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At-Risk Populations and Pandemic Influenza: Planning Guidance for State, Territorial, Tribal, and Local Health Departments
"In 2007, the Association of State and Territorial Health Officials (ASTHO) received funding from the Centers for Disease Control and Prevention (CDC) to develop guidance for state, territorial, tribal, and local health departments on at-risk populations in an influenza pandemic. ASTHO worked with state, local, tribal, and territorial health agencies; federal entities including CDC; and other key stakeholders to develop this guidance. Certain populations are at increased risk of harm during an influenza pandemic; special provisions, plans, and procedures must be arranged prior to an event to ensure the health and safety of these groups. Prior to this project, there was no specific national guidance in place to direct the development of such plans. […] Both CDC and ASTHO recognize that many entities have work in progress to develop plans and procedures for at-risk populations in emergencies. This guidance differs from those projects because of its singular focus on pandemic influenza. While many of the recommendations provided in this guidance will be applicable to all-hazards planning, specific considerations come into play in an influenza pandemic that cannot be addressed in all-hazards planning. Influenza pandemics will be widespread events that affect all jurisdictions. They occur over extended periods of time, affect the entire country, and may include a series of waves rather than one isolated outbreak. During a severe pandemic, hospitals and other healthcare centers are likely to be overwhelmed with patients, and business may experience a substantial reduction in staff."
Association of State and Territorial Health Officials (U.S.)
2008-06
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Michigan Pandemic Influenza Plan, Draft 3.5
The Michigan Pandemic Influenza Plan provides guidance to state agencies and departments on preparedness and response activities to counter the anticipated impact of a pandemic influenza outbreak.
Michigan. Department of Community Health
2008-07
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Human Capital Planning for Pandemic Influenza (2nd Installment)
"The following questions and answers will (1) assist Federal agencies in understanding and using policies and programs designed to accomplish work during a pandemic health crisis and (2) assist Federal employees and their families in dealing with the consequences of a pandemic health crisis. Employees should consult with their agency human resources office regarding these policies and programs, since many of these matters are addressed in agency internal policies and/or collective bargaining agreements. In addition, agencies will provide guidance and specific direction to their employees on the agency's operating status, including whether employees should work from an alternative worksite for a period of time. Please note that some of the questions posed and answered in this guidance are hypothetical in nature and do not reflect actual events or circumstances that have occurred (such questions are clearly marked as '[hypothetical]')."
United States. Office of Personnel Management
2006-07-07
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Washington State Region IV Public Health Mass Prophylaxis, Point of Dispensing (POD), Field Operations Guide (Fog)
"The purpose of this document is to provide a standardized mass prophylaxis point of dispensing (POD) field operating guide (FOG) for Region IV Public Health in southwest Washington State for Clark, Cowlitz, Skamania and Wahkiakum Counties."
Washington (State). Division of Public Health
2009-05
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Pandemic Influenza Preparedness Plan for Maryland - Version 5
The purpose of this plan is to "provide procedures for mitigating the consequences of an influenza pandemic affecting Maryland."
Maryland. Department of Health and Mental Hygiene
2002-04
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White Paper: Scene Operations, to Include Identification, Medico-legal Investigation Protocols and Command and Control of Mass Fatalities Resulting from a Pandemic Influenza (PI) in the United States
"The purpose here was to identify the appropriate scene response resources and protocols for deaths due to a pandemic influenza (PI) event. A PI event will result in an increased number of deaths both in and out of medical treatment facilities. Existing fatality management systems in all communities will require an increased surge capacity and capability to manage the event."
Joint Task Force Civil Support
2006-09
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Pandemic Influenza (Flu) Plan for Kansas State University
"Emergency preparedness planning is essential because it affords the University an opportunity to respond more effectively to a number of emergency situations including a possible pandemic. This plan serves as a guide to help us respond appropriately to an influenza pandemic. Flexibility is needed based on up-to-date information variables."
Kansas State University
2009
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White Paper: The Provision of Family Assistance and Behavioral Health Services in the Management of Mass Fatalities Resulting from a Pandemic Influenza in the United States
"The purpose of this white paper is to identify behavioral health and other supportive services that would be of specific concern for families and responders during a mass fatalities event resulting from a pandemic influenza in the United States. These services, termed 'family assistance' in this paper for ease of reference, are identified and addressed with recommendations to facilitate efficient implementation of services in mass fatalities planning and response operations."
Joint Task Force Civil Support
2006-09
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What Physicians Need to Know About Isolation and Quarantine
This brief document provides a quick overview of the roles and responsibilities of public health agencies as well as physicians in the event of a public health emergency. It outlines the difference between quarantine and isolation.
Mid-America Regional Council
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Norwegian National Influenza Pandemic Preparedness Plan
"The objective of this Plan is to ensure that the necessary steps are taken in order to make it possible during a pandemic: To reduce morbidity and mortality; To nurse and treat sick and dying patients at home and in hospital; To uphold essential community services; To give continuous, necessary information to the health services, public authorities, the general public and the mass media."
Norway. Ministry of Health and Social Affairs
2003-07
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Florida Natural Disease Outbreak and the Pandemic Influenza Fatality Management Response Plan
"This document contains guidelines to help localities prepare to manage the increased number of deaths due to a natural disease event, such as an influenza pandemic. In a pandemic, the number of deaths will be over and above the usual number of fatalities that a locality would typically see during the same time period. This document will also augment the State of Florida, Department of Health Influenza Pandemic Annex to the Emergency Operations Plan (Version 9.1, February 2, 2006)."
Florida. Medical Examiners Commission
2008-04-11
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Arizona Influenza Pandemic Response Plan, Supplement 10: Public Health Communications
"The goals of this plan are to: Describe the integral role of communications in preparing for, implementing, and evaluating public health actions to protect health and prevent pandemic influenza-associated morbidity and mortality; Provide state health officials, community health care professionals and communications specialists with guidance to assist them in developing and implementing communication plans that support an effective public health response and help minimize anxiety, fear, and stigmatization; Provide the basis for a well-coordinated and consistent communications strategy across jurisdictions, based on a common adherence to established risk communication principles."
Arizona. Department of Health Services
2006-01
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Rhode Island Pandemic Flu Emergency Response Plan
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
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GLA Group Pandemic Flu Response Plan
"The purpose of this plan is to provide a response to the specific threat of a flu pandemic. The arrangements are designed to ensure that: The GLA [Greater London Authority] Group (including strategic partners) continue to provide essential services to Londoners under pandemic conditions; Continuation of services is pre-planned, as far as possible; The health, safety and welfare of staff is promoted; and Normality is restored in the capital as soon as is possible by supporting other stakeholders and service providers wherever resources allow."
Greater London Authority
2006-07
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Public Health Preparedness and Response Plan: Pandemic Influenza and Highly Infectious Respiratory Diseases
The purpose of this plan is to provide a guide for Harris County, Texas, Public Health and Environmental Services on how to respond before, during, and after a pandemic situation. The plan focuses on influenza but also serves as the template for responding to large-scale outbreaks of other highly infectious respiratory diseases such as Severe Acute Respiratory Syndrome (SARS).
Harris County Public Health & Environmental Services
2009-04-01?
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Oregon Emergency Management Plan Annex F: Health and Medical Services - Communicable Disease Hazard Plan: 4.1 Pandemic Influenza
"The purpose of the Oregon Pandemic Influenza Preparedness Plan is to lessen the impact of an influenza pandemic on the residents of Oregon by providing a guide for the State of Oregon and Local Health Departments (LHD). This plan focuses on elements unique to pandemic flu. Wherever response is not unique to pandemic influenza, but is typical of response to any communicable disease or other public health emergency, reference will be made to the State of Oregon Emergency Management (OEM) Plan: Annex F, Health and Medical Services, Base Plan. Annex F, Functional, Hazard appendices and related SOP's can be found on the Health Alert Network (HAN) website or by request to Oregon Health Services (OHS), Public Health Preparedness (PHP) program."
Oregon. Department of Human Services
2005-01
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Alberta's Plan for Pandemic Influenza - a Summary
"Alberta's Plan for Pandemic Influenza has been developed by Alberta Health and Wellness (AHW) and the Alberta Emergency Management Agency (AEMA) to guide and support the pandemic planning and response of the Government of Alberta, the health sector, the municipalities, and other key stakeholders. It has been developed to align with the Canadian Pandemic Influenza Plan for the Health Sector (CPIP) as well as the Alberta Health Services pandemic response plan. The Plan provides a coordinated and phased response to Pandemic (H1N1) 2009 influenza. It is based on a scenario in which pandemic influenza is of moderate severity, but is scalable to address additional responses that may be required should pandemic influenza cause more severe disease or affect a larger proportion of the population. The Plan remains an evergreen document and will therefore be revised to incorporate lessons learned from the Pandemic (H1N1) 2009 influenza response and other pandemic scenarios as required. This document provides an overview of the detailed plan."
Government of Alberta. Health and Wellness
2009-10
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Arizona Influenza Pandemic Response Plan Supplement 13: Guidance for County and Tribal Health Departments
"County and tribal health departments will be highly effected prior to and during an influenza pandemic. This guidance is designed to help spotlight important planning and response activities that are necessary at the local health department level. In January 2006, HHS [Arizona Department of Health and Human Services] released a state and local planning checklist (www.pandemicflu.gov). While the HHS checklist is not reproduced here, is lists broad concepts that are important and may help counties and tribes in the development of their respective plans."
Arizona. Department of Health Services
2006-06
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University of North Carolina Pandemic Influenza Response Plan - Incident Level Responsibilities
This document summarizes responsibilities of emergency management personnel and school officials in an event of a pandemic.
University of North Carolina at Chapel Hill
2006-11
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Parkers Chapel School District: Pandemic Flu Plan
"This plan has been prepared to assist the school district in collaboration with Union County to better respond to the threat of an influenza pandemic. The provisions of this plan constitute general guidance to mitigate the widespread illness regarding school aged children during an influenza pandemic. Additional information on Arkansas's public health response to an influenza pandemic is in the 'Arkansas Influenza Pandemic Response Plan' developed by the Division of Health, Arkansas Department of Health and Human Services. Provisions of this plan are not intended to supersede or negate the provisions of any annex or other appendix to the state and county plans."
Parkers Chapel School District
2007-09
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NC 2009 H1N1 Pandemic Influenza Vaccine Distribution Plan [Version 1.0]
"Vaccination is the primary control measure to prevent influenza. The pharmaceutical industry is actively manufacturing the 2009 H 1 N 1 pandemic vaccine. The purpose of this chapter is to outline the key steps in the process of vaccine acquisition and deli very during an influenza pandemic."
North Carolina. Department of Health and Human Services
2009-08-31
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National Strategic Plan for Avian Influenza Control and Influenza Pandemic Preparedness in Thailand, 2005-2007
"In 2004, Thailand experienced an unprecedented epidemic among poultry, of highly pathogenic avian influenza caused by the H5Nl virus. The virus crossed the species barrier to infect humans with a very high mortality rate of more than 70 percent. The potential of reassortment between avian and human influenza virus, which may result in a new pandemic influenza virus, highly concerns the WHO [World Health Organization] and the global health community. The pandemic, if it occurs, will likely result in very high socio-economic and health impact. The Royal Thai Government has put immense resources and efforts into controlling this outbreak and preventing the possibility of a pandemic. The Prime Minister has established a multisectoral public-private National Committee on Avian Influenza Control, chaired by the Deputy Prime Minister. In order to tackle the problem in an integrated, holistic and sustainable manner, the committee appointed a Working Group on Strategic Development as well as a National Command Centre on Avian Influenza. The Working Group on Strategic Development has successfully, through intensive technical consultations among all public and private stakeholders, formulated the National Strategic Plan for Avian Influenza Control and the National Strategic Plan for Influenza Pandemic Preparedness. These two plans will cover the period of three years between 2005 and 2007. The two plans were endorsed by the cabinet on January 25, 2005. It is quite obvious that the situation and the knowledge and wisdom related to Avian Influenza are highly dynamic."
Thailand. Ministry of Public Health
2005-05
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Guam Pandemic Influenza Plan
"The purpose of this plan is to provide a guide for the Guam Department of Public Health and Social Services (DPHSS) and other Territorial agencies for detecting and responding to an influenza pandemic. The plan describes disease surveillance, emergency management, vaccine and antiviral delivery, laboratory and communications activities, as well as how multiple agencies should work together to respond to such an event. If confronted with pandemic influenza, the priorities of the DPHSS will be to assure the continuation and delivery of essential public health services while providing assistance to meet emergency needs of the affected population. This plan establishes the framework and guidelines for ensuring that an effective system of health and medically related emergency management is in place to contain adverse outcomes of an influenza pandemic. The Guam Pandemic Influenza Plan represents an evolutionary process that must be periodically reviewed and updated when new information and guidelines from the World Health Organization (WHO) or the U.S. Centers for Disease Control and Prevention (CDC) are available to ensure that its assumptions, resources, priorities, and plans are consistent with current knowledge and changing infrastructure. In addition, in the event of a pandemic, the judgments of the public health leadership, based on the epidemiology of the current virus, and the extent of its spread within the population of Guam and the region, may alter or override anticipated strategies and plan."
Guam. Division of Public Health
2006-01-25
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Missouri Department of Health and Senior Services Pandemic Influenza Plan
The purpose of this plan is: "To provide an effective response to Pandemic Influenza resulting from natural causes or a terrorist release. This response will reduce the impact on public health (i.e. reduce illness and save lives) and maintain essential services while minimizing economic loss. The following response plan will be implemented after a novel influenza strain begins to spread readily from person to person, and it is geared toward action and specific responsibilities, and designed to complement existing DHSS emergency response plans. […] Epidemics of influenza occur annually in the United States, and the Department of Health and Senior Services runs an ongoing program of education, surveillance, control and prevention to minimize the effects of these epidemics. […] If an unexpected epidemic should occur as a result of a known circulating strain of influenza, parts of the pandemic flu plan would be implemented to minimize the outbreak. The parts implemented would depend upon the specifics of the outbreak and would be determined in consultation with CDC, DHSS experts, local public health agencies, and local and state elected officials."
Missouri. Department of Health & Senior Services
2006-02-09
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Kansas Pandemic Influenza Preparedness and Response Plan
"Experts agree, an influenza pandemic is inevitable. To prepare for the next pandemic, the Kansas Department of Health and Environment (KDHE), Center for Public Health Preparedness (CPHP), in cooperation with many state and local organizations and partners have developed this Kansas Pandemic Influenza Preparedness and Response Plan which provides an overview of strategies to reduce pandemic influenza-related morbidity, mortality, and social disruption in the state. […] This plan was developed using the CDC Planning Guide for State and Local Officials (Draft), which was based on the WHO planning phases that were defined in 1999. The Kansas plan is organized according to the World Health Organization's Pandemic Phases (2005). The following functions are described in each applicable phase: Establish Command, Control, and Management Procedures, Surveillance, Communication, Vaccine Delivery, Emergency Response, and Antivirals. The World Health Organization recently released the 'WHO global influenza preparedness plan' which redefines the phases that were identified in 1999. It is expected that the CDC will also revise the national plan and issue new planning guidance to states in the coming months. The Kansas Pandemic Influenza Preparedness and Response Plan must be considered a 'living document' that will be updated when new information and guidelines from the WHO or CDC are available. At any time during the stages, the activities may also be changed or cancelled by the Bioterrorism Medical Director or the Incident Commander."
Kansas. Department of Health and Environment
2006
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Kentucky Pandemic Influenza Preparedness Plan
"It is not a question of if but when another influenza pandemic will occur. Kentucky must be prepared for this and other types of public health emergencies. To lessen the impact of an influenza pandemic, the Kentucky Department for Public Health has created the Kentucky Pandemic Influenza Preparedness Plan to promote an effective response throughout the pandemic. The plan was originally drafted in 2002 but is being updated through a coordinated effort of the Kentucky Department for Public Health (KDPH), Kentucky Division of Emergency Management (KYEM), Kentucky Office of Homeland Security (KOHS), Kentucky Department of Education (KDE), Kentucky Department of Agriculture (KDA), Kentucky Department of Criminal Justice Training (DOCJT), Kentucky State Police (KSP), Chamber of Commerce, universities, local health departments and other partners and stakeholders. The plan is considered a 'living document' and will be updated with changes as needed. Some of the most diverse areas within the United States are in Kentucky. […] The Kentucky Pandemic Influenza Preparedness Plan serves as a guide for the state during the various pandemic phases. The goal of this plan is to prevent illness and death and preserve critical community infrastructures. The potential impact of a pandemic could be both medical and economic. It is important to respect the potential impact a pandemic poses to all parts of society. Because Mother Nature does not aim, all citizens of the Commonwealth are at risk during a pandemic. The Kentucky Department for Public Health serves as the lead in this type of event, but it will require coordination and collaboration with many state and community partners to effectively manage a pandemic. In order to adequately prepare, the Kentucky Department for Public Health encourages all sectors to participate in planning, exercising, and responding to pandemic influenza."
Kentucky. Department for Public Health
2007-04
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London Regional Resilience Flu Pandemic Response Plan: Special Arrangements for Dealing with Pandemic Influenza in London
The London Regional Resilience Flu Pandemic Response Plan aims to provide the agencies that make up the London Resilience Partnership with a strategic framework to support their integrated preparedness and response to pandemic influenza. This document will inform and support the development of community and organisational responses that are appropriate to local circumstances and sufficiently consistent to ensure a robust regional response to pandemic influenza.
London Resilience Partnership
2007-01
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Avian Flu Pandemic Response Plan Template
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?
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Exercise Development Guide for Validating Influenza Pandemic Preparedness Plans
"This guide describes and encourages the use of a widely accepted approach to the development of exercises for the validation of influenza pandemic preparedness plans. The approach is generic and can be easily adapted for the evaluation of emergency management plans for a broad range of hazards and threats. It is assumed that most users of this guide will have limited experience with emergency exercises. The guide has been written for those that may have limited experience and resources. A glossary of terms is in Annex A."
World Health Organization
2006-02
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South Carolina Mass Casualty Plan Annex 2: Pandemic Influenza - Draft
This planning guidance is based on information provided by the U.S. Department of Health and Human Services in the 'HHS Pandemic Influenza Plan -- November 2005', by the Homeland Security Council in the 'National Strategy for Pandemic Influenza Implementation Plan' and by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) in the 'Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States -- Early, Targeted, Layered Use of Nonpharmaceutical Interventions.' South Carolina has correlated sub-phases to direct emergency operations specific to South Carolina's Emergency Operations Plans.
South Carolina. Department of Health and Environmental Control
2008-07
