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• Pandemic Flu School Checklists for Clark County, WA

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  These checklists from Clark County, WA provide recommended actions for local school districts to prepare for, respond to, recover from, and mitigate the effects of a pandemic influenza outbreak.

  Clark County (Wash.)

  2006-01-01?
• Washington County, WI Pandemic Flu Preparation Guide

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  This guide for citizens provides an overview for bird flu and includes steps for preparing and protecting against pandemic influenza.

  American Red Cross

  2006
• Pandemic Flu and You: Students with Special Needs

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  This document provides pandemic influenza guidance for families of students with special needs.

  Washington County (Or.)

  2006-01-01?
• Business Continuity Planning Sites for Pandemic Influenza Response Planning

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  This document provides a list of useful sites with information for the private sector on continuity of operations planning for a pandemic influenza. LLIS Core Capability: Community Preparedness

  Association of Contingency Planners

  2006-01-01?
• Arizona Influenza Pandemic Response Plan, Supplement 10: Public Health Communications

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  "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
• Kansas Pandemic Influenza Preparedness and Response Plan

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  "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
• Nonpharmaceutical Interventions for Pandemic Influenza, International Measures

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  "Since global availability of vaccine and antiviral agents against influenza caused by novel human subtypes is insufficient, the World Health Organization (WHO) recommends nonpharmaceutical public health interventions to contain infection, delay spread, and reduce the impact of pandemic disease. Virus transmission characteristics will not be completely known in advance, but difficulties in influenza control typically include peak infectivity early in illness, a short interval between cases, and to a lesser extent, transmission from persons with incubating or asymptomatic infection. Screening and quarantining entering travelers at international borders did not substantially delay virus introduction in past pandemics, except in some island countries, and will likely be even less effective in the modern era. Instead, WHO recommends providing information to international travelers and possibly screening travelers departing countries with transmissible human infection. The principal focus of interventions against pandemic influenza spread should be at national and community levels rather than international borders."

  Emerging Infectious Diseases

  2006-01
• Guidance for Employers on Returning to Work After Influenza Illness

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  This document provides employers with guidance on setting criteria for their employees who are returning to work after being sick with the season flu. It also presents important qualifications that should be considered in the event of a pandemic flu outbreak.

  Public Health Seattle & King County

  Teeter, Dorothy F.

  2006-01-01?
• Funding Needs for Pandemic Influenza Preparedness, Hearing Before a Subcommittee of the Committee on Appropriations, United States Senate, One Hundred Ninth Congress, First Session, Special Hearing, November 2, 2005

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  From the opening statement of Arlen Specter. "We have a hearing of unusual importance in a subcommittee which characteristically has hearings of very great importance, but this tops the list of any in recent times. We are looking at a very substantial appropriation to meet the imminent threat of a pandemic flu. I had the opportunity to hear the President's speech yesterday at the National Institutes of Health, and the President really laid it on the line with the potential problems, which are enormous. Last week, when we had full Senate consideration of the appropriations bill, Senator Harkin took the lead, having spotted this problem some substantial time ago, and we worked through a very substantial add-on to our appropriations bill, in the amount of $7,975,000,000. We carefully fenced the money so that the expenditures would be at the discretion of the President and his very able team, many of whom are assembled here this morning. But we did not want to face a situation where Congress adjourned and then the program came forward. We will be looking, perhaps in late November, at a supplemental with the Congress out of session. Supplemental appropriation bills are extraordinarily difficult. They become what we call Christmas trees for many, many other items, so that if we can appropriate for it in due course, which we are moving ahead on, that's the way to handle it." Statements, letters, and materials submitted for the record include those of the following: Arlen Spector, Tom Harkin, Thad Cochran, Patty Murray, Michael O. Leavitt, Anthony Fauci, Bruce Gellin, Julie Gerberding, William Raub, and John M. Barry.

  United States. Government Printing Office

  2006
• Biodefense and Pandemic Influenza: Hearing Before a Subcommittee of the Committee on Appropriations, United States Senate, One Hundred Ninth Congress, Second Session, Special Hearing, May 23, 2006

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  From the opening statement of Judd Gregg: "As a society, I think we recognize and as a culture I think we recognize that there are certain elements of threat which the government has a responsibility to prepare for even though we hope that they will never impact us. Number one on that list, of course, is the use of a biological or nuclear or weapon of mass destruction used by an enemy of America, terrorists specifically, against us, and our preparation for that has been a major focus of this committee, myself and Senator Byrd. We have reoriented funds to address that. Number two-not in that sense; they are equal in status-is the potential of a major outbreak of influenza along the lines of what happened in the early part of the last century, which would potentially harm and kill millions, potentially hundreds of thousands, of citizens across the world and in the United States and would obviously disrupt the entire world and the economy of the world, especially America, if it were not prepared for adequately. There has been a lot of talk about that because of the issues of bird flu and the possible mutation of that virus into a form that can be conveyed to humans and human-to-human conveyance from there. So these are big issues that need to be constantly focused on and that we as a government need to be constantly addressing and talking about and making sure that the agencies in our government which are responsible are on top of these issues." Statements, letters, and materials submitted for the record include those of the following: Judd Gregg, Larry Craig, Robert C. Byrd, Paul A. Offit, John M. Clerici, Scott R. Lillibridge, Frank J. Cilluffo, and Steven D. Rice.

  United States. Government Printing Office

  2006
• Infectious Disease and National Security: Strategic Information Needs

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  "The global community has suffered recently from newly emerged infectious diseases, including HIV/AIDS and severe acute respiratory syndrome (SARS), and from reemerging diseases once thought to be in decline. Additionally, it is increasingly recognized that infectious disease can pose a significant threat to U.S. and world security. To best understand and mitigate this threat, U.S. policymakers require adequate and timely information about the occurrence of infectious disease worldwide. The Advanced Systems and Concepts Office of the Defense Threat Reduction Agency asked the RAND Corporation to examine infectious diseases within the context of national security and assess the need for and the adequacy of such information among U.S. policymakers. The primary objectives of this study were to assess the availability of information concerning global infectious disease threats and to determine the suitability and use of such information to support U.S. policymaking in preventing or otherwise responding to such threats. During the study, we conducted literature and document reviews, surveyed the current state of available information systems related to infectious disease, and interviewed 53 senior policymakers and staff from agencies across the federal government and from selected outside organizations. Our findings are summarized below. Approximately a quarter of all deaths in the world today are due to infectious diseases. In decades and centuries past, an outbreak of infectious disease was often limited to the locale in which it occurred. However, the pace of global travel, migration, and commerce has increased dramatically in recent decades, and that increase poses an increased global risk of disease."

  RAND Corporation

  Cecchine, Gary; Moore, Melinda

  2006
• Facilitated Look Backs: A New Quality Improvement Tool for Management of Routine Annual and Pandemic Influenza

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  "Since influenza pandemics are relatively infrequent, public health agencies have limited opportunities to learn from direct experience with them. In contrast, routine annual influenza occurs each year with some predictability, and this routine occurrence offers important opportunities for public health and pandemic preparedness. Each routine annual influenza season presents unique challenges and lessons that may be applicable to pandemic influenza and other public health preparedness activities. For example, unanticipated events in the past decade, such as influenza vaccine shortages, high numbers of influenza-associated deaths among U.S. children, and unexpected surges in demands for patient care, have underscored the need for better preparation-specifically, the importance of early planning and responsiveness to different contingencies that may arise. With the specter of pandemic influenza before the American populace, the RAND team sought to harness opportunities arising from the annual occurrence of influenza to help public health agencies improve their response to routine annual influenza and to incorporate lessons into pandemic and emergency public health preparedness planning. Specifically, we set out to develop and test a 'Look-Back' methodology to assist state public health agencies (SPHAs) in systematically assessing their experiences from each routine annual influenza season and translating those experiences into future public health practice. A Look-Back is a quality improvement tool that seeks to identify relevant and applicable lessons for routine annual and pandemic influenza preparedness by asking a broad and diverse group of participants who have been involved in routine annual influenza activities to critically evaluate their management of the past routine annual influenza season."

  RAND Corporation

  Ricci, Karen; Lurie, Nicole; Aledort, Julia Elizabeth

  2006
• Tabletop Exercises for Pandemic Influenza Preparedness in Local Public Health Agencies [PowerPoint Presentation]

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  This record is for the PowerPoint presentation that accompanies the RAND report by the same name. This presentation is available as a .zip file and can be downloaded from this page. "This report by the RAND Corporation was prepared for the U.S. Department of Health and Human Services. An outbreak of a pandemic influenza virus would have major catastrophic effects on the safety and security of the United States. In an effort to improve the U.S. ability to respond efficiently to this type of emergency, this report 'presents a fully customizable template for a tabletop exercise for pandemic influenza preparedness that can be used by state and local health agencies and their healthcare and governmental partners as an exercise in training, in building relationships, and in evaluation."

  RAND Corporation

  Aledort, Julia Elizabeth; Lurie, Nicole; Dausey, David J.

  2006
• Tabletop Exercises for Pandemic Influenza Preparedness in Local Public Health Agencies [Summary]

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  "This report by the RAND Corporation was prepared for the U.S. Department of Health and Human Services. An outbreak of a pandemic influenza virus would have major catastrophic effects on the safety and security of the United States. In an effort to improve the U.S. ability to respond efficiently to this type of emergency, this report 'presents a fully customizable template for a tabletop exercise for pandemic influenza preparedness that can be used by state and local health agencies and their health care and governmental partners as an exercise in training, in building relationships, and in evaluation."

  RAND Corporation

  Dausey, David J.; Lurie, Nicole; Aledort, Julia Elizabeth

  2006
• Information on Influenza Viruses; Differences Between Human, Avian, and Pandemic Flu and Issues to Consider

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  "What is a pandemic anyway? Basically, this is an event that defines the progression/spread of disease (mortality and morbidity) related to an infectious agent (in this case its influenza). What is the difference between the H5N1 avian influenza 'bird flu' and pandemic influenza? Avian influenza typically infects birds and not people. A pandemic virus is one that emerges (and is transmitted human to human) as a new version or 'strain' of influenza that has never been circulated (or has not been circulated for a long time) among people. If the H5N1 bird flu undergoes enough changes to where it can be readily transmitted from human to human, then it could be considered a pandemic influenza virus. The same holds true for other strains e.g. swine, bird, and human. What are the chances of that happening? Influenza viruses possess the ability to undergo major and/or subtle changes in their outer structural proteins. These major and/or subtle changes are the basis for either the emergence of a pandemic virus or one that is similar to the previous years strain, respectively."

  University of South Florida. Center for Biological Defense

  Sweat, J. Mark

  2006-01
• Vaccines for Pandemic Influenza

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  "Recent outbreaks of highly pathogenic avian influenza in Asia and associated human infections have led to a heightened level of awareness and preparation for a possible influenza pandemic. Vaccination is the best option by which spread of a pandemic virus could be prevented and severity of disease reduced. Production of live attenuated and inactivated vaccine seed viruses against avian influenza viruses, which have the potential to cause pandemics, and their testing in preclinical studies and clinical trials will establish the principles and ensure manufacturing experience that will be critical in the event of the emergence of such a virus into the human population. Studies of such vaccines will also add to our understanding of the biology of avian influenza viruses and their behavior in mammalian hosts."

  Centers for Disease Control and Prevention (U.S.)

  Luke, Catherine J.; Subbarao, Kanta

  2006-01
• President's Statement on Signing of H.R. 2863, the 'Department of Defense, Emergency Supplemental Appropriations to Address Hurricanes in the Gulf of Mexico, and Pandemic Influenza Act, 2006' [December 30, 2005]

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  From the Document: "Today, I have signed into law H.R. 2863, the 'Department of Defense, Emergency Supplemental Appropriations to Address Hurricanes in the Gulf of Mexico, and Pandemic Influenza Act, 2006.' The Act provides resources needed to fight the war on terror, help citizens of the Gulf States recover from devastating hurricanes, and protect Americans from a potential influenza pandemic. Sections 8007, 8011, and 8093 of the Act prohibit the use of funds to initiate a special access program, a new overseas installation, or a new start program, unless the congressional defense committees receive advance notice. The Supreme Court of the United States has stated that the President's authority to classify and control access to information bearing on the national security flows from the Constitution and does not depend upon a legislative grant of authority. Although the advance notice contemplated by sections 8007, 8011, and 8093 can be provided in most situations as a matter of comity, situations may arise, especially in wartime, in which the President must act promptly under his constitutional grants of executive power and authority as Commander in Chief of the Armed Forces while protecting certain extraordinarily sensitive national security information. The executive branch shall construe these sections in a manner consistent with the constitutional authority of the President."

  United States. Office of the White House Press Secretary

  2005-12-30
• Metropolitan Medical Response System Program (MMRS) and Pandemic Flu Preparedness [presentation]

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  This presentation covers the Metropolitan Medical Response System Program and pandemic flu preparedness options for the U.S. House of Representatives Committee on Homeland Security staff.

  United States. Department of Homeland Security

  2005-12-29
• Local Mitigation Strategies for Pandemic Influenza

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  "Local, open-outbreak mitigation strategies for pandemic influenza that target zones of high infectious contact within a community's social network may be very effective. A networked agent-based model was used to instantiate the contact network within a stylized small town and vary the behavior of targeted groups. Simulations show that until sufficient vaccine becomes available, influenza could be halted solely through social distancing whereby children and teenagers stay home while the rest of the population continues normal day-to-day activities. Subsequent vaccinations that start with children and teenagers return the community to normalcy most rapidly, with the least illness, death, and vaccine."

  Sandia National Laboratories

  Glass, Robert J.

  2005-12-21
• Pandemic Flu Emergency Response Plan: Summary Report to Governor Donald L. Carcieri

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  This report, based on the December 2005 version of Rhode Island's pandemic flu plan, summarizes the major strategies for a statewide response to a pandemic flu event.

  Rhode Island

  Rhode Island. Pandemic Flu Working Group

  2005-12-20
• Rhode Island Pandemic Flu Emergency Response Plan

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  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
• Jefferson County Avian Influenza Workshop: December 14, 2005 [Colorado]

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  From the Executive Summary: "Avian Flu-H5N1 (AI) is a rapidly spreading disease that endangers both domestic and wild bird population. In its current form, it does not pose a significant threat to the general population. People who come in close contact with birds are at greater risk of contracting a life threatening infection that requires significant amounts of medical care and resources for successful treatment. The arrival of AI in Colorado will require an aggressive and coordinated multi-disciplinary response which will bring a large number of our response personnel into potentially dangerous contact with infected birds. It will also increase concerns about public health, environmental impacts, and possible infections of other domestic and wild species. AI is not currently rapidly transmissible among human beings. However, there is concern it may contribute to the emergence of a flu strain similar to the 1918 pandemic which killed millions of people globally. The probability, timing and nature of the emergence of pandemic flu are topics of significant debate within the public health community. This concern and the general public's lack of understanding of the differences between the current AI and the potential pandemic flu further complicate this issue. […] In support of this goal, the Jefferson County Division of Emergency Management and the Jefferson County Department of Public Health and Environment co-hosted a multi-disciplined workshop to discuss seven 'focus questions' to determine our current level of preparedness for AI, identify gaps, and facilitate an on-going effort to improve our readiness for AI. Although our current all-hazards efforts provide a solid basis for response to AI, there are several areas requiring additional enphasis. The following is a summary of this initial workshop."

  Jefferson County (Co.). Division of Emergency Management

  Moser, Greg

  2005-12-14
• Pandemic Influenza Planning in Minnesota: Presentation by the Minnesota Commissioner of Health

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  This presentation was given during the Minnesota Pandemic Response and Emergency Planning Summit. It discusses the State's influenza planning efforts and identifies the State's public awareness efforts and overall response capabilties improvements to date.

  Minnesota. Department of Health

  2005-12-14?
• Avian Flu Pandemic Response Plan Template

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  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?
• Federal and State Quarantine and Isolation Authority [December 12, 2005]

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  From the Summary: "In the wake of recent terrorist attacks and increasing fears about the spread of highly contagious diseases, such as severe acute respiratory syndrome (SARS) and pandemic influenza, federal, state, and local governments have become increasingly aware of the need for a comprehensive public health response to such events. An effective response could include the quarantine of persons exposed to infectious biological agents that are naturally occurring or released during a terrorist attack, the isolation of infected persons, and the quarantine of certain cities or neighborhoods. [...] This report provides an overview of federal and state public health laws as they relate to the quarantine and isolation of individuals, a discussion of constitutional issues that may be raised should individual liberties be restricted in a quarantine situation, and federalism questions that may arise where federal and state authorities overlap. In addition, the possible role of the armed forces in enforcing public health measures is discussed, specifically whether the Posse Comitatus Act would constrain any military role, and other statutory authorities that may be used for the military enforcement of health measures."

  Library of Congress. Congressional Research Service

  Elsea, Jennifer; Swendiman, Kathleen

  2005-12-12
• Pandemic Flu: For Servicemembers and their Families

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  "Pandemic flu is a global outbreak of flu that occurs when a new flu virus appears in people, causes serious illness, and spreads easily from person to person. A pandemic is a global outbreak of disease, while an epidemic is a widespread or regional outbreak. During the 20th Century, new influenza viruses caused three pandemics, the most recent in 1968. The most severe was the 1918-1919 'Spanish Flu', which caused more than 500,000 deaths in the United States and 20-40 million deaths worldwide. Nearly half of those who died were young, healthy adults. The first documented human cases of H5N1 avian flu were found in 1997 when six people were infected and died in Hong Kong during a large outbreak of influenza among poultry. Beginning in late 2003, outbreaks among poultry were reported throughout Southeast Asia with extension into Central Asia, Russia, and Eastern Europe. Scattered human cases of H5N1 avian flu have occurred among people who had direct contact with sick poultry or who ate undercooked poultry infected with the virus. So far, spread of H5N1 avian flu virus has been rare and has not continued beyond one person."

  United States. Department of Defense; United States. Air Force Institute for Operational Health

  2005-12-07
• Influenza 2005: The Laboratory's Role in Pandemic Preparedness and Response [presentation]

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  PowerPoint presentation from the Wisconsin State Laboratory of Hygiene that presents information on influenza antigenic characteristics, laboratory diagnostic methods, surveillance for new strains of influenza viruses, and the overall laboratory role in preparedness. LLIS Core Capability: Public Health; Community Preparedness

  Wisconsin State Laboratory of Hygiene

  Shult, Pete A.; Kirk, Carol

  2005-12-06?
• Business Pandemic Influenza Planning Checklist

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  "In the event of pandemic influenza, businesses will play a key role in protecting employees health and safety as well as limiting the negative impact to the economy and society. Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist for large businesses. It identifies important, specific activities large businesses can do now to prepare, many of which will also help you in other emergencies. Further information can be found at www.pandemicflu.gov and www.cdc.gov/business."

  United States. Department of Health and Human Services

  2005-12-06
• State and Local Pandemic Influenza Planning Checklist

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  "Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist. It identifies important, specific activities you can do now to prepare. Many are specific to pandemic influenza, but a number also pertain to any public health emergency. This checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners, but is not intended to set forth mandatory requirements. Each state and local jurisdiction should determine for itself whether it is adequately prepared for disease outbreaks in accordance with its own laws and procedures."

  United States. Department of Health and Human Services

  2005-12-02
• Department of Health and Human Services State and Local Pandemic Influenza Planning Checklist

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  This checklist, released by HHS [Health and Human Services] and the CDC [Centers for Disease Control and Prevention], identifies important activities that state and local agencies and organizations should undertake to prepare for a pandemic flu outbreak. The checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners. LLIS Core Capability: Community Preparedness

  United States. Department of Health and Human Services

  2005-12-02?