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Pandemic Flu, San Francisco City and County Preparedness
This fact sheet, sponsored by the San Francisco Department of Public Health, Communicable Disease Control and Prevention Section, provides information regarding preparedness efforts by the City and County of San Francisco government.
San Francisco (Calif.). Department of Public Health
2006-10-19
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Infectious Disease Outbreaks: Establishing Separate Triage and Assessment Facilities
"During an infectious disease outbreak, public health and medical professionals may guard against disease transmission in medical settings by setting up separate triage and assessment centers."
Lessons Learned Information Sharing (LLIS)
2006-10-13?
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Guidance for Educational Institutions Pandemic Influenza Response [State of New Hampshire, October 10, 2006]
From the Purpose: "The purpose of this document is to assist educational institutions in their development of institution-specific pandemic influenza preparedness and response plans. Because a pandemic would most likely occur in phases, the activities in this guidance are also separated out by phases (see below). However, the activities are cumulative, and should carry over from one phase to the next. For a checklist of both preparedness and response activities, see Appendix 2: Suggested Checklist. This guidance is a fluid document that may be updated and edited as new information becomes available."
New Hampshire. Department of Health and Human Services
2006-10-10
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Illinois Pandemic Influenza Preparedness and Response Plan
The intent of this plan is to provide the framework for how the state of Illinois would prevent or mitigate the effects of an influenza pandemic should the new strain of the virus which has been found in birds in Asia begin infecting humans here. The plan is intended to be implemented within a unified command structure with representation from local, state and federal responders. LLIS Core Capability: Public Health; State and Local Executive Offices; Community Preparedness
Illinois. Department of Public Health
2006-10-10?
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State of Illinois Pandemic Influenza Preparedness and Response Plan: Version 2.05
"Most of us are familiar with seasonal influenza or the 'flu,' a viral infection that, despite annual vaccinations, results in approximately 36,000 deaths in the United States and more than 200,000 hospitalizations annually. Intermittently over the centuries, changes in the genetic makeup of influenza virus result in a new strain to which people have never been exposed. These new strains have the potential to cause a pandemic or worldwide outbreak of influenza, with potentially catastrophic consequences. In Illinois alone, a pandemic of even modest severity could result in thousands of deaths and the sickening of millions, even among previously healthy persons. A new strain of influenza virus, H5N1, has been found in birds in Asia and Europe, and has shown it can infect humans. If this avian virus undergoes further change, it could very well be the source of a new pandemic. It is impossible to know whether the currently circulating H5N1 strain will cause a human pandemic, but history and science suggest that the world will face one or more pandemics this century. […] The intent of the plan is to describe a framework for Illinois to stop, slow or otherwise limit the spread of an influenza pandemic and sustain infrastructure and mitigate the impact to the economy and reduce social disruption. It provides the executive branch of state government with a set of preparedness activities and response functions, and provides local health departments, health care provider systems, and first responder organizations with preparedness and response expectations."
Illinois
2006-10-10
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Florida Emergency Operations Plan: Pandemic Influenza Annex (2006)
"The purpose of this annex is to describe the coordinated Department of Health efforts relative to a threatened or actual pandemic influenza event in Florida due to a novel virus. The annex provides an overarching strategic approach the department will use in preparing for, and responding to, these events, and offers technical guidelines and supporting material for event decision-making. This annex may serve as a resource for planning efforts for other entities outside of the department. The goals of these coordinated efforts are: Reduce morbidity and mortality resulting from a pandemic event; Provide alignment between local, state, national and international plans."
Florida. Department of Health
2006-10-09
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Quarantine and Isolation: Offering Income Replacement to Quarantined Citizens
"Quarantine and isolation measures that require citizens to be absent from work for a given period of time may result in the loss of income for affected citizens. During the Severe Acute Respiratory Syndrome (SARS) virus outbreak in Toronto, Canada in 2003, the provincial government created a program that compensated individuals who were forced to be absent from work due to SARS-related causes."
Lessons Learned Information Sharing (LLIS)
2006-10-06?
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Quarantine and Isolation: Ensuring Employment Security for Quarantined Populations
"Public health intervention measures such as quarantine and isolation may threaten an individual's employment status by requiring the employee to be absent from work. During the 2003 Severe Acute Respiratory Syndrome (SARS) virus outbreak in Toronto, Canada, the provincial government of Ontario passed legislation that protected the jobs of quarantined and isolated individuals on SARS-related leave."
Lessons Learned Information Sharing (LLIS)
2006-10-06?
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Pandemic Influenza Preparedness: An Ethical Framework to Guide Decision-Making
From the Abstract: "In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework."
BioMed Central Ltd.
Thompson, Alison K.; Faith, Karen; Gibson, Jennifer L. . . .
2006-10-04
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ASTHO Survey of State and Territorial Pandemic Influenza Antiviral Purchase and Stockpiling
"In October 2006, ASTHO [Association of State and Territorial Health Officials] conducted a survey of the states and territories to provide a point-in-time picture of the states' antiviral purchasing and stockpiling activities and plans. This survey is a follow-up to a survey that was conducted in April 2006, the results from which are available on ASTHO's web site. ASTHO received a total of 54 responses from 50 states, the District of Columbia, and 3 territories. State and territorial responses reflect activities as of October 1, 2006."
Association of State and Territorial Health Officials (U.S.)
2006-10
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Pandemic Influenza Response Plan Annex to the UNCW All Hazards Emergency Operations Plan
This plan establishes policies, procedures, and organizational structure for response, to pandemic flu or other infectious disease emergency that may cause a significant disruption of the functions of all or portions of the university. This plan describes, the roles and responsibilities of university departments and individuals in a, pandemic flu or other infectious disease emergency, and should be implemented, when there is a potential pandemic flu threat to the United States.
University of North Carolina at Wilmington
2006-10-01?
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Pandemic Influenza (U) [powerpoint]
This brief covers Pandemic Influenza, how it differs from Seasonal Flu, and how you can be prepared as an organization, individual units, family, and individuals. It also covers influenza vaccines, and the social consequences of pandemic influenza. Human Influenza Disease: occurs mostly during fall/winter in the United States; is spread by airborne droplets; viral shedding begins before symptoms start and may continue after symptoms begin the resolve; the symptoms are: fever, dry cough, aches and pains, malaise, and runny nose; symptoms may last 5-7 days in healthy individuals; and full recovery may be prolonged. Flu viruses change slightly each year and each year vaccines are developed to counter new strains. Vaccines are the single most effective way to protect yourself against: most common and worst strains, severe illness, and keeps it from being spread. Three conditions required for a pandemic to start: new virus is introduced to humans, virus changes to be easily passed from person to person, and people travel and move, carrying the virus. The social consequences are: agricultural impact, overwhelmed infrastructure, and global economic impact. National and international preparedness measures include: preparedness and communication, surveillance and detection, and response and containment.
North American Aerospace Defense Command; United States. Northern Command
2006-10
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Pandemic Influenza Plan
Indiana's Pandemic Influenza Plan provides guidance for state agencies and departments to counter the anticipated impact of a pandemic influenza outbreak.
Indiana. State Department of Health
Monroe, Judith A.
2006-10
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Pandemic Influenza: The State of the Science
"Most Americans are familiar with seasonal flu, a respiratory illness that strikes annually. Seasonal flu kills approximately 36,000 people in the United States every year and hospitalizes more than 200,000, but experts generally consider it a predictable public health problem, since many people have some form of immunity to it, and a yearly vaccine is available. Pandemic (from the Greek, meaning 'of all of the people') flu, on the other hand, has the potential to pose a serious global health threat. Pandemic influenza typically is a virulent new strain of human flu that causes a global outbreak of serious illness. Because there is little natural immunity, the disease easily can spread from person to person. There have been at least ten recorded flu pandemics during the past 300 years. […] Scientific experts believe that another potentially deadly pandemic is inevitable. The only questions are when it will occur, how severe it will be, and whether the world will be ready for it. Pandemic influenza has received increasing attention in the past few years from scientists, public health officials, and the media. On November 1, 2005, recognizing the seriousness of the pandemic threat, President Bush announced a National Strategy for Pandemic Influenza and requested Congress to allocate $7.1 billion for preparedness efforts. These include expansion of domestic vaccine production capacity, increasing of stockpiles of antiviral medications, improving domestic and international surveillance, and investing in state and local public health preparedness. Congress has responded by providing more than $5 billion to support these activities."
Trust for America's Health
Guidos, Robert; Hantman, Julie; Rada, Beth
2006-10
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State of Florida Emergency Operations Plan: Pandemic Influenza Annex
"The goal of this plan is to minimize the morbidity and mortality related to a pandemic influenza event, and to align Florida preparedness, response, recovery and mitigation to national and international efforts. The annex outlines a series of activities designed to rapidly detect, investigate and implement interventions which, based on the best available science, maximize the use of available resources to minimize morbidity and mortality. Specific activities and interventions are set forth in the technical appendices to this annex. For planning purposes, and considering the World Health Organization Phases of Pandemic Alert, this annex and associated appendices anticipate possible stages of an influenza pandemic. There is no assurance, however, that a real event will follow a linear course through these stages. In a real event, decision-makers will determine when to transition from one stage-with its associated recommended responses-to another stage. The facts will not always be clear. There may be periods when the state, as a whole, is in more than one stage at the same time, or when different areas of the state are in different stages. Decision-making at the local, regional and state levels will have to be flexible, coordinated and take into account specific circumstances that are being experienced on an ongoing basis. This annex recommends some interventions that will be logistically difficult and/or expensive to implement. Certain interventions, such as mandatory travel restrictions or cordon sanitaire around entire communities, are not recommended because they seem infeasible under any foreseeable circumstance."
Florida. Department of Health
2006-10
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Centrally Funded Influenza Pandemic Response Materiel Guidance
"The Military Health System must be prepared to respond to an influenza pandemic. I believe it is prudent to purchase and store certain items of materiel at military medical treatment facilities (MTF) and selected intermediate storage sites. Consequently, approximately $7.9 million has been provided to the Services to allow MTFs to purchase and store five personal protection items to protect personnel who may have direct patient contact in the event of a pandemic. We have initiated a central purchase of approximately $24.5 million of antibiotics as recommended by the Services' infectious disease consultants for distribution to select MTFs and intermediate storage sites."
United States. Department of Defense
2006-09-29
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Washington State E911 Pandemic Preparedness Plan
"Avian flu threatens to evolve into a human flu that has the potential to reach pandemic. Calling 911 is the first step, and often is the only step, to seek help in any emergency be it a national crisis or someone seeking help for an individual problem. Loss of 911 services for any reason would be a crisis in itself. Loss of 911 services in the time of a national crisis would be a monumental disaster. Objective: Insure the health and stability of local 911 Public Safety Answering Points (PSAPs) and the 911 infrastructure prior to, during and after a pandemic. Goals: That all Washington State E911 PSAPs are staffed and operational through a pandemic period. [...]. The Washington State E911 Office of the Washington State Military Department will research and plan to make use of communications technologies with the goal to use these technologies to allow PSAPs to communicate with each other and to remotely answer and dispatch 911 calls for each other as the second phase of the Pandemic Preparedness planning effort."
Washington (State). Emergency Management Division
2006-09-29
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Infectious Disease Planning: Incorporating Pandemic Planning into School Crisis Plans
This presentation was given at a training conference hosted by the Department of Education's Office of Safe and Drug-free Schools in Santa Monica, California. It provides information about infectious diseases and pandemic influenza framed in the four phases of emergency management. It outlines the common steps schools can take to prepare for a pandemic influenza.
Readiness and Emergency Management for Schools Technical Assistance Center (U.S.)
2006-09-26
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Exercise Silent Thunder
This document outlines the Yuma County Pandemic Flu Table Top Exercise titled Silent Thunder. The aim of Exercise Silent Thunder is to highlight the force structure needed to minimize the impact of a pandemic flu event in Yuma County in the event of a border surge scenario.
Yuma County (AZ) Department of Public Works
2006-09-26
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Pandemic Influenza Emergency Response: Ethics Guidance and Matrix Attachment 12
"After major homeland security and public health preparedness initiatives and directives began to come from the federal government, a number of New Mexico Department of Health (NMDOH) staff raised concerns about foreseeable issues such as terrorism incidents, disease pandemics, and natural disasters which could place pressure on staff's ability to make effective, ethical decisions. This Attachment was developed to address these concerns. This Attachment provides guidance to NMDOH personnel who directly or indirectly participate in the ethics-based decision making process during health emergencies. The following guidance encourages participating staff to examine ethical issues raised during the deliberation process prior to determining a course of action. This guidance takes two forms. First, there is a common language and frame of reference for decision-making participants. Each major ethical principle is clearly identified and explained. Second, specific questions and application steps provide a path to reaching a decision or recommendation."
New Mexico. Department of Public Health
2006-09-18
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Pandemic Influenza: Preparedness, Response, and Recovery - Guide for Critical Infrastructure and Key Resources
"The Pandemic Influenza Preparedness, Response, and Recovery Guide is one of the practical tools DHS has developed for business owner-operators and their contingency planners to enhance pandemic planning. This guide assembles the primary government and pandemic influenza-specific background material, references, and contacts all in one place. It introduces an enhanced contingency planning process for a pandemic and provides business planners with numerous sector-specific and common pandemic influenza planning variables keyed to escalating disaster phases. This Guide will complement and enhance, not replace, extensive private sector contingency planning already in place. The primary purpose of this Guide is to stimulate the U.S. private sector business community to act now. With this Guide, DHS hopes to assist our nation's 17 CI/KR sectors, and business and industry in general, with the actions they should be taking to prepare for, respond to, and recover from a localized outbreak, as well as the broader pandemic. This Guide urges private sector business planners to expand upon their traditional notions of continuity of operations, as a pandemic promises to test the limits of their current contingency plans."
United States. Department of Homeland Security
2006-09-16
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Local Jurisdiction Service Continuation Planning Guide (Pandemic Influenza)
"The State of Minnesota explored incorporating pandemic planning into current Continuity of Operations plans. It was determined that pandemic planning presents unique differences from current Continuity of Operations templates. Instead of loss of physical structures, we are faced with reduction of workforce and significant human health concerns in the workplace environment. Due to these particular circumstances, the State of Minnesota developed the concept of 'Service Continuation.' This document describes this approach."
Minnesota. Division of Homeland Security and Emergency Management
2006-09-14
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Media Pandemic Influenza Preparedness Checklist
"This checklist provides guidance for editors and publishers in developing and improving influenza pandemic response and preparation plans."
District of Columbia. Health Department
2006-09-14
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2006 San Francisco Pandemic Influenza Infection Control Tabletop Exercise: After Action Report
This document summarizes the findings of the 2006 San Francisco Pandemic Influenza Infection Control Tabletop Exercise that included representatives of public health and major local hospitals. It presents a summary of the exercise scenario and key lessons learned.
San Francisco (Calif.). Department of Public Health
2006-09-14?
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Strategic National Stockpile: Safe Shelter Contingency Planning for Point of Dispensing Sites
"Jurisdictions' point of dispensing (POD) site annexes to their Strategic National Stockpile (SNS) Plan should consider including a contingency plan that details a safe shelter for people who receive medication. This contingency plan can address a means for maintaining order by moving people receiving medication inside or by providing shelter outside of the POD site. The plan should ensure that the people receiving medication who are sheltered outdoors are protected from rain, heat, and cold."
Lessons Learned Information Sharing (LLIS)
2006-09-08?
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Strategic National Stockpile Dispensing: Planning for Populations with Special Needs at Point of Dispensing Sites
"Point of dispensing (POD) site staff should develop a plan that identifies specific requirements and procedures for processing individuals who use wheelchairs and individuals with mobility or dexterity limitations."
Lessons Learned Information Sharing (LLIS)
2006-09-08?
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California Pandemic Influenza Preparedness and Response Plan
"This plan is an annex to the California Department of Health Services (CDHS) Public Health Emergency Response Plan and Procedures. CDHS will carry out the response activities described in this plan in collaboration with the Emergency Medical Services Authority (EMSA), the California Health and Human Services Agency (CHHSA), the Governors Office of Emergency Services (OES), other state agencies, and local health departments (LHDs). This CDHS Pandemic Influenza Preparedness and Response Plan outlines key assumptions for pandemic planning and response, summarizes relevant legal and statutory authorities, explains the CDHS emergency management organization and defines a concept of operations for pandemic influenza response. Appendices describe essential functions for conducting surveillance, case investigation, and treatment; preventing spread of the disease in the community; maintaining essential services; and other actions prior to, during, and after a pandemic. Although the term 'pandemic' can refer to any disease outbreak that becomes a worldwide epidemic, this plan uses the terms 'pandemic influenza' and 'pandemic' interchangeably."
California. Department of Public Health
2006-09-08
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Pandemic Influenza: Preparedness and Response Plan (2006)
"The California Department of Health Services (CDHS) Pandemic Influenza Preparedness and Response Plan: Outlines key assumptions for statewide pandemic planning and response; summarizes the legal and statutory authorities regarding public health; explains the CDHS emergency management organization; defines the CDHS concept of operations for pandemic influenza response; and Lists actions CDHS will undertake in preparing and responding to an influenza pandemic. The plan outlines the roles and strategies of CDHS in coordinating the public health response to a pandemic with local health departments, the healthcare community, the federal government, and other key partners."
California. Department of Health Services
2006-09-08
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Pandemic Influenza - Phase 4 and 5: Infection Control Recommendations Template
"These recommendations are intended for implementation when WHO [World Health Organization] has declared Phase 4 and/or 5 where there is a novel influenza virus circulating causing disease in humans, the disease spreads locally with small or large clusters, and there is evidence of limited or localized human to human transmission, but it has not yet spread to many parts of the world and a vaccine against this strain is not yet available. The objective is to contain or delay the spread before it becomes widespread. The duration of phase 4 and 5 are unknown, it may be as short as 1 day or as long as 1 month or more."
San Francisco (Calif.). Department of Public Health
2006-09-07
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Pandemic Influenza - Phase 6: Infection Control Recommendations Template
"These recommendations are intended for implementation when WHO [World Health Organization] has declared Pandemic Influenza Phase 6 where there is evidence of increased and sustained human to human transmission and a vaccine against this strain is not yet available. The objective is to maintain continuity of operations as much as possible."
San Francisco (Calif.). Department of Public Health
2006-09-07