources. [...] The 2001 terrorist attacks, Hurricane Katrina, and concerns about an influenza ('flu') pandemic have sharpened congressional interest in the nation's systems to track and respond to public health threats. The 109th Congress reauthorized or established relevant programs in the Departments of Health and Human Services (HHS) and Homeland Security (DHS). In its second session, the 110th Congress has focused its oversight of these programs on (1) the fitness of HHS and DHS -- in terms of authority, funding, policies, and workforce -- to respond to complex health emergencies; (2) how well they and other federal agencies coordinate their efforts; (3) the status of major federal initiatives, such as pandemic flu preparedness and disaster planning for at-risk populations; and (4) the effect of the upcoming presidential transition on authorities and programs that were established during the current administration."
Library of Congress. Congressional Research Service
Lister, Sarah A.
2008-08-01
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Altered Standards of Care Guidance with an Emphasis on Pandemic Influenza Draft
This document provides a draft guidance to Indiana hospitals about making decisions in their efforts to be fair to everyone requesting medical treatment.
Indiana. State Department of Health
2008-08-01?
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Dakota County Pandemic Influenza Tabletop Exercise: K-12 School Closure as a Disease Containment Measure, April 17, 2008
"This exercise was a re-creation of an exercise designed by the Minnesota Department of Health to discuss K-12 school closure as a disease containment measure during a pandemic flu incident. The goal of the Dakota County Pandemic Influenza tabletop exercise was to: Advance planning in Dakota County school districts through a discussion of issues that would arise during a pandemic disease and provide valuable feedback for policy formulation at all levels of government The planning team was composed of numerous and diverse agencies, including Dakota County, the cities of Eagan and Sunfish Lake, and Independent School Districts 191, 194, and 196. Based on the exercise planning team's deliberations, the following objectives were developed: Objective 1: Describe the potential impact of a pandemic on schools and the community; Objective 2: Exchange ideas about the impact and policy implications of closing and re-opening schools in Dakota County; Objective 3: Discuss the roles and responsibilities of the school district and other agencies in preparing and responding to pandemic influenza; Objective 4: Use discussion points from the tabletop to improve local plans, and provide feedback for policy formulation at all levels of government The purpose of this report is to analyze exercise results, identify strengths to be maintained and built upon, identify potential areas for further improvement, and support development of corrective actions."
Dakota County Public Health (MN)
2008-08
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Pandemic Influenza Emergency Plan: University of North Carolina - Chapel Hill
This document details the University's emergency pandemic influenza plan, including a crisis communication plan and continuity of operations plans.
University of North Carolina at Chapel Hill
2008-08
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Key Elements of Departmental Pandemic Influenza Plans, Meta Checklist
"The 'National Strategy for Pandemic Influenza Implementation Plan' requires Federal departments and agencies to develop plans addressing (1) protection of employees, (2) maintenance of essential functions and services, (3) support for the Federal response, and (4) communication with stakeholders about pandemic planning and response. The Federal departments, agencies, and independent organizations are hereinafter referred to as 'agencies.' In November 2006, Homeland Security Council (HSC) staff requested that department and agency heads certify in writing to the HSC that their respective department or agency was addressing the applicable elements of pandemic planning set forth in a checklist developed and published at http: www.pandemicflu.gov. That checklist provided a mechanism to assist agencies in developing their pandemic plans and ensured uniform preparedness across the U.S. Government."
United States. Federal Emergency Management Agency
2008-08-01?
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Altered Standards of Care Guidance with an Emphasis on Pandemic Influenza: Draft Document for Review and Comment
"This document shall serve as a guide for hospital policymakers. All information contained herein is subject to change and applies only to patients 2 months of age and older. Though adherence to these procedures and recommendations is not required by law, the adoption of consistent procedures and recommendations statewide would represent best practices during times of disaster and would assist in gaining public confidence. It is suggested that each hospital evaluate and apply this document in consideration of its unique needs including staffing, bed capacity, and community resources available to the hospital. Individual hospitals may then develop facility‐specific policies and procedures. Altered standards of care guidelines should be activated in the event of pandemic influenza or other public health emergencies declared by the Governor of the state of Indiana. In the event of a declaration of disaster, the hospital should initiate previously developed procedures to authorize the emergency privileging and credentialing of health care practitioners and providers. Health care practitioners and providers may act outside their privileges as granted by the hospital based on prior education, training, or experience."
Indiana. State Department of Health
2008-08
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LLIS Lesson Learned: Pandemic Influenza Preparedness Planning: Examining Triage Alternatives to Minimize Surge
"Pandemic influenza planning efforts should examine triage alternatives to attempt to minimize surge and emergency medical services (EMS) wait times after delivering patients to healthcare facilities. […] The Louisiana Department of Health and Hospitals/Office of Public Health sponsored a series of pandemic influenza tabletop exercises (TTX) throughout the state from December 2006 to February 2007. On January 25, 2007, the Louisiana Office of Public Health (OPH) Region III conducted a TTX in Thibodaux, LA. TTX participants represented 7 state organizations, 47 regional and local organizations, and the American Red Cross. The goal of the TTX was to engage community partners in a discussion of Emergency Support Function (ESF)-8 (public health and emergency medical) roles and responsibilities, expectations, and anticipated challenges in the face of an influenza pandemic. One TTX objective was to assess risk communications consistency, message content, and methods for dissemination. The TTX scenario consisted of a severe influenza pandemic emerging in OPH Region III."
Lessons Learned Information Sharing (LLIS)
2008-07-18
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Revision of the Pandemic Influenza Preparedness Guidance: An Update on the Drafting Process
"On 27-29 November 2007, the WHO Global Influenza Programme (GIP) convened a working group meeting in Geneva, Switzerland to begin the process of updating WHO's pandemic influenza preparedness guidance. [...] The updated WHO pandemic influenza preparedness and response guidance 'package' is scheduled for publication in December 2008."
World Health Organization
2008-07-16
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Triggers and Actions for Influenza Pandemic Response in Wisonsin
"This document describes surveillance triggers for major state and local pandemic response activities in Wisconsin. It is based on a CDC [Centers for Disease Control and Prevention] framework introduced in March 2008 that describes seven pandemic intervals."
Wisconsin. Division of Public Health
2008-07-15
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Mississippi Pandemic Influenza Preparedness and Response Plan: Functional Annex 7.0
This document is the state of Mississippi's pandemic influenza preparedness and response plan effective July 10, 2008. "This Plan establishes a framework for management of State-wide operations in response to a sudden, pervasive influenza associated illness with appropriate, structured and well-designed responses. It establishes policies and procedures by which the State shall coordinate local, State, and Federal preparedness and response efforts for PI; and identifies addresses, analyzes, and provides a broad series of guidelines for action in case the influenza pandemic threat is realized and covers all events and activities deemed by the State Health Officer, or his designee, to require a coordinated Statewide response. The Plan embraces the National Response Plan (NRP) and the National Incident Management System (NIMS) as fundamental guidance for PI preparedness and response and is amended and updated to reflect evolving guidance and requirements of the NRP and NIMS. The State of Mississippi Comprehensive Emergency Management Plan (CEMP) and the MSDH Emergency Support Function (ESF)-8 Concept of Operations Plan for Public Health and Medical Emergencies (CONOPS Plan) provide an organizational structure to allow emergency medical services personnel and health care facilities to work together in a collaborative way and to provide assistance in situations where local resources are overwhelmed. This Plan is based on policies and procedures established within these two documents and serves as a Functional Annex to the CONOPS Plan."
Mississippi. State Department of Health
2008-07-10
