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At-Risk Popluations and Pandemic Influenza: Planning Guidance for State, Territorial, Tribal, and Local Health Departments
"This guidance offers public information and recommendations to health departments on how they can provide support to at-risk populations in such an event. Although not the primary audience, community-based organizations (CBOs), faith-based organizations (FBOs), non-profit service providers, businesses, etc, will also find the guidance useful for identifying key areas where they should collaborate with the public health departments to reach at-risk populations."
Association of State and Territorial Health Officials (U.S.)
2008-06
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Major Issues and Challenges of Influenza Pandemic Preparedness in Developing Countries
"Better preparedness for an influenza pandemic mitigates its impact. Many countries have started developing and implementing national influenza pandemic preparedness plans. However, the level of preparedness varies among countries. Developing countries encounter unique and difficult issues and challenges in preparing for a pandemic. Deaths attributable to an influenza pandemic could be substantially higher in developing countries than in industrialized countries. Pharmaceutical interventions such as vaccines and antiviral agents are less likely to be available in developing countries. The public health and clinical infrastructure of developing countries are often inadequate to deal with a widespread health crisis such as an influenza pandemic. Such an event will inevitably have a global effect. Therefore, improving pandemic preparedness in every country, particularly developing ones, is urgently needed."
Centers for Disease Control and Prevention (U.S.)
Oshitani, Hitoshi
2008-06
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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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Fact Sheet: United States International Engagement on Avian and Pandemic Influenza
"The United States Government remains concerned about ongoing outbreaks of highly pathogenic avian influenza H5N1 in birds, and the potential for a global influenza pandemic in humans that could have major health, economic and social consequences. To date, the United States Government has allocated over $6.9 billion in funding to address these threats domestically and internationally. The United States is working with countries and international organizations to respond to this challenge. President Bush announced the International Partnership on Avian and Pandemic Influenza (IPAPI ) during the United Nations General Assembly in September 2005. The goals of the International Partnership include: Elevating avian and pandemic influenza issues on national agendas; Coordinating efforts among donor and affected nations; Mobilizing and leveraging resources; Increasing transparency in disease reporting and improving surveillance; and Building local capacity to identify, contain and respond to an influenza pandemic."
United States. Department of State
2008-05-13
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Pandemic Influenza Isolation Precautions for Hospitalized Patients
This document outlines necessary steps for isolating pandemic influenza hospital patients. Topics include room placement, necessary personal protective equipment for staff, environmental services, and employee health guidelines.
Sonoma County Department of Health Services (Calif.)
2008-05-08?
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Guide to Emergency Quarantine and Isolation Controls of Roads in Rural Areas
"Response to agricultural emergencies, whether attributed to agroterrorism or naturally occurring outbreaks of food contamination or animal disease, often requires immediate (within hours) isolation and/or quarantine of potential infection or contamination areas. For example, with a Foreign Animal Disease (FAD), federal, state, and local agencies will all be involved in a response. Research indicates that the economic impact of the outbreak is a function of the time it takes to enforce quarantine and eradicate or control the infection. It is essential that emergency quarantine and isolation control guidelines and procedures that can be implemented immediately at the local level are available to local responders. Traditional methods of containment (i.e., posting law enforcement officers to control travel) are not feasible in many potentially affected areas; thus, more innovative methods are needed that can be implemented in partnership with law enforcement, military (Active, Reserve, and Guard), the private sector, transportation agencies, media outlets, and others at the local and state levels. The objective of this research is to prepare a guide that establishes recommended practices and procedures associated with traffic control on local and state roads during agricultural emergencies. The research will focus on quarantine and isolation controls that are related to identified containment areas and need to be established within a suitable time frame. There is a need to be able to implement recommendations with minimal resources typically available in a rural region."
National Research Council (U.S.). Transportation Research Board
Graham, Jerry L.
2008-05
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Preparing for Pandemic Influenza: Supplementary Guidance for Local Resilience Forum Planners
This guidance was produced following an initial analysis of the Local Resilience Forum (LRF) pandemic influenza multi-agency plans. The document provides an introduction to multi-agency planning and outlines each of the essential elements of the LRF as well as those areas considered to be the least developed following the initial analysis of plans.
Great Britain. Cabinet Office. Civil Contingencies Secretariat
2008-05
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Pandemic Influenza: 2007 Annual Progress Update: Minnesota Department of Health Activities
This report outlines significant progress made by the, Minnesota Department of Health in 2007 in preparing for pandemic influenza. The agency plays a key role in a, wide variety of areas--everything from laboratory analysis to stockpiling antiviral medication, from helping the, healthcare community plan for a surge of patients to coordinating care of the deceased.
Minnesota. Department of Health
2008-05-01?
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Pandemic Influenza Planning in the United States from a Health Disparities Perspective
This document "explored how different socioeconomic and racial/ethnic groups in the United States might fare in an influenza pandemic on the basis of social factors that shape exposure, vulnerability to influenza virus, and timeliness and adequacy of treatment. We discuss policies that might differentially affect social groups' risk for illness or death. Our purpose is not to establish the precise magnitude of disparities likely to occur; rather, it is to call attention to avoidable disparities that can be expected in the absence of systematic attention to differential social risks in pandemic preparedness plans. Policy makers at the federal, state, and local levels should consider potential sources of socioeconomic and racial/ethnic disparities during a pandemic and formulate specific plans to minimize these disparities."
Centers for Disease Control and Prevention (U.S.)
Blumenshine, Philip; Reingold, Arthur
2008-05
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Quarantine and Isolation: Selected Legal Issues Relating to Employment [Updated April 30, 2008]
"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. 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."
Library of Congress. Congressional Research Service
Jones, Nancy Lee; Shimabukuro, Jon O.
2008-04-30
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Nursing Homes Administrators: Deciding to Evacuate or Shelter in Place in the Event of a Disaster
"Nursing home administrators have a range wide of complex duties in order to be effective leaders. However, one weighty duty that is not often discussed is the nursing home administrator's obligation to determine, in the event of a disaster, should the nursing home residents shelter in place or evacuate. Given the gravity of the decision-making, the potential loss of life and substantial harm that might be incurred, insufficient attention has been given subject (Fairchild, 2006). This paper explores this issue and related matters: 1. What has happened in this country in the past decade to heighten our awareness of the need for disaster planning? 2. What federal laws and regulations are currently in force to guide us on this question? 3. How have the emergency operations structure changed since the September 11, 2001 and the subsequent organization of the Department of Homeland Security? 4. What are some of the critical questions in making a determination? 5. What are additional questions and factors the nursing home administrator and the county emergency operations leadership will take into consideration in making a decision? 6. What are some of the lessons learned about how nursing homes respond to disasters? 7. What are the advantages of the newly defined system? "
LoriHefner.com
Hefner, Lori
2008-04-28
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Florida Natural Disease Outbreak and the Pandemic Influenza Fatality Management Response Plan [Draft]
"During a widespread natural disease outbreak or a pandemic, such as an influenza pandemic, local authorities have to be prepared to manage additional deaths due to the disease, over and above the number of fatalities from all causes currently expected during the inter-pandemic period. Within any locality, the total number of fatalities from the outbreak (including influenza and all other causes) occurring during a 6- to 8- week pandemic wave is estimated to be similar to that which typically occurs over six months in the inter-pandemic period. This guide aims to assist local planners and funeral directors in preparing to cope with large-scale fatalities due to an influenza (or other naturally occurring disease) pandemic. A number of issues have been identified, which should be reviewed with the local medical professionals and institutions, Medical Examiner's district offices, local authorities, including police, Emergency Medical Services (EMS), vital records offices, city or county attorneys, funeral directors, and religious groups/authorities." Plan developed and maintained by Florida Emergency Mortuary Operations Response System (FEMORS) for the Florida Medical Examiners Commission.
University of Florida
2008-04-11
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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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Ethical Guidance for Rationing Scarce Health-Related Resources in a Severe Influenza Pandemic: Literature and Plan Review
From the Background: "There is no one-size-fits-all ethical framework for rationing plans for mild, moderate, and severe pandemics. Unlike a mild pandemic, a severe pandemic has the potential to cripple normal business operations and disrupt the distribution of essential goods and services globally, including in Minnesota. Unlike other disasters, during a severe pandemic states and communities cannot count on receiving federal assistance. This impact on societal functioning makes planning for a severe pandemic unique. While planning is underway at the federal level, the federal government has made it clear that states should develop their own pandemic plans, including plans for rationing scarce resources. This literature and plan review is part of the Minnesota Pandemic Ethics Project, a collaborative effort that is developing recommendations for the ethical rationing of five health-related resources that will be scarce in a severe influenza pandemic: antiviral medications, N95 respirators (N95s), surgical masks, vaccines and mechanical ventilators. How best to ration during a global public health disaster of such duration, severity and scope raises novel ethical issues. For example, when should antiviral medications be rationed for prevention vs. treatment? When should patients be removed from ventilators so that patients more likely to benefit can be given a chance at survival? Should the supply of N95s be reserved for essential workers?"
University of Minnesota. Center for Biomedical Ethics; Minnesota Center for Health Care Ethics
Prehn, Angela Witt; Vawter, Dorothy E.
2008-04-01
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Extensively Drug-Resistant Tuberculosis (XDR-TB): Emerging Public Health Threats and Quarantine and Isolation [Updated April 1, 2008]
"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; briefly addresses the existing law relating to quarantine and isolation, with an emphasis on the interaction of state and federal laws and international agreements; and examines the relationship of quarantine and isolation to civil rights protections. It will be updated as necessary."
Library of Congress. Congressional Research Service
Jones, Nancy Lee; Swendiman, Kathleen S.
2008-04-01
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Point of Dispensing Standards
"The mass antibiotic dispensing standards were developed in collaboration with federal, state, and local agencies. The Rand Corporation, under contract to the U.S. Department of Health and Human Services (HHS), was directed to develop Point of Dispensing (POD) infrastructure standards in collaboration with HHS/Assistant Secretary for Preparedness and Response (HHS/ASPR), Centers for Disease Control and Prevention/Division of Strategic National Stockpile (CDC/DSNS), and state and local agencies that are current Cities Readiness Initiative (CRI) awardees. As such, CDC/DSNS collaborated closely in formulation and execution of the project, and HHS/ASPR was consulted on a regular basis. Federal, state, and local health officials were represented on an expert panel that was convened to provide guidance on the standards development process, and CRI sites were provided with an opportunity to comment on the draft standards. Detailed information on the development of the standards will be published in a public forum within the next six months. CRI is organized around the planning scenario of an outdoor aerosolized anthrax attack. Anthrax is a particularly challenging scenario because, to be effective, prophylaxis must occur prior to the onset of symptoms."
Centers for Disease Control and Prevention (U.S.)
2008-04
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Legal Preparedness for School Closures in Response to Pandemic Influenza and Other Emergencies, A Review and Report Submitted to the Centers for Disease Control and Prevention
"The Center's analysis specifically addresses whether state laws expressly authorize state or local department(s) of health, education, and/or emergency management to close schools during non-emergencies and declared emergencies in response to pandemic influenza or other public health emergencies. While broad public health laws aimed generally at controlling communicable diseases or abating hazards in the community may support closing schools as a preventive measure, the Center's focus is on those laws within each state that appear to expressly authorize school closure for extended periods during non-emergencies and declared emergencies. […] Modeling and analyses conducted by the Centers for Disease Control and Prevention (CDC) and others suggest that community-wide school closures may mitigate the incidence of pandemic influenza, thereby reducing its impact on individuals, groups, healthcare providers, public health systems, and the economy. The public health premise, consistent with social distancing theories, is that timely closing of schools may limit the spread of influenza (or other communicable conditions). […] In furtherance of CDC's assignments via the U.S. Homeland Security Council to prepare the Nation for a potential influenza pandemic--specifically action items 6.3.2.1., 6.3.2.2., and 6.3.2.3. of the National Strategy for Pandemic Influenza Implementation Plan-- (see Appendix A)), CDC's Public Health Law Program and Division of Global Migration and Quarantine asked the Center for Law and the Public's Health ('Center') to examine and characterize patterns in states' legal authorities to close schools. For this purpose, we reviewed the pandemic influenza preparedness and response plans all states submitted to CDC beginning in 2006. We also examined the express state laws of 52 jurisdictions, including the 50 states, the District of Columbia (D.C.), and Puerto Rico."
Center for Law and the Public's Health at Georgetown and Johns Hopkins Universities
Hodge, James G., Jr.; Bhattacharya, Dhrubajyoti; Gray, Jennifer
2008-04
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Emergency Services Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the entities within the Emergency Services Sector plan for a pandemic. Sectors that fail to prepare for such a prolonged catastrophic event may find themselves without the staff, equipment, or supplies necessary to continue providing essential services. […] The guideline serves as a non-prescriptive reference for owner-operators and a practical tool for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Emergency Services Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-25
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Aviation Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the Aviation Sub-Sector of the Transportation Sector, and the public and private sector
businesses within the Sector, plan for a severe influenza pandemic. Organizations that fail to prepare for such a prolonged and potentially 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Aviation Sub-Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline sections. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-24
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Maritime Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the Maritime Sub-Sector of the Transportation Sector, and the public and private sector businesses within the Sector, plan for a severe influenza pandemic. Organizations that fail to prepare for such a prolonged and potentially 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Maritime Sub-Sector may face during a pandemic influenza outbreak, as well the seven major areas of vulnerability the Sub-sector should fully assess in planning for pandemic influenza. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-24
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Railroad Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the owners and operators within the Railroad Sub-Sector of the Transportation Sector with planning for a catastrophic pandemic influenza. Organizations that fail to prepare for such a prolonged and potentially 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Railroad Sub-Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-24
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Mass Transit Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the the owners and operators within the Mass Transit Sub-Sector of the Transportation Sector with planning for a catastrophic pandemic influenza. Organizations that fail to prepare for such a prolonged and potentially 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Mass Transit Sub-Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-24
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Highway and Motor Carrier Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the Highway and Motor Carrier Sub-Sector of the Transportation Sector, and the highway and motor carrier businesses within the Sector, plan for a catastrophic pandemic influenza. Organizations that fail to prepare for such a prolonged and potentially 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Highway and Motor Carrier Sub-Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-03-24
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Federal Guidance to Assist States in Improving State-Level Pandemic Influenza Operating Plans
"Effective State, local and community functioning during and following an influenza pandemic requires focused planning and practicing in advance of the pandemic to ensure that States can maintain their critical functions. The Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States-Early, Targeted, Layered Use of Nonpharmaceutical Interventions (February 2007) was developed to provide guidance for pandemic planning and response. For community mitigation strategies to be effective, State governments need to incorporate them into their operating plans and assist local communities, businesses, non-governmental organizations, and the public in doing the same. State governments must have robust operating plans that have been sufficiently tested and improved by staff who understand and perform proficiently their supporting activities. Community partners must also perform proficiently their roles and responsibilities and understand accurately what the State government will and won't do and how it will communicate with both them and the public. This document provides a strategic framework to help the 50 States, the District of Columbia (DC), and the five U.S. Territories improve and maintain their operating plans for responding to and sustaining functionality during an influenza pandemic. Hereinafter within this document, the terms 'States' and 'State-level' refer to all 56 governmental entities. At the heart of the strategic framework are the supporting activities that State-level operating plans should address. Representatives of several United States Government (USG) Departments (see Annex) developed this document with input from State representatives."
United States Government
2008-03-11
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Pandemic Flu: Lack of Leadership and Disclosure Plague Vaccine Program
"An influenza pandemic, when it strikes, may cause hundreds of thousands of deaths in the U.S., economic losses in the billions of dollars, and possibly a climate of fear and a breakdown of public order. At the start of a pandemic, the first and best defense is to quickly immunize as many people as possible. In July 2007, Health and Human Services (HHS) Secretary Mike Leavitt announced that, over the next five years, vaccine manufacturers will develop the capacity to produce and deliver enough vaccine for the American public within six months of the appearance of a pandemic virus. It should not take that long. The government should be able to speed up the nation's ability to produce enough vaccine. But problems with the current vaccine program, including inadequate leadership and limited public disclosure of information, may be impeding progress. A new agency, BARDA (Biomedical Advanced Research and Development Authority), facilitates collaboration between government, industry, and academia in the flu vaccine program and other public health emergency programs. BARDA was established by Congress in December 2006. Now, more than twelve months later, it still lacks a permanent director. The magnitude of the threat to the nation calls for the immediate appointment of an exceptional person of near-cabinet-level stature who commands respect in the business and public health communities-someone willing to blast through financial and bureaucratic roadblocks."
Project on Government Oversight
2008-03-06
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Pandemic Influenza: Agriculture Planning Toolkit
This document is meant to be a template or outline for small agribusinesses to, incorporate their own business practices so they can participate and assist in a comprehensive preparedness plan.
Florida. Department of Agriculture and Consumer Services; Florida. Department of Health. Division of Emergency Medical Operations
2008-03
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Protecting the Healthcare Workforce in Pandemic Influenza [video]
This is a video broadcast of a group of California public health officials who discussed the risk faced by healthcare workers to infection and contagion. This video broadcast lasts 58 minutes and is "presented by: The CA Dept. of Public Health Emergency Preparedness Office and The Center for Infectious Disease Preparedness and UC Berkeley School of Public Health."
University of California (System). Regents
2008-02-26
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Postal and Shipping Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources' (CI/KR Pandemic Influenza Guide) and intends to assist the Postal and Shipping Sector plan for a catastrophic pandemic influenza. Companies 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 for business planners to augment and tailor existing emergency response plans given the unique challenges an influenza pandemic presents. It is important to integrate this pandemic influenza planning with your existing business continuity and emergency response plans and/or the CI/KR Pandemic Influenza Guide's comprehensive framework for pandemic influenza catastrophic planning. This annex addresses the major challenges the Postal and Shipping Sector may face and should assess in its pandemic influenza planning within the seven key areas of vulnerability highlighted in blue boxes in the Guideline. While not necessarily applicable to all businesses or entities in a given sector, each relevant 'Action, Supporting Action, and Question' in this Guideline can be integrated and managed as a separate checklist item during the planning process." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-02-22
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Pandemic Influenza Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources: Annex: Food and Agriculture Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the 'Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources (CIKR Pandemic Influenza Guide)' and intends to assist the Food and Agriculture Sector, and the businesses and entities within the Sector, plan for a catastrophic pandemic. Companies that fail to prepare for such a prolonged catastrophic are more likely to find themselves without the staff, equipment, or supplies necessary to provide food and agriculture products to their communities and customers than those companies that do prepare for a pandemic." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-02-21
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Pandemic Influenza Preparedness, Response, and Recovery - Guide for critical Infrastructure and Key Resources: Annex: Oil and Natural Gas Sub-Sector Pandemic Guideline
"This Sector-specific guideline is an annex to the Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources (CI/KR Pandemic Influenza Guide) and intends to assist the Oil and Natural Gas (ONG) Sector plan for a catastrophic influenza pandemic. Companies that fail to prepare for such a prolonged catastrophic event may find themselves without the staff, equipment, or supplies necessary to continue providing oil and natural gas to their customers and the nation." "Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources" is available through the Homeland Security Digital Library: https://www.hsdl.org/?abstract&did=467293.
United States. Department of Homeland Security
2008-02-21
